"Notes"	"VAERS ID"	"VAERS ID Code"	"Symptoms"	"Symptoms Code"	"Age"	"Age Code"	Adverse Event Description
	"0926568-1"	"0926568-1"	"ABSENCE OF IMMEDIATE TREATMENT RESPONSE"	"10081766"	"65-79 years"	"65-79"	"patient declined 12/30/2020 and was transferred to hospital where he did not respond to treatment and passed away 1/4/2020"
	"0926568-1"	"0926568-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient declined 12/30/2020 and was transferred to hospital where he did not respond to treatment and passed away 1/4/2020"
	"0954251-1"	"0954251-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"71 year old woman at rehabilitation center for physical therapy with history of cirrhosis of the liver, asthma, and heart condition was tested for COVID-19 on 01/07/21, received 1st dose of Pfizer COVID-19 vaccine on 01/08/21, positive test result for COVID-19 received on 01/09/21.  She was sent to the hospital and admitted  on 01/12/21 after O2 was 70% and was in a confused state.   Patient passed away on 01/17/21."
	"0954251-1"	"0954251-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"71 year old woman at rehabilitation center for physical therapy with history of cirrhosis of the liver, asthma, and heart condition was tested for COVID-19 on 01/07/21, received 1st dose of Pfizer COVID-19 vaccine on 01/08/21, positive test result for COVID-19 received on 01/09/21.  She was sent to the hospital and admitted  on 01/12/21 after O2 was 70% and was in a confused state.   Patient passed away on 01/17/21."
	"0959929-1"	"0959929-1"	"ABDOMINAL DISTENSION"	"10000060"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"ABDOMINAL PAIN UPPER"	"10000087"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"BACTERIAL TEST NEGATIVE"	"10065004"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"BLOOD CULTURE NEGATIVE"	"10005486"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"CHEST X-RAY NORMAL"	"10008500"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"ELECTROCARDIOGRAM CHANGE"	"10061116"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"FEELING ABNORMAL"	"10016322"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"GAIT INABILITY"	"10017581"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"LIVER FUNCTION TEST NORMAL"	"10060106"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"PROCALCITONIN INCREASED"	"10067081"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"SUPRAVENTRICULAR TACHYCARDIA"	"10042604"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"SYSTEMIC INFLAMMATORY RESPONSE SYNDROME"	"10051379"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"TACHYCARDIA"	"10043071"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0959929-1"	"0959929-1"	"WHITE BLOOD CELL COUNT NORMAL"	"10047944"	"65-79 years"	"65-79"	""Narrative:  Patient seen in ED 1-17-21 with c/c of ""bloated with epigastric pain"". Patient with complicated medical history including stage 1B pancreatic cancer (was currently on chemotherapy mFOLFIRINOX), and a leadless permanent pacemaker implantation on 1-11-21 for long episodes of SR with complete heart block following symptoms of syncope (other cardiac history: CAD s/p CABG 2009, PAF, and HTN). Regarding ER visit for epigastric pain, nothing notable was found on workup and patient was to discharge home to rest. There were available doses of COVID-19 Vaccine following a vaccine clinic that same day, and patient was offered and agreed to a dose of vaccine. Patient was monitored for 15 minutes post vaccine with no notable issues. The following day, Monday 1-18-21, patient's caregiver called facility at 22:30 to report he had a fever of 102.8 degrees and that he had been ""feeling kind of bad all day"". Patient was advise to seek urgent medical care and reported back to ED on 1-19-21 at 00:55. Patient wasd admitted for SIRS (tachycardia and febrile) -- patient also reported diffuse myalgia. WBC WNL, CXR unremarkable for infection, UA neg for bacteria, LFTs WNL, blood cultures negative. Procalcitonin elevated at 17.8 -- suggesting inflammatory response. Patient initially reported feeling better on the morning of 1-19-21, but around 13:00 began rapidly declining (confusion, unable to walk) and started experiencing EKG changes (9 beats of SVT). Patient then coded and resuscitation was attempted for approximately 30 minutes. Patient did not survive the code. Coroner has been notified and family is considering autopsy at time of this report.""
	"0960552-1"	"0960552-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"At approximately 930am I arrived at Memory Care.  I met with the director of the facility and she directed me to where my team would be setting up.  My team consisted of (technician), (nurse) and I. As we were setting up, the director asked how she can help. I explained to her that we would need a designated area for patients to be monitored after vaccination for 15 minutes and maybe even longer . I also explained that we would need one of her staff monitoring while we vaccinate. She agreed, and proceeded to designate her staff and the cafeteria area, facing the vaccination station,the monitoring station.   Throughout the day, nurse and I were both vaccinating,while the staff of the facility would monitor the vaccinated patients. I would also stop occasionally to mix the vaccine and check the temperature of the aero safe.   At approximately 12:50pm, the director rushed in and stated that a patient is not responding, and that she had been vaccinated. At that point, I grabbed epipens and a thermometer and I also instructed nurse to grab an Epipen and come with me. We followed the director to pt's room. Once we got to the room, the patient was in bed and there were 4 staff members standing bedside and one of them turned and stated the patient has passed. At that point I asked the staff how long ago did the patient get the vaccine, they stated about 30 minutes ago. They also stated that the patient was a hospice patient and that the patient had declined, and was rapidly detiorating and had not eaten or drank anything all day . They also stated that the patient had been monitored for 15 minutes post vaccination. I then left the room and grabbed the patients COVID Vaccine intake consent form.     I looked at the answered questionaire and all the responses were circled NO. Patient had a temp of 96.5 at the time of vaccination.The vaccine administration information for Immunizer Section was filled out by Nurse. I then proceeded to ask the director once again if there were staff that was monitoring her for 15 minutes, the director stated they had staff monitoring her. She also stated the Hospice nurse has to announce her death, so they waited for the Hospice Nurse to come.  I then called Corporate and explained the situation. After speaking to corporate, I also asked nurse, if she remembered the patient. She stated that she did and at the time of the vaccination the patient was not alert, there were two staff members with the patient. She was non oriented and she kept closing her eyes. At that point, Nurse stated that she asked the two staff members with her if this is how she usually is and if its ok to vaccinate her. Both Staff members stated that it its ok,this is how she is. The Nurse then proceeded to vaccinate.  At approximately 3:10pm, as I was leaving I spoke to the director, and one of her Staff members. Staff that the patient has actually not eaten/ or drank anything for the past several days, including today(01/18/21). Staff also stated that on Friday, Jan 15th,2021, they had informed the family that the patient was rapidly detiorating. Staff also stated that the family knowingly gave the consent to vaccinate her. She also stated that the hospice Nurse believes that the death was primarily caused by her detiorating state. She also stated that the hospice Nurse informed that the death was not due to the Vaccine. Per Lead Pharmacist at the clinic."
	"0960552-1"	"0960552-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"At approximately 930am I arrived at Memory Care.  I met with the director of the facility and she directed me to where my team would be setting up.  My team consisted of (technician), (nurse) and I. As we were setting up, the director asked how she can help. I explained to her that we would need a designated area for patients to be monitored after vaccination for 15 minutes and maybe even longer . I also explained that we would need one of her staff monitoring while we vaccinate. She agreed, and proceeded to designate her staff and the cafeteria area, facing the vaccination station,the monitoring station.   Throughout the day, nurse and I were both vaccinating,while the staff of the facility would monitor the vaccinated patients. I would also stop occasionally to mix the vaccine and check the temperature of the aero safe.   At approximately 12:50pm, the director rushed in and stated that a patient is not responding, and that she had been vaccinated. At that point, I grabbed epipens and a thermometer and I also instructed nurse to grab an Epipen and come with me. We followed the director to pt's room. Once we got to the room, the patient was in bed and there were 4 staff members standing bedside and one of them turned and stated the patient has passed. At that point I asked the staff how long ago did the patient get the vaccine, they stated about 30 minutes ago. They also stated that the patient was a hospice patient and that the patient had declined, and was rapidly detiorating and had not eaten or drank anything all day . They also stated that the patient had been monitored for 15 minutes post vaccination. I then left the room and grabbed the patients COVID Vaccine intake consent form.     I looked at the answered questionaire and all the responses were circled NO. Patient had a temp of 96.5 at the time of vaccination.The vaccine administration information for Immunizer Section was filled out by Nurse. I then proceeded to ask the director once again if there were staff that was monitoring her for 15 minutes, the director stated they had staff monitoring her. She also stated the Hospice nurse has to announce her death, so they waited for the Hospice Nurse to come.  I then called Corporate and explained the situation. After speaking to corporate, I also asked nurse, if she remembered the patient. She stated that she did and at the time of the vaccination the patient was not alert, there were two staff members with the patient. She was non oriented and she kept closing her eyes. At that point, Nurse stated that she asked the two staff members with her if this is how she usually is and if its ok to vaccinate her. Both Staff members stated that it its ok,this is how she is. The Nurse then proceeded to vaccinate.  At approximately 3:10pm, as I was leaving I spoke to the director, and one of her Staff members. Staff that the patient has actually not eaten/ or drank anything for the past several days, including today(01/18/21). Staff also stated that on Friday, Jan 15th,2021, they had informed the family that the patient was rapidly detiorating. Staff also stated that the family knowingly gave the consent to vaccinate her. She also stated that the hospice Nurse believes that the death was primarily caused by her detiorating state. She also stated that the hospice Nurse informed that the death was not due to the Vaccine. Per Lead Pharmacist at the clinic."
	"0961845-1"	"0961845-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Narrative:"
	"0964653-1"	"0964653-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"loss of consciousness; respiratory distress Narrative: Patient tolerated his 1st dose of the COVID-19 vaccine well, on 12/16/2020, and received his 2nd dose on 1/6/2021. Patient had some mild clinical decline the past few days prior to 2nd vaccination, with a decreased appetite and some increased fatigue per nursing report, but no significant changes. He experienced nausea on the evening of 1/6/21, which was effectively managed, but by early morning he spiked a fever of 102.9 with a sat of 86.1%. He continued to deteriorate from that point on and died 1/7/21 @13:20. Clinically, the presentation was most consistent with an aspiration pneumonia."
	"0964653-1"	"0964653-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"loss of consciousness; respiratory distress Narrative: Patient tolerated his 1st dose of the COVID-19 vaccine well, on 12/16/2020, and received his 2nd dose on 1/6/2021. Patient had some mild clinical decline the past few days prior to 2nd vaccination, with a decreased appetite and some increased fatigue per nursing report, but no significant changes. He experienced nausea on the evening of 1/6/21, which was effectively managed, but by early morning he spiked a fever of 102.9 with a sat of 86.1%. He continued to deteriorate from that point on and died 1/7/21 @13:20. Clinically, the presentation was most consistent with an aspiration pneumonia."
	"0964653-1"	"0964653-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"loss of consciousness; respiratory distress Narrative: Patient tolerated his 1st dose of the COVID-19 vaccine well, on 12/16/2020, and received his 2nd dose on 1/6/2021. Patient had some mild clinical decline the past few days prior to 2nd vaccination, with a decreased appetite and some increased fatigue per nursing report, but no significant changes. He experienced nausea on the evening of 1/6/21, which was effectively managed, but by early morning he spiked a fever of 102.9 with a sat of 86.1%. He continued to deteriorate from that point on and died 1/7/21 @13:20. Clinically, the presentation was most consistent with an aspiration pneumonia."
	"0964653-1"	"0964653-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"loss of consciousness; respiratory distress Narrative: Patient tolerated his 1st dose of the COVID-19 vaccine well, on 12/16/2020, and received his 2nd dose on 1/6/2021. Patient had some mild clinical decline the past few days prior to 2nd vaccination, with a decreased appetite and some increased fatigue per nursing report, but no significant changes. He experienced nausea on the evening of 1/6/21, which was effectively managed, but by early morning he spiked a fever of 102.9 with a sat of 86.1%. He continued to deteriorate from that point on and died 1/7/21 @13:20. Clinically, the presentation was most consistent with an aspiration pneumonia."
	"0964653-1"	"0964653-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"65-79 years"	"65-79"	"loss of consciousness; respiratory distress Narrative: Patient tolerated his 1st dose of the COVID-19 vaccine well, on 12/16/2020, and received his 2nd dose on 1/6/2021. Patient had some mild clinical decline the past few days prior to 2nd vaccination, with a decreased appetite and some increased fatigue per nursing report, but no significant changes. He experienced nausea on the evening of 1/6/21, which was effectively managed, but by early morning he spiked a fever of 102.9 with a sat of 86.1%. He continued to deteriorate from that point on and died 1/7/21 @13:20. Clinically, the presentation was most consistent with an aspiration pneumonia."
	"0964653-1"	"0964653-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"loss of consciousness; respiratory distress Narrative: Patient tolerated his 1st dose of the COVID-19 vaccine well, on 12/16/2020, and received his 2nd dose on 1/6/2021. Patient had some mild clinical decline the past few days prior to 2nd vaccination, with a decreased appetite and some increased fatigue per nursing report, but no significant changes. He experienced nausea on the evening of 1/6/21, which was effectively managed, but by early morning he spiked a fever of 102.9 with a sat of 86.1%. He continued to deteriorate from that point on and died 1/7/21 @13:20. Clinically, the presentation was most consistent with an aspiration pneumonia."
	"0964653-1"	"0964653-1"	"PNEUMONIA ASPIRATION"	"10035669"	"65-79 years"	"65-79"	"loss of consciousness; respiratory distress Narrative: Patient tolerated his 1st dose of the COVID-19 vaccine well, on 12/16/2020, and received his 2nd dose on 1/6/2021. Patient had some mild clinical decline the past few days prior to 2nd vaccination, with a decreased appetite and some increased fatigue per nursing report, but no significant changes. He experienced nausea on the evening of 1/6/21, which was effectively managed, but by early morning he spiked a fever of 102.9 with a sat of 86.1%. He continued to deteriorate from that point on and died 1/7/21 @13:20. Clinically, the presentation was most consistent with an aspiration pneumonia."
	"0964653-1"	"0964653-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"loss of consciousness; respiratory distress Narrative: Patient tolerated his 1st dose of the COVID-19 vaccine well, on 12/16/2020, and received his 2nd dose on 1/6/2021. Patient had some mild clinical decline the past few days prior to 2nd vaccination, with a decreased appetite and some increased fatigue per nursing report, but no significant changes. He experienced nausea on the evening of 1/6/21, which was effectively managed, but by early morning he spiked a fever of 102.9 with a sat of 86.1%. He continued to deteriorate from that point on and died 1/7/21 @13:20. Clinically, the presentation was most consistent with an aspiration pneumonia."
	"0964653-1"	"0964653-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"loss of consciousness; respiratory distress Narrative: Patient tolerated his 1st dose of the COVID-19 vaccine well, on 12/16/2020, and received his 2nd dose on 1/6/2021. Patient had some mild clinical decline the past few days prior to 2nd vaccination, with a decreased appetite and some increased fatigue per nursing report, but no significant changes. He experienced nausea on the evening of 1/6/21, which was effectively managed, but by early morning he spiked a fever of 102.9 with a sat of 86.1%. He continued to deteriorate from that point on and died 1/7/21 @13:20. Clinically, the presentation was most consistent with an aspiration pneumonia."
	"0967747-1"	"0967747-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt passed away evening of 1/13 - unknown reason currently Narrative:"
	"0967754-1"	"0967754-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death - unknown cause, no reported side effects Narrative: Unknown cause of death"
	"0969636-1"	"0969636-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Found dead at home slumped on the floor; Loss of appetite; Body aches; Feverish; A spontaneous report was received from a physician, concerning a 65-years-old male patient, who received Moderna's COVID-19 Vaccine and experienced feverish, body aches, loss of appetite, and death.  The patient's medical history, as provided by the reporter, included diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia. Concomitant medications reported included metformin, glimepiride, lisinopril, atorvastatin, aspirin, methimazole, propranolol, and cilostazol.   On 05 Jan 2021, prior to the onset of events, the patient received the first of two planned doses of mRNA-1273 (lot number 037k20a) for COVID-19 infection prophylaxis.  On an unknown date in Jan 2021, some time after receiving the vaccine, the patient was feeling feverish with body aches and loss of appetite.  On 09 Jan 2021 at approximately 21:30, the patient was found dead at home slumped on the floor. According to the paramedics, the patient was dead longer than when his wife found him, and no resuscitation was performed.   Action taken with mRNA-1273 in response to the events was not applicable.  The outcome of the events, feverish, body aches, loss of appetite, was considered resolved. The patient died on 09 Jan 2021. The cause of death was not reported.  The reporter assessed the event, death, as not related to Moderna's COVID-19 Vaccine. The reporter did not provide assessment for the events, feverish and body aches, in relation to Moderna's COVID-19 Vaccine.; Reporter's Comments: This case concerns a 65 year old male patient with medical history of diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia, who experienced the serious unexpected event of death, non-serious unexpected event of loss of appetite, and non-serious expected events of fever and body pain.  The event of death occurred 5 days after the first dose of mRNA-1273. The events of fever, body pain and loss of appetite occurred an unspecified period of time after the first dose of mRNA-1273.  Very limited information regarding these events has been provided at this time.  Based on temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   Definitive causal association is confounded by age and medical history of diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia."
	"0969636-1"	"0969636-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"Found dead at home slumped on the floor; Loss of appetite; Body aches; Feverish; A spontaneous report was received from a physician, concerning a 65-years-old male patient, who received Moderna's COVID-19 Vaccine and experienced feverish, body aches, loss of appetite, and death.  The patient's medical history, as provided by the reporter, included diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia. Concomitant medications reported included metformin, glimepiride, lisinopril, atorvastatin, aspirin, methimazole, propranolol, and cilostazol.   On 05 Jan 2021, prior to the onset of events, the patient received the first of two planned doses of mRNA-1273 (lot number 037k20a) for COVID-19 infection prophylaxis.  On an unknown date in Jan 2021, some time after receiving the vaccine, the patient was feeling feverish with body aches and loss of appetite.  On 09 Jan 2021 at approximately 21:30, the patient was found dead at home slumped on the floor. According to the paramedics, the patient was dead longer than when his wife found him, and no resuscitation was performed.   Action taken with mRNA-1273 in response to the events was not applicable.  The outcome of the events, feverish, body aches, loss of appetite, was considered resolved. The patient died on 09 Jan 2021. The cause of death was not reported.  The reporter assessed the event, death, as not related to Moderna's COVID-19 Vaccine. The reporter did not provide assessment for the events, feverish and body aches, in relation to Moderna's COVID-19 Vaccine.; Reporter's Comments: This case concerns a 65 year old male patient with medical history of diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia, who experienced the serious unexpected event of death, non-serious unexpected event of loss of appetite, and non-serious expected events of fever and body pain.  The event of death occurred 5 days after the first dose of mRNA-1273. The events of fever, body pain and loss of appetite occurred an unspecified period of time after the first dose of mRNA-1273.  Very limited information regarding these events has been provided at this time.  Based on temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   Definitive causal association is confounded by age and medical history of diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia."
	"0969636-1"	"0969636-1"	"ELECTROCARDIOGRAM ABNORMAL"	"10014363"	"65-79 years"	"65-79"	"Found dead at home slumped on the floor; Loss of appetite; Body aches; Feverish; A spontaneous report was received from a physician, concerning a 65-years-old male patient, who received Moderna's COVID-19 Vaccine and experienced feverish, body aches, loss of appetite, and death.  The patient's medical history, as provided by the reporter, included diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia. Concomitant medications reported included metformin, glimepiride, lisinopril, atorvastatin, aspirin, methimazole, propranolol, and cilostazol.   On 05 Jan 2021, prior to the onset of events, the patient received the first of two planned doses of mRNA-1273 (lot number 037k20a) for COVID-19 infection prophylaxis.  On an unknown date in Jan 2021, some time after receiving the vaccine, the patient was feeling feverish with body aches and loss of appetite.  On 09 Jan 2021 at approximately 21:30, the patient was found dead at home slumped on the floor. According to the paramedics, the patient was dead longer than when his wife found him, and no resuscitation was performed.   Action taken with mRNA-1273 in response to the events was not applicable.  The outcome of the events, feverish, body aches, loss of appetite, was considered resolved. The patient died on 09 Jan 2021. The cause of death was not reported.  The reporter assessed the event, death, as not related to Moderna's COVID-19 Vaccine. The reporter did not provide assessment for the events, feverish and body aches, in relation to Moderna's COVID-19 Vaccine.; Reporter's Comments: This case concerns a 65 year old male patient with medical history of diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia, who experienced the serious unexpected event of death, non-serious unexpected event of loss of appetite, and non-serious expected events of fever and body pain.  The event of death occurred 5 days after the first dose of mRNA-1273. The events of fever, body pain and loss of appetite occurred an unspecified period of time after the first dose of mRNA-1273.  Very limited information regarding these events has been provided at this time.  Based on temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   Definitive causal association is confounded by age and medical history of diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia."
	"0969636-1"	"0969636-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"Found dead at home slumped on the floor; Loss of appetite; Body aches; Feverish; A spontaneous report was received from a physician, concerning a 65-years-old male patient, who received Moderna's COVID-19 Vaccine and experienced feverish, body aches, loss of appetite, and death.  The patient's medical history, as provided by the reporter, included diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia. Concomitant medications reported included metformin, glimepiride, lisinopril, atorvastatin, aspirin, methimazole, propranolol, and cilostazol.   On 05 Jan 2021, prior to the onset of events, the patient received the first of two planned doses of mRNA-1273 (lot number 037k20a) for COVID-19 infection prophylaxis.  On an unknown date in Jan 2021, some time after receiving the vaccine, the patient was feeling feverish with body aches and loss of appetite.  On 09 Jan 2021 at approximately 21:30, the patient was found dead at home slumped on the floor. According to the paramedics, the patient was dead longer than when his wife found him, and no resuscitation was performed.   Action taken with mRNA-1273 in response to the events was not applicable.  The outcome of the events, feverish, body aches, loss of appetite, was considered resolved. The patient died on 09 Jan 2021. The cause of death was not reported.  The reporter assessed the event, death, as not related to Moderna's COVID-19 Vaccine. The reporter did not provide assessment for the events, feverish and body aches, in relation to Moderna's COVID-19 Vaccine.; Reporter's Comments: This case concerns a 65 year old male patient with medical history of diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia, who experienced the serious unexpected event of death, non-serious unexpected event of loss of appetite, and non-serious expected events of fever and body pain.  The event of death occurred 5 days after the first dose of mRNA-1273. The events of fever, body pain and loss of appetite occurred an unspecified period of time after the first dose of mRNA-1273.  Very limited information regarding these events has been provided at this time.  Based on temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   Definitive causal association is confounded by age and medical history of diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia."
	"0969636-1"	"0969636-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Found dead at home slumped on the floor; Loss of appetite; Body aches; Feverish; A spontaneous report was received from a physician, concerning a 65-years-old male patient, who received Moderna's COVID-19 Vaccine and experienced feverish, body aches, loss of appetite, and death.  The patient's medical history, as provided by the reporter, included diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia. Concomitant medications reported included metformin, glimepiride, lisinopril, atorvastatin, aspirin, methimazole, propranolol, and cilostazol.   On 05 Jan 2021, prior to the onset of events, the patient received the first of two planned doses of mRNA-1273 (lot number 037k20a) for COVID-19 infection prophylaxis.  On an unknown date in Jan 2021, some time after receiving the vaccine, the patient was feeling feverish with body aches and loss of appetite.  On 09 Jan 2021 at approximately 21:30, the patient was found dead at home slumped on the floor. According to the paramedics, the patient was dead longer than when his wife found him, and no resuscitation was performed.   Action taken with mRNA-1273 in response to the events was not applicable.  The outcome of the events, feverish, body aches, loss of appetite, was considered resolved. The patient died on 09 Jan 2021. The cause of death was not reported.  The reporter assessed the event, death, as not related to Moderna's COVID-19 Vaccine. The reporter did not provide assessment for the events, feverish and body aches, in relation to Moderna's COVID-19 Vaccine.; Reporter's Comments: This case concerns a 65 year old male patient with medical history of diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia, who experienced the serious unexpected event of death, non-serious unexpected event of loss of appetite, and non-serious expected events of fever and body pain.  The event of death occurred 5 days after the first dose of mRNA-1273. The events of fever, body pain and loss of appetite occurred an unspecified period of time after the first dose of mRNA-1273.  Very limited information regarding these events has been provided at this time.  Based on temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   Definitive causal association is confounded by age and medical history of diabetes, hypertension, Hashimoto's, smoker, cataracts, atrioventricular block, occasional premature ventricular contractions, and hypertriglyceridemia."
	"0973808-1"	"0973808-1"	"ANAEMIA MACROCYTIC"	"10002064"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"BANDAEMIA"	"10072081"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"BLOOD BETA-D-GLUCAN POSITIVE"	"10083491"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"BLOOD LACTATE DEHYDROGENASE INCREASED"	"10005630"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"BLOOD LACTIC ACID INCREASED"	"10005635"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"C-REACTIVE PROTEIN INCREASED"	"10006825"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"CHEMOTHERAPY"	"10061758"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"FUNGAL TEST NEGATIVE"	"10070458"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"HAEMATOCRIT DECREASED"	"10018838"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"INFLAMMATORY MARKER INCREASED"	"10069826"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"LUNG INFILTRATION"	"10025102"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"PACKED RED BLOOD CELL TRANSFUSION"	"10033359"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"PERIORBITAL OEDEMA"	"10034545"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"PNEUMONITIS CHEMICAL"	"10035745"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"PROCALCITONIN INCREASED"	"10067081"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"PULMONARY OEDEMA"	"10037423"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"PULMONARY PNEUMATOCELE"	"10063749"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"RADIOTHERAPY"	"10037794"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"RED BLOOD CELL SEDIMENTATION RATE INCREASED"	"10049187"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"SERUM FERRITIN INCREASED"	"10040250"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"SHIFT TO THE LEFT"	"10056383"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973808-1"	"0973808-1"	"TACHYCARDIA"	"10043071"	"65-79 years"	"65-79"	""shortness of breath, chest xray with pulmonary edema, periorbital edema Narrative:  73 yo M w/ PMH HTN, HLD, EVAR (2013) for AAA c/b persistent type II endoleak s/p multilple repairs (2015 & 2017) c/b glue embolization down into the R CIA secured with additional stent placement with the R iliac limb, s/p b/l Iliac artery aneurysm stent 08/31/20, and PTSD. Former smoker, quit 12+ yrs ago. 11/1/20-11/6/20: Hospitalized for acute on chronic back pain, found to multiple hypermetabolic lesions in the axial skeleton. Diagnosed with epithelioid angiosarcoma. Patient discharged to facility. 12/17/20: Patient received his 1st COVID-19 vaccine w/o complications at facility. 12/21/20: Underwent cyberknife treatment. 12/31/20: Transferred from facility to ER for new O2 requirement, SOB, cough, chest X ray / pulm edema, tachycardic and new periorbital edema. 12/31/20: Admitted to ICU before transfer to acute care. 1/1/21: Pulmonary consult, ""Labs are notable for progressive left shift with bandemia, markedly elevated inflammatory markers (D-dimer, ESR, CRP, ferritin, LDH), mild elevation in procalcitonin, mild elevation in lactate that has improved, and negative viral panel including COVID-19 x2. CT chest is notable for b/l GGOs along with some interstitial infiltrates with an upper and particularly mid zone and perihilar predominance, septal thickening and crazy paving, and numerous cystic lesions or pneumatoceles. There is a lack of lobar consolidation and pulmonary nodules. Of note, PET/CT about 2 months ago only demonstrated some mild to moderate emphysema mostly in the upper lobes. Therefore, there has been a relatively dramatic change in a few months, suggesting a more subacute process, rather than an acute infectious process such as a viral pneumonia, including COVID-19 infection, in which the GGOs tend to be subpleural and peripheral. Overall, our suspicion for COVID-19 is relatively low, with negative testing x2 yesterday, negative testing a few weeks ago, and lack of sick contacts, but it is possible. Therefore, higher on the differential is a more subacute infection or chemotherapy-induced pneumonitis. Risk factors include malignancy, chemotherapy, and use of steroids (equivalence of about 27 mg of Prednisone in the form of Dexamethasone since 11/6/20 without PJP prophylaxis). These risk factors, along with consistent imaging and elevated LDH, make PJP quite likely. Fungal infection is less likely based on imaging. Chemotherapy-induced pneumonitis is a possibility, especially given the more subacute picture based on imaging. Both Gemcitabine and Docetaxel can cause pneumonitis. However, the patient has been on steroids, which is used to treat drug-induced pneumonitis, although this does not exclude it completely."" 1/2/21: Transferred to ICU for worsening hypoxemia as patient reached 40L/100% FIO2 and remained on COVID isolation/COVID patient under investigation per ID recommendation. 1/4/21: Isolation precautions discontinued due to lower suspicion for active COVID infection to explain current presentation 1/6/21: Went into atrial fibrillation w/o RVR overnight 1/6. Tolerating, with MAPs in low 60s and HR in high 90s/low 100s. Suspect due to being-1L yesterday from diuresis, lasix stopped. S/p amiodarone bolus + drip, albumin 5% bolus 1/5/21: Macrocytic anemia NOS w/ slowly worsening H/H s/p PRBC x 1 unit 1/7/21: Per ICU Life-sustaining treatment note, ""Following discussion w/ patient that his lung dx has been refractory to txt and hasn't improved despite maximal therapy, patient agreed to transition to hospice after he settles affairs. "" 1/7/21 Infectious Disease note: ""This is an immunocompromised host due to cancer on active chemotherapy (albeit ANC>4000 on admission) and notably had been on daily PO dexamethasone 1 mg TID (total daily dose 3 mg, equivalent to 20 mg PO prednisone) since 11/6/20 without any PJP ppx. There was elevated c/f COVID-19 infection in setting of patient's presenting symptoms, especially in conjunction with b/l GGOs on imaging. Has undergone multiple COVID test that have all resulted negative. Discussed radiographic findings with radiology colleagues, and overall, it is difficult to definitively narrow the differential with imaging alone, but overall density of GGOs seem to appear less likely PJP and more in line with chemical pneumonitis vs COVID, although less typical for viral pneumonia as well. Given false-negative COVID tests are not unheard of, especially in the immunocompromised population, patient was kept on isolation precautions as a PUI for abundance of caution. He is now off precautions. In setting of patient having been on prednisone for some time without PJP ppx, he was also started on treatment dose TMP/SMX. Beta-d-glucan has returned positive, and although not the ideal test for PJP, this can certainly support a potential dx of PJP. Unfortunately, DFA from sputum was not performed due to insufficient sample and currently the patient is unable to produce an additional sample for testing. He is tolerating the high-dose TMP/SMX; we adjusted the dose to three SS tablets TID based on his somewhat declining UOP. Other fungal etiologies are pending work-up as well. Lastly, patient's chemotherapy is known to cause pneumonitis, but per pulmonology team, he receives prophylactic dexamethasone with his chemo cycles that should help to prevent drug-induced pneumonitis. Remains on the differential for now and this should also be concurrently treated with the steroids he is receiving."" 1/10/21: Comfort care initiated. All non-comfort measures were discontinued. Time of death: Jan 10,2021@14:56; immediate cause of death per death note is ""hypoxic respiratory failure""""
	"0973820-1"	"0973820-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Narrative: Symptoms:  & DEATH DUE TO COVID 01/13/21 Treatment:"
	"0973820-1"	"0973820-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Narrative: Symptoms:  & DEATH DUE TO COVID 01/13/21 Treatment:"
	"0974454-1"	"0974454-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient passed away 23 days after receiving COVID vaccine"
	"0981938-1"	"0981938-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"CYANOSIS"	"10011703"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"LUNG INFILTRATION"	"10025102"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0981938-1"	"0981938-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"UNKNOWN/ASYTOLE Narrative:  Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending."
	"0982517-1"	"0982517-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient received COVID vaccine on 1/11/2021 and passed away on 1/25/2021"
	"0983720-1"	"0983720-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Patient had Parkinson's and advanced Dementia. He was on a palliative care unit and a DNR."
	"0983721-1"	"0983721-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Patient with Severe Dementia and on Hospice for end of life care."
	"0995146-1"	"0995146-1"	"ARTHRALGIA"	"10003239"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"0995146-1"	"0995146-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"0995146-1"	"0995146-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"0995146-1"	"0995146-1"	"DYSPEPSIA"	"10013946"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"0995146-1"	"0995146-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"0995146-1"	"0995146-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"0995146-1"	"0995146-1"	"FEELING ABNORMAL"	"10016322"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"0995146-1"	"0995146-1"	"HYPOPHAGIA"	"10063743"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"0995146-1"	"0995146-1"	"PALPITATIONS"	"10033557"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"0995146-1"	"0995146-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"0995146-1"	"0995146-1"	"RESPIRATORY DEPRESSION"	"10038678"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"0995146-1"	"0995146-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"Narrative:  Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE"
	"1000856-1"	"1000856-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Myocardial infarction Narrative: PMH significant for aortic valve stenosis, mitral valve stenosis, CKD, CHF, DM, HTN, obesity, hypothyroidism and dyslipidemia. Per report from primary care - the patients wife reports that the patient went on Saturday (1/30/21 - about 1050) morning to receive his COVID vaccine. He returned home and told her about the experience and denied any side effects. He then proceeded to sit in his easy chair for a while and around 1:30, she asked him if he wanted any lunch. The patient's wife reports he ""grumbled"" at her, and then got up to go to the bathroom. She then heard a loud crash and found him lying on the floor of the bathroom, with his head knocking hole in the wall as he fell. She could not detect a pulse. She called 911 and began compressions. First responders to the scene likewise tried to revive him but were not successful in her efforts. Per primary care documentation - Uncertain if related to Pfizer vaccine; vaccine administered on 1/30/21 and approximately 3 hours later suffered fatal MI at home.""
	"1000856-1"	"1000856-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	""Myocardial infarction Narrative: PMH significant for aortic valve stenosis, mitral valve stenosis, CKD, CHF, DM, HTN, obesity, hypothyroidism and dyslipidemia. Per report from primary care - the patients wife reports that the patient went on Saturday (1/30/21 - about 1050) morning to receive his COVID vaccine. He returned home and told her about the experience and denied any side effects. He then proceeded to sit in his easy chair for a while and around 1:30, she asked him if he wanted any lunch. The patient's wife reports he ""grumbled"" at her, and then got up to go to the bathroom. She then heard a loud crash and found him lying on the floor of the bathroom, with his head knocking hole in the wall as he fell. She could not detect a pulse. She called 911 and began compressions. First responders to the scene likewise tried to revive him but were not successful in her efforts. Per primary care documentation - Uncertain if related to Pfizer vaccine; vaccine administered on 1/30/21 and approximately 3 hours later suffered fatal MI at home.""
	"1000856-1"	"1000856-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	""Myocardial infarction Narrative: PMH significant for aortic valve stenosis, mitral valve stenosis, CKD, CHF, DM, HTN, obesity, hypothyroidism and dyslipidemia. Per report from primary care - the patients wife reports that the patient went on Saturday (1/30/21 - about 1050) morning to receive his COVID vaccine. He returned home and told her about the experience and denied any side effects. He then proceeded to sit in his easy chair for a while and around 1:30, she asked him if he wanted any lunch. The patient's wife reports he ""grumbled"" at her, and then got up to go to the bathroom. She then heard a loud crash and found him lying on the floor of the bathroom, with his head knocking hole in the wall as he fell. She could not detect a pulse. She called 911 and began compressions. First responders to the scene likewise tried to revive him but were not successful in her efforts. Per primary care documentation - Uncertain if related to Pfizer vaccine; vaccine administered on 1/30/21 and approximately 3 hours later suffered fatal MI at home.""
	"1000856-1"	"1000856-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	""Myocardial infarction Narrative: PMH significant for aortic valve stenosis, mitral valve stenosis, CKD, CHF, DM, HTN, obesity, hypothyroidism and dyslipidemia. Per report from primary care - the patients wife reports that the patient went on Saturday (1/30/21 - about 1050) morning to receive his COVID vaccine. He returned home and told her about the experience and denied any side effects. He then proceeded to sit in his easy chair for a while and around 1:30, she asked him if he wanted any lunch. The patient's wife reports he ""grumbled"" at her, and then got up to go to the bathroom. She then heard a loud crash and found him lying on the floor of the bathroom, with his head knocking hole in the wall as he fell. She could not detect a pulse. She called 911 and began compressions. First responders to the scene likewise tried to revive him but were not successful in her efforts. Per primary care documentation - Uncertain if related to Pfizer vaccine; vaccine administered on 1/30/21 and approximately 3 hours later suffered fatal MI at home.""
	"1000856-1"	"1000856-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	""Myocardial infarction Narrative: PMH significant for aortic valve stenosis, mitral valve stenosis, CKD, CHF, DM, HTN, obesity, hypothyroidism and dyslipidemia. Per report from primary care - the patients wife reports that the patient went on Saturday (1/30/21 - about 1050) morning to receive his COVID vaccine. He returned home and told her about the experience and denied any side effects. He then proceeded to sit in his easy chair for a while and around 1:30, she asked him if he wanted any lunch. The patient's wife reports he ""grumbled"" at her, and then got up to go to the bathroom. She then heard a loud crash and found him lying on the floor of the bathroom, with his head knocking hole in the wall as he fell. She could not detect a pulse. She called 911 and began compressions. First responders to the scene likewise tried to revive him but were not successful in her efforts. Per primary care documentation - Uncertain if related to Pfizer vaccine; vaccine administered on 1/30/21 and approximately 3 hours later suffered fatal MI at home.""
	"1002931-1"	"1002931-1"	"ABSENCE OF IMMEDIATE TREATMENT RESPONSE"	"10081766"	"65-79 years"	"65-79"	"CARDIAC ARREST, DEATH Narrative: The patient presents to the emergency department in cardiopulmonary arrest. CPR was continued upon arrival. The Combi tube was removed and an endotracheal tube was placed without complications. ROSC was obtained multiple times but the patient continued to go into PEA. The patient was seen in the emergency department by both critical care and Cardiology. EKG shows ST elevations, but the patient was unstable to go to catheterization. The patient had 1 episode of asystole. Despite best efforts and multiple attempts we were unable to resuscitate the patient. Time of death 1253 on 1/24/21."
	"1002931-1"	"1002931-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"CARDIAC ARREST, DEATH Narrative: The patient presents to the emergency department in cardiopulmonary arrest. CPR was continued upon arrival. The Combi tube was removed and an endotracheal tube was placed without complications. ROSC was obtained multiple times but the patient continued to go into PEA. The patient was seen in the emergency department by both critical care and Cardiology. EKG shows ST elevations, but the patient was unstable to go to catheterization. The patient had 1 episode of asystole. Despite best efforts and multiple attempts we were unable to resuscitate the patient. Time of death 1253 on 1/24/21."
	"1002931-1"	"1002931-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"CARDIAC ARREST, DEATH Narrative: The patient presents to the emergency department in cardiopulmonary arrest. CPR was continued upon arrival. The Combi tube was removed and an endotracheal tube was placed without complications. ROSC was obtained multiple times but the patient continued to go into PEA. The patient was seen in the emergency department by both critical care and Cardiology. EKG shows ST elevations, but the patient was unstable to go to catheterization. The patient had 1 episode of asystole. Despite best efforts and multiple attempts we were unable to resuscitate the patient. Time of death 1253 on 1/24/21."
	"1002931-1"	"1002931-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"CARDIAC ARREST, DEATH Narrative: The patient presents to the emergency department in cardiopulmonary arrest. CPR was continued upon arrival. The Combi tube was removed and an endotracheal tube was placed without complications. ROSC was obtained multiple times but the patient continued to go into PEA. The patient was seen in the emergency department by both critical care and Cardiology. EKG shows ST elevations, but the patient was unstable to go to catheterization. The patient had 1 episode of asystole. Despite best efforts and multiple attempts we were unable to resuscitate the patient. Time of death 1253 on 1/24/21."
	"1002931-1"	"1002931-1"	"ELECTROCARDIOGRAM ST SEGMENT ELEVATION"	"10014392"	"65-79 years"	"65-79"	"CARDIAC ARREST, DEATH Narrative: The patient presents to the emergency department in cardiopulmonary arrest. CPR was continued upon arrival. The Combi tube was removed and an endotracheal tube was placed without complications. ROSC was obtained multiple times but the patient continued to go into PEA. The patient was seen in the emergency department by both critical care and Cardiology. EKG shows ST elevations, but the patient was unstable to go to catheterization. The patient had 1 episode of asystole. Despite best efforts and multiple attempts we were unable to resuscitate the patient. Time of death 1253 on 1/24/21."
	"1002931-1"	"1002931-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"CARDIAC ARREST, DEATH Narrative: The patient presents to the emergency department in cardiopulmonary arrest. CPR was continued upon arrival. The Combi tube was removed and an endotracheal tube was placed without complications. ROSC was obtained multiple times but the patient continued to go into PEA. The patient was seen in the emergency department by both critical care and Cardiology. EKG shows ST elevations, but the patient was unstable to go to catheterization. The patient had 1 episode of asystole. Despite best efforts and multiple attempts we were unable to resuscitate the patient. Time of death 1253 on 1/24/21."
	"1002931-1"	"1002931-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"CARDIAC ARREST, DEATH Narrative: The patient presents to the emergency department in cardiopulmonary arrest. CPR was continued upon arrival. The Combi tube was removed and an endotracheal tube was placed without complications. ROSC was obtained multiple times but the patient continued to go into PEA. The patient was seen in the emergency department by both critical care and Cardiology. EKG shows ST elevations, but the patient was unstable to go to catheterization. The patient had 1 episode of asystole. Despite best efforts and multiple attempts we were unable to resuscitate the patient. Time of death 1253 on 1/24/21."
	"1002931-1"	"1002931-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"CARDIAC ARREST, DEATH Narrative: The patient presents to the emergency department in cardiopulmonary arrest. CPR was continued upon arrival. The Combi tube was removed and an endotracheal tube was placed without complications. ROSC was obtained multiple times but the patient continued to go into PEA. The patient was seen in the emergency department by both critical care and Cardiology. EKG shows ST elevations, but the patient was unstable to go to catheterization. The patient had 1 episode of asystole. Despite best efforts and multiple attempts we were unable to resuscitate the patient. Time of death 1253 on 1/24/21."
	"1002937-1"	"1002937-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"death Narrative:  Pt attended arthritis clinic appt 0900; labs shortly after; rec'd vaccine in clinic ~ 1113; seen on surveillance camera walking to parking garage ~ 1145; medical center rec'd call from wife ~ 1900 that pt never returned home; police found vehicle running in parking garage, code called, pt obviously deceased by that time 1930, body sent to medical examiner for autopsy."
	"1002937-1"	"1002937-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"death Narrative:  Pt attended arthritis clinic appt 0900; labs shortly after; rec'd vaccine in clinic ~ 1113; seen on surveillance camera walking to parking garage ~ 1145; medical center rec'd call from wife ~ 1900 that pt never returned home; police found vehicle running in parking garage, code called, pt obviously deceased by that time 1930, body sent to medical examiner for autopsy."
	"1002937-1"	"1002937-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative:  Pt attended arthritis clinic appt 0900; labs shortly after; rec'd vaccine in clinic ~ 1113; seen on surveillance camera walking to parking garage ~ 1145; medical center rec'd call from wife ~ 1900 that pt never returned home; police found vehicle running in parking garage, code called, pt obviously deceased by that time 1930, body sent to medical examiner for autopsy."
	"1005164-1"	"1005164-1"	"COGNITIVE DISORDER"	"10057668"	"65-79 years"	"65-79"	"unresponsive Narrative:  74yo patient with pacemaker, type 2 DM, parkinson's and history of syncopal epsisodes presented to emergency dept on Jan 24th. He was observed and discharged on Jan 26th back to the home where he continued to have cognitive decline and later passed away on 2/2/2021"
	"1005164-1"	"1005164-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"unresponsive Narrative:  74yo patient with pacemaker, type 2 DM, parkinson's and history of syncopal epsisodes presented to emergency dept on Jan 24th. He was observed and discharged on Jan 26th back to the home where he continued to have cognitive decline and later passed away on 2/2/2021"
	"1005164-1"	"1005164-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"unresponsive Narrative:  74yo patient with pacemaker, type 2 DM, parkinson's and history of syncopal epsisodes presented to emergency dept on Jan 24th. He was observed and discharged on Jan 26th back to the home where he continued to have cognitive decline and later passed away on 2/2/2021"
	"1005276-1"	"1005276-1"	"CHEMOTHERAPY"	"10061758"	"65-79 years"	"65-79"	"chills 1 day after vaccine administration; found dead by family 1/18/2021 Narrative:  Per patient family report, patient said the next day after vaccination that he didn't feel well because of chills. Patient was found dead at home by his family on January 18th. He was a 74yo man with castrate resistant prostate cancer and liver and bone metastases with rising PSA, status post intravenous chemotherapy 1/7/21"
	"1005276-1"	"1005276-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"chills 1 day after vaccine administration; found dead by family 1/18/2021 Narrative:  Per patient family report, patient said the next day after vaccination that he didn't feel well because of chills. Patient was found dead at home by his family on January 18th. He was a 74yo man with castrate resistant prostate cancer and liver and bone metastases with rising PSA, status post intravenous chemotherapy 1/7/21"
	"1005276-1"	"1005276-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"chills 1 day after vaccine administration; found dead by family 1/18/2021 Narrative:  Per patient family report, patient said the next day after vaccination that he didn't feel well because of chills. Patient was found dead at home by his family on January 18th. He was a 74yo man with castrate resistant prostate cancer and liver and bone metastases with rising PSA, status post intravenous chemotherapy 1/7/21"
	"1005276-1"	"1005276-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"chills 1 day after vaccine administration; found dead by family 1/18/2021 Narrative:  Per patient family report, patient said the next day after vaccination that he didn't feel well because of chills. Patient was found dead at home by his family on January 18th. He was a 74yo man with castrate resistant prostate cancer and liver and bone metastases with rising PSA, status post intravenous chemotherapy 1/7/21"
	"1005276-1"	"1005276-1"	"METASTASES TO BONE"	"10027452"	"65-79 years"	"65-79"	"chills 1 day after vaccine administration; found dead by family 1/18/2021 Narrative:  Per patient family report, patient said the next day after vaccination that he didn't feel well because of chills. Patient was found dead at home by his family on January 18th. He was a 74yo man with castrate resistant prostate cancer and liver and bone metastases with rising PSA, status post intravenous chemotherapy 1/7/21"
	"1005276-1"	"1005276-1"	"METASTASES TO LIVER"	"10027457"	"65-79 years"	"65-79"	"chills 1 day after vaccine administration; found dead by family 1/18/2021 Narrative:  Per patient family report, patient said the next day after vaccination that he didn't feel well because of chills. Patient was found dead at home by his family on January 18th. He was a 74yo man with castrate resistant prostate cancer and liver and bone metastases with rising PSA, status post intravenous chemotherapy 1/7/21"
	"1005276-1"	"1005276-1"	"PROSTATE CANCER METASTATIC"	"10036909"	"65-79 years"	"65-79"	"chills 1 day after vaccine administration; found dead by family 1/18/2021 Narrative:  Per patient family report, patient said the next day after vaccination that he didn't feel well because of chills. Patient was found dead at home by his family on January 18th. He was a 74yo man with castrate resistant prostate cancer and liver and bone metastases with rising PSA, status post intravenous chemotherapy 1/7/21"
	"1005276-1"	"1005276-1"	"PROSTATIC SPECIFIC ANTIGEN INCREASED"	"10036975"	"65-79 years"	"65-79"	"chills 1 day after vaccine administration; found dead by family 1/18/2021 Narrative:  Per patient family report, patient said the next day after vaccination that he didn't feel well because of chills. Patient was found dead at home by his family on January 18th. He was a 74yo man with castrate resistant prostate cancer and liver and bone metastases with rising PSA, status post intravenous chemotherapy 1/7/21"
	"1011894-1"	"1011894-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient passed away within 60 days of receiving COVID vaccine"
	"1012612-1"	"1012612-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient was hospitalized on 31 Jan for COVID pneumonia after 3 days of increasing baseline supplemental O2 requirements and dyspnea and ultimately died on comfort care on 3 Feb 2021."
	"1012612-1"	"1012612-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was hospitalized on 31 Jan for COVID pneumonia after 3 days of increasing baseline supplemental O2 requirements and dyspnea and ultimately died on comfort care on 3 Feb 2021."
	"1012612-1"	"1012612-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient was hospitalized on 31 Jan for COVID pneumonia after 3 days of increasing baseline supplemental O2 requirements and dyspnea and ultimately died on comfort care on 3 Feb 2021."
	"1017051-1"	"1017051-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"pt received vaccine on 2/3.  early on 2/4 developed chest pain, dyspnea, and was seen in ED and diagnosed with acute exacerbation of CHF and NSTEMI type 2, and anemia.  on 2/5 transfusion was started and pt developed worsening dyspnea and then PEA arrest.  Pt achieved ROSC and was transferred to the cardiac intensive care unit where he required vasopressor support.  he subsequently declined and died on 2/7"
	"1017051-1"	"1017051-1"	"ANAEMIA"	"10002034"	"65-79 years"	"65-79"	"pt received vaccine on 2/3.  early on 2/4 developed chest pain, dyspnea, and was seen in ED and diagnosed with acute exacerbation of CHF and NSTEMI type 2, and anemia.  on 2/5 transfusion was started and pt developed worsening dyspnea and then PEA arrest.  Pt achieved ROSC and was transferred to the cardiac intensive care unit where he required vasopressor support.  he subsequently declined and died on 2/7"
	"1017051-1"	"1017051-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"pt received vaccine on 2/3.  early on 2/4 developed chest pain, dyspnea, and was seen in ED and diagnosed with acute exacerbation of CHF and NSTEMI type 2, and anemia.  on 2/5 transfusion was started and pt developed worsening dyspnea and then PEA arrest.  Pt achieved ROSC and was transferred to the cardiac intensive care unit where he required vasopressor support.  he subsequently declined and died on 2/7"
	"1017051-1"	"1017051-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"pt received vaccine on 2/3.  early on 2/4 developed chest pain, dyspnea, and was seen in ED and diagnosed with acute exacerbation of CHF and NSTEMI type 2, and anemia.  on 2/5 transfusion was started and pt developed worsening dyspnea and then PEA arrest.  Pt achieved ROSC and was transferred to the cardiac intensive care unit where he required vasopressor support.  he subsequently declined and died on 2/7"
	"1017051-1"	"1017051-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"pt received vaccine on 2/3.  early on 2/4 developed chest pain, dyspnea, and was seen in ED and diagnosed with acute exacerbation of CHF and NSTEMI type 2, and anemia.  on 2/5 transfusion was started and pt developed worsening dyspnea and then PEA arrest.  Pt achieved ROSC and was transferred to the cardiac intensive care unit where he required vasopressor support.  he subsequently declined and died on 2/7"
	"1017051-1"	"1017051-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt received vaccine on 2/3.  early on 2/4 developed chest pain, dyspnea, and was seen in ED and diagnosed with acute exacerbation of CHF and NSTEMI type 2, and anemia.  on 2/5 transfusion was started and pt developed worsening dyspnea and then PEA arrest.  Pt achieved ROSC and was transferred to the cardiac intensive care unit where he required vasopressor support.  he subsequently declined and died on 2/7"
	"1017051-1"	"1017051-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt received vaccine on 2/3.  early on 2/4 developed chest pain, dyspnea, and was seen in ED and diagnosed with acute exacerbation of CHF and NSTEMI type 2, and anemia.  on 2/5 transfusion was started and pt developed worsening dyspnea and then PEA arrest.  Pt achieved ROSC and was transferred to the cardiac intensive care unit where he required vasopressor support.  he subsequently declined and died on 2/7"
	"1017051-1"	"1017051-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"pt received vaccine on 2/3.  early on 2/4 developed chest pain, dyspnea, and was seen in ED and diagnosed with acute exacerbation of CHF and NSTEMI type 2, and anemia.  on 2/5 transfusion was started and pt developed worsening dyspnea and then PEA arrest.  Pt achieved ROSC and was transferred to the cardiac intensive care unit where he required vasopressor support.  he subsequently declined and died on 2/7"
	"1017051-1"	"1017051-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"pt received vaccine on 2/3.  early on 2/4 developed chest pain, dyspnea, and was seen in ED and diagnosed with acute exacerbation of CHF and NSTEMI type 2, and anemia.  on 2/5 transfusion was started and pt developed worsening dyspnea and then PEA arrest.  Pt achieved ROSC and was transferred to the cardiac intensive care unit where he required vasopressor support.  he subsequently declined and died on 2/7"
	"1017051-1"	"1017051-1"	"TRANSFUSION"	"10066152"	"65-79 years"	"65-79"	"pt received vaccine on 2/3.  early on 2/4 developed chest pain, dyspnea, and was seen in ED and diagnosed with acute exacerbation of CHF and NSTEMI type 2, and anemia.  on 2/5 transfusion was started and pt developed worsening dyspnea and then PEA arrest.  Pt achieved ROSC and was transferred to the cardiac intensive care unit where he required vasopressor support.  he subsequently declined and died on 2/7"
	"1017051-1"	"1017051-1"	"VASOPRESSIVE THERAPY"	"10064148"	"65-79 years"	"65-79"	"pt received vaccine on 2/3.  early on 2/4 developed chest pain, dyspnea, and was seen in ED and diagnosed with acute exacerbation of CHF and NSTEMI type 2, and anemia.  on 2/5 transfusion was started and pt developed worsening dyspnea and then PEA arrest.  Pt achieved ROSC and was transferred to the cardiac intensive care unit where he required vasopressor support.  he subsequently declined and died on 2/7"
	"1020816-1"	"1020816-1"	"ABDOMINAL WALL HAEMATOMA"	"10067383"	"65-79 years"	"65-79"	"Pt with acute resp failure, COVID PNA, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior toa admit, then shortly after progressed with other covid symptoms and was admitted. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. Pt passed soon after(2/2)."
	"1020816-1"	"1020816-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Pt with acute resp failure, COVID PNA, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior toa admit, then shortly after progressed with other covid symptoms and was admitted. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. Pt passed soon after(2/2)."
	"1020816-1"	"1020816-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Pt with acute resp failure, COVID PNA, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior toa admit, then shortly after progressed with other covid symptoms and was admitted. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. Pt passed soon after(2/2)."
	"1020816-1"	"1020816-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt with acute resp failure, COVID PNA, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior toa admit, then shortly after progressed with other covid symptoms and was admitted. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. Pt passed soon after(2/2)."
	"1020816-1"	"1020816-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Pt with acute resp failure, COVID PNA, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior toa admit, then shortly after progressed with other covid symptoms and was admitted. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. Pt passed soon after(2/2)."
	"1020816-1"	"1020816-1"	"HAEMODYNAMIC INSTABILITY"	"10052076"	"65-79 years"	"65-79"	"Pt with acute resp failure, COVID PNA, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior toa admit, then shortly after progressed with other covid symptoms and was admitted. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. Pt passed soon after(2/2)."
	"1020816-1"	"1020816-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Pt with acute resp failure, COVID PNA, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior toa admit, then shortly after progressed with other covid symptoms and was admitted. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. Pt passed soon after(2/2)."
	"1020816-1"	"1020816-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Pt with acute resp failure, COVID PNA, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior toa admit, then shortly after progressed with other covid symptoms and was admitted. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. Pt passed soon after(2/2)."
	"1020816-1"	"1020816-1"	"OXYGEN SATURATION ABNORMAL"	"10033317"	"65-79 years"	"65-79"	"Pt with acute resp failure, COVID PNA, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior toa admit, then shortly after progressed with other covid symptoms and was admitted. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. Pt passed soon after(2/2)."
	"1022902-1"	"1022902-1"	"AMMONIA INCREASED"	"10001946"	"65-79 years"	"65-79"	""death Narrative:  71 yo male who passed away on 1/29/2021, medical cause of death ""cholangiocarcinoma, interval between onset and death 14 months. Since patient passed away within 42 days of the covid19 vaccine administration, we are required to complete a report to VAERS. Vaccine (Pfizer) was administered without complications. The patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. Synopsis- 1/23 71 yo male presented to ED with upper GI bleed. PMH: DM, HTN, cholangiocarcinoma of biliary tract requiring recurrent paracentesis, COPD, perigastric and lower esophageal varices (not on beta blockers due to bradycardia). Pt has had 2 episodes of coffee ground emesis. Lactic 2.6, ammonia 52. Rec'd protonix, octreotide, and ceftriaxone in ED. Family has been previously encouraged to speak to palliative care but has never been willing to. GI consulted. 1/24 EGD completed. No signs of active bleed. MDs recommending hospice. CT + for small bowel ileus. 1/26 Requires placement of NG tube to suction. Palliative care consulted. 1/27 Paracentesis completed. 4100mls removed. 1/28 Pt changed to palliative status. 1/29 Pt passed away.""
	"1022902-1"	"1022902-1"	"BLOOD LACTIC ACID"	"10005632"	"65-79 years"	"65-79"	""death Narrative:  71 yo male who passed away on 1/29/2021, medical cause of death ""cholangiocarcinoma, interval between onset and death 14 months. Since patient passed away within 42 days of the covid19 vaccine administration, we are required to complete a report to VAERS. Vaccine (Pfizer) was administered without complications. The patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. Synopsis- 1/23 71 yo male presented to ED with upper GI bleed. PMH: DM, HTN, cholangiocarcinoma of biliary tract requiring recurrent paracentesis, COPD, perigastric and lower esophageal varices (not on beta blockers due to bradycardia). Pt has had 2 episodes of coffee ground emesis. Lactic 2.6, ammonia 52. Rec'd protonix, octreotide, and ceftriaxone in ED. Family has been previously encouraged to speak to palliative care but has never been willing to. GI consulted. 1/24 EGD completed. No signs of active bleed. MDs recommending hospice. CT + for small bowel ileus. 1/26 Requires placement of NG tube to suction. Palliative care consulted. 1/27 Paracentesis completed. 4100mls removed. 1/28 Pt changed to palliative status. 1/29 Pt passed away.""
	"1022902-1"	"1022902-1"	"CHOLANGIOCARCINOMA"	"10008593"	"65-79 years"	"65-79"	""death Narrative:  71 yo male who passed away on 1/29/2021, medical cause of death ""cholangiocarcinoma, interval between onset and death 14 months. Since patient passed away within 42 days of the covid19 vaccine administration, we are required to complete a report to VAERS. Vaccine (Pfizer) was administered without complications. The patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. Synopsis- 1/23 71 yo male presented to ED with upper GI bleed. PMH: DM, HTN, cholangiocarcinoma of biliary tract requiring recurrent paracentesis, COPD, perigastric and lower esophageal varices (not on beta blockers due to bradycardia). Pt has had 2 episodes of coffee ground emesis. Lactic 2.6, ammonia 52. Rec'd protonix, octreotide, and ceftriaxone in ED. Family has been previously encouraged to speak to palliative care but has never been willing to. GI consulted. 1/24 EGD completed. No signs of active bleed. MDs recommending hospice. CT + for small bowel ileus. 1/26 Requires placement of NG tube to suction. Palliative care consulted. 1/27 Paracentesis completed. 4100mls removed. 1/28 Pt changed to palliative status. 1/29 Pt passed away.""
	"1022902-1"	"1022902-1"	"COMPUTERISED TOMOGRAM ABNORMAL"	"10010235"	"65-79 years"	"65-79"	""death Narrative:  71 yo male who passed away on 1/29/2021, medical cause of death ""cholangiocarcinoma, interval between onset and death 14 months. Since patient passed away within 42 days of the covid19 vaccine administration, we are required to complete a report to VAERS. Vaccine (Pfizer) was administered without complications. The patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. Synopsis- 1/23 71 yo male presented to ED with upper GI bleed. PMH: DM, HTN, cholangiocarcinoma of biliary tract requiring recurrent paracentesis, COPD, perigastric and lower esophageal varices (not on beta blockers due to bradycardia). Pt has had 2 episodes of coffee ground emesis. Lactic 2.6, ammonia 52. Rec'd protonix, octreotide, and ceftriaxone in ED. Family has been previously encouraged to speak to palliative care but has never been willing to. GI consulted. 1/24 EGD completed. No signs of active bleed. MDs recommending hospice. CT + for small bowel ileus. 1/26 Requires placement of NG tube to suction. Palliative care consulted. 1/27 Paracentesis completed. 4100mls removed. 1/28 Pt changed to palliative status. 1/29 Pt passed away.""
	"1022902-1"	"1022902-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""death Narrative:  71 yo male who passed away on 1/29/2021, medical cause of death ""cholangiocarcinoma, interval between onset and death 14 months. Since patient passed away within 42 days of the covid19 vaccine administration, we are required to complete a report to VAERS. Vaccine (Pfizer) was administered without complications. The patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. Synopsis- 1/23 71 yo male presented to ED with upper GI bleed. PMH: DM, HTN, cholangiocarcinoma of biliary tract requiring recurrent paracentesis, COPD, perigastric and lower esophageal varices (not on beta blockers due to bradycardia). Pt has had 2 episodes of coffee ground emesis. Lactic 2.6, ammonia 52. Rec'd protonix, octreotide, and ceftriaxone in ED. Family has been previously encouraged to speak to palliative care but has never been willing to. GI consulted. 1/24 EGD completed. No signs of active bleed. MDs recommending hospice. CT + for small bowel ileus. 1/26 Requires placement of NG tube to suction. Palliative care consulted. 1/27 Paracentesis completed. 4100mls removed. 1/28 Pt changed to palliative status. 1/29 Pt passed away.""
	"1022902-1"	"1022902-1"	"ENDOSCOPY UPPER GASTROINTESTINAL TRACT NORMAL"	"10014821"	"65-79 years"	"65-79"	""death Narrative:  71 yo male who passed away on 1/29/2021, medical cause of death ""cholangiocarcinoma, interval between onset and death 14 months. Since patient passed away within 42 days of the covid19 vaccine administration, we are required to complete a report to VAERS. Vaccine (Pfizer) was administered without complications. The patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. Synopsis- 1/23 71 yo male presented to ED with upper GI bleed. PMH: DM, HTN, cholangiocarcinoma of biliary tract requiring recurrent paracentesis, COPD, perigastric and lower esophageal varices (not on beta blockers due to bradycardia). Pt has had 2 episodes of coffee ground emesis. Lactic 2.6, ammonia 52. Rec'd protonix, octreotide, and ceftriaxone in ED. Family has been previously encouraged to speak to palliative care but has never been willing to. GI consulted. 1/24 EGD completed. No signs of active bleed. MDs recommending hospice. CT + for small bowel ileus. 1/26 Requires placement of NG tube to suction. Palliative care consulted. 1/27 Paracentesis completed. 4100mls removed. 1/28 Pt changed to palliative status. 1/29 Pt passed away.""
	"1022902-1"	"1022902-1"	"GASTROINTESTINAL HAEMORRHAGE"	"10017955"	"65-79 years"	"65-79"	""death Narrative:  71 yo male who passed away on 1/29/2021, medical cause of death ""cholangiocarcinoma, interval between onset and death 14 months. Since patient passed away within 42 days of the covid19 vaccine administration, we are required to complete a report to VAERS. Vaccine (Pfizer) was administered without complications. The patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. Synopsis- 1/23 71 yo male presented to ED with upper GI bleed. PMH: DM, HTN, cholangiocarcinoma of biliary tract requiring recurrent paracentesis, COPD, perigastric and lower esophageal varices (not on beta blockers due to bradycardia). Pt has had 2 episodes of coffee ground emesis. Lactic 2.6, ammonia 52. Rec'd protonix, octreotide, and ceftriaxone in ED. Family has been previously encouraged to speak to palliative care but has never been willing to. GI consulted. 1/24 EGD completed. No signs of active bleed. MDs recommending hospice. CT + for small bowel ileus. 1/26 Requires placement of NG tube to suction. Palliative care consulted. 1/27 Paracentesis completed. 4100mls removed. 1/28 Pt changed to palliative status. 1/29 Pt passed away.""
	"1022902-1"	"1022902-1"	"GASTROINTESTINAL TUBE INSERTION"	"10053050"	"65-79 years"	"65-79"	""death Narrative:  71 yo male who passed away on 1/29/2021, medical cause of death ""cholangiocarcinoma, interval between onset and death 14 months. Since patient passed away within 42 days of the covid19 vaccine administration, we are required to complete a report to VAERS. Vaccine (Pfizer) was administered without complications. The patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. Synopsis- 1/23 71 yo male presented to ED with upper GI bleed. PMH: DM, HTN, cholangiocarcinoma of biliary tract requiring recurrent paracentesis, COPD, perigastric and lower esophageal varices (not on beta blockers due to bradycardia). Pt has had 2 episodes of coffee ground emesis. Lactic 2.6, ammonia 52. Rec'd protonix, octreotide, and ceftriaxone in ED. Family has been previously encouraged to speak to palliative care but has never been willing to. GI consulted. 1/24 EGD completed. No signs of active bleed. MDs recommending hospice. CT + for small bowel ileus. 1/26 Requires placement of NG tube to suction. Palliative care consulted. 1/27 Paracentesis completed. 4100mls removed. 1/28 Pt changed to palliative status. 1/29 Pt passed away.""
	"1022902-1"	"1022902-1"	"HAEMATEMESIS"	"10018830"	"65-79 years"	"65-79"	""death Narrative:  71 yo male who passed away on 1/29/2021, medical cause of death ""cholangiocarcinoma, interval between onset and death 14 months. Since patient passed away within 42 days of the covid19 vaccine administration, we are required to complete a report to VAERS. Vaccine (Pfizer) was administered without complications. The patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. Synopsis- 1/23 71 yo male presented to ED with upper GI bleed. PMH: DM, HTN, cholangiocarcinoma of biliary tract requiring recurrent paracentesis, COPD, perigastric and lower esophageal varices (not on beta blockers due to bradycardia). Pt has had 2 episodes of coffee ground emesis. Lactic 2.6, ammonia 52. Rec'd protonix, octreotide, and ceftriaxone in ED. Family has been previously encouraged to speak to palliative care but has never been willing to. GI consulted. 1/24 EGD completed. No signs of active bleed. MDs recommending hospice. CT + for small bowel ileus. 1/26 Requires placement of NG tube to suction. Palliative care consulted. 1/27 Paracentesis completed. 4100mls removed. 1/28 Pt changed to palliative status. 1/29 Pt passed away.""
	"1022902-1"	"1022902-1"	"PARACENTESIS"	"10061905"	"65-79 years"	"65-79"	""death Narrative:  71 yo male who passed away on 1/29/2021, medical cause of death ""cholangiocarcinoma, interval between onset and death 14 months. Since patient passed away within 42 days of the covid19 vaccine administration, we are required to complete a report to VAERS. Vaccine (Pfizer) was administered without complications. The patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. Synopsis- 1/23 71 yo male presented to ED with upper GI bleed. PMH: DM, HTN, cholangiocarcinoma of biliary tract requiring recurrent paracentesis, COPD, perigastric and lower esophageal varices (not on beta blockers due to bradycardia). Pt has had 2 episodes of coffee ground emesis. Lactic 2.6, ammonia 52. Rec'd protonix, octreotide, and ceftriaxone in ED. Family has been previously encouraged to speak to palliative care but has never been willing to. GI consulted. 1/24 EGD completed. No signs of active bleed. MDs recommending hospice. CT + for small bowel ileus. 1/26 Requires placement of NG tube to suction. Palliative care consulted. 1/27 Paracentesis completed. 4100mls removed. 1/28 Pt changed to palliative status. 1/29 Pt passed away.""
	"1022902-1"	"1022902-1"	"SMALL INTESTINAL OBSTRUCTION"	"10041101"	"65-79 years"	"65-79"	""death Narrative:  71 yo male who passed away on 1/29/2021, medical cause of death ""cholangiocarcinoma, interval between onset and death 14 months. Since patient passed away within 42 days of the covid19 vaccine administration, we are required to complete a report to VAERS. Vaccine (Pfizer) was administered without complications. The patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. Synopsis- 1/23 71 yo male presented to ED with upper GI bleed. PMH: DM, HTN, cholangiocarcinoma of biliary tract requiring recurrent paracentesis, COPD, perigastric and lower esophageal varices (not on beta blockers due to bradycardia). Pt has had 2 episodes of coffee ground emesis. Lactic 2.6, ammonia 52. Rec'd protonix, octreotide, and ceftriaxone in ED. Family has been previously encouraged to speak to palliative care but has never been willing to. GI consulted. 1/24 EGD completed. No signs of active bleed. MDs recommending hospice. CT + for small bowel ileus. 1/26 Requires placement of NG tube to suction. Palliative care consulted. 1/27 Paracentesis completed. 4100mls removed. 1/28 Pt changed to palliative status. 1/29 Pt passed away.""
	"1031176-1"	"1031176-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Patient received Covid vaccine on 2/2/21, person reports his legs were more rigid with some sweating the day of the vaccination with leg rigidity that was slowly improving. No other adverse effects reported for following 7 days. Person states he had vomiting episode earlier this week, person states he had no other symptoms before or after the vomiting episodes. On morning of 2/12/21, person reports patient got up ready for breakfast with no issues. She says he asked for chorizo and oatmeal but she laughed and said don't you mean chorizo and eggs. He said yes. They got him into W/C and he was rolling himself into dining room got stuck in hallway. She says he took several breaths then 3 very deep breaths and passed away. She called 911 they took his VS but he has passed. She told them to leave him along no resuscitation."
	"1031176-1"	"1031176-1"	"HYPERVENTILATION"	"10020910"	"65-79 years"	"65-79"	"Death Narrative: Patient received Covid vaccine on 2/2/21, person reports his legs were more rigid with some sweating the day of the vaccination with leg rigidity that was slowly improving. No other adverse effects reported for following 7 days. Person states he had vomiting episode earlier this week, person states he had no other symptoms before or after the vomiting episodes. On morning of 2/12/21, person reports patient got up ready for breakfast with no issues. She says he asked for chorizo and oatmeal but she laughed and said don't you mean chorizo and eggs. He said yes. They got him into W/C and he was rolling himself into dining room got stuck in hallway. She says he took several breaths then 3 very deep breaths and passed away. She called 911 they took his VS but he has passed. She told them to leave him along no resuscitation."
	"1031176-1"	"1031176-1"	"MUSCLE RIGIDITY"	"10028330"	"65-79 years"	"65-79"	"Death Narrative: Patient received Covid vaccine on 2/2/21, person reports his legs were more rigid with some sweating the day of the vaccination with leg rigidity that was slowly improving. No other adverse effects reported for following 7 days. Person states he had vomiting episode earlier this week, person states he had no other symptoms before or after the vomiting episodes. On morning of 2/12/21, person reports patient got up ready for breakfast with no issues. She says he asked for chorizo and oatmeal but she laughed and said don't you mean chorizo and eggs. He said yes. They got him into W/C and he was rolling himself into dining room got stuck in hallway. She says he took several breaths then 3 very deep breaths and passed away. She called 911 they took his VS but he has passed. She told them to leave him along no resuscitation."
	"1031176-1"	"1031176-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Death Narrative: Patient received Covid vaccine on 2/2/21, person reports his legs were more rigid with some sweating the day of the vaccination with leg rigidity that was slowly improving. No other adverse effects reported for following 7 days. Person states he had vomiting episode earlier this week, person states he had no other symptoms before or after the vomiting episodes. On morning of 2/12/21, person reports patient got up ready for breakfast with no issues. She says he asked for chorizo and oatmeal but she laughed and said don't you mean chorizo and eggs. He said yes. They got him into W/C and he was rolling himself into dining room got stuck in hallway. She says he took several breaths then 3 very deep breaths and passed away. She called 911 they took his VS but he has passed. She told them to leave him along no resuscitation."
	"1033263-1"	"1033263-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient passed away within 60 days of receiving COVID vaccine"
	"1035553-1"	"1035553-1"	"ABDOMINAL WALL HAEMATOMA"	"10067383"	"65-79 years"	"65-79"	"Pt passed soon after; shortly after progressed with other covid symptoms and was admitted / acute resp failure, COVID pneumonia; acute resp failure, COVID pneumonia; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; This is a spontaneous report from a non-contactable Pharmacist.  A 76-years-old non-pregnant female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE lot number EL3247), intramuscular on 19Jan2021 at single dose for COVID-19 immunisation. The patient medical history included COVID symptoms from 16Jan2021 and ongoing. Concomitant medications were not reported. The patient with acute resp failure, COVID pneumonia, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior to a admit, then shortly after progressed with other covid symptoms and was admitted on 25Jan2021. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. The patient died on 02Feb2021. It was not reported if an autopsy was performed.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on temporal association, the causal relationship between bnt162b2 and the events death, COVID-19 pneumonia, acute respiratory failure, hypotension, abdominal wall haematoma and abdominal wall haemorrhage cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: Pt passed soon after"
	"1035553-1"	"1035553-1"	"ABDOMINAL WALL HAEMORRHAGE"	"10067788"	"65-79 years"	"65-79"	"Pt passed soon after; shortly after progressed with other covid symptoms and was admitted / acute resp failure, COVID pneumonia; acute resp failure, COVID pneumonia; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; This is a spontaneous report from a non-contactable Pharmacist.  A 76-years-old non-pregnant female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE lot number EL3247), intramuscular on 19Jan2021 at single dose for COVID-19 immunisation. The patient medical history included COVID symptoms from 16Jan2021 and ongoing. Concomitant medications were not reported. The patient with acute resp failure, COVID pneumonia, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior to a admit, then shortly after progressed with other covid symptoms and was admitted on 25Jan2021. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. The patient died on 02Feb2021. It was not reported if an autopsy was performed.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on temporal association, the causal relationship between bnt162b2 and the events death, COVID-19 pneumonia, acute respiratory failure, hypotension, abdominal wall haematoma and abdominal wall haemorrhage cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: Pt passed soon after"
	"1035553-1"	"1035553-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Pt passed soon after; shortly after progressed with other covid symptoms and was admitted / acute resp failure, COVID pneumonia; acute resp failure, COVID pneumonia; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; This is a spontaneous report from a non-contactable Pharmacist.  A 76-years-old non-pregnant female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE lot number EL3247), intramuscular on 19Jan2021 at single dose for COVID-19 immunisation. The patient medical history included COVID symptoms from 16Jan2021 and ongoing. Concomitant medications were not reported. The patient with acute resp failure, COVID pneumonia, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior to a admit, then shortly after progressed with other covid symptoms and was admitted on 25Jan2021. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. The patient died on 02Feb2021. It was not reported if an autopsy was performed.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on temporal association, the causal relationship between bnt162b2 and the events death, COVID-19 pneumonia, acute respiratory failure, hypotension, abdominal wall haematoma and abdominal wall haemorrhage cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: Pt passed soon after"
	"1035553-1"	"1035553-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Pt passed soon after; shortly after progressed with other covid symptoms and was admitted / acute resp failure, COVID pneumonia; acute resp failure, COVID pneumonia; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; This is a spontaneous report from a non-contactable Pharmacist.  A 76-years-old non-pregnant female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE lot number EL3247), intramuscular on 19Jan2021 at single dose for COVID-19 immunisation. The patient medical history included COVID symptoms from 16Jan2021 and ongoing. Concomitant medications were not reported. The patient with acute resp failure, COVID pneumonia, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior to a admit, then shortly after progressed with other covid symptoms and was admitted on 25Jan2021. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. The patient died on 02Feb2021. It was not reported if an autopsy was performed.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on temporal association, the causal relationship between bnt162b2 and the events death, COVID-19 pneumonia, acute respiratory failure, hypotension, abdominal wall haematoma and abdominal wall haemorrhage cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: Pt passed soon after"
	"1035553-1"	"1035553-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt passed soon after; shortly after progressed with other covid symptoms and was admitted / acute resp failure, COVID pneumonia; acute resp failure, COVID pneumonia; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; This is a spontaneous report from a non-contactable Pharmacist.  A 76-years-old non-pregnant female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE lot number EL3247), intramuscular on 19Jan2021 at single dose for COVID-19 immunisation. The patient medical history included COVID symptoms from 16Jan2021 and ongoing. Concomitant medications were not reported. The patient with acute resp failure, COVID pneumonia, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior to a admit, then shortly after progressed with other covid symptoms and was admitted on 25Jan2021. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. The patient died on 02Feb2021. It was not reported if an autopsy was performed.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on temporal association, the causal relationship between bnt162b2 and the events death, COVID-19 pneumonia, acute respiratory failure, hypotension, abdominal wall haematoma and abdominal wall haemorrhage cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: Pt passed soon after"
	"1035553-1"	"1035553-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Pt passed soon after; shortly after progressed with other covid symptoms and was admitted / acute resp failure, COVID pneumonia; acute resp failure, COVID pneumonia; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle.; This is a spontaneous report from a non-contactable Pharmacist.  A 76-years-old non-pregnant female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE lot number EL3247), intramuscular on 19Jan2021 at single dose for COVID-19 immunisation. The patient medical history included COVID symptoms from 16Jan2021 and ongoing. Concomitant medications were not reported. The patient with acute resp failure, COVID pneumonia, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior to a admit, then shortly after progressed with other covid symptoms and was admitted on 25Jan2021. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. The patient died on 02Feb2021. It was not reported if an autopsy was performed.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on temporal association, the causal relationship between bnt162b2 and the events death, COVID-19 pneumonia, acute respiratory failure, hypotension, abdominal wall haematoma and abdominal wall haemorrhage cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: Pt passed soon after"
	"1039922-1"	"1039922-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""death was from natural causes; collapsed; This is a spontaneous report from a contactable consumer.  A 73-year-old female patient received the first dose of the bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 05Feb2021 at 73-years-old at a single dose for COVID-19 immunization. The patient's medical history included chronic obstructive pulmonary disease (COPD) from an unknown date and unknown if ongoing (on oxygen as needed, but not every day), oxygen therapy from an unknown date and unknown if ongoing. Concomitant medications were not reported. The patient previously received the influenza vaccine (MANUFACTURER UNKNOWN) for immunization on unknown dates (Gets flu shot every year around October). On 06Feb2021, the patient collapsed (medically significant) and experienced death was from natural causes (death, medically significant).  The clinical course was reported as follows: The reporter stated that his grandmother received the first dose of the Pfizer COVID-19 vaccine on 05Feb2021 and passed away on the morning of 06Feb2021.  The patient went to bed and woke up in the middle of the night around 03:00 to use the bathroom and collapsed and died within 10-15 minutes of collapsing. The patient was pronounced dead at the scene. The reporter asked: ""What do you know about the news in the media about reports of death in nursing home elderly patients?""  The reporter wanted to know the ingredients of the Pfizer COVID-19 vaccine. The reporter wanted to know about the use of the Pfizer COVID-19 vaccine in patients with underlying conditions. The patient had COPD and was on oxygen as needed, but not every day. The Medical examiner said the death was from natural causes and the family was not doing an autopsy.  The patient had been tested for COVID and was negative. The patient underwent lab tests and procedures which COVID test: negative on an unspecified date. The clinical outcome of the event, death was from natural causes, was fatal. The clinical outcome of the event, collapsed, was unknown. The patient died on 06Feb2021 due to death was from natural causes.  An autopsy was not performed.   The batch/lot numbers for the vaccine, bnt162b2, were not provided and will be requested during follow up.; Reported Cause(s) of Death: death was from natural causes""
	"1039922-1"	"1039922-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	""death was from natural causes; collapsed; This is a spontaneous report from a contactable consumer.  A 73-year-old female patient received the first dose of the bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 05Feb2021 at 73-years-old at a single dose for COVID-19 immunization. The patient's medical history included chronic obstructive pulmonary disease (COPD) from an unknown date and unknown if ongoing (on oxygen as needed, but not every day), oxygen therapy from an unknown date and unknown if ongoing. Concomitant medications were not reported. The patient previously received the influenza vaccine (MANUFACTURER UNKNOWN) for immunization on unknown dates (Gets flu shot every year around October). On 06Feb2021, the patient collapsed (medically significant) and experienced death was from natural causes (death, medically significant).  The clinical course was reported as follows: The reporter stated that his grandmother received the first dose of the Pfizer COVID-19 vaccine on 05Feb2021 and passed away on the morning of 06Feb2021.  The patient went to bed and woke up in the middle of the night around 03:00 to use the bathroom and collapsed and died within 10-15 minutes of collapsing. The patient was pronounced dead at the scene. The reporter asked: ""What do you know about the news in the media about reports of death in nursing home elderly patients?""  The reporter wanted to know the ingredients of the Pfizer COVID-19 vaccine. The reporter wanted to know about the use of the Pfizer COVID-19 vaccine in patients with underlying conditions. The patient had COPD and was on oxygen as needed, but not every day. The Medical examiner said the death was from natural causes and the family was not doing an autopsy.  The patient had been tested for COVID and was negative. The patient underwent lab tests and procedures which COVID test: negative on an unspecified date. The clinical outcome of the event, death was from natural causes, was fatal. The clinical outcome of the event, collapsed, was unknown. The patient died on 06Feb2021 due to death was from natural causes.  An autopsy was not performed.   The batch/lot numbers for the vaccine, bnt162b2, were not provided and will be requested during follow up.; Reported Cause(s) of Death: death was from natural causes""
	"1039922-1"	"1039922-1"	"SARS-COV-2 TEST"	"10084354"	"65-79 years"	"65-79"	""death was from natural causes; collapsed; This is a spontaneous report from a contactable consumer.  A 73-year-old female patient received the first dose of the bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 05Feb2021 at 73-years-old at a single dose for COVID-19 immunization. The patient's medical history included chronic obstructive pulmonary disease (COPD) from an unknown date and unknown if ongoing (on oxygen as needed, but not every day), oxygen therapy from an unknown date and unknown if ongoing. Concomitant medications were not reported. The patient previously received the influenza vaccine (MANUFACTURER UNKNOWN) for immunization on unknown dates (Gets flu shot every year around October). On 06Feb2021, the patient collapsed (medically significant) and experienced death was from natural causes (death, medically significant).  The clinical course was reported as follows: The reporter stated that his grandmother received the first dose of the Pfizer COVID-19 vaccine on 05Feb2021 and passed away on the morning of 06Feb2021.  The patient went to bed and woke up in the middle of the night around 03:00 to use the bathroom and collapsed and died within 10-15 minutes of collapsing. The patient was pronounced dead at the scene. The reporter asked: ""What do you know about the news in the media about reports of death in nursing home elderly patients?""  The reporter wanted to know the ingredients of the Pfizer COVID-19 vaccine. The reporter wanted to know about the use of the Pfizer COVID-19 vaccine in patients with underlying conditions. The patient had COPD and was on oxygen as needed, but not every day. The Medical examiner said the death was from natural causes and the family was not doing an autopsy.  The patient had been tested for COVID and was negative. The patient underwent lab tests and procedures which COVID test: negative on an unspecified date. The clinical outcome of the event, death was from natural causes, was fatal. The clinical outcome of the event, collapsed, was unknown. The patient died on 06Feb2021 due to death was from natural causes.  An autopsy was not performed.   The batch/lot numbers for the vaccine, bnt162b2, were not provided and will be requested during follow up.; Reported Cause(s) of Death: death was from natural causes""
	"1045972-1"	"1045972-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient passed away within 60 days of receiving a COVID vaccine"
	"1046613-1"	"1046613-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient passed away within 60 days of receiving a COVID vaccine"
	"1052179-1"	"1052179-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient passed away within 60 days of receiving a COVID vaccine"
	"1052273-1"	"1052273-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient admitted to the hospital the day after receiving a COVID vaccine x 5 days. Patient passed away on 2/23/2021."
	"1053879-1"	"1053879-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Shortness of breath - related to chronic comorbidities"
	"1060521-1"	"1060521-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt passed away 15 days after vaccine, no indication death was related to vaccine.  Narrative:  Patient was a 64 yr old female with stage 4 serious ovarian cancer with extensive lung metastases no longer on treatment with severe CAD, HFpEF who was transitioned to comfort care on 1/23/21."
	"1060524-1"	"1060524-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death, unknown cause Narrative: Patient received COVID19 vaccine on 2/23/2021 at 14:27. On 2/24/21, patient's family found patient deceased at 12:08am. The local coroner had called the MC to let us know on 2/24/21 at 12:55am. Coroner did not suspect foul play."
	"1060527-1"	"1060527-1"	"BILEVEL POSITIVE AIRWAY PRESSURE"	"10064530"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"BLOOD GASES ABNORMAL"	"10005539"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"BLOOD LACTIC ACID INCREASED"	"10005635"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"BLOOD LACTIC ACID NORMAL"	"10005636"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"BLOOD URINE"	"10005863"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"BODY TEMPERATURE INCREASED"	"10005911"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"CHEST X-RAY"	"10008498"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"COMPUTERISED TOMOGRAM HEAD NORMAL"	"10072167"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"DIFFERENTIAL WHITE BLOOD CELL COUNT ABNORMAL"	"10012785"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"FULL BLOOD COUNT"	"10017411"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"HAEMATOCRIT DECREASED"	"10018838"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"MUSCULOSKELETAL STIFFNESS"	"10052904"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"PLATELET COUNT NORMAL"	"10035530"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"RED BLOOD CELLS URINE"	"10050676"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"RESPIRATION ABNORMAL"	"10038647"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"URINARY OCCULT BLOOD POSITIVE"	"10052287"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"URINARY SEDIMENT PRESENT"	"10049821"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1060527-1"	"1060527-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	"loss of consciousness;febrile Narrative: Patient received his 2nd vaccine at 10am 2/17. That evening he felt subjectively febrile and then suffered a ground level fall at 0400 on 2/18. He did not lose consciousness or injure his head. EMS was contacted and assisted him into bed. At 0600, wife noted increased work of breathing, which prompted another EMS call, who found him hypoxic with fever of 106. He was transported to a community hospital, where he was found to have temp 102.9 and blood pressure in 70s-80s systolic. He was transferred to hospital at 1300 on 2/18/21, requiring norepinephrine for pressure support after fluid resuscitation. He c/o stiffness and soreness all over but presenting ROS was otherwise negative. Patient was treated with 4L IV fluids and vancomycin and piperacillin/tazobactam at the outside ER. Here at the hospital he was treated with vancomycin, piperacillin/tazobactam and levofloxacin along with IV fluids and norepinephrine. Despite this he had several fevers with Tmax 103.5F the night of 2/18-2/19 and he required norepinephrine plus vasopressin overnight to maintain blood pressure. Piperacillin/Tazobactam was discontinued in favor of meropenem. His last fever was at 6am on 2/19. ID consult was obtained 2/19/21 and vancomycin and levofloxacin were weaned off. Ultimately his blood pressure improved and he was weaned off of all vasopressors the morning of 2/20. Notably, he never developed severe hypoxemia at rest while in the ICU, but did require BiPAP non-invasive ventilation at night instead of his usual CPAP to keep his oxygen levels > 90% while sleeping and additionally had desaturations into the low 80% range with exertion from which he was slow to recover. His oxygen saturation was >90% on 30-40% FiO2 via aerosol mask overnight and 3L (his current baseline) NC during the day. He was transferred out of the ICU on 2/21 based on hemodynamic improvement, stable oxygenation, and improved mentation and symptoms. Unfortunately, on the morning of 2/22/21, patient had an abrupt change in status and was found to be unresponsive with hypercarbic respiratory failure and hypotension. ABG during this event was 7.16/121/65. BiPAP was initiated as patient's code status was DNR/DNI. CXR with no significant change from 2/18/21. CT of head without contrast was negative for acute processes. Based on lack of rapid improvement, the decision was made by wife to transition to comfort care. Patient died at 1446 on 2/22/21. **Of note: patient was admitted for 1 week for covid 19 pneumonia November 2020. During this hospitalization he was found to have chronic R sided PE, no acute PE."
	"1068762-1"	"1068762-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""DEATH Narrative: patient's wife reported he had gone in an outside hospital, had held his brilinta as advised anticipating shoulder surgery ""and he threw a big clot and died.""""
	"1068762-1"	"1068762-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	""DEATH Narrative: patient's wife reported he had gone in an outside hospital, had held his brilinta as advised anticipating shoulder surgery ""and he threw a big clot and died.""""
	"1068886-1"	"1068886-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"DEATH Narrative: Pt he reports he developed chills SOB body aches the same night as receiving the COVID vaccine on 1.26.2021-pt is currently reporting CheSt tightness and SOB Admitted to hosp: ICU with Bilateral Pulmonary Emboli, LLE DVT, NSTEMI, Arrhythmia."
	"1068886-1"	"1068886-1"	"ARRHYTHMIA"	"10003119"	"65-79 years"	"65-79"	"DEATH Narrative: Pt he reports he developed chills SOB body aches the same night as receiving the COVID vaccine on 1.26.2021-pt is currently reporting CheSt tightness and SOB Admitted to hosp: ICU with Bilateral Pulmonary Emboli, LLE DVT, NSTEMI, Arrhythmia."
	"1068886-1"	"1068886-1"	"CHEST DISCOMFORT"	"10008469"	"65-79 years"	"65-79"	"DEATH Narrative: Pt he reports he developed chills SOB body aches the same night as receiving the COVID vaccine on 1.26.2021-pt is currently reporting CheSt tightness and SOB Admitted to hosp: ICU with Bilateral Pulmonary Emboli, LLE DVT, NSTEMI, Arrhythmia."
	"1068886-1"	"1068886-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"DEATH Narrative: Pt he reports he developed chills SOB body aches the same night as receiving the COVID vaccine on 1.26.2021-pt is currently reporting CheSt tightness and SOB Admitted to hosp: ICU with Bilateral Pulmonary Emboli, LLE DVT, NSTEMI, Arrhythmia."
	"1068886-1"	"1068886-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEATH Narrative: Pt he reports he developed chills SOB body aches the same night as receiving the COVID vaccine on 1.26.2021-pt is currently reporting CheSt tightness and SOB Admitted to hosp: ICU with Bilateral Pulmonary Emboli, LLE DVT, NSTEMI, Arrhythmia."
	"1068886-1"	"1068886-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"65-79 years"	"65-79"	"DEATH Narrative: Pt he reports he developed chills SOB body aches the same night as receiving the COVID vaccine on 1.26.2021-pt is currently reporting CheSt tightness and SOB Admitted to hosp: ICU with Bilateral Pulmonary Emboli, LLE DVT, NSTEMI, Arrhythmia."
	"1068886-1"	"1068886-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"DEATH Narrative: Pt he reports he developed chills SOB body aches the same night as receiving the COVID vaccine on 1.26.2021-pt is currently reporting CheSt tightness and SOB Admitted to hosp: ICU with Bilateral Pulmonary Emboli, LLE DVT, NSTEMI, Arrhythmia."
	"1068886-1"	"1068886-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"DEATH Narrative: Pt he reports he developed chills SOB body aches the same night as receiving the COVID vaccine on 1.26.2021-pt is currently reporting CheSt tightness and SOB Admitted to hosp: ICU with Bilateral Pulmonary Emboli, LLE DVT, NSTEMI, Arrhythmia."
	"1068886-1"	"1068886-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"DEATH Narrative: Pt he reports he developed chills SOB body aches the same night as receiving the COVID vaccine on 1.26.2021-pt is currently reporting CheSt tightness and SOB Admitted to hosp: ICU with Bilateral Pulmonary Emboli, LLE DVT, NSTEMI, Arrhythmia."
	"1068886-1"	"1068886-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"DEATH Narrative: Pt he reports he developed chills SOB body aches the same night as receiving the COVID vaccine on 1.26.2021-pt is currently reporting CheSt tightness and SOB Admitted to hosp: ICU with Bilateral Pulmonary Emboli, LLE DVT, NSTEMI, Arrhythmia."
	"1068890-1"	"1068890-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative: unclear of details, s/p spine surgery on 2/2/21 and discharged on 2/6/21"
	"1068890-1"	"1068890-1"	"SPINAL OPERATION"	"10062262"	"65-79 years"	"65-79"	"death Narrative: unclear of details, s/p spine surgery on 2/2/21 and discharged on 2/6/21"
	"1069026-1"	"1069026-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Death Narrative: Family was able to be present at bedside shortly after patient was extubated. Fentanyl bolus given 10-15 minutes prior. Patient passed away soon after endotracheal tube removed. Time of death 10:14am."
	"1069026-1"	"1069026-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Family was able to be present at bedside shortly after patient was extubated. Fentanyl bolus given 10-15 minutes prior. Patient passed away soon after endotracheal tube removed. Time of death 10:14am."
	"1069026-1"	"1069026-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Death Narrative: Family was able to be present at bedside shortly after patient was extubated. Fentanyl bolus given 10-15 minutes prior. Patient passed away soon after endotracheal tube removed. Time of death 10:14am."
	"1069026-1"	"1069026-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Death Narrative: Family was able to be present at bedside shortly after patient was extubated. Fentanyl bolus given 10-15 minutes prior. Patient passed away soon after endotracheal tube removed. Time of death 10:14am."
	"1073815-1"	"1073815-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEATH Narrative: NO DETAILS PROVIDED, NO NOTE REGARDING DEATH"
	"1080425-1"	"1080425-1"	"ATRIAL SEPTAL DEFECT"	"10003664"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"CONVALESCENT PLASMA TRANSFUSION"	"10084817"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"ECHOCARDIOGRAM"	"10014113"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"EJECTION FRACTION DECREASED"	"10050528"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"GASTROINTESTINAL DISORDER"	"10017944"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"HAEMODYNAMIC INSTABILITY"	"10052076"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"LIVER INJURY"	"10067125"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"SHOCK"	"10040560"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"SUPRAVENTRICULAR TACHYCARDIA"	"10042604"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"TACHYCARDIA"	"10043071"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080425-1"	"1080425-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"Narrative:  Patient with h/o ESRD on HD MWF, HTN presented to ER on 2/20/21 with worsening dyspnea and GI symptoms; tested positive for COVID-19. Patient had received first COVID vaccination approx. 9 days prior. Patient admitted to ICU for treatment of COVID+ PNA. During admission, patient often could not tolerate removal of fluid during HD d/t tachycardia. He received dexamethasone, convalescent plasma for COVID. Patient underwent TTE which was notable for septal wall motion abnormalities and grossly reduced EF. Admission also c/b acute liver injury, possible cholecystitis, thrombocytopenia, SVT, encephalopathy. Patient then developed progressive shock and hemodynamic instability on 3/2 and passed away on 3/2/21."
	"1080428-1"	"1080428-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""DEATH Narrative:  73 y.o. male with pmh severe COPD, CAD, HTN, hypothyroidism, OSA treated with CPAP, obesity. Noted to have engaged with Pulmonary clinic in December 2020 for worsening respiratory status. No PFTs since 2015. Was found slumped over deceased in his home on the afternoon of 2/24/2021. Medical Examiner notified. Request sent to ME office for report if one exists. No drugs or alcohol were found on the scene andno sign of trama. Hypertensive cardiovascular disease were reported as an adequate cause for death. ""pathologist"" reported that Covid vaccine does not need to be listed as it was ""more than 24 hours since the shot"".""
	"1080428-1"	"1080428-1"	"HYPERTENSIVE HEART DISEASE"	"10020823"	"65-79 years"	"65-79"	""DEATH Narrative:  73 y.o. male with pmh severe COPD, CAD, HTN, hypothyroidism, OSA treated with CPAP, obesity. Noted to have engaged with Pulmonary clinic in December 2020 for worsening respiratory status. No PFTs since 2015. Was found slumped over deceased in his home on the afternoon of 2/24/2021. Medical Examiner notified. Request sent to ME office for report if one exists. No drugs or alcohol were found on the scene andno sign of trama. Hypertensive cardiovascular disease were reported as an adequate cause for death. ""pathologist"" reported that Covid vaccine does not need to be listed as it was ""more than 24 hours since the shot"".""
	"1080431-1"	"1080431-1"	"APHASIA"	"10002948"	"65-79 years"	"65-79"	"Narrative:  67 year-old male received his 1st COVID vaccine dose at a clinic on 2/25/21 at ~ 11:45am. No known prior COVID infection. No history of vaccine allergies or allergies to any component of the COVID vaccine. Does have history of allergic reactions including hives, angioedema or anaphylaxis to some medications (neomycin, Neosporin, bacitracin) and environmental allergens (yellow jackets, fir trees). Patient reported previously daily use of diphenhydramine (2 caps every morning) and kept an epi-pen on hand. The afternoon of 2/26/21, patient presented to his neighbor's house requesting assistance with an epi-pen. Neighbor reported significant swelling around tongue and lips, and ability to faintly speak. Neighbor administered epi-pen, but unsure if it worked, so administered a 2nd epi-pen. Within a minute or two after the 2nd dose, patient slumped over and became non-responsive. EMS was called and neighbor began CPR. EMS reported that patient was non-responsive upon arrival. A King airway was placed and a Lucas device used for chest compressions. Three rounds of epinephrine were administered during transport to the local emergency room. Patient remained unresponsive with evidence of PEA during transport. Arrival at the ER occurred ~ 4:25pm. On arrival patient noted to be unresponsive with CPR in progress. Dose of epinephrine administered ~ 3 minutes after arrival in ER. No femoral pulse palpable, cardiac monitor did show some electrical activity. Evaluation of oral cavity showed significant swelling of tongue. Additional dose of epinephrine given. Patient remained with no palpable central pulse and showed continued evidence of PEA. Patient was estimated to have been down > 45 minutes. Patient pronounced deceased at 4:59pm."
	"1080431-1"	"1080431-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Narrative:  67 year-old male received his 1st COVID vaccine dose at a clinic on 2/25/21 at ~ 11:45am. No known prior COVID infection. No history of vaccine allergies or allergies to any component of the COVID vaccine. Does have history of allergic reactions including hives, angioedema or anaphylaxis to some medications (neomycin, Neosporin, bacitracin) and environmental allergens (yellow jackets, fir trees). Patient reported previously daily use of diphenhydramine (2 caps every morning) and kept an epi-pen on hand. The afternoon of 2/26/21, patient presented to his neighbor's house requesting assistance with an epi-pen. Neighbor reported significant swelling around tongue and lips, and ability to faintly speak. Neighbor administered epi-pen, but unsure if it worked, so administered a 2nd epi-pen. Within a minute or two after the 2nd dose, patient slumped over and became non-responsive. EMS was called and neighbor began CPR. EMS reported that patient was non-responsive upon arrival. A King airway was placed and a Lucas device used for chest compressions. Three rounds of epinephrine were administered during transport to the local emergency room. Patient remained unresponsive with evidence of PEA during transport. Arrival at the ER occurred ~ 4:25pm. On arrival patient noted to be unresponsive with CPR in progress. Dose of epinephrine administered ~ 3 minutes after arrival in ER. No femoral pulse palpable, cardiac monitor did show some electrical activity. Evaluation of oral cavity showed significant swelling of tongue. Additional dose of epinephrine given. Patient remained with no palpable central pulse and showed continued evidence of PEA. Patient was estimated to have been down > 45 minutes. Patient pronounced deceased at 4:59pm."
	"1080431-1"	"1080431-1"	"LIP SWELLING"	"10024570"	"65-79 years"	"65-79"	"Narrative:  67 year-old male received his 1st COVID vaccine dose at a clinic on 2/25/21 at ~ 11:45am. No known prior COVID infection. No history of vaccine allergies or allergies to any component of the COVID vaccine. Does have history of allergic reactions including hives, angioedema or anaphylaxis to some medications (neomycin, Neosporin, bacitracin) and environmental allergens (yellow jackets, fir trees). Patient reported previously daily use of diphenhydramine (2 caps every morning) and kept an epi-pen on hand. The afternoon of 2/26/21, patient presented to his neighbor's house requesting assistance with an epi-pen. Neighbor reported significant swelling around tongue and lips, and ability to faintly speak. Neighbor administered epi-pen, but unsure if it worked, so administered a 2nd epi-pen. Within a minute or two after the 2nd dose, patient slumped over and became non-responsive. EMS was called and neighbor began CPR. EMS reported that patient was non-responsive upon arrival. A King airway was placed and a Lucas device used for chest compressions. Three rounds of epinephrine were administered during transport to the local emergency room. Patient remained unresponsive with evidence of PEA during transport. Arrival at the ER occurred ~ 4:25pm. On arrival patient noted to be unresponsive with CPR in progress. Dose of epinephrine administered ~ 3 minutes after arrival in ER. No femoral pulse palpable, cardiac monitor did show some electrical activity. Evaluation of oral cavity showed significant swelling of tongue. Additional dose of epinephrine given. Patient remained with no palpable central pulse and showed continued evidence of PEA. Patient was estimated to have been down > 45 minutes. Patient pronounced deceased at 4:59pm."
	"1080431-1"	"1080431-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"Narrative:  67 year-old male received his 1st COVID vaccine dose at a clinic on 2/25/21 at ~ 11:45am. No known prior COVID infection. No history of vaccine allergies or allergies to any component of the COVID vaccine. Does have history of allergic reactions including hives, angioedema or anaphylaxis to some medications (neomycin, Neosporin, bacitracin) and environmental allergens (yellow jackets, fir trees). Patient reported previously daily use of diphenhydramine (2 caps every morning) and kept an epi-pen on hand. The afternoon of 2/26/21, patient presented to his neighbor's house requesting assistance with an epi-pen. Neighbor reported significant swelling around tongue and lips, and ability to faintly speak. Neighbor administered epi-pen, but unsure if it worked, so administered a 2nd epi-pen. Within a minute or two after the 2nd dose, patient slumped over and became non-responsive. EMS was called and neighbor began CPR. EMS reported that patient was non-responsive upon arrival. A King airway was placed and a Lucas device used for chest compressions. Three rounds of epinephrine were administered during transport to the local emergency room. Patient remained unresponsive with evidence of PEA during transport. Arrival at the ER occurred ~ 4:25pm. On arrival patient noted to be unresponsive with CPR in progress. Dose of epinephrine administered ~ 3 minutes after arrival in ER. No femoral pulse palpable, cardiac monitor did show some electrical activity. Evaluation of oral cavity showed significant swelling of tongue. Additional dose of epinephrine given. Patient remained with no palpable central pulse and showed continued evidence of PEA. Patient was estimated to have been down > 45 minutes. Patient pronounced deceased at 4:59pm."
	"1080431-1"	"1080431-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"Narrative:  67 year-old male received his 1st COVID vaccine dose at a clinic on 2/25/21 at ~ 11:45am. No known prior COVID infection. No history of vaccine allergies or allergies to any component of the COVID vaccine. Does have history of allergic reactions including hives, angioedema or anaphylaxis to some medications (neomycin, Neosporin, bacitracin) and environmental allergens (yellow jackets, fir trees). Patient reported previously daily use of diphenhydramine (2 caps every morning) and kept an epi-pen on hand. The afternoon of 2/26/21, patient presented to his neighbor's house requesting assistance with an epi-pen. Neighbor reported significant swelling around tongue and lips, and ability to faintly speak. Neighbor administered epi-pen, but unsure if it worked, so administered a 2nd epi-pen. Within a minute or two after the 2nd dose, patient slumped over and became non-responsive. EMS was called and neighbor began CPR. EMS reported that patient was non-responsive upon arrival. A King airway was placed and a Lucas device used for chest compressions. Three rounds of epinephrine were administered during transport to the local emergency room. Patient remained unresponsive with evidence of PEA during transport. Arrival at the ER occurred ~ 4:25pm. On arrival patient noted to be unresponsive with CPR in progress. Dose of epinephrine administered ~ 3 minutes after arrival in ER. No femoral pulse palpable, cardiac monitor did show some electrical activity. Evaluation of oral cavity showed significant swelling of tongue. Additional dose of epinephrine given. Patient remained with no palpable central pulse and showed continued evidence of PEA. Patient was estimated to have been down > 45 minutes. Patient pronounced deceased at 4:59pm."
	"1080431-1"	"1080431-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Narrative:  67 year-old male received his 1st COVID vaccine dose at a clinic on 2/25/21 at ~ 11:45am. No known prior COVID infection. No history of vaccine allergies or allergies to any component of the COVID vaccine. Does have history of allergic reactions including hives, angioedema or anaphylaxis to some medications (neomycin, Neosporin, bacitracin) and environmental allergens (yellow jackets, fir trees). Patient reported previously daily use of diphenhydramine (2 caps every morning) and kept an epi-pen on hand. The afternoon of 2/26/21, patient presented to his neighbor's house requesting assistance with an epi-pen. Neighbor reported significant swelling around tongue and lips, and ability to faintly speak. Neighbor administered epi-pen, but unsure if it worked, so administered a 2nd epi-pen. Within a minute or two after the 2nd dose, patient slumped over and became non-responsive. EMS was called and neighbor began CPR. EMS reported that patient was non-responsive upon arrival. A King airway was placed and a Lucas device used for chest compressions. Three rounds of epinephrine were administered during transport to the local emergency room. Patient remained unresponsive with evidence of PEA during transport. Arrival at the ER occurred ~ 4:25pm. On arrival patient noted to be unresponsive with CPR in progress. Dose of epinephrine administered ~ 3 minutes after arrival in ER. No femoral pulse palpable, cardiac monitor did show some electrical activity. Evaluation of oral cavity showed significant swelling of tongue. Additional dose of epinephrine given. Patient remained with no palpable central pulse and showed continued evidence of PEA. Patient was estimated to have been down > 45 minutes. Patient pronounced deceased at 4:59pm."
	"1080431-1"	"1080431-1"	"SWOLLEN TONGUE"	"10042727"	"65-79 years"	"65-79"	"Narrative:  67 year-old male received his 1st COVID vaccine dose at a clinic on 2/25/21 at ~ 11:45am. No known prior COVID infection. No history of vaccine allergies or allergies to any component of the COVID vaccine. Does have history of allergic reactions including hives, angioedema or anaphylaxis to some medications (neomycin, Neosporin, bacitracin) and environmental allergens (yellow jackets, fir trees). Patient reported previously daily use of diphenhydramine (2 caps every morning) and kept an epi-pen on hand. The afternoon of 2/26/21, patient presented to his neighbor's house requesting assistance with an epi-pen. Neighbor reported significant swelling around tongue and lips, and ability to faintly speak. Neighbor administered epi-pen, but unsure if it worked, so administered a 2nd epi-pen. Within a minute or two after the 2nd dose, patient slumped over and became non-responsive. EMS was called and neighbor began CPR. EMS reported that patient was non-responsive upon arrival. A King airway was placed and a Lucas device used for chest compressions. Three rounds of epinephrine were administered during transport to the local emergency room. Patient remained unresponsive with evidence of PEA during transport. Arrival at the ER occurred ~ 4:25pm. On arrival patient noted to be unresponsive with CPR in progress. Dose of epinephrine administered ~ 3 minutes after arrival in ER. No femoral pulse palpable, cardiac monitor did show some electrical activity. Evaluation of oral cavity showed significant swelling of tongue. Additional dose of epinephrine given. Patient remained with no palpable central pulse and showed continued evidence of PEA. Patient was estimated to have been down > 45 minutes. Patient pronounced deceased at 4:59pm."
	"1080431-1"	"1080431-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Narrative:  67 year-old male received his 1st COVID vaccine dose at a clinic on 2/25/21 at ~ 11:45am. No known prior COVID infection. No history of vaccine allergies or allergies to any component of the COVID vaccine. Does have history of allergic reactions including hives, angioedema or anaphylaxis to some medications (neomycin, Neosporin, bacitracin) and environmental allergens (yellow jackets, fir trees). Patient reported previously daily use of diphenhydramine (2 caps every morning) and kept an epi-pen on hand. The afternoon of 2/26/21, patient presented to his neighbor's house requesting assistance with an epi-pen. Neighbor reported significant swelling around tongue and lips, and ability to faintly speak. Neighbor administered epi-pen, but unsure if it worked, so administered a 2nd epi-pen. Within a minute or two after the 2nd dose, patient slumped over and became non-responsive. EMS was called and neighbor began CPR. EMS reported that patient was non-responsive upon arrival. A King airway was placed and a Lucas device used for chest compressions. Three rounds of epinephrine were administered during transport to the local emergency room. Patient remained unresponsive with evidence of PEA during transport. Arrival at the ER occurred ~ 4:25pm. On arrival patient noted to be unresponsive with CPR in progress. Dose of epinephrine administered ~ 3 minutes after arrival in ER. No femoral pulse palpable, cardiac monitor did show some electrical activity. Evaluation of oral cavity showed significant swelling of tongue. Additional dose of epinephrine given. Patient remained with no palpable central pulse and showed continued evidence of PEA. Patient was estimated to have been down > 45 minutes. Patient pronounced deceased at 4:59pm."
	"1080434-1"	"1080434-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Patient passed away on 3-2-21, patient received the vaccine on 2-24-21. Patient was obese and had several co-morbid conditions."
	"1080434-1"	"1080434-1"	"OBESITY"	"10029883"	"65-79 years"	"65-79"	"Death Narrative: Patient passed away on 3-2-21, patient received the vaccine on 2-24-21. Patient was obese and had several co-morbid conditions."
	"1088686-1"	"1088686-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt found deceased in home on 03/07/2021"
	"1094110-1"	"1094110-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"unknown.  Patient is deceased"
	"1094146-1"	"1094146-1"	"FACE INJURY"	"10050392"	"65-79 years"	"65-79"	"2nd dose administered on 2/20/21, on 2/23/21 the patient fell and sustained a facial  injury"
	"1094146-1"	"1094146-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"2nd dose administered on 2/20/21, on 2/23/21 the patient fell and sustained a facial  injury"
	"1094208-1"	"1094208-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"ALTERED MENTAL STATUS Death"
	"1094208-1"	"1094208-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"ALTERED MENTAL STATUS Death"
	"1094322-1"	"1094322-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"2nd dose given on 2/24/2021, deceased on 3/2/2021"
	"1094993-1"	"1094993-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"2nd vaccine dose given on 02/16/2021, admitted to hospital on 02/24/2021  CARDIAC ARREST RECTAL BLEEDING died on 03/03/2021"
	"1094993-1"	"1094993-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"2nd vaccine dose given on 02/16/2021, admitted to hospital on 02/24/2021  CARDIAC ARREST RECTAL BLEEDING died on 03/03/2021"
	"1094993-1"	"1094993-1"	"RECTAL HAEMORRHAGE"	"10038063"	"65-79 years"	"65-79"	"2nd vaccine dose given on 02/16/2021, admitted to hospital on 02/24/2021  CARDIAC ARREST RECTAL BLEEDING died on 03/03/2021"
	"1095025-1"	"1095025-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"shortness of breath 3 days after 2nd dose injected. admitted on 2/19 shortness of breath admitted on 2/26 shortness of breath admitted on  3/2 cardiac arrest, neck mass, seizure like activity, acute respiratory failure died on 3/06/2021"
	"1095025-1"	"1095025-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"shortness of breath 3 days after 2nd dose injected. admitted on 2/19 shortness of breath admitted on 2/26 shortness of breath admitted on  3/2 cardiac arrest, neck mass, seizure like activity, acute respiratory failure died on 3/06/2021"
	"1095025-1"	"1095025-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"shortness of breath 3 days after 2nd dose injected. admitted on 2/19 shortness of breath admitted on 2/26 shortness of breath admitted on  3/2 cardiac arrest, neck mass, seizure like activity, acute respiratory failure died on 3/06/2021"
	"1095025-1"	"1095025-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"shortness of breath 3 days after 2nd dose injected. admitted on 2/19 shortness of breath admitted on 2/26 shortness of breath admitted on  3/2 cardiac arrest, neck mass, seizure like activity, acute respiratory failure died on 3/06/2021"
	"1095025-1"	"1095025-1"	"NECK MASS"	"10049146"	"65-79 years"	"65-79"	"shortness of breath 3 days after 2nd dose injected. admitted on 2/19 shortness of breath admitted on 2/26 shortness of breath admitted on  3/2 cardiac arrest, neck mass, seizure like activity, acute respiratory failure died on 3/06/2021"
	"1095025-1"	"1095025-1"	"SEIZURE LIKE PHENOMENA"	"10071048"	"65-79 years"	"65-79"	"shortness of breath 3 days after 2nd dose injected. admitted on 2/19 shortness of breath admitted on 2/26 shortness of breath admitted on  3/2 cardiac arrest, neck mass, seizure like activity, acute respiratory failure died on 3/06/2021"
	"1095053-1"	"1095053-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1095070-1"	"1095070-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"SHORTNESS OF BREATH Respiratory distress Hypoxia Pneumonia due to COVID-19 virus Death"
	"1095070-1"	"1095070-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"SHORTNESS OF BREATH Respiratory distress Hypoxia Pneumonia due to COVID-19 virus Death"
	"1095070-1"	"1095070-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"SHORTNESS OF BREATH Respiratory distress Hypoxia Pneumonia due to COVID-19 virus Death"
	"1095070-1"	"1095070-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"SHORTNESS OF BREATH Respiratory distress Hypoxia Pneumonia due to COVID-19 virus Death"
	"1095070-1"	"1095070-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"SHORTNESS OF BREATH Respiratory distress Hypoxia Pneumonia due to COVID-19 virus Death"
	"1095111-1"	"1095111-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Admitted on 2/17/2021 2nd dose injected on 2/20/2021 Shortness of breath died on 03/04/2021"
	"1095111-1"	"1095111-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Admitted on 2/17/2021 2nd dose injected on 2/20/2021 Shortness of breath died on 03/04/2021"
	"1095124-1"	"1095124-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Chest pain DOE (dyspnea on exertion) Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present  Death"
	"1095124-1"	"1095124-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Chest pain DOE (dyspnea on exertion) Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present  Death"
	"1095124-1"	"1095124-1"	"DYSPNOEA EXERTIONAL"	"10013971"	"65-79 years"	"65-79"	"Chest pain DOE (dyspnea on exertion) Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present  Death"
	"1095124-1"	"1095124-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Chest pain DOE (dyspnea on exertion) Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present  Death"
	"1095124-1"	"1095124-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"Chest pain DOE (dyspnea on exertion) Pneumonia of both lungs due to infectious organism, unspecified part of lung Acute pulmonary embolism, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present  Death"
	"1095140-1"	"1095140-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1095174-1"	"1095174-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Cardiac arrest  Acute respiratory failure with hypoxia Death"
	"1095174-1"	"1095174-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Cardiac arrest  Acute respiratory failure with hypoxia Death"
	"1095174-1"	"1095174-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Cardiac arrest  Acute respiratory failure with hypoxia Death"
	"1095406-1"	"1095406-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1095562-1"	"1095562-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1095596-1"	"1095596-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"cardiac arrest death"
	"1095596-1"	"1095596-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"cardiac arrest death"
	"1095725-1"	"1095725-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1095737-1"	"1095737-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Shortness of breath Acute on chronic renal failure  Abnormal LFTs Death"
	"1095737-1"	"1095737-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Shortness of breath Acute on chronic renal failure  Abnormal LFTs Death"
	"1095737-1"	"1095737-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Shortness of breath Acute on chronic renal failure  Abnormal LFTs Death"
	"1095737-1"	"1095737-1"	"LIVER FUNCTION TEST ABNORMAL"	"10024690"	"65-79 years"	"65-79"	"Shortness of breath Acute on chronic renal failure  Abnormal LFTs Death"
	"1095748-1"	"1095748-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1100685-1"	"1100685-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death 1 week later. No other information available."
	"1103837-1"	"1103837-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"shortness of breath, dizziness death"
	"1103837-1"	"1103837-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"shortness of breath, dizziness death"
	"1103837-1"	"1103837-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"shortness of breath, dizziness death"
	"1103876-1"	"1103876-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"shortness of breath, cough, nausea, diarrhea death"
	"1103876-1"	"1103876-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"shortness of breath, cough, nausea, diarrhea death"
	"1103876-1"	"1103876-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"shortness of breath, cough, nausea, diarrhea death"
	"1103876-1"	"1103876-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"shortness of breath, cough, nausea, diarrhea death"
	"1103876-1"	"1103876-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"shortness of breath, cough, nausea, diarrhea death"
	"1104080-1"	"1104080-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1104257-1"	"1104257-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  1st Dose of COVID Vaccination"
	"1104429-1"	"1104429-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"Death Narrative: Patient with medical history significant for malnutrition and end stage COPD. Patient was on 5 to 6 liters/min of oxygen. On 3/10/21, patient received his first COVID-19 vaccination. On 3/12/21, patient was admitted to Hospice for home hospice care due to worsening of COPD. Per medical examiner, patient passed away on 3/13/21."
	"1104429-1"	"1104429-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death Narrative: Patient with medical history significant for malnutrition and end stage COPD. Patient was on 5 to 6 liters/min of oxygen. On 3/10/21, patient received his first COVID-19 vaccination. On 3/12/21, patient was admitted to Hospice for home hospice care due to worsening of COPD. Per medical examiner, patient passed away on 3/13/21."
	"1104429-1"	"1104429-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Patient with medical history significant for malnutrition and end stage COPD. Patient was on 5 to 6 liters/min of oxygen. On 3/10/21, patient received his first COVID-19 vaccination. On 3/12/21, patient was admitted to Hospice for home hospice care due to worsening of COPD. Per medical examiner, patient passed away on 3/13/21."
	"1104698-1"	"1104698-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"RESPIRATORY DISTRESS Death"
	"1104698-1"	"1104698-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"RESPIRATORY DISTRESS Death"
	"1104720-1"	"1104720-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1108263-1"	"1108263-1"	"CHRONIC LEFT VENTRICULAR FAILURE"	"10063083"	"65-79 years"	"65-79"	"Death Narrative: Patient died at home on 2/11/21, two days after receipt of the Pfizer COVID19 vaccine. Reviewed death certificate and cause of death is listed as chronic systolic heart failure and pulmonary hypertension. That is all the information that I have."
	"1108263-1"	"1108263-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death Narrative: Patient died at home on 2/11/21, two days after receipt of the Pfizer COVID19 vaccine. Reviewed death certificate and cause of death is listed as chronic systolic heart failure and pulmonary hypertension. That is all the information that I have."
	"1108263-1"	"1108263-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Patient died at home on 2/11/21, two days after receipt of the Pfizer COVID19 vaccine. Reviewed death certificate and cause of death is listed as chronic systolic heart failure and pulmonary hypertension. That is all the information that I have."
	"1108263-1"	"1108263-1"	"PULMONARY HYPERTENSION"	"10037400"	"65-79 years"	"65-79"	"Death Narrative: Patient died at home on 2/11/21, two days after receipt of the Pfizer COVID19 vaccine. Reviewed death certificate and cause of death is listed as chronic systolic heart failure and pulmonary hypertension. That is all the information that I have."
	"1108279-1"	"1108279-1"	"AMYOTROPHIC LATERAL SCLEROSIS"	"10002026"	"65-79 years"	"65-79"	"deceased Narrative: Patient was a 68M with advanced ALS, long-term need for mechanical ventilation, total care, TF, who developed worsening respiratory failure increasing difficulty with mech ventilation, unresponsive to COPD exacerbation treatment, in the setting of persistently abnormal CXR findings concerning for malignancy or other processes. After discussion with family, they did not want to patient to suffer any more and asked for mechanical ventilation be stopped after adequate comfort medications were administered. Patient was allowed to pass away naturally from his underlying advanced ALS."
	"1108279-1"	"1108279-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"deceased Narrative: Patient was a 68M with advanced ALS, long-term need for mechanical ventilation, total care, TF, who developed worsening respiratory failure increasing difficulty with mech ventilation, unresponsive to COPD exacerbation treatment, in the setting of persistently abnormal CXR findings concerning for malignancy or other processes. After discussion with family, they did not want to patient to suffer any more and asked for mechanical ventilation be stopped after adequate comfort medications were administered. Patient was allowed to pass away naturally from his underlying advanced ALS."
	"1108279-1"	"1108279-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"deceased Narrative: Patient was a 68M with advanced ALS, long-term need for mechanical ventilation, total care, TF, who developed worsening respiratory failure increasing difficulty with mech ventilation, unresponsive to COPD exacerbation treatment, in the setting of persistently abnormal CXR findings concerning for malignancy or other processes. After discussion with family, they did not want to patient to suffer any more and asked for mechanical ventilation be stopped after adequate comfort medications were administered. Patient was allowed to pass away naturally from his underlying advanced ALS."
	"1108279-1"	"1108279-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"deceased Narrative: Patient was a 68M with advanced ALS, long-term need for mechanical ventilation, total care, TF, who developed worsening respiratory failure increasing difficulty with mech ventilation, unresponsive to COPD exacerbation treatment, in the setting of persistently abnormal CXR findings concerning for malignancy or other processes. After discussion with family, they did not want to patient to suffer any more and asked for mechanical ventilation be stopped after adequate comfort medications were administered. Patient was allowed to pass away naturally from his underlying advanced ALS."
	"1108279-1"	"1108279-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"deceased Narrative: Patient was a 68M with advanced ALS, long-term need for mechanical ventilation, total care, TF, who developed worsening respiratory failure increasing difficulty with mech ventilation, unresponsive to COPD exacerbation treatment, in the setting of persistently abnormal CXR findings concerning for malignancy or other processes. After discussion with family, they did not want to patient to suffer any more and asked for mechanical ventilation be stopped after adequate comfort medications were administered. Patient was allowed to pass away naturally from his underlying advanced ALS."
	"1108279-1"	"1108279-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"deceased Narrative: Patient was a 68M with advanced ALS, long-term need for mechanical ventilation, total care, TF, who developed worsening respiratory failure increasing difficulty with mech ventilation, unresponsive to COPD exacerbation treatment, in the setting of persistently abnormal CXR findings concerning for malignancy or other processes. After discussion with family, they did not want to patient to suffer any more and asked for mechanical ventilation be stopped after adequate comfort medications were administered. Patient was allowed to pass away naturally from his underlying advanced ALS."
	"1108279-1"	"1108279-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"deceased Narrative: Patient was a 68M with advanced ALS, long-term need for mechanical ventilation, total care, TF, who developed worsening respiratory failure increasing difficulty with mech ventilation, unresponsive to COPD exacerbation treatment, in the setting of persistently abnormal CXR findings concerning for malignancy or other processes. After discussion with family, they did not want to patient to suffer any more and asked for mechanical ventilation be stopped after adequate comfort medications were administered. Patient was allowed to pass away naturally from his underlying advanced ALS."
	"1108469-1"	"1108469-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Deceased Narrative: This was a 77 yo F with h/o HFpEF, afib (warfarin), COPD, obesity hypoventilation syndrome, OSA on BiPAP, T2DM, RA, L-sided follicular bronchitis and newly diagnosed probably malignant pulmonary process. Patient was admitted to facility 9/26-10/15 for acute on chronic hypercarbic respiratory failure with persistent O2 requirement despite treatment for CAP, COPD and CHF exacerbation. Patient then underwent high dose steroid taper per Rheum. Patient presented an overall poor state of health and was at high risk of complications with any procedures and was not a candidate for systemic therapy for a malignancy based on functional status. Patient was accepting of terminal diagnosis and transitioned to comfort measures at home."
	"1108469-1"	"1108469-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Deceased Narrative: This was a 77 yo F with h/o HFpEF, afib (warfarin), COPD, obesity hypoventilation syndrome, OSA on BiPAP, T2DM, RA, L-sided follicular bronchitis and newly diagnosed probably malignant pulmonary process. Patient was admitted to facility 9/26-10/15 for acute on chronic hypercarbic respiratory failure with persistent O2 requirement despite treatment for CAP, COPD and CHF exacerbation. Patient then underwent high dose steroid taper per Rheum. Patient presented an overall poor state of health and was at high risk of complications with any procedures and was not a candidate for systemic therapy for a malignancy based on functional status. Patient was accepting of terminal diagnosis and transitioned to comfort measures at home."
	"1108471-1"	"1108471-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative: Pt received 1st moderna covid vaccine 2/12/2021 and passed away of unknown causes 2/12/2021 Pt 76 year old with AAA,HTN,CKD,COPD"
	"1108475-1"	"1108475-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative: Patient received COVID vaccine # 1 on 1/6/2021, on 1/23/21 his wife reported to the facility that he passed away. Notes in database do not mention cause of death or where death occurred. There are no scanned records in database with any detail either."
	"1110654-1"	"1110654-1"	"CONSTIPATION"	"10010774"	"65-79 years"	"65-79"	"Constipation Shortness of Breath Death"
	"1110654-1"	"1110654-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Constipation Shortness of Breath Death"
	"1110654-1"	"1110654-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Constipation Shortness of Breath Death"
	"1110693-1"	"1110693-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1110732-1"	"1110732-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1115451-1"	"1115451-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Home care treatment  History of COPD"
	"1115838-1"	"1115838-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"NA History - CAD,CKD-Stage 3  DMII HTN"
	"1116100-1"	"1116100-1"	"ALANINE AMINOTRANSFERASE INCREASED"	"10001551"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"ASPARTATE AMINOTRANSFERASE INCREASED"	"10003481"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD ALBUMIN NORMAL"	"10005289"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD ALKALINE PHOSPHATASE INCREASED"	"10059570"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD BILIRUBIN NORMAL"	"10005367"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD CALCIUM"	"10005392"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD CHLORIDE NORMAL"	"10005421"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD MAGNESIUM NORMAL"	"10005656"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD PHOSPHORUS NORMAL"	"10054887"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD POTASSIUM NORMAL"	"10005726"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD SODIUM NORMAL"	"10005804"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"BLOOD UREA INCREASED"	"10005851"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"CARBON DIOXIDE NORMAL"	"10007228"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"EJECTION FRACTION DECREASED"	"10050528"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"GLYCOSYLATED HAEMOGLOBIN"	"10018480"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"HAEMATOCRIT DECREASED"	"10018838"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"HAEMOGLOBIN INCREASED"	"10018888"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"HEPATITIS VIRAL TEST"	"10061999"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"NEUTROPHIL COUNT NORMAL"	"10029370"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"PLATELET COUNT NORMAL"	"10035530"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"PROSTATIC SPECIFIC ANTIGEN INCREASED"	"10036975"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"PROTEIN TOTAL"	"10050537"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1116100-1"	"1116100-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	"extreme fatigue then patient passed away while asleep Narrative:  Unclear if the vaccine is connected to his death. Chart reviewed. He has medical conditions which could have caused his death. Unclear who completed his death certificate. Death was close to a month ago. Whether he had an autopsy or not is unclear. We can report as a suspicious death after vaccination."
	"1118957-1"	"1118957-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEATH Narrative: Patient passed away approximately 1 month after receiving first COVID-19 vaccination. No report of a significant reaction to this vaccine, so unlikely a correlation."
	"1118961-1"	"1118961-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:"
	"1118965-1"	"1118965-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"Patient passed away unrelated to covid vaccine Narrative: The patient had new onset of CHF,A.fib and hx f COPD. Patient was admitted to hospital on 1/21 and Patient discharge against medical advise on 1/22. Patient aware of risk including early death and increased morbidity but patient still wanted to leave. Patient received the first dose of Pfizer vaccine on 1/19 and no adverse reaction was reported. Patient presented to ER for shortness of breath and chest pain and was admitted on 1/29. Patient passed away on 1/31. No indication that death was related to COVID 19 vaccination."
	"1118965-1"	"1118965-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"Patient passed away unrelated to covid vaccine Narrative: The patient had new onset of CHF,A.fib and hx f COPD. Patient was admitted to hospital on 1/21 and Patient discharge against medical advise on 1/22. Patient aware of risk including early death and increased morbidity but patient still wanted to leave. Patient received the first dose of Pfizer vaccine on 1/19 and no adverse reaction was reported. Patient presented to ER for shortness of breath and chest pain and was admitted on 1/29. Patient passed away on 1/31. No indication that death was related to COVID 19 vaccination."
	"1118965-1"	"1118965-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Patient passed away unrelated to covid vaccine Narrative: The patient had new onset of CHF,A.fib and hx f COPD. Patient was admitted to hospital on 1/21 and Patient discharge against medical advise on 1/22. Patient aware of risk including early death and increased morbidity but patient still wanted to leave. Patient received the first dose of Pfizer vaccine on 1/19 and no adverse reaction was reported. Patient presented to ER for shortness of breath and chest pain and was admitted on 1/29. Patient passed away on 1/31. No indication that death was related to COVID 19 vaccination."
	"1118965-1"	"1118965-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient passed away unrelated to covid vaccine Narrative: The patient had new onset of CHF,A.fib and hx f COPD. Patient was admitted to hospital on 1/21 and Patient discharge against medical advise on 1/22. Patient aware of risk including early death and increased morbidity but patient still wanted to leave. Patient received the first dose of Pfizer vaccine on 1/19 and no adverse reaction was reported. Patient presented to ER for shortness of breath and chest pain and was admitted on 1/29. Patient passed away on 1/31. No indication that death was related to COVID 19 vaccination."
	"1118968-1"	"1118968-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient passed away due to cardiac arrest Narrative: The patient had with PMH of CAD and multiple PCI, HFpEF, HTN. DM2, ESRD on HD, COPD and home O2 and other co-morbidities. Patient received his first dose of Pfizer vaccine on 1/21 and no adverse reaction was reported. Patient had a cardiac arrest on 2/1 and he was admitted to hospital. Patient passed away naturally on 2/1. Cause of death is not related to COVID 19 vaccination."
	"1118968-1"	"1118968-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient passed away due to cardiac arrest Narrative: The patient had with PMH of CAD and multiple PCI, HFpEF, HTN. DM2, ESRD on HD, COPD and home O2 and other co-morbidities. Patient received his first dose of Pfizer vaccine on 1/21 and no adverse reaction was reported. Patient had a cardiac arrest on 2/1 and he was admitted to hospital. Patient passed away naturally on 2/1. Cause of death is not related to COVID 19 vaccination."
	"1122318-1"	"1122318-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Received second dose of Pfizer Covid vaccine on 3-15 and he passed away 3 days later on 3/18/21"
	"1122392-1"	"1122392-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient passed away related to covid vaccination Narrative: The patient had CHF, cardiomyopathy, A-fib and COPD. Patient received his first dose of Moderna on 1/20. No adverse reaction was reported. Patient was found unresponsive and confirmed dead by Sheriff on 2/10. Cardiologist was notified of his death and suspect patient's death is related to ventricular arrhythmia. He also has a history of noncompliance. Cause of death is not related to COVID 19 vaccination."
	"1122392-1"	"1122392-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patient passed away related to covid vaccination Narrative: The patient had CHF, cardiomyopathy, A-fib and COPD. Patient received his first dose of Moderna on 1/20. No adverse reaction was reported. Patient was found unresponsive and confirmed dead by Sheriff on 2/10. Cardiologist was notified of his death and suspect patient's death is related to ventricular arrhythmia. He also has a history of noncompliance. Cause of death is not related to COVID 19 vaccination."
	"1122392-1"	"1122392-1"	"VENTRICULAR ARRHYTHMIA"	"10047281"	"65-79 years"	"65-79"	"Patient passed away related to covid vaccination Narrative: The patient had CHF, cardiomyopathy, A-fib and COPD. Patient received his first dose of Moderna on 1/20. No adverse reaction was reported. Patient was found unresponsive and confirmed dead by Sheriff on 2/10. Cardiologist was notified of his death and suspect patient's death is related to ventricular arrhythmia. He also has a history of noncompliance. Cause of death is not related to COVID 19 vaccination."
	"1122393-1"	"1122393-1"	"CHEYNE-STOKES RESPIRATION"	"10008501"	"65-79 years"	"65-79"	"Death Narrative: Around the end of January 2021, patient was admitted to a home hospice program due to worsening of patient's Parkinson's Disease and Dementia. It was noted on the hospice programs Plan of Care that patient had severe, progressive dysphagia due to disease. Patient lost 20 pounds over the last 2 months prior to admission to hospice program. Patient had severe tremors, dystonia, and was dyspneic with minimal exertion. Patient received Moderna's Covid vaccine on 3/3/21. On 3/13/21, patient got progressively worse. He stopped eating and drinking and started to exhibit Cheyne-Stokes breathing. Hospice nurse noted that patient only had a few days remaining. On 3/18/21, patient passed away."
	"1122393-1"	"1122393-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Around the end of January 2021, patient was admitted to a home hospice program due to worsening of patient's Parkinson's Disease and Dementia. It was noted on the hospice programs Plan of Care that patient had severe, progressive dysphagia due to disease. Patient lost 20 pounds over the last 2 months prior to admission to hospice program. Patient had severe tremors, dystonia, and was dyspneic with minimal exertion. Patient received Moderna's Covid vaccine on 3/3/21. On 3/13/21, patient got progressively worse. He stopped eating and drinking and started to exhibit Cheyne-Stokes breathing. Hospice nurse noted that patient only had a few days remaining. On 3/18/21, patient passed away."
	"1122393-1"	"1122393-1"	"DIET REFUSAL"	"10012775"	"65-79 years"	"65-79"	"Death Narrative: Around the end of January 2021, patient was admitted to a home hospice program due to worsening of patient's Parkinson's Disease and Dementia. It was noted on the hospice programs Plan of Care that patient had severe, progressive dysphagia due to disease. Patient lost 20 pounds over the last 2 months prior to admission to hospice program. Patient had severe tremors, dystonia, and was dyspneic with minimal exertion. Patient received Moderna's Covid vaccine on 3/3/21. On 3/13/21, patient got progressively worse. He stopped eating and drinking and started to exhibit Cheyne-Stokes breathing. Hospice nurse noted that patient only had a few days remaining. On 3/18/21, patient passed away."
	"1122393-1"	"1122393-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Death Narrative: Around the end of January 2021, patient was admitted to a home hospice program due to worsening of patient's Parkinson's Disease and Dementia. It was noted on the hospice programs Plan of Care that patient had severe, progressive dysphagia due to disease. Patient lost 20 pounds over the last 2 months prior to admission to hospice program. Patient had severe tremors, dystonia, and was dyspneic with minimal exertion. Patient received Moderna's Covid vaccine on 3/3/21. On 3/13/21, patient got progressively worse. He stopped eating and drinking and started to exhibit Cheyne-Stokes breathing. Hospice nurse noted that patient only had a few days remaining. On 3/18/21, patient passed away."
	"1123165-1"	"1123165-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"generalized weakness respiratory failure"
	"1123165-1"	"1123165-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"generalized weakness respiratory failure"
	"1124382-1"	"1124382-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	""Death Narrative: Patient received first COVID vaccine does on 3/13/21 at 07:53 without complications. Home telehealth nurse informed by family member on 3/18/21 the patient passed away on 3/13/21 at approximately 1300. Per medical record documentation, ""Patient had been at facility getting COVID vaccine that morning at 0800, came home and was taking out his garbage when he started to stumble and fell to his knee, a neighbor saw and assisted patient up and was walking with him back to the apartment when ""...he stopped breathing and feel over, dead."" Per medical record review, patient had several co-morbidities including hypertension, hyperlipidemia, chronic hyponatremia, alcohol abuse, alcoholic fatty liver, chronic thrombocytopenia, and GERD.""
	"1124382-1"	"1124382-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	""Death Narrative: Patient received first COVID vaccine does on 3/13/21 at 07:53 without complications. Home telehealth nurse informed by family member on 3/18/21 the patient passed away on 3/13/21 at approximately 1300. Per medical record documentation, ""Patient had been at facility getting COVID vaccine that morning at 0800, came home and was taking out his garbage when he started to stumble and fell to his knee, a neighbor saw and assisted patient up and was walking with him back to the apartment when ""...he stopped breathing and feel over, dead."" Per medical record review, patient had several co-morbidities including hypertension, hyperlipidemia, chronic hyponatremia, alcohol abuse, alcoholic fatty liver, chronic thrombocytopenia, and GERD.""
	"1124382-1"	"1124382-1"	"SUDDEN DEATH"	"10042434"	"65-79 years"	"65-79"	""Death Narrative: Patient received first COVID vaccine does on 3/13/21 at 07:53 without complications. Home telehealth nurse informed by family member on 3/18/21 the patient passed away on 3/13/21 at approximately 1300. Per medical record documentation, ""Patient had been at facility getting COVID vaccine that morning at 0800, came home and was taking out his garbage when he started to stumble and fell to his knee, a neighbor saw and assisted patient up and was walking with him back to the apartment when ""...he stopped breathing and feel over, dead."" Per medical record review, patient had several co-morbidities including hypertension, hyperlipidemia, chronic hyponatremia, alcohol abuse, alcoholic fatty liver, chronic thrombocytopenia, and GERD.""
	"1124383-1"	"1124383-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEATH Narrative: Events surrounding patient's death are unknown- nothing is documented in medical record regarding event. Causality of death is unknown. This event is being reported due to the timing of the death in relation to the receipt of vaccine (4 days)."
	"1126721-1"	"1126721-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient experienced severe vomiting and fatigue 24 hours after receiving vaccine.  This occurred throughout 48 hours after and patient was found d/c on 03/20/2021."
	"1126721-1"	"1126721-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Patient experienced severe vomiting and fatigue 24 hours after receiving vaccine.  This occurred throughout 48 hours after and patient was found d/c on 03/20/2021."
	"1126721-1"	"1126721-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Patient experienced severe vomiting and fatigue 24 hours after receiving vaccine.  This occurred throughout 48 hours after and patient was found d/c on 03/20/2021."
	"1126834-1"	"1126834-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"BLOOD LACTATE DEHYDROGENASE INCREASED"	"10005630"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"C-REACTIVE PROTEIN INCREASED"	"10006825"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"ELECTROCARDIOGRAM NORMAL"	"10014373"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"FIBRIN D DIMER NORMAL"	"10016583"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"HYPERHIDROSIS"	"10020642"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"PRODUCTIVE COUGH"	"10036790"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"RESPIRATORY TRACT CONGESTION"	"10052251"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1126834-1"	"1126834-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	""vaccinated 1/13.  presented for COVID screening on 1/14 due to a + exposure.  Test was +.  Patient came to ED on 1/16 with weakness, congestion, poor appetite, coughing.  Previous headache and sweating had resolved by the time she presented.  Discharged with isolation instructions.  Returned to ED late on 1/22 with "" right-sided chest pain described as sharp constant 6/10 nonradiating pain localized to the right side of upper chest, shortness of breath with exertion since this afternoon.  She does endorse subjective fevers, with associated increased coughing which is productive in nature, shortness of breath.""  Admitted to ICU early 1/23, transferred to Medical Center on 2/4/21.""
	"1127157-1"	"1127157-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1130109-1"	"1130109-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient passed away unrelated to covid vaccination Narrative: The patient received his first dose of Pfizer vaccine on 1/20. Patient was on hospice and passed away at his home with family on 1/26. Cause of death not documented. No indication that death was related to COVID 19 vaccination."
	"1130113-1"	"1130113-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient passed away unrelated to covid vaccination Narrative: The patient had Alzheimer's disease and was placed on hospice care. Patient received his first Pfizer vaccine on 1/16. No adverse reaction was reported. Patient passed away on 1/30. Cause of death not documented. No indication that death was related to COVID 19 vaccination."
	"1130720-1"	"1130720-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Tiredness Death 03/19/2021 Cause of death: Ruptured Myocardial infarction"
	"1130720-1"	"1130720-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Tiredness Death 03/19/2021 Cause of death: Ruptured Myocardial infarction"
	"1130720-1"	"1130720-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Tiredness Death 03/19/2021 Cause of death: Ruptured Myocardial infarction"
	"1131606-1"	"1131606-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1133750-1"	"1133750-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Pt was at rehab hospital where he rec his vaccine. No info for Lot or site. Was under Hospice for COPD, CHF, MDD. Passed at rehab center. No other info."
	"1142975-1"	"1142975-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1143222-1"	"1143222-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"CHEST PAIN WEAKNESS - GENERALIZED Hyperkalemia Lactic acidosis Hyponatremia SEPSIS EKG abnormalities Acute kidney injury (CMS/HCC) Neutropenia (CMS/HCC) DEATH"
	"1143222-1"	"1143222-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"CHEST PAIN WEAKNESS - GENERALIZED Hyperkalemia Lactic acidosis Hyponatremia SEPSIS EKG abnormalities Acute kidney injury (CMS/HCC) Neutropenia (CMS/HCC) DEATH"
	"1143222-1"	"1143222-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"CHEST PAIN WEAKNESS - GENERALIZED Hyperkalemia Lactic acidosis Hyponatremia SEPSIS EKG abnormalities Acute kidney injury (CMS/HCC) Neutropenia (CMS/HCC) DEATH"
	"1143222-1"	"1143222-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"CHEST PAIN WEAKNESS - GENERALIZED Hyperkalemia Lactic acidosis Hyponatremia SEPSIS EKG abnormalities Acute kidney injury (CMS/HCC) Neutropenia (CMS/HCC) DEATH"
	"1143222-1"	"1143222-1"	"ELECTROCARDIOGRAM NORMAL"	"10014373"	"65-79 years"	"65-79"	"CHEST PAIN WEAKNESS - GENERALIZED Hyperkalemia Lactic acidosis Hyponatremia SEPSIS EKG abnormalities Acute kidney injury (CMS/HCC) Neutropenia (CMS/HCC) DEATH"
	"1143222-1"	"1143222-1"	"HYPERKALAEMIA"	"10020646"	"65-79 years"	"65-79"	"CHEST PAIN WEAKNESS - GENERALIZED Hyperkalemia Lactic acidosis Hyponatremia SEPSIS EKG abnormalities Acute kidney injury (CMS/HCC) Neutropenia (CMS/HCC) DEATH"
	"1143222-1"	"1143222-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"CHEST PAIN WEAKNESS - GENERALIZED Hyperkalemia Lactic acidosis Hyponatremia SEPSIS EKG abnormalities Acute kidney injury (CMS/HCC) Neutropenia (CMS/HCC) DEATH"
	"1143222-1"	"1143222-1"	"LACTIC ACIDOSIS"	"10023676"	"65-79 years"	"65-79"	"CHEST PAIN WEAKNESS - GENERALIZED Hyperkalemia Lactic acidosis Hyponatremia SEPSIS EKG abnormalities Acute kidney injury (CMS/HCC) Neutropenia (CMS/HCC) DEATH"
	"1143222-1"	"1143222-1"	"NEUTROPENIA"	"10029354"	"65-79 years"	"65-79"	"CHEST PAIN WEAKNESS - GENERALIZED Hyperkalemia Lactic acidosis Hyponatremia SEPSIS EKG abnormalities Acute kidney injury (CMS/HCC) Neutropenia (CMS/HCC) DEATH"
	"1143222-1"	"1143222-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"CHEST PAIN WEAKNESS - GENERALIZED Hyperkalemia Lactic acidosis Hyponatremia SEPSIS EKG abnormalities Acute kidney injury (CMS/HCC) Neutropenia (CMS/HCC) DEATH"
	"1143254-1"	"1143254-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1143266-1"	"1143266-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1145320-1"	"1145320-1"	"CYANOSIS"	"10011703"	"65-79 years"	"65-79"	"Patient reviewed vaccination at 1:20pm. She was observed for one hour per MD. At 5:18, she became unresponsive in her wheelchair and became blue with no palpable pulse. Patient had a DNR status and was not revived."
	"1145320-1"	"1145320-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient reviewed vaccination at 1:20pm. She was observed for one hour per MD. At 5:18, she became unresponsive in her wheelchair and became blue with no palpable pulse. Patient had a DNR status and was not revived."
	"1145320-1"	"1145320-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"Patient reviewed vaccination at 1:20pm. She was observed for one hour per MD. At 5:18, she became unresponsive in her wheelchair and became blue with no palpable pulse. Patient had a DNR status and was not revived."
	"1145320-1"	"1145320-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patient reviewed vaccination at 1:20pm. She was observed for one hour per MD. At 5:18, she became unresponsive in her wheelchair and became blue with no palpable pulse. Patient had a DNR status and was not revived."
	"1145320-1"	"1145320-1"	"WHEELCHAIR USER"	"10047920"	"65-79 years"	"65-79"	"Patient reviewed vaccination at 1:20pm. She was observed for one hour per MD. At 5:18, she became unresponsive in her wheelchair and became blue with no palpable pulse. Patient had a DNR status and was not revived."
	"1146789-1"	"1146789-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"death Narrative: Pt received COVID vaccine dose #1 on 2/27 at facility. Pt admitted to Hospital d/t COPD exacerbation and severe hypoxia. Pt with longstanding hx respiratory complications including air hunger, use of continuous oxygen, panic attacks and pain requiring narcotics (also impacted respiratory drive). Pt evaluated by palliative care/hospice services at Hospital and was deemed appropriate for end-of-life care. Pt unable to discharge home for home hospice services, therefore remained at Hospital where he later passed away. Pt's wife called facility 3/29 to report the death of patient, exact date of death was 3/13. Anticipated cause of death includes respiratory failure d/t severe COPD, hypoxia and narcotic use. Was pt previously covid positive? No Are there any predisposing factors (i.e. PMH, HPI, allergy history etc) for patient experiencing adverse drug event? No Any occurrence of an ADR at time of administration or during time of observation? No Was there and ADR between observation period and date of death? No Was patient hospitalized prior to vaccination? No Was patient hospitalized between vaccination and date of death? Yes - d/t severe hypoxia and COPD exacerbation Was hospitalization attributable to ADE ? No Was patient hospitalized prior to death Yes What are the possible cause of death? severe COPD, hypoxia, reduced respiratory drive d/t narcotic use (chronic pain)"
	"1146789-1"	"1146789-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative: Pt received COVID vaccine dose #1 on 2/27 at facility. Pt admitted to Hospital d/t COPD exacerbation and severe hypoxia. Pt with longstanding hx respiratory complications including air hunger, use of continuous oxygen, panic attacks and pain requiring narcotics (also impacted respiratory drive). Pt evaluated by palliative care/hospice services at Hospital and was deemed appropriate for end-of-life care. Pt unable to discharge home for home hospice services, therefore remained at Hospital where he later passed away. Pt's wife called facility 3/29 to report the death of patient, exact date of death was 3/13. Anticipated cause of death includes respiratory failure d/t severe COPD, hypoxia and narcotic use. Was pt previously covid positive? No Are there any predisposing factors (i.e. PMH, HPI, allergy history etc) for patient experiencing adverse drug event? No Any occurrence of an ADR at time of administration or during time of observation? No Was there and ADR between observation period and date of death? No Was patient hospitalized prior to vaccination? No Was patient hospitalized between vaccination and date of death? Yes - d/t severe hypoxia and COPD exacerbation Was hospitalization attributable to ADE ? No Was patient hospitalized prior to death Yes What are the possible cause of death? severe COPD, hypoxia, reduced respiratory drive d/t narcotic use (chronic pain)"
	"1146789-1"	"1146789-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"death Narrative: Pt received COVID vaccine dose #1 on 2/27 at facility. Pt admitted to Hospital d/t COPD exacerbation and severe hypoxia. Pt with longstanding hx respiratory complications including air hunger, use of continuous oxygen, panic attacks and pain requiring narcotics (also impacted respiratory drive). Pt evaluated by palliative care/hospice services at Hospital and was deemed appropriate for end-of-life care. Pt unable to discharge home for home hospice services, therefore remained at Hospital where he later passed away. Pt's wife called facility 3/29 to report the death of patient, exact date of death was 3/13. Anticipated cause of death includes respiratory failure d/t severe COPD, hypoxia and narcotic use. Was pt previously covid positive? No Are there any predisposing factors (i.e. PMH, HPI, allergy history etc) for patient experiencing adverse drug event? No Any occurrence of an ADR at time of administration or during time of observation? No Was there and ADR between observation period and date of death? No Was patient hospitalized prior to vaccination? No Was patient hospitalized between vaccination and date of death? Yes - d/t severe hypoxia and COPD exacerbation Was hospitalization attributable to ADE ? No Was patient hospitalized prior to death Yes What are the possible cause of death? severe COPD, hypoxia, reduced respiratory drive d/t narcotic use (chronic pain)"
	"1146789-1"	"1146789-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"death Narrative: Pt received COVID vaccine dose #1 on 2/27 at facility. Pt admitted to Hospital d/t COPD exacerbation and severe hypoxia. Pt with longstanding hx respiratory complications including air hunger, use of continuous oxygen, panic attacks and pain requiring narcotics (also impacted respiratory drive). Pt evaluated by palliative care/hospice services at Hospital and was deemed appropriate for end-of-life care. Pt unable to discharge home for home hospice services, therefore remained at Hospital where he later passed away. Pt's wife called facility 3/29 to report the death of patient, exact date of death was 3/13. Anticipated cause of death includes respiratory failure d/t severe COPD, hypoxia and narcotic use. Was pt previously covid positive? No Are there any predisposing factors (i.e. PMH, HPI, allergy history etc) for patient experiencing adverse drug event? No Any occurrence of an ADR at time of administration or during time of observation? No Was there and ADR between observation period and date of death? No Was patient hospitalized prior to vaccination? No Was patient hospitalized between vaccination and date of death? Yes - d/t severe hypoxia and COPD exacerbation Was hospitalization attributable to ADE ? No Was patient hospitalized prior to death Yes What are the possible cause of death? severe COPD, hypoxia, reduced respiratory drive d/t narcotic use (chronic pain)"
	"1149770-1"	"1149770-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Aches, fevers, chills-within 24 hrs Nausea and vomiting-within 48 hrs Heart attack and death on third day"
	"1149770-1"	"1149770-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Aches, fevers, chills-within 24 hrs Nausea and vomiting-within 48 hrs Heart attack and death on third day"
	"1149770-1"	"1149770-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Aches, fevers, chills-within 24 hrs Nausea and vomiting-within 48 hrs Heart attack and death on third day"
	"1149770-1"	"1149770-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Aches, fevers, chills-within 24 hrs Nausea and vomiting-within 48 hrs Heart attack and death on third day"
	"1149770-1"	"1149770-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"Aches, fevers, chills-within 24 hrs Nausea and vomiting-within 48 hrs Heart attack and death on third day"
	"1149770-1"	"1149770-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Aches, fevers, chills-within 24 hrs Nausea and vomiting-within 48 hrs Heart attack and death on third day"
	"1149770-1"	"1149770-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Aches, fevers, chills-within 24 hrs Nausea and vomiting-within 48 hrs Heart attack and death on third day"
	"1151697-1"	"1151697-1"	"CHRONIC LYMPHOCYTIC LEUKAEMIA"	"10008958"	"65-79 years"	"65-79"	"DEATH Narrative: No information about patient's death in record, patient received most of his care outside the clinic with only 2 ambulatory care notes in clinic total. Had diagnosis of CLL and was no longer on chemo. No documentation of: prior COVID infection, immediate ADR to COVID vaccine, prior hospitalizations for covid or anything else, death note, autopsy Unlikely that covid vaccine resulted in this patient's death, but was due to advanced age and diagnosis of CLL."
	"1151697-1"	"1151697-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEATH Narrative: No information about patient's death in record, patient received most of his care outside the clinic with only 2 ambulatory care notes in clinic total. Had diagnosis of CLL and was no longer on chemo. No documentation of: prior COVID infection, immediate ADR to COVID vaccine, prior hospitalizations for covid or anything else, death note, autopsy Unlikely that covid vaccine resulted in this patient's death, but was due to advanced age and diagnosis of CLL."
	"1151699-1"	"1151699-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEATH Narrative: NO INFORMATION AVAILABLE IN RECORD OTHER THAN DATE OF DEATH VACCINE GIVEN 02/10/2021 DATE OF DEATH 03/11/2021 PT DID NOT RECEIVE CARE AT CLINIC SINCE 2013 (AUDIOLOGY ONLY AT THAT TIME) NO DOCUMENTATION OF PREVIOUS COVID INFECTION NO IMMEDIATE ADR FOLLOWING VACCINE NO DOCUMENTATION OF HOSPITALIZATIONS (RECENT OR AFTER VACCINE) NO DEATH NOTE OR AUTOPSY Likely that vaccine did not contribute to this patient's death."
	"1151701-1"	"1151701-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"ANAEMIA"	"10002034"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"CARDIAC FAILURE ACUTE"	"10007556"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"CHRONIC KIDNEY DISEASE"	"10064848"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"DYSPNOEA EXERTIONAL"	"10013971"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"HAEMATEMESIS"	"10018830"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"INSOMNIA"	"10022437"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"OESOPHAGITIS ULCERATIVE"	"10049098"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"OESOPHAGOGASTRODUODENOSCOPY ABNORMAL"	"10072163"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"PLEURAL EFFUSION"	"10035598"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"SLEEP DISORDER"	"10040984"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"ULCERATIVE GASTRITIS"	"10076599"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1151701-1"	"1151701-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	""COUGH, WEAKNESS, INSOMNIA, ACUTE ON CHRONIC CKD, ACUTE ON CHRONIC CHF, EMESIS, DEATH Narrative:  1/12/21-PT REPORTED FEELING TIRED, UNABLE TO SLEEP AND EXPERIENCING DYSPNEA ON EXERTION THAT HE FEELS MAY BE RELATED TO RECENT COVID VACCINE 1/17/21-patient admitted to hospital due to 'severe abdominal pain;' received 1 unit PRBC due to symptomatic anemia and weakness (Hgb 8.4->7.1); dx: acute on chronic CHF exacerbation and difficulty breathing, acute kidney injury-CKD Stage IV; HPI includes chief complaint ""weakness/sob since last night, cough x 2 weeks since covid vaccine;"" HPI includes ""pt states that for 2 weeks he has had SOB, cough, chills, body aches, and weakness, symptoms not improved over the last few days, more weak as of late"" 1/28/21-transferred to facility 2/12/21-transferred back to hospital due to SOB, abnormal labs, pleural effusion 2/16/21-episode of coffee ground emesis 2/19/21-EGD showed ulcerative esophagitis and gastritis 2/24/21-transferred to SNF 3/9/21-admitted to hospital d/t multiple episodes of vomiting 3/10/21-pt passed away at hospital Possibility that acute inflammatory process triggered by vaccine resulted in patient's eventual death, but difficult to ascertain due to patient's various comorbidities. Patient never tested positive for COVID. Did not experience immediate ADR following 1st dose of vaccine. Did not received 2nd dose due to illness. Hospitalized multiple times following 1st vaccine dose.""
	"1154141-1"	"1154141-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"ASYMPTOMATIC BACTERIURIA"	"10056396"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"AZOTAEMIA"	"10003885"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"BODY TEMPERATURE INCREASED"	"10005911"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"CHANGE OF BOWEL HABIT"	"10008399"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"COMPUTERISED TOMOGRAM ABDOMEN ABNORMAL"	"10057798"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"COMPUTERISED TOMOGRAM LIVER"	"10076215"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"COMPUTERISED TOMOGRAM NORMAL"	"10010236"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"COMPUTERISED TOMOGRAM PANCREAS NORMAL"	"10082935"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"DEPRESSED LEVEL OF CONSCIOUSNESS"	"10012373"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"GASTROINTESTINAL CARCINOMA"	"10017940"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"HYDRONEPHROSIS"	"10020524"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"METABOLIC ACIDOSIS"	"10027417"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"METASTASES TO PERITONEUM"	"10051676"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"NEPHROSTOMY"	"10050001"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"PYELOCALIECTASIS"	"10061927"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"RENAL MASS"	"10062104"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"TACHYCARDIA"	"10043071"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"ULTRASOUND KIDNEY ABNORMAL"	"10045422"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"URINE OUTPUT DECREASED"	"10059895"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"VENTRICULAR TACHYCARDIA"	"10047302"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154141-1"	"1154141-1"	"WEIGHT DECREASED"	"10047895"	"65-79 years"	"65-79"	"loss of appetite, abdominal pain, weight loss, death Narrative: 02/12/21: GI VISIT-ASSESSMENT: 1-R/O Gastric or Cecal Cancer with Peritoneal Carcinomatosis is most the cause of his weight loss and early satiety. Liver and Pancreas on CT Scan unremarkable. 2- Weight loss and early satiety may be due to Gastric Mass with metastasis or Colon Mass. 02/17/21: ED VISIT AND ADMISSION w/ CC 4 weeks of poor appetite and 2 weeks of inability to hold down food and abdominal pain, decreased BM and decreased urination Assessment on admission: acute kidney insufficiency, Possible partial Gastric outlet obstruction 2/2 malignancy, GI malignancy with peritoneal carcinomatosis as per CT scan 2/11, asymptomatic bacteruria hyperkalemia and AKI during admission 02/21/21: pt signed out of hospital AMA due to 'personal problems' 02/22/21: pt returned to hospital for continuation of care and was readmitted with same c/o 02/24/21: pt tachycardic and hypotensive w/ altered mental status; rapid response team called, transferred to icu; impression: acute severe sepsis with uremia; during procedure to place nephrostomy tubes, pt goes into wide complex vtach then vfib and ACLS done w/ compressions, ROSC @ 2255 w/ BP 70-41, Norepi started; pt intubated 02/25/21: pt extubated 02/25/21@2106: pt with inferior lateral stemi 03/01/21: pt w/ sudden deterioration with decreased LOC and increased WOB., intubated, found to be profoundly hypoxemic, developed severe metabolic acidosis and hyperkalemia, severe refractory hypotension 03/02/21: pt unresponsive without pulse or respirations, NOK declined autopsy no prior covid infection noted, no immediate reaction after covid vaccine, pt was hospitalized leading up to death with unrelenting abdominal pain, AKI, metabolic abnormalities. It is unlikely that vaccine led to patient's death."
	"1154142-1"	"1154142-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"cardia arrest Narrative:  76 yo with CAD, carotid artery stenosis, abdominal aortic aneurism, history of MI, DM. Patient was given both COVID vaccinations with the 2nd and most recent on 2/27. On 3/20, patient was admitted to an outside local emergency room with cardiac arrest and passed away at the facility. They were unsure if this had anything to do with his covid vaccinations but thought we should at least report it."
	"1154142-1"	"1154142-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"cardia arrest Narrative:  76 yo with CAD, carotid artery stenosis, abdominal aortic aneurism, history of MI, DM. Patient was given both COVID vaccinations with the 2nd and most recent on 2/27. On 3/20, patient was admitted to an outside local emergency room with cardiac arrest and passed away at the facility. They were unsure if this had anything to do with his covid vaccinations but thought we should at least report it."
	"1154143-1"	"1154143-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"BLOOD BILIRUBIN INCREASED"	"10005364"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"BLOOD LACTIC ACID"	"10005632"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"BLOOD POTASSIUM DECREASED"	"10005724"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"ELECTROCARDIOGRAM ABNORMAL"	"10014363"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"LEUKOCYTOSIS"	"10024378"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"PAIN IN EXTREMITY"	"10033425"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"TROPONIN"	"10061576"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154143-1"	"1154143-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"weakness, fatigue, body ache Narrative:  67-year-old male with past history of diabetes type 2, hyperlipidemia, left BKA, who presented to hospital 2/14/21 with generalized weakness, fatigue, body aches and left leg pain for the past 5 days. He reported it started after receiving his COVID-19 vaccine on 2/09/21. He also had associated nausea, vomiting, diarrhea. He denied fever, chest pain, shortness of breath, abdominal pain. Labs showed mild leukocytosis 12k, AKI with Cr 4.6, K 3.2, Bili 2.9, trop 0.01, lactate 2.2. He was given 3L IVF, vanco blue in ED at 18:35. Asystole on monitor. ACLS initiated and once eventually stabilized he was transferred to ICU. Pt again coded 2 more times while in ICU with were halted due to medical futility."
	"1154152-1"	"1154152-1"	"ABDOMINAL DISCOMFORT"	"10000059"	"65-79 years"	"65-79"	""death Narrative: Patient was a 71 y/o gentleman with PMHx schizoaffective-bipolar, major neurocognitive disorder, hx covid- 19 in 12/15/20, chronic insomnia, BPH s/p LUTS, OA/DJD at unspecified joint, and acquired hypothyroidism who presented to the clinic for hospital follow up and monitoring while on clozapine. Pt received covid19 vaccine on 2/16/2019 while inpatient, right before his discharge on 2/17/2021.Of note, pt was put on hospice care at the time of discharge to patient's home. He passed away on 2/26/2021. I could not find the death notice in the chart (which usually contains the medical cause of death). This was reported to us from an staff. The following describes his hospitalization: At facility, was noted to be dehydrated and reported to not have been taking his medications or having good PO intake. Per reports from nursing home, patient wasnoted to have difficulty swallowing"" and spit up meals and medications. SLP evaluation with concerns for mastication and dysphagia. At time of hospitalization his Na was at 153, also noted to have AKI2. His hypernatremia, aki, and dehydration resolved with fluid replacement. His potassium was also replaced. His constipation resolved with laxatives which also improved his abdominal discomfort. Also, his olanzapine was changed to disintegrating tablet which helped with his intermittent agitation. Currently, he was calm, amenable, and with medication compliance. To help with his poor appetite, his mirtazapine dose was increased to 30 mg from 15 mg. Pt was discharged on 2/17/2021 when family decided to place him under hospice care.""
	"1154152-1"	"1154152-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	""death Narrative: Patient was a 71 y/o gentleman with PMHx schizoaffective-bipolar, major neurocognitive disorder, hx covid- 19 in 12/15/20, chronic insomnia, BPH s/p LUTS, OA/DJD at unspecified joint, and acquired hypothyroidism who presented to the clinic for hospital follow up and monitoring while on clozapine. Pt received covid19 vaccine on 2/16/2019 while inpatient, right before his discharge on 2/17/2021.Of note, pt was put on hospice care at the time of discharge to patient's home. He passed away on 2/26/2021. I could not find the death notice in the chart (which usually contains the medical cause of death). This was reported to us from an staff. The following describes his hospitalization: At facility, was noted to be dehydrated and reported to not have been taking his medications or having good PO intake. Per reports from nursing home, patient wasnoted to have difficulty swallowing"" and spit up meals and medications. SLP evaluation with concerns for mastication and dysphagia. At time of hospitalization his Na was at 153, also noted to have AKI2. His hypernatremia, aki, and dehydration resolved with fluid replacement. His potassium was also replaced. His constipation resolved with laxatives which also improved his abdominal discomfort. Also, his olanzapine was changed to disintegrating tablet which helped with his intermittent agitation. Currently, he was calm, amenable, and with medication compliance. To help with his poor appetite, his mirtazapine dose was increased to 30 mg from 15 mg. Pt was discharged on 2/17/2021 when family decided to place him under hospice care.""
	"1154152-1"	"1154152-1"	"AGITATION"	"10001497"	"65-79 years"	"65-79"	""death Narrative: Patient was a 71 y/o gentleman with PMHx schizoaffective-bipolar, major neurocognitive disorder, hx covid- 19 in 12/15/20, chronic insomnia, BPH s/p LUTS, OA/DJD at unspecified joint, and acquired hypothyroidism who presented to the clinic for hospital follow up and monitoring while on clozapine. Pt received covid19 vaccine on 2/16/2019 while inpatient, right before his discharge on 2/17/2021.Of note, pt was put on hospice care at the time of discharge to patient's home. He passed away on 2/26/2021. I could not find the death notice in the chart (which usually contains the medical cause of death). This was reported to us from an staff. The following describes his hospitalization: At facility, was noted to be dehydrated and reported to not have been taking his medications or having good PO intake. Per reports from nursing home, patient wasnoted to have difficulty swallowing"" and spit up meals and medications. SLP evaluation with concerns for mastication and dysphagia. At time of hospitalization his Na was at 153, also noted to have AKI2. His hypernatremia, aki, and dehydration resolved with fluid replacement. His potassium was also replaced. His constipation resolved with laxatives which also improved his abdominal discomfort. Also, his olanzapine was changed to disintegrating tablet which helped with his intermittent agitation. Currently, he was calm, amenable, and with medication compliance. To help with his poor appetite, his mirtazapine dose was increased to 30 mg from 15 mg. Pt was discharged on 2/17/2021 when family decided to place him under hospice care.""
	"1154152-1"	"1154152-1"	"CONSTIPATION"	"10010774"	"65-79 years"	"65-79"	""death Narrative: Patient was a 71 y/o gentleman with PMHx schizoaffective-bipolar, major neurocognitive disorder, hx covid- 19 in 12/15/20, chronic insomnia, BPH s/p LUTS, OA/DJD at unspecified joint, and acquired hypothyroidism who presented to the clinic for hospital follow up and monitoring while on clozapine. Pt received covid19 vaccine on 2/16/2019 while inpatient, right before his discharge on 2/17/2021.Of note, pt was put on hospice care at the time of discharge to patient's home. He passed away on 2/26/2021. I could not find the death notice in the chart (which usually contains the medical cause of death). This was reported to us from an staff. The following describes his hospitalization: At facility, was noted to be dehydrated and reported to not have been taking his medications or having good PO intake. Per reports from nursing home, patient wasnoted to have difficulty swallowing"" and spit up meals and medications. SLP evaluation with concerns for mastication and dysphagia. At time of hospitalization his Na was at 153, also noted to have AKI2. His hypernatremia, aki, and dehydration resolved with fluid replacement. His potassium was also replaced. His constipation resolved with laxatives which also improved his abdominal discomfort. Also, his olanzapine was changed to disintegrating tablet which helped with his intermittent agitation. Currently, he was calm, amenable, and with medication compliance. To help with his poor appetite, his mirtazapine dose was increased to 30 mg from 15 mg. Pt was discharged on 2/17/2021 when family decided to place him under hospice care.""
	"1154152-1"	"1154152-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""death Narrative: Patient was a 71 y/o gentleman with PMHx schizoaffective-bipolar, major neurocognitive disorder, hx covid- 19 in 12/15/20, chronic insomnia, BPH s/p LUTS, OA/DJD at unspecified joint, and acquired hypothyroidism who presented to the clinic for hospital follow up and monitoring while on clozapine. Pt received covid19 vaccine on 2/16/2019 while inpatient, right before his discharge on 2/17/2021.Of note, pt was put on hospice care at the time of discharge to patient's home. He passed away on 2/26/2021. I could not find the death notice in the chart (which usually contains the medical cause of death). This was reported to us from an staff. The following describes his hospitalization: At facility, was noted to be dehydrated and reported to not have been taking his medications or having good PO intake. Per reports from nursing home, patient wasnoted to have difficulty swallowing"" and spit up meals and medications. SLP evaluation with concerns for mastication and dysphagia. At time of hospitalization his Na was at 153, also noted to have AKI2. His hypernatremia, aki, and dehydration resolved with fluid replacement. His potassium was also replaced. His constipation resolved with laxatives which also improved his abdominal discomfort. Also, his olanzapine was changed to disintegrating tablet which helped with his intermittent agitation. Currently, he was calm, amenable, and with medication compliance. To help with his poor appetite, his mirtazapine dose was increased to 30 mg from 15 mg. Pt was discharged on 2/17/2021 when family decided to place him under hospice care.""
	"1154152-1"	"1154152-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	""death Narrative: Patient was a 71 y/o gentleman with PMHx schizoaffective-bipolar, major neurocognitive disorder, hx covid- 19 in 12/15/20, chronic insomnia, BPH s/p LUTS, OA/DJD at unspecified joint, and acquired hypothyroidism who presented to the clinic for hospital follow up and monitoring while on clozapine. Pt received covid19 vaccine on 2/16/2019 while inpatient, right before his discharge on 2/17/2021.Of note, pt was put on hospice care at the time of discharge to patient's home. He passed away on 2/26/2021. I could not find the death notice in the chart (which usually contains the medical cause of death). This was reported to us from an staff. The following describes his hospitalization: At facility, was noted to be dehydrated and reported to not have been taking his medications or having good PO intake. Per reports from nursing home, patient wasnoted to have difficulty swallowing"" and spit up meals and medications. SLP evaluation with concerns for mastication and dysphagia. At time of hospitalization his Na was at 153, also noted to have AKI2. His hypernatremia, aki, and dehydration resolved with fluid replacement. His potassium was also replaced. His constipation resolved with laxatives which also improved his abdominal discomfort. Also, his olanzapine was changed to disintegrating tablet which helped with his intermittent agitation. Currently, he was calm, amenable, and with medication compliance. To help with his poor appetite, his mirtazapine dose was increased to 30 mg from 15 mg. Pt was discharged on 2/17/2021 when family decided to place him under hospice care.""
	"1154152-1"	"1154152-1"	"DEHYDRATION"	"10012174"	"65-79 years"	"65-79"	""death Narrative: Patient was a 71 y/o gentleman with PMHx schizoaffective-bipolar, major neurocognitive disorder, hx covid- 19 in 12/15/20, chronic insomnia, BPH s/p LUTS, OA/DJD at unspecified joint, and acquired hypothyroidism who presented to the clinic for hospital follow up and monitoring while on clozapine. Pt received covid19 vaccine on 2/16/2019 while inpatient, right before his discharge on 2/17/2021.Of note, pt was put on hospice care at the time of discharge to patient's home. He passed away on 2/26/2021. I could not find the death notice in the chart (which usually contains the medical cause of death). This was reported to us from an staff. The following describes his hospitalization: At facility, was noted to be dehydrated and reported to not have been taking his medications or having good PO intake. Per reports from nursing home, patient wasnoted to have difficulty swallowing"" and spit up meals and medications. SLP evaluation with concerns for mastication and dysphagia. At time of hospitalization his Na was at 153, also noted to have AKI2. His hypernatremia, aki, and dehydration resolved with fluid replacement. His potassium was also replaced. His constipation resolved with laxatives which also improved his abdominal discomfort. Also, his olanzapine was changed to disintegrating tablet which helped with his intermittent agitation. Currently, he was calm, amenable, and with medication compliance. To help with his poor appetite, his mirtazapine dose was increased to 30 mg from 15 mg. Pt was discharged on 2/17/2021 when family decided to place him under hospice care.""
	"1154152-1"	"1154152-1"	"DYSPHAGIA"	"10013950"	"65-79 years"	"65-79"	""death Narrative: Patient was a 71 y/o gentleman with PMHx schizoaffective-bipolar, major neurocognitive disorder, hx covid- 19 in 12/15/20, chronic insomnia, BPH s/p LUTS, OA/DJD at unspecified joint, and acquired hypothyroidism who presented to the clinic for hospital follow up and monitoring while on clozapine. Pt received covid19 vaccine on 2/16/2019 while inpatient, right before his discharge on 2/17/2021.Of note, pt was put on hospice care at the time of discharge to patient's home. He passed away on 2/26/2021. I could not find the death notice in the chart (which usually contains the medical cause of death). This was reported to us from an staff. The following describes his hospitalization: At facility, was noted to be dehydrated and reported to not have been taking his medications or having good PO intake. Per reports from nursing home, patient wasnoted to have difficulty swallowing"" and spit up meals and medications. SLP evaluation with concerns for mastication and dysphagia. At time of hospitalization his Na was at 153, also noted to have AKI2. His hypernatremia, aki, and dehydration resolved with fluid replacement. His potassium was also replaced. His constipation resolved with laxatives which also improved his abdominal discomfort. Also, his olanzapine was changed to disintegrating tablet which helped with his intermittent agitation. Currently, he was calm, amenable, and with medication compliance. To help with his poor appetite, his mirtazapine dose was increased to 30 mg from 15 mg. Pt was discharged on 2/17/2021 when family decided to place him under hospice care.""
	"1154152-1"	"1154152-1"	"HYPERNATRAEMIA"	"10020679"	"65-79 years"	"65-79"	""death Narrative: Patient was a 71 y/o gentleman with PMHx schizoaffective-bipolar, major neurocognitive disorder, hx covid- 19 in 12/15/20, chronic insomnia, BPH s/p LUTS, OA/DJD at unspecified joint, and acquired hypothyroidism who presented to the clinic for hospital follow up and monitoring while on clozapine. Pt received covid19 vaccine on 2/16/2019 while inpatient, right before his discharge on 2/17/2021.Of note, pt was put on hospice care at the time of discharge to patient's home. He passed away on 2/26/2021. I could not find the death notice in the chart (which usually contains the medical cause of death). This was reported to us from an staff. The following describes his hospitalization: At facility, was noted to be dehydrated and reported to not have been taking his medications or having good PO intake. Per reports from nursing home, patient wasnoted to have difficulty swallowing"" and spit up meals and medications. SLP evaluation with concerns for mastication and dysphagia. At time of hospitalization his Na was at 153, also noted to have AKI2. His hypernatremia, aki, and dehydration resolved with fluid replacement. His potassium was also replaced. His constipation resolved with laxatives which also improved his abdominal discomfort. Also, his olanzapine was changed to disintegrating tablet which helped with his intermittent agitation. Currently, he was calm, amenable, and with medication compliance. To help with his poor appetite, his mirtazapine dose was increased to 30 mg from 15 mg. Pt was discharged on 2/17/2021 when family decided to place him under hospice care.""
	"1154152-1"	"1154152-1"	"HYPOPHAGIA"	"10063743"	"65-79 years"	"65-79"	""death Narrative: Patient was a 71 y/o gentleman with PMHx schizoaffective-bipolar, major neurocognitive disorder, hx covid- 19 in 12/15/20, chronic insomnia, BPH s/p LUTS, OA/DJD at unspecified joint, and acquired hypothyroidism who presented to the clinic for hospital follow up and monitoring while on clozapine. Pt received covid19 vaccine on 2/16/2019 while inpatient, right before his discharge on 2/17/2021.Of note, pt was put on hospice care at the time of discharge to patient's home. He passed away on 2/26/2021. I could not find the death notice in the chart (which usually contains the medical cause of death). This was reported to us from an staff. The following describes his hospitalization: At facility, was noted to be dehydrated and reported to not have been taking his medications or having good PO intake. Per reports from nursing home, patient wasnoted to have difficulty swallowing"" and spit up meals and medications. SLP evaluation with concerns for mastication and dysphagia. At time of hospitalization his Na was at 153, also noted to have AKI2. His hypernatremia, aki, and dehydration resolved with fluid replacement. His potassium was also replaced. His constipation resolved with laxatives which also improved his abdominal discomfort. Also, his olanzapine was changed to disintegrating tablet which helped with his intermittent agitation. Currently, he was calm, amenable, and with medication compliance. To help with his poor appetite, his mirtazapine dose was increased to 30 mg from 15 mg. Pt was discharged on 2/17/2021 when family decided to place him under hospice care.""
	"1154152-1"	"1154152-1"	"MASTICATION DISORDER"	"10026882"	"65-79 years"	"65-79"	""death Narrative: Patient was a 71 y/o gentleman with PMHx schizoaffective-bipolar, major neurocognitive disorder, hx covid- 19 in 12/15/20, chronic insomnia, BPH s/p LUTS, OA/DJD at unspecified joint, and acquired hypothyroidism who presented to the clinic for hospital follow up and monitoring while on clozapine. Pt received covid19 vaccine on 2/16/2019 while inpatient, right before his discharge on 2/17/2021.Of note, pt was put on hospice care at the time of discharge to patient's home. He passed away on 2/26/2021. I could not find the death notice in the chart (which usually contains the medical cause of death). This was reported to us from an staff. The following describes his hospitalization: At facility, was noted to be dehydrated and reported to not have been taking his medications or having good PO intake. Per reports from nursing home, patient wasnoted to have difficulty swallowing"" and spit up meals and medications. SLP evaluation with concerns for mastication and dysphagia. At time of hospitalization his Na was at 153, also noted to have AKI2. His hypernatremia, aki, and dehydration resolved with fluid replacement. His potassium was also replaced. His constipation resolved with laxatives which also improved his abdominal discomfort. Also, his olanzapine was changed to disintegrating tablet which helped with his intermittent agitation. Currently, he was calm, amenable, and with medication compliance. To help with his poor appetite, his mirtazapine dose was increased to 30 mg from 15 mg. Pt was discharged on 2/17/2021 when family decided to place him under hospice care.""
	"1154155-1"	"1154155-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"DEATH Narrative: 66 yo male with PMH of HTN, HFpEF, COPD, T2DM, CKD, tobacco use disorder and bipolar disorder was found dead in his home on 2/16/2021 after police did a wellness check per request of patient's sister. Patient received the covid19 vaccine (Pfizer) on 2/9/2021, vaccine was administered without complications. No prior positive for covid19. After patient received his covid19 vaccine, he was seen at same day access for increased SOB/DOE, worsened orthopnea. Per progress notes, at this last appt, patient had expressed a number of medications which he was not willing to take, attributing his worsened health to their effects. Pt has continued spironolactone despite being advised to stop it by his medical provider. At the time of visit, provider noted that this kidney function was declining (patient does have CKD). Provider discussed the importance of medication adherence and patient was started on torsemide. Hctz was discontinued, minoxidil was increased due to patient preference. Prior to this same day access/express care visit, patient was hospitalized from 1/26 through 1/28/2021 for hypertensive urgency (211/105) and that at that time, pt already had orthopnea, SOB, and dyspnea. Patient was also admitted from 1/7 to 1/8 and left AMA. While inpatient, his MRI revealed a pontine lacunar infarct that was found to be chronic. It was recommended that patient be treated with aspirin/plavix for 21 days then aspirin alone but patient declined."
	"1154155-1"	"1154155-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEATH Narrative: 66 yo male with PMH of HTN, HFpEF, COPD, T2DM, CKD, tobacco use disorder and bipolar disorder was found dead in his home on 2/16/2021 after police did a wellness check per request of patient's sister. Patient received the covid19 vaccine (Pfizer) on 2/9/2021, vaccine was administered without complications. No prior positive for covid19. After patient received his covid19 vaccine, he was seen at same day access for increased SOB/DOE, worsened orthopnea. Per progress notes, at this last appt, patient had expressed a number of medications which he was not willing to take, attributing his worsened health to their effects. Pt has continued spironolactone despite being advised to stop it by his medical provider. At the time of visit, provider noted that this kidney function was declining (patient does have CKD). Provider discussed the importance of medication adherence and patient was started on torsemide. Hctz was discontinued, minoxidil was increased due to patient preference. Prior to this same day access/express care visit, patient was hospitalized from 1/26 through 1/28/2021 for hypertensive urgency (211/105) and that at that time, pt already had orthopnea, SOB, and dyspnea. Patient was also admitted from 1/7 to 1/8 and left AMA. While inpatient, his MRI revealed a pontine lacunar infarct that was found to be chronic. It was recommended that patient be treated with aspirin/plavix for 21 days then aspirin alone but patient declined."
	"1154155-1"	"1154155-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"DEATH Narrative: 66 yo male with PMH of HTN, HFpEF, COPD, T2DM, CKD, tobacco use disorder and bipolar disorder was found dead in his home on 2/16/2021 after police did a wellness check per request of patient's sister. Patient received the covid19 vaccine (Pfizer) on 2/9/2021, vaccine was administered without complications. No prior positive for covid19. After patient received his covid19 vaccine, he was seen at same day access for increased SOB/DOE, worsened orthopnea. Per progress notes, at this last appt, patient had expressed a number of medications which he was not willing to take, attributing his worsened health to their effects. Pt has continued spironolactone despite being advised to stop it by his medical provider. At the time of visit, provider noted that this kidney function was declining (patient does have CKD). Provider discussed the importance of medication adherence and patient was started on torsemide. Hctz was discontinued, minoxidil was increased due to patient preference. Prior to this same day access/express care visit, patient was hospitalized from 1/26 through 1/28/2021 for hypertensive urgency (211/105) and that at that time, pt already had orthopnea, SOB, and dyspnea. Patient was also admitted from 1/7 to 1/8 and left AMA. While inpatient, his MRI revealed a pontine lacunar infarct that was found to be chronic. It was recommended that patient be treated with aspirin/plavix for 21 days then aspirin alone but patient declined."
	"1154155-1"	"1154155-1"	"DYSPNOEA EXERTIONAL"	"10013971"	"65-79 years"	"65-79"	"DEATH Narrative: 66 yo male with PMH of HTN, HFpEF, COPD, T2DM, CKD, tobacco use disorder and bipolar disorder was found dead in his home on 2/16/2021 after police did a wellness check per request of patient's sister. Patient received the covid19 vaccine (Pfizer) on 2/9/2021, vaccine was administered without complications. No prior positive for covid19. After patient received his covid19 vaccine, he was seen at same day access for increased SOB/DOE, worsened orthopnea. Per progress notes, at this last appt, patient had expressed a number of medications which he was not willing to take, attributing his worsened health to their effects. Pt has continued spironolactone despite being advised to stop it by his medical provider. At the time of visit, provider noted that this kidney function was declining (patient does have CKD). Provider discussed the importance of medication adherence and patient was started on torsemide. Hctz was discontinued, minoxidil was increased due to patient preference. Prior to this same day access/express care visit, patient was hospitalized from 1/26 through 1/28/2021 for hypertensive urgency (211/105) and that at that time, pt already had orthopnea, SOB, and dyspnea. Patient was also admitted from 1/7 to 1/8 and left AMA. While inpatient, his MRI revealed a pontine lacunar infarct that was found to be chronic. It was recommended that patient be treated with aspirin/plavix for 21 days then aspirin alone but patient declined."
	"1154155-1"	"1154155-1"	"ORTHOPNOEA"	"10031123"	"65-79 years"	"65-79"	"DEATH Narrative: 66 yo male with PMH of HTN, HFpEF, COPD, T2DM, CKD, tobacco use disorder and bipolar disorder was found dead in his home on 2/16/2021 after police did a wellness check per request of patient's sister. Patient received the covid19 vaccine (Pfizer) on 2/9/2021, vaccine was administered without complications. No prior positive for covid19. After patient received his covid19 vaccine, he was seen at same day access for increased SOB/DOE, worsened orthopnea. Per progress notes, at this last appt, patient had expressed a number of medications which he was not willing to take, attributing his worsened health to their effects. Pt has continued spironolactone despite being advised to stop it by his medical provider. At the time of visit, provider noted that this kidney function was declining (patient does have CKD). Provider discussed the importance of medication adherence and patient was started on torsemide. Hctz was discontinued, minoxidil was increased due to patient preference. Prior to this same day access/express care visit, patient was hospitalized from 1/26 through 1/28/2021 for hypertensive urgency (211/105) and that at that time, pt already had orthopnea, SOB, and dyspnea. Patient was also admitted from 1/7 to 1/8 and left AMA. While inpatient, his MRI revealed a pontine lacunar infarct that was found to be chronic. It was recommended that patient be treated with aspirin/plavix for 21 days then aspirin alone but patient declined."
	"1154155-1"	"1154155-1"	"RENAL IMPAIRMENT"	"10062237"	"65-79 years"	"65-79"	"DEATH Narrative: 66 yo male with PMH of HTN, HFpEF, COPD, T2DM, CKD, tobacco use disorder and bipolar disorder was found dead in his home on 2/16/2021 after police did a wellness check per request of patient's sister. Patient received the covid19 vaccine (Pfizer) on 2/9/2021, vaccine was administered without complications. No prior positive for covid19. After patient received his covid19 vaccine, he was seen at same day access for increased SOB/DOE, worsened orthopnea. Per progress notes, at this last appt, patient had expressed a number of medications which he was not willing to take, attributing his worsened health to their effects. Pt has continued spironolactone despite being advised to stop it by his medical provider. At the time of visit, provider noted that this kidney function was declining (patient does have CKD). Provider discussed the importance of medication adherence and patient was started on torsemide. Hctz was discontinued, minoxidil was increased due to patient preference. Prior to this same day access/express care visit, patient was hospitalized from 1/26 through 1/28/2021 for hypertensive urgency (211/105) and that at that time, pt already had orthopnea, SOB, and dyspnea. Patient was also admitted from 1/7 to 1/8 and left AMA. While inpatient, his MRI revealed a pontine lacunar infarct that was found to be chronic. It was recommended that patient be treated with aspirin/plavix for 21 days then aspirin alone but patient declined."
	"1154465-1"	"1154465-1"	"ANGIOPATHY"	"10059245"	"65-79 years"	"65-79"	"NA MS End Stage Vascular disease COPD"
	"1154465-1"	"1154465-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"NA MS End Stage Vascular disease COPD"
	"1154465-1"	"1154465-1"	"MULTIPLE SCLEROSIS"	"10028245"	"65-79 years"	"65-79"	"NA MS End Stage Vascular disease COPD"
	"1156029-1"	"1156029-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient death within 60 days of receiving the COVID vaccine series"
	"1168793-1"	"1168793-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Death on 03/07/2021. 2nd dose administered 6 days before serious event. No data about cause of death available. Pt was dx Iron deficiency anemia and had been scheduled to have a diagnostic colonoscopy. No indication that death was related to the vaccine."
	"1168793-1"	"1168793-1"	"IRON DEFICIENCY ANAEMIA"	"10022972"	"65-79 years"	"65-79"	"Death Narrative:  Death on 03/07/2021. 2nd dose administered 6 days before serious event. No data about cause of death available. Pt was dx Iron deficiency anemia and had been scheduled to have a diagnostic colonoscopy. No indication that death was related to the vaccine."
	"1168794-1"	"1168794-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Death on 03/21/2021. 2nd dose administered 46 days before serious event. Patient had been admitted to the hospital for AMS of unknown etiology concerning for sepsis with multiple sources and was on comfort care measures only. There are no indications that death was related to the vaccine."
	"1168794-1"	"1168794-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"Death Narrative: Death on 03/21/2021. 2nd dose administered 46 days before serious event. Patient had been admitted to the hospital for AMS of unknown etiology concerning for sepsis with multiple sources and was on comfort care measures only. There are no indications that death was related to the vaccine."
	"1168799-1"	"1168799-1"	"AMYOTROPHIC LATERAL SCLEROSIS"	"10002026"	"65-79 years"	"65-79"	"Death Narrative:  Death on 02/10/2021. 2nd dose 28 days prior to serious event. Patient was admitted to facility for ALS and was on mechanical ventilation at time of death. No indications that death was related to the vaccine."
	"1168799-1"	"1168799-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Death on 02/10/2021. 2nd dose 28 days prior to serious event. Patient was admitted to facility for ALS and was on mechanical ventilation at time of death. No indications that death was related to the vaccine."
	"1168799-1"	"1168799-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Death Narrative:  Death on 02/10/2021. 2nd dose 28 days prior to serious event. Patient was admitted to facility for ALS and was on mechanical ventilation at time of death. No indications that death was related to the vaccine."
	"1168815-1"	"1168815-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Death on 01/25/2021. 2nd dose administered 19 days prior to severe event. Patient had diagnosis of malignant pulmonary process with a terminal prognosis. There are no indications that death was related to the vaccine."
	"1173788-1"	"1173788-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"had second vaccine on 4/1/21, expired 4/2/21"
	"1196846-1"	"1196846-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient within 60 days of receiving a COVID vaccine death"
	"1197394-1"	"1197394-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Death Narrative:  Death on 03/22/2021. Patient was a 69 year-old male with history of lung cancer treated with radiation. Recently presented with a right suprahilar lesion Stage III for which he received radiation therapy in 2/2021. He developed a strong cough after radiation treatment and passed from a massive hemoptysis per physician note. He received the 1st dose of vaccine on 03/20/2021 2 days before his death. There is no indication that the event was the result of the vaccine."
	"1197394-1"	"1197394-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Death on 03/22/2021. Patient was a 69 year-old male with history of lung cancer treated with radiation. Recently presented with a right suprahilar lesion Stage III for which he received radiation therapy in 2/2021. He developed a strong cough after radiation treatment and passed from a massive hemoptysis per physician note. He received the 1st dose of vaccine on 03/20/2021 2 days before his death. There is no indication that the event was the result of the vaccine."
	"1197394-1"	"1197394-1"	"HAEMOPTYSIS"	"10018964"	"65-79 years"	"65-79"	"Death Narrative:  Death on 03/22/2021. Patient was a 69 year-old male with history of lung cancer treated with radiation. Recently presented with a right suprahilar lesion Stage III for which he received radiation therapy in 2/2021. He developed a strong cough after radiation treatment and passed from a massive hemoptysis per physician note. He received the 1st dose of vaccine on 03/20/2021 2 days before his death. There is no indication that the event was the result of the vaccine."
	"1197396-1"	"1197396-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Patient received the first dose of Moderna COVID-19 vaccination on 3/11/2021. He had not received any vaccines within 4 weeks prior and did not have any contraindications to the vaccine listed in his chart. He did not have a positive COVID-19 test within the facility system. Cause of death: Patient was transported to facility on 4/3/21 after complaining of shortness of breath. It was noted that he had some GI bleeding and was hypertensive. The documentation from facility indicates that death was of natural causes."
	"1197396-1"	"1197396-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Death Narrative:  Patient received the first dose of Moderna COVID-19 vaccination on 3/11/2021. He had not received any vaccines within 4 weeks prior and did not have any contraindications to the vaccine listed in his chart. He did not have a positive COVID-19 test within the facility system. Cause of death: Patient was transported to facility on 4/3/21 after complaining of shortness of breath. It was noted that he had some GI bleeding and was hypertensive. The documentation from facility indicates that death was of natural causes."
	"1197396-1"	"1197396-1"	"GASTROINTESTINAL HAEMORRHAGE"	"10017955"	"65-79 years"	"65-79"	"Death Narrative:  Patient received the first dose of Moderna COVID-19 vaccination on 3/11/2021. He had not received any vaccines within 4 weeks prior and did not have any contraindications to the vaccine listed in his chart. He did not have a positive COVID-19 test within the facility system. Cause of death: Patient was transported to facility on 4/3/21 after complaining of shortness of breath. It was noted that he had some GI bleeding and was hypertensive. The documentation from facility indicates that death was of natural causes."
	"1197396-1"	"1197396-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"Death Narrative:  Patient received the first dose of Moderna COVID-19 vaccination on 3/11/2021. He had not received any vaccines within 4 weeks prior and did not have any contraindications to the vaccine listed in his chart. He did not have a positive COVID-19 test within the facility system. Cause of death: Patient was transported to facility on 4/3/21 after complaining of shortness of breath. It was noted that he had some GI bleeding and was hypertensive. The documentation from facility indicates that death was of natural causes."
	"1197397-1"	"1197397-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:"
	"1197398-1"	"1197398-1"	"COMPUTERISED TOMOGRAM ABDOMEN ABNORMAL"	"10057798"	"65-79 years"	"65-79"	"Death Narrative:  Patient with h/o metastatic lung CA-he was already on hospice at time of 1st and second COVID-19 vaccines."
	"1197398-1"	"1197398-1"	"COMPUTERISED TOMOGRAM PELVIS ABNORMAL"	"10081333"	"65-79 years"	"65-79"	"Death Narrative:  Patient with h/o metastatic lung CA-he was already on hospice at time of 1st and second COVID-19 vaccines."
	"1197398-1"	"1197398-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"65-79 years"	"65-79"	"Death Narrative:  Patient with h/o metastatic lung CA-he was already on hospice at time of 1st and second COVID-19 vaccines."
	"1197398-1"	"1197398-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Patient with h/o metastatic lung CA-he was already on hospice at time of 1st and second COVID-19 vaccines."
	"1197398-1"	"1197398-1"	"HEPATIC MASS"	"10057110"	"65-79 years"	"65-79"	"Death Narrative:  Patient with h/o metastatic lung CA-he was already on hospice at time of 1st and second COVID-19 vaccines."
	"1197398-1"	"1197398-1"	"PULMONARY MASS"	"10056342"	"65-79 years"	"65-79"	"Death Narrative:  Patient with h/o metastatic lung CA-he was already on hospice at time of 1st and second COVID-19 vaccines."
	"1197555-1"	"1197555-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"ANGIOGRAM NORMAL"	"10061638"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"CARDIAC FAILURE"	"10007554"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"CATHETERISATION CARDIAC ABNORMAL"	"10007816"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"CHEST DISCOMFORT"	"10008469"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"COMPUTERISED TOMOGRAM ABNORMAL"	"10010235"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"ELECTROCARDIOGRAM ABNORMAL"	"10014363"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"HYPERHIDROSIS"	"10020642"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"N-TERMINAL PROHORMONE BRAIN NATRIURETIC PEPTIDE INCREASED"	"10071662"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"ORTHOPNOEA"	"10031123"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"PALPITATIONS"	"10033557"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"PULMONARY OEDEMA"	"10037423"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"TACHYCARDIA"	"10043071"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"TROPONIN INCREASED"	"10058267"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197555-1"	"1197555-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"death Narrative:  70 yo male received COVID19 vaccine on 2/16/2021 (first dose) without complications. Patient was admitted to the facility on 3/12/2021 and transferred out to a hospital on 3/15/2021. Patient died on 3/24/2021 due to acute respiratory failure at a medical center. This report is being written because patient received Pfizer covid19 vaccine, Facility requires we report to VAERS if death occurs within 42 days of vaccination. Prior to his hospital admission, his previous one was 5/11/2020-5/14/2020. Please see below for hospital course at the Facility: 70 yo male with PMHx of COPD, CHFrEF 20%, CAD s/p MI and CABG in 1999, HLD, HTN, DM2, GERD, Anxiety and Depression who presented with increased shortness of breath to facility. Transfered on 3/13 to the facility. Noted increased SOB without CP, palpitations, cough, orthopnea or PND. No history of home O2 use but required 2-3L O2 during this hospital stay. Was noted on admit to Facility to have troponin elevation with unchanged EKG. Was started on NSTEMI protocol with heparin ggt, ASA, BB, and statin. Initially received one dose ceftriaxone/azithro for possible PNA. On admission, primary team held home BB. On arrival to Facility, troponin at 3.998 trended to 4.442 and then trended down. underwent CTA to evaluate for PE that was negative. CXR and CT showed pulmonary edema consistent with HF exacerbation and a proBNP 8613. Patient was given 40mg IV lasix x2. RRT was called twice, once for BP 80/50 treated with 500ml IVF, and second for CP that resolved with NTG and tramadol. Cardiology was consulted with goal to cath patient, however some concern for medication adherence going forward so they will reevaluate. Patient began to have tachycardia with rates in the 150s sustained and hypotension. EKG showed likely sinus tachycardia with wide QRS similar to prior EKGs. Patient has ICD in place that was interrogated and showed good function. IV metoprolol 5mg given x3 with rated decrease to upper 120s. Patient remained asymptomatic, awake, and alert. Per discussion with wife after transfer, patient BP has been in the 50s systolic at home for the last month. Cardiac cath was performed showing 99% stenosis of LCX. Did not tolerate procedure with nausea, vomiting, and altered mental status. RRT was called after cath procedure. He is nauseous, diaphoretic. He complained of chest pressure. STAT EKG obtained. Noted ST depressions in the septal leads significant from before. Cardiology concerned pt was having an inferior MI. STEMI call was activated and hospital cath lab was called and report given to the cardiologist on call. Pt was then transported to the Facility and he passed away on 3/24/2021."
	"1197556-1"	"1197556-1"	"AGONAL RESPIRATION"	"10085467"	"65-79 years"	"65-79"	"cardiac arrest Narrative:  Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart."
	"1197556-1"	"1197556-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"cardiac arrest Narrative:  Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart."
	"1197556-1"	"1197556-1"	"CARDIAC MONITORING ABNORMAL"	"10053440"	"65-79 years"	"65-79"	"cardiac arrest Narrative:  Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart."
	"1197556-1"	"1197556-1"	"CARDIOVERSION"	"10007661"	"65-79 years"	"65-79"	"cardiac arrest Narrative:  Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart."
	"1197556-1"	"1197556-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"cardiac arrest Narrative:  Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart."
	"1197556-1"	"1197556-1"	"PULSE ABNORMAL"	"10037466"	"65-79 years"	"65-79"	"cardiac arrest Narrative:  Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart."
	"1197556-1"	"1197556-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"cardiac arrest Narrative:  Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart."
	"1197556-1"	"1197556-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"cardiac arrest Narrative:  Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart."
	"1197556-1"	"1197556-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"cardiac arrest Narrative:  Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart."
	"1200519-1"	"1200519-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1200541-1"	"1200541-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1200569-1"	"1200569-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"Death Abdominal pain  Abnormal CT scan Partial gastric outlet obstruction Disorder of common bile duct Hyperbilirubinemia Colon cancer (CMS/HCC) Obstructive jaundice"
	"1200569-1"	"1200569-1"	"BILIARY TRACT DISORDER"	"10061008"	"65-79 years"	"65-79"	"Death Abdominal pain  Abnormal CT scan Partial gastric outlet obstruction Disorder of common bile duct Hyperbilirubinemia Colon cancer (CMS/HCC) Obstructive jaundice"
	"1200569-1"	"1200569-1"	"COLON CANCER"	"10009944"	"65-79 years"	"65-79"	"Death Abdominal pain  Abnormal CT scan Partial gastric outlet obstruction Disorder of common bile duct Hyperbilirubinemia Colon cancer (CMS/HCC) Obstructive jaundice"
	"1200569-1"	"1200569-1"	"COMPUTERISED TOMOGRAM ABNORMAL"	"10010235"	"65-79 years"	"65-79"	"Death Abdominal pain  Abnormal CT scan Partial gastric outlet obstruction Disorder of common bile duct Hyperbilirubinemia Colon cancer (CMS/HCC) Obstructive jaundice"
	"1200569-1"	"1200569-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Abdominal pain  Abnormal CT scan Partial gastric outlet obstruction Disorder of common bile duct Hyperbilirubinemia Colon cancer (CMS/HCC) Obstructive jaundice"
	"1200569-1"	"1200569-1"	"HYPERBILIRUBINAEMIA"	"10020578"	"65-79 years"	"65-79"	"Death Abdominal pain  Abnormal CT scan Partial gastric outlet obstruction Disorder of common bile duct Hyperbilirubinemia Colon cancer (CMS/HCC) Obstructive jaundice"
	"1200569-1"	"1200569-1"	"JAUNDICE CHOLESTATIC"	"10023129"	"65-79 years"	"65-79"	"Death Abdominal pain  Abnormal CT scan Partial gastric outlet obstruction Disorder of common bile duct Hyperbilirubinemia Colon cancer (CMS/HCC) Obstructive jaundice"
	"1200569-1"	"1200569-1"	"OBSTRUCTION GASTRIC"	"10029957"	"65-79 years"	"65-79"	"Death Abdominal pain  Abnormal CT scan Partial gastric outlet obstruction Disorder of common bile duct Hyperbilirubinemia Colon cancer (CMS/HCC) Obstructive jaundice"
	"1200619-1"	"1200619-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"Death Sepsis abdominal pain"
	"1200619-1"	"1200619-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Sepsis abdominal pain"
	"1200619-1"	"1200619-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Death Sepsis abdominal pain"
	"1200724-1"	"1200724-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1200851-1"	"1200851-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Acute hypoxemic respiratory failure (CMS/HCC) Chest pain sepsis Death"
	"1200851-1"	"1200851-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Acute hypoxemic respiratory failure (CMS/HCC) Chest pain sepsis Death"
	"1200851-1"	"1200851-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Acute hypoxemic respiratory failure (CMS/HCC) Chest pain sepsis Death"
	"1200851-1"	"1200851-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Acute hypoxemic respiratory failure (CMS/HCC) Chest pain sepsis Death"
	"1201247-1"	"1201247-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Paralysis (CMS/HCC) death"
	"1201247-1"	"1201247-1"	"PARALYSIS"	"10033799"	"65-79 years"	"65-79"	"Paralysis (CMS/HCC) death"
	"1201277-1"	"1201277-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1201993-1"	"1201993-1"	"ABDOMINAL X-RAY"	"10061612"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"ALANINE AMINOTRANSFERASE NORMAL"	"10001552"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"ANION GAP"	"10002522"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"ARTHRALGIA"	"10003239"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"ASPARTATE AMINOTRANSFERASE NORMAL"	"10003482"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BILIRUBIN CONJUGATED"	"10004684"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BIOPSY BONE ABNORMAL"	"10004736"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD ALBUMIN DECREASED"	"10005287"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD ALKALINE PHOSPHATASE NORMAL"	"10005310"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD BILIRUBIN DECREASED"	"10049869"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD CALCIUM NORMAL"	"10005397"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD CHLORIDE NORMAL"	"10005421"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD CHOLESTEROL NORMAL"	"10005426"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD CREATINE INCREASED"	"10005464"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD FOLATE NORMAL"	"10005529"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD MAGNESIUM NORMAL"	"10005656"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD PHOSPHORUS NORMAL"	"10054887"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD POTASSIUM INCREASED"	"10005725"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD SODIUM DECREASED"	"10005802"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD TRIGLYCERIDES NORMAL"	"10005840"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD UREA INCREASED"	"10005851"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"BLOOD URIC ACID NORMAL"	"10005862"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"CARBON DIOXIDE DECREASED"	"10007223"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"COMPUTERISED TOMOGRAM ABDOMEN ABNORMAL"	"10057798"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"GLOMERULAR FILTRATION RATE DECREASED"	"10018358"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"GLYCOSYLATED HAEMOGLOBIN INCREASED"	"10018484"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"HAEMATOCRIT NORMAL"	"10018842"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"HAEMOGLOBIN NORMAL"	"10018890"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"HIGH DENSITY LIPOPROTEIN DECREASED"	"10020060"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"INTERNATIONAL NORMALISED RATIO INCREASED"	"10022595"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"LOW DENSITY LIPOPROTEIN DECREASED"	"10024909"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"MEAN CELL HAEMOGLOBIN CONCENTRATION DECREASED"	"10026991"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"MEAN CELL HAEMOGLOBIN DECREASED"	"10026995"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"MEAN CELL VOLUME NORMAL"	"10027006"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"METASTATIC CARCINOMA OF THE BLADDER"	"10057352"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"MUSCULAR WEAKNESS"	"10028372"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"OSTEOLYSIS"	"10031248"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"PELVIC PAIN"	"10034263"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"PLATELET COUNT INCREASED"	"10051608"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"PROTEIN TOTAL NORMAL"	"10037017"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"PROTHROMBIN TIME PROLONGED"	"10037063"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"RED BLOOD CELL COUNT DECREASED"	"10038153"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"RED CELL DISTRIBUTION WIDTH INCREASED"	"10053920"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"SERUM FERRITIN INCREASED"	"10040250"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"TRANSFERRIN DECREASED"	"10044356"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"TRANSFERRIN SATURATION DECREASED"	"10050770"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"VITAMIN B12 INCREASED"	"10047610"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1201993-1"	"1201993-1"	"X-RAY ABNORMAL"	"10048065"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient passed away after Covid Vaccine. 2/8/21: brought to the ER for evaluation for leg weakness and a recent fall associated. He was in a facility- per patient he fell when standing from the bed, he though he could do it and did not ask for help. He has been with hip and pelvic pain since then. The CT/XR shows evidence of lytic lesions, an IR bone biopsy was done and came positive for metastatic bladder carcinoma. 02/17/21: transferred to the facility for PT and pain management, originally for short stay rehab then changed to hospice care. 02/19/2021: received covid vaccine 03/05/21: discharged from facility on home hospice 03/23/21: pt passed away at home Patient with prior covid infection; tested positive last on 9/25/2020. Vaccine did not likely contribute to patient's death, as he was on hospice due to malignant cancer. No evidence of reaction immediately after vaccination or before date of death."
	"1202386-1"	"1202386-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Multiple comorbidities - Cardiogenic/septic shock, Acute Respiratory failure, AKD stage 3"
	"1202386-1"	"1202386-1"	"CARDIOGENIC SHOCK"	"10007625"	"65-79 years"	"65-79"	"Multiple comorbidities - Cardiogenic/septic shock, Acute Respiratory failure, AKD stage 3"
	"1202386-1"	"1202386-1"	"CHRONIC KIDNEY DISEASE"	"10064848"	"65-79 years"	"65-79"	"Multiple comorbidities - Cardiogenic/septic shock, Acute Respiratory failure, AKD stage 3"
	"1202386-1"	"1202386-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"Multiple comorbidities - Cardiogenic/septic shock, Acute Respiratory failure, AKD stage 3"
	"1202561-1"	"1202561-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"CVA with residual hemiparesis - C-Diff, diarrhea, weakness. AKI"
	"1202561-1"	"1202561-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"CVA with residual hemiparesis - C-Diff, diarrhea, weakness. AKI"
	"1202561-1"	"1202561-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"CVA with residual hemiparesis - C-Diff, diarrhea, weakness. AKI"
	"1202561-1"	"1202561-1"	"CLOSTRIDIUM DIFFICILE COLITIS"	"10009657"	"65-79 years"	"65-79"	"CVA with residual hemiparesis - C-Diff, diarrhea, weakness. AKI"
	"1202561-1"	"1202561-1"	"HEMIPARESIS"	"10019465"	"65-79 years"	"65-79"	"CVA with residual hemiparesis - C-Diff, diarrhea, weakness. AKI"
	"1202683-1"	"1202683-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was hospitalized and died within 60 days of receiving a COVID vaccine"
	"1202967-1"	"1202967-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Death Narrative: Patient had Pfizer COVID vaccine dose #1 on 3/20/21. He called his provider on 3/30 to report known exposure to COVID that occurred on 3/27 and 3/28. On 4/1 he tested positive for COVID swabbed at the facility and sent to the main facility for processing. He was notified of positive result on 4/1 at 4pm. He was advised to quarantine and to call facility call center/triage should he develop any fever, shortness of breath, and other Covid-related symptoms. Provider received a phone call from PD on 4/8 notifying of patient unattended death. According to EMS report neighbors were aware of patients COVID positive status. No one had seen or heard from the patient in 3 days so they contacted PD for wellness check. Entry was forced into apartment and patient was found deceased, sitting on the couch. Not breathing ashen color. Pt has ringer and no Pulse. PMH: Quit tobacco 5-15 yrs ago Hyperlipidemia Hyperglycemia Obesity Allergic rhinitis, stable Hx AAA and Right ICA aneurysm, S/P Open repair in 2013 Patient had no prior history of COVID before 4/1 diagnosis. He was not having any symptoms between 4/1 when he tested positive and he did not call to report any symptoms between 4/1 diagnosis and death. There was no communication after 4/1 positive covid test. Patient was scheduled for a phone call with RN on 4/8 the date he was found deceased. Cause of death is not mentioned, but suspected to be due to COVID infection. There were no reported side effects to COVID Vaccine administration."
	"1202967-1"	"1202967-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Patient had Pfizer COVID vaccine dose #1 on 3/20/21. He called his provider on 3/30 to report known exposure to COVID that occurred on 3/27 and 3/28. On 4/1 he tested positive for COVID swabbed at the facility and sent to the main facility for processing. He was notified of positive result on 4/1 at 4pm. He was advised to quarantine and to call facility call center/triage should he develop any fever, shortness of breath, and other Covid-related symptoms. Provider received a phone call from PD on 4/8 notifying of patient unattended death. According to EMS report neighbors were aware of patients COVID positive status. No one had seen or heard from the patient in 3 days so they contacted PD for wellness check. Entry was forced into apartment and patient was found deceased, sitting on the couch. Not breathing ashen color. Pt has ringer and no Pulse. PMH: Quit tobacco 5-15 yrs ago Hyperlipidemia Hyperglycemia Obesity Allergic rhinitis, stable Hx AAA and Right ICA aneurysm, S/P Open repair in 2013 Patient had no prior history of COVID before 4/1 diagnosis. He was not having any symptoms between 4/1 when he tested positive and he did not call to report any symptoms between 4/1 diagnosis and death. There was no communication after 4/1 positive covid test. Patient was scheduled for a phone call with RN on 4/8 the date he was found deceased. Cause of death is not mentioned, but suspected to be due to COVID infection. There were no reported side effects to COVID Vaccine administration."
	"1202967-1"	"1202967-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"65-79 years"	"65-79"	"Death Narrative: Patient had Pfizer COVID vaccine dose #1 on 3/20/21. He called his provider on 3/30 to report known exposure to COVID that occurred on 3/27 and 3/28. On 4/1 he tested positive for COVID swabbed at the facility and sent to the main facility for processing. He was notified of positive result on 4/1 at 4pm. He was advised to quarantine and to call facility call center/triage should he develop any fever, shortness of breath, and other Covid-related symptoms. Provider received a phone call from PD on 4/8 notifying of patient unattended death. According to EMS report neighbors were aware of patients COVID positive status. No one had seen or heard from the patient in 3 days so they contacted PD for wellness check. Entry was forced into apartment and patient was found deceased, sitting on the couch. Not breathing ashen color. Pt has ringer and no Pulse. PMH: Quit tobacco 5-15 yrs ago Hyperlipidemia Hyperglycemia Obesity Allergic rhinitis, stable Hx AAA and Right ICA aneurysm, S/P Open repair in 2013 Patient had no prior history of COVID before 4/1 diagnosis. He was not having any symptoms between 4/1 when he tested positive and he did not call to report any symptoms between 4/1 diagnosis and death. There was no communication after 4/1 positive covid test. Patient was scheduled for a phone call with RN on 4/8 the date he was found deceased. Cause of death is not mentioned, but suspected to be due to COVID infection. There were no reported side effects to COVID Vaccine administration."
	"1202967-1"	"1202967-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"Death Narrative: Patient had Pfizer COVID vaccine dose #1 on 3/20/21. He called his provider on 3/30 to report known exposure to COVID that occurred on 3/27 and 3/28. On 4/1 he tested positive for COVID swabbed at the facility and sent to the main facility for processing. He was notified of positive result on 4/1 at 4pm. He was advised to quarantine and to call facility call center/triage should he develop any fever, shortness of breath, and other Covid-related symptoms. Provider received a phone call from PD on 4/8 notifying of patient unattended death. According to EMS report neighbors were aware of patients COVID positive status. No one had seen or heard from the patient in 3 days so they contacted PD for wellness check. Entry was forced into apartment and patient was found deceased, sitting on the couch. Not breathing ashen color. Pt has ringer and no Pulse. PMH: Quit tobacco 5-15 yrs ago Hyperlipidemia Hyperglycemia Obesity Allergic rhinitis, stable Hx AAA and Right ICA aneurysm, S/P Open repair in 2013 Patient had no prior history of COVID before 4/1 diagnosis. He was not having any symptoms between 4/1 when he tested positive and he did not call to report any symptoms between 4/1 diagnosis and death. There was no communication after 4/1 positive covid test. Patient was scheduled for a phone call with RN on 4/8 the date he was found deceased. Cause of death is not mentioned, but suspected to be due to COVID infection. There were no reported side effects to COVID Vaccine administration."
	"1202967-1"	"1202967-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"Death Narrative: Patient had Pfizer COVID vaccine dose #1 on 3/20/21. He called his provider on 3/30 to report known exposure to COVID that occurred on 3/27 and 3/28. On 4/1 he tested positive for COVID swabbed at the facility and sent to the main facility for processing. He was notified of positive result on 4/1 at 4pm. He was advised to quarantine and to call facility call center/triage should he develop any fever, shortness of breath, and other Covid-related symptoms. Provider received a phone call from PD on 4/8 notifying of patient unattended death. According to EMS report neighbors were aware of patients COVID positive status. No one had seen or heard from the patient in 3 days so they contacted PD for wellness check. Entry was forced into apartment and patient was found deceased, sitting on the couch. Not breathing ashen color. Pt has ringer and no Pulse. PMH: Quit tobacco 5-15 yrs ago Hyperlipidemia Hyperglycemia Obesity Allergic rhinitis, stable Hx AAA and Right ICA aneurysm, S/P Open repair in 2013 Patient had no prior history of COVID before 4/1 diagnosis. He was not having any symptoms between 4/1 when he tested positive and he did not call to report any symptoms between 4/1 diagnosis and death. There was no communication after 4/1 positive covid test. Patient was scheduled for a phone call with RN on 4/8 the date he was found deceased. Cause of death is not mentioned, but suspected to be due to COVID infection. There were no reported side effects to COVID Vaccine administration."
	"1202967-1"	"1202967-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Death Narrative: Patient had Pfizer COVID vaccine dose #1 on 3/20/21. He called his provider on 3/30 to report known exposure to COVID that occurred on 3/27 and 3/28. On 4/1 he tested positive for COVID swabbed at the facility and sent to the main facility for processing. He was notified of positive result on 4/1 at 4pm. He was advised to quarantine and to call facility call center/triage should he develop any fever, shortness of breath, and other Covid-related symptoms. Provider received a phone call from PD on 4/8 notifying of patient unattended death. According to EMS report neighbors were aware of patients COVID positive status. No one had seen or heard from the patient in 3 days so they contacted PD for wellness check. Entry was forced into apartment and patient was found deceased, sitting on the couch. Not breathing ashen color. Pt has ringer and no Pulse. PMH: Quit tobacco 5-15 yrs ago Hyperlipidemia Hyperglycemia Obesity Allergic rhinitis, stable Hx AAA and Right ICA aneurysm, S/P Open repair in 2013 Patient had no prior history of COVID before 4/1 diagnosis. He was not having any symptoms between 4/1 when he tested positive and he did not call to report any symptoms between 4/1 diagnosis and death. There was no communication after 4/1 positive covid test. Patient was scheduled for a phone call with RN on 4/8 the date he was found deceased. Cause of death is not mentioned, but suspected to be due to COVID infection. There were no reported side effects to COVID Vaccine administration."
	"1202967-1"	"1202967-1"	"SKIN DISCOLOURATION"	"10040829"	"65-79 years"	"65-79"	"Death Narrative: Patient had Pfizer COVID vaccine dose #1 on 3/20/21. He called his provider on 3/30 to report known exposure to COVID that occurred on 3/27 and 3/28. On 4/1 he tested positive for COVID swabbed at the facility and sent to the main facility for processing. He was notified of positive result on 4/1 at 4pm. He was advised to quarantine and to call facility call center/triage should he develop any fever, shortness of breath, and other Covid-related symptoms. Provider received a phone call from PD on 4/8 notifying of patient unattended death. According to EMS report neighbors were aware of patients COVID positive status. No one had seen or heard from the patient in 3 days so they contacted PD for wellness check. Entry was forced into apartment and patient was found deceased, sitting on the couch. Not breathing ashen color. Pt has ringer and no Pulse. PMH: Quit tobacco 5-15 yrs ago Hyperlipidemia Hyperglycemia Obesity Allergic rhinitis, stable Hx AAA and Right ICA aneurysm, S/P Open repair in 2013 Patient had no prior history of COVID before 4/1 diagnosis. He was not having any symptoms between 4/1 when he tested positive and he did not call to report any symptoms between 4/1 diagnosis and death. There was no communication after 4/1 positive covid test. Patient was scheduled for a phone call with RN on 4/8 the date he was found deceased. Cause of death is not mentioned, but suspected to be due to COVID infection. There were no reported side effects to COVID Vaccine administration."
	"1203159-1"	"1203159-1"	"LUNG CANCER METASTATIC"	"10050017"	"65-79 years"	"65-79"	"Metastatic Lung cancer"
	"1207106-1"	"1207106-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"CARDIAC ARREST DEATH"
	"1207106-1"	"1207106-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"CARDIAC ARREST DEATH"
	"1207139-1"	"1207139-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"Death Cardiac arrest Hyperkalemia NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC) ESRD needing dialysis (CMS/HCC)"
	"1207139-1"	"1207139-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Death Cardiac arrest Hyperkalemia NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC) ESRD needing dialysis (CMS/HCC)"
	"1207139-1"	"1207139-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Cardiac arrest Hyperkalemia NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC) ESRD needing dialysis (CMS/HCC)"
	"1207139-1"	"1207139-1"	"DIALYSIS"	"10061105"	"65-79 years"	"65-79"	"Death Cardiac arrest Hyperkalemia NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC) ESRD needing dialysis (CMS/HCC)"
	"1207139-1"	"1207139-1"	"END STAGE RENAL DISEASE"	"10077512"	"65-79 years"	"65-79"	"Death Cardiac arrest Hyperkalemia NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC) ESRD needing dialysis (CMS/HCC)"
	"1207139-1"	"1207139-1"	"HYPERKALAEMIA"	"10020646"	"65-79 years"	"65-79"	"Death Cardiac arrest Hyperkalemia NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC) ESRD needing dialysis (CMS/HCC)"
	"1207286-1"	"1207286-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1207600-1"	"1207600-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was hospitalized and died within 60 days of receiving a COVID vaccine series"
	"1208718-1"	"1208718-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was hospitalized and died within 60 days of receiving a COVID vaccine series"
	"1208724-1"	"1208724-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death"
	"1209119-1"	"1209119-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Death Dehydration Community acquired pneumonia Closed head injury, initial encounter Fall at home, initial encounter Acute hypoxemic respiratory failure"
	"1209119-1"	"1209119-1"	"CRANIOCEREBRAL INJURY"	"10070976"	"65-79 years"	"65-79"	"Death Dehydration Community acquired pneumonia Closed head injury, initial encounter Fall at home, initial encounter Acute hypoxemic respiratory failure"
	"1209119-1"	"1209119-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Dehydration Community acquired pneumonia Closed head injury, initial encounter Fall at home, initial encounter Acute hypoxemic respiratory failure"
	"1209119-1"	"1209119-1"	"DEHYDRATION"	"10012174"	"65-79 years"	"65-79"	"Death Dehydration Community acquired pneumonia Closed head injury, initial encounter Fall at home, initial encounter Acute hypoxemic respiratory failure"
	"1209119-1"	"1209119-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Death Dehydration Community acquired pneumonia Closed head injury, initial encounter Fall at home, initial encounter Acute hypoxemic respiratory failure"
	"1209119-1"	"1209119-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Death Dehydration Community acquired pneumonia Closed head injury, initial encounter Fall at home, initial encounter Acute hypoxemic respiratory failure"
	"1212176-1"	"1212176-1"	"ADENOCARCINOMA METASTATIC"	"10083456"	"65-79 years"	"65-79"	"Death Metastatic adenocarcinoma Intertrochanteric fracture of left femur"
	"1212176-1"	"1212176-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Metastatic adenocarcinoma Intertrochanteric fracture of left femur"
	"1212176-1"	"1212176-1"	"FEMUR FRACTURE"	"10016454"	"65-79 years"	"65-79"	"Death Metastatic adenocarcinoma Intertrochanteric fracture of left femur"
	"1212194-1"	"1212194-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death R06.02 - Shortness of breath J18.9 - Pneumonia"
	"1212194-1"	"1212194-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Death R06.02 - Shortness of breath J18.9 - Pneumonia"
	"1212194-1"	"1212194-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Death R06.02 - Shortness of breath J18.9 - Pneumonia"
	"1212474-1"	"1212474-1"	"ARTHRALGIA"	"10003239"	"65-79 years"	"65-79"	"Death R05 - Cough J96.90 - Respiratory failure  R55 - Syncope R41.82 - Altered mental status I95.9 - Hypotension M25.551 - Right hip pain Z79.01 - On apixaban therapy"
	"1212474-1"	"1212474-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Death R05 - Cough J96.90 - Respiratory failure  R55 - Syncope R41.82 - Altered mental status I95.9 - Hypotension M25.551 - Right hip pain Z79.01 - On apixaban therapy"
	"1212474-1"	"1212474-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death R05 - Cough J96.90 - Respiratory failure  R55 - Syncope R41.82 - Altered mental status I95.9 - Hypotension M25.551 - Right hip pain Z79.01 - On apixaban therapy"
	"1212474-1"	"1212474-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Death R05 - Cough J96.90 - Respiratory failure  R55 - Syncope R41.82 - Altered mental status I95.9 - Hypotension M25.551 - Right hip pain Z79.01 - On apixaban therapy"
	"1212474-1"	"1212474-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"Death R05 - Cough J96.90 - Respiratory failure  R55 - Syncope R41.82 - Altered mental status I95.9 - Hypotension M25.551 - Right hip pain Z79.01 - On apixaban therapy"
	"1212474-1"	"1212474-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Death R05 - Cough J96.90 - Respiratory failure  R55 - Syncope R41.82 - Altered mental status I95.9 - Hypotension M25.551 - Right hip pain Z79.01 - On apixaban therapy"
	"1212474-1"	"1212474-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"Death R05 - Cough J96.90 - Respiratory failure  R55 - Syncope R41.82 - Altered mental status I95.9 - Hypotension M25.551 - Right hip pain Z79.01 - On apixaban therapy"
	"1213032-1"	"1213032-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"D69.6 - Thrombocytopenia (CMS/HCC) U07.1 - COVID-19 D72.819 - Leukopenia R77.8 - Elevated troponin I level J18.9 - Multifocal pneumonia U07.1, J12.82 - Pneumonia due to COVID-19 virus"
	"1213032-1"	"1213032-1"	"LEUKOPENIA"	"10024384"	"65-79 years"	"65-79"	"D69.6 - Thrombocytopenia (CMS/HCC) U07.1 - COVID-19 D72.819 - Leukopenia R77.8 - Elevated troponin I level J18.9 - Multifocal pneumonia U07.1, J12.82 - Pneumonia due to COVID-19 virus"
	"1213032-1"	"1213032-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"D69.6 - Thrombocytopenia (CMS/HCC) U07.1 - COVID-19 D72.819 - Leukopenia R77.8 - Elevated troponin I level J18.9 - Multifocal pneumonia U07.1, J12.82 - Pneumonia due to COVID-19 virus"
	"1213032-1"	"1213032-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"D69.6 - Thrombocytopenia (CMS/HCC) U07.1 - COVID-19 D72.819 - Leukopenia R77.8 - Elevated troponin I level J18.9 - Multifocal pneumonia U07.1, J12.82 - Pneumonia due to COVID-19 virus"
	"1213032-1"	"1213032-1"	"TROPONIN I INCREASED"	"10058268"	"65-79 years"	"65-79"	"D69.6 - Thrombocytopenia (CMS/HCC) U07.1 - COVID-19 D72.819 - Leukopenia R77.8 - Elevated troponin I level J18.9 - Multifocal pneumonia U07.1, J12.82 - Pneumonia due to COVID-19 virus"
	"1213364-1"	"1213364-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"BACTERAEMIA"	"10003997"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"NEUTROPENIA"	"10029354"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"PLATELET COUNT DECREASED"	"10035528"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"PRODUCTIVE COUGH"	"10036790"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"SPUTUM DISCOLOURED"	"10041807"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213364-1"	"1213364-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"death Narrative:  Patient received Moderna COVID #1 vaccine on 1/28/21. On 2/3/21, he was admitted to a facility for fever, weakness, chills and rigor. Noted history of B cell lymphoma not on chemotherapy at the time. He also had reports of productive cough with thick brown/green sputum. He was admitted to the hospital and given 1 round of methotrexate and Rituxan. Hospital course was complicated with bacteremia (given vancomycin and cefepime), A fib, AKI, HTN, neutropenia (received Neupogen), acute popliteal VT (unable to anticoagulated due to thrombocytopenia - platelets as low as 20). No bleeding issues noted. On 2/18/21, family opted to change his status to DNR with hospice/comfort care and he passed on 2/19/21. No autopsy results available. 22 days from date of vaccine to date of death."
	"1213551-1"	"1213551-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEATH, ABDOMINAL DISTENTION, CHF EXACERBATION. Narrative: Pt died after completion of COVID vaccine series. Pt in CLC at time of both vaccinations. Hospitalized for CHF exacerbation 01/05 COVID vaccine dose #1 01/01 c/o abdominal distention, diarrhea 01/08 c/o increased SOB and continued diarrhea/abdominal distention, sent to ED, low potassium, borderline elevation troponin, gaseous distention on CT, admitted to hospital, states SOB and leg swelling for a few weeks now (likely unrelated to vaccine) 01/21 discharged from hospital to CLC; during course, found to have severe hypokalemia and renal failure, abd ileus, treated for electrolyte imbalance 01/26 admitted to hospital with c/o coffee ground emesis & abdominal distention 01/27 COVID vaccine dose #2 moved to critical care mid hospitalization with like aspiration PNA and numerous complications 02/06 patient passed away after withdraw of care Unlikely that vaccine contributed to death but death likely due to comorbidities and advanced age. Patient did not have acute specific ADR at time of vaccine or between vaccinations and date of death that could be attributed to vaccine. Hospitalized prior to and after vaccinations. Numerous comorbidities including acute on chronic HF and kidney failure pre-disposed patient to death."
	"1213551-1"	"1213551-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"DEATH, ABDOMINAL DISTENTION, CHF EXACERBATION. Narrative: Pt died after completion of COVID vaccine series. Pt in CLC at time of both vaccinations. Hospitalized for CHF exacerbation 01/05 COVID vaccine dose #1 01/01 c/o abdominal distention, diarrhea 01/08 c/o increased SOB and continued diarrhea/abdominal distention, sent to ED, low potassium, borderline elevation troponin, gaseous distention on CT, admitted to hospital, states SOB and leg swelling for a few weeks now (likely unrelated to vaccine) 01/21 discharged from hospital to CLC; during course, found to have severe hypokalemia and renal failure, abd ileus, treated for electrolyte imbalance 01/26 admitted to hospital with c/o coffee ground emesis & abdominal distention 01/27 COVID vaccine dose #2 moved to critical care mid hospitalization with like aspiration PNA and numerous complications 02/06 patient passed away after withdraw of care Unlikely that vaccine contributed to death but death likely due to comorbidities and advanced age. Patient did not have acute specific ADR at time of vaccine or between vaccinations and date of death that could be attributed to vaccine. Hospitalized prior to and after vaccinations. Numerous comorbidities including acute on chronic HF and kidney failure pre-disposed patient to death."
	"1213551-1"	"1213551-1"	"PNEUMONIA ASPIRATION"	"10035669"	"65-79 years"	"65-79"	"DEATH, ABDOMINAL DISTENTION, CHF EXACERBATION. Narrative: Pt died after completion of COVID vaccine series. Pt in CLC at time of both vaccinations. Hospitalized for CHF exacerbation 01/05 COVID vaccine dose #1 01/01 c/o abdominal distention, diarrhea 01/08 c/o increased SOB and continued diarrhea/abdominal distention, sent to ED, low potassium, borderline elevation troponin, gaseous distention on CT, admitted to hospital, states SOB and leg swelling for a few weeks now (likely unrelated to vaccine) 01/21 discharged from hospital to CLC; during course, found to have severe hypokalemia and renal failure, abd ileus, treated for electrolyte imbalance 01/26 admitted to hospital with c/o coffee ground emesis & abdominal distention 01/27 COVID vaccine dose #2 moved to critical care mid hospitalization with like aspiration PNA and numerous complications 02/06 patient passed away after withdraw of care Unlikely that vaccine contributed to death but death likely due to comorbidities and advanced age. Patient did not have acute specific ADR at time of vaccine or between vaccinations and date of death that could be attributed to vaccine. Hospitalized prior to and after vaccinations. Numerous comorbidities including acute on chronic HF and kidney failure pre-disposed patient to death."
	"1213566-1"	"1213566-1"	"BACK PAIN"	"10003988"	"65-79 years"	"65-79"	"death Narrative: Patient received his COVID #1 Moderna vaccine on 2/3/2021. On 2/9/21, he reported to our ER with severe upper back pain x 2 weeks, notes indicate that he fell 12/2020 and sustained a fracture to T5, he denied shortness of breath but did report a cough. He was given morphine 10mg IM x 1 dose, ondansetron 4mg SL x 1 dose and an outpatient RX for Norco and discharged. On 2/11/21, his wife reported that he fell out of bed and he was taken to a facility via EMS. No records from that visit are available. On 3/9/2021. it was reported that he passed away. No autopsy reports available. 34 days from time of vaccine to date of death."
	"1213566-1"	"1213566-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"death Narrative: Patient received his COVID #1 Moderna vaccine on 2/3/2021. On 2/9/21, he reported to our ER with severe upper back pain x 2 weeks, notes indicate that he fell 12/2020 and sustained a fracture to T5, he denied shortness of breath but did report a cough. He was given morphine 10mg IM x 1 dose, ondansetron 4mg SL x 1 dose and an outpatient RX for Norco and discharged. On 2/11/21, his wife reported that he fell out of bed and he was taken to a facility via EMS. No records from that visit are available. On 3/9/2021. it was reported that he passed away. No autopsy reports available. 34 days from time of vaccine to date of death."
	"1213566-1"	"1213566-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative: Patient received his COVID #1 Moderna vaccine on 2/3/2021. On 2/9/21, he reported to our ER with severe upper back pain x 2 weeks, notes indicate that he fell 12/2020 and sustained a fracture to T5, he denied shortness of breath but did report a cough. He was given morphine 10mg IM x 1 dose, ondansetron 4mg SL x 1 dose and an outpatient RX for Norco and discharged. On 2/11/21, his wife reported that he fell out of bed and he was taken to a facility via EMS. No records from that visit are available. On 3/9/2021. it was reported that he passed away. No autopsy reports available. 34 days from time of vaccine to date of death."
	"1213566-1"	"1213566-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"death Narrative: Patient received his COVID #1 Moderna vaccine on 2/3/2021. On 2/9/21, he reported to our ER with severe upper back pain x 2 weeks, notes indicate that he fell 12/2020 and sustained a fracture to T5, he denied shortness of breath but did report a cough. He was given morphine 10mg IM x 1 dose, ondansetron 4mg SL x 1 dose and an outpatient RX for Norco and discharged. On 2/11/21, his wife reported that he fell out of bed and he was taken to a facility via EMS. No records from that visit are available. On 3/9/2021. it was reported that he passed away. No autopsy reports available. 34 days from time of vaccine to date of death."
	"1213566-1"	"1213566-1"	"THORACIC VERTEBRAL FRACTURE"	"10049948"	"65-79 years"	"65-79"	"death Narrative: Patient received his COVID #1 Moderna vaccine on 2/3/2021. On 2/9/21, he reported to our ER with severe upper back pain x 2 weeks, notes indicate that he fell 12/2020 and sustained a fracture to T5, he denied shortness of breath but did report a cough. He was given morphine 10mg IM x 1 dose, ondansetron 4mg SL x 1 dose and an outpatient RX for Norco and discharged. On 2/11/21, his wife reported that he fell out of bed and he was taken to a facility via EMS. No records from that visit are available. On 3/9/2021. it was reported that he passed away. No autopsy reports available. 34 days from time of vaccine to date of death."
	"1213568-1"	"1213568-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"CATHETER PLACEMENT"	"10052915"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213568-1"	"1213568-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"death Narrative: Patient received Moderna covid vaccine # 1 on 2/26/21. Per scanned records on 3/18/21, he presented to the ER with reports of shortness of breath and was subsequently admitted and treated for acute CHF, NSTEMI and sepsis (ceftriaxone and azithromycin). He later developed AKI and surgery was consulted for placement of a Trialysis catheter. After placement of this catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue. Autopsy reports not available. 22 days from date of vaccine to date of death."
	"1213571-1"	"1213571-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Death. Narrative: Patient received Moderna COVID vaccine #1 on 3/1/21. On 3/17/21, he was admitted to a facility for a CABG. Per notes, after his CABG, he developed Pseudomonas pneumonia, AKI requiring dialysis and ultimately became oliguric. He required epinephrine, dobutamine, dopamine, amiodarone and went through two code blues prior to pronouncement of death on 3/25/21 at 2305. No autopsy reports available. 24 days from time of vaccine to date of death."
	"1213571-1"	"1213571-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Death. Narrative: Patient received Moderna COVID vaccine #1 on 3/1/21. On 3/17/21, he was admitted to a facility for a CABG. Per notes, after his CABG, he developed Pseudomonas pneumonia, AKI requiring dialysis and ultimately became oliguric. He required epinephrine, dobutamine, dopamine, amiodarone and went through two code blues prior to pronouncement of death on 3/25/21 at 2305. No autopsy reports available. 24 days from time of vaccine to date of death."
	"1213571-1"	"1213571-1"	"CORONARY ARTERY BYPASS"	"10011077"	"65-79 years"	"65-79"	"Death. Narrative: Patient received Moderna COVID vaccine #1 on 3/1/21. On 3/17/21, he was admitted to a facility for a CABG. Per notes, after his CABG, he developed Pseudomonas pneumonia, AKI requiring dialysis and ultimately became oliguric. He required epinephrine, dobutamine, dopamine, amiodarone and went through two code blues prior to pronouncement of death on 3/25/21 at 2305. No autopsy reports available. 24 days from time of vaccine to date of death."
	"1213571-1"	"1213571-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death. Narrative: Patient received Moderna COVID vaccine #1 on 3/1/21. On 3/17/21, he was admitted to a facility for a CABG. Per notes, after his CABG, he developed Pseudomonas pneumonia, AKI requiring dialysis and ultimately became oliguric. He required epinephrine, dobutamine, dopamine, amiodarone and went through two code blues prior to pronouncement of death on 3/25/21 at 2305. No autopsy reports available. 24 days from time of vaccine to date of death."
	"1213571-1"	"1213571-1"	"DIALYSIS"	"10061105"	"65-79 years"	"65-79"	"Death. Narrative: Patient received Moderna COVID vaccine #1 on 3/1/21. On 3/17/21, he was admitted to a facility for a CABG. Per notes, after his CABG, he developed Pseudomonas pneumonia, AKI requiring dialysis and ultimately became oliguric. He required epinephrine, dobutamine, dopamine, amiodarone and went through two code blues prior to pronouncement of death on 3/25/21 at 2305. No autopsy reports available. 24 days from time of vaccine to date of death."
	"1213571-1"	"1213571-1"	"OLIGURIA"	"10030302"	"65-79 years"	"65-79"	"Death. Narrative: Patient received Moderna COVID vaccine #1 on 3/1/21. On 3/17/21, he was admitted to a facility for a CABG. Per notes, after his CABG, he developed Pseudomonas pneumonia, AKI requiring dialysis and ultimately became oliguric. He required epinephrine, dobutamine, dopamine, amiodarone and went through two code blues prior to pronouncement of death on 3/25/21 at 2305. No autopsy reports available. 24 days from time of vaccine to date of death."
	"1213571-1"	"1213571-1"	"PNEUMONIA PSEUDOMONAL"	"10035731"	"65-79 years"	"65-79"	"Death. Narrative: Patient received Moderna COVID vaccine #1 on 3/1/21. On 3/17/21, he was admitted to a facility for a CABG. Per notes, after his CABG, he developed Pseudomonas pneumonia, AKI requiring dialysis and ultimately became oliguric. He required epinephrine, dobutamine, dopamine, amiodarone and went through two code blues prior to pronouncement of death on 3/25/21 at 2305. No autopsy reports available. 24 days from time of vaccine to date of death."
	"1213955-1"	"1213955-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"My brother is now dead, less than one month after his second shot"
	"1218469-1"	"1218469-1"	"ABDOMINAL DISCOMFORT"	"10000059"	"65-79 years"	"65-79"	"death Narrative: Patient passed away on April 13, 2021 at home at 1810 He was 72 years old had severe aortic stenosis and hypertension and had an aortic valve replacement (TAVR) at hospital on Jan 20, 2021. He was readmitted to hospital for shortness of breath which was evaluated from Feb 19 - Feb 21, 2021 I spoke with his daughter today. She was with him at home when he went to the bathroom and since he had not come out for some time, she knocked on the door and found him collapsed in the bathroom. She called 911, who did CPR, however he had passed away. He was referred to the coroner. He had his first Moderna vaccine on March 15, 2021 after which he had not had any side effects. He received his second dose on April 12, 2021 and had not mentioned any side effects other than mild abdominal discomfort. Daughter said his shortness of breath had been improving after his discharge from the hospital. He had not complained of chest pain, cough, fever, diarrhea, in the last few days. I paid condolences to daughter and told here we would be reviewing the case to see if there was any relationship to him receiving the Covid19 vaccine and that the case had already been referred to the coroners office."
	"1218469-1"	"1218469-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative: Patient passed away on April 13, 2021 at home at 1810 He was 72 years old had severe aortic stenosis and hypertension and had an aortic valve replacement (TAVR) at hospital on Jan 20, 2021. He was readmitted to hospital for shortness of breath which was evaluated from Feb 19 - Feb 21, 2021 I spoke with his daughter today. She was with him at home when he went to the bathroom and since he had not come out for some time, she knocked on the door and found him collapsed in the bathroom. She called 911, who did CPR, however he had passed away. He was referred to the coroner. He had his first Moderna vaccine on March 15, 2021 after which he had not had any side effects. He received his second dose on April 12, 2021 and had not mentioned any side effects other than mild abdominal discomfort. Daughter said his shortness of breath had been improving after his discharge from the hospital. He had not complained of chest pain, cough, fever, diarrhea, in the last few days. I paid condolences to daughter and told here we would be reviewing the case to see if there was any relationship to him receiving the Covid19 vaccine and that the case had already been referred to the coroners office."
	"1218469-1"	"1218469-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"death Narrative: Patient passed away on April 13, 2021 at home at 1810 He was 72 years old had severe aortic stenosis and hypertension and had an aortic valve replacement (TAVR) at hospital on Jan 20, 2021. He was readmitted to hospital for shortness of breath which was evaluated from Feb 19 - Feb 21, 2021 I spoke with his daughter today. She was with him at home when he went to the bathroom and since he had not come out for some time, she knocked on the door and found him collapsed in the bathroom. She called 911, who did CPR, however he had passed away. He was referred to the coroner. He had his first Moderna vaccine on March 15, 2021 after which he had not had any side effects. He received his second dose on April 12, 2021 and had not mentioned any side effects other than mild abdominal discomfort. Daughter said his shortness of breath had been improving after his discharge from the hospital. He had not complained of chest pain, cough, fever, diarrhea, in the last few days. I paid condolences to daughter and told here we would be reviewing the case to see if there was any relationship to him receiving the Covid19 vaccine and that the case had already been referred to the coroners office."
	"1218469-1"	"1218469-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"death Narrative: Patient passed away on April 13, 2021 at home at 1810 He was 72 years old had severe aortic stenosis and hypertension and had an aortic valve replacement (TAVR) at hospital on Jan 20, 2021. He was readmitted to hospital for shortness of breath which was evaluated from Feb 19 - Feb 21, 2021 I spoke with his daughter today. She was with him at home when he went to the bathroom and since he had not come out for some time, she knocked on the door and found him collapsed in the bathroom. She called 911, who did CPR, however he had passed away. He was referred to the coroner. He had his first Moderna vaccine on March 15, 2021 after which he had not had any side effects. He received his second dose on April 12, 2021 and had not mentioned any side effects other than mild abdominal discomfort. Daughter said his shortness of breath had been improving after his discharge from the hospital. He had not complained of chest pain, cough, fever, diarrhea, in the last few days. I paid condolences to daughter and told here we would be reviewing the case to see if there was any relationship to him receiving the Covid19 vaccine and that the case had already been referred to the coroners office."
	"1221918-1"	"1221918-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Died; The initial case was missing the following minimum criteria: Reporter with no first-hand knowledge. Upon receipt of follow-up information on 13Apr2021, this case now contains all required information to be considered valid. This is a spontaneous report from a Pfizer-sponsored program. A non-contactable consumer reported that a 66-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 11Jan2021 (at the age of 66-year-old) (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. Relevant medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 21Dec2020 for COVID-19 immunisation. The patient died on 11Jan2021; the cause of death was unknown. On 11Jan2021, the patient experienced cardiac arrest and breathless with outcome unknown. The patient was found pulseless and breathless 20 minutes following the vaccine administration. MD found no signs of anaphylaxis. It was not reported if an autopsy was performed.  No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Died"
	"1221918-1"	"1221918-1"	"HEART RATE"	"10019299"	"65-79 years"	"65-79"	"Died; The initial case was missing the following minimum criteria: Reporter with no first-hand knowledge. Upon receipt of follow-up information on 13Apr2021, this case now contains all required information to be considered valid. This is a spontaneous report from a Pfizer-sponsored program. A non-contactable consumer reported that a 66-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 11Jan2021 (at the age of 66-year-old) (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. Relevant medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 21Dec2020 for COVID-19 immunisation. The patient died on 11Jan2021; the cause of death was unknown. On 11Jan2021, the patient experienced cardiac arrest and breathless with outcome unknown. The patient was found pulseless and breathless 20 minutes following the vaccine administration. MD found no signs of anaphylaxis. It was not reported if an autopsy was performed.  No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Died"
	"1224923-1"	"1224923-1"	"BLOOD PRESSURE MEASUREMENT"	"10076581"	"65-79 years"	"65-79"	""My uncle died three days after taking the vaccine; he felt strange and he felt like something was in his throat; he felt like he wasn't doing well; This is a spontaneous report from a contactable nurse reporting for her uncle.    A 73-years-old male patient received bnt162b2 (BNT162B2), via an unspecified route of administration on 06Apr2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation  .  Medical history included psoriasis , cardiac pacemaker insertion on an unknown date (He recently had a pacemaker implanted several months ago) , hypertension from an unknown date.      The patient  died three days after taking the vaccine  on 09Apr2021 , he felt strange and he felt like something was in his throat on 09Apr2021 with outcome of unknown.  The patient underwent lab tests and procedures which included blood pressure measurement: 150/90   on  09Apr2021.    It was not reported if an autopsy was performed.  Course of the event: The reporter's uncle died three days after taking the vaccine. He was at home getting ready to watch a basketball game with the reporter's aunt when he began to complain that he felt strange and he felt like something was in his throat. Both the patient and the reporter's aunt are also RN's. My aunt checked his BP and the first time it was 150/90. His BP was taken a second time but the reporter cannot remember what  the 2nd reading was. He then said he was going to the bathroom and asked her to call # because he felt like he wasn't doing well.  The reporter's aunt  called #, and assisted the reporter's uncle to lay down in bed. She remained on the phone with #who arrived at the scene shortly thereafter. They performed CPR at the scene and he was transported to the hospital. The reporter  believes the patient was pronounced dead at home. The patient was about 5""10, heavy set stature. He recently had a pacemaker implanted several months ago and has a history of psoriasis and HTN. There is additional concomitant medical history I will have to confirm.   Information about lot/batch has been requested.; Sender's Comments: The information available in this report is limited and does not allow a medically meaningful assessment for the reported patient's sudden death. This case will be reassessed once additional information becomes available.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: My uncle died three days after taking the vaccine""
	"1224923-1"	"1224923-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""My uncle died three days after taking the vaccine; he felt strange and he felt like something was in his throat; he felt like he wasn't doing well; This is a spontaneous report from a contactable nurse reporting for her uncle.    A 73-years-old male patient received bnt162b2 (BNT162B2), via an unspecified route of administration on 06Apr2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation  .  Medical history included psoriasis , cardiac pacemaker insertion on an unknown date (He recently had a pacemaker implanted several months ago) , hypertension from an unknown date.      The patient  died three days after taking the vaccine  on 09Apr2021 , he felt strange and he felt like something was in his throat on 09Apr2021 with outcome of unknown.  The patient underwent lab tests and procedures which included blood pressure measurement: 150/90   on  09Apr2021.    It was not reported if an autopsy was performed.  Course of the event: The reporter's uncle died three days after taking the vaccine. He was at home getting ready to watch a basketball game with the reporter's aunt when he began to complain that he felt strange and he felt like something was in his throat. Both the patient and the reporter's aunt are also RN's. My aunt checked his BP and the first time it was 150/90. His BP was taken a second time but the reporter cannot remember what  the 2nd reading was. He then said he was going to the bathroom and asked her to call # because he felt like he wasn't doing well.  The reporter's aunt  called #, and assisted the reporter's uncle to lay down in bed. She remained on the phone with #who arrived at the scene shortly thereafter. They performed CPR at the scene and he was transported to the hospital. The reporter  believes the patient was pronounced dead at home. The patient was about 5""10, heavy set stature. He recently had a pacemaker implanted several months ago and has a history of psoriasis and HTN. There is additional concomitant medical history I will have to confirm.   Information about lot/batch has been requested.; Sender's Comments: The information available in this report is limited and does not allow a medically meaningful assessment for the reported patient's sudden death. This case will be reassessed once additional information becomes available.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: My uncle died three days after taking the vaccine""
	"1224923-1"	"1224923-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	""My uncle died three days after taking the vaccine; he felt strange and he felt like something was in his throat; he felt like he wasn't doing well; This is a spontaneous report from a contactable nurse reporting for her uncle.    A 73-years-old male patient received bnt162b2 (BNT162B2), via an unspecified route of administration on 06Apr2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation  .  Medical history included psoriasis , cardiac pacemaker insertion on an unknown date (He recently had a pacemaker implanted several months ago) , hypertension from an unknown date.      The patient  died three days after taking the vaccine  on 09Apr2021 , he felt strange and he felt like something was in his throat on 09Apr2021 with outcome of unknown.  The patient underwent lab tests and procedures which included blood pressure measurement: 150/90   on  09Apr2021.    It was not reported if an autopsy was performed.  Course of the event: The reporter's uncle died three days after taking the vaccine. He was at home getting ready to watch a basketball game with the reporter's aunt when he began to complain that he felt strange and he felt like something was in his throat. Both the patient and the reporter's aunt are also RN's. My aunt checked his BP and the first time it was 150/90. His BP was taken a second time but the reporter cannot remember what  the 2nd reading was. He then said he was going to the bathroom and asked her to call # because he felt like he wasn't doing well.  The reporter's aunt  called #, and assisted the reporter's uncle to lay down in bed. She remained on the phone with #who arrived at the scene shortly thereafter. They performed CPR at the scene and he was transported to the hospital. The reporter  believes the patient was pronounced dead at home. The patient was about 5""10, heavy set stature. He recently had a pacemaker implanted several months ago and has a history of psoriasis and HTN. There is additional concomitant medical history I will have to confirm.   Information about lot/batch has been requested.; Sender's Comments: The information available in this report is limited and does not allow a medically meaningful assessment for the reported patient's sudden death. This case will be reassessed once additional information becomes available.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: My uncle died three days after taking the vaccine""
	"1224923-1"	"1224923-1"	"OROPHARYNGEAL DISCOMFORT"	"10068318"	"65-79 years"	"65-79"	""My uncle died three days after taking the vaccine; he felt strange and he felt like something was in his throat; he felt like he wasn't doing well; This is a spontaneous report from a contactable nurse reporting for her uncle.    A 73-years-old male patient received bnt162b2 (BNT162B2), via an unspecified route of administration on 06Apr2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation  .  Medical history included psoriasis , cardiac pacemaker insertion on an unknown date (He recently had a pacemaker implanted several months ago) , hypertension from an unknown date.      The patient  died three days after taking the vaccine  on 09Apr2021 , he felt strange and he felt like something was in his throat on 09Apr2021 with outcome of unknown.  The patient underwent lab tests and procedures which included blood pressure measurement: 150/90   on  09Apr2021.    It was not reported if an autopsy was performed.  Course of the event: The reporter's uncle died three days after taking the vaccine. He was at home getting ready to watch a basketball game with the reporter's aunt when he began to complain that he felt strange and he felt like something was in his throat. Both the patient and the reporter's aunt are also RN's. My aunt checked his BP and the first time it was 150/90. His BP was taken a second time but the reporter cannot remember what  the 2nd reading was. He then said he was going to the bathroom and asked her to call # because he felt like he wasn't doing well.  The reporter's aunt  called #, and assisted the reporter's uncle to lay down in bed. She remained on the phone with #who arrived at the scene shortly thereafter. They performed CPR at the scene and he was transported to the hospital. The reporter  believes the patient was pronounced dead at home. The patient was about 5""10, heavy set stature. He recently had a pacemaker implanted several months ago and has a history of psoriasis and HTN. There is additional concomitant medical history I will have to confirm.   Information about lot/batch has been requested.; Sender's Comments: The information available in this report is limited and does not allow a medically meaningful assessment for the reported patient's sudden death. This case will be reassessed once additional information becomes available.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: My uncle died three days after taking the vaccine""
	"1228009-1"	"1228009-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"respiratory and cardiac arrest Narrative:  Patient with PMH of esophageal cancer, larynx cancer, liver cancer, PTSD, A. fib, and alcohol abuse. He received his COVID-19 vaccines on 2/14/21 and 3/14/21. Both vaccines were administered without complications and patient was observed for 15 minutes post-vaccination without adverse effects. No other adverse events noted between time of last COVID-19 vaccinations and death. On 4/11/21, patient's wife called 911 in which EMS found patient unresponsive with abnormal breathing. Wife reported that patient was breathing up until 5 minutes prior to EMA arrival, but had been unresponsive. Wife reports that patient suffered from multiple forms of cancer, PTSD, and alcohol abuse. Wife believed that patient quit smoking and drinking but the morning of death found vodka and cigarettes in his coat. Wife reports that patient asked for help getting up from the stairs and then laid down in the bed, and went unresponsive afterwards. EMS attempted to revive the patient with CPR but were unsuccessful. Per EMS note patient suffered from respiratory arrest, cardiac arrest, then cardiac death. Patient was not brought to the hospital prior to death. It is very unlikely that the COVID-19 vaccinations contributed to this patient's death due to his extensive PMH with substance use disorder and cancer."
	"1228009-1"	"1228009-1"	"CARDIAC DEATH"	"10049993"	"65-79 years"	"65-79"	"respiratory and cardiac arrest Narrative:  Patient with PMH of esophageal cancer, larynx cancer, liver cancer, PTSD, A. fib, and alcohol abuse. He received his COVID-19 vaccines on 2/14/21 and 3/14/21. Both vaccines were administered without complications and patient was observed for 15 minutes post-vaccination without adverse effects. No other adverse events noted between time of last COVID-19 vaccinations and death. On 4/11/21, patient's wife called 911 in which EMS found patient unresponsive with abnormal breathing. Wife reported that patient was breathing up until 5 minutes prior to EMA arrival, but had been unresponsive. Wife reports that patient suffered from multiple forms of cancer, PTSD, and alcohol abuse. Wife believed that patient quit smoking and drinking but the morning of death found vodka and cigarettes in his coat. Wife reports that patient asked for help getting up from the stairs and then laid down in the bed, and went unresponsive afterwards. EMS attempted to revive the patient with CPR but were unsuccessful. Per EMS note patient suffered from respiratory arrest, cardiac arrest, then cardiac death. Patient was not brought to the hospital prior to death. It is very unlikely that the COVID-19 vaccinations contributed to this patient's death due to his extensive PMH with substance use disorder and cancer."
	"1228009-1"	"1228009-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"respiratory and cardiac arrest Narrative:  Patient with PMH of esophageal cancer, larynx cancer, liver cancer, PTSD, A. fib, and alcohol abuse. He received his COVID-19 vaccines on 2/14/21 and 3/14/21. Both vaccines were administered without complications and patient was observed for 15 minutes post-vaccination without adverse effects. No other adverse events noted between time of last COVID-19 vaccinations and death. On 4/11/21, patient's wife called 911 in which EMS found patient unresponsive with abnormal breathing. Wife reported that patient was breathing up until 5 minutes prior to EMA arrival, but had been unresponsive. Wife reports that patient suffered from multiple forms of cancer, PTSD, and alcohol abuse. Wife believed that patient quit smoking and drinking but the morning of death found vodka and cigarettes in his coat. Wife reports that patient asked for help getting up from the stairs and then laid down in the bed, and went unresponsive afterwards. EMS attempted to revive the patient with CPR but were unsuccessful. Per EMS note patient suffered from respiratory arrest, cardiac arrest, then cardiac death. Patient was not brought to the hospital prior to death. It is very unlikely that the COVID-19 vaccinations contributed to this patient's death due to his extensive PMH with substance use disorder and cancer."
	"1228009-1"	"1228009-1"	"RESPIRATION ABNORMAL"	"10038647"	"65-79 years"	"65-79"	"respiratory and cardiac arrest Narrative:  Patient with PMH of esophageal cancer, larynx cancer, liver cancer, PTSD, A. fib, and alcohol abuse. He received his COVID-19 vaccines on 2/14/21 and 3/14/21. Both vaccines were administered without complications and patient was observed for 15 minutes post-vaccination without adverse effects. No other adverse events noted between time of last COVID-19 vaccinations and death. On 4/11/21, patient's wife called 911 in which EMS found patient unresponsive with abnormal breathing. Wife reported that patient was breathing up until 5 minutes prior to EMA arrival, but had been unresponsive. Wife reports that patient suffered from multiple forms of cancer, PTSD, and alcohol abuse. Wife believed that patient quit smoking and drinking but the morning of death found vodka and cigarettes in his coat. Wife reports that patient asked for help getting up from the stairs and then laid down in the bed, and went unresponsive afterwards. EMS attempted to revive the patient with CPR but were unsuccessful. Per EMS note patient suffered from respiratory arrest, cardiac arrest, then cardiac death. Patient was not brought to the hospital prior to death. It is very unlikely that the COVID-19 vaccinations contributed to this patient's death due to his extensive PMH with substance use disorder and cancer."
	"1228009-1"	"1228009-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"respiratory and cardiac arrest Narrative:  Patient with PMH of esophageal cancer, larynx cancer, liver cancer, PTSD, A. fib, and alcohol abuse. He received his COVID-19 vaccines on 2/14/21 and 3/14/21. Both vaccines were administered without complications and patient was observed for 15 minutes post-vaccination without adverse effects. No other adverse events noted between time of last COVID-19 vaccinations and death. On 4/11/21, patient's wife called 911 in which EMS found patient unresponsive with abnormal breathing. Wife reported that patient was breathing up until 5 minutes prior to EMA arrival, but had been unresponsive. Wife reports that patient suffered from multiple forms of cancer, PTSD, and alcohol abuse. Wife believed that patient quit smoking and drinking but the morning of death found vodka and cigarettes in his coat. Wife reports that patient asked for help getting up from the stairs and then laid down in the bed, and went unresponsive afterwards. EMS attempted to revive the patient with CPR but were unsuccessful. Per EMS note patient suffered from respiratory arrest, cardiac arrest, then cardiac death. Patient was not brought to the hospital prior to death. It is very unlikely that the COVID-19 vaccinations contributed to this patient's death due to his extensive PMH with substance use disorder and cancer."
	"1228009-1"	"1228009-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"respiratory and cardiac arrest Narrative:  Patient with PMH of esophageal cancer, larynx cancer, liver cancer, PTSD, A. fib, and alcohol abuse. He received his COVID-19 vaccines on 2/14/21 and 3/14/21. Both vaccines were administered without complications and patient was observed for 15 minutes post-vaccination without adverse effects. No other adverse events noted between time of last COVID-19 vaccinations and death. On 4/11/21, patient's wife called 911 in which EMS found patient unresponsive with abnormal breathing. Wife reported that patient was breathing up until 5 minutes prior to EMA arrival, but had been unresponsive. Wife reports that patient suffered from multiple forms of cancer, PTSD, and alcohol abuse. Wife believed that patient quit smoking and drinking but the morning of death found vodka and cigarettes in his coat. Wife reports that patient asked for help getting up from the stairs and then laid down in the bed, and went unresponsive afterwards. EMS attempted to revive the patient with CPR but were unsuccessful. Per EMS note patient suffered from respiratory arrest, cardiac arrest, then cardiac death. Patient was not brought to the hospital prior to death. It is very unlikely that the COVID-19 vaccinations contributed to this patient's death due to his extensive PMH with substance use disorder and cancer."
	"1228009-1"	"1228009-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"respiratory and cardiac arrest Narrative:  Patient with PMH of esophageal cancer, larynx cancer, liver cancer, PTSD, A. fib, and alcohol abuse. He received his COVID-19 vaccines on 2/14/21 and 3/14/21. Both vaccines were administered without complications and patient was observed for 15 minutes post-vaccination without adverse effects. No other adverse events noted between time of last COVID-19 vaccinations and death. On 4/11/21, patient's wife called 911 in which EMS found patient unresponsive with abnormal breathing. Wife reported that patient was breathing up until 5 minutes prior to EMA arrival, but had been unresponsive. Wife reports that patient suffered from multiple forms of cancer, PTSD, and alcohol abuse. Wife believed that patient quit smoking and drinking but the morning of death found vodka and cigarettes in his coat. Wife reports that patient asked for help getting up from the stairs and then laid down in the bed, and went unresponsive afterwards. EMS attempted to revive the patient with CPR but were unsuccessful. Per EMS note patient suffered from respiratory arrest, cardiac arrest, then cardiac death. Patient was not brought to the hospital prior to death. It is very unlikely that the COVID-19 vaccinations contributed to this patient's death due to his extensive PMH with substance use disorder and cancer."
	"1228012-1"	"1228012-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 78 and receiving home based primary care prior to COVID vaccination for multiple conditions including CKD, T2DM, w/ complications, and CHF."
	"1228013-1"	"1228013-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death. Narrative: Patient was not previously COVID positive and did not have any predisposing factors (PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 74 but no cause of death listed or notes of recent care. Patient was hospitalized with chest pain in 6/2020 and has h/o of severe multivessel CAD, HFrEF, and polysubstance abuse."
	"1228015-1"	"1228015-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was admitted to hospital from 11/18/20-1/26/21 for Dx: generalized weakness. Previously admitted 10/21/20-11/17/20 for a pulmonary embolism. Patient did not last long after being discharged from short term rehab and passed away at home on 2/2/2021"
	"1228015-1"	"1228015-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was admitted to hospital from 11/18/20-1/26/21 for Dx: generalized weakness. Previously admitted 10/21/20-11/17/20 for a pulmonary embolism. Patient did not last long after being discharged from short term rehab and passed away at home on 2/2/2021"
	"1228018-1"	"1228018-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Deceased 3/28/21 ""natural causes"" Narrative: Per notes ""Pathologist was informed that he died of natural causes"". PCP indicated that death cert will only show HTN as cause of death.""
	"1228018-1"	"1228018-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	""Deceased 3/28/21 ""natural causes"" Narrative: Per notes ""Pathologist was informed that he died of natural causes"". PCP indicated that death cert will only show HTN as cause of death.""
	"1228976-1"	"1228976-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death SHORTNESS OF BREATH"
	"1228976-1"	"1228976-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Death SHORTNESS OF BREATH"
	"1228986-1"	"1228986-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1229005-1"	"1229005-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1229079-1"	"1229079-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1229366-1"	"1229366-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization and death within 6 weeks of receiving COVID vaccination."
	"1229396-1"	"1229396-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Death R41.82 - Altered mental status N39.0 - Urinary tract infection N17.9 - Acute kidney injury (CMS/HCC) A41.9 - Sepsis (CMS/HCC)"
	"1229396-1"	"1229396-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death R41.82 - Altered mental status N39.0 - Urinary tract infection N17.9 - Acute kidney injury (CMS/HCC) A41.9 - Sepsis (CMS/HCC)"
	"1229396-1"	"1229396-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"Death R41.82 - Altered mental status N39.0 - Urinary tract infection N17.9 - Acute kidney injury (CMS/HCC) A41.9 - Sepsis (CMS/HCC)"
	"1229396-1"	"1229396-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Death R41.82 - Altered mental status N39.0 - Urinary tract infection N17.9 - Acute kidney injury (CMS/HCC) A41.9 - Sepsis (CMS/HCC)"
	"1229396-1"	"1229396-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"Death R41.82 - Altered mental status N39.0 - Urinary tract infection N17.9 - Acute kidney injury (CMS/HCC) A41.9 - Sepsis (CMS/HCC)"
	"1229734-1"	"1229734-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1229805-1"	"1229805-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1236408-1"	"1236408-1"	"CHOLELITHIASIS"	"10008629"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was hospitalized in early 02/2021 at Medical Center in the ICU for a bleeding ulcer. Was inpatient for over a month, but do not have records due to it being outside facility. Received a colonoscopy report which showed. diverticulosis and CT of abdomen showing pleural effusion, umbilical hernia and gallstones. Notable comorbidities include emphysema, CKD, CAD, ICM, and T2DM."
	"1236408-1"	"1236408-1"	"COLONOSCOPY ABNORMAL"	"10010008"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was hospitalized in early 02/2021 at Medical Center in the ICU for a bleeding ulcer. Was inpatient for over a month, but do not have records due to it being outside facility. Received a colonoscopy report which showed. diverticulosis and CT of abdomen showing pleural effusion, umbilical hernia and gallstones. Notable comorbidities include emphysema, CKD, CAD, ICM, and T2DM."
	"1236408-1"	"1236408-1"	"COMPUTERISED TOMOGRAM ABDOMEN ABNORMAL"	"10057798"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was hospitalized in early 02/2021 at Medical Center in the ICU for a bleeding ulcer. Was inpatient for over a month, but do not have records due to it being outside facility. Received a colonoscopy report which showed. diverticulosis and CT of abdomen showing pleural effusion, umbilical hernia and gallstones. Notable comorbidities include emphysema, CKD, CAD, ICM, and T2DM."
	"1236408-1"	"1236408-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was hospitalized in early 02/2021 at Medical Center in the ICU for a bleeding ulcer. Was inpatient for over a month, but do not have records due to it being outside facility. Received a colonoscopy report which showed. diverticulosis and CT of abdomen showing pleural effusion, umbilical hernia and gallstones. Notable comorbidities include emphysema, CKD, CAD, ICM, and T2DM."
	"1236408-1"	"1236408-1"	"DIVERTICULUM"	"10013554"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was hospitalized in early 02/2021 at Medical Center in the ICU for a bleeding ulcer. Was inpatient for over a month, but do not have records due to it being outside facility. Received a colonoscopy report which showed. diverticulosis and CT of abdomen showing pleural effusion, umbilical hernia and gallstones. Notable comorbidities include emphysema, CKD, CAD, ICM, and T2DM."
	"1236408-1"	"1236408-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was hospitalized in early 02/2021 at Medical Center in the ICU for a bleeding ulcer. Was inpatient for over a month, but do not have records due to it being outside facility. Received a colonoscopy report which showed. diverticulosis and CT of abdomen showing pleural effusion, umbilical hernia and gallstones. Notable comorbidities include emphysema, CKD, CAD, ICM, and T2DM."
	"1236408-1"	"1236408-1"	"PLEURAL EFFUSION"	"10035598"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was hospitalized in early 02/2021 at Medical Center in the ICU for a bleeding ulcer. Was inpatient for over a month, but do not have records due to it being outside facility. Received a colonoscopy report which showed. diverticulosis and CT of abdomen showing pleural effusion, umbilical hernia and gallstones. Notable comorbidities include emphysema, CKD, CAD, ICM, and T2DM."
	"1236408-1"	"1236408-1"	"ULCER HAEMORRHAGE"	"10061577"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was hospitalized in early 02/2021 at Medical Center in the ICU for a bleeding ulcer. Was inpatient for over a month, but do not have records due to it being outside facility. Received a colonoscopy report which showed. diverticulosis and CT of abdomen showing pleural effusion, umbilical hernia and gallstones. Notable comorbidities include emphysema, CKD, CAD, ICM, and T2DM."
	"1236408-1"	"1236408-1"	"UMBILICAL HERNIA"	"10045458"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was hospitalized in early 02/2021 at Medical Center in the ICU for a bleeding ulcer. Was inpatient for over a month, but do not have records due to it being outside facility. Received a colonoscopy report which showed. diverticulosis and CT of abdomen showing pleural effusion, umbilical hernia and gallstones. Notable comorbidities include emphysema, CKD, CAD, ICM, and T2DM."
	"1236410-1"	"1236410-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient found decreased at home on 3/3/21. No apparent cause of death. Telephone appt on 2/10/21 was unremarkable other than patient having mild shortness of breath and chest discomfort. Comorbidities include COPD, HTN, HLD, and age of 74."
	"1236413-1"	"1236413-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was hospitalized in 02/2021 at facility for unknown reason until his passing on 3/7/2021. He had dx of HCV in 01/2021 that was cured but left him with cirrhosis s/p TIPS procedure. Was not liver transplant candidate due to home O2 needs. Other major comorbidities include COPD and diabetes."
	"1236416-1"	"1236416-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death  Narrative: Patient received Moderna covid vaccine #1 on 1/22/21 and #2 on 2/24/21. On 3/4/21, he was admitted to a facility for shortness of breath x 1 week. Upon admission, he was found to be in heart block and was admitted to the ICU and placed on pressors. He did have a negative COVID PCR test on 3/4/21. He has a noted history of COPD, CHF and OSA. On 3/6/21, he underwent a new pacemaker placement. His course was complicated by the development of AKI, paroxysmal V tach and new aflutter and was initiated on apixaban. He was discharged on 3/18/21. No further records available and a date of death was recorded as 4/3/21. No autopsy results available. 38 days from time of second vaccine to date of death."
	"1236416-1"	"1236416-1"	"ANTICOAGULANT THERAPY"	"10053468"	"65-79 years"	"65-79"	"death  Narrative: Patient received Moderna covid vaccine #1 on 1/22/21 and #2 on 2/24/21. On 3/4/21, he was admitted to a facility for shortness of breath x 1 week. Upon admission, he was found to be in heart block and was admitted to the ICU and placed on pressors. He did have a negative COVID PCR test on 3/4/21. He has a noted history of COPD, CHF and OSA. On 3/6/21, he underwent a new pacemaker placement. His course was complicated by the development of AKI, paroxysmal V tach and new aflutter and was initiated on apixaban. He was discharged on 3/18/21. No further records available and a date of death was recorded as 4/3/21. No autopsy results available. 38 days from time of second vaccine to date of death."
	"1236416-1"	"1236416-1"	"ATRIAL FLUTTER"	"10003662"	"65-79 years"	"65-79"	"death  Narrative: Patient received Moderna covid vaccine #1 on 1/22/21 and #2 on 2/24/21. On 3/4/21, he was admitted to a facility for shortness of breath x 1 week. Upon admission, he was found to be in heart block and was admitted to the ICU and placed on pressors. He did have a negative COVID PCR test on 3/4/21. He has a noted history of COPD, CHF and OSA. On 3/6/21, he underwent a new pacemaker placement. His course was complicated by the development of AKI, paroxysmal V tach and new aflutter and was initiated on apixaban. He was discharged on 3/18/21. No further records available and a date of death was recorded as 4/3/21. No autopsy results available. 38 days from time of second vaccine to date of death."
	"1236416-1"	"1236416-1"	"ATRIOVENTRICULAR BLOCK"	"10003671"	"65-79 years"	"65-79"	"death  Narrative: Patient received Moderna covid vaccine #1 on 1/22/21 and #2 on 2/24/21. On 3/4/21, he was admitted to a facility for shortness of breath x 1 week. Upon admission, he was found to be in heart block and was admitted to the ICU and placed on pressors. He did have a negative COVID PCR test on 3/4/21. He has a noted history of COPD, CHF and OSA. On 3/6/21, he underwent a new pacemaker placement. His course was complicated by the development of AKI, paroxysmal V tach and new aflutter and was initiated on apixaban. He was discharged on 3/18/21. No further records available and a date of death was recorded as 4/3/21. No autopsy results available. 38 days from time of second vaccine to date of death."
	"1236416-1"	"1236416-1"	"CARDIAC PACEMAKER INSERTION"	"10007598"	"65-79 years"	"65-79"	"death  Narrative: Patient received Moderna covid vaccine #1 on 1/22/21 and #2 on 2/24/21. On 3/4/21, he was admitted to a facility for shortness of breath x 1 week. Upon admission, he was found to be in heart block and was admitted to the ICU and placed on pressors. He did have a negative COVID PCR test on 3/4/21. He has a noted history of COPD, CHF and OSA. On 3/6/21, he underwent a new pacemaker placement. His course was complicated by the development of AKI, paroxysmal V tach and new aflutter and was initiated on apixaban. He was discharged on 3/18/21. No further records available and a date of death was recorded as 4/3/21. No autopsy results available. 38 days from time of second vaccine to date of death."
	"1236416-1"	"1236416-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death  Narrative: Patient received Moderna covid vaccine #1 on 1/22/21 and #2 on 2/24/21. On 3/4/21, he was admitted to a facility for shortness of breath x 1 week. Upon admission, he was found to be in heart block and was admitted to the ICU and placed on pressors. He did have a negative COVID PCR test on 3/4/21. He has a noted history of COPD, CHF and OSA. On 3/6/21, he underwent a new pacemaker placement. His course was complicated by the development of AKI, paroxysmal V tach and new aflutter and was initiated on apixaban. He was discharged on 3/18/21. No further records available and a date of death was recorded as 4/3/21. No autopsy results available. 38 days from time of second vaccine to date of death."
	"1236416-1"	"1236416-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"death  Narrative: Patient received Moderna covid vaccine #1 on 1/22/21 and #2 on 2/24/21. On 3/4/21, he was admitted to a facility for shortness of breath x 1 week. Upon admission, he was found to be in heart block and was admitted to the ICU and placed on pressors. He did have a negative COVID PCR test on 3/4/21. He has a noted history of COPD, CHF and OSA. On 3/6/21, he underwent a new pacemaker placement. His course was complicated by the development of AKI, paroxysmal V tach and new aflutter and was initiated on apixaban. He was discharged on 3/18/21. No further records available and a date of death was recorded as 4/3/21. No autopsy results available. 38 days from time of second vaccine to date of death."
	"1236416-1"	"1236416-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"death  Narrative: Patient received Moderna covid vaccine #1 on 1/22/21 and #2 on 2/24/21. On 3/4/21, he was admitted to a facility for shortness of breath x 1 week. Upon admission, he was found to be in heart block and was admitted to the ICU and placed on pressors. He did have a negative COVID PCR test on 3/4/21. He has a noted history of COPD, CHF and OSA. On 3/6/21, he underwent a new pacemaker placement. His course was complicated by the development of AKI, paroxysmal V tach and new aflutter and was initiated on apixaban. He was discharged on 3/18/21. No further records available and a date of death was recorded as 4/3/21. No autopsy results available. 38 days from time of second vaccine to date of death."
	"1236416-1"	"1236416-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"death  Narrative: Patient received Moderna covid vaccine #1 on 1/22/21 and #2 on 2/24/21. On 3/4/21, he was admitted to a facility for shortness of breath x 1 week. Upon admission, he was found to be in heart block and was admitted to the ICU and placed on pressors. He did have a negative COVID PCR test on 3/4/21. He has a noted history of COPD, CHF and OSA. On 3/6/21, he underwent a new pacemaker placement. His course was complicated by the development of AKI, paroxysmal V tach and new aflutter and was initiated on apixaban. He was discharged on 3/18/21. No further records available and a date of death was recorded as 4/3/21. No autopsy results available. 38 days from time of second vaccine to date of death."
	"1236416-1"	"1236416-1"	"VENTRICULAR TACHYCARDIA"	"10047302"	"65-79 years"	"65-79"	"death  Narrative: Patient received Moderna covid vaccine #1 on 1/22/21 and #2 on 2/24/21. On 3/4/21, he was admitted to a facility for shortness of breath x 1 week. Upon admission, he was found to be in heart block and was admitted to the ICU and placed on pressors. He did have a negative COVID PCR test on 3/4/21. He has a noted history of COPD, CHF and OSA. On 3/6/21, he underwent a new pacemaker placement. His course was complicated by the development of AKI, paroxysmal V tach and new aflutter and was initiated on apixaban. He was discharged on 3/18/21. No further records available and a date of death was recorded as 4/3/21. No autopsy results available. 38 days from time of second vaccine to date of death."
	"1236419-1"	"1236419-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative:  Patient, that is a facility resident, received his Moderna covid vaccine #1 on 12/28/20. On 1/14/21 due a continued decline in status, he was changed to hospice care. On 1/25/21, he received covid #2. He was noted to have a decline in oral intake and increase in somnolence over a few weeks prior to his date of death on 2/9/21. No autopsy results available. 15 days from date of second vaccine to date of death."
	"1236419-1"	"1236419-1"	"HYPOPHAGIA"	"10063743"	"65-79 years"	"65-79"	"death Narrative:  Patient, that is a facility resident, received his Moderna covid vaccine #1 on 12/28/20. On 1/14/21 due a continued decline in status, he was changed to hospice care. On 1/25/21, he received covid #2. He was noted to have a decline in oral intake and increase in somnolence over a few weeks prior to his date of death on 2/9/21. No autopsy results available. 15 days from date of second vaccine to date of death."
	"1236419-1"	"1236419-1"	"SOMNOLENCE"	"10041349"	"65-79 years"	"65-79"	"death Narrative:  Patient, that is a facility resident, received his Moderna covid vaccine #1 on 12/28/20. On 1/14/21 due a continued decline in status, he was changed to hospice care. On 1/25/21, he received covid #2. He was noted to have a decline in oral intake and increase in somnolence over a few weeks prior to his date of death on 2/9/21. No autopsy results available. 15 days from date of second vaccine to date of death."
	"1237878-1"	"1237878-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 70 year old white female received the Covid shot on 2/25/2021 and died of a heart attack on 4/13/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1237878-1"	"1237878-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"This 70 year old white female received the Covid shot on 2/25/2021 and died of a heart attack on 4/13/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238302-1"	"1238302-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 75 year old white female received the Covid shot on 3/23/21 and died on 4/4/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238342-1"	"1238342-1"	"ANAEMIA"	"10002034"	"65-79 years"	"65-79"	"This 72 year old   white male hospice patient received the Covid shot on  2/20/21   and went to the ED on  3/27/21   and was admitted  on  3/27/21    with shortness of breath, pneumonia, hyponatremia, anemia, bilateral pleural effusion, metastatic cancer and died on 4/17/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238342-1"	"1238342-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 72 year old   white male hospice patient received the Covid shot on  2/20/21   and went to the ED on  3/27/21   and was admitted  on  3/27/21    with shortness of breath, pneumonia, hyponatremia, anemia, bilateral pleural effusion, metastatic cancer and died on 4/17/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238342-1"	"1238342-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"This 72 year old   white male hospice patient received the Covid shot on  2/20/21   and went to the ED on  3/27/21   and was admitted  on  3/27/21    with shortness of breath, pneumonia, hyponatremia, anemia, bilateral pleural effusion, metastatic cancer and died on 4/17/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238342-1"	"1238342-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"This 72 year old   white male hospice patient received the Covid shot on  2/20/21   and went to the ED on  3/27/21   and was admitted  on  3/27/21    with shortness of breath, pneumonia, hyponatremia, anemia, bilateral pleural effusion, metastatic cancer and died on 4/17/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238342-1"	"1238342-1"	"METASTATIC NEOPLASM"	"10061289"	"65-79 years"	"65-79"	"This 72 year old   white male hospice patient received the Covid shot on  2/20/21   and went to the ED on  3/27/21   and was admitted  on  3/27/21    with shortness of breath, pneumonia, hyponatremia, anemia, bilateral pleural effusion, metastatic cancer and died on 4/17/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238342-1"	"1238342-1"	"PLEURAL EFFUSION"	"10035598"	"65-79 years"	"65-79"	"This 72 year old   white male hospice patient received the Covid shot on  2/20/21   and went to the ED on  3/27/21   and was admitted  on  3/27/21    with shortness of breath, pneumonia, hyponatremia, anemia, bilateral pleural effusion, metastatic cancer and died on 4/17/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238342-1"	"1238342-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"This 72 year old   white male hospice patient received the Covid shot on  2/20/21   and went to the ED on  3/27/21   and was admitted  on  3/27/21    with shortness of breath, pneumonia, hyponatremia, anemia, bilateral pleural effusion, metastatic cancer and died on 4/17/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238356-1"	"1238356-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"This  69 year old female received the Covid shot on  3/10/21    and went to the ED on  3/14/21   and was admitted  on  3/14/21  with weakness, lack of appetite, malignant neoplasm of brain and lung  and died on  4/18/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238356-1"	"1238356-1"	"BRAIN NEOPLASM MALIGNANT"	"10006131"	"65-79 years"	"65-79"	"This  69 year old female received the Covid shot on  3/10/21    and went to the ED on  3/14/21   and was admitted  on  3/14/21  with weakness, lack of appetite, malignant neoplasm of brain and lung  and died on  4/18/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238356-1"	"1238356-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This  69 year old female received the Covid shot on  3/10/21    and went to the ED on  3/14/21   and was admitted  on  3/14/21  with weakness, lack of appetite, malignant neoplasm of brain and lung  and died on  4/18/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238356-1"	"1238356-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"This  69 year old female received the Covid shot on  3/10/21    and went to the ED on  3/14/21   and was admitted  on  3/14/21  with weakness, lack of appetite, malignant neoplasm of brain and lung  and died on  4/18/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1238356-1"	"1238356-1"	"LUNG NEOPLASM MALIGNANT"	"10058467"	"65-79 years"	"65-79"	"This  69 year old female received the Covid shot on  3/10/21    and went to the ED on  3/14/21   and was admitted  on  3/14/21  with weakness, lack of appetite, malignant neoplasm of brain and lung  and died on  4/18/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1241388-1"	"1241388-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 76 and presented to the ER on 2/20/21 with altered mental status, weakness, and persistent diarrhea after just being discharged previous week for bacteremia. Hospital progression included a GI bleed requiring blood transfusions, esophageal varices, and unrecoverable mental status. Care was transitioned to hospice where he passed on 2/28/21. Comorbidities include cirrhosis, CKD, DM, pancytopenia, frequent paracentesis for ascites."
	"1241388-1"	"1241388-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 76 and presented to the ER on 2/20/21 with altered mental status, weakness, and persistent diarrhea after just being discharged previous week for bacteremia. Hospital progression included a GI bleed requiring blood transfusions, esophageal varices, and unrecoverable mental status. Care was transitioned to hospice where he passed on 2/28/21. Comorbidities include cirrhosis, CKD, DM, pancytopenia, frequent paracentesis for ascites."
	"1241388-1"	"1241388-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 76 and presented to the ER on 2/20/21 with altered mental status, weakness, and persistent diarrhea after just being discharged previous week for bacteremia. Hospital progression included a GI bleed requiring blood transfusions, esophageal varices, and unrecoverable mental status. Care was transitioned to hospice where he passed on 2/28/21. Comorbidities include cirrhosis, CKD, DM, pancytopenia, frequent paracentesis for ascites."
	"1241388-1"	"1241388-1"	"GASTROINTESTINAL HAEMORRHAGE"	"10017955"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 76 and presented to the ER on 2/20/21 with altered mental status, weakness, and persistent diarrhea after just being discharged previous week for bacteremia. Hospital progression included a GI bleed requiring blood transfusions, esophageal varices, and unrecoverable mental status. Care was transitioned to hospice where he passed on 2/28/21. Comorbidities include cirrhosis, CKD, DM, pancytopenia, frequent paracentesis for ascites."
	"1241388-1"	"1241388-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 76 and presented to the ER on 2/20/21 with altered mental status, weakness, and persistent diarrhea after just being discharged previous week for bacteremia. Hospital progression included a GI bleed requiring blood transfusions, esophageal varices, and unrecoverable mental status. Care was transitioned to hospice where he passed on 2/28/21. Comorbidities include cirrhosis, CKD, DM, pancytopenia, frequent paracentesis for ascites."
	"1241388-1"	"1241388-1"	"TRANSFUSION"	"10066152"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 76 and presented to the ER on 2/20/21 with altered mental status, weakness, and persistent diarrhea after just being discharged previous week for bacteremia. Hospital progression included a GI bleed requiring blood transfusions, esophageal varices, and unrecoverable mental status. Care was transitioned to hospice where he passed on 2/28/21. Comorbidities include cirrhosis, CKD, DM, pancytopenia, frequent paracentesis for ascites."
	"1241388-1"	"1241388-1"	"VARICES OESOPHAGEAL"	"10056091"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 76 and presented to the ER on 2/20/21 with altered mental status, weakness, and persistent diarrhea after just being discharged previous week for bacteremia. Hospital progression included a GI bleed requiring blood transfusions, esophageal varices, and unrecoverable mental status. Care was transitioned to hospice where he passed on 2/28/21. Comorbidities include cirrhosis, CKD, DM, pancytopenia, frequent paracentesis for ascites."
	"1241389-1"	"1241389-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient presented to the ER on 3/8/21 after being sick the prior 2 weeks with loose, bloody/tarry stools, frequent falls, and hypotension. Hospital course progressed to worsening encephalopathy secondary to decompensated alcoholic cirrhosis. Developed pneumonia that did not improve with antibiotics and progressed to palliative care with him passing away on 3/24/21. Comorbidities include COPD, alcoholism, Takotsubo cardiomyopathy, HTN, cirrhosis, HLD, former smoker."
	"1241389-1"	"1241389-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"Death Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient presented to the ER on 3/8/21 after being sick the prior 2 weeks with loose, bloody/tarry stools, frequent falls, and hypotension. Hospital course progressed to worsening encephalopathy secondary to decompensated alcoholic cirrhosis. Developed pneumonia that did not improve with antibiotics and progressed to palliative care with him passing away on 3/24/21. Comorbidities include COPD, alcoholism, Takotsubo cardiomyopathy, HTN, cirrhosis, HLD, former smoker."
	"1241389-1"	"1241389-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"Death Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient presented to the ER on 3/8/21 after being sick the prior 2 weeks with loose, bloody/tarry stools, frequent falls, and hypotension. Hospital course progressed to worsening encephalopathy secondary to decompensated alcoholic cirrhosis. Developed pneumonia that did not improve with antibiotics and progressed to palliative care with him passing away on 3/24/21. Comorbidities include COPD, alcoholism, Takotsubo cardiomyopathy, HTN, cirrhosis, HLD, former smoker."
	"1241389-1"	"1241389-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Death Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient presented to the ER on 3/8/21 after being sick the prior 2 weeks with loose, bloody/tarry stools, frequent falls, and hypotension. Hospital course progressed to worsening encephalopathy secondary to decompensated alcoholic cirrhosis. Developed pneumonia that did not improve with antibiotics and progressed to palliative care with him passing away on 3/24/21. Comorbidities include COPD, alcoholism, Takotsubo cardiomyopathy, HTN, cirrhosis, HLD, former smoker."
	"1241389-1"	"1241389-1"	"HAEMATOCHEZIA"	"10018836"	"65-79 years"	"65-79"	"Death Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient presented to the ER on 3/8/21 after being sick the prior 2 weeks with loose, bloody/tarry stools, frequent falls, and hypotension. Hospital course progressed to worsening encephalopathy secondary to decompensated alcoholic cirrhosis. Developed pneumonia that did not improve with antibiotics and progressed to palliative care with him passing away on 3/24/21. Comorbidities include COPD, alcoholism, Takotsubo cardiomyopathy, HTN, cirrhosis, HLD, former smoker."
	"1241389-1"	"1241389-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Death Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient presented to the ER on 3/8/21 after being sick the prior 2 weeks with loose, bloody/tarry stools, frequent falls, and hypotension. Hospital course progressed to worsening encephalopathy secondary to decompensated alcoholic cirrhosis. Developed pneumonia that did not improve with antibiotics and progressed to palliative care with him passing away on 3/24/21. Comorbidities include COPD, alcoholism, Takotsubo cardiomyopathy, HTN, cirrhosis, HLD, former smoker."
	"1241389-1"	"1241389-1"	"MELAENA"	"10027141"	"65-79 years"	"65-79"	"Death Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient presented to the ER on 3/8/21 after being sick the prior 2 weeks with loose, bloody/tarry stools, frequent falls, and hypotension. Hospital course progressed to worsening encephalopathy secondary to decompensated alcoholic cirrhosis. Developed pneumonia that did not improve with antibiotics and progressed to palliative care with him passing away on 3/24/21. Comorbidities include COPD, alcoholism, Takotsubo cardiomyopathy, HTN, cirrhosis, HLD, former smoker."
	"1241389-1"	"1241389-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Death Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient presented to the ER on 3/8/21 after being sick the prior 2 weeks with loose, bloody/tarry stools, frequent falls, and hypotension. Hospital course progressed to worsening encephalopathy secondary to decompensated alcoholic cirrhosis. Developed pneumonia that did not improve with antibiotics and progressed to palliative care with him passing away on 3/24/21. Comorbidities include COPD, alcoholism, Takotsubo cardiomyopathy, HTN, cirrhosis, HLD, former smoker."
	"1241392-1"	"1241392-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH,allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. No notes detailing the circumstances the death of the patient. Patient had issues controlling his blood pressure in the prior 6  months with an average BP of 150/68 and systolic blood pressure readings >200 at times, Other comorbidities include anemia, DM2, Afib on pradaxa, cardiac pacemaker, and HLD."
	"1241400-1"	"1241400-1"	"CEREBRAL CIRCULATORY FAILURE"	"10008097"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was a resident at an assisted living facility and by 3/11/21 he had several falls within the last week, one of which he hit his head and need to be evaluated by the ER due to him being on warfarin. Patient had dementia and psychosis and told wife he was falling intentionally. He deceased at the rehab facility on 3/30/21 after requiring hospitalization 4 times over the last for not getting blood flow to his brain per wife."
	"1241400-1"	"1241400-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was a resident at an assisted living facility and by 3/11/21 he had several falls within the last week, one of which he hit his head and need to be evaluated by the ER due to him being on warfarin. Patient had dementia and psychosis and told wife he was falling intentionally. He deceased at the rehab facility on 3/30/21 after requiring hospitalization 4 times over the last for not getting blood flow to his brain per wife."
	"1241400-1"	"1241400-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was a resident at an assisted living facility and by 3/11/21 he had several falls within the last week, one of which he hit his head and need to be evaluated by the ER due to him being on warfarin. Patient had dementia and psychosis and told wife he was falling intentionally. He deceased at the rehab facility on 3/30/21 after requiring hospitalization 4 times over the last for not getting blood flow to his brain per wife."
	"1241400-1"	"1241400-1"	"HEAD INJURY"	"10019196"	"65-79 years"	"65-79"	"Death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient was a resident at an assisted living facility and by 3/11/21 he had several falls within the last week, one of which he hit his head and need to be evaluated by the ER due to him being on warfarin. Patient had dementia and psychosis and told wife he was falling intentionally. He deceased at the rehab facility on 3/30/21 after requiring hospitalization 4 times over the last for not getting blood flow to his brain per wife."
	"1241401-1"	"1241401-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient died after COVID vaccine dose #1. 01/14 COVID vaccine dose #1 04/13 pt died Patient with advanced ALS, progressive respiratory difficulty and passed away while on hospice. Vaccine did not likely contribute to the patient's death, but was due to advanced ALS. Patient was not hospitalized prior to vaccine or immediately after vaccine. No adverse event following vaccine. No previous COVID diagnosis known."
	"1241401-1"	"1241401-1"	"RESPIRATORY DISORDER"	"10038683"	"65-79 years"	"65-79"	"DEATH Narrative:  Patient died after COVID vaccine dose #1. 01/14 COVID vaccine dose #1 04/13 pt died Patient with advanced ALS, progressive respiratory difficulty and passed away while on hospice. Vaccine did not likely contribute to the patient's death, but was due to advanced ALS. Patient was not hospitalized prior to vaccine or immediately after vaccine. No adverse event following vaccine. No previous COVID diagnosis known."
	"1241402-1"	"1241402-1"	"ALANINE AMINOTRANSFERASE NORMAL"	"10001552"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"ANION GAP"	"10002522"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"ASPARTATE AMINOTRANSFERASE NORMAL"	"10003482"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BASOPHIL COUNT DECREASED"	"10004167"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BASOPHIL PERCENTAGE DECREASED"	"10052219"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD ALBUMIN INCREASED"	"10005288"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD ALKALINE PHOSPHATASE NORMAL"	"10005310"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD BILIRUBIN NORMAL"	"10005367"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD CALCIUM NORMAL"	"10005397"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD CHLORIDE NORMAL"	"10005421"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD GLUCOSE NORMAL"	"10005558"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD HIV RNA"	"10049826"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD POTASSIUM NORMAL"	"10005726"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD SMEAR TEST"	"10059655"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD SODIUM DECREASED"	"10005802"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"BLOOD UREA INCREASED"	"10005851"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"CARBON DIOXIDE NORMAL"	"10007228"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"EOSINOPHIL COUNT DECREASED"	"10014943"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"EOSINOPHIL PERCENTAGE"	"10059464"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"GLOMERULAR FILTRATION RATE DECREASED"	"10018358"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"GRANULOCYTE PERCENTAGE"	"10068913"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"HAEMATOCRIT DECREASED"	"10018838"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"HYPERLIPIDAEMIA"	"10062060"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"IMMATURE GRANULOCYTE COUNT"	"10085122"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"LYMPHOCYTE COUNT DECREASED"	"10025256"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"LYMPHOCYTE PERCENTAGE"	"10059905"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"MEAN CELL HAEMOGLOBIN CONCENTRATION NORMAL"	"10026994"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"MEAN CELL HAEMOGLOBIN INCREASED"	"10026996"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"MEAN CELL VOLUME DECREASED"	"10027002"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"MEAN PLATELET VOLUME INCREASED"	"10055052"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"MONOCYTE COUNT DECREASED"	"10027878"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"MONOCYTE PERCENTAGE INCREASED"	"10052230"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"NEUTROPHIL COUNT DECREASED"	"10029366"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"NEUTROPHIL PERCENTAGE DECREASED"	"10052223"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"PLATELET COUNT DECREASED"	"10035528"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"PROTEIN TOTAL NORMAL"	"10037017"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"RED BLOOD CELL COUNT DECREASED"	"10038153"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"RED CELL DISTRIBUTION WIDTH NORMAL"	"10053922"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241402-1"	"1241402-1"	"WHITE BLOOD CELL COUNT NORMAL"	"10047944"	"65-79 years"	"65-79"	"DEATH.  Narrative:  Patient died after receiving COVID vaccine dose #1. 07/18/20: admitted to hospital for weakness/lightheadedness causing legs to give out and fall backwards, resulting in hematoma 12/15/20: seen by PCP, stable 02/03 seen in ID clinic for HIV follow up, nothing out of the ordinary 03/02 COVID vaccine dose #1 03/14 Pt died Cause of death unknown and undocumented at this time. Patient did not have an ADR immediately after vaccine or hospitalized before or after vaccine. Last hospitalization was July 2020 due to fall and associated hematoma. Death not likely due to vaccine, but due to comorbidities, including active HIV infection with detectable viral load. No known previous COVID infection."
	"1241405-1"	"1241405-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Circumstances surrounding his death are not documented in chart. Comorbidities include Hepatitis C, HTN, T2DM."
	"1246210-1"	"1246210-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"NA Hospitalization for Acute Resp Failure with Hypoxia secondary to acute and chronic CAD"
	"1246210-1"	"1246210-1"	"CORONARY ARTERY DISEASE"	"10011078"	"65-79 years"	"65-79"	"NA Hospitalization for Acute Resp Failure with Hypoxia secondary to acute and chronic CAD"
	"1246210-1"	"1246210-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"NA Hospitalization for Acute Resp Failure with Hypoxia secondary to acute and chronic CAD"
	"1246223-1"	"1246223-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Hospitalization - comfort measures -acute on chronic combined CHF caused by ischemic cardiomyopathy with Cardiorenal syndrome + acute hypoxic respiratory failure, major decline, failed CABG"
	"1246223-1"	"1246223-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"Hospitalization - comfort measures -acute on chronic combined CHF caused by ischemic cardiomyopathy with Cardiorenal syndrome + acute hypoxic respiratory failure, major decline, failed CABG"
	"1246223-1"	"1246223-1"	"CARDIORENAL SYNDROME"	"10068230"	"65-79 years"	"65-79"	"Hospitalization - comfort measures -acute on chronic combined CHF caused by ischemic cardiomyopathy with Cardiorenal syndrome + acute hypoxic respiratory failure, major decline, failed CABG"
	"1246223-1"	"1246223-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Hospitalization - comfort measures -acute on chronic combined CHF caused by ischemic cardiomyopathy with Cardiorenal syndrome + acute hypoxic respiratory failure, major decline, failed CABG"
	"1246223-1"	"1246223-1"	"ISCHAEMIC CARDIOMYOPATHY"	"10048858"	"65-79 years"	"65-79"	"Hospitalization - comfort measures -acute on chronic combined CHF caused by ischemic cardiomyopathy with Cardiorenal syndrome + acute hypoxic respiratory failure, major decline, failed CABG"
	"1246223-1"	"1246223-1"	"TRANSPLANT FAILURE"	"10060872"	"65-79 years"	"65-79"	"Hospitalization - comfort measures -acute on chronic combined CHF caused by ischemic cardiomyopathy with Cardiorenal syndrome + acute hypoxic respiratory failure, major decline, failed CABG"
	"1246256-1"	"1246256-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"Hospice Care  Sepsis associated hypotension  Discharge Diagnoses: acute on chronic hypoxic/hypercapnic resp failure requiring intubation, acute on chronic CHF, severe COPD with likely exacerbation, possible CAP, likely medical non compliance"
	"1246256-1"	"1246256-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Hospice Care  Sepsis associated hypotension  Discharge Diagnoses: acute on chronic hypoxic/hypercapnic resp failure requiring intubation, acute on chronic CHF, severe COPD with likely exacerbation, possible CAP, likely medical non compliance"
	"1246256-1"	"1246256-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Hospice Care  Sepsis associated hypotension  Discharge Diagnoses: acute on chronic hypoxic/hypercapnic resp failure requiring intubation, acute on chronic CHF, severe COPD with likely exacerbation, possible CAP, likely medical non compliance"
	"1246256-1"	"1246256-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Hospice Care  Sepsis associated hypotension  Discharge Diagnoses: acute on chronic hypoxic/hypercapnic resp failure requiring intubation, acute on chronic CHF, severe COPD with likely exacerbation, possible CAP, likely medical non compliance"
	"1246256-1"	"1246256-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Hospice Care  Sepsis associated hypotension  Discharge Diagnoses: acute on chronic hypoxic/hypercapnic resp failure requiring intubation, acute on chronic CHF, severe COPD with likely exacerbation, possible CAP, likely medical non compliance"
	"1258867-1"	"1258867-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"This  72  year old  female received the Covid shot on 03/15/2021 and went to the ED on 4/3/2021  and was admitted  on    4/3/2021    with    abdominal pain, nausea, chest pain, NSTEMI     and died on  04/24/2021 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1258867-1"	"1258867-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"This  72  year old  female received the Covid shot on 03/15/2021 and went to the ED on 4/3/2021  and was admitted  on    4/3/2021    with    abdominal pain, nausea, chest pain, NSTEMI     and died on  04/24/2021 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1258867-1"	"1258867-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"This  72  year old  female received the Covid shot on 03/15/2021 and went to the ED on 4/3/2021  and was admitted  on    4/3/2021    with    abdominal pain, nausea, chest pain, NSTEMI     and died on  04/24/2021 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1258867-1"	"1258867-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This  72  year old  female received the Covid shot on 03/15/2021 and went to the ED on 4/3/2021  and was admitted  on    4/3/2021    with    abdominal pain, nausea, chest pain, NSTEMI     and died on  04/24/2021 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1258867-1"	"1258867-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"This  72  year old  female received the Covid shot on 03/15/2021 and went to the ED on 4/3/2021  and was admitted  on    4/3/2021    with    abdominal pain, nausea, chest pain, NSTEMI     and died on  04/24/2021 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259253-1"	"1259253-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"This 76   year old    female received the Covid shot on 2/27/2021     and went to the ED on 4/13/2021       and was admitted  on   4/13/2021 with hortness of breath, abnormal lab, and returned to ED on 4/16/2021 and admitted on 4/17/2021 with vomiting, elevated troponin, dehydration and returned on 4/23/2021 and admitted on 4/24/2021   with  rapid heart rate and acute respiratory failure  and died on  4/24/2021.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259253-1"	"1259253-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 76   year old    female received the Covid shot on 2/27/2021     and went to the ED on 4/13/2021       and was admitted  on   4/13/2021 with hortness of breath, abnormal lab, and returned to ED on 4/16/2021 and admitted on 4/17/2021 with vomiting, elevated troponin, dehydration and returned on 4/23/2021 and admitted on 4/24/2021   with  rapid heart rate and acute respiratory failure  and died on  4/24/2021.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259253-1"	"1259253-1"	"DEHYDRATION"	"10012174"	"65-79 years"	"65-79"	"This 76   year old    female received the Covid shot on 2/27/2021     and went to the ED on 4/13/2021       and was admitted  on   4/13/2021 with hortness of breath, abnormal lab, and returned to ED on 4/16/2021 and admitted on 4/17/2021 with vomiting, elevated troponin, dehydration and returned on 4/23/2021 and admitted on 4/24/2021   with  rapid heart rate and acute respiratory failure  and died on  4/24/2021.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259253-1"	"1259253-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"This 76   year old    female received the Covid shot on 2/27/2021     and went to the ED on 4/13/2021       and was admitted  on   4/13/2021 with hortness of breath, abnormal lab, and returned to ED on 4/16/2021 and admitted on 4/17/2021 with vomiting, elevated troponin, dehydration and returned on 4/23/2021 and admitted on 4/24/2021   with  rapid heart rate and acute respiratory failure  and died on  4/24/2021.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259253-1"	"1259253-1"	"HEART RATE INCREASED"	"10019303"	"65-79 years"	"65-79"	"This 76   year old    female received the Covid shot on 2/27/2021     and went to the ED on 4/13/2021       and was admitted  on   4/13/2021 with hortness of breath, abnormal lab, and returned to ED on 4/16/2021 and admitted on 4/17/2021 with vomiting, elevated troponin, dehydration and returned on 4/23/2021 and admitted on 4/24/2021   with  rapid heart rate and acute respiratory failure  and died on  4/24/2021.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259253-1"	"1259253-1"	"LABORATORY TEST ABNORMAL"	"10023547"	"65-79 years"	"65-79"	"This 76   year old    female received the Covid shot on 2/27/2021     and went to the ED on 4/13/2021       and was admitted  on   4/13/2021 with hortness of breath, abnormal lab, and returned to ED on 4/16/2021 and admitted on 4/17/2021 with vomiting, elevated troponin, dehydration and returned on 4/23/2021 and admitted on 4/24/2021   with  rapid heart rate and acute respiratory failure  and died on  4/24/2021.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259253-1"	"1259253-1"	"TROPONIN INCREASED"	"10058267"	"65-79 years"	"65-79"	"This 76   year old    female received the Covid shot on 2/27/2021     and went to the ED on 4/13/2021       and was admitted  on   4/13/2021 with hortness of breath, abnormal lab, and returned to ED on 4/16/2021 and admitted on 4/17/2021 with vomiting, elevated troponin, dehydration and returned on 4/23/2021 and admitted on 4/24/2021   with  rapid heart rate and acute respiratory failure  and died on  4/24/2021.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259253-1"	"1259253-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"This 76   year old    female received the Covid shot on 2/27/2021     and went to the ED on 4/13/2021       and was admitted  on   4/13/2021 with hortness of breath, abnormal lab, and returned to ED on 4/16/2021 and admitted on 4/17/2021 with vomiting, elevated troponin, dehydration and returned on 4/23/2021 and admitted on 4/24/2021   with  rapid heart rate and acute respiratory failure  and died on  4/24/2021.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259280-1"	"1259280-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This  71 year old  male received the Covid shot on  2/27/21   and went to the ED and was admitted  on  4/5/2021  and died on  4/25/2021. Lumbar radiculopathy, spondylolisthesis of lumbar region, lumbar stenosis with neurogenic claudication, lumbar spinal stenosis.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259280-1"	"1259280-1"	"LUMBAR RADICULOPATHY"	"10050219"	"65-79 years"	"65-79"	"This  71 year old  male received the Covid shot on  2/27/21   and went to the ED and was admitted  on  4/5/2021  and died on  4/25/2021. Lumbar radiculopathy, spondylolisthesis of lumbar region, lumbar stenosis with neurogenic claudication, lumbar spinal stenosis.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259280-1"	"1259280-1"	"LUMBAR SPINAL STENOSIS"	"10025005"	"65-79 years"	"65-79"	"This  71 year old  male received the Covid shot on  2/27/21   and went to the ED and was admitted  on  4/5/2021  and died on  4/25/2021. Lumbar radiculopathy, spondylolisthesis of lumbar region, lumbar stenosis with neurogenic claudication, lumbar spinal stenosis.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259280-1"	"1259280-1"	"SPINAL CLAUDICATION"	"10041539"	"65-79 years"	"65-79"	"This  71 year old  male received the Covid shot on  2/27/21   and went to the ED and was admitted  on  4/5/2021  and died on  4/25/2021. Lumbar radiculopathy, spondylolisthesis of lumbar region, lumbar stenosis with neurogenic claudication, lumbar spinal stenosis.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259280-1"	"1259280-1"	"SPONDYLOLISTHESIS"	"10063550"	"65-79 years"	"65-79"	"This  71 year old  male received the Covid shot on  2/27/21   and went to the ED and was admitted  on  4/5/2021  and died on  4/25/2021. Lumbar radiculopathy, spondylolisthesis of lumbar region, lumbar stenosis with neurogenic claudication, lumbar spinal stenosis.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1259340-1"	"1259340-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 70   year old    male received the Covid shot on  3/24/21  and was found deceased at home by the Sheriff sometime between 3/24/21 and 4/16/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1261526-1"	"1261526-1"	"BLOOD CREATINE"	"10005461"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1261526-1"	"1261526-1"	"CARDIAC FAILURE"	"10007554"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1261526-1"	"1261526-1"	"GLOMERULAR FILTRATION RATE"	"10018355"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1261526-1"	"1261526-1"	"HAEMOGLOBIN"	"10018876"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1261526-1"	"1261526-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1261526-1"	"1261526-1"	"LIVER FUNCTION TEST"	"10060105"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1261526-1"	"1261526-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1261526-1"	"1261526-1"	"SARS-COV-2 TEST"	"10084354"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1261526-1"	"1261526-1"	"TROPONIN"	"10061576"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1261526-1"	"1261526-1"	"TROPONIN INCREASED"	"10058267"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1261526-1"	"1261526-1"	"TYPE 2 DIABETES MELLITUS"	"10067585"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1261526-1"	"1261526-1"	"WHITE BLOOD CELL COUNT"	"10047939"	"65-79 years"	"65-79"	"Type 2 Diabetes; Hypotension; heart started to drop; Renal failure; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Apr-2021 and was forwarded to Moderna on 20-Apr-2021.  This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of CARDIAC FAILURE (heart started to drop), RENAL FAILURE (Renal failure), TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) and HYPOTENSION (Hypotension) in a 69-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.   Concurrent medical conditions included Multi organ failure (Kidneys and liver are VERY messed up showing multi-organ failure.) and Type 2 diabetes mellitus.  On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Mar-2021, the patient experienced CARDIAC FAILURE (heart started to drop) (seriousness criteria death and medically significant) and RENAL FAILURE (Renal failure) (seriousness criteria death and medically significant). On an unknown date, the patient experienced TYPE 2 DIABETES MELLITUS (Type 2 Diabetes) (seriousness criterion death) and HYPOTENSION (Hypotension) (seriousness criterion death). The patient died on 29-Mar-2021. The reported cause of death was Renal failure, type 2 diabetes, Hypotension and heart started to drop. An autopsy was not performed.   DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatine: 9.93 (Inconclusive) Inconclusive. On an unknown date, Glomerular filtration rate: 5 (Inconclusive) Inconclusive and 5.0 (Inconclusive) 5.0. On an unknown date, Haemoglobin: 7 (Inconclusive) Inconclusive. On an unknown date, Liver function test: 500 (Inconclusive) Inconclusive. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and negative (Negative) Negative. On an unknown date, Troponin: 14 (Inconclusive) 14.0. On an unknown date, Troponin increased: 500 (Inconclusive) Inconclusive. On an unknown date, White blood cell count: normal (normal) normal (in range).  The action taken with mRNA-1273 in response to the event was not applicable.  He was feeling unwell. He had vomited prior and felt sick. His blood sugar was 136 or 139, nothing bad.  Treatment details included antibiotics going into him, sleeping meds, meds to rise his blood pressure,Dextrose, Propofol, Dexmedtominine.  Company comment: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Sender's Comments: This is a 69-year-old, patient of unknown gender who received mRNA-1273 Vaccine who experienced cardiac failure and died, 6 days after receiving second dose of vaccine. Medical history includes Type 2 diabetes mellitus and Multi organ failure. No conmeds were provided. Very limited information has been reported at this time. No further information is expected.; Reported Cause(s) of Death: renal failure; type 2 diabetes; hypotension; heart started to drop"
	"1266074-1"	"1266074-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"fever; feeling weak; unable to walk independently; no appetite; This is a spontaneous report from a contactable consumer via social media. A 73-year-old male patient received the second dose of (lot number: EW2243), via an unspecified route of administration on 12Apr2021 09:45 (at the age of 73-years-old) as a single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The other medications that the patient received within 2 weeks of vaccination were insulin and for blood pressure. Prior to vaccination, the patient was not diagnosed with Covid-19. The patient previously received the first dose of bnt162b2 (lot number: ER4812), via an unspecified route of administration on 16Mar2021 (at the age of 73-years-old) as a single dose for covid-19 immunisation. The patient's concomitant medications were not reported. On 16Apr2021, the patient experienced fever, feeling weak, unable to walk independently and had no appetite. The adverse events resulted in doctor or other healthcare professional office/clinic visit. There was no treatment received for the events. The outcome of the events was fatal. The patient died on 19Apr2021. Cause of death were fever, feeling weak, unable to walk independently and had no appetite. An autopsy was not performed. Since the vaccination, the patient hasn't been tested for covid-19.; Reported Cause(s) of Death: fever; feeling weak; unable to walk independently; no appetite"
	"1266074-1"	"1266074-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"fever; feeling weak; unable to walk independently; no appetite; This is a spontaneous report from a contactable consumer via social media. A 73-year-old male patient received the second dose of (lot number: EW2243), via an unspecified route of administration on 12Apr2021 09:45 (at the age of 73-years-old) as a single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The other medications that the patient received within 2 weeks of vaccination were insulin and for blood pressure. Prior to vaccination, the patient was not diagnosed with Covid-19. The patient previously received the first dose of bnt162b2 (lot number: ER4812), via an unspecified route of administration on 16Mar2021 (at the age of 73-years-old) as a single dose for covid-19 immunisation. The patient's concomitant medications were not reported. On 16Apr2021, the patient experienced fever, feeling weak, unable to walk independently and had no appetite. The adverse events resulted in doctor or other healthcare professional office/clinic visit. There was no treatment received for the events. The outcome of the events was fatal. The patient died on 19Apr2021. Cause of death were fever, feeling weak, unable to walk independently and had no appetite. An autopsy was not performed. Since the vaccination, the patient hasn't been tested for covid-19.; Reported Cause(s) of Death: fever; feeling weak; unable to walk independently; no appetite"
	"1266074-1"	"1266074-1"	"GAIT INABILITY"	"10017581"	"65-79 years"	"65-79"	"fever; feeling weak; unable to walk independently; no appetite; This is a spontaneous report from a contactable consumer via social media. A 73-year-old male patient received the second dose of (lot number: EW2243), via an unspecified route of administration on 12Apr2021 09:45 (at the age of 73-years-old) as a single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The other medications that the patient received within 2 weeks of vaccination were insulin and for blood pressure. Prior to vaccination, the patient was not diagnosed with Covid-19. The patient previously received the first dose of bnt162b2 (lot number: ER4812), via an unspecified route of administration on 16Mar2021 (at the age of 73-years-old) as a single dose for covid-19 immunisation. The patient's concomitant medications were not reported. On 16Apr2021, the patient experienced fever, feeling weak, unable to walk independently and had no appetite. The adverse events resulted in doctor or other healthcare professional office/clinic visit. There was no treatment received for the events. The outcome of the events was fatal. The patient died on 19Apr2021. Cause of death were fever, feeling weak, unable to walk independently and had no appetite. An autopsy was not performed. Since the vaccination, the patient hasn't been tested for covid-19.; Reported Cause(s) of Death: fever; feeling weak; unable to walk independently; no appetite"
	"1266074-1"	"1266074-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"fever; feeling weak; unable to walk independently; no appetite; This is a spontaneous report from a contactable consumer via social media. A 73-year-old male patient received the second dose of (lot number: EW2243), via an unspecified route of administration on 12Apr2021 09:45 (at the age of 73-years-old) as a single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The other medications that the patient received within 2 weeks of vaccination were insulin and for blood pressure. Prior to vaccination, the patient was not diagnosed with Covid-19. The patient previously received the first dose of bnt162b2 (lot number: ER4812), via an unspecified route of administration on 16Mar2021 (at the age of 73-years-old) as a single dose for covid-19 immunisation. The patient's concomitant medications were not reported. On 16Apr2021, the patient experienced fever, feeling weak, unable to walk independently and had no appetite. The adverse events resulted in doctor or other healthcare professional office/clinic visit. There was no treatment received for the events. The outcome of the events was fatal. The patient died on 19Apr2021. Cause of death were fever, feeling weak, unable to walk independently and had no appetite. An autopsy was not performed. Since the vaccination, the patient hasn't been tested for covid-19.; Reported Cause(s) of Death: fever; feeling weak; unable to walk independently; no appetite"
	"1266624-1"	"1266624-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Acute respiratory failure with hypoxia Death"
	"1266624-1"	"1266624-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Acute respiratory failure with hypoxia Death"
	"1268039-1"	"1268039-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This  73  year old white male received the 2nd Covid shot on   4/23    and died on   04/24/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1268064-1"	"1268064-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This  76  year old female received the 2nd Covid shot on 3/19/21 and died on  4/25/21.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1269848-1"	"1269848-1"	"ANION GAP"	"10002522"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"ASPARTATE AMINOTRANSFERASE NORMAL"	"10003482"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BILIRUBIN CONJUGATED INCREASED"	"10004685"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BLOOD ALBUMIN NORMAL"	"10005289"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BLOOD BILIRUBIN INCREASED"	"10005364"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BLOOD CHLORIDE NORMAL"	"10005421"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BLOOD CHOLESTEROL NORMAL"	"10005426"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BLOOD POTASSIUM NORMAL"	"10005726"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BLOOD SODIUM NORMAL"	"10005804"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BLOOD TRIGLYCERIDES INCREASED"	"10005839"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BLOOD UREA INCREASED"	"10005851"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"BRAIN NATRIURETIC PEPTIDE INCREASED"	"10053405"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"EGFR STATUS ASSAY"	"10071955"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"GLYCOSYLATED HAEMOGLOBIN INCREASED"	"10018484"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"HIGH DENSITY LIPOPROTEIN DECREASED"	"10020060"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"HYPOPHAGIA"	"10063743"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"LOW DENSITY LIPOPROTEIN NORMAL"	"10024911"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269848-1"	"1269848-1"	"VITAMIN D"	"10050713"	"65-79 years"	"65-79"	"Death Narrative:  Patient was admitted to facility from 1/11/2021 to 1/13/2021 for treatment of Covid 19 with symptoms of fatigue and poor oral intake. Admission was uneventful and follow-up notes post discharge from both Cardiology APRN and Primary Care Physician that the Patient was recovering well post admission. Patient received first of Covid Pfizer Vaccine on 4/2/2021 and second dose of Covid Pfizer Vaccine on 4/22/2021. Patient had been observed for 15 minutes after administration of each dose. No reaction was noted during the post vaccination observation period of either dose. Notice of death was received 5 days after second dose of Covid Vaccine from funeral home. There were no reports of an ADR occurring between observation period and death. There were no progress notes in patients chart between second Covid 19 Vaccine note 4/22/201 and death notice 4/27/2021. Cause of death is unknown at this time."
	"1269850-1"	"1269850-1"	"CHEST DISCOMFORT"	"10008469"	"65-79 years"	"65-79"	""death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient has PMH significant for neoplasm of liver, stage 4 esophageal adenocarcinoma congestive cardiomyopathy, AF, htn. Seen 3/22, per not ""states that for the past three days he has had constant chest heaviness and shortness of breath along with productive cough with dark sputum."" Discharged 3/24. Deceased 4/2/2021 however no notation or death certificate noted.""
	"1269850-1"	"1269850-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient has PMH significant for neoplasm of liver, stage 4 esophageal adenocarcinoma congestive cardiomyopathy, AF, htn. Seen 3/22, per not ""states that for the past three days he has had constant chest heaviness and shortness of breath along with productive cough with dark sputum."" Discharged 3/24. Deceased 4/2/2021 however no notation or death certificate noted.""
	"1269850-1"	"1269850-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient has PMH significant for neoplasm of liver, stage 4 esophageal adenocarcinoma congestive cardiomyopathy, AF, htn. Seen 3/22, per not ""states that for the past three days he has had constant chest heaviness and shortness of breath along with productive cough with dark sputum."" Discharged 3/24. Deceased 4/2/2021 however no notation or death certificate noted.""
	"1269850-1"	"1269850-1"	"PRODUCTIVE COUGH"	"10036790"	"65-79 years"	"65-79"	""death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient has PMH significant for neoplasm of liver, stage 4 esophageal adenocarcinoma congestive cardiomyopathy, AF, htn. Seen 3/22, per not ""states that for the past three days he has had constant chest heaviness and shortness of breath along with productive cough with dark sputum."" Discharged 3/24. Deceased 4/2/2021 however no notation or death certificate noted.""
	"1269850-1"	"1269850-1"	"SPUTUM DISCOLOURED"	"10041807"	"65-79 years"	"65-79"	""death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there and ADR that occurred between the observation period and the date of death. Patient has PMH significant for neoplasm of liver, stage 4 esophageal adenocarcinoma congestive cardiomyopathy, AF, htn. Seen 3/22, per not ""states that for the past three days he has had constant chest heaviness and shortness of breath along with productive cough with dark sputum."" Discharged 3/24. Deceased 4/2/2021 however no notation or death certificate noted.""
	"1269853-1"	"1269853-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. PMH significant for amyotrophic lateral sclerosis, AF, HTN. No notation regarding death, or cause of death. Patient deceased 4.16.21"
	"1269854-1"	"1269854-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative:  Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient has a PMH significant for T2DM, CAD, hyperlipidemia, Parkinson's disease, HTN, Diffuse interstitial Pulmonary fibrosis. No cause of death listed or any notation. Patient deceased on 4/10/202. 2nd dose of Pfizer given 3/13"
	"1274103-1"	"1274103-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"This 77   year old white  female received the Covid shot on 03/13/21     and went to the ED on 4/10/21  and was admitted  on   4/10/21 with hyponatremia with excess fluid volume, acute respiratory failure with hypercapnia, transient confusion, acute heart failure, shortness of breath and went to the ED again on 4/18/21 with  cerebral infarction and died on  4/29/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274103-1"	"1274103-1"	"CARDIAC FAILURE ACUTE"	"10007556"	"65-79 years"	"65-79"	"This 77   year old white  female received the Covid shot on 03/13/21     and went to the ED on 4/10/21  and was admitted  on   4/10/21 with hyponatremia with excess fluid volume, acute respiratory failure with hypercapnia, transient confusion, acute heart failure, shortness of breath and went to the ED again on 4/18/21 with  cerebral infarction and died on  4/29/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274103-1"	"1274103-1"	"CEREBRAL INFARCTION"	"10008118"	"65-79 years"	"65-79"	"This 77   year old white  female received the Covid shot on 03/13/21     and went to the ED on 4/10/21  and was admitted  on   4/10/21 with hyponatremia with excess fluid volume, acute respiratory failure with hypercapnia, transient confusion, acute heart failure, shortness of breath and went to the ED again on 4/18/21 with  cerebral infarction and died on  4/29/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274103-1"	"1274103-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"This 77   year old white  female received the Covid shot on 03/13/21     and went to the ED on 4/10/21  and was admitted  on   4/10/21 with hyponatremia with excess fluid volume, acute respiratory failure with hypercapnia, transient confusion, acute heart failure, shortness of breath and went to the ED again on 4/18/21 with  cerebral infarction and died on  4/29/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274103-1"	"1274103-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 77   year old white  female received the Covid shot on 03/13/21     and went to the ED on 4/10/21  and was admitted  on   4/10/21 with hyponatremia with excess fluid volume, acute respiratory failure with hypercapnia, transient confusion, acute heart failure, shortness of breath and went to the ED again on 4/18/21 with  cerebral infarction and died on  4/29/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274103-1"	"1274103-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"This 77   year old white  female received the Covid shot on 03/13/21     and went to the ED on 4/10/21  and was admitted  on   4/10/21 with hyponatremia with excess fluid volume, acute respiratory failure with hypercapnia, transient confusion, acute heart failure, shortness of breath and went to the ED again on 4/18/21 with  cerebral infarction and died on  4/29/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274103-1"	"1274103-1"	"FLUID OVERLOAD"	"10016803"	"65-79 years"	"65-79"	"This 77   year old white  female received the Covid shot on 03/13/21     and went to the ED on 4/10/21  and was admitted  on   4/10/21 with hyponatremia with excess fluid volume, acute respiratory failure with hypercapnia, transient confusion, acute heart failure, shortness of breath and went to the ED again on 4/18/21 with  cerebral infarction and died on  4/29/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274103-1"	"1274103-1"	"HYPERCAPNIA"	"10020591"	"65-79 years"	"65-79"	"This 77   year old white  female received the Covid shot on 03/13/21     and went to the ED on 4/10/21  and was admitted  on   4/10/21 with hyponatremia with excess fluid volume, acute respiratory failure with hypercapnia, transient confusion, acute heart failure, shortness of breath and went to the ED again on 4/18/21 with  cerebral infarction and died on  4/29/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274103-1"	"1274103-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"This 77   year old white  female received the Covid shot on 03/13/21     and went to the ED on 4/10/21  and was admitted  on   4/10/21 with hyponatremia with excess fluid volume, acute respiratory failure with hypercapnia, transient confusion, acute heart failure, shortness of breath and went to the ED again on 4/18/21 with  cerebral infarction and died on  4/29/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274296-1"	"1274296-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This  68  year old   white  female received the Covid shot on  3/3/21 and went to the ED on 3/22/21 and was admitted  on  3/22/21 with  shortness of breath, pneumonia and died on 4/10/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274296-1"	"1274296-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"This  68  year old   white  female received the Covid shot on  3/3/21 and went to the ED on 3/22/21 and was admitted  on  3/22/21 with  shortness of breath, pneumonia and died on 4/10/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274296-1"	"1274296-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"This  68  year old   white  female received the Covid shot on  3/3/21 and went to the ED on 3/22/21 and was admitted  on  3/22/21 with  shortness of breath, pneumonia and died on 4/10/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1274396-1"	"1274396-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was not vaccinated at our site however was admitted approximately 7-10 days post vaccination and expired."
	"1274456-1"	"1274456-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"received vaccine on 3/24/21 at another site. Was admitted to the hospital  thru the ED with worsening shortness of breath."
	"1281690-1"	"1281690-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"Death Non-STEMI (non-ST elevated myocardial infarction) (CMS/HCC) Chronic renal failure"
	"1281690-1"	"1281690-1"	"CHRONIC KIDNEY DISEASE"	"10064848"	"65-79 years"	"65-79"	"Death Non-STEMI (non-ST elevated myocardial infarction) (CMS/HCC) Chronic renal failure"
	"1281690-1"	"1281690-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Non-STEMI (non-ST elevated myocardial infarction) (CMS/HCC) Chronic renal failure"
	"1281713-1"	"1281713-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"This 73    year old   black female received the Covid shot on 2/27/21   and went to the ED on  4/29/21   and was admitted  on   4/29/21     with respiratory distress, cardiac arrest and other symptoms and died on  5/1/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1281713-1"	"1281713-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 73    year old   black female received the Covid shot on 2/27/21   and went to the ED on  4/29/21   and was admitted  on   4/29/21     with respiratory distress, cardiac arrest and other symptoms and died on  5/1/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1281713-1"	"1281713-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"This 73    year old   black female received the Covid shot on 2/27/21   and went to the ED on  4/29/21   and was admitted  on   4/29/21     with respiratory distress, cardiac arrest and other symptoms and died on  5/1/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1281744-1"	"1281744-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This  68 year old female received the Covid shot on   4/7/21  and  died on  4/13/21  .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1281778-1"	"1281778-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"This 73    year old female received the Covid shot on 2/27/21      and went to the ED on  4/29/21   and was admitted  on   4/29/21     with respiratory distress, cardiac arrest and other symptoms and died on  5/1/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1281778-1"	"1281778-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 73    year old female received the Covid shot on 2/27/21      and went to the ED on  4/29/21   and was admitted  on   4/29/21     with respiratory distress, cardiac arrest and other symptoms and died on  5/1/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1281778-1"	"1281778-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"This 73    year old female received the Covid shot on 2/27/21      and went to the ED on  4/29/21   and was admitted  on   4/29/21     with respiratory distress, cardiac arrest and other symptoms and died on  5/1/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1284252-1"	"1284252-1"	"BRAIN HERNIATION"	"10006126"	"65-79 years"	"65-79"	"patient suffered from a massive right ICA stroke on 4/22 (2 days after vaccine). stroke progressed to cerebral edema with evidence of herniation. she was intubated and unfortunately expired. not a neurosurgery candidate due to her age and signs of herniation."
	"1284252-1"	"1284252-1"	"BRAIN OEDEMA"	"10048962"	"65-79 years"	"65-79"	"patient suffered from a massive right ICA stroke on 4/22 (2 days after vaccine). stroke progressed to cerebral edema with evidence of herniation. she was intubated and unfortunately expired. not a neurosurgery candidate due to her age and signs of herniation."
	"1284252-1"	"1284252-1"	"CAROTID ARTERY OCCLUSION"	"10048964"	"65-79 years"	"65-79"	"patient suffered from a massive right ICA stroke on 4/22 (2 days after vaccine). stroke progressed to cerebral edema with evidence of herniation. she was intubated and unfortunately expired. not a neurosurgery candidate due to her age and signs of herniation."
	"1284252-1"	"1284252-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"patient suffered from a massive right ICA stroke on 4/22 (2 days after vaccine). stroke progressed to cerebral edema with evidence of herniation. she was intubated and unfortunately expired. not a neurosurgery candidate due to her age and signs of herniation."
	"1284252-1"	"1284252-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"65-79 years"	"65-79"	"patient suffered from a massive right ICA stroke on 4/22 (2 days after vaccine). stroke progressed to cerebral edema with evidence of herniation. she was intubated and unfortunately expired. not a neurosurgery candidate due to her age and signs of herniation."
	"1284252-1"	"1284252-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient suffered from a massive right ICA stroke on 4/22 (2 days after vaccine). stroke progressed to cerebral edema with evidence of herniation. she was intubated and unfortunately expired. not a neurosurgery candidate due to her age and signs of herniation."
	"1284252-1"	"1284252-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"patient suffered from a massive right ICA stroke on 4/22 (2 days after vaccine). stroke progressed to cerebral edema with evidence of herniation. she was intubated and unfortunately expired. not a neurosurgery candidate due to her age and signs of herniation."
	"1284252-1"	"1284252-1"	"MAGNETIC RESONANCE IMAGING HEAD ABNORMAL"	"10085256"	"65-79 years"	"65-79"	"patient suffered from a massive right ICA stroke on 4/22 (2 days after vaccine). stroke progressed to cerebral edema with evidence of herniation. she was intubated and unfortunately expired. not a neurosurgery candidate due to her age and signs of herniation."
	"1285906-1"	"1285906-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine."
	"1289201-1"	"1289201-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"Patient is a 66-year-old female with complicated past medical history including uncontrolled diabetes, colovaginal fistula status post resection with end ileostomy in 2017, open cholecystectomy 2019, chronic pain, CAD status post stents on Plavix and COPD that presents to the hospital today complaining of abdominal pain.  Patient states that her abdominal pain began a few days ago.  Is been in the middle of her abdomen.  Is worsened over time.  She states that all her operations were done by the Dr.  Postoperatively she had no complications.  She was told that she could not have her ostomy reversed and has been doing with the end ileostomy since then.  She states that she just emptied her bag again this morning.  She has been having trouble eating secondary to the abdominal pain.  This prompted her visit to the emergency room today.  Upon evaluation by the ED physician she underwent a CAT scan which showed a small bowel obstruction.  For this were consulted.  Of note patient was also found to have a UTI and was made a septic alert by the ED.  I met the patient upon my arrival into the emergency room.  Upon my arrival into the emergency room patient was sitting upright in bed.  She is squirming around in the bed stating that she is having abdominal pain.  States that she does not know her medications.  Her husband usually takes care of this for her.  She is able to relate her surgical history to me.    ED physician spoke with the Dr.  He is unavailable to come see this patient.  According to the ED physician the Dr. asked us to take care of the patient while he is away."
	"1289201-1"	"1289201-1"	"COMPUTERISED TOMOGRAM ABNORMAL"	"10010235"	"65-79 years"	"65-79"	"Patient is a 66-year-old female with complicated past medical history including uncontrolled diabetes, colovaginal fistula status post resection with end ileostomy in 2017, open cholecystectomy 2019, chronic pain, CAD status post stents on Plavix and COPD that presents to the hospital today complaining of abdominal pain.  Patient states that her abdominal pain began a few days ago.  Is been in the middle of her abdomen.  Is worsened over time.  She states that all her operations were done by the Dr.  Postoperatively she had no complications.  She was told that she could not have her ostomy reversed and has been doing with the end ileostomy since then.  She states that she just emptied her bag again this morning.  She has been having trouble eating secondary to the abdominal pain.  This prompted her visit to the emergency room today.  Upon evaluation by the ED physician she underwent a CAT scan which showed a small bowel obstruction.  For this were consulted.  Of note patient was also found to have a UTI and was made a septic alert by the ED.  I met the patient upon my arrival into the emergency room.  Upon my arrival into the emergency room patient was sitting upright in bed.  She is squirming around in the bed stating that she is having abdominal pain.  States that she does not know her medications.  Her husband usually takes care of this for her.  She is able to relate her surgical history to me.    ED physician spoke with the Dr.  He is unavailable to come see this patient.  According to the ED physician the Dr. asked us to take care of the patient while he is away."
	"1289201-1"	"1289201-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"Patient is a 66-year-old female with complicated past medical history including uncontrolled diabetes, colovaginal fistula status post resection with end ileostomy in 2017, open cholecystectomy 2019, chronic pain, CAD status post stents on Plavix and COPD that presents to the hospital today complaining of abdominal pain.  Patient states that her abdominal pain began a few days ago.  Is been in the middle of her abdomen.  Is worsened over time.  She states that all her operations were done by the Dr.  Postoperatively she had no complications.  She was told that she could not have her ostomy reversed and has been doing with the end ileostomy since then.  She states that she just emptied her bag again this morning.  She has been having trouble eating secondary to the abdominal pain.  This prompted her visit to the emergency room today.  Upon evaluation by the ED physician she underwent a CAT scan which showed a small bowel obstruction.  For this were consulted.  Of note patient was also found to have a UTI and was made a septic alert by the ED.  I met the patient upon my arrival into the emergency room.  Upon my arrival into the emergency room patient was sitting upright in bed.  She is squirming around in the bed stating that she is having abdominal pain.  States that she does not know her medications.  Her husband usually takes care of this for her.  She is able to relate her surgical history to me.    ED physician spoke with the Dr.  He is unavailable to come see this patient.  According to the ED physician the Dr. asked us to take care of the patient while he is away."
	"1289201-1"	"1289201-1"	"SMALL INTESTINAL OBSTRUCTION"	"10041101"	"65-79 years"	"65-79"	"Patient is a 66-year-old female with complicated past medical history including uncontrolled diabetes, colovaginal fistula status post resection with end ileostomy in 2017, open cholecystectomy 2019, chronic pain, CAD status post stents on Plavix and COPD that presents to the hospital today complaining of abdominal pain.  Patient states that her abdominal pain began a few days ago.  Is been in the middle of her abdomen.  Is worsened over time.  She states that all her operations were done by the Dr.  Postoperatively she had no complications.  She was told that she could not have her ostomy reversed and has been doing with the end ileostomy since then.  She states that she just emptied her bag again this morning.  She has been having trouble eating secondary to the abdominal pain.  This prompted her visit to the emergency room today.  Upon evaluation by the ED physician she underwent a CAT scan which showed a small bowel obstruction.  For this were consulted.  Of note patient was also found to have a UTI and was made a septic alert by the ED.  I met the patient upon my arrival into the emergency room.  Upon my arrival into the emergency room patient was sitting upright in bed.  She is squirming around in the bed stating that she is having abdominal pain.  States that she does not know her medications.  Her husband usually takes care of this for her.  She is able to relate her surgical history to me.    ED physician spoke with the Dr.  He is unavailable to come see this patient.  According to the ED physician the Dr. asked us to take care of the patient while he is away."
	"1289201-1"	"1289201-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"Patient is a 66-year-old female with complicated past medical history including uncontrolled diabetes, colovaginal fistula status post resection with end ileostomy in 2017, open cholecystectomy 2019, chronic pain, CAD status post stents on Plavix and COPD that presents to the hospital today complaining of abdominal pain.  Patient states that her abdominal pain began a few days ago.  Is been in the middle of her abdomen.  Is worsened over time.  She states that all her operations were done by the Dr.  Postoperatively she had no complications.  She was told that she could not have her ostomy reversed and has been doing with the end ileostomy since then.  She states that she just emptied her bag again this morning.  She has been having trouble eating secondary to the abdominal pain.  This prompted her visit to the emergency room today.  Upon evaluation by the ED physician she underwent a CAT scan which showed a small bowel obstruction.  For this were consulted.  Of note patient was also found to have a UTI and was made a septic alert by the ED.  I met the patient upon my arrival into the emergency room.  Upon my arrival into the emergency room patient was sitting upright in bed.  She is squirming around in the bed stating that she is having abdominal pain.  States that she does not know her medications.  Her husband usually takes care of this for her.  She is able to relate her surgical history to me.    ED physician spoke with the Dr.  He is unavailable to come see this patient.  According to the ED physician the Dr. asked us to take care of the patient while he is away."
	"1293257-1"	"1293257-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"J96.01 - Acute respiratory failure with hypoxia (CMS/HCC) R57.9 - Shock (CMS/HCC) A41.9 - Sepsis, unspecified organism"
	"1293257-1"	"1293257-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"J96.01 - Acute respiratory failure with hypoxia (CMS/HCC) R57.9 - Shock (CMS/HCC) A41.9 - Sepsis, unspecified organism"
	"1293257-1"	"1293257-1"	"SHOCK"	"10040560"	"65-79 years"	"65-79"	"J96.01 - Acute respiratory failure with hypoxia (CMS/HCC) R57.9 - Shock (CMS/HCC) A41.9 - Sepsis, unspecified organism"
	"1293523-1"	"1293523-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"This 79   year old  female received the Covid shot on  2/18   and went to the ED on  2/26  and was admitted  on 2/26 with chest pain and abdominal pain and again to the ED on 3/14 and admitted on 3/14 with hyperkalemia, acute renal injury, chest pain and died on 05/04/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1293523-1"	"1293523-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"This 79   year old  female received the Covid shot on  2/18   and went to the ED on  2/26  and was admitted  on 2/26 with chest pain and abdominal pain and again to the ED on 3/14 and admitted on 3/14 with hyperkalemia, acute renal injury, chest pain and died on 05/04/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1293523-1"	"1293523-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"This 79   year old  female received the Covid shot on  2/18   and went to the ED on  2/26  and was admitted  on 2/26 with chest pain and abdominal pain and again to the ED on 3/14 and admitted on 3/14 with hyperkalemia, acute renal injury, chest pain and died on 05/04/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1293523-1"	"1293523-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 79   year old  female received the Covid shot on  2/18   and went to the ED on  2/26  and was admitted  on 2/26 with chest pain and abdominal pain and again to the ED on 3/14 and admitted on 3/14 with hyperkalemia, acute renal injury, chest pain and died on 05/04/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1293523-1"	"1293523-1"	"HYPERKALAEMIA"	"10020646"	"65-79 years"	"65-79"	"This 79   year old  female received the Covid shot on  2/18   and went to the ED on  2/26  and was admitted  on 2/26 with chest pain and abdominal pain and again to the ED on 3/14 and admitted on 3/14 with hyperkalemia, acute renal injury, chest pain and died on 05/04/21 .  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation."
	"1302677-1"	"1302677-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"This 71 year old male received the Covid shot on  3/29/21 and died on 5/6/21 with the diagnoses listed below Covid-19"
	"1302677-1"	"1302677-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 71 year old male received the Covid shot on  3/29/21 and died on 5/6/21 with the diagnoses listed below Covid-19"
	"1302683-1"	"1302683-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 70 year old female received the Covid shot on 3/17/21 and died on 5/1/21."
	"1302712-1"	"1302712-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 70 year old female received the Covid shot on  4/9/21    and went to the ED on  5/5/21   died on 5/5/21."
	"1303031-1"	"1303031-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 68 year old  black male received the Covid shot on  3/17/21  and died  5/21."
	"1303041-1"	"1303041-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 77  year old male received the Covid shot on  2/22/21    and went to the ED and admitted on 4/28/21 with the  diagnoses listed below and died on 5/5/21. cause of death unknown at time of report"
	"1303069-1"	"1303069-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 75 year old female hospice patient received the Covid shot on 3/24/21  died on 5/6/21."
	"1303162-1"	"1303162-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 77 year old female received the Covid shot on  4/1/21    and went to the ED on 4/11/21 and admitted on  4/12/21 and again to the ED on 4/24/21 with the below listed diagnoses and died on 5/9/21. J18.9 - Pneumonia, unspecified organism"
	"1303162-1"	"1303162-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"This 77 year old female received the Covid shot on  4/1/21    and went to the ED on 4/11/21 and admitted on  4/12/21 and again to the ED on 4/24/21 with the below listed diagnoses and died on 5/9/21. J18.9 - Pneumonia, unspecified organism"
	"1303190-1"	"1303190-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"This 74 year old female received the Covid shot on  3/12/21    and went to the ED on 4/11/21  with the  diagnoses listed below and died on 5/3/21. ABDOMINAL PAIN VOMITING"
	"1303190-1"	"1303190-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 74 year old female received the Covid shot on  3/12/21    and went to the ED on 4/11/21  with the  diagnoses listed below and died on 5/3/21. ABDOMINAL PAIN VOMITING"
	"1303190-1"	"1303190-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"This 74 year old female received the Covid shot on  3/12/21    and went to the ED on 4/11/21  with the  diagnoses listed below and died on 5/3/21. ABDOMINAL PAIN VOMITING"
	"1313585-1"	"1313585-1"	"HEPATIC ENCEPHALOPATHY"	"10019660"	"65-79 years"	"65-79"	"K72.90 - Hepatic encephalopathy (CMS/HCC)"
	"1317389-1"	"1317389-1"	"ANTICOAGULANT THERAPY"	"10053468"	"65-79 years"	"65-79"	"Z79.01 - Chronic anticoagulation J18.9 - Left lower lobe pneumonia R29.6 - Multiple falls A41.9 - Sepsis (CMS/HCC) R09.02 - Hypoxemia J44.1 - COPD exacerbation (CMS/HCC) I50.9 - CHF exacerbation (CMS/HCC) R79.89 - Elevated brain natriuretic peptide (BNP) level"
	"1317389-1"	"1317389-1"	"BRAIN NATRIURETIC PEPTIDE INCREASED"	"10053405"	"65-79 years"	"65-79"	"Z79.01 - Chronic anticoagulation J18.9 - Left lower lobe pneumonia R29.6 - Multiple falls A41.9 - Sepsis (CMS/HCC) R09.02 - Hypoxemia J44.1 - COPD exacerbation (CMS/HCC) I50.9 - CHF exacerbation (CMS/HCC) R79.89 - Elevated brain natriuretic peptide (BNP) level"
	"1317389-1"	"1317389-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"Z79.01 - Chronic anticoagulation J18.9 - Left lower lobe pneumonia R29.6 - Multiple falls A41.9 - Sepsis (CMS/HCC) R09.02 - Hypoxemia J44.1 - COPD exacerbation (CMS/HCC) I50.9 - CHF exacerbation (CMS/HCC) R79.89 - Elevated brain natriuretic peptide (BNP) level"
	"1317389-1"	"1317389-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"Z79.01 - Chronic anticoagulation J18.9 - Left lower lobe pneumonia R29.6 - Multiple falls A41.9 - Sepsis (CMS/HCC) R09.02 - Hypoxemia J44.1 - COPD exacerbation (CMS/HCC) I50.9 - CHF exacerbation (CMS/HCC) R79.89 - Elevated brain natriuretic peptide (BNP) level"
	"1317389-1"	"1317389-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Z79.01 - Chronic anticoagulation J18.9 - Left lower lobe pneumonia R29.6 - Multiple falls A41.9 - Sepsis (CMS/HCC) R09.02 - Hypoxemia J44.1 - COPD exacerbation (CMS/HCC) I50.9 - CHF exacerbation (CMS/HCC) R79.89 - Elevated brain natriuretic peptide (BNP) level"
	"1317389-1"	"1317389-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Z79.01 - Chronic anticoagulation J18.9 - Left lower lobe pneumonia R29.6 - Multiple falls A41.9 - Sepsis (CMS/HCC) R09.02 - Hypoxemia J44.1 - COPD exacerbation (CMS/HCC) I50.9 - CHF exacerbation (CMS/HCC) R79.89 - Elevated brain natriuretic peptide (BNP) level"
	"1317389-1"	"1317389-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Z79.01 - Chronic anticoagulation J18.9 - Left lower lobe pneumonia R29.6 - Multiple falls A41.9 - Sepsis (CMS/HCC) R09.02 - Hypoxemia J44.1 - COPD exacerbation (CMS/HCC) I50.9 - CHF exacerbation (CMS/HCC) R79.89 - Elevated brain natriuretic peptide (BNP) level"
	"1317389-1"	"1317389-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Z79.01 - Chronic anticoagulation J18.9 - Left lower lobe pneumonia R29.6 - Multiple falls A41.9 - Sepsis (CMS/HCC) R09.02 - Hypoxemia J44.1 - COPD exacerbation (CMS/HCC) I50.9 - CHF exacerbation (CMS/HCC) R79.89 - Elevated brain natriuretic peptide (BNP) level"
	"1317389-1"	"1317389-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Z79.01 - Chronic anticoagulation J18.9 - Left lower lobe pneumonia R29.6 - Multiple falls A41.9 - Sepsis (CMS/HCC) R09.02 - Hypoxemia J44.1 - COPD exacerbation (CMS/HCC) I50.9 - CHF exacerbation (CMS/HCC) R79.89 - Elevated brain natriuretic peptide (BNP) level"
	"1323109-1"	"1323109-1"	"BACTERIAL SEPSIS"	"10053840"	"65-79 years"	"65-79"	"Death A41.50 - Gram-negative sepsis, unspecified K81.0 - Acute cholecystitis E86.0 - Dehydration E83.42 - Hypomagnesemia N39.0 - Urinary tract infection E87.2 - Respiratory acidosis R06.89 - Hypercarbia T85.518A - Cholecystostomy tube dysfunction, initial encounter D72.829 - Leukocytosis, unspecified type"
	"1323109-1"	"1323109-1"	"CHOLECYSTITIS ACUTE"	"10008614"	"65-79 years"	"65-79"	"Death A41.50 - Gram-negative sepsis, unspecified K81.0 - Acute cholecystitis E86.0 - Dehydration E83.42 - Hypomagnesemia N39.0 - Urinary tract infection E87.2 - Respiratory acidosis R06.89 - Hypercarbia T85.518A - Cholecystostomy tube dysfunction, initial encounter D72.829 - Leukocytosis, unspecified type"
	"1323109-1"	"1323109-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death A41.50 - Gram-negative sepsis, unspecified K81.0 - Acute cholecystitis E86.0 - Dehydration E83.42 - Hypomagnesemia N39.0 - Urinary tract infection E87.2 - Respiratory acidosis R06.89 - Hypercarbia T85.518A - Cholecystostomy tube dysfunction, initial encounter D72.829 - Leukocytosis, unspecified type"
	"1323109-1"	"1323109-1"	"DEHYDRATION"	"10012174"	"65-79 years"	"65-79"	"Death A41.50 - Gram-negative sepsis, unspecified K81.0 - Acute cholecystitis E86.0 - Dehydration E83.42 - Hypomagnesemia N39.0 - Urinary tract infection E87.2 - Respiratory acidosis R06.89 - Hypercarbia T85.518A - Cholecystostomy tube dysfunction, initial encounter D72.829 - Leukocytosis, unspecified type"
	"1323109-1"	"1323109-1"	"DEVICE MALFUNCTION"	"10063829"	"65-79 years"	"65-79"	"Death A41.50 - Gram-negative sepsis, unspecified K81.0 - Acute cholecystitis E86.0 - Dehydration E83.42 - Hypomagnesemia N39.0 - Urinary tract infection E87.2 - Respiratory acidosis R06.89 - Hypercarbia T85.518A - Cholecystostomy tube dysfunction, initial encounter D72.829 - Leukocytosis, unspecified type"
	"1323109-1"	"1323109-1"	"HYPERCAPNIA"	"10020591"	"65-79 years"	"65-79"	"Death A41.50 - Gram-negative sepsis, unspecified K81.0 - Acute cholecystitis E86.0 - Dehydration E83.42 - Hypomagnesemia N39.0 - Urinary tract infection E87.2 - Respiratory acidosis R06.89 - Hypercarbia T85.518A - Cholecystostomy tube dysfunction, initial encounter D72.829 - Leukocytosis, unspecified type"
	"1323109-1"	"1323109-1"	"HYPOMAGNESAEMIA"	"10021027"	"65-79 years"	"65-79"	"Death A41.50 - Gram-negative sepsis, unspecified K81.0 - Acute cholecystitis E86.0 - Dehydration E83.42 - Hypomagnesemia N39.0 - Urinary tract infection E87.2 - Respiratory acidosis R06.89 - Hypercarbia T85.518A - Cholecystostomy tube dysfunction, initial encounter D72.829 - Leukocytosis, unspecified type"
	"1323109-1"	"1323109-1"	"LEUKOCYTOSIS"	"10024378"	"65-79 years"	"65-79"	"Death A41.50 - Gram-negative sepsis, unspecified K81.0 - Acute cholecystitis E86.0 - Dehydration E83.42 - Hypomagnesemia N39.0 - Urinary tract infection E87.2 - Respiratory acidosis R06.89 - Hypercarbia T85.518A - Cholecystostomy tube dysfunction, initial encounter D72.829 - Leukocytosis, unspecified type"
	"1323109-1"	"1323109-1"	"RESPIRATORY ACIDOSIS"	"10038661"	"65-79 years"	"65-79"	"Death A41.50 - Gram-negative sepsis, unspecified K81.0 - Acute cholecystitis E86.0 - Dehydration E83.42 - Hypomagnesemia N39.0 - Urinary tract infection E87.2 - Respiratory acidosis R06.89 - Hypercarbia T85.518A - Cholecystostomy tube dysfunction, initial encounter D72.829 - Leukocytosis, unspecified type"
	"1323109-1"	"1323109-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"Death A41.50 - Gram-negative sepsis, unspecified K81.0 - Acute cholecystitis E86.0 - Dehydration E83.42 - Hypomagnesemia N39.0 - Urinary tract infection E87.2 - Respiratory acidosis R06.89 - Hypercarbia T85.518A - Cholecystostomy tube dysfunction, initial encounter D72.829 - Leukocytosis, unspecified type"
	"1323124-1"	"1323124-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"This 73 year old female patient received the Covid shot on  3/26/21  died on 5/4/21."
	"1323208-1"	"1323208-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"SYNCOPE FATIGUE"
	"1323208-1"	"1323208-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"SYNCOPE FATIGUE"
	"1332841-1"	"1332841-1"	"BLINDNESS"	"10005169"	"65-79 years"	"65-79"	"Body chills; Body aches; Blindness; Septic shock due to serratia infection (not sure how the infection came to be); Septic shock due to serratia infection (not sure how the infection came to be); Kidney failure; This is a spontaneous report from a non-contactable consumer.    A 68-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 13Feb2021 (Lot Number: EL9266) as single dose for COVID-19 immunisation. Medical history included type 2 diabetes, stage 4 kidney disease, high blood pressure. Concomitant medications included unspecified drugs. Prior to vaccination, the patient was not diagnosed with COVID-19. On 14Feb2021, the patient experienced body chills, body aches, blindness, septic shock due to serratia infection (not sure how the infection came to be), kidney failure. The events required a visit to the emergency room. No treatment required. The patient was hospitalized due to the events for 18 days and condition was life threatening. The final outcome was fatal. The patient died on 06Mar2021. An autopsy was not performed. Cause of death was septic shock.  No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Septic shock"
	"1332841-1"	"1332841-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Body chills; Body aches; Blindness; Septic shock due to serratia infection (not sure how the infection came to be); Septic shock due to serratia infection (not sure how the infection came to be); Kidney failure; This is a spontaneous report from a non-contactable consumer.    A 68-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 13Feb2021 (Lot Number: EL9266) as single dose for COVID-19 immunisation. Medical history included type 2 diabetes, stage 4 kidney disease, high blood pressure. Concomitant medications included unspecified drugs. Prior to vaccination, the patient was not diagnosed with COVID-19. On 14Feb2021, the patient experienced body chills, body aches, blindness, septic shock due to serratia infection (not sure how the infection came to be), kidney failure. The events required a visit to the emergency room. No treatment required. The patient was hospitalized due to the events for 18 days and condition was life threatening. The final outcome was fatal. The patient died on 06Mar2021. An autopsy was not performed. Cause of death was septic shock.  No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Septic shock"
	"1332841-1"	"1332841-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"Body chills; Body aches; Blindness; Septic shock due to serratia infection (not sure how the infection came to be); Septic shock due to serratia infection (not sure how the infection came to be); Kidney failure; This is a spontaneous report from a non-contactable consumer.    A 68-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 13Feb2021 (Lot Number: EL9266) as single dose for COVID-19 immunisation. Medical history included type 2 diabetes, stage 4 kidney disease, high blood pressure. Concomitant medications included unspecified drugs. Prior to vaccination, the patient was not diagnosed with COVID-19. On 14Feb2021, the patient experienced body chills, body aches, blindness, septic shock due to serratia infection (not sure how the infection came to be), kidney failure. The events required a visit to the emergency room. No treatment required. The patient was hospitalized due to the events for 18 days and condition was life threatening. The final outcome was fatal. The patient died on 06Mar2021. An autopsy was not performed. Cause of death was septic shock.  No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Septic shock"
	"1332841-1"	"1332841-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"Body chills; Body aches; Blindness; Septic shock due to serratia infection (not sure how the infection came to be); Septic shock due to serratia infection (not sure how the infection came to be); Kidney failure; This is a spontaneous report from a non-contactable consumer.    A 68-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 13Feb2021 (Lot Number: EL9266) as single dose for COVID-19 immunisation. Medical history included type 2 diabetes, stage 4 kidney disease, high blood pressure. Concomitant medications included unspecified drugs. Prior to vaccination, the patient was not diagnosed with COVID-19. On 14Feb2021, the patient experienced body chills, body aches, blindness, septic shock due to serratia infection (not sure how the infection came to be), kidney failure. The events required a visit to the emergency room. No treatment required. The patient was hospitalized due to the events for 18 days and condition was life threatening. The final outcome was fatal. The patient died on 06Mar2021. An autopsy was not performed. Cause of death was septic shock.  No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Septic shock"
	"1332841-1"	"1332841-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"Body chills; Body aches; Blindness; Septic shock due to serratia infection (not sure how the infection came to be); Septic shock due to serratia infection (not sure how the infection came to be); Kidney failure; This is a spontaneous report from a non-contactable consumer.    A 68-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 13Feb2021 (Lot Number: EL9266) as single dose for COVID-19 immunisation. Medical history included type 2 diabetes, stage 4 kidney disease, high blood pressure. Concomitant medications included unspecified drugs. Prior to vaccination, the patient was not diagnosed with COVID-19. On 14Feb2021, the patient experienced body chills, body aches, blindness, septic shock due to serratia infection (not sure how the infection came to be), kidney failure. The events required a visit to the emergency room. No treatment required. The patient was hospitalized due to the events for 18 days and condition was life threatening. The final outcome was fatal. The patient died on 06Mar2021. An autopsy was not performed. Cause of death was septic shock.  No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Septic shock"
	"1332841-1"	"1332841-1"	"SERRATIA INFECTION"	"10061512"	"65-79 years"	"65-79"	"Body chills; Body aches; Blindness; Septic shock due to serratia infection (not sure how the infection came to be); Septic shock due to serratia infection (not sure how the infection came to be); Kidney failure; This is a spontaneous report from a non-contactable consumer.    A 68-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 13Feb2021 (Lot Number: EL9266) as single dose for COVID-19 immunisation. Medical history included type 2 diabetes, stage 4 kidney disease, high blood pressure. Concomitant medications included unspecified drugs. Prior to vaccination, the patient was not diagnosed with COVID-19. On 14Feb2021, the patient experienced body chills, body aches, blindness, septic shock due to serratia infection (not sure how the infection came to be), kidney failure. The events required a visit to the emergency room. No treatment required. The patient was hospitalized due to the events for 18 days and condition was life threatening. The final outcome was fatal. The patient died on 06Mar2021. An autopsy was not performed. Cause of death was septic shock.  No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Septic shock"
	"1333192-1"	"1333192-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Acute kidney injury; acute myocardial infarction; cardiac failure congestive; Confusional state; dyspnea; Respiratory distress; Sepsis; cardio-respiratory arrest; This case was received via VAERS (Reference number: 1213568) on 11-May-2021 and was forwarded to Moderna on 11-May-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest), ACUTE KIDNEY INJURY (Acute kidney injury), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive), CONFUSIONAL STATE (Confusional state), DYSPNOEA (dyspnea), RESPIRATORY DISTRESS (Respiratory distress) and SEPSIS (Sepsis) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination.     No Medical History information was reported.    On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Mar-2021, the patient experienced CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest) (seriousness criteria death and medically significant), ACUTE KIDNEY INJURY (Acute kidney injury) (seriousness criteria hospitalization and medically significant), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction) (seriousness criteria hospitalization and medically significant), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive) (seriousness criteria hospitalization and medically significant), CONFUSIONAL STATE (Confusional state) (seriousness criterion hospitalization), DYSPNOEA (dyspnea) (seriousness criterion hospitalization), RESPIRATORY DISTRESS (Respiratory distress) (seriousness criteria hospitalization and medically significant) and SEPSIS (Sepsis) (seriousness criteria hospitalization and medically significant). The patient died on 20-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient presented to the ER and was treated for acute CHF, NSTEMI and sepsis with ceftriaxone and azithromycin. After placement of Trialysis catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue on 20-Mar-2020.  Company comment: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.  Concomitant medication use was not provided by the reporter.; Sender's Comments: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.; Reported Cause(s) of Death: unknown cause of death."
	"1333192-1"	"1333192-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"Acute kidney injury; acute myocardial infarction; cardiac failure congestive; Confusional state; dyspnea; Respiratory distress; Sepsis; cardio-respiratory arrest; This case was received via VAERS (Reference number: 1213568) on 11-May-2021 and was forwarded to Moderna on 11-May-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest), ACUTE KIDNEY INJURY (Acute kidney injury), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive), CONFUSIONAL STATE (Confusional state), DYSPNOEA (dyspnea), RESPIRATORY DISTRESS (Respiratory distress) and SEPSIS (Sepsis) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination.     No Medical History information was reported.    On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Mar-2021, the patient experienced CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest) (seriousness criteria death and medically significant), ACUTE KIDNEY INJURY (Acute kidney injury) (seriousness criteria hospitalization and medically significant), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction) (seriousness criteria hospitalization and medically significant), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive) (seriousness criteria hospitalization and medically significant), CONFUSIONAL STATE (Confusional state) (seriousness criterion hospitalization), DYSPNOEA (dyspnea) (seriousness criterion hospitalization), RESPIRATORY DISTRESS (Respiratory distress) (seriousness criteria hospitalization and medically significant) and SEPSIS (Sepsis) (seriousness criteria hospitalization and medically significant). The patient died on 20-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient presented to the ER and was treated for acute CHF, NSTEMI and sepsis with ceftriaxone and azithromycin. After placement of Trialysis catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue on 20-Mar-2020.  Company comment: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.  Concomitant medication use was not provided by the reporter.; Sender's Comments: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.; Reported Cause(s) of Death: unknown cause of death."
	"1333192-1"	"1333192-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"Acute kidney injury; acute myocardial infarction; cardiac failure congestive; Confusional state; dyspnea; Respiratory distress; Sepsis; cardio-respiratory arrest; This case was received via VAERS (Reference number: 1213568) on 11-May-2021 and was forwarded to Moderna on 11-May-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest), ACUTE KIDNEY INJURY (Acute kidney injury), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive), CONFUSIONAL STATE (Confusional state), DYSPNOEA (dyspnea), RESPIRATORY DISTRESS (Respiratory distress) and SEPSIS (Sepsis) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination.     No Medical History information was reported.    On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Mar-2021, the patient experienced CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest) (seriousness criteria death and medically significant), ACUTE KIDNEY INJURY (Acute kidney injury) (seriousness criteria hospitalization and medically significant), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction) (seriousness criteria hospitalization and medically significant), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive) (seriousness criteria hospitalization and medically significant), CONFUSIONAL STATE (Confusional state) (seriousness criterion hospitalization), DYSPNOEA (dyspnea) (seriousness criterion hospitalization), RESPIRATORY DISTRESS (Respiratory distress) (seriousness criteria hospitalization and medically significant) and SEPSIS (Sepsis) (seriousness criteria hospitalization and medically significant). The patient died on 20-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient presented to the ER and was treated for acute CHF, NSTEMI and sepsis with ceftriaxone and azithromycin. After placement of Trialysis catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue on 20-Mar-2020.  Company comment: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.  Concomitant medication use was not provided by the reporter.; Sender's Comments: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.; Reported Cause(s) of Death: unknown cause of death."
	"1333192-1"	"1333192-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Acute kidney injury; acute myocardial infarction; cardiac failure congestive; Confusional state; dyspnea; Respiratory distress; Sepsis; cardio-respiratory arrest; This case was received via VAERS (Reference number: 1213568) on 11-May-2021 and was forwarded to Moderna on 11-May-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest), ACUTE KIDNEY INJURY (Acute kidney injury), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive), CONFUSIONAL STATE (Confusional state), DYSPNOEA (dyspnea), RESPIRATORY DISTRESS (Respiratory distress) and SEPSIS (Sepsis) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination.     No Medical History information was reported.    On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Mar-2021, the patient experienced CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest) (seriousness criteria death and medically significant), ACUTE KIDNEY INJURY (Acute kidney injury) (seriousness criteria hospitalization and medically significant), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction) (seriousness criteria hospitalization and medically significant), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive) (seriousness criteria hospitalization and medically significant), CONFUSIONAL STATE (Confusional state) (seriousness criterion hospitalization), DYSPNOEA (dyspnea) (seriousness criterion hospitalization), RESPIRATORY DISTRESS (Respiratory distress) (seriousness criteria hospitalization and medically significant) and SEPSIS (Sepsis) (seriousness criteria hospitalization and medically significant). The patient died on 20-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient presented to the ER and was treated for acute CHF, NSTEMI and sepsis with ceftriaxone and azithromycin. After placement of Trialysis catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue on 20-Mar-2020.  Company comment: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.  Concomitant medication use was not provided by the reporter.; Sender's Comments: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.; Reported Cause(s) of Death: unknown cause of death."
	"1333192-1"	"1333192-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"Acute kidney injury; acute myocardial infarction; cardiac failure congestive; Confusional state; dyspnea; Respiratory distress; Sepsis; cardio-respiratory arrest; This case was received via VAERS (Reference number: 1213568) on 11-May-2021 and was forwarded to Moderna on 11-May-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest), ACUTE KIDNEY INJURY (Acute kidney injury), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive), CONFUSIONAL STATE (Confusional state), DYSPNOEA (dyspnea), RESPIRATORY DISTRESS (Respiratory distress) and SEPSIS (Sepsis) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination.     No Medical History information was reported.    On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Mar-2021, the patient experienced CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest) (seriousness criteria death and medically significant), ACUTE KIDNEY INJURY (Acute kidney injury) (seriousness criteria hospitalization and medically significant), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction) (seriousness criteria hospitalization and medically significant), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive) (seriousness criteria hospitalization and medically significant), CONFUSIONAL STATE (Confusional state) (seriousness criterion hospitalization), DYSPNOEA (dyspnea) (seriousness criterion hospitalization), RESPIRATORY DISTRESS (Respiratory distress) (seriousness criteria hospitalization and medically significant) and SEPSIS (Sepsis) (seriousness criteria hospitalization and medically significant). The patient died on 20-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient presented to the ER and was treated for acute CHF, NSTEMI and sepsis with ceftriaxone and azithromycin. After placement of Trialysis catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue on 20-Mar-2020.  Company comment: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.  Concomitant medication use was not provided by the reporter.; Sender's Comments: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.; Reported Cause(s) of Death: unknown cause of death."
	"1333192-1"	"1333192-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Acute kidney injury; acute myocardial infarction; cardiac failure congestive; Confusional state; dyspnea; Respiratory distress; Sepsis; cardio-respiratory arrest; This case was received via VAERS (Reference number: 1213568) on 11-May-2021 and was forwarded to Moderna on 11-May-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest), ACUTE KIDNEY INJURY (Acute kidney injury), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive), CONFUSIONAL STATE (Confusional state), DYSPNOEA (dyspnea), RESPIRATORY DISTRESS (Respiratory distress) and SEPSIS (Sepsis) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination.     No Medical History information was reported.    On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Mar-2021, the patient experienced CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest) (seriousness criteria death and medically significant), ACUTE KIDNEY INJURY (Acute kidney injury) (seriousness criteria hospitalization and medically significant), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction) (seriousness criteria hospitalization and medically significant), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive) (seriousness criteria hospitalization and medically significant), CONFUSIONAL STATE (Confusional state) (seriousness criterion hospitalization), DYSPNOEA (dyspnea) (seriousness criterion hospitalization), RESPIRATORY DISTRESS (Respiratory distress) (seriousness criteria hospitalization and medically significant) and SEPSIS (Sepsis) (seriousness criteria hospitalization and medically significant). The patient died on 20-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient presented to the ER and was treated for acute CHF, NSTEMI and sepsis with ceftriaxone and azithromycin. After placement of Trialysis catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue on 20-Mar-2020.  Company comment: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.  Concomitant medication use was not provided by the reporter.; Sender's Comments: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.; Reported Cause(s) of Death: unknown cause of death."
	"1333192-1"	"1333192-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"Acute kidney injury; acute myocardial infarction; cardiac failure congestive; Confusional state; dyspnea; Respiratory distress; Sepsis; cardio-respiratory arrest; This case was received via VAERS (Reference number: 1213568) on 11-May-2021 and was forwarded to Moderna on 11-May-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest), ACUTE KIDNEY INJURY (Acute kidney injury), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive), CONFUSIONAL STATE (Confusional state), DYSPNOEA (dyspnea), RESPIRATORY DISTRESS (Respiratory distress) and SEPSIS (Sepsis) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination.     No Medical History information was reported.    On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Mar-2021, the patient experienced CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest) (seriousness criteria death and medically significant), ACUTE KIDNEY INJURY (Acute kidney injury) (seriousness criteria hospitalization and medically significant), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction) (seriousness criteria hospitalization and medically significant), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive) (seriousness criteria hospitalization and medically significant), CONFUSIONAL STATE (Confusional state) (seriousness criterion hospitalization), DYSPNOEA (dyspnea) (seriousness criterion hospitalization), RESPIRATORY DISTRESS (Respiratory distress) (seriousness criteria hospitalization and medically significant) and SEPSIS (Sepsis) (seriousness criteria hospitalization and medically significant). The patient died on 20-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient presented to the ER and was treated for acute CHF, NSTEMI and sepsis with ceftriaxone and azithromycin. After placement of Trialysis catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue on 20-Mar-2020.  Company comment: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.  Concomitant medication use was not provided by the reporter.; Sender's Comments: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.; Reported Cause(s) of Death: unknown cause of death."
	"1333192-1"	"1333192-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Acute kidney injury; acute myocardial infarction; cardiac failure congestive; Confusional state; dyspnea; Respiratory distress; Sepsis; cardio-respiratory arrest; This case was received via VAERS (Reference number: 1213568) on 11-May-2021 and was forwarded to Moderna on 11-May-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest), ACUTE KIDNEY INJURY (Acute kidney injury), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive), CONFUSIONAL STATE (Confusional state), DYSPNOEA (dyspnea), RESPIRATORY DISTRESS (Respiratory distress) and SEPSIS (Sepsis) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination.     No Medical History information was reported.    On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Mar-2021, the patient experienced CARDIO-RESPIRATORY ARREST (cardio-respiratory arrest) (seriousness criteria death and medically significant), ACUTE KIDNEY INJURY (Acute kidney injury) (seriousness criteria hospitalization and medically significant), ACUTE MYOCARDIAL INFARCTION (acute myocardial infarction) (seriousness criteria hospitalization and medically significant), CARDIAC FAILURE CONGESTIVE (cardiac failure congestive) (seriousness criteria hospitalization and medically significant), CONFUSIONAL STATE (Confusional state) (seriousness criterion hospitalization), DYSPNOEA (dyspnea) (seriousness criterion hospitalization), RESPIRATORY DISTRESS (Respiratory distress) (seriousness criteria hospitalization and medically significant) and SEPSIS (Sepsis) (seriousness criteria hospitalization and medically significant). The patient died on 20-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient presented to the ER and was treated for acute CHF, NSTEMI and sepsis with ceftriaxone and azithromycin. After placement of Trialysis catheter, he developed increasing respiratory distress and confusion and was transferred to the ICU where he received vasopressors, intubation and unsuccessful resuscitation after a code blue on 20-Mar-2020.  Company comment: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.  Concomitant medication use was not provided by the reporter.; Sender's Comments: This is a case of death in a 76-year-old male subject with unknown medical history, who died 22 days after receiving the second dose of vaccine. Very limited information has been provided at this time. No follow up is possible.; Reported Cause(s) of Death: unknown cause of death."
	"1334038-1"	"1334038-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was hospitalized and died within 60 days of receiving a COVID vaccine series"
	"1336534-1"	"1336534-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"NA Acute Systolic AFIB Pancreatic cancer  Heart Failure"
	"1336534-1"	"1336534-1"	"CARDIAC FAILURE"	"10007554"	"65-79 years"	"65-79"	"NA Acute Systolic AFIB Pancreatic cancer  Heart Failure"
	"1336534-1"	"1336534-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"NA Acute Systolic AFIB Pancreatic cancer  Heart Failure"
	"1336534-1"	"1336534-1"	"PANCREATIC CARCINOMA"	"10033609"	"65-79 years"	"65-79"	"NA Acute Systolic AFIB Pancreatic cancer  Heart Failure"
	"1336582-1"	"1336582-1"	"CORONARY ARTERY DISEASE"	"10011078"	"65-79 years"	"65-79"	"NA PAD, Coronary Artery Disease"
	"1336582-1"	"1336582-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"NA PAD, Coronary Artery Disease"
	"1336582-1"	"1336582-1"	"PERIPHERAL ARTERIAL OCCLUSIVE DISEASE"	"10062585"	"65-79 years"	"65-79"	"NA PAD, Coronary Artery Disease"
	"1337556-1"	"1337556-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Stage IV Pancreatic Cancer"
	"1337556-1"	"1337556-1"	"PANCREATIC CARCINOMA METASTATIC"	"10033610"	"65-79 years"	"65-79"	"Stage IV Pancreatic Cancer"
	"1337585-1"	"1337585-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"NA COPD, MALT lymphoma,  HTN"
	"1337585-1"	"1337585-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"NA COPD, MALT lymphoma,  HTN"
	"1337585-1"	"1337585-1"	"EXTRANODAL MARGINAL ZONE B-CELL LYMPHOMA (MALT TYPE)"	"10061850"	"65-79 years"	"65-79"	"NA COPD, MALT lymphoma,  HTN"
	"1337585-1"	"1337585-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"NA COPD, MALT lymphoma,  HTN"
	"1337619-1"	"1337619-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"NA End Stage Kidney disease  DM Neuromuscular disease"
	"1337619-1"	"1337619-1"	"DIABETES MELLITUS"	"10012601"	"65-79 years"	"65-79"	"NA End Stage Kidney disease  DM Neuromuscular disease"
	"1337619-1"	"1337619-1"	"END STAGE RENAL DISEASE"	"10077512"	"65-79 years"	"65-79"	"NA End Stage Kidney disease  DM Neuromuscular disease"
	"1337619-1"	"1337619-1"	"NEUROMYOPATHY"	"10029323"	"65-79 years"	"65-79"	"NA End Stage Kidney disease  DM Neuromuscular disease"
	"1337675-1"	"1337675-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"NA Left Upper Lobe Lung CA  COPD"
	"1337675-1"	"1337675-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"NA Left Upper Lobe Lung CA  COPD"
	"1337675-1"	"1337675-1"	"LUNG NEOPLASM MALIGNANT"	"10058467"	"65-79 years"	"65-79"	"NA Left Upper Lobe Lung CA  COPD"
	"1338572-1"	"1338572-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Death E87.1 - Chronic hyponatremia N17.9 - AKI (acute kidney injury) (CMS/HCC) J18.9 - Pneumonia of right lower lobe due to infectious organism"
	"1338572-1"	"1338572-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death E87.1 - Chronic hyponatremia N17.9 - AKI (acute kidney injury) (CMS/HCC) J18.9 - Pneumonia of right lower lobe due to infectious organism"
	"1338572-1"	"1338572-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"Death E87.1 - Chronic hyponatremia N17.9 - AKI (acute kidney injury) (CMS/HCC) J18.9 - Pneumonia of right lower lobe due to infectious organism"
	"1338572-1"	"1338572-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Death E87.1 - Chronic hyponatremia N17.9 - AKI (acute kidney injury) (CMS/HCC) J18.9 - Pneumonia of right lower lobe due to infectious organism"
	"1338590-1"	"1338590-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death Thrombocytopenia Subdural bleeding HEADACHE DIZZINESS"
	"1338590-1"	"1338590-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"Death Thrombocytopenia Subdural bleeding HEADACHE DIZZINESS"
	"1338590-1"	"1338590-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Death Thrombocytopenia Subdural bleeding HEADACHE DIZZINESS"
	"1338590-1"	"1338590-1"	"SUBDURAL HAEMORRHAGE"	"10042364"	"65-79 years"	"65-79"	"Death Thrombocytopenia Subdural bleeding HEADACHE DIZZINESS"
	"1338590-1"	"1338590-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"Death Thrombocytopenia Subdural bleeding HEADACHE DIZZINESS"
	"1346604-1"	"1346604-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death J18.9 - Bilateral pneumonia"
	"1346604-1"	"1346604-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"death J18.9 - Bilateral pneumonia"
	"1346738-1"	"1346738-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death E87.1 - Hypo-osmolality and hyponatremia N17.9 - Acute kidney failure, unspecified"
	"1346738-1"	"1346738-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death E87.1 - Hypo-osmolality and hyponatremia N17.9 - Acute kidney failure, unspecified"
	"1346738-1"	"1346738-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"death E87.1 - Hypo-osmolality and hyponatremia N17.9 - Acute kidney failure, unspecified"
	"1346738-1"	"1346738-1"	"HYPOOSMOLAR STATE"	"10074867"	"65-79 years"	"65-79"	"death E87.1 - Hypo-osmolality and hyponatremia N17.9 - Acute kidney failure, unspecified"
	"1346804-1"	"1346804-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death N17.9 - Acute kidney injury  WEAKNESS - GENERALIZED"
	"1346804-1"	"1346804-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"death N17.9 - Acute kidney injury  WEAKNESS - GENERALIZED"
	"1346804-1"	"1346804-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death N17.9 - Acute kidney injury  WEAKNESS - GENERALIZED"
	"1347634-1"	"1347634-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"BREATH SOUNDS ABSENT"	"10062285"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"CARDIOGENIC SHOCK"	"10007625"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"DYSSTASIA"	"10050256"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"HEART SOUNDS ABNORMAL"	"10019311"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"NODAL ARRHYTHMIA"	"10029458"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"PUPIL FIXED"	"10037515"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1347634-1"	"1347634-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"3/5, admitted 3 days after covid vaccine and died. Patient presented to ED feeling very weak and had fallen and could not get up.  He was brought to the emergency room, and a trauma evaluation was negative.  He was found to have a severe junctional bradycardia with a heart rate in the 20s and systolic blood pressures in the 60s.  In addition, he was found to have a creatinine now of greater than 5 when his previously had been in the low 1s. Patient admitted with junctional bradycardia, acute renal failure, hypotension, cardiogenic shock, and acute hypoxemic respiratory failure with high O2 needs. PMH significant for CAD, pulmonary HTN, aortic stenosis, obstructive lung disease, and chronic hypoxia. This patient has been made DNR/DNI over the weekend which is quite appropriate.  Patient was found to be unresponsive with fixed/dilated pupils, absent heart and breath sounds, no respiratory effort, absent pulses, and no response to painful stimuli. Patient was pronounced deceased on 03/10/2021 at 0405."
	"1354811-1"	"1354811-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was hospitalized and died within 60 days of receiving a COVID vaccine series"
	"1365322-1"	"1365322-1"	"CEREBRAL INFARCTION"	"10008118"	"65-79 years"	"65-79"	"death Pneumonia, unspecified organism Cerebral infarction, unspecified"
	"1365322-1"	"1365322-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Pneumonia, unspecified organism Cerebral infarction, unspecified"
	"1365322-1"	"1365322-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"death Pneumonia, unspecified organism Cerebral infarction, unspecified"
	"1367547-1"	"1367547-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death D69.6 - Thrombocytopenia, unspecified Respiratory failure Intercranial mass"
	"1367547-1"	"1367547-1"	"INTRACRANIAL MASS"	"10077667"	"65-79 years"	"65-79"	"death D69.6 - Thrombocytopenia, unspecified Respiratory failure Intercranial mass"
	"1367547-1"	"1367547-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"death D69.6 - Thrombocytopenia, unspecified Respiratory failure Intercranial mass"
	"1367547-1"	"1367547-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"death D69.6 - Thrombocytopenia, unspecified Respiratory failure Intercranial mass"
	"1371818-1"	"1371818-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"Death with 24 hours of second vaccine - per autopsy Myocarditis"
	"1371818-1"	"1371818-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death with 24 hours of second vaccine - per autopsy Myocarditis"
	"1371818-1"	"1371818-1"	"MYOCARDITIS"	"10028606"	"65-79 years"	"65-79"	"Death with 24 hours of second vaccine - per autopsy Myocarditis"
	"1374122-1"	"1374122-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia, unspecified organism"
	"1374122-1"	"1374122-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia, unspecified organism"
	"1374131-1"	"1374131-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"death I46.9 Cardiac Arrest J18.9 - Multifocal pneumonia"
	"1374131-1"	"1374131-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death I46.9 Cardiac Arrest J18.9 - Multifocal pneumonia"
	"1374131-1"	"1374131-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"death I46.9 Cardiac Arrest J18.9 - Multifocal pneumonia"
	"1374481-1"	"1374481-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient presented to the ED and was subsequently hospitalized for peripheral artery disease on 4/15/2021. She also presented to the ED and was subsequently hospitalized for sepsis & VT on 5/22/2021. She died on 5/27/2021."
	"1374481-1"	"1374481-1"	"PERIPHERAL ARTERIAL OCCLUSIVE DISEASE"	"10062585"	"65-79 years"	"65-79"	"Patient presented to the ED and was subsequently hospitalized for peripheral artery disease on 4/15/2021. She also presented to the ED and was subsequently hospitalized for sepsis & VT on 5/22/2021. She died on 5/27/2021."
	"1374481-1"	"1374481-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Patient presented to the ED and was subsequently hospitalized for peripheral artery disease on 4/15/2021. She also presented to the ED and was subsequently hospitalized for sepsis & VT on 5/22/2021. She died on 5/27/2021."
	"1374481-1"	"1374481-1"	"VENTRICULAR TACHYCARDIA"	"10047302"	"65-79 years"	"65-79"	"Patient presented to the ED and was subsequently hospitalized for peripheral artery disease on 4/15/2021. She also presented to the ED and was subsequently hospitalized for sepsis & VT on 5/22/2021. She died on 5/27/2021."
	"1381465-1"	"1381465-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Narrative: not thought to be associated with the covid vaccine, had clear other reasons for demise"
	"1387996-1"	"1387996-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"Non-ST elevation (NSTEMI) myocardial infarction RESPIRATORY DISTRESS"
	"1387996-1"	"1387996-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"Non-ST elevation (NSTEMI) myocardial infarction RESPIRATORY DISTRESS"
	"1388002-1"	"1388002-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"65-79 years"	"65-79"	"Nontraumatic intracerebral hemorrhage, unspecified"
	"1388011-1"	"1388011-1"	"ATYPICAL PNEUMONIA"	"10003757"	"65-79 years"	"65-79"	"J18.9 - Atypical pneumonia"
	"1395416-1"	"1395416-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung"
	"1395416-1"	"1395416-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung"
	"1395663-1"	"1395663-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Massive heart attack and death"
	"1395663-1"	"1395663-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Massive heart attack and death"
	"1406845-1"	"1406845-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	""Evaluated in Health Services for complaints of SOB on 4/13/21, states he felt 'winded and weak after the 2nd moderna vaccine.""""
	"1406845-1"	"1406845-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""Evaluated in Health Services for complaints of SOB on 4/13/21, states he felt 'winded and weak after the 2nd moderna vaccine.""""
	"1406845-1"	"1406845-1"	"FULL BLOOD COUNT"	"10017411"	"65-79 years"	"65-79"	""Evaluated in Health Services for complaints of SOB on 4/13/21, states he felt 'winded and weak after the 2nd moderna vaccine.""""
	"1406845-1"	"1406845-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	""Evaluated in Health Services for complaints of SOB on 4/13/21, states he felt 'winded and weak after the 2nd moderna vaccine.""""
	"1410139-1"	"1410139-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"The patient received the first dose of vaccine on March the 1st and the 2nd dose of the vaccine on March 28th. Patient had difficulty breathing with swelling feet and ankles that did not begin until April 12th. Patient had no history of breathing problems. Cardiovascular history is unknown at the pharmacy as we had only ever performed vaccinations on the patient. Patient was discovered in his house deceased. Exact date is unknown. The pharmacy was contacted by the patient's prescriber which requested we file this report. I apologize for the lack of precise information."
	"1410139-1"	"1410139-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"The patient received the first dose of vaccine on March the 1st and the 2nd dose of the vaccine on March 28th. Patient had difficulty breathing with swelling feet and ankles that did not begin until April 12th. Patient had no history of breathing problems. Cardiovascular history is unknown at the pharmacy as we had only ever performed vaccinations on the patient. Patient was discovered in his house deceased. Exact date is unknown. The pharmacy was contacted by the patient's prescriber which requested we file this report. I apologize for the lack of precise information."
	"1410139-1"	"1410139-1"	"JOINT SWELLING"	"10023232"	"65-79 years"	"65-79"	"The patient received the first dose of vaccine on March the 1st and the 2nd dose of the vaccine on March 28th. Patient had difficulty breathing with swelling feet and ankles that did not begin until April 12th. Patient had no history of breathing problems. Cardiovascular history is unknown at the pharmacy as we had only ever performed vaccinations on the patient. Patient was discovered in his house deceased. Exact date is unknown. The pharmacy was contacted by the patient's prescriber which requested we file this report. I apologize for the lack of precise information."
	"1410139-1"	"1410139-1"	"PERIPHERAL SWELLING"	"10048959"	"65-79 years"	"65-79"	"The patient received the first dose of vaccine on March the 1st and the 2nd dose of the vaccine on March 28th. Patient had difficulty breathing with swelling feet and ankles that did not begin until April 12th. Patient had no history of breathing problems. Cardiovascular history is unknown at the pharmacy as we had only ever performed vaccinations on the patient. Patient was discovered in his house deceased. Exact date is unknown. The pharmacy was contacted by the patient's prescriber which requested we file this report. I apologize for the lack of precise information."
	"1410234-1"	"1410234-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Blood clot?> loss of consciousness-> artificial coma ?> death 10 days after vaccination"
	"1410234-1"	"1410234-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"65-79 years"	"65-79"	"Blood clot?> loss of consciousness-> artificial coma ?> death 10 days after vaccination"
	"1410234-1"	"1410234-1"	"MEDICAL INDUCTION OF COMA"	"10070677"	"65-79 years"	"65-79"	"Blood clot?> loss of consciousness-> artificial coma ?> death 10 days after vaccination"
	"1410234-1"	"1410234-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"Blood clot?> loss of consciousness-> artificial coma ?> death 10 days after vaccination"
	"1415021-1"	"1415021-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Cardiac arrest, death"
	"1415021-1"	"1415021-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Cardiac arrest, death"
	"1420194-1"	"1420194-1"	"BEDRIDDEN"	"10048948"	"65-79 years"	"65-79"	"Mild stroke on morning of day following administration of the vaccine (first in series). Stroke resulted in weakness and limited mobility on left side and slurred speech. Patient was bedridden following the stroke. Patient had terminal cancer but the stroke following the vaccine seemed to trigger a swift decline and patient died one week later."
	"1420194-1"	"1420194-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"Mild stroke on morning of day following administration of the vaccine (first in series). Stroke resulted in weakness and limited mobility on left side and slurred speech. Patient was bedridden following the stroke. Patient had terminal cancer but the stroke following the vaccine seemed to trigger a swift decline and patient died one week later."
	"1420194-1"	"1420194-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Mild stroke on morning of day following administration of the vaccine (first in series). Stroke resulted in weakness and limited mobility on left side and slurred speech. Patient was bedridden following the stroke. Patient had terminal cancer but the stroke following the vaccine seemed to trigger a swift decline and patient died one week later."
	"1420194-1"	"1420194-1"	"DYSARTHRIA"	"10013887"	"65-79 years"	"65-79"	"Mild stroke on morning of day following administration of the vaccine (first in series). Stroke resulted in weakness and limited mobility on left side and slurred speech. Patient was bedridden following the stroke. Patient had terminal cancer but the stroke following the vaccine seemed to trigger a swift decline and patient died one week later."
	"1420194-1"	"1420194-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Mild stroke on morning of day following administration of the vaccine (first in series). Stroke resulted in weakness and limited mobility on left side and slurred speech. Patient was bedridden following the stroke. Patient had terminal cancer but the stroke following the vaccine seemed to trigger a swift decline and patient died one week later."
	"1420194-1"	"1420194-1"	"HEMIPARESIS"	"10019465"	"65-79 years"	"65-79"	"Mild stroke on morning of day following administration of the vaccine (first in series). Stroke resulted in weakness and limited mobility on left side and slurred speech. Patient was bedridden following the stroke. Patient had terminal cancer but the stroke following the vaccine seemed to trigger a swift decline and patient died one week later."
	"1420194-1"	"1420194-1"	"MOBILITY DECREASED"	"10048334"	"65-79 years"	"65-79"	"Mild stroke on morning of day following administration of the vaccine (first in series). Stroke resulted in weakness and limited mobility on left side and slurred speech. Patient was bedridden following the stroke. Patient had terminal cancer but the stroke following the vaccine seemed to trigger a swift decline and patient died one week later."
	"1420750-1"	"1420750-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Severe Sepsis with Acute Hypoxic Resp failure  Chronic liver disease"
	"1420750-1"	"1420750-1"	"LIVER DISORDER"	"10024670"	"65-79 years"	"65-79"	"Severe Sepsis with Acute Hypoxic Resp failure  Chronic liver disease"
	"1420750-1"	"1420750-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Severe Sepsis with Acute Hypoxic Resp failure  Chronic liver disease"
	"1430883-1"	"1430883-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"Patient presented to the ED on 5/2/2021 for acute back pain, unable to ambulate, unstable angina, NSTEMI and was subsequently hospitalized. Patient received second dose of vaccine on 5/24/2021. On 6/24/2021 he presented to the ED in cardiac arrest and did expire. These visits were within 6 weeks of receiving COVID vaccinations."
	"1430883-1"	"1430883-1"	"ANGINA UNSTABLE"	"10002388"	"65-79 years"	"65-79"	"Patient presented to the ED on 5/2/2021 for acute back pain, unable to ambulate, unstable angina, NSTEMI and was subsequently hospitalized. Patient received second dose of vaccine on 5/24/2021. On 6/24/2021 he presented to the ED in cardiac arrest and did expire. These visits were within 6 weeks of receiving COVID vaccinations."
	"1430883-1"	"1430883-1"	"BACK PAIN"	"10003988"	"65-79 years"	"65-79"	"Patient presented to the ED on 5/2/2021 for acute back pain, unable to ambulate, unstable angina, NSTEMI and was subsequently hospitalized. Patient received second dose of vaccine on 5/24/2021. On 6/24/2021 he presented to the ED in cardiac arrest and did expire. These visits were within 6 weeks of receiving COVID vaccinations."
	"1430883-1"	"1430883-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient presented to the ED on 5/2/2021 for acute back pain, unable to ambulate, unstable angina, NSTEMI and was subsequently hospitalized. Patient received second dose of vaccine on 5/24/2021. On 6/24/2021 he presented to the ED in cardiac arrest and did expire. These visits were within 6 weeks of receiving COVID vaccinations."
	"1430883-1"	"1430883-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient presented to the ED on 5/2/2021 for acute back pain, unable to ambulate, unstable angina, NSTEMI and was subsequently hospitalized. Patient received second dose of vaccine on 5/24/2021. On 6/24/2021 he presented to the ED in cardiac arrest and did expire. These visits were within 6 weeks of receiving COVID vaccinations."
	"1430883-1"	"1430883-1"	"GAIT INABILITY"	"10017581"	"65-79 years"	"65-79"	"Patient presented to the ED on 5/2/2021 for acute back pain, unable to ambulate, unstable angina, NSTEMI and was subsequently hospitalized. Patient received second dose of vaccine on 5/24/2021. On 6/24/2021 he presented to the ED in cardiac arrest and did expire. These visits were within 6 weeks of receiving COVID vaccinations."
	"1431080-1"	"1431080-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Death LEG SWELLING N17.9 - Acute kidney failure, unspecified J18.9 - Pneumonia, unspecified organism K92.2 - GI bleed K92.2 - Upper GI bleed"
	"1431080-1"	"1431080-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death LEG SWELLING N17.9 - Acute kidney failure, unspecified J18.9 - Pneumonia, unspecified organism K92.2 - GI bleed K92.2 - Upper GI bleed"
	"1431080-1"	"1431080-1"	"PERIPHERAL SWELLING"	"10048959"	"65-79 years"	"65-79"	"Death LEG SWELLING N17.9 - Acute kidney failure, unspecified J18.9 - Pneumonia, unspecified organism K92.2 - GI bleed K92.2 - Upper GI bleed"
	"1431080-1"	"1431080-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Death LEG SWELLING N17.9 - Acute kidney failure, unspecified J18.9 - Pneumonia, unspecified organism K92.2 - GI bleed K92.2 - Upper GI bleed"
	"1431080-1"	"1431080-1"	"UPPER GASTROINTESTINAL HAEMORRHAGE"	"10046274"	"65-79 years"	"65-79"	"Death LEG SWELLING N17.9 - Acute kidney failure, unspecified J18.9 - Pneumonia, unspecified organism K92.2 - GI bleed K92.2 - Upper GI bleed"
	"1431095-1"	"1431095-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Death N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified"
	"1431095-1"	"1431095-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified"
	"1431095-1"	"1431095-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"Death N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified"
	"1431100-1"	"1431100-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Death I21.4 - Non-ST elevation (NSTEMI) myocardial infarction J18.9 - Pneumonia, unspecified organism N17.9 - Acute kidney failure, unspecified"
	"1431100-1"	"1431100-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"Death I21.4 - Non-ST elevation (NSTEMI) myocardial infarction J18.9 - Pneumonia, unspecified organism N17.9 - Acute kidney failure, unspecified"
	"1431100-1"	"1431100-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death I21.4 - Non-ST elevation (NSTEMI) myocardial infarction J18.9 - Pneumonia, unspecified organism N17.9 - Acute kidney failure, unspecified"
	"1431100-1"	"1431100-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Death I21.4 - Non-ST elevation (NSTEMI) myocardial infarction J18.9 - Pneumonia, unspecified organism N17.9 - Acute kidney failure, unspecified"
	"1431133-1"	"1431133-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia, unspecified organism E87.1 - Hypo-osmolality and hyponatremia N17.9 - Acute kidney failure, unspecified"
	"1431133-1"	"1431133-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia, unspecified organism E87.1 - Hypo-osmolality and hyponatremia N17.9 - Acute kidney failure, unspecified"
	"1431133-1"	"1431133-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia, unspecified organism E87.1 - Hypo-osmolality and hyponatremia N17.9 - Acute kidney failure, unspecified"
	"1431133-1"	"1431133-1"	"HYPOOSMOLAR STATE"	"10074867"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia, unspecified organism E87.1 - Hypo-osmolality and hyponatremia N17.9 - Acute kidney failure, unspecified"
	"1431133-1"	"1431133-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia, unspecified organism E87.1 - Hypo-osmolality and hyponatremia N17.9 - Acute kidney failure, unspecified"
	"1431146-1"	"1431146-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death E87.1 - Hypo-osmolality and hyponatremia"
	"1431146-1"	"1431146-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"death E87.1 - Hypo-osmolality and hyponatremia"
	"1431146-1"	"1431146-1"	"HYPOOSMOLAR STATE"	"10074867"	"65-79 years"	"65-79"	"death E87.1 - Hypo-osmolality and hyponatremia"
	"1431193-1"	"1431193-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death J18.9 - Pneumonia, unspecified organism"
	"1431193-1"	"1431193-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Death J18.9 - Pneumonia, unspecified organism"
	"1431227-1"	"1431227-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Death N17.9 - Acute kidney injury (CMS/HCC) J18.9 - Bilateral pneumonia"
	"1431227-1"	"1431227-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death N17.9 - Acute kidney injury (CMS/HCC) J18.9 - Bilateral pneumonia"
	"1431227-1"	"1431227-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Death N17.9 - Acute kidney injury (CMS/HCC) J18.9 - Bilateral pneumonia"
	"1437233-1"	"1437233-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"N17.9 - Acute kidney failure, unspecified"
	"1443497-1"	"1443497-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was hospitalized and died within 60 days of receiving a COVID vaccine series"
	"1450055-1"	"1450055-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Passed away from a heart attack after receiving the COVID 19 JOHNSON AND JOHNSON vaccination."
	"1450055-1"	"1450055-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Passed away from a heart attack after receiving the COVID 19 JOHNSON AND JOHNSON vaccination."
	"1450341-1"	"1450341-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"65-79 years"	"65-79"	"death I61.9 - Nontraumatic intracerebral hemorrhage, unspecified R29.810 - Facial weakness I63.9 - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC)"
	"1450341-1"	"1450341-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"death I61.9 - Nontraumatic intracerebral hemorrhage, unspecified R29.810 - Facial weakness I63.9 - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC)"
	"1450341-1"	"1450341-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death I61.9 - Nontraumatic intracerebral hemorrhage, unspecified R29.810 - Facial weakness I63.9 - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC)"
	"1450341-1"	"1450341-1"	"FACIAL PARESIS"	"10051267"	"65-79 years"	"65-79"	"death I61.9 - Nontraumatic intracerebral hemorrhage, unspecified R29.810 - Facial weakness I63.9 - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC)"
	"1450601-1"	"1450601-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"65-79 years"	"65-79"	"death I61.9 - Nontraumatic intracerebral hemorrhage, unspecified"
	"1450601-1"	"1450601-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death I61.9 - Nontraumatic intracerebral hemorrhage, unspecified"
	"1450632-1"	"1450632-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death  - Hypo-osmolality and hyponatremia"
	"1450632-1"	"1450632-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"death  - Hypo-osmolality and hyponatremia"
	"1450632-1"	"1450632-1"	"HYPOOSMOLAR STATE"	"10074867"	"65-79 years"	"65-79"	"death  - Hypo-osmolality and hyponatremia"
	"1450712-1"	"1450712-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death N17.9 - Acute kidney injury"
	"1450712-1"	"1450712-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death N17.9 - Acute kidney injury"
	"1457522-1"	"1457522-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"I21.4 - NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC)"
	"1464271-1"	"1464271-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death N17.9 - Acute kidney failure, unspecified"
	"1464271-1"	"1464271-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death N17.9 - Acute kidney failure, unspecified"
	"1464398-1"	"1464398-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death Acute renal failure (ARF)"
	"1464398-1"	"1464398-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Acute renal failure (ARF)"
	"1481360-1"	"1481360-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT DEATH"
	"1483917-1"	"1483917-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"admitted with STEMI and acute hypoxic respiratory failure and severe cardiogenic shock requiring ICU vasopressor support."
	"1483917-1"	"1483917-1"	"CARDIOGENIC SHOCK"	"10007625"	"65-79 years"	"65-79"	"admitted with STEMI and acute hypoxic respiratory failure and severe cardiogenic shock requiring ICU vasopressor support."
	"1483917-1"	"1483917-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"admitted with STEMI and acute hypoxic respiratory failure and severe cardiogenic shock requiring ICU vasopressor support."
	"1483917-1"	"1483917-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"admitted with STEMI and acute hypoxic respiratory failure and severe cardiogenic shock requiring ICU vasopressor support."
	"1484908-1"	"1484908-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia N17.9 - Acute renal injury"
	"1484908-1"	"1484908-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia N17.9 - Acute renal injury"
	"1484908-1"	"1484908-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia N17.9 - Acute renal injury"
	"1500781-1"	"1500781-1"	"CARDIAC DISORDER"	"10061024"	"65-79 years"	"65-79"	"Heart trouble. Death"
	"1500781-1"	"1500781-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Heart trouble. Death"
	"1502104-1"	"1502104-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Thrombocytopenia ORAL SWELLING FEVER"
	"1502104-1"	"1502104-1"	"MOUTH SWELLING"	"10075203"	"65-79 years"	"65-79"	"death Thrombocytopenia ORAL SWELLING FEVER"
	"1502104-1"	"1502104-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"death Thrombocytopenia ORAL SWELLING FEVER"
	"1502104-1"	"1502104-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"death Thrombocytopenia ORAL SWELLING FEVER"
	"1502131-1"	"1502131-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified chest pain"
	"1502131-1"	"1502131-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"death N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified chest pain"
	"1502131-1"	"1502131-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified chest pain"
	"1502131-1"	"1502131-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"death N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified chest pain"
	"1502153-1"	"1502153-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death Focal seizure Subdural bleeding Acute kidney failure, unspecified Unspecified convulsions"
	"1502153-1"	"1502153-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Focal seizure Subdural bleeding Acute kidney failure, unspecified Unspecified convulsions"
	"1502153-1"	"1502153-1"	"EPILEPSY"	"10015037"	"65-79 years"	"65-79"	"death Focal seizure Subdural bleeding Acute kidney failure, unspecified Unspecified convulsions"
	"1502153-1"	"1502153-1"	"PARTIAL SEIZURES"	"10061334"	"65-79 years"	"65-79"	"death Focal seizure Subdural bleeding Acute kidney failure, unspecified Unspecified convulsions"
	"1502153-1"	"1502153-1"	"SUBDURAL HAEMORRHAGE"	"10042364"	"65-79 years"	"65-79"	"death Focal seizure Subdural bleeding Acute kidney failure, unspecified Unspecified convulsions"
	"1505461-1"	"1505461-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient presented to the ED and was subsequently hospitalized for hepatic encephalopathy within 6 weeks of receiving COVID vaccination. She died on 7/9/2021."
	"1505461-1"	"1505461-1"	"HEPATIC ENCEPHALOPATHY"	"10019660"	"65-79 years"	"65-79"	"Patient presented to the ED and was subsequently hospitalized for hepatic encephalopathy within 6 weeks of receiving COVID vaccination. She died on 7/9/2021."
	"1509224-1"	"1509224-1"	"CEREBRAL INFARCTION"	"10008118"	"65-79 years"	"65-79"	"death I63.9 - Cerebral infarction, unspecified"
	"1509224-1"	"1509224-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death I63.9 - Cerebral infarction, unspecified"
	"1509547-1"	"1509547-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine."
	"1525795-1"	"1525795-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death I26.99 - Other pulmonary embolism without acute cor pulmonale J18.9 - Pneumonia, unspecified organism"
	"1525795-1"	"1525795-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"death I26.99 - Other pulmonary embolism without acute cor pulmonale J18.9 - Pneumonia, unspecified organism"
	"1525795-1"	"1525795-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"death I26.99 - Other pulmonary embolism without acute cor pulmonale J18.9 - Pneumonia, unspecified organism"
	"1525804-1"	"1525804-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death rash following vaccination sepsis N17.9 - Acute kidney failure, unspecified multiple mylenoma"
	"1525804-1"	"1525804-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death rash following vaccination sepsis N17.9 - Acute kidney failure, unspecified multiple mylenoma"
	"1525804-1"	"1525804-1"	"MALIGNANT MELANOMA"	"10025650"	"65-79 years"	"65-79"	"death rash following vaccination sepsis N17.9 - Acute kidney failure, unspecified multiple mylenoma"
	"1525804-1"	"1525804-1"	"RASH"	"10037844"	"65-79 years"	"65-79"	"death rash following vaccination sepsis N17.9 - Acute kidney failure, unspecified multiple mylenoma"
	"1525804-1"	"1525804-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"death rash following vaccination sepsis N17.9 - Acute kidney failure, unspecified multiple mylenoma"
	"1542103-1"	"1542103-1"	"EPILEPSY"	"10015037"	"65-79 years"	"65-79"	"EPILEPSY"
	"1542109-1"	"1542109-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"SUDDEN CARDIAC ARREST"
	"1542837-1"	"1542837-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"SEVERE HYPOTENSION WITH CARDIAC ARREST"
	"1542837-1"	"1542837-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"SEVERE HYPOTENSION WITH CARDIAC ARREST"
	"1542843-1"	"1542843-1"	"SUDDEN CARDIAC DEATH"	"10049418"	"65-79 years"	"65-79"	"SUDDEN CARDIAC DEATH"
	"1544941-1"	"1544941-1"	"DEHYDRATION"	"10012174"	"65-79 years"	"65-79"	"DEHYDRATION"
	"1544951-1"	"1544951-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"ALTERED MENTAL STATUS"
	"1544952-1"	"1544952-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"RESPIRATORY FAILURE"
	"1544962-1"	"1544962-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"PULSELESS VENTRICULAR FIBRILLATION"
	"1544962-1"	"1544962-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"65-79 years"	"65-79"	"PULSELESS VENTRICULAR FIBRILLATION"
	"1544973-1"	"1544973-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"SEPSIS"
	"1544986-1"	"1544986-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"SUDDEN CARDIAC ARREST"
	"1548975-1"	"1548975-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"fully vaccinated, covid-19 death"
	"1548975-1"	"1548975-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"fully vaccinated, covid-19 death"
	"1549423-1"	"1549423-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient death within 60 days of receiving a COVID vaccine"
	"1549564-1"	"1549564-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Week, wheezing, cough.  low O2 saturations admitted to the hospital where he later died"
	"1549564-1"	"1549564-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Week, wheezing, cough.  low O2 saturations admitted to the hospital where he later died"
	"1549564-1"	"1549564-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Week, wheezing, cough.  low O2 saturations admitted to the hospital where he later died"
	"1549564-1"	"1549564-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Week, wheezing, cough.  low O2 saturations admitted to the hospital where he later died"
	"1549564-1"	"1549564-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Week, wheezing, cough.  low O2 saturations admitted to the hospital where he later died"
	"1549564-1"	"1549564-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Week, wheezing, cough.  low O2 saturations admitted to the hospital where he later died"
	"1549564-1"	"1549564-1"	"WHEEZING"	"10047924"	"65-79 years"	"65-79"	"Week, wheezing, cough.  low O2 saturations admitted to the hospital where he later died"
	"1553967-1"	"1553967-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"experienced dyspnea, diarrhea, nausea, vomiting Associated with a long term care facility"
	"1553967-1"	"1553967-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"experienced dyspnea, diarrhea, nausea, vomiting Associated with a long term care facility"
	"1553967-1"	"1553967-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"experienced dyspnea, diarrhea, nausea, vomiting Associated with a long term care facility"
	"1553967-1"	"1553967-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"experienced dyspnea, diarrhea, nausea, vomiting Associated with a long term care facility"
	"1553967-1"	"1553967-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"experienced dyspnea, diarrhea, nausea, vomiting Associated with a long term care facility"
	"1553967-1"	"1553967-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"experienced dyspnea, diarrhea, nausea, vomiting Associated with a long term care facility"
	"1554013-1"	"1554013-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died on August 9, 2021."
	"1582568-1"	"1582568-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death Acute kidney failure, unspecified"
	"1582568-1"	"1582568-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death Acute kidney failure, unspecified"
	"1637303-1"	"1637303-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Suddenly more  weak , exhausted, all around much worse then she had been feeling as she was in her last days of lung cancer. Within hours of the vaccine  she was worse  and in two days unresponsive and in a hospice. 4 days after vaccine she died."
	"1637303-1"	"1637303-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Suddenly more  weak , exhausted, all around much worse then she had been feeling as she was in her last days of lung cancer. Within hours of the vaccine  she was worse  and in two days unresponsive and in a hospice. 4 days after vaccine she died."
	"1637303-1"	"1637303-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Suddenly more  weak , exhausted, all around much worse then she had been feeling as she was in her last days of lung cancer. Within hours of the vaccine  she was worse  and in two days unresponsive and in a hospice. 4 days after vaccine she died."
	"1637303-1"	"1637303-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Suddenly more  weak , exhausted, all around much worse then she had been feeling as she was in her last days of lung cancer. Within hours of the vaccine  she was worse  and in two days unresponsive and in a hospice. 4 days after vaccine she died."
	"1637303-1"	"1637303-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Suddenly more  weak , exhausted, all around much worse then she had been feeling as she was in her last days of lung cancer. Within hours of the vaccine  she was worse  and in two days unresponsive and in a hospice. 4 days after vaccine she died."
	"1641389-1"	"1641389-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Admitted 7/29/21. Received both doses of Pfizer vaccine, the last on 3/29/21. Presents with diarrhea x5 days, weakness and SOB. Tested positive for COVID on 7/27/21. Patient treated with COVID protocol, antibiotics, remdesivir, BiPAP. Patient responded poorly to treatment and condition declined. On 8/9/21 pt discharged."
	"1641389-1"	"1641389-1"	"BILEVEL POSITIVE AIRWAY PRESSURE"	"10064530"	"65-79 years"	"65-79"	"Admitted 7/29/21. Received both doses of Pfizer vaccine, the last on 3/29/21. Presents with diarrhea x5 days, weakness and SOB. Tested positive for COVID on 7/27/21. Patient treated with COVID protocol, antibiotics, remdesivir, BiPAP. Patient responded poorly to treatment and condition declined. On 8/9/21 pt discharged."
	"1641389-1"	"1641389-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Admitted 7/29/21. Received both doses of Pfizer vaccine, the last on 3/29/21. Presents with diarrhea x5 days, weakness and SOB. Tested positive for COVID on 7/27/21. Patient treated with COVID protocol, antibiotics, remdesivir, BiPAP. Patient responded poorly to treatment and condition declined. On 8/9/21 pt discharged."
	"1641389-1"	"1641389-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"Admitted 7/29/21. Received both doses of Pfizer vaccine, the last on 3/29/21. Presents with diarrhea x5 days, weakness and SOB. Tested positive for COVID on 7/27/21. Patient treated with COVID protocol, antibiotics, remdesivir, BiPAP. Patient responded poorly to treatment and condition declined. On 8/9/21 pt discharged."
	"1641389-1"	"1641389-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Admitted 7/29/21. Received both doses of Pfizer vaccine, the last on 3/29/21. Presents with diarrhea x5 days, weakness and SOB. Tested positive for COVID on 7/27/21. Patient treated with COVID protocol, antibiotics, remdesivir, BiPAP. Patient responded poorly to treatment and condition declined. On 8/9/21 pt discharged."
	"1641389-1"	"1641389-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Admitted 7/29/21. Received both doses of Pfizer vaccine, the last on 3/29/21. Presents with diarrhea x5 days, weakness and SOB. Tested positive for COVID on 7/27/21. Patient treated with COVID protocol, antibiotics, remdesivir, BiPAP. Patient responded poorly to treatment and condition declined. On 8/9/21 pt discharged."
	"1641389-1"	"1641389-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Admitted 7/29/21. Received both doses of Pfizer vaccine, the last on 3/29/21. Presents with diarrhea x5 days, weakness and SOB. Tested positive for COVID on 7/27/21. Patient treated with COVID protocol, antibiotics, remdesivir, BiPAP. Patient responded poorly to treatment and condition declined. On 8/9/21 pt discharged."
	"1641503-1"	"1641503-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"death NSTEMI (non-ST elevated myocardial infarction)"
	"1641503-1"	"1641503-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death NSTEMI (non-ST elevated myocardial infarction)"
	"1654078-1"	"1654078-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"My mother who was completely healthy, alert and active on the morning on May 16 was found by me at approximately 12:30pm deceased on the floor in her bathroom. There were no signs or symptoms prior.   Coroners autopsy concluded: hypertension type cardiovascular disease with myrocardial fibrosis, mitral valve prolapse and severe cardiomegaly  (in which she was never diagnosed prior)"
	"1654078-1"	"1654078-1"	"CARDIOMEGALY"	"10007632"	"65-79 years"	"65-79"	"My mother who was completely healthy, alert and active on the morning on May 16 was found by me at approximately 12:30pm deceased on the floor in her bathroom. There were no signs or symptoms prior.   Coroners autopsy concluded: hypertension type cardiovascular disease with myrocardial fibrosis, mitral valve prolapse and severe cardiomegaly  (in which she was never diagnosed prior)"
	"1654078-1"	"1654078-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"My mother who was completely healthy, alert and active on the morning on May 16 was found by me at approximately 12:30pm deceased on the floor in her bathroom. There were no signs or symptoms prior.   Coroners autopsy concluded: hypertension type cardiovascular disease with myrocardial fibrosis, mitral valve prolapse and severe cardiomegaly  (in which she was never diagnosed prior)"
	"1654078-1"	"1654078-1"	"HYPERTENSIVE HEART DISEASE"	"10020823"	"65-79 years"	"65-79"	"My mother who was completely healthy, alert and active on the morning on May 16 was found by me at approximately 12:30pm deceased on the floor in her bathroom. There were no signs or symptoms prior.   Coroners autopsy concluded: hypertension type cardiovascular disease with myrocardial fibrosis, mitral valve prolapse and severe cardiomegaly  (in which she was never diagnosed prior)"
	"1654078-1"	"1654078-1"	"MITRAL VALVE PROLAPSE"	"10027730"	"65-79 years"	"65-79"	"My mother who was completely healthy, alert and active on the morning on May 16 was found by me at approximately 12:30pm deceased on the floor in her bathroom. There were no signs or symptoms prior.   Coroners autopsy concluded: hypertension type cardiovascular disease with myrocardial fibrosis, mitral valve prolapse and severe cardiomegaly  (in which she was never diagnosed prior)"
	"1654078-1"	"1654078-1"	"MYOCARDIAL FIBROSIS"	"10028594"	"65-79 years"	"65-79"	"My mother who was completely healthy, alert and active on the morning on May 16 was found by me at approximately 12:30pm deceased on the floor in her bathroom. There were no signs or symptoms prior.   Coroners autopsy concluded: hypertension type cardiovascular disease with myrocardial fibrosis, mitral valve prolapse and severe cardiomegaly  (in which she was never diagnosed prior)"
	"1658385-1"	"1658385-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospitalization with COVID-19 Reported per vaccine"
	"1658385-1"	"1658385-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization with COVID-19 Reported per vaccine"
	"1658385-1"	"1658385-1"	"SARS-COV-2 TEST"	"10084354"	"65-79 years"	"65-79"	"Hospitalization with COVID-19 Reported per vaccine"
	"1658837-1"	"1658837-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospitalization with COVID-19 Reported per vaccine EUA"
	"1662411-1"	"1662411-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"BILEVEL POSITIVE AIRWAY PRESSURE"	"10064530"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"BRAIN INJURY"	"10067967"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"CEREBRAL ATROPHY"	"10008096"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"CEREBRAL SMALL VESSEL ISCHAEMIC DISEASE"	"10070878"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"CULTURE POSITIVE"	"10061449"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"ELECTROENCEPHALOGRAM ABNORMAL"	"10014408"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662411-1"	"1662411-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021"
	"1662469-1"	"1662469-1"	"BRADYCARDIA"	"10006093"	"65-79 years"	"65-79"	"Patinet presented to the emergency department for evaluation after being found unresponsive at home prior to arrival. Unable to obtain history from patient due to intubated status. She was found down on the floor by a neighbor. It is unknown how she got on the floor or for how long she was down. She had an episode of emesis upon arrival of EMS, and was found to be bradycardic. She was given 3 mg Atropine en route. She denied any falls or injuries, chest pain, or SOB prior to intubation. She also denied any drug or alcohol use in the ED.  She had received her second COVID vaccine on 4/8/2021, admitted to hospital on 4/10/2021.  She was intubated and had placement of temporary pacemaker on 4/10/2021.  Patient had a tracheostomy placed on 04/22/2021, a permanent pacemaker placed on 04/28/2021, & a PEG tube placed on 04/29/2021.  She  had episodes of ventricular tachycardia and underwent a cardiac cath on 5/11/21.  With deconditioning and multiple comorbidities-family decided to switch her to comfort measures and patient expired on 5/19/2021."
	"1662469-1"	"1662469-1"	"CARDIAC PACEMAKER INSERTION"	"10007598"	"65-79 years"	"65-79"	"Patinet presented to the emergency department for evaluation after being found unresponsive at home prior to arrival. Unable to obtain history from patient due to intubated status. She was found down on the floor by a neighbor. It is unknown how she got on the floor or for how long she was down. She had an episode of emesis upon arrival of EMS, and was found to be bradycardic. She was given 3 mg Atropine en route. She denied any falls or injuries, chest pain, or SOB prior to intubation. She also denied any drug or alcohol use in the ED.  She had received her second COVID vaccine on 4/8/2021, admitted to hospital on 4/10/2021.  She was intubated and had placement of temporary pacemaker on 4/10/2021.  Patient had a tracheostomy placed on 04/22/2021, a permanent pacemaker placed on 04/28/2021, & a PEG tube placed on 04/29/2021.  She  had episodes of ventricular tachycardia and underwent a cardiac cath on 5/11/21.  With deconditioning and multiple comorbidities-family decided to switch her to comfort measures and patient expired on 5/19/2021."
	"1662469-1"	"1662469-1"	"CATHETERISATION CARDIAC"	"10007815"	"65-79 years"	"65-79"	"Patinet presented to the emergency department for evaluation after being found unresponsive at home prior to arrival. Unable to obtain history from patient due to intubated status. She was found down on the floor by a neighbor. It is unknown how she got on the floor or for how long she was down. She had an episode of emesis upon arrival of EMS, and was found to be bradycardic. She was given 3 mg Atropine en route. She denied any falls or injuries, chest pain, or SOB prior to intubation. She also denied any drug or alcohol use in the ED.  She had received her second COVID vaccine on 4/8/2021, admitted to hospital on 4/10/2021.  She was intubated and had placement of temporary pacemaker on 4/10/2021.  Patient had a tracheostomy placed on 04/22/2021, a permanent pacemaker placed on 04/28/2021, & a PEG tube placed on 04/29/2021.  She  had episodes of ventricular tachycardia and underwent a cardiac cath on 5/11/21.  With deconditioning and multiple comorbidities-family decided to switch her to comfort measures and patient expired on 5/19/2021."
	"1662469-1"	"1662469-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patinet presented to the emergency department for evaluation after being found unresponsive at home prior to arrival. Unable to obtain history from patient due to intubated status. She was found down on the floor by a neighbor. It is unknown how she got on the floor or for how long she was down. She had an episode of emesis upon arrival of EMS, and was found to be bradycardic. She was given 3 mg Atropine en route. She denied any falls or injuries, chest pain, or SOB prior to intubation. She also denied any drug or alcohol use in the ED.  She had received her second COVID vaccine on 4/8/2021, admitted to hospital on 4/10/2021.  She was intubated and had placement of temporary pacemaker on 4/10/2021.  Patient had a tracheostomy placed on 04/22/2021, a permanent pacemaker placed on 04/28/2021, & a PEG tube placed on 04/29/2021.  She  had episodes of ventricular tachycardia and underwent a cardiac cath on 5/11/21.  With deconditioning and multiple comorbidities-family decided to switch her to comfort measures and patient expired on 5/19/2021."
	"1662469-1"	"1662469-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patinet presented to the emergency department for evaluation after being found unresponsive at home prior to arrival. Unable to obtain history from patient due to intubated status. She was found down on the floor by a neighbor. It is unknown how she got on the floor or for how long she was down. She had an episode of emesis upon arrival of EMS, and was found to be bradycardic. She was given 3 mg Atropine en route. She denied any falls or injuries, chest pain, or SOB prior to intubation. She also denied any drug or alcohol use in the ED.  She had received her second COVID vaccine on 4/8/2021, admitted to hospital on 4/10/2021.  She was intubated and had placement of temporary pacemaker on 4/10/2021.  Patient had a tracheostomy placed on 04/22/2021, a permanent pacemaker placed on 04/28/2021, & a PEG tube placed on 04/29/2021.  She  had episodes of ventricular tachycardia and underwent a cardiac cath on 5/11/21.  With deconditioning and multiple comorbidities-family decided to switch her to comfort measures and patient expired on 5/19/2021."
	"1662469-1"	"1662469-1"	"GASTROSTOMY"	"10048978"	"65-79 years"	"65-79"	"Patinet presented to the emergency department for evaluation after being found unresponsive at home prior to arrival. Unable to obtain history from patient due to intubated status. She was found down on the floor by a neighbor. It is unknown how she got on the floor or for how long she was down. She had an episode of emesis upon arrival of EMS, and was found to be bradycardic. She was given 3 mg Atropine en route. She denied any falls or injuries, chest pain, or SOB prior to intubation. She also denied any drug or alcohol use in the ED.  She had received her second COVID vaccine on 4/8/2021, admitted to hospital on 4/10/2021.  She was intubated and had placement of temporary pacemaker on 4/10/2021.  Patient had a tracheostomy placed on 04/22/2021, a permanent pacemaker placed on 04/28/2021, & a PEG tube placed on 04/29/2021.  She  had episodes of ventricular tachycardia and underwent a cardiac cath on 5/11/21.  With deconditioning and multiple comorbidities-family decided to switch her to comfort measures and patient expired on 5/19/2021."
	"1662469-1"	"1662469-1"	"PHYSICAL DECONDITIONING"	"10051588"	"65-79 years"	"65-79"	"Patinet presented to the emergency department for evaluation after being found unresponsive at home prior to arrival. Unable to obtain history from patient due to intubated status. She was found down on the floor by a neighbor. It is unknown how she got on the floor or for how long she was down. She had an episode of emesis upon arrival of EMS, and was found to be bradycardic. She was given 3 mg Atropine en route. She denied any falls or injuries, chest pain, or SOB prior to intubation. She also denied any drug or alcohol use in the ED.  She had received her second COVID vaccine on 4/8/2021, admitted to hospital on 4/10/2021.  She was intubated and had placement of temporary pacemaker on 4/10/2021.  Patient had a tracheostomy placed on 04/22/2021, a permanent pacemaker placed on 04/28/2021, & a PEG tube placed on 04/29/2021.  She  had episodes of ventricular tachycardia and underwent a cardiac cath on 5/11/21.  With deconditioning and multiple comorbidities-family decided to switch her to comfort measures and patient expired on 5/19/2021."
	"1662469-1"	"1662469-1"	"TRACHEOSTOMY"	"10044320"	"65-79 years"	"65-79"	"Patinet presented to the emergency department for evaluation after being found unresponsive at home prior to arrival. Unable to obtain history from patient due to intubated status. She was found down on the floor by a neighbor. It is unknown how she got on the floor or for how long she was down. She had an episode of emesis upon arrival of EMS, and was found to be bradycardic. She was given 3 mg Atropine en route. She denied any falls or injuries, chest pain, or SOB prior to intubation. She also denied any drug or alcohol use in the ED.  She had received her second COVID vaccine on 4/8/2021, admitted to hospital on 4/10/2021.  She was intubated and had placement of temporary pacemaker on 4/10/2021.  Patient had a tracheostomy placed on 04/22/2021, a permanent pacemaker placed on 04/28/2021, & a PEG tube placed on 04/29/2021.  She  had episodes of ventricular tachycardia and underwent a cardiac cath on 5/11/21.  With deconditioning and multiple comorbidities-family decided to switch her to comfort measures and patient expired on 5/19/2021."
	"1662469-1"	"1662469-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patinet presented to the emergency department for evaluation after being found unresponsive at home prior to arrival. Unable to obtain history from patient due to intubated status. She was found down on the floor by a neighbor. It is unknown how she got on the floor or for how long she was down. She had an episode of emesis upon arrival of EMS, and was found to be bradycardic. She was given 3 mg Atropine en route. She denied any falls or injuries, chest pain, or SOB prior to intubation. She also denied any drug or alcohol use in the ED.  She had received her second COVID vaccine on 4/8/2021, admitted to hospital on 4/10/2021.  She was intubated and had placement of temporary pacemaker on 4/10/2021.  Patient had a tracheostomy placed on 04/22/2021, a permanent pacemaker placed on 04/28/2021, & a PEG tube placed on 04/29/2021.  She  had episodes of ventricular tachycardia and underwent a cardiac cath on 5/11/21.  With deconditioning and multiple comorbidities-family decided to switch her to comfort measures and patient expired on 5/19/2021."
	"1662469-1"	"1662469-1"	"VENTRICULAR TACHYCARDIA"	"10047302"	"65-79 years"	"65-79"	"Patinet presented to the emergency department for evaluation after being found unresponsive at home prior to arrival. Unable to obtain history from patient due to intubated status. She was found down on the floor by a neighbor. It is unknown how she got on the floor or for how long she was down. She had an episode of emesis upon arrival of EMS, and was found to be bradycardic. She was given 3 mg Atropine en route. She denied any falls or injuries, chest pain, or SOB prior to intubation. She also denied any drug or alcohol use in the ED.  She had received her second COVID vaccine on 4/8/2021, admitted to hospital on 4/10/2021.  She was intubated and had placement of temporary pacemaker on 4/10/2021.  Patient had a tracheostomy placed on 04/22/2021, a permanent pacemaker placed on 04/28/2021, & a PEG tube placed on 04/29/2021.  She  had episodes of ventricular tachycardia and underwent a cardiac cath on 5/11/21.  With deconditioning and multiple comorbidities-family decided to switch her to comfort measures and patient expired on 5/19/2021."
	"1662469-1"	"1662469-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Patinet presented to the emergency department for evaluation after being found unresponsive at home prior to arrival. Unable to obtain history from patient due to intubated status. She was found down on the floor by a neighbor. It is unknown how she got on the floor or for how long she was down. She had an episode of emesis upon arrival of EMS, and was found to be bradycardic. She was given 3 mg Atropine en route. She denied any falls or injuries, chest pain, or SOB prior to intubation. She also denied any drug or alcohol use in the ED.  She had received her second COVID vaccine on 4/8/2021, admitted to hospital on 4/10/2021.  She was intubated and had placement of temporary pacemaker on 4/10/2021.  Patient had a tracheostomy placed on 04/22/2021, a permanent pacemaker placed on 04/28/2021, & a PEG tube placed on 04/29/2021.  She  had episodes of ventricular tachycardia and underwent a cardiac cath on 5/11/21.  With deconditioning and multiple comorbidities-family decided to switch her to comfort measures and patient expired on 5/19/2021."
	"1666200-1"	"1666200-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"cough, brown sputum, positive covid test on 7/16/21; 1 yr post kidney transplant"
	"1666200-1"	"1666200-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"cough, brown sputum, positive covid test on 7/16/21; 1 yr post kidney transplant"
	"1666200-1"	"1666200-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"cough, brown sputum, positive covid test on 7/16/21; 1 yr post kidney transplant"
	"1666200-1"	"1666200-1"	"SPUTUM DISCOLOURED"	"10041807"	"65-79 years"	"65-79"	"cough, brown sputum, positive covid test on 7/16/21; 1 yr post kidney transplant"
	"1666264-1"	"1666264-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Altered mental state, cough, weakness, and headache."
	"1666264-1"	"1666264-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Altered mental state, cough, weakness, and headache."
	"1666264-1"	"1666264-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Altered mental state, cough, weakness, and headache."
	"1666264-1"	"1666264-1"	"MENTAL DISORDER"	"10061284"	"65-79 years"	"65-79"	"Altered mental state, cough, weakness, and headache."
	"1666404-1"	"1666404-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"POSITIVE COVID TEST, SOB, O2 SAT 88%, ON O2 @ 3L/M."
	"1666404-1"	"1666404-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"POSITIVE COVID TEST, SOB, O2 SAT 88%, ON O2 @ 3L/M."
	"1666404-1"	"1666404-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"POSITIVE COVID TEST, SOB, O2 SAT 88%, ON O2 @ 3L/M."
	"1666568-1"	"1666568-1"	"BACTERIAL INFECTION"	"10060945"	"65-79 years"	"65-79"	"UTI, positive covid test, bacterial shock"
	"1666568-1"	"1666568-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"UTI, positive covid test, bacterial shock"
	"1666568-1"	"1666568-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"UTI, positive covid test, bacterial shock"
	"1666568-1"	"1666568-1"	"SHOCK"	"10040560"	"65-79 years"	"65-79"	"UTI, positive covid test, bacterial shock"
	"1666568-1"	"1666568-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"UTI, positive covid test, bacterial shock"
	"1666579-1"	"1666579-1"	"ASTHMA"	"10003553"	"65-79 years"	"65-79"	"positive covid test, asthma, COPD, fever, cough"
	"1666579-1"	"1666579-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"positive covid test, asthma, COPD, fever, cough"
	"1666579-1"	"1666579-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"positive covid test, asthma, COPD, fever, cough"
	"1666579-1"	"1666579-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"positive covid test, asthma, COPD, fever, cough"
	"1666579-1"	"1666579-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"positive covid test, asthma, COPD, fever, cough"
	"1666579-1"	"1666579-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"positive covid test, asthma, COPD, fever, cough"
	"1666592-1"	"1666592-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"SOB, fatigue, chills, loose stools."
	"1666592-1"	"1666592-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"SOB, fatigue, chills, loose stools."
	"1666592-1"	"1666592-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"SOB, fatigue, chills, loose stools."
	"1666592-1"	"1666592-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"SOB, fatigue, chills, loose stools."
	"1670372-1"	"1670372-1"	"BENIGN PROSTATIC HYPERPLASIA"	"10004446"	"65-79 years"	"65-79"	"Hospice patient, COPD, positive COVID test, diabetic, BPH"
	"1670372-1"	"1670372-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"Hospice patient, COPD, positive COVID test, diabetic, BPH"
	"1670372-1"	"1670372-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospice patient, COPD, positive COVID test, diabetic, BPH"
	"1670372-1"	"1670372-1"	"DIABETES MELLITUS"	"10012601"	"65-79 years"	"65-79"	"Hospice patient, COPD, positive COVID test, diabetic, BPH"
	"1670372-1"	"1670372-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Hospice patient, COPD, positive COVID test, diabetic, BPH"
	"1678570-1"	"1678570-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"65-79 years"	"65-79"	"Acute respiratory distress, SOB, positive COVID test"
	"1678570-1"	"1678570-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Acute respiratory distress, SOB, positive COVID test"
	"1678570-1"	"1678570-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Acute respiratory distress, SOB, positive COVID test"
	"1678570-1"	"1678570-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Acute respiratory distress, SOB, positive COVID test"
	"1678923-1"	"1678923-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"dyspnea, positive COVID test, HTN, aches, non-small cell CA, taking chemo"
	"1678923-1"	"1678923-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"dyspnea, positive COVID test, HTN, aches, non-small cell CA, taking chemo"
	"1678923-1"	"1678923-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"dyspnea, positive COVID test, HTN, aches, non-small cell CA, taking chemo"
	"1678923-1"	"1678923-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"dyspnea, positive COVID test, HTN, aches, non-small cell CA, taking chemo"
	"1678923-1"	"1678923-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"dyspnea, positive COVID test, HTN, aches, non-small cell CA, taking chemo"
	"1678961-1"	"1678961-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"hx cardiopulmonary disease, dyspnea, hypoxia, positive COVID test"
	"1678961-1"	"1678961-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"hx cardiopulmonary disease, dyspnea, hypoxia, positive COVID test"
	"1678961-1"	"1678961-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"hx cardiopulmonary disease, dyspnea, hypoxia, positive COVID test"
	"1678961-1"	"1678961-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"hx cardiopulmonary disease, dyspnea, hypoxia, positive COVID test"
	"1683013-1"	"1683013-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"DECREASE APPETITE, SOB, WEAKNESS, POSITIVE COVID TEST"
	"1683013-1"	"1683013-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"DECREASE APPETITE, SOB, WEAKNESS, POSITIVE COVID TEST"
	"1683013-1"	"1683013-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"DECREASE APPETITE, SOB, WEAKNESS, POSITIVE COVID TEST"
	"1683013-1"	"1683013-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"DECREASE APPETITE, SOB, WEAKNESS, POSITIVE COVID TEST"
	"1683013-1"	"1683013-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"DECREASE APPETITE, SOB, WEAKNESS, POSITIVE COVID TEST"
	"1684789-1"	"1684789-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Patient brought to the ED on 4/15/2021 at 0330 with increased weakness.  Patient takes Sinemet every 3 hours and last Sinemet dose was sometime late on 4/14/2021.  Patient stated the medication wore off sooner than it should have.  Patient was discharged to home on 4/15 at 0551.   Patient was seen again in the ED on 7/17/2021 at 2100 for weakness.  Again, brought in by EMS.  No medications were given in the ED.  Patient discharged to home on 4/17/2021 at 2345."
	"1684882-1"	"1684882-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"POSITIVE COVID TEST IN JULY 2021, SOB WORSENED, SENT BACK TO HOSPITAL DUE TO HYPOXIA,, THEN DISCHARGED TO HOSPICE WHERE HE PASSED AWAY."
	"1684882-1"	"1684882-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"POSITIVE COVID TEST IN JULY 2021, SOB WORSENED, SENT BACK TO HOSPITAL DUE TO HYPOXIA,, THEN DISCHARGED TO HOSPICE WHERE HE PASSED AWAY."
	"1684882-1"	"1684882-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"POSITIVE COVID TEST IN JULY 2021, SOB WORSENED, SENT BACK TO HOSPITAL DUE TO HYPOXIA,, THEN DISCHARGED TO HOSPICE WHERE HE PASSED AWAY."
	"1684882-1"	"1684882-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"POSITIVE COVID TEST IN JULY 2021, SOB WORSENED, SENT BACK TO HOSPITAL DUE TO HYPOXIA,, THEN DISCHARGED TO HOSPICE WHERE HE PASSED AWAY."
	"1684882-1"	"1684882-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"POSITIVE COVID TEST IN JULY 2021, SOB WORSENED, SENT BACK TO HOSPITAL DUE TO HYPOXIA,, THEN DISCHARGED TO HOSPICE WHERE HE PASSED AWAY."
	"1684903-1"	"1684903-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"COUGH, SOB, HX OF MOTHER BEING POSITIVE FOR COVID, PT TESTED POSITIVE FOR COVID"
	"1684903-1"	"1684903-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"COUGH, SOB, HX OF MOTHER BEING POSITIVE FOR COVID, PT TESTED POSITIVE FOR COVID"
	"1684903-1"	"1684903-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"COUGH, SOB, HX OF MOTHER BEING POSITIVE FOR COVID, PT TESTED POSITIVE FOR COVID"
	"1684903-1"	"1684903-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"COUGH, SOB, HX OF MOTHER BEING POSITIVE FOR COVID, PT TESTED POSITIVE FOR COVID"
	"1684982-1"	"1684982-1"	"BLOOD CULTURE POSITIVE"	"10005488"	"65-79 years"	"65-79"	"POSITIVE COVID TEST, MYALGIAS, FEVER, BLOOD CULTURE POSITIVE FOR MSSA"
	"1684982-1"	"1684982-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"POSITIVE COVID TEST, MYALGIAS, FEVER, BLOOD CULTURE POSITIVE FOR MSSA"
	"1684982-1"	"1684982-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"POSITIVE COVID TEST, MYALGIAS, FEVER, BLOOD CULTURE POSITIVE FOR MSSA"
	"1684982-1"	"1684982-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"POSITIVE COVID TEST, MYALGIAS, FEVER, BLOOD CULTURE POSITIVE FOR MSSA"
	"1684982-1"	"1684982-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"POSITIVE COVID TEST, MYALGIAS, FEVER, BLOOD CULTURE POSITIVE FOR MSSA"
	"1684982-1"	"1684982-1"	"STAPHYLOCOCCAL INFECTION"	"10058080"	"65-79 years"	"65-79"	"POSITIVE COVID TEST, MYALGIAS, FEVER, BLOOD CULTURE POSITIVE FOR MSSA"
	"1689211-1"	"1689211-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"LETHARGY; DECREASE APPETITE, POOR SLEEP X WKS, POSITIVE COVID TEST; ACUTE HYPOXEMIC RESPIRATORY FAILURE"
	"1689211-1"	"1689211-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"LETHARGY; DECREASE APPETITE, POOR SLEEP X WKS, POSITIVE COVID TEST; ACUTE HYPOXEMIC RESPIRATORY FAILURE"
	"1689211-1"	"1689211-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"LETHARGY; DECREASE APPETITE, POOR SLEEP X WKS, POSITIVE COVID TEST; ACUTE HYPOXEMIC RESPIRATORY FAILURE"
	"1689211-1"	"1689211-1"	"LETHARGY"	"10024264"	"65-79 years"	"65-79"	"LETHARGY; DECREASE APPETITE, POOR SLEEP X WKS, POSITIVE COVID TEST; ACUTE HYPOXEMIC RESPIRATORY FAILURE"
	"1689211-1"	"1689211-1"	"POOR QUALITY SLEEP"	"10062519"	"65-79 years"	"65-79"	"LETHARGY; DECREASE APPETITE, POOR SLEEP X WKS, POSITIVE COVID TEST; ACUTE HYPOXEMIC RESPIRATORY FAILURE"
	"1689211-1"	"1689211-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"LETHARGY; DECREASE APPETITE, POOR SLEEP X WKS, POSITIVE COVID TEST; ACUTE HYPOXEMIC RESPIRATORY FAILURE"
	"1689315-1"	"1689315-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"positive for COVID-19, fever, confusion"
	"1689315-1"	"1689315-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"positive for COVID-19, fever, confusion"
	"1689315-1"	"1689315-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"positive for COVID-19, fever, confusion"
	"1689315-1"	"1689315-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"positive for COVID-19, fever, confusion"
	"1689378-1"	"1689378-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Patient admitted on 8/10/2021 with acute respiratory failure secondary to COVID pneumonia.  She was COVID positive on 7/22/2021 following a family gathering.  She had been hospitalized for 3 days previously (8/4 - 8/7/2021) and seen in the ED on 8/8/2021.  This current admission, she was intubated and required high dose dexamethasone.  After 20 days, she was converted to comfort care and compassionate extubation was performed.   She passed away comfortably soon after this."
	"1689378-1"	"1689378-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient admitted on 8/10/2021 with acute respiratory failure secondary to COVID pneumonia.  She was COVID positive on 7/22/2021 following a family gathering.  She had been hospitalized for 3 days previously (8/4 - 8/7/2021) and seen in the ED on 8/8/2021.  This current admission, she was intubated and required high dose dexamethasone.  After 20 days, she was converted to comfort care and compassionate extubation was performed.   She passed away comfortably soon after this."
	"1689378-1"	"1689378-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient admitted on 8/10/2021 with acute respiratory failure secondary to COVID pneumonia.  She was COVID positive on 7/22/2021 following a family gathering.  She had been hospitalized for 3 days previously (8/4 - 8/7/2021) and seen in the ED on 8/8/2021.  This current admission, she was intubated and required high dose dexamethasone.  After 20 days, she was converted to comfort care and compassionate extubation was performed.   She passed away comfortably soon after this."
	"1689378-1"	"1689378-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient admitted on 8/10/2021 with acute respiratory failure secondary to COVID pneumonia.  She was COVID positive on 7/22/2021 following a family gathering.  She had been hospitalized for 3 days previously (8/4 - 8/7/2021) and seen in the ED on 8/8/2021.  This current admission, she was intubated and required high dose dexamethasone.  After 20 days, she was converted to comfort care and compassionate extubation was performed.   She passed away comfortably soon after this."
	"1689378-1"	"1689378-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient admitted on 8/10/2021 with acute respiratory failure secondary to COVID pneumonia.  She was COVID positive on 7/22/2021 following a family gathering.  She had been hospitalized for 3 days previously (8/4 - 8/7/2021) and seen in the ED on 8/8/2021.  This current admission, she was intubated and required high dose dexamethasone.  After 20 days, she was converted to comfort care and compassionate extubation was performed.   She passed away comfortably soon after this."
	"1689378-1"	"1689378-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"65-79 years"	"65-79"	"Patient admitted on 8/10/2021 with acute respiratory failure secondary to COVID pneumonia.  She was COVID positive on 7/22/2021 following a family gathering.  She had been hospitalized for 3 days previously (8/4 - 8/7/2021) and seen in the ED on 8/8/2021.  This current admission, she was intubated and required high dose dexamethasone.  After 20 days, she was converted to comfort care and compassionate extubation was performed.   She passed away comfortably soon after this."
	"1689378-1"	"1689378-1"	"EXTUBATION"	"10015894"	"65-79 years"	"65-79"	"Patient admitted on 8/10/2021 with acute respiratory failure secondary to COVID pneumonia.  She was COVID positive on 7/22/2021 following a family gathering.  She had been hospitalized for 3 days previously (8/4 - 8/7/2021) and seen in the ED on 8/8/2021.  This current admission, she was intubated and required high dose dexamethasone.  After 20 days, she was converted to comfort care and compassionate extubation was performed.   She passed away comfortably soon after this."
	"1689378-1"	"1689378-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient admitted on 8/10/2021 with acute respiratory failure secondary to COVID pneumonia.  She was COVID positive on 7/22/2021 following a family gathering.  She had been hospitalized for 3 days previously (8/4 - 8/7/2021) and seen in the ED on 8/8/2021.  This current admission, she was intubated and required high dose dexamethasone.  After 20 days, she was converted to comfort care and compassionate extubation was performed.   She passed away comfortably soon after this."
	"1704016-1"	"1704016-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"presented with pneumonia due to COVID, respiratory failure, acute kidney injury, discharged to hospice where he died"
	"1704016-1"	"1704016-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"presented with pneumonia due to COVID, respiratory failure, acute kidney injury, discharged to hospice where he died"
	"1704016-1"	"1704016-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"presented with pneumonia due to COVID, respiratory failure, acute kidney injury, discharged to hospice where he died"
	"1704016-1"	"1704016-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"presented with pneumonia due to COVID, respiratory failure, acute kidney injury, discharged to hospice where he died"
	"1704056-1"	"1704056-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"diagnosed with COVID on 8/11/21; went to hospital on 8/16/21 with SOB, weakness, fever, confusion; hx of chronic kidney disease, type 2 diabetes"
	"1704056-1"	"1704056-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"diagnosed with COVID on 8/11/21; went to hospital on 8/16/21 with SOB, weakness, fever, confusion; hx of chronic kidney disease, type 2 diabetes"
	"1704056-1"	"1704056-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"diagnosed with COVID on 8/11/21; went to hospital on 8/16/21 with SOB, weakness, fever, confusion; hx of chronic kidney disease, type 2 diabetes"
	"1704056-1"	"1704056-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"diagnosed with COVID on 8/11/21; went to hospital on 8/16/21 with SOB, weakness, fever, confusion; hx of chronic kidney disease, type 2 diabetes"
	"1704056-1"	"1704056-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"diagnosed with COVID on 8/11/21; went to hospital on 8/16/21 with SOB, weakness, fever, confusion; hx of chronic kidney disease, type 2 diabetes"
	"1704077-1"	"1704077-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"PALPITATIONS (HS OF A FIB), POSITIVE COVID TEST, ACUTE RESPIRATORY FAILURE"
	"1704077-1"	"1704077-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"PALPITATIONS (HS OF A FIB), POSITIVE COVID TEST, ACUTE RESPIRATORY FAILURE"
	"1704077-1"	"1704077-1"	"PALPITATIONS"	"10033557"	"65-79 years"	"65-79"	"PALPITATIONS (HS OF A FIB), POSITIVE COVID TEST, ACUTE RESPIRATORY FAILURE"
	"1704077-1"	"1704077-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"PALPITATIONS (HS OF A FIB), POSITIVE COVID TEST, ACUTE RESPIRATORY FAILURE"
	"1704256-1"	"1704256-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"positive COVID test 8/14/21; presented to ED from infusion center where she had been receiving antibody infusions since 8//18/21; complains of increasing chills, fever, cough, SOB, diarrhea; hx of diabetes mellitus type 2; acute hypoxemic respiratory failure due to COVID"
	"1704256-1"	"1704256-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"positive COVID test 8/14/21; presented to ED from infusion center where she had been receiving antibody infusions since 8//18/21; complains of increasing chills, fever, cough, SOB, diarrhea; hx of diabetes mellitus type 2; acute hypoxemic respiratory failure due to COVID"
	"1704256-1"	"1704256-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"positive COVID test 8/14/21; presented to ED from infusion center where she had been receiving antibody infusions since 8//18/21; complains of increasing chills, fever, cough, SOB, diarrhea; hx of diabetes mellitus type 2; acute hypoxemic respiratory failure due to COVID"
	"1704256-1"	"1704256-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"positive COVID test 8/14/21; presented to ED from infusion center where she had been receiving antibody infusions since 8//18/21; complains of increasing chills, fever, cough, SOB, diarrhea; hx of diabetes mellitus type 2; acute hypoxemic respiratory failure due to COVID"
	"1704256-1"	"1704256-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"positive COVID test 8/14/21; presented to ED from infusion center where she had been receiving antibody infusions since 8//18/21; complains of increasing chills, fever, cough, SOB, diarrhea; hx of diabetes mellitus type 2; acute hypoxemic respiratory failure due to COVID"
	"1704256-1"	"1704256-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"positive COVID test 8/14/21; presented to ED from infusion center where she had been receiving antibody infusions since 8//18/21; complains of increasing chills, fever, cough, SOB, diarrhea; hx of diabetes mellitus type 2; acute hypoxemic respiratory failure due to COVID"
	"1704256-1"	"1704256-1"	"INFUSION"	"10060345"	"65-79 years"	"65-79"	"positive COVID test 8/14/21; presented to ED from infusion center where she had been receiving antibody infusions since 8//18/21; complains of increasing chills, fever, cough, SOB, diarrhea; hx of diabetes mellitus type 2; acute hypoxemic respiratory failure due to COVID"
	"1704256-1"	"1704256-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"positive COVID test 8/14/21; presented to ED from infusion center where she had been receiving antibody infusions since 8//18/21; complains of increasing chills, fever, cough, SOB, diarrhea; hx of diabetes mellitus type 2; acute hypoxemic respiratory failure due to COVID"
	"1704256-1"	"1704256-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"positive COVID test 8/14/21; presented to ED from infusion center where she had been receiving antibody infusions since 8//18/21; complains of increasing chills, fever, cough, SOB, diarrhea; hx of diabetes mellitus type 2; acute hypoxemic respiratory failure due to COVID"
	"1704518-1"	"1704518-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"presented to ED with seizure due to hypoglycemic coma;  hx of type 2 diabetes, CVA; experienced fever, positive COVID test; pneumonia due to COVID, with hypoglycemic coma and secondary acute hypoxemia respiratory failure"
	"1704518-1"	"1704518-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"presented to ED with seizure due to hypoglycemic coma;  hx of type 2 diabetes, CVA; experienced fever, positive COVID test; pneumonia due to COVID, with hypoglycemic coma and secondary acute hypoxemia respiratory failure"
	"1704518-1"	"1704518-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"presented to ED with seizure due to hypoglycemic coma;  hx of type 2 diabetes, CVA; experienced fever, positive COVID test; pneumonia due to COVID, with hypoglycemic coma and secondary acute hypoxemia respiratory failure"
	"1704518-1"	"1704518-1"	"HYPOGLYCAEMIC COMA"	"10021000"	"65-79 years"	"65-79"	"presented to ED with seizure due to hypoglycemic coma;  hx of type 2 diabetes, CVA; experienced fever, positive COVID test; pneumonia due to COVID, with hypoglycemic coma and secondary acute hypoxemia respiratory failure"
	"1704518-1"	"1704518-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"presented to ED with seizure due to hypoglycemic coma;  hx of type 2 diabetes, CVA; experienced fever, positive COVID test; pneumonia due to COVID, with hypoglycemic coma and secondary acute hypoxemia respiratory failure"
	"1704518-1"	"1704518-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"presented to ED with seizure due to hypoglycemic coma;  hx of type 2 diabetes, CVA; experienced fever, positive COVID test; pneumonia due to COVID, with hypoglycemic coma and secondary acute hypoxemia respiratory failure"
	"1704518-1"	"1704518-1"	"SEIZURE"	"10039906"	"65-79 years"	"65-79"	"presented to ED with seizure due to hypoglycemic coma;  hx of type 2 diabetes, CVA; experienced fever, positive COVID test; pneumonia due to COVID, with hypoglycemic coma and secondary acute hypoxemia respiratory failure"
	"1704542-1"	"1704542-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"positive for COVID on 8/17/21; presented to ED with increasing dyspnea; hypoxic, chest with severe bilateral infiltrates; pneumonia due to COVID"
	"1704542-1"	"1704542-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"positive for COVID on 8/17/21; presented to ED with increasing dyspnea; hypoxic, chest with severe bilateral infiltrates; pneumonia due to COVID"
	"1704542-1"	"1704542-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"positive for COVID on 8/17/21; presented to ED with increasing dyspnea; hypoxic, chest with severe bilateral infiltrates; pneumonia due to COVID"
	"1704542-1"	"1704542-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"positive for COVID on 8/17/21; presented to ED with increasing dyspnea; hypoxic, chest with severe bilateral infiltrates; pneumonia due to COVID"
	"1704542-1"	"1704542-1"	"LUNG INFILTRATION"	"10025102"	"65-79 years"	"65-79"	"positive for COVID on 8/17/21; presented to ED with increasing dyspnea; hypoxic, chest with severe bilateral infiltrates; pneumonia due to COVID"
	"1704542-1"	"1704542-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"positive for COVID on 8/17/21; presented to ED with increasing dyspnea; hypoxic, chest with severe bilateral infiltrates; pneumonia due to COVID"
	"1704564-1"	"1704564-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"presented with acute respiratory failure, COVID positive; hx of type 2 diabetes, CHF, COPD; developed acute lower extremity DVT and A Fib with RVR while in hospital; pt's condition declined; was admitted to long term care facility where he died"
	"1704564-1"	"1704564-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"presented with acute respiratory failure, COVID positive; hx of type 2 diabetes, CHF, COPD; developed acute lower extremity DVT and A Fib with RVR while in hospital; pt's condition declined; was admitted to long term care facility where he died"
	"1704564-1"	"1704564-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"presented with acute respiratory failure, COVID positive; hx of type 2 diabetes, CHF, COPD; developed acute lower extremity DVT and A Fib with RVR while in hospital; pt's condition declined; was admitted to long term care facility where he died"
	"1704564-1"	"1704564-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"presented with acute respiratory failure, COVID positive; hx of type 2 diabetes, CHF, COPD; developed acute lower extremity DVT and A Fib with RVR while in hospital; pt's condition declined; was admitted to long term care facility where he died"
	"1704564-1"	"1704564-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"65-79 years"	"65-79"	"presented with acute respiratory failure, COVID positive; hx of type 2 diabetes, CHF, COPD; developed acute lower extremity DVT and A Fib with RVR while in hospital; pt's condition declined; was admitted to long term care facility where he died"
	"1704564-1"	"1704564-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"presented with acute respiratory failure, COVID positive; hx of type 2 diabetes, CHF, COPD; developed acute lower extremity DVT and A Fib with RVR while in hospital; pt's condition declined; was admitted to long term care facility where he died"
	"1704564-1"	"1704564-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"presented with acute respiratory failure, COVID positive; hx of type 2 diabetes, CHF, COPD; developed acute lower extremity DVT and A Fib with RVR while in hospital; pt's condition declined; was admitted to long term care facility where he died"
	"1715779-1"	"1715779-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/10/21; changes in mental state on 8/21/21 with hypoxia and hypoglycemia, was seen in ED and admitted to hospital where condition worsened; Acute hypoxemia respiratory failure due to COVID pneumonia"
	"1715779-1"	"1715779-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/10/21; changes in mental state on 8/21/21 with hypoxia and hypoglycemia, was seen in ED and admitted to hospital where condition worsened; Acute hypoxemia respiratory failure due to COVID pneumonia"
	"1715779-1"	"1715779-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/10/21; changes in mental state on 8/21/21 with hypoxia and hypoglycemia, was seen in ED and admitted to hospital where condition worsened; Acute hypoxemia respiratory failure due to COVID pneumonia"
	"1715779-1"	"1715779-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/10/21; changes in mental state on 8/21/21 with hypoxia and hypoglycemia, was seen in ED and admitted to hospital where condition worsened; Acute hypoxemia respiratory failure due to COVID pneumonia"
	"1715779-1"	"1715779-1"	"HYPOGLYCAEMIA"	"10020993"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/10/21; changes in mental state on 8/21/21 with hypoxia and hypoglycemia, was seen in ED and admitted to hospital where condition worsened; Acute hypoxemia respiratory failure due to COVID pneumonia"
	"1715779-1"	"1715779-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/10/21; changes in mental state on 8/21/21 with hypoxia and hypoglycemia, was seen in ED and admitted to hospital where condition worsened; Acute hypoxemia respiratory failure due to COVID pneumonia"
	"1715779-1"	"1715779-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/10/21; changes in mental state on 8/21/21 with hypoxia and hypoglycemia, was seen in ED and admitted to hospital where condition worsened; Acute hypoxemia respiratory failure due to COVID pneumonia"
	"1715779-1"	"1715779-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/10/21; changes in mental state on 8/21/21 with hypoxia and hypoglycemia, was seen in ED and admitted to hospital where condition worsened; Acute hypoxemia respiratory failure due to COVID pneumonia"
	"1718833-1"	"1718833-1"	"CARDIAC MONITORING ABNORMAL"	"10053440"	"65-79 years"	"65-79"	"At work, got short of breath, found down. CPR in progress. Unknown how long down. EMS paged at 0555. Bystander CPR started. 0637 ROSC received. Monitor sinus tach. 0638 no pulse.  CPR resumed. 0640 - ROSC received. 0641 - No pulse. CPR started.  DEATH"
	"1718833-1"	"1718833-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"At work, got short of breath, found down. CPR in progress. Unknown how long down. EMS paged at 0555. Bystander CPR started. 0637 ROSC received. Monitor sinus tach. 0638 no pulse.  CPR resumed. 0640 - ROSC received. 0641 - No pulse. CPR started.  DEATH"
	"1718833-1"	"1718833-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"At work, got short of breath, found down. CPR in progress. Unknown how long down. EMS paged at 0555. Bystander CPR started. 0637 ROSC received. Monitor sinus tach. 0638 no pulse.  CPR resumed. 0640 - ROSC received. 0641 - No pulse. CPR started.  DEATH"
	"1718833-1"	"1718833-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"At work, got short of breath, found down. CPR in progress. Unknown how long down. EMS paged at 0555. Bystander CPR started. 0637 ROSC received. Monitor sinus tach. 0638 no pulse.  CPR resumed. 0640 - ROSC received. 0641 - No pulse. CPR started.  DEATH"
	"1718833-1"	"1718833-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"At work, got short of breath, found down. CPR in progress. Unknown how long down. EMS paged at 0555. Bystander CPR started. 0637 ROSC received. Monitor sinus tach. 0638 no pulse.  CPR resumed. 0640 - ROSC received. 0641 - No pulse. CPR started.  DEATH"
	"1718833-1"	"1718833-1"	"SINUS TACHYCARDIA"	"10040752"	"65-79 years"	"65-79"	"At work, got short of breath, found down. CPR in progress. Unknown how long down. EMS paged at 0555. Bystander CPR started. 0637 ROSC received. Monitor sinus tach. 0638 no pulse.  CPR resumed. 0640 - ROSC received. 0641 - No pulse. CPR started.  DEATH"
	"1719262-1"	"1719262-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient fully vaccinated with pfizer COVID vaccine on 2/5/2021 and 3/5/2021. Pt has  h/o advanced COPD and is chronically oxygen dependent, on 5L of O2 at home, multiple sclerosis, Afib, GERD, CHF. Required admission to hospital for COVID pneumonia on 8/29/2021, requiring mechanical ventilation, and ultimately patient expired on 9/18/2021."
	"1719262-1"	"1719262-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated with pfizer COVID vaccine on 2/5/2021 and 3/5/2021. Pt has  h/o advanced COPD and is chronically oxygen dependent, on 5L of O2 at home, multiple sclerosis, Afib, GERD, CHF. Required admission to hospital for COVID pneumonia on 8/29/2021, requiring mechanical ventilation, and ultimately patient expired on 9/18/2021."
	"1719262-1"	"1719262-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Patient fully vaccinated with pfizer COVID vaccine on 2/5/2021 and 3/5/2021. Pt has  h/o advanced COPD and is chronically oxygen dependent, on 5L of O2 at home, multiple sclerosis, Afib, GERD, CHF. Required admission to hospital for COVID pneumonia on 8/29/2021, requiring mechanical ventilation, and ultimately patient expired on 9/18/2021."
	"1719423-1"	"1719423-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"presented to ED confused, O2 saturation decreased, hx of COVID positive for approximately 1 week; hx of COPD; dyspnea; intubated, acute hypoxemic respiratory failure, COVID pneumonia; pt's condition deteriorated where he died in the hospital"
	"1719423-1"	"1719423-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"presented to ED confused, O2 saturation decreased, hx of COVID positive for approximately 1 week; hx of COPD; dyspnea; intubated, acute hypoxemic respiratory failure, COVID pneumonia; pt's condition deteriorated where he died in the hospital"
	"1719423-1"	"1719423-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"presented to ED confused, O2 saturation decreased, hx of COVID positive for approximately 1 week; hx of COPD; dyspnea; intubated, acute hypoxemic respiratory failure, COVID pneumonia; pt's condition deteriorated where he died in the hospital"
	"1719423-1"	"1719423-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"presented to ED confused, O2 saturation decreased, hx of COVID positive for approximately 1 week; hx of COPD; dyspnea; intubated, acute hypoxemic respiratory failure, COVID pneumonia; pt's condition deteriorated where he died in the hospital"
	"1719423-1"	"1719423-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"presented to ED confused, O2 saturation decreased, hx of COVID positive for approximately 1 week; hx of COPD; dyspnea; intubated, acute hypoxemic respiratory failure, COVID pneumonia; pt's condition deteriorated where he died in the hospital"
	"1719423-1"	"1719423-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"presented to ED confused, O2 saturation decreased, hx of COVID positive for approximately 1 week; hx of COPD; dyspnea; intubated, acute hypoxemic respiratory failure, COVID pneumonia; pt's condition deteriorated where he died in the hospital"
	"1719423-1"	"1719423-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"presented to ED confused, O2 saturation decreased, hx of COVID positive for approximately 1 week; hx of COPD; dyspnea; intubated, acute hypoxemic respiratory failure, COVID pneumonia; pt's condition deteriorated where he died in the hospital"
	"1719423-1"	"1719423-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"presented to ED confused, O2 saturation decreased, hx of COVID positive for approximately 1 week; hx of COPD; dyspnea; intubated, acute hypoxemic respiratory failure, COVID pneumonia; pt's condition deteriorated where he died in the hospital"
	"1719423-1"	"1719423-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"presented to ED confused, O2 saturation decreased, hx of COVID positive for approximately 1 week; hx of COPD; dyspnea; intubated, acute hypoxemic respiratory failure, COVID pneumonia; pt's condition deteriorated where he died in the hospital"
	"1719423-1"	"1719423-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"presented to ED confused, O2 saturation decreased, hx of COVID positive for approximately 1 week; hx of COPD; dyspnea; intubated, acute hypoxemic respiratory failure, COVID pneumonia; pt's condition deteriorated where he died in the hospital"
	"1719477-1"	"1719477-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"admitted to hospital with positive test for COVID, COVID pneumonia; hx of COPD, type 2 diabetes, cirrhosis, and known liver mass; stayed in ICU, then admitted to in-house hospice where she later died"
	"1719477-1"	"1719477-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"admitted to hospital with positive test for COVID, COVID pneumonia; hx of COPD, type 2 diabetes, cirrhosis, and known liver mass; stayed in ICU, then admitted to in-house hospice where she later died"
	"1719477-1"	"1719477-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"admitted to hospital with positive test for COVID, COVID pneumonia; hx of COPD, type 2 diabetes, cirrhosis, and known liver mass; stayed in ICU, then admitted to in-house hospice where she later died"
	"1719477-1"	"1719477-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"admitted to hospital with positive test for COVID, COVID pneumonia; hx of COPD, type 2 diabetes, cirrhosis, and known liver mass; stayed in ICU, then admitted to in-house hospice where she later died"
	"1719493-1"	"1719493-1"	"SUDDEN DEATH"	"10042434"	"65-79 years"	"65-79"	"Sudden death"
	"1722670-1"	"1722670-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"hx of peripheral artery disease, multiple sclerosis, CHF; presented with SOB, decrease O2 saturation, positive for COVID; pt requested do not intubate, pt's condition worsened where he died in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1722670-1"	"1722670-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"hx of peripheral artery disease, multiple sclerosis, CHF; presented with SOB, decrease O2 saturation, positive for COVID; pt requested do not intubate, pt's condition worsened where he died in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1722670-1"	"1722670-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"hx of peripheral artery disease, multiple sclerosis, CHF; presented with SOB, decrease O2 saturation, positive for COVID; pt requested do not intubate, pt's condition worsened where he died in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1722670-1"	"1722670-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"hx of peripheral artery disease, multiple sclerosis, CHF; presented with SOB, decrease O2 saturation, positive for COVID; pt requested do not intubate, pt's condition worsened where he died in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1722670-1"	"1722670-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"hx of peripheral artery disease, multiple sclerosis, CHF; presented with SOB, decrease O2 saturation, positive for COVID; pt requested do not intubate, pt's condition worsened where he died in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1722670-1"	"1722670-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"hx of peripheral artery disease, multiple sclerosis, CHF; presented with SOB, decrease O2 saturation, positive for COVID; pt requested do not intubate, pt's condition worsened where he died in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1722670-1"	"1722670-1"	"REFUSAL OF TREATMENT BY PATIENT"	"10056407"	"65-79 years"	"65-79"	"hx of peripheral artery disease, multiple sclerosis, CHF; presented with SOB, decrease O2 saturation, positive for COVID; pt requested do not intubate, pt's condition worsened where he died in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1722670-1"	"1722670-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"hx of peripheral artery disease, multiple sclerosis, CHF; presented with SOB, decrease O2 saturation, positive for COVID; pt requested do not intubate, pt's condition worsened where he died in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1722691-1"	"1722691-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"hx of thyroid disease, HTN, arthritis; presented to ED with productive cough, SOB, fever; diagnosed COVID positive 6 days before at a clinic, condition worsening; admitted to hospital where hypoxia worsened with increased work of breathing, patient died in the hospital"
	"1722691-1"	"1722691-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"hx of thyroid disease, HTN, arthritis; presented to ED with productive cough, SOB, fever; diagnosed COVID positive 6 days before at a clinic, condition worsening; admitted to hospital where hypoxia worsened with increased work of breathing, patient died in the hospital"
	"1722691-1"	"1722691-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"hx of thyroid disease, HTN, arthritis; presented to ED with productive cough, SOB, fever; diagnosed COVID positive 6 days before at a clinic, condition worsening; admitted to hospital where hypoxia worsened with increased work of breathing, patient died in the hospital"
	"1722691-1"	"1722691-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"hx of thyroid disease, HTN, arthritis; presented to ED with productive cough, SOB, fever; diagnosed COVID positive 6 days before at a clinic, condition worsening; admitted to hospital where hypoxia worsened with increased work of breathing, patient died in the hospital"
	"1722691-1"	"1722691-1"	"PRODUCTIVE COUGH"	"10036790"	"65-79 years"	"65-79"	"hx of thyroid disease, HTN, arthritis; presented to ED with productive cough, SOB, fever; diagnosed COVID positive 6 days before at a clinic, condition worsening; admitted to hospital where hypoxia worsened with increased work of breathing, patient died in the hospital"
	"1722691-1"	"1722691-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"hx of thyroid disease, HTN, arthritis; presented to ED with productive cough, SOB, fever; diagnosed COVID positive 6 days before at a clinic, condition worsening; admitted to hospital where hypoxia worsened with increased work of breathing, patient died in the hospital"
	"1722691-1"	"1722691-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"hx of thyroid disease, HTN, arthritis; presented to ED with productive cough, SOB, fever; diagnosed COVID positive 6 days before at a clinic, condition worsening; admitted to hospital where hypoxia worsened with increased work of breathing, patient died in the hospital"
	"1723096-1"	"1723096-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Dyspnea c/o.  Pt is on 2 liters at home.  COVID positive recently.  Hypoxia concerns with exertion.   Pt is currently on 6 liters via NC, but plan to place on Bipap.                                                                                   patient was a transfer to our facility. one dose of the vaccine was administered on 2/1/2021 but no record of lot number"
	"1723096-1"	"1723096-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Dyspnea c/o.  Pt is on 2 liters at home.  COVID positive recently.  Hypoxia concerns with exertion.   Pt is currently on 6 liters via NC, but plan to place on Bipap.                                                                                   patient was a transfer to our facility. one dose of the vaccine was administered on 2/1/2021 but no record of lot number"
	"1723096-1"	"1723096-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Dyspnea c/o.  Pt is on 2 liters at home.  COVID positive recently.  Hypoxia concerns with exertion.   Pt is currently on 6 liters via NC, but plan to place on Bipap.                                                                                   patient was a transfer to our facility. one dose of the vaccine was administered on 2/1/2021 but no record of lot number"
	"1723096-1"	"1723096-1"	"INCOMPLETE COURSE OF VACCINATION"	"10072103"	"65-79 years"	"65-79"	"Dyspnea c/o.  Pt is on 2 liters at home.  COVID positive recently.  Hypoxia concerns with exertion.   Pt is currently on 6 liters via NC, but plan to place on Bipap.                                                                                   patient was a transfer to our facility. one dose of the vaccine was administered on 2/1/2021 but no record of lot number"
	"1723096-1"	"1723096-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Dyspnea c/o.  Pt is on 2 liters at home.  COVID positive recently.  Hypoxia concerns with exertion.   Pt is currently on 6 liters via NC, but plan to place on Bipap.                                                                                   patient was a transfer to our facility. one dose of the vaccine was administered on 2/1/2021 but no record of lot number"
	"1723432-1"	"1723432-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"death SHORTNESS OF BREATH U07.1, J12.82 - Pneumonia due to COVID-19 virus"
	"1723432-1"	"1723432-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death SHORTNESS OF BREATH U07.1, J12.82 - Pneumonia due to COVID-19 virus"
	"1723432-1"	"1723432-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"death SHORTNESS OF BREATH U07.1, J12.82 - Pneumonia due to COVID-19 virus"
	"1723439-1"	"1723439-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"death COVID-19 Pneumonia due to coronavirus disease 2019 Acute respiratory failure with hypoxia"
	"1723439-1"	"1723439-1"	"CORONAVIRUS PNEUMONIA"	"10084381"	"65-79 years"	"65-79"	"death COVID-19 Pneumonia due to coronavirus disease 2019 Acute respiratory failure with hypoxia"
	"1723439-1"	"1723439-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"death COVID-19 Pneumonia due to coronavirus disease 2019 Acute respiratory failure with hypoxia"
	"1723439-1"	"1723439-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death COVID-19 Pneumonia due to coronavirus disease 2019 Acute respiratory failure with hypoxia"
	"1723558-1"	"1723558-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"death SHORTNESS OF BREATH Non-ST elevation (NSTEMI) myocardial infarction  Acute respiratory failure with hypoxia"
	"1723558-1"	"1723558-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"death SHORTNESS OF BREATH Non-ST elevation (NSTEMI) myocardial infarction  Acute respiratory failure with hypoxia"
	"1723558-1"	"1723558-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death SHORTNESS OF BREATH Non-ST elevation (NSTEMI) myocardial infarction  Acute respiratory failure with hypoxia"
	"1723558-1"	"1723558-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"death SHORTNESS OF BREATH Non-ST elevation (NSTEMI) myocardial infarction  Acute respiratory failure with hypoxia"
	"1723566-1"	"1723566-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death AKI (acute kidney injury) Cerebrovascular accident (CVA), unspecified mechanism Acute respiratory failure with hypoxia Acute kidney failure, unspecified Thrombocytopenia, unspecified"
	"1723566-1"	"1723566-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"death AKI (acute kidney injury) Cerebrovascular accident (CVA), unspecified mechanism Acute respiratory failure with hypoxia Acute kidney failure, unspecified Thrombocytopenia, unspecified"
	"1723566-1"	"1723566-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"death AKI (acute kidney injury) Cerebrovascular accident (CVA), unspecified mechanism Acute respiratory failure with hypoxia Acute kidney failure, unspecified Thrombocytopenia, unspecified"
	"1723566-1"	"1723566-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death AKI (acute kidney injury) Cerebrovascular accident (CVA), unspecified mechanism Acute respiratory failure with hypoxia Acute kidney failure, unspecified Thrombocytopenia, unspecified"
	"1723566-1"	"1723566-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"death AKI (acute kidney injury) Cerebrovascular accident (CVA), unspecified mechanism Acute respiratory failure with hypoxia Acute kidney failure, unspecified Thrombocytopenia, unspecified"
	"1723579-1"	"1723579-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death J12.82 - Pneumonia due to coronavirus disease 2019 U07.1 - COVID-19 N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia D69.6 - Thrombocytopenia, unspecified"
	"1723579-1"	"1723579-1"	"BLOOD OSMOLARITY DECREASED"	"10005696"	"65-79 years"	"65-79"	"death J12.82 - Pneumonia due to coronavirus disease 2019 U07.1 - COVID-19 N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia D69.6 - Thrombocytopenia, unspecified"
	"1723579-1"	"1723579-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"death J12.82 - Pneumonia due to coronavirus disease 2019 U07.1 - COVID-19 N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia D69.6 - Thrombocytopenia, unspecified"
	"1723579-1"	"1723579-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"death J12.82 - Pneumonia due to coronavirus disease 2019 U07.1 - COVID-19 N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia D69.6 - Thrombocytopenia, unspecified"
	"1723579-1"	"1723579-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death J12.82 - Pneumonia due to coronavirus disease 2019 U07.1 - COVID-19 N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia D69.6 - Thrombocytopenia, unspecified"
	"1723579-1"	"1723579-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"death J12.82 - Pneumonia due to coronavirus disease 2019 U07.1 - COVID-19 N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia D69.6 - Thrombocytopenia, unspecified"
	"1723579-1"	"1723579-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"death J12.82 - Pneumonia due to coronavirus disease 2019 U07.1 - COVID-19 N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia D69.6 - Thrombocytopenia, unspecified"
	"1726726-1"	"1726726-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"presented to ED with productive cough, increasing  SOB, fever, tested positive for COVID; HX of COPD, CHF, HTN,DM2, CKD II; intubated on 8/13, condition worsened where patient died in the hospital"
	"1726726-1"	"1726726-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"presented to ED with productive cough, increasing  SOB, fever, tested positive for COVID; HX of COPD, CHF, HTN,DM2, CKD II; intubated on 8/13, condition worsened where patient died in the hospital"
	"1726726-1"	"1726726-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"presented to ED with productive cough, increasing  SOB, fever, tested positive for COVID; HX of COPD, CHF, HTN,DM2, CKD II; intubated on 8/13, condition worsened where patient died in the hospital"
	"1726726-1"	"1726726-1"	"PRODUCTIVE COUGH"	"10036790"	"65-79 years"	"65-79"	"presented to ED with productive cough, increasing  SOB, fever, tested positive for COVID; HX of COPD, CHF, HTN,DM2, CKD II; intubated on 8/13, condition worsened where patient died in the hospital"
	"1726726-1"	"1726726-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"presented to ED with productive cough, increasing  SOB, fever, tested positive for COVID; HX of COPD, CHF, HTN,DM2, CKD II; intubated on 8/13, condition worsened where patient died in the hospital"
	"1726726-1"	"1726726-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"presented to ED with productive cough, increasing  SOB, fever, tested positive for COVID; HX of COPD, CHF, HTN,DM2, CKD II; intubated on 8/13, condition worsened where patient died in the hospital"
	"1726783-1"	"1726783-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"seen in ED after a dr's appointment for complaint of pain in L buttock area, COVID test done - positive; confusion, decreased appetite and drinking x 2days; mildly hypoxic; pt wanted to go home; dc'd to home with O2; pt died at home 5 days later"
	"1726783-1"	"1726783-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"seen in ED after a dr's appointment for complaint of pain in L buttock area, COVID test done - positive; confusion, decreased appetite and drinking x 2days; mildly hypoxic; pt wanted to go home; dc'd to home with O2; pt died at home 5 days later"
	"1726783-1"	"1726783-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"seen in ED after a dr's appointment for complaint of pain in L buttock area, COVID test done - positive; confusion, decreased appetite and drinking x 2days; mildly hypoxic; pt wanted to go home; dc'd to home with O2; pt died at home 5 days later"
	"1726783-1"	"1726783-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"seen in ED after a dr's appointment for complaint of pain in L buttock area, COVID test done - positive; confusion, decreased appetite and drinking x 2days; mildly hypoxic; pt wanted to go home; dc'd to home with O2; pt died at home 5 days later"
	"1726783-1"	"1726783-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"seen in ED after a dr's appointment for complaint of pain in L buttock area, COVID test done - positive; confusion, decreased appetite and drinking x 2days; mildly hypoxic; pt wanted to go home; dc'd to home with O2; pt died at home 5 days later"
	"1726783-1"	"1726783-1"	"MUSCULOSKELETAL PAIN"	"10028391"	"65-79 years"	"65-79"	"seen in ED after a dr's appointment for complaint of pain in L buttock area, COVID test done - positive; confusion, decreased appetite and drinking x 2days; mildly hypoxic; pt wanted to go home; dc'd to home with O2; pt died at home 5 days later"
	"1726783-1"	"1726783-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"seen in ED after a dr's appointment for complaint of pain in L buttock area, COVID test done - positive; confusion, decreased appetite and drinking x 2days; mildly hypoxic; pt wanted to go home; dc'd to home with O2; pt died at home 5 days later"
	"1731205-1"	"1731205-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Admitted to hospital with covid pneumonia on 9/10/21. Patient was fully vaccinated with doses of Pfizer covid vaccine with first dose on 2/1/2021 and second dose on 2/23/21. Patient eventually required intubation and ultimately expired on 9/23/21."
	"1731205-1"	"1731205-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Admitted to hospital with covid pneumonia on 9/10/21. Patient was fully vaccinated with doses of Pfizer covid vaccine with first dose on 2/1/2021 and second dose on 2/23/21. Patient eventually required intubation and ultimately expired on 9/23/21."
	"1731205-1"	"1731205-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Admitted to hospital with covid pneumonia on 9/10/21. Patient was fully vaccinated with doses of Pfizer covid vaccine with first dose on 2/1/2021 and second dose on 2/23/21. Patient eventually required intubation and ultimately expired on 9/23/21."
	"1731400-1"	"1731400-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"positive for COVID on 8/23; took monoclonal antibodies on 8/25 and dc'd to home; presented to ED 8/27 with SOB, chills, fever, poor appetite, diarrhea x5days, generalized weakness; acute respiratory failure"
	"1731400-1"	"1731400-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"positive for COVID on 8/23; took monoclonal antibodies on 8/25 and dc'd to home; presented to ED 8/27 with SOB, chills, fever, poor appetite, diarrhea x5days, generalized weakness; acute respiratory failure"
	"1731400-1"	"1731400-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"positive for COVID on 8/23; took monoclonal antibodies on 8/25 and dc'd to home; presented to ED 8/27 with SOB, chills, fever, poor appetite, diarrhea x5days, generalized weakness; acute respiratory failure"
	"1731400-1"	"1731400-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"positive for COVID on 8/23; took monoclonal antibodies on 8/25 and dc'd to home; presented to ED 8/27 with SOB, chills, fever, poor appetite, diarrhea x5days, generalized weakness; acute respiratory failure"
	"1731400-1"	"1731400-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"positive for COVID on 8/23; took monoclonal antibodies on 8/25 and dc'd to home; presented to ED 8/27 with SOB, chills, fever, poor appetite, diarrhea x5days, generalized weakness; acute respiratory failure"
	"1731400-1"	"1731400-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"positive for COVID on 8/23; took monoclonal antibodies on 8/25 and dc'd to home; presented to ED 8/27 with SOB, chills, fever, poor appetite, diarrhea x5days, generalized weakness; acute respiratory failure"
	"1731400-1"	"1731400-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"positive for COVID on 8/23; took monoclonal antibodies on 8/25 and dc'd to home; presented to ED 8/27 with SOB, chills, fever, poor appetite, diarrhea x5days, generalized weakness; acute respiratory failure"
	"1731400-1"	"1731400-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"positive for COVID on 8/23; took monoclonal antibodies on 8/25 and dc'd to home; presented to ED 8/27 with SOB, chills, fever, poor appetite, diarrhea x5days, generalized weakness; acute respiratory failure"
	"1731400-1"	"1731400-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"positive for COVID on 8/23; took monoclonal antibodies on 8/25 and dc'd to home; presented to ED 8/27 with SOB, chills, fever, poor appetite, diarrhea x5days, generalized weakness; acute respiratory failure"
	"1731451-1"	"1731451-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"pt tested positive for COVID on 8/18; presented to ED on 8/24 hypoxic with confusion, SOB, coughing; placed on BIPAP; pneumothorax occurred; condition worsened where patient died in hospital"
	"1731451-1"	"1731451-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt tested positive for COVID on 8/18; presented to ED on 8/24 hypoxic with confusion, SOB, coughing; placed on BIPAP; pneumothorax occurred; condition worsened where patient died in hospital"
	"1731451-1"	"1731451-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt tested positive for COVID on 8/18; presented to ED on 8/24 hypoxic with confusion, SOB, coughing; placed on BIPAP; pneumothorax occurred; condition worsened where patient died in hospital"
	"1731451-1"	"1731451-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt tested positive for COVID on 8/18; presented to ED on 8/24 hypoxic with confusion, SOB, coughing; placed on BIPAP; pneumothorax occurred; condition worsened where patient died in hospital"
	"1731451-1"	"1731451-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt tested positive for COVID on 8/18; presented to ED on 8/24 hypoxic with confusion, SOB, coughing; placed on BIPAP; pneumothorax occurred; condition worsened where patient died in hospital"
	"1731451-1"	"1731451-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"pt tested positive for COVID on 8/18; presented to ED on 8/24 hypoxic with confusion, SOB, coughing; placed on BIPAP; pneumothorax occurred; condition worsened where patient died in hospital"
	"1731451-1"	"1731451-1"	"PNEUMOTHORAX"	"10035759"	"65-79 years"	"65-79"	"pt tested positive for COVID on 8/18; presented to ED on 8/24 hypoxic with confusion, SOB, coughing; placed on BIPAP; pneumothorax occurred; condition worsened where patient died in hospital"
	"1731451-1"	"1731451-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt tested positive for COVID on 8/18; presented to ED on 8/24 hypoxic with confusion, SOB, coughing; placed on BIPAP; pneumothorax occurred; condition worsened where patient died in hospital"
	"1731451-1"	"1731451-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt tested positive for COVID on 8/18; presented to ED on 8/24 hypoxic with confusion, SOB, coughing; placed on BIPAP; pneumothorax occurred; condition worsened where patient died in hospital"
	"1731525-1"	"1731525-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"hx of pituitary adenoma - post surgical resection back in April 2021; presented to ED with weakness and SOB, positive for COVID - 19; pt's condition worsened where he passed away in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1731525-1"	"1731525-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"hx of pituitary adenoma - post surgical resection back in April 2021; presented to ED with weakness and SOB, positive for COVID - 19; pt's condition worsened where he passed away in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1731525-1"	"1731525-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"hx of pituitary adenoma - post surgical resection back in April 2021; presented to ED with weakness and SOB, positive for COVID - 19; pt's condition worsened where he passed away in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1731525-1"	"1731525-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"hx of pituitary adenoma - post surgical resection back in April 2021; presented to ED with weakness and SOB, positive for COVID - 19; pt's condition worsened where he passed away in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1731525-1"	"1731525-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"hx of pituitary adenoma - post surgical resection back in April 2021; presented to ED with weakness and SOB, positive for COVID - 19; pt's condition worsened where he passed away in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1731525-1"	"1731525-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"hx of pituitary adenoma - post surgical resection back in April 2021; presented to ED with weakness and SOB, positive for COVID - 19; pt's condition worsened where he passed away in the hospital; Acute hypoxemic respiratory failure secondary to COVID pneumonia"
	"1731557-1"	"1731557-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"Hx of recent hospitalization for cellulitis, dc'd home with IV antibiotic therapy; tested positive for COVID while in the hospital; presented to ED with severe hypoxia; respiratory failure with intubation; AFib; COVID pneumonia; pt passed away in the hospital"
	"1731557-1"	"1731557-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hx of recent hospitalization for cellulitis, dc'd home with IV antibiotic therapy; tested positive for COVID while in the hospital; presented to ED with severe hypoxia; respiratory failure with intubation; AFib; COVID pneumonia; pt passed away in the hospital"
	"1731557-1"	"1731557-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Hx of recent hospitalization for cellulitis, dc'd home with IV antibiotic therapy; tested positive for COVID while in the hospital; presented to ED with severe hypoxia; respiratory failure with intubation; AFib; COVID pneumonia; pt passed away in the hospital"
	"1731557-1"	"1731557-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hx of recent hospitalization for cellulitis, dc'd home with IV antibiotic therapy; tested positive for COVID while in the hospital; presented to ED with severe hypoxia; respiratory failure with intubation; AFib; COVID pneumonia; pt passed away in the hospital"
	"1731557-1"	"1731557-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Hx of recent hospitalization for cellulitis, dc'd home with IV antibiotic therapy; tested positive for COVID while in the hospital; presented to ED with severe hypoxia; respiratory failure with intubation; AFib; COVID pneumonia; pt passed away in the hospital"
	"1731557-1"	"1731557-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Hx of recent hospitalization for cellulitis, dc'd home with IV antibiotic therapy; tested positive for COVID while in the hospital; presented to ED with severe hypoxia; respiratory failure with intubation; AFib; COVID pneumonia; pt passed away in the hospital"
	"1731557-1"	"1731557-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Hx of recent hospitalization for cellulitis, dc'd home with IV antibiotic therapy; tested positive for COVID while in the hospital; presented to ED with severe hypoxia; respiratory failure with intubation; AFib; COVID pneumonia; pt passed away in the hospital"
	"1731557-1"	"1731557-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Hx of recent hospitalization for cellulitis, dc'd home with IV antibiotic therapy; tested positive for COVID while in the hospital; presented to ED with severe hypoxia; respiratory failure with intubation; AFib; COVID pneumonia; pt passed away in the hospital"
	"1731598-1"	"1731598-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt presented to ED with SOB x 1wk, worsening; morbidly obese; cough, hypoxic; hx of CHF, chronic A Fib, DM2; positive for COVID; intubated on mechanical ventilation; condition worsened, pt died in the hospital"
	"1731598-1"	"1731598-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt presented to ED with SOB x 1wk, worsening; morbidly obese; cough, hypoxic; hx of CHF, chronic A Fib, DM2; positive for COVID; intubated on mechanical ventilation; condition worsened, pt died in the hospital"
	"1731598-1"	"1731598-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt presented to ED with SOB x 1wk, worsening; morbidly obese; cough, hypoxic; hx of CHF, chronic A Fib, DM2; positive for COVID; intubated on mechanical ventilation; condition worsened, pt died in the hospital"
	"1731598-1"	"1731598-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt presented to ED with SOB x 1wk, worsening; morbidly obese; cough, hypoxic; hx of CHF, chronic A Fib, DM2; positive for COVID; intubated on mechanical ventilation; condition worsened, pt died in the hospital"
	"1731598-1"	"1731598-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt presented to ED with SOB x 1wk, worsening; morbidly obese; cough, hypoxic; hx of CHF, chronic A Fib, DM2; positive for COVID; intubated on mechanical ventilation; condition worsened, pt died in the hospital"
	"1731598-1"	"1731598-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"pt presented to ED with SOB x 1wk, worsening; morbidly obese; cough, hypoxic; hx of CHF, chronic A Fib, DM2; positive for COVID; intubated on mechanical ventilation; condition worsened, pt died in the hospital"
	"1731598-1"	"1731598-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"pt presented to ED with SOB x 1wk, worsening; morbidly obese; cough, hypoxic; hx of CHF, chronic A Fib, DM2; positive for COVID; intubated on mechanical ventilation; condition worsened, pt died in the hospital"
	"1731598-1"	"1731598-1"	"OBESITY"	"10029883"	"65-79 years"	"65-79"	"pt presented to ED with SOB x 1wk, worsening; morbidly obese; cough, hypoxic; hx of CHF, chronic A Fib, DM2; positive for COVID; intubated on mechanical ventilation; condition worsened, pt died in the hospital"
	"1731598-1"	"1731598-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt presented to ED with SOB x 1wk, worsening; morbidly obese; cough, hypoxic; hx of CHF, chronic A Fib, DM2; positive for COVID; intubated on mechanical ventilation; condition worsened, pt died in the hospital"
	"1745088-1"	"1745088-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"08/03/2021 pt had at-home COVID-19 test, results positive; presented to ED on 8/12/2021 with SOB, cough, nausea, malaise, weakness; condition worsened; pt was a DNR; admitted to hospice on 08/18/2021 where he passed away"
	"1745088-1"	"1745088-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"08/03/2021 pt had at-home COVID-19 test, results positive; presented to ED on 8/12/2021 with SOB, cough, nausea, malaise, weakness; condition worsened; pt was a DNR; admitted to hospice on 08/18/2021 where he passed away"
	"1745088-1"	"1745088-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"08/03/2021 pt had at-home COVID-19 test, results positive; presented to ED on 8/12/2021 with SOB, cough, nausea, malaise, weakness; condition worsened; pt was a DNR; admitted to hospice on 08/18/2021 where he passed away"
	"1745088-1"	"1745088-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"08/03/2021 pt had at-home COVID-19 test, results positive; presented to ED on 8/12/2021 with SOB, cough, nausea, malaise, weakness; condition worsened; pt was a DNR; admitted to hospice on 08/18/2021 where he passed away"
	"1745088-1"	"1745088-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"08/03/2021 pt had at-home COVID-19 test, results positive; presented to ED on 8/12/2021 with SOB, cough, nausea, malaise, weakness; condition worsened; pt was a DNR; admitted to hospice on 08/18/2021 where he passed away"
	"1745088-1"	"1745088-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"08/03/2021 pt had at-home COVID-19 test, results positive; presented to ED on 8/12/2021 with SOB, cough, nausea, malaise, weakness; condition worsened; pt was a DNR; admitted to hospice on 08/18/2021 where he passed away"
	"1745088-1"	"1745088-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"08/03/2021 pt had at-home COVID-19 test, results positive; presented to ED on 8/12/2021 with SOB, cough, nausea, malaise, weakness; condition worsened; pt was a DNR; admitted to hospice on 08/18/2021 where he passed away"
	"1745088-1"	"1745088-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"08/03/2021 pt had at-home COVID-19 test, results positive; presented to ED on 8/12/2021 with SOB, cough, nausea, malaise, weakness; condition worsened; pt was a DNR; admitted to hospice on 08/18/2021 where he passed away"
	"1745088-1"	"1745088-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"08/03/2021 pt had at-home COVID-19 test, results positive; presented to ED on 8/12/2021 with SOB, cough, nausea, malaise, weakness; condition worsened; pt was a DNR; admitted to hospice on 08/18/2021 where he passed away"
	"1745116-1"	"1745116-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"tested positive for COVID-19 at dr's office approximately 1 week before being seen in the ED; presents to ED with SOB and is hypoxic, with runny nose, sore throat, headache, and cough; hx of COPD, placed on a ventilator; condition worsened; pt passed away in hospital"
	"1745116-1"	"1745116-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"tested positive for COVID-19 at dr's office approximately 1 week before being seen in the ED; presents to ED with SOB and is hypoxic, with runny nose, sore throat, headache, and cough; hx of COPD, placed on a ventilator; condition worsened; pt passed away in hospital"
	"1745116-1"	"1745116-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"tested positive for COVID-19 at dr's office approximately 1 week before being seen in the ED; presents to ED with SOB and is hypoxic, with runny nose, sore throat, headache, and cough; hx of COPD, placed on a ventilator; condition worsened; pt passed away in hospital"
	"1745116-1"	"1745116-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"tested positive for COVID-19 at dr's office approximately 1 week before being seen in the ED; presents to ED with SOB and is hypoxic, with runny nose, sore throat, headache, and cough; hx of COPD, placed on a ventilator; condition worsened; pt passed away in hospital"
	"1745116-1"	"1745116-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"tested positive for COVID-19 at dr's office approximately 1 week before being seen in the ED; presents to ED with SOB and is hypoxic, with runny nose, sore throat, headache, and cough; hx of COPD, placed on a ventilator; condition worsened; pt passed away in hospital"
	"1745116-1"	"1745116-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"tested positive for COVID-19 at dr's office approximately 1 week before being seen in the ED; presents to ED with SOB and is hypoxic, with runny nose, sore throat, headache, and cough; hx of COPD, placed on a ventilator; condition worsened; pt passed away in hospital"
	"1745116-1"	"1745116-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"tested positive for COVID-19 at dr's office approximately 1 week before being seen in the ED; presents to ED with SOB and is hypoxic, with runny nose, sore throat, headache, and cough; hx of COPD, placed on a ventilator; condition worsened; pt passed away in hospital"
	"1745116-1"	"1745116-1"	"OROPHARYNGEAL PAIN"	"10068319"	"65-79 years"	"65-79"	"tested positive for COVID-19 at dr's office approximately 1 week before being seen in the ED; presents to ED with SOB and is hypoxic, with runny nose, sore throat, headache, and cough; hx of COPD, placed on a ventilator; condition worsened; pt passed away in hospital"
	"1745116-1"	"1745116-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"tested positive for COVID-19 at dr's office approximately 1 week before being seen in the ED; presents to ED with SOB and is hypoxic, with runny nose, sore throat, headache, and cough; hx of COPD, placed on a ventilator; condition worsened; pt passed away in hospital"
	"1745116-1"	"1745116-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"tested positive for COVID-19 at dr's office approximately 1 week before being seen in the ED; presents to ED with SOB and is hypoxic, with runny nose, sore throat, headache, and cough; hx of COPD, placed on a ventilator; condition worsened; pt passed away in hospital"
	"1745215-1"	"1745215-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"presented to ED with SOB, c/o fever, SOB, nausea, decreased appetite x 1 wk; hx of DMT2; tested positive for COVID-19; acute respiratory failure and pneumonia due to COVID; refuses to be intubated; will use BIPAP; pt's condition worsened where he passed away in the hospital"
	"1745215-1"	"1745215-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"presented to ED with SOB, c/o fever, SOB, nausea, decreased appetite x 1 wk; hx of DMT2; tested positive for COVID-19; acute respiratory failure and pneumonia due to COVID; refuses to be intubated; will use BIPAP; pt's condition worsened where he passed away in the hospital"
	"1745215-1"	"1745215-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"presented to ED with SOB, c/o fever, SOB, nausea, decreased appetite x 1 wk; hx of DMT2; tested positive for COVID-19; acute respiratory failure and pneumonia due to COVID; refuses to be intubated; will use BIPAP; pt's condition worsened where he passed away in the hospital"
	"1745215-1"	"1745215-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"presented to ED with SOB, c/o fever, SOB, nausea, decreased appetite x 1 wk; hx of DMT2; tested positive for COVID-19; acute respiratory failure and pneumonia due to COVID; refuses to be intubated; will use BIPAP; pt's condition worsened where he passed away in the hospital"
	"1745215-1"	"1745215-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"presented to ED with SOB, c/o fever, SOB, nausea, decreased appetite x 1 wk; hx of DMT2; tested positive for COVID-19; acute respiratory failure and pneumonia due to COVID; refuses to be intubated; will use BIPAP; pt's condition worsened where he passed away in the hospital"
	"1745215-1"	"1745215-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"presented to ED with SOB, c/o fever, SOB, nausea, decreased appetite x 1 wk; hx of DMT2; tested positive for COVID-19; acute respiratory failure and pneumonia due to COVID; refuses to be intubated; will use BIPAP; pt's condition worsened where he passed away in the hospital"
	"1745215-1"	"1745215-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"presented to ED with SOB, c/o fever, SOB, nausea, decreased appetite x 1 wk; hx of DMT2; tested positive for COVID-19; acute respiratory failure and pneumonia due to COVID; refuses to be intubated; will use BIPAP; pt's condition worsened where he passed away in the hospital"
	"1745215-1"	"1745215-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"presented to ED with SOB, c/o fever, SOB, nausea, decreased appetite x 1 wk; hx of DMT2; tested positive for COVID-19; acute respiratory failure and pneumonia due to COVID; refuses to be intubated; will use BIPAP; pt's condition worsened where he passed away in the hospital"
	"1745215-1"	"1745215-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"presented to ED with SOB, c/o fever, SOB, nausea, decreased appetite x 1 wk; hx of DMT2; tested positive for COVID-19; acute respiratory failure and pneumonia due to COVID; refuses to be intubated; will use BIPAP; pt's condition worsened where he passed away in the hospital"
	"1745215-1"	"1745215-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"presented to ED with SOB, c/o fever, SOB, nausea, decreased appetite x 1 wk; hx of DMT2; tested positive for COVID-19; acute respiratory failure and pneumonia due to COVID; refuses to be intubated; will use BIPAP; pt's condition worsened where he passed away in the hospital"
	"1745271-1"	"1745271-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"LUNG INFILTRATION"	"10025102"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1745271-1"	"1745271-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"hx of prostate and pancreatic cancer; 3 days ago had chemotherapy treatment; within 24 hrs after chemo, pt began to experience fever, fatigue, cough and SOB; presented to ED with SOB; chest x-ray showed severe diffuse bilateral asymmetric infiltrates; positive for COVID-19; pt was a DNR/DNI; placed on BIPAP; condition worsened and pt died in the hospital; Acute Respiratory Failure with Hypoxemia; pneumonia due to COVID-19"
	"1756951-1"	"1756951-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"During hospital stay patient was started on Rocephin and azithromycin along with remdesivir and dexamethasone.  She had been on 3 L of oxygen since admission which was normal for her.  Had her finish her 3 doses of remdesivir.  She was discharged on cefdinir and was to have an outpatient follow-up with her PCP.  Patient returned on 9/14 and was admitted to the ICU where she unfortunately passed from COVID-19 Pneumonia."
	"1756951-1"	"1756951-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"During hospital stay patient was started on Rocephin and azithromycin along with remdesivir and dexamethasone.  She had been on 3 L of oxygen since admission which was normal for her.  Had her finish her 3 doses of remdesivir.  She was discharged on cefdinir and was to have an outpatient follow-up with her PCP.  Patient returned on 9/14 and was admitted to the ICU where she unfortunately passed from COVID-19 Pneumonia."
	"1756951-1"	"1756951-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"During hospital stay patient was started on Rocephin and azithromycin along with remdesivir and dexamethasone.  She had been on 3 L of oxygen since admission which was normal for her.  Had her finish her 3 doses of remdesivir.  She was discharged on cefdinir and was to have an outpatient follow-up with her PCP.  Patient returned on 9/14 and was admitted to the ICU where she unfortunately passed from COVID-19 Pneumonia."
	"1768227-1"	"1768227-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"presented to ED with SOB (increasing over last 3 days), diarrhea x 5 days, fever, chills, and fatigue; COVID test positive; PMH:  sickle cell disease; diagnosed with pneumonia due to COVID, sepsis, hypoxia; started on oxygen, steroids and antibiotics; pt's condition worsened and he passed away in the hospital"
	"1768227-1"	"1768227-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"presented to ED with SOB (increasing over last 3 days), diarrhea x 5 days, fever, chills, and fatigue; COVID test positive; PMH:  sickle cell disease; diagnosed with pneumonia due to COVID, sepsis, hypoxia; started on oxygen, steroids and antibiotics; pt's condition worsened and he passed away in the hospital"
	"1768227-1"	"1768227-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"presented to ED with SOB (increasing over last 3 days), diarrhea x 5 days, fever, chills, and fatigue; COVID test positive; PMH:  sickle cell disease; diagnosed with pneumonia due to COVID, sepsis, hypoxia; started on oxygen, steroids and antibiotics; pt's condition worsened and he passed away in the hospital"
	"1768227-1"	"1768227-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"presented to ED with SOB (increasing over last 3 days), diarrhea x 5 days, fever, chills, and fatigue; COVID test positive; PMH:  sickle cell disease; diagnosed with pneumonia due to COVID, sepsis, hypoxia; started on oxygen, steroids and antibiotics; pt's condition worsened and he passed away in the hospital"
	"1768227-1"	"1768227-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"presented to ED with SOB (increasing over last 3 days), diarrhea x 5 days, fever, chills, and fatigue; COVID test positive; PMH:  sickle cell disease; diagnosed with pneumonia due to COVID, sepsis, hypoxia; started on oxygen, steroids and antibiotics; pt's condition worsened and he passed away in the hospital"
	"1768227-1"	"1768227-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"presented to ED with SOB (increasing over last 3 days), diarrhea x 5 days, fever, chills, and fatigue; COVID test positive; PMH:  sickle cell disease; diagnosed with pneumonia due to COVID, sepsis, hypoxia; started on oxygen, steroids and antibiotics; pt's condition worsened and he passed away in the hospital"
	"1768227-1"	"1768227-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"presented to ED with SOB (increasing over last 3 days), diarrhea x 5 days, fever, chills, and fatigue; COVID test positive; PMH:  sickle cell disease; diagnosed with pneumonia due to COVID, sepsis, hypoxia; started on oxygen, steroids and antibiotics; pt's condition worsened and he passed away in the hospital"
	"1768227-1"	"1768227-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"presented to ED with SOB (increasing over last 3 days), diarrhea x 5 days, fever, chills, and fatigue; COVID test positive; PMH:  sickle cell disease; diagnosed with pneumonia due to COVID, sepsis, hypoxia; started on oxygen, steroids and antibiotics; pt's condition worsened and he passed away in the hospital"
	"1768227-1"	"1768227-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"presented to ED with SOB (increasing over last 3 days), diarrhea x 5 days, fever, chills, and fatigue; COVID test positive; PMH:  sickle cell disease; diagnosed with pneumonia due to COVID, sepsis, hypoxia; started on oxygen, steroids and antibiotics; pt's condition worsened and he passed away in the hospital"
	"1768227-1"	"1768227-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"presented to ED with SOB (increasing over last 3 days), diarrhea x 5 days, fever, chills, and fatigue; COVID test positive; PMH:  sickle cell disease; diagnosed with pneumonia due to COVID, sepsis, hypoxia; started on oxygen, steroids and antibiotics; pt's condition worsened and he passed away in the hospital"
	"1768227-1"	"1768227-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"presented to ED with SOB (increasing over last 3 days), diarrhea x 5 days, fever, chills, and fatigue; COVID test positive; PMH:  sickle cell disease; diagnosed with pneumonia due to COVID, sepsis, hypoxia; started on oxygen, steroids and antibiotics; pt's condition worsened and he passed away in the hospital"
	"1768495-1"	"1768495-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death - Acute intracranial hemorrhage"
	"1768495-1"	"1768495-1"	"HAEMORRHAGE INTRACRANIAL"	"10018985"	"65-79 years"	"65-79"	"death - Acute intracranial hemorrhage"
	"1768512-1"	"1768512-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia I26.99 - Pulmonary embolism U07.1 - COVID-19"
	"1768512-1"	"1768512-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia I26.99 - Pulmonary embolism U07.1 - COVID-19"
	"1768512-1"	"1768512-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia I26.99 - Pulmonary embolism U07.1 - COVID-19"
	"1768512-1"	"1768512-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"death J18.9 - Pneumonia I26.99 - Pulmonary embolism U07.1 - COVID-19"
	"1768541-1"	"1768541-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death  - COVID-19  - Pneumonia due to coronavirus disease 2019  - Acute kidney failure, unspecified"
	"1768541-1"	"1768541-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"death  - COVID-19  - Pneumonia due to coronavirus disease 2019  - Acute kidney failure, unspecified"
	"1768541-1"	"1768541-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"death  - COVID-19  - Pneumonia due to coronavirus disease 2019  - Acute kidney failure, unspecified"
	"1768541-1"	"1768541-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death  - COVID-19  - Pneumonia due to coronavirus disease 2019  - Acute kidney failure, unspecified"
	"1768564-1"	"1768564-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"death J96.90 - Respiratory failure J96.01 - Acute respiratory failure with hypoxia"
	"1768564-1"	"1768564-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death J96.90 - Respiratory failure J96.01 - Acute respiratory failure with hypoxia"
	"1768564-1"	"1768564-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"death J96.90 - Respiratory failure J96.01 - Acute respiratory failure with hypoxia"
	"1768580-1"	"1768580-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death N17.9 - AKI (acute kidney injury)"
	"1768580-1"	"1768580-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death N17.9 - AKI (acute kidney injury)"
	"1768588-1"	"1768588-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death N17.9 - AKI (acute kidney injury) (CMS/HCC) J96.01 - Acute respiratory failure with hypoxia (CMS/HCC)"
	"1768588-1"	"1768588-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"death N17.9 - AKI (acute kidney injury) (CMS/HCC) J96.01 - Acute respiratory failure with hypoxia (CMS/HCC)"
	"1768588-1"	"1768588-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death N17.9 - AKI (acute kidney injury) (CMS/HCC) J96.01 - Acute respiratory failure with hypoxia (CMS/HCC)"
	"1768591-1"	"1768591-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death G45.9 - TIA (transient ischemic attack)"
	"1768591-1"	"1768591-1"	"TRANSIENT ISCHAEMIC ATTACK"	"10044390"	"65-79 years"	"65-79"	"death G45.9 - TIA (transient ischemic attack)"
	"1778825-1"	"1778825-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt received COVID booster shot (3rd dose) on 10/7/21. On 10/10/21 pt was found unresponsive/ no pulse/no resp.  Hospice nurse pronounced death at 0820 on 10/10/21"
	"1778825-1"	"1778825-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"Pt received COVID booster shot (3rd dose) on 10/7/21. On 10/10/21 pt was found unresponsive/ no pulse/no resp.  Hospice nurse pronounced death at 0820 on 10/10/21"
	"1778825-1"	"1778825-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"Pt received COVID booster shot (3rd dose) on 10/7/21. On 10/10/21 pt was found unresponsive/ no pulse/no resp.  Hospice nurse pronounced death at 0820 on 10/10/21"
	"1778825-1"	"1778825-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Pt received COVID booster shot (3rd dose) on 10/7/21. On 10/10/21 pt was found unresponsive/ no pulse/no resp.  Hospice nurse pronounced death at 0820 on 10/10/21"
	"1780477-1"	"1780477-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"cough, phlegm, shortness of breath, fatigue, for 12  days an then death."
	"1780477-1"	"1780477-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"cough, phlegm, shortness of breath, fatigue, for 12  days an then death."
	"1780477-1"	"1780477-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"cough, phlegm, shortness of breath, fatigue, for 12  days an then death."
	"1780477-1"	"1780477-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"cough, phlegm, shortness of breath, fatigue, for 12  days an then death."
	"1780477-1"	"1780477-1"	"PRODUCTIVE COUGH"	"10036790"	"65-79 years"	"65-79"	"cough, phlegm, shortness of breath, fatigue, for 12  days an then death."
	"1782712-1"	"1782712-1"	"ARTHRALGIA"	"10003239"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"BACK PAIN"	"10003988"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"DYSPNOEA EXERTIONAL"	"10013971"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"DYSSTASIA"	"10050256"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"HEAD INJURY"	"10019196"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"RIB FRACTURE"	"10039117"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1782712-1"	"1782712-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient is a 76 y.o. female patient injured as a result of a fall from standing height on 10/3/2021.  Patient reports she slipped on water in her bathroom and hit her head, but denies LOC. Patient denies any difficulty breathing or chest pain at the time. She actually denies any pain from her fall. She was not able to get herself up from the bathroom floor and slept there that night. The following day she crawled into her bed room and was able to call for help. She again denies any pain or difficulty breathing, just general weakness preventing her from being able to get up from the floor.  On the day of presentation she had developed pain of her back and right hip and this was her reason for presentation.  She also reports that she had shortness of breath for the past 2 weeks especially on exertion.   On evaluation in the ED she has been found to be COVID (+) and multiple rib fractures in various stages of healing.  She was started on oxygen via nasal cannula on 10/5/2021.  She was also started on dexamethasone at that time.  She became more hypoxic and oxygen requirements increased, and she was requiring Bipap on 10/8/2021.    She was started on remdesivir on 10/8/2021.   Patient refused intubation and was made comfort measures on 10/9/2021.  The patient expired on 10/10/2021."
	"1785001-1"	"1785001-1"	"ARTERIOSCLEROSIS"	"10003210"	"65-79 years"	"65-79"	"Atherosclerotic Cardiovascular Disease, Hypertension and Diabetes Mellitus"
	"1785001-1"	"1785001-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"Atherosclerotic Cardiovascular Disease, Hypertension and Diabetes Mellitus"
	"1785001-1"	"1785001-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Atherosclerotic Cardiovascular Disease, Hypertension and Diabetes Mellitus"
	"1785001-1"	"1785001-1"	"DIABETES MELLITUS"	"10012601"	"65-79 years"	"65-79"	"Atherosclerotic Cardiovascular Disease, Hypertension and Diabetes Mellitus"
	"1785001-1"	"1785001-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"Atherosclerotic Cardiovascular Disease, Hypertension and Diabetes Mellitus"
	"1785157-1"	"1785157-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was unexpectedly found deceased at home on 10/12/21"
	"1795102-1"	"1795102-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Glioblastoma. Death on October 4th."
	"1795102-1"	"1795102-1"	"GLIOBLASTOMA"	"10018336"	"65-79 years"	"65-79"	"Glioblastoma. Death on October 4th."
	"1795457-1"	"1795457-1"	"CHEMOTHERAPY"	"10061758"	"65-79 years"	"65-79"	"pt presented with SOB; tested positive for COVID; hx of multiple myeloma, currently taking chemotherapy; HSV encephalitis; pt's condition declined, need for oxygen requirement increased and pt died in the hospital"
	"1795457-1"	"1795457-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt presented with SOB; tested positive for COVID; hx of multiple myeloma, currently taking chemotherapy; HSV encephalitis; pt's condition declined, need for oxygen requirement increased and pt died in the hospital"
	"1795457-1"	"1795457-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt presented with SOB; tested positive for COVID; hx of multiple myeloma, currently taking chemotherapy; HSV encephalitis; pt's condition declined, need for oxygen requirement increased and pt died in the hospital"
	"1795457-1"	"1795457-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt presented with SOB; tested positive for COVID; hx of multiple myeloma, currently taking chemotherapy; HSV encephalitis; pt's condition declined, need for oxygen requirement increased and pt died in the hospital"
	"1795457-1"	"1795457-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt presented with SOB; tested positive for COVID; hx of multiple myeloma, currently taking chemotherapy; HSV encephalitis; pt's condition declined, need for oxygen requirement increased and pt died in the hospital"
	"1795457-1"	"1795457-1"	"HERPES SIMPLEX ENCEPHALITIS"	"10019953"	"65-79 years"	"65-79"	"pt presented with SOB; tested positive for COVID; hx of multiple myeloma, currently taking chemotherapy; HSV encephalitis; pt's condition declined, need for oxygen requirement increased and pt died in the hospital"
	"1795457-1"	"1795457-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"pt presented with SOB; tested positive for COVID; hx of multiple myeloma, currently taking chemotherapy; HSV encephalitis; pt's condition declined, need for oxygen requirement increased and pt died in the hospital"
	"1795457-1"	"1795457-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt presented with SOB; tested positive for COVID; hx of multiple myeloma, currently taking chemotherapy; HSV encephalitis; pt's condition declined, need for oxygen requirement increased and pt died in the hospital"
	"1795480-1"	"1795480-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"pt presented to ED with SOB, cough, N/V/D x 3 days; PMH:  dementia, OSA on CPAP, chronic hypercapnic respiratory failure; intubated on 8/31; developed AKI and shock; transitioned to comfort care; extubation on 9/4; pt died shortly after extubation"
	"1795480-1"	"1795480-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt presented to ED with SOB, cough, N/V/D x 3 days; PMH:  dementia, OSA on CPAP, chronic hypercapnic respiratory failure; intubated on 8/31; developed AKI and shock; transitioned to comfort care; extubation on 9/4; pt died shortly after extubation"
	"1795480-1"	"1795480-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt presented to ED with SOB, cough, N/V/D x 3 days; PMH:  dementia, OSA on CPAP, chronic hypercapnic respiratory failure; intubated on 8/31; developed AKI and shock; transitioned to comfort care; extubation on 9/4; pt died shortly after extubation"
	"1795480-1"	"1795480-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"pt presented to ED with SOB, cough, N/V/D x 3 days; PMH:  dementia, OSA on CPAP, chronic hypercapnic respiratory failure; intubated on 8/31; developed AKI and shock; transitioned to comfort care; extubation on 9/4; pt died shortly after extubation"
	"1795480-1"	"1795480-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt presented to ED with SOB, cough, N/V/D x 3 days; PMH:  dementia, OSA on CPAP, chronic hypercapnic respiratory failure; intubated on 8/31; developed AKI and shock; transitioned to comfort care; extubation on 9/4; pt died shortly after extubation"
	"1795480-1"	"1795480-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt presented to ED with SOB, cough, N/V/D x 3 days; PMH:  dementia, OSA on CPAP, chronic hypercapnic respiratory failure; intubated on 8/31; developed AKI and shock; transitioned to comfort care; extubation on 9/4; pt died shortly after extubation"
	"1795480-1"	"1795480-1"	"EXTUBATION"	"10015894"	"65-79 years"	"65-79"	"pt presented to ED with SOB, cough, N/V/D x 3 days; PMH:  dementia, OSA on CPAP, chronic hypercapnic respiratory failure; intubated on 8/31; developed AKI and shock; transitioned to comfort care; extubation on 9/4; pt died shortly after extubation"
	"1795480-1"	"1795480-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"pt presented to ED with SOB, cough, N/V/D x 3 days; PMH:  dementia, OSA on CPAP, chronic hypercapnic respiratory failure; intubated on 8/31; developed AKI and shock; transitioned to comfort care; extubation on 9/4; pt died shortly after extubation"
	"1795480-1"	"1795480-1"	"SHOCK"	"10040560"	"65-79 years"	"65-79"	"pt presented to ED with SOB, cough, N/V/D x 3 days; PMH:  dementia, OSA on CPAP, chronic hypercapnic respiratory failure; intubated on 8/31; developed AKI and shock; transitioned to comfort care; extubation on 9/4; pt died shortly after extubation"
	"1795480-1"	"1795480-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"pt presented to ED with SOB, cough, N/V/D x 3 days; PMH:  dementia, OSA on CPAP, chronic hypercapnic respiratory failure; intubated on 8/31; developed AKI and shock; transitioned to comfort care; extubation on 9/4; pt died shortly after extubation"
	"1795494-1"	"1795494-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"pt arrested @ nursing home; presented to ED being positive for COVID, pupils fixed and dilated, asystole, CPR was being done on pt by EMS; CPR done for 20mins; pt in asystole; pronounced dead in the ED"
	"1795494-1"	"1795494-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt arrested @ nursing home; presented to ED being positive for COVID, pupils fixed and dilated, asystole, CPR was being done on pt by EMS; CPR done for 20mins; pt in asystole; pronounced dead in the ED"
	"1795494-1"	"1795494-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt arrested @ nursing home; presented to ED being positive for COVID, pupils fixed and dilated, asystole, CPR was being done on pt by EMS; CPR done for 20mins; pt in asystole; pronounced dead in the ED"
	"1795494-1"	"1795494-1"	"PUPIL FIXED"	"10037515"	"65-79 years"	"65-79"	"pt arrested @ nursing home; presented to ED being positive for COVID, pupils fixed and dilated, asystole, CPR was being done on pt by EMS; CPR done for 20mins; pt in asystole; pronounced dead in the ED"
	"1795494-1"	"1795494-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"pt arrested @ nursing home; presented to ED being positive for COVID, pupils fixed and dilated, asystole, CPR was being done on pt by EMS; CPR done for 20mins; pt in asystole; pronounced dead in the ED"
	"1795494-1"	"1795494-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt arrested @ nursing home; presented to ED being positive for COVID, pupils fixed and dilated, asystole, CPR was being done on pt by EMS; CPR done for 20mins; pt in asystole; pronounced dead in the ED"
	"1795543-1"	"1795543-1"	"BIOPSY VULVA ABNORMAL"	"10004904"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1795543-1"	"1795543-1"	"COMPUTERISED TOMOGRAM HEAD NORMAL"	"10072167"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1795543-1"	"1795543-1"	"CYTOMEGALOVIRUS COLITIS"	"10048983"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1795543-1"	"1795543-1"	"CYTOMEGALOVIRUS VIRAEMIA"	"10058854"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1795543-1"	"1795543-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1795543-1"	"1795543-1"	"ELECTROENCEPHALOGRAM NORMAL"	"10014409"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1795543-1"	"1795543-1"	"GASTROINTESTINAL DISORDER"	"10017944"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1795543-1"	"1795543-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1795543-1"	"1795543-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1795543-1"	"1795543-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1795543-1"	"1795543-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1795543-1"	"1795543-1"	"VULVAL DISORDER"	"10047754"	"65-79 years"	"65-79"	"Following her COVID vaccination patient developed GI symptoms and was diagnosed with CMV colitis.  Patient failed outpatient therapy and was admitted to hospital on 5/21/2021.  Upon admission, she was found to have a vulvar lesion that was biopsied and proven to be CMV positive.  Despite maximal medical therapy, patient developed CMV viremia.  She was admitted to ICU on 7/23/2021 for sepsis, requiring pressors.  She subsequently had episodes of altered mental status and possible seizure, and had a negative head CT and equivocal EEG results.  Patient then developed respiratory failure.  Family at this time deemed patient DNR/DNI and then patient expired on 7/26/2021."
	"1797848-1"	"1797848-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt presented to ER with positive COVID status from earlier yesterday; EMS called to home due to SOB and pt unresponsive; 02 saturation in 50s, placed on CPAP; SOB continued, pt intubated; kept on ventilator, pt required dialysis during this time; became hypotensive in spite of pressors being used, pt's condition declined and she died in the hospital"
	"1797848-1"	"1797848-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt presented to ER with positive COVID status from earlier yesterday; EMS called to home due to SOB and pt unresponsive; 02 saturation in 50s, placed on CPAP; SOB continued, pt intubated; kept on ventilator, pt required dialysis during this time; became hypotensive in spite of pressors being used, pt's condition declined and she died in the hospital"
	"1797848-1"	"1797848-1"	"DIALYSIS"	"10061105"	"65-79 years"	"65-79"	"pt presented to ER with positive COVID status from earlier yesterday; EMS called to home due to SOB and pt unresponsive; 02 saturation in 50s, placed on CPAP; SOB continued, pt intubated; kept on ventilator, pt required dialysis during this time; became hypotensive in spite of pressors being used, pt's condition declined and she died in the hospital"
	"1797848-1"	"1797848-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt presented to ER with positive COVID status from earlier yesterday; EMS called to home due to SOB and pt unresponsive; 02 saturation in 50s, placed on CPAP; SOB continued, pt intubated; kept on ventilator, pt required dialysis during this time; became hypotensive in spite of pressors being used, pt's condition declined and she died in the hospital"
	"1797848-1"	"1797848-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt presented to ER with positive COVID status from earlier yesterday; EMS called to home due to SOB and pt unresponsive; 02 saturation in 50s, placed on CPAP; SOB continued, pt intubated; kept on ventilator, pt required dialysis during this time; became hypotensive in spite of pressors being used, pt's condition declined and she died in the hospital"
	"1797848-1"	"1797848-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt presented to ER with positive COVID status from earlier yesterday; EMS called to home due to SOB and pt unresponsive; 02 saturation in 50s, placed on CPAP; SOB continued, pt intubated; kept on ventilator, pt required dialysis during this time; became hypotensive in spite of pressors being used, pt's condition declined and she died in the hospital"
	"1797848-1"	"1797848-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"pt presented to ER with positive COVID status from earlier yesterday; EMS called to home due to SOB and pt unresponsive; 02 saturation in 50s, placed on CPAP; SOB continued, pt intubated; kept on ventilator, pt required dialysis during this time; became hypotensive in spite of pressors being used, pt's condition declined and she died in the hospital"
	"1797848-1"	"1797848-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"pt presented to ER with positive COVID status from earlier yesterday; EMS called to home due to SOB and pt unresponsive; 02 saturation in 50s, placed on CPAP; SOB continued, pt intubated; kept on ventilator, pt required dialysis during this time; became hypotensive in spite of pressors being used, pt's condition declined and she died in the hospital"
	"1797848-1"	"1797848-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt presented to ER with positive COVID status from earlier yesterday; EMS called to home due to SOB and pt unresponsive; 02 saturation in 50s, placed on CPAP; SOB continued, pt intubated; kept on ventilator, pt required dialysis during this time; became hypotensive in spite of pressors being used, pt's condition declined and she died in the hospital"
	"1797848-1"	"1797848-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt presented to ER with positive COVID status from earlier yesterday; EMS called to home due to SOB and pt unresponsive; 02 saturation in 50s, placed on CPAP; SOB continued, pt intubated; kept on ventilator, pt required dialysis during this time; became hypotensive in spite of pressors being used, pt's condition declined and she died in the hospital"
	"1797848-1"	"1797848-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"pt presented to ER with positive COVID status from earlier yesterday; EMS called to home due to SOB and pt unresponsive; 02 saturation in 50s, placed on CPAP; SOB continued, pt intubated; kept on ventilator, pt required dialysis during this time; became hypotensive in spite of pressors being used, pt's condition declined and she died in the hospital"
	"1797944-1"	"1797944-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"pt tested positive for COVID on 9/1; presented to ED with chills and SOB, placed on BIPAP, had several episodes of ventricular tachycardia; appeared to be stable on BIPAP but had several episodes of ventricular tachycardia which led to ventricular fibrillation; pt became hypotensive; 30mins of ACLS, epinephrine drip, and intubation  didn't establish circulation, pt died in the hospital"
	"1797944-1"	"1797944-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt tested positive for COVID on 9/1; presented to ED with chills and SOB, placed on BIPAP, had several episodes of ventricular tachycardia; appeared to be stable on BIPAP but had several episodes of ventricular tachycardia which led to ventricular fibrillation; pt became hypotensive; 30mins of ACLS, epinephrine drip, and intubation  didn't establish circulation, pt died in the hospital"
	"1797944-1"	"1797944-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt tested positive for COVID on 9/1; presented to ED with chills and SOB, placed on BIPAP, had several episodes of ventricular tachycardia; appeared to be stable on BIPAP but had several episodes of ventricular tachycardia which led to ventricular fibrillation; pt became hypotensive; 30mins of ACLS, epinephrine drip, and intubation  didn't establish circulation, pt died in the hospital"
	"1797944-1"	"1797944-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt tested positive for COVID on 9/1; presented to ED with chills and SOB, placed on BIPAP, had several episodes of ventricular tachycardia; appeared to be stable on BIPAP but had several episodes of ventricular tachycardia which led to ventricular fibrillation; pt became hypotensive; 30mins of ACLS, epinephrine drip, and intubation  didn't establish circulation, pt died in the hospital"
	"1797944-1"	"1797944-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt tested positive for COVID on 9/1; presented to ED with chills and SOB, placed on BIPAP, had several episodes of ventricular tachycardia; appeared to be stable on BIPAP but had several episodes of ventricular tachycardia which led to ventricular fibrillation; pt became hypotensive; 30mins of ACLS, epinephrine drip, and intubation  didn't establish circulation, pt died in the hospital"
	"1797944-1"	"1797944-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"pt tested positive for COVID on 9/1; presented to ED with chills and SOB, placed on BIPAP, had several episodes of ventricular tachycardia; appeared to be stable on BIPAP but had several episodes of ventricular tachycardia which led to ventricular fibrillation; pt became hypotensive; 30mins of ACLS, epinephrine drip, and intubation  didn't establish circulation, pt died in the hospital"
	"1797944-1"	"1797944-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt tested positive for COVID on 9/1; presented to ED with chills and SOB, placed on BIPAP, had several episodes of ventricular tachycardia; appeared to be stable on BIPAP but had several episodes of ventricular tachycardia which led to ventricular fibrillation; pt became hypotensive; 30mins of ACLS, epinephrine drip, and intubation  didn't establish circulation, pt died in the hospital"
	"1797944-1"	"1797944-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt tested positive for COVID on 9/1; presented to ED with chills and SOB, placed on BIPAP, had several episodes of ventricular tachycardia; appeared to be stable on BIPAP but had several episodes of ventricular tachycardia which led to ventricular fibrillation; pt became hypotensive; 30mins of ACLS, epinephrine drip, and intubation  didn't establish circulation, pt died in the hospital"
	"1797944-1"	"1797944-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"65-79 years"	"65-79"	"pt tested positive for COVID on 9/1; presented to ED with chills and SOB, placed on BIPAP, had several episodes of ventricular tachycardia; appeared to be stable on BIPAP but had several episodes of ventricular tachycardia which led to ventricular fibrillation; pt became hypotensive; 30mins of ACLS, epinephrine drip, and intubation  didn't establish circulation, pt died in the hospital"
	"1797944-1"	"1797944-1"	"VENTRICULAR TACHYCARDIA"	"10047302"	"65-79 years"	"65-79"	"pt tested positive for COVID on 9/1; presented to ED with chills and SOB, placed on BIPAP, had several episodes of ventricular tachycardia; appeared to be stable on BIPAP but had several episodes of ventricular tachycardia which led to ventricular fibrillation; pt became hypotensive; 30mins of ACLS, epinephrine drip, and intubation  didn't establish circulation, pt died in the hospital"
	"1798213-1"	"1798213-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"HYPERHIDROSIS"	"10020642"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1798213-1"	"1798213-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"7/26 positive for COVID, placed on Azithromycin and Prednisone; hx of IDDM, chronic lymphocytic leukemia, asthma; presented to ED on 8/4 with weakness, N/V/D, diaphoretic, fever; COVID pneumonia; placed on BIPAP, required reintubation; pt's condition worsened; pt's wishes to not be on life support for long; pt was extubated and passed away in the hospital"
	"1801095-1"	"1801095-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt presented in acute respiratory failure with hypoxia, tested positive for COVID; respiratory status worsened and pt intubated with mechanical ventilation; condition continued to decline; pt was extubated and died in the hospital"
	"1801095-1"	"1801095-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt presented in acute respiratory failure with hypoxia, tested positive for COVID; respiratory status worsened and pt intubated with mechanical ventilation; condition continued to decline; pt was extubated and died in the hospital"
	"1801095-1"	"1801095-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt presented in acute respiratory failure with hypoxia, tested positive for COVID; respiratory status worsened and pt intubated with mechanical ventilation; condition continued to decline; pt was extubated and died in the hospital"
	"1801095-1"	"1801095-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt presented in acute respiratory failure with hypoxia, tested positive for COVID; respiratory status worsened and pt intubated with mechanical ventilation; condition continued to decline; pt was extubated and died in the hospital"
	"1801095-1"	"1801095-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt presented in acute respiratory failure with hypoxia, tested positive for COVID; respiratory status worsened and pt intubated with mechanical ventilation; condition continued to decline; pt was extubated and died in the hospital"
	"1801095-1"	"1801095-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"pt presented in acute respiratory failure with hypoxia, tested positive for COVID; respiratory status worsened and pt intubated with mechanical ventilation; condition continued to decline; pt was extubated and died in the hospital"
	"1801095-1"	"1801095-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt presented in acute respiratory failure with hypoxia, tested positive for COVID; respiratory status worsened and pt intubated with mechanical ventilation; condition continued to decline; pt was extubated and died in the hospital"
	"1801461-1"	"1801461-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"pt brought to hospital via EMS due to generalized weakness that has increased over past 3 days; fell this morning at home due to weakness; fever; placed on O2 via NC; positive for COVID; O2 requirements increased; pt taken for a CT Scan and while in the room pt coded; CPR unsuccessful; pt died in the hospital"
	"1801461-1"	"1801461-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"pt brought to hospital via EMS due to generalized weakness that has increased over past 3 days; fell this morning at home due to weakness; fever; placed on O2 via NC; positive for COVID; O2 requirements increased; pt taken for a CT Scan and while in the room pt coded; CPR unsuccessful; pt died in the hospital"
	"1801461-1"	"1801461-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt brought to hospital via EMS due to generalized weakness that has increased over past 3 days; fell this morning at home due to weakness; fever; placed on O2 via NC; positive for COVID; O2 requirements increased; pt taken for a CT Scan and while in the room pt coded; CPR unsuccessful; pt died in the hospital"
	"1801461-1"	"1801461-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt brought to hospital via EMS due to generalized weakness that has increased over past 3 days; fell this morning at home due to weakness; fever; placed on O2 via NC; positive for COVID; O2 requirements increased; pt taken for a CT Scan and while in the room pt coded; CPR unsuccessful; pt died in the hospital"
	"1801461-1"	"1801461-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"pt brought to hospital via EMS due to generalized weakness that has increased over past 3 days; fell this morning at home due to weakness; fever; placed on O2 via NC; positive for COVID; O2 requirements increased; pt taken for a CT Scan and while in the room pt coded; CPR unsuccessful; pt died in the hospital"
	"1801461-1"	"1801461-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"pt brought to hospital via EMS due to generalized weakness that has increased over past 3 days; fell this morning at home due to weakness; fever; placed on O2 via NC; positive for COVID; O2 requirements increased; pt taken for a CT Scan and while in the room pt coded; CPR unsuccessful; pt died in the hospital"
	"1801461-1"	"1801461-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"pt brought to hospital via EMS due to generalized weakness that has increased over past 3 days; fell this morning at home due to weakness; fever; placed on O2 via NC; positive for COVID; O2 requirements increased; pt taken for a CT Scan and while in the room pt coded; CPR unsuccessful; pt died in the hospital"
	"1801461-1"	"1801461-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt brought to hospital via EMS due to generalized weakness that has increased over past 3 days; fell this morning at home due to weakness; fever; placed on O2 via NC; positive for COVID; O2 requirements increased; pt taken for a CT Scan and while in the room pt coded; CPR unsuccessful; pt died in the hospital"
	"1801554-1"	"1801554-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"admitted to hospital with acute encephalopathy, COVID positive; placed on a nonrebreather; pt was a DNR/DNI; condition declined with AKI; comfort care received; pt worsened and died in the hospital"
	"1801554-1"	"1801554-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"admitted to hospital with acute encephalopathy, COVID positive; placed on a nonrebreather; pt was a DNR/DNI; condition declined with AKI; comfort care received; pt worsened and died in the hospital"
	"1801554-1"	"1801554-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"admitted to hospital with acute encephalopathy, COVID positive; placed on a nonrebreather; pt was a DNR/DNI; condition declined with AKI; comfort care received; pt worsened and died in the hospital"
	"1801554-1"	"1801554-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"admitted to hospital with acute encephalopathy, COVID positive; placed on a nonrebreather; pt was a DNR/DNI; condition declined with AKI; comfort care received; pt worsened and died in the hospital"
	"1801554-1"	"1801554-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"admitted to hospital with acute encephalopathy, COVID positive; placed on a nonrebreather; pt was a DNR/DNI; condition declined with AKI; comfort care received; pt worsened and died in the hospital"
	"1803857-1"	"1803857-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Hospitalization 10/14-10/17 for COVID  pneumonia, respiratory failure. Treated with dexamethasone 6 mg IV daily, Actemra 800 mg x1 . Expired 10/17/21"
	"1803857-1"	"1803857-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization 10/14-10/17 for COVID  pneumonia, respiratory failure. Treated with dexamethasone 6 mg IV daily, Actemra 800 mg x1 . Expired 10/17/21"
	"1803857-1"	"1803857-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Hospitalization 10/14-10/17 for COVID  pneumonia, respiratory failure. Treated with dexamethasone 6 mg IV daily, Actemra 800 mg x1 . Expired 10/17/21"
	"1804067-1"	"1804067-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death sepsis UTI J18.9 - Pneumonia D69.6 - Thrombocytopenia (CMS/HCC)"
	"1804067-1"	"1804067-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"death sepsis UTI J18.9 - Pneumonia D69.6 - Thrombocytopenia (CMS/HCC)"
	"1804067-1"	"1804067-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"death sepsis UTI J18.9 - Pneumonia D69.6 - Thrombocytopenia (CMS/HCC)"
	"1804067-1"	"1804067-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"death sepsis UTI J18.9 - Pneumonia D69.6 - Thrombocytopenia (CMS/HCC)"
	"1804067-1"	"1804067-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"death sepsis UTI J18.9 - Pneumonia D69.6 - Thrombocytopenia (CMS/HCC)"
	"1804068-1"	"1804068-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death R65.10 - SIRS (systemic inflammatory response syndrome) N17.9 - AKI (acute kidney injury)"
	"1804068-1"	"1804068-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death R65.10 - SIRS (systemic inflammatory response syndrome) N17.9 - AKI (acute kidney injury)"
	"1804068-1"	"1804068-1"	"SYSTEMIC INFLAMMATORY RESPONSE SYNDROME"	"10051379"	"65-79 years"	"65-79"	"death R65.10 - SIRS (systemic inflammatory response syndrome) N17.9 - AKI (acute kidney injury)"
	"1804382-1"	"1804382-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt brought to hospital via EMS post cardiopulmonary arrest; CPR and intubation performed; acute respiratory failure with hypoxia, COVID pneumonia; pt's condition worsened; pt was made a DNR and expired in the hospital"
	"1804382-1"	"1804382-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"pt brought to hospital via EMS post cardiopulmonary arrest; CPR and intubation performed; acute respiratory failure with hypoxia, COVID pneumonia; pt's condition worsened; pt was made a DNR and expired in the hospital"
	"1804382-1"	"1804382-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt brought to hospital via EMS post cardiopulmonary arrest; CPR and intubation performed; acute respiratory failure with hypoxia, COVID pneumonia; pt's condition worsened; pt was made a DNR and expired in the hospital"
	"1804382-1"	"1804382-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt brought to hospital via EMS post cardiopulmonary arrest; CPR and intubation performed; acute respiratory failure with hypoxia, COVID pneumonia; pt's condition worsened; pt was made a DNR and expired in the hospital"
	"1804382-1"	"1804382-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt brought to hospital via EMS post cardiopulmonary arrest; CPR and intubation performed; acute respiratory failure with hypoxia, COVID pneumonia; pt's condition worsened; pt was made a DNR and expired in the hospital"
	"1804382-1"	"1804382-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt brought to hospital via EMS post cardiopulmonary arrest; CPR and intubation performed; acute respiratory failure with hypoxia, COVID pneumonia; pt's condition worsened; pt was made a DNR and expired in the hospital"
	"1804382-1"	"1804382-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"pt brought to hospital via EMS post cardiopulmonary arrest; CPR and intubation performed; acute respiratory failure with hypoxia, COVID pneumonia; pt's condition worsened; pt was made a DNR and expired in the hospital"
	"1804445-1"	"1804445-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"per pt he was diagnosed COVID positive 3 wks prior to coming to the hospital; saw PCP and was sent to ED for dyspnea and cough not improving ;diagnosed with acute on chronic hypoxic respiratory failure due to pneumonia;  hx of COPD; required BiPAP; DNR/DNI; pt's condition worsened and he died in the hospital"
	"1804445-1"	"1804445-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"per pt he was diagnosed COVID positive 3 wks prior to coming to the hospital; saw PCP and was sent to ED for dyspnea and cough not improving ;diagnosed with acute on chronic hypoxic respiratory failure due to pneumonia;  hx of COPD; required BiPAP; DNR/DNI; pt's condition worsened and he died in the hospital"
	"1804445-1"	"1804445-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"per pt he was diagnosed COVID positive 3 wks prior to coming to the hospital; saw PCP and was sent to ED for dyspnea and cough not improving ;diagnosed with acute on chronic hypoxic respiratory failure due to pneumonia;  hx of COPD; required BiPAP; DNR/DNI; pt's condition worsened and he died in the hospital"
	"1804445-1"	"1804445-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"per pt he was diagnosed COVID positive 3 wks prior to coming to the hospital; saw PCP and was sent to ED for dyspnea and cough not improving ;diagnosed with acute on chronic hypoxic respiratory failure due to pneumonia;  hx of COPD; required BiPAP; DNR/DNI; pt's condition worsened and he died in the hospital"
	"1804445-1"	"1804445-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"per pt he was diagnosed COVID positive 3 wks prior to coming to the hospital; saw PCP and was sent to ED for dyspnea and cough not improving ;diagnosed with acute on chronic hypoxic respiratory failure due to pneumonia;  hx of COPD; required BiPAP; DNR/DNI; pt's condition worsened and he died in the hospital"
	"1804445-1"	"1804445-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"per pt he was diagnosed COVID positive 3 wks prior to coming to the hospital; saw PCP and was sent to ED for dyspnea and cough not improving ;diagnosed with acute on chronic hypoxic respiratory failure due to pneumonia;  hx of COPD; required BiPAP; DNR/DNI; pt's condition worsened and he died in the hospital"
	"1804445-1"	"1804445-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"per pt he was diagnosed COVID positive 3 wks prior to coming to the hospital; saw PCP and was sent to ED for dyspnea and cough not improving ;diagnosed with acute on chronic hypoxic respiratory failure due to pneumonia;  hx of COPD; required BiPAP; DNR/DNI; pt's condition worsened and he died in the hospital"
	"1804445-1"	"1804445-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"per pt he was diagnosed COVID positive 3 wks prior to coming to the hospital; saw PCP and was sent to ED for dyspnea and cough not improving ;diagnosed with acute on chronic hypoxic respiratory failure due to pneumonia;  hx of COPD; required BiPAP; DNR/DNI; pt's condition worsened and he died in the hospital"
	"1804445-1"	"1804445-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"per pt he was diagnosed COVID positive 3 wks prior to coming to the hospital; saw PCP and was sent to ED for dyspnea and cough not improving ;diagnosed with acute on chronic hypoxic respiratory failure due to pneumonia;  hx of COPD; required BiPAP; DNR/DNI; pt's condition worsened and he died in the hospital"
	"1804476-1"	"1804476-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804476-1"	"1804476-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804476-1"	"1804476-1"	"CHEST TUBE INSERTION"	"10050522"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804476-1"	"1804476-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804476-1"	"1804476-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804476-1"	"1804476-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804476-1"	"1804476-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804476-1"	"1804476-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804476-1"	"1804476-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804476-1"	"1804476-1"	"PNEUMOTHORAX"	"10035759"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804476-1"	"1804476-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804476-1"	"1804476-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt diagnosed COVID positive on 8/23; hx of MS; admitted to hospital 8/26 for increasing dyspnea, cough, weakness; diagnosed with COVID pneumonia, acute hypoxic respiratory failure; developed pneumothorax; chest tube placed; on BiPAP mask, DNR/DNI; condition worsened and pt died in the hospital"
	"1804506-1"	"1804506-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt to ER via EMS with SOB; diagnosed with AHRF with COVID pneumonia; placed on nonrebreather mask; comfort measures and meds requested as pt's condition worsened; pt expired in the hospital"
	"1804506-1"	"1804506-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt to ER via EMS with SOB; diagnosed with AHRF with COVID pneumonia; placed on nonrebreather mask; comfort measures and meds requested as pt's condition worsened; pt expired in the hospital"
	"1804506-1"	"1804506-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt to ER via EMS with SOB; diagnosed with AHRF with COVID pneumonia; placed on nonrebreather mask; comfort measures and meds requested as pt's condition worsened; pt expired in the hospital"
	"1804506-1"	"1804506-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt to ER via EMS with SOB; diagnosed with AHRF with COVID pneumonia; placed on nonrebreather mask; comfort measures and meds requested as pt's condition worsened; pt expired in the hospital"
	"1804506-1"	"1804506-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"pt to ER via EMS with SOB; diagnosed with AHRF with COVID pneumonia; placed on nonrebreather mask; comfort measures and meds requested as pt's condition worsened; pt expired in the hospital"
	"1804597-1"	"1804597-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt in ED with c/o cough and dyspnea; hx of hypoxia and uses supplemental O2 at home prn; O2 sats in the 70s; placed on BiPAP; diagnosed with COVID pneumonia, acute and chronic HRF; pt's condition declined; placed on comfort care measures; pt expired in the hospital"
	"1804597-1"	"1804597-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt in ED with c/o cough and dyspnea; hx of hypoxia and uses supplemental O2 at home prn; O2 sats in the 70s; placed on BiPAP; diagnosed with COVID pneumonia, acute and chronic HRF; pt's condition declined; placed on comfort care measures; pt expired in the hospital"
	"1804597-1"	"1804597-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt in ED with c/o cough and dyspnea; hx of hypoxia and uses supplemental O2 at home prn; O2 sats in the 70s; placed on BiPAP; diagnosed with COVID pneumonia, acute and chronic HRF; pt's condition declined; placed on comfort care measures; pt expired in the hospital"
	"1804597-1"	"1804597-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt in ED with c/o cough and dyspnea; hx of hypoxia and uses supplemental O2 at home prn; O2 sats in the 70s; placed on BiPAP; diagnosed with COVID pneumonia, acute and chronic HRF; pt's condition declined; placed on comfort care measures; pt expired in the hospital"
	"1804597-1"	"1804597-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt in ED with c/o cough and dyspnea; hx of hypoxia and uses supplemental O2 at home prn; O2 sats in the 70s; placed on BiPAP; diagnosed with COVID pneumonia, acute and chronic HRF; pt's condition declined; placed on comfort care measures; pt expired in the hospital"
	"1804597-1"	"1804597-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt in ED with c/o cough and dyspnea; hx of hypoxia and uses supplemental O2 at home prn; O2 sats in the 70s; placed on BiPAP; diagnosed with COVID pneumonia, acute and chronic HRF; pt's condition declined; placed on comfort care measures; pt expired in the hospital"
	"1804672-1"	"1804672-1"	"BLOOD OSMOLARITY DECREASED"	"10005696"	"65-79 years"	"65-79"	"death E87.1 - Hypo-osmolality and hyponatremia"
	"1804672-1"	"1804672-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death E87.1 - Hypo-osmolality and hyponatremia"
	"1804672-1"	"1804672-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"death E87.1 - Hypo-osmolality and hyponatremia"
	"1807911-1"	"1807911-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"presented to ED with c/o SOB, cough, fever, chills, abdominal pain; on O2 @ 4LPM @ baseline for COPD; placed on nonrebreather; tested positive for COVID; pt's condition declined; was intubated; condition continued to decline and pt expired in the hospital"
	"1807911-1"	"1807911-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"presented to ED with c/o SOB, cough, fever, chills, abdominal pain; on O2 @ 4LPM @ baseline for COPD; placed on nonrebreather; tested positive for COVID; pt's condition declined; was intubated; condition continued to decline and pt expired in the hospital"
	"1807911-1"	"1807911-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"presented to ED with c/o SOB, cough, fever, chills, abdominal pain; on O2 @ 4LPM @ baseline for COPD; placed on nonrebreather; tested positive for COVID; pt's condition declined; was intubated; condition continued to decline and pt expired in the hospital"
	"1807911-1"	"1807911-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"presented to ED with c/o SOB, cough, fever, chills, abdominal pain; on O2 @ 4LPM @ baseline for COPD; placed on nonrebreather; tested positive for COVID; pt's condition declined; was intubated; condition continued to decline and pt expired in the hospital"
	"1807911-1"	"1807911-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"presented to ED with c/o SOB, cough, fever, chills, abdominal pain; on O2 @ 4LPM @ baseline for COPD; placed on nonrebreather; tested positive for COVID; pt's condition declined; was intubated; condition continued to decline and pt expired in the hospital"
	"1807911-1"	"1807911-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"presented to ED with c/o SOB, cough, fever, chills, abdominal pain; on O2 @ 4LPM @ baseline for COPD; placed on nonrebreather; tested positive for COVID; pt's condition declined; was intubated; condition continued to decline and pt expired in the hospital"
	"1807911-1"	"1807911-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"presented to ED with c/o SOB, cough, fever, chills, abdominal pain; on O2 @ 4LPM @ baseline for COPD; placed on nonrebreather; tested positive for COVID; pt's condition declined; was intubated; condition continued to decline and pt expired in the hospital"
	"1807911-1"	"1807911-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"presented to ED with c/o SOB, cough, fever, chills, abdominal pain; on O2 @ 4LPM @ baseline for COPD; placed on nonrebreather; tested positive for COVID; pt's condition declined; was intubated; condition continued to decline and pt expired in the hospital"
	"1807911-1"	"1807911-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"presented to ED with c/o SOB, cough, fever, chills, abdominal pain; on O2 @ 4LPM @ baseline for COPD; placed on nonrebreather; tested positive for COVID; pt's condition declined; was intubated; condition continued to decline and pt expired in the hospital"
	"1807911-1"	"1807911-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"presented to ED with c/o SOB, cough, fever, chills, abdominal pain; on O2 @ 4LPM @ baseline for COPD; placed on nonrebreather; tested positive for COVID; pt's condition declined; was intubated; condition continued to decline and pt expired in the hospital"
	"1808007-1"	"1808007-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt presented with acute respiratory failure and confusion; DKA; tested positive for COVID; experienced AFib; worsening respiratory failure; comfort measures instituted; pt's condition worsened and he passed away in the hospital"
	"1808007-1"	"1808007-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"pt presented with acute respiratory failure and confusion; DKA; tested positive for COVID; experienced AFib; worsening respiratory failure; comfort measures instituted; pt's condition worsened and he passed away in the hospital"
	"1808007-1"	"1808007-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"pt presented with acute respiratory failure and confusion; DKA; tested positive for COVID; experienced AFib; worsening respiratory failure; comfort measures instituted; pt's condition worsened and he passed away in the hospital"
	"1808007-1"	"1808007-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt presented with acute respiratory failure and confusion; DKA; tested positive for COVID; experienced AFib; worsening respiratory failure; comfort measures instituted; pt's condition worsened and he passed away in the hospital"
	"1808007-1"	"1808007-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt presented with acute respiratory failure and confusion; DKA; tested positive for COVID; experienced AFib; worsening respiratory failure; comfort measures instituted; pt's condition worsened and he passed away in the hospital"
	"1808007-1"	"1808007-1"	"DIABETIC KETOACIDOSIS"	"10012671"	"65-79 years"	"65-79"	"pt presented with acute respiratory failure and confusion; DKA; tested positive for COVID; experienced AFib; worsening respiratory failure; comfort measures instituted; pt's condition worsened and he passed away in the hospital"
	"1808007-1"	"1808007-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt presented with acute respiratory failure and confusion; DKA; tested positive for COVID; experienced AFib; worsening respiratory failure; comfort measures instituted; pt's condition worsened and he passed away in the hospital"
	"1815351-1"	"1815351-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"pt admitted to hospital with c/o SOB, fever, malaise; positive for COVID; pt's O2 saturations decreased eventually requiring intubation; pt's condition worsened on 9/19 with maximum vent support; he continued to experience refractory hypoxemia; attempted to place pt in a prone position and he went into cardiac arrest; expired in the hospital"
	"1815351-1"	"1815351-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt admitted to hospital with c/o SOB, fever, malaise; positive for COVID; pt's O2 saturations decreased eventually requiring intubation; pt's condition worsened on 9/19 with maximum vent support; he continued to experience refractory hypoxemia; attempted to place pt in a prone position and he went into cardiac arrest; expired in the hospital"
	"1815351-1"	"1815351-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt admitted to hospital with c/o SOB, fever, malaise; positive for COVID; pt's O2 saturations decreased eventually requiring intubation; pt's condition worsened on 9/19 with maximum vent support; he continued to experience refractory hypoxemia; attempted to place pt in a prone position and he went into cardiac arrest; expired in the hospital"
	"1815351-1"	"1815351-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt admitted to hospital with c/o SOB, fever, malaise; positive for COVID; pt's O2 saturations decreased eventually requiring intubation; pt's condition worsened on 9/19 with maximum vent support; he continued to experience refractory hypoxemia; attempted to place pt in a prone position and he went into cardiac arrest; expired in the hospital"
	"1815351-1"	"1815351-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt admitted to hospital with c/o SOB, fever, malaise; positive for COVID; pt's O2 saturations decreased eventually requiring intubation; pt's condition worsened on 9/19 with maximum vent support; he continued to experience refractory hypoxemia; attempted to place pt in a prone position and he went into cardiac arrest; expired in the hospital"
	"1815351-1"	"1815351-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"pt admitted to hospital with c/o SOB, fever, malaise; positive for COVID; pt's O2 saturations decreased eventually requiring intubation; pt's condition worsened on 9/19 with maximum vent support; he continued to experience refractory hypoxemia; attempted to place pt in a prone position and he went into cardiac arrest; expired in the hospital"
	"1815351-1"	"1815351-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"pt admitted to hospital with c/o SOB, fever, malaise; positive for COVID; pt's O2 saturations decreased eventually requiring intubation; pt's condition worsened on 9/19 with maximum vent support; he continued to experience refractory hypoxemia; attempted to place pt in a prone position and he went into cardiac arrest; expired in the hospital"
	"1815351-1"	"1815351-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"pt admitted to hospital with c/o SOB, fever, malaise; positive for COVID; pt's O2 saturations decreased eventually requiring intubation; pt's condition worsened on 9/19 with maximum vent support; he continued to experience refractory hypoxemia; attempted to place pt in a prone position and he went into cardiac arrest; expired in the hospital"
	"1815351-1"	"1815351-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"pt admitted to hospital with c/o SOB, fever, malaise; positive for COVID; pt's O2 saturations decreased eventually requiring intubation; pt's condition worsened on 9/19 with maximum vent support; he continued to experience refractory hypoxemia; attempted to place pt in a prone position and he went into cardiac arrest; expired in the hospital"
	"1815351-1"	"1815351-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"pt admitted to hospital with c/o SOB, fever, malaise; positive for COVID; pt's O2 saturations decreased eventually requiring intubation; pt's condition worsened on 9/19 with maximum vent support; he continued to experience refractory hypoxemia; attempted to place pt in a prone position and he went into cardiac arrest; expired in the hospital"
	"1815351-1"	"1815351-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt admitted to hospital with c/o SOB, fever, malaise; positive for COVID; pt's O2 saturations decreased eventually requiring intubation; pt's condition worsened on 9/19 with maximum vent support; he continued to experience refractory hypoxemia; attempted to place pt in a prone position and he went into cardiac arrest; expired in the hospital"
	"1818158-1"	"1818158-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"CARDIOVERSION"	"10007661"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"DIALYSIS"	"10061105"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"END STAGE RENAL DISEASE"	"10077512"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818158-1"	"1818158-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"diagnosed COVID positive 1 wk prior to hosp admission (8/28); End-stage renal failure, dialysis 3xwk; has missed 2 rounds of dialysis due to increased weakness; EMS brought pt to hosp due to confusion and weakness; dx with COVID pneumonia; hypoxic; experienced hypotension and A Fib with RVR during dialysis tx in hospital; required emergent cardioversion; DNR/DNI; pt's condition rapidly worsened on the day of dc from hospital to a nursing facility and pt expired in the hospital"
	"1818285-1"	"1818285-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 4 dys prior to hosp admission; admitted due to worsening SOB, cough, hypoxic, A Fib with RVR; COVID pneumonia; intubated; O2 requirements increased; family decided to extubate; comfort measures were instituted; pt's condition worsened and he expired in the hosp"
	"1818285-1"	"1818285-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 4 dys prior to hosp admission; admitted due to worsening SOB, cough, hypoxic, A Fib with RVR; COVID pneumonia; intubated; O2 requirements increased; family decided to extubate; comfort measures were instituted; pt's condition worsened and he expired in the hosp"
	"1818285-1"	"1818285-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 4 dys prior to hosp admission; admitted due to worsening SOB, cough, hypoxic, A Fib with RVR; COVID pneumonia; intubated; O2 requirements increased; family decided to extubate; comfort measures were instituted; pt's condition worsened and he expired in the hosp"
	"1818285-1"	"1818285-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 4 dys prior to hosp admission; admitted due to worsening SOB, cough, hypoxic, A Fib with RVR; COVID pneumonia; intubated; O2 requirements increased; family decided to extubate; comfort measures were instituted; pt's condition worsened and he expired in the hosp"
	"1818285-1"	"1818285-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 4 dys prior to hosp admission; admitted due to worsening SOB, cough, hypoxic, A Fib with RVR; COVID pneumonia; intubated; O2 requirements increased; family decided to extubate; comfort measures were instituted; pt's condition worsened and he expired in the hosp"
	"1818285-1"	"1818285-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 4 dys prior to hosp admission; admitted due to worsening SOB, cough, hypoxic, A Fib with RVR; COVID pneumonia; intubated; O2 requirements increased; family decided to extubate; comfort measures were instituted; pt's condition worsened and he expired in the hosp"
	"1818285-1"	"1818285-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 4 dys prior to hosp admission; admitted due to worsening SOB, cough, hypoxic, A Fib with RVR; COVID pneumonia; intubated; O2 requirements increased; family decided to extubate; comfort measures were instituted; pt's condition worsened and he expired in the hosp"
	"1818285-1"	"1818285-1"	"EXTUBATION"	"10015894"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 4 dys prior to hosp admission; admitted due to worsening SOB, cough, hypoxic, A Fib with RVR; COVID pneumonia; intubated; O2 requirements increased; family decided to extubate; comfort measures were instituted; pt's condition worsened and he expired in the hosp"
	"1818285-1"	"1818285-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 4 dys prior to hosp admission; admitted due to worsening SOB, cough, hypoxic, A Fib with RVR; COVID pneumonia; intubated; O2 requirements increased; family decided to extubate; comfort measures were instituted; pt's condition worsened and he expired in the hosp"
	"1818285-1"	"1818285-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 4 dys prior to hosp admission; admitted due to worsening SOB, cough, hypoxic, A Fib with RVR; COVID pneumonia; intubated; O2 requirements increased; family decided to extubate; comfort measures were instituted; pt's condition worsened and he expired in the hosp"
	"1821271-1"	"1821271-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821271-1"	"1821271-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821271-1"	"1821271-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821271-1"	"1821271-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821271-1"	"1821271-1"	"DEHYDRATION"	"10012174"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821271-1"	"1821271-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821271-1"	"1821271-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821271-1"	"1821271-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821271-1"	"1821271-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821271-1"	"1821271-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821271-1"	"1821271-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821271-1"	"1821271-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"pt admitted to hosp with dehydration, AKI, tested positive for COVID; intubated; suffered an acute CVA in hospital; remained hypotensive despite vasopressors; made a DNR; sepsis with acute organ dysfunction due to COVID - Septic Shock; pt's condition worsened and she expired in the hospital"
	"1821321-1"	"1821321-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821321-1"	"1821321-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821321-1"	"1821321-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821321-1"	"1821321-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821321-1"	"1821321-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821321-1"	"1821321-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821321-1"	"1821321-1"	"LETHARGY"	"10024264"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821321-1"	"1821321-1"	"RESPIRATORY DEPRESSION"	"10038678"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821321-1"	"1821321-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821321-1"	"1821321-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821321-1"	"1821321-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821321-1"	"1821321-1"	"URINE OUTPUT DECREASED"	"10059895"	"65-79 years"	"65-79"	"pt has hx of dementia; brought to ED with increasing lethargy x 1wk, non-productive cough, rhinorrhea, diarrhea, decreased UOP; started on supplemental oxygen; diagnosed positive for COVID;  started on decadron and remdisivir; antibiotics for suspected UTI; DNR/DNI; respiratory status decreased despite being on Vapotherm 40 L 100% and supplemental NRB mask @ 15 LPM; O2 sats in 60 - 70s; full comfort measures instituted; pt expired in the hospital; acute hypoxic respiratory failure due to COVID pneumonia"
	"1821642-1"	"1821642-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"death I63.9 - Cerebrovascular accident (CVA), unspecified mechanism"
	"1821642-1"	"1821642-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death I63.9 - Cerebrovascular accident (CVA), unspecified mechanism"
	"1821677-1"	"1821677-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death N17.9 - Acute renal failure (ARF)."
	"1821677-1"	"1821677-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death N17.9 - Acute renal failure (ARF)."
	"1825097-1"	"1825097-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"BLOOD CREATINE PHOSPHOKINASE"	"10005467"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"BLOOD GASES"	"10005537"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"BLOOD LACTATE DEHYDROGENASE ABNORMAL"	"10005627"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"BLOOD LACTIC ACID"	"10005632"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"BRAIN NATRIURETIC PEPTIDE"	"10053406"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"C-REACTIVE PROTEIN"	"10006824"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"CHEST X-RAY"	"10008498"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"COMPUTERISED TOMOGRAM THORAX"	"10053875"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"CULTURE"	"10061447"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"DIFFERENTIAL WHITE BLOOD CELL COUNT"	"10012784"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"DYSPNOEA EXERTIONAL"	"10013971"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"ELECTROCARDIOGRAM"	"10014362"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"FIBRIN D DIMER"	"10016577"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"FULL BLOOD COUNT"	"10017411"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"HEPATIC CIRRHOSIS"	"10019641"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"INFLAMMATION"	"10061218"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"INFLUENZA A VIRUS TEST"	"10070416"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"INFLUENZA B VIRUS TEST"	"10071544"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"INTERNATIONAL NORMALISED RATIO"	"10022591"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"NON-ALCOHOLIC STEATOHEPATITIS"	"10053219"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"PORTAL HYPERTENSION"	"10036200"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"PROCALCITONIN"	"10064051"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"PROTHROMBIN TIME"	"10037056"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"PULMONARY ARTERIAL HYPERTENSION"	"10064911"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"RED BLOOD CELL SEDIMENTATION RATE"	"10049184"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"REFLEX TEST"	"10082738"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"RESPIRATORY SYNCYTIAL VIRUS TEST"	"10068562"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"RETCHING"	"10038776"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"SARS-COV-2 TEST"	"10084354"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"SERUM FERRITIN"	"10040246"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"SPUTUM DISCOLOURED"	"10041807"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"TROPONIN I"	"10050397"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825097-1"	"1825097-1"	"URINE ANALYSIS"	"10046614"	"65-79 years"	"65-79"	"74yr old female who presents to ED with complaints of not feeling well.  Patient states she woke up yesterday morning with a headache and body aches.  Patient states she has had a fever and an increase in her cough.  Patient states she has been coughing up thick, yellow phlegm.  States she feels short of breath with exertion. Patient on O2 via NC at 4L, states this is her normal at home. Patient states she has diarrhea but states this is not new for her.  Patient states she has had the dry heaves.  Patient states they had a family gathering over the weekend.  Patient states she has been vaccinated for covid.  Pneumonia due to COVID-19 virus  AIRBORNE PRECAUTIONS    CONTACT PRECAUTIONS   INFECTION CONTROL REFERRAL   CULTURE, BLOOD   FERRITIN   LDH TOTAL   CK   cefTRIAXone (ROCEPHIN) in D-2.22% 50 mL IV piggyback (DUPLEX) (premix) 2,000 mg 2. Cough  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   LACTIC ACID   ESR   BLOOD GASES VENOUS   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE - 3. Nausea  ondansetron (ZOFRAN) injection solution 4 mg   ondansetron (ZOFRAN) injection solution 4 mg 4. Other headache syndrome  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   ondansetron (ZOFRAN) injection solution 4 mg   ketorolac (TORADOL) intravenous injection 15 mg 5. Shortness of breath  INFECTION CONTROL REFERRAL   SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL   COMPLETE BLOOD COUNT WITH DIFFERENTIAL   COMPREHENSIVE METABOLIC PANEL   C-REACTIVE PROTEIN (INFLAMMATION)   D-DIMER QUANTITATIVE   TROPONIN I   EKG   LACTIC ACID   ESR   CULTURE, BLOOD   BRAIN NATRIURETIC PEPTIDE   albuterol-ipratropium (DUO-NEB) 2.5-0.5 mg/3 mL inhalation solution 3 mL   methylPREDNISolone sod succ (SOLU-medrol) injection 60 mg   PROCALCITONIN   XRAY CHEST PORTABLE -   CTA CHEST   TROPONIN I 6. PAH (pulmonary arterial hypertension) with portal hypertension  BLOOD GASES VENOUS 7. Elevated troponin level    8. Positive D dimer  CTA CHEST 9. Elevated serum lactate dehydrogenase (LDH)    10. AKI (acute kidney injury)  URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE   sodium chloride 0.9% (bolus) IV solution 250 mL 11. Liver cirrhosis secondary to NASH  PROTIME/INR   PTT     ASSESSMENT/PLAN/DECISION MAKING: -Transferred to another healthcare facility."
	"1825665-1"	"1825665-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt admitted to the hosp with increasing SOB over past 2 days; hx COPD; positive test for COVID; placed on BiPAP due to increasing O2 requirements; acute on chronic respiratory failure with hypoxemia; cough continued to worsen and O2 requirements increased requiring intubation; cardiac arrest occurred and pt died in the hospital despite aggressive measures to prolong life"
	"1825665-1"	"1825665-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"pt admitted to the hosp with increasing SOB over past 2 days; hx COPD; positive test for COVID; placed on BiPAP due to increasing O2 requirements; acute on chronic respiratory failure with hypoxemia; cough continued to worsen and O2 requirements increased requiring intubation; cardiac arrest occurred and pt died in the hospital despite aggressive measures to prolong life"
	"1825665-1"	"1825665-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt admitted to the hosp with increasing SOB over past 2 days; hx COPD; positive test for COVID; placed on BiPAP due to increasing O2 requirements; acute on chronic respiratory failure with hypoxemia; cough continued to worsen and O2 requirements increased requiring intubation; cardiac arrest occurred and pt died in the hospital despite aggressive measures to prolong life"
	"1825665-1"	"1825665-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt admitted to the hosp with increasing SOB over past 2 days; hx COPD; positive test for COVID; placed on BiPAP due to increasing O2 requirements; acute on chronic respiratory failure with hypoxemia; cough continued to worsen and O2 requirements increased requiring intubation; cardiac arrest occurred and pt died in the hospital despite aggressive measures to prolong life"
	"1825665-1"	"1825665-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt admitted to the hosp with increasing SOB over past 2 days; hx COPD; positive test for COVID; placed on BiPAP due to increasing O2 requirements; acute on chronic respiratory failure with hypoxemia; cough continued to worsen and O2 requirements increased requiring intubation; cardiac arrest occurred and pt died in the hospital despite aggressive measures to prolong life"
	"1825665-1"	"1825665-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt admitted to the hosp with increasing SOB over past 2 days; hx COPD; positive test for COVID; placed on BiPAP due to increasing O2 requirements; acute on chronic respiratory failure with hypoxemia; cough continued to worsen and O2 requirements increased requiring intubation; cardiac arrest occurred and pt died in the hospital despite aggressive measures to prolong life"
	"1825665-1"	"1825665-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt admitted to the hosp with increasing SOB over past 2 days; hx COPD; positive test for COVID; placed on BiPAP due to increasing O2 requirements; acute on chronic respiratory failure with hypoxemia; cough continued to worsen and O2 requirements increased requiring intubation; cardiac arrest occurred and pt died in the hospital despite aggressive measures to prolong life"
	"1825665-1"	"1825665-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"pt admitted to the hosp with increasing SOB over past 2 days; hx COPD; positive test for COVID; placed on BiPAP due to increasing O2 requirements; acute on chronic respiratory failure with hypoxemia; cough continued to worsen and O2 requirements increased requiring intubation; cardiac arrest occurred and pt died in the hospital despite aggressive measures to prolong life"
	"1825665-1"	"1825665-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"pt admitted to the hosp with increasing SOB over past 2 days; hx COPD; positive test for COVID; placed on BiPAP due to increasing O2 requirements; acute on chronic respiratory failure with hypoxemia; cough continued to worsen and O2 requirements increased requiring intubation; cardiac arrest occurred and pt died in the hospital despite aggressive measures to prolong life"
	"1825665-1"	"1825665-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt admitted to the hosp with increasing SOB over past 2 days; hx COPD; positive test for COVID; placed on BiPAP due to increasing O2 requirements; acute on chronic respiratory failure with hypoxemia; cough continued to worsen and O2 requirements increased requiring intubation; cardiac arrest occurred and pt died in the hospital despite aggressive measures to prolong life"
	"1825665-1"	"1825665-1"	"SARS-COV-2 TEST"	"10084354"	"65-79 years"	"65-79"	"pt admitted to the hosp with increasing SOB over past 2 days; hx COPD; positive test for COVID; placed on BiPAP due to increasing O2 requirements; acute on chronic respiratory failure with hypoxemia; cough continued to worsen and O2 requirements increased requiring intubation; cardiac arrest occurred and pt died in the hospital despite aggressive measures to prolong life"
	"1829067-1"	"1829067-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"pt tested positive for COVID 10 dys prior to hosp admission; presents to hosp with increase in SOB and chest pain; O2 sats at home were 60% on O2 3 LPM; placed on 100% NRBM; hx of COPD and OSA with CPAP; treated with dexamethasone and redisivir; pt's condition worsened and she requested a DNR/DNI; pt expired in the hosp; COVID pneumonia"
	"1829067-1"	"1829067-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt tested positive for COVID 10 dys prior to hosp admission; presents to hosp with increase in SOB and chest pain; O2 sats at home were 60% on O2 3 LPM; placed on 100% NRBM; hx of COPD and OSA with CPAP; treated with dexamethasone and redisivir; pt's condition worsened and she requested a DNR/DNI; pt expired in the hosp; COVID pneumonia"
	"1829067-1"	"1829067-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt tested positive for COVID 10 dys prior to hosp admission; presents to hosp with increase in SOB and chest pain; O2 sats at home were 60% on O2 3 LPM; placed on 100% NRBM; hx of COPD and OSA with CPAP; treated with dexamethasone and redisivir; pt's condition worsened and she requested a DNR/DNI; pt expired in the hosp; COVID pneumonia"
	"1829067-1"	"1829067-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt tested positive for COVID 10 dys prior to hosp admission; presents to hosp with increase in SOB and chest pain; O2 sats at home were 60% on O2 3 LPM; placed on 100% NRBM; hx of COPD and OSA with CPAP; treated with dexamethasone and redisivir; pt's condition worsened and she requested a DNR/DNI; pt expired in the hosp; COVID pneumonia"
	"1829067-1"	"1829067-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt tested positive for COVID 10 dys prior to hosp admission; presents to hosp with increase in SOB and chest pain; O2 sats at home were 60% on O2 3 LPM; placed on 100% NRBM; hx of COPD and OSA with CPAP; treated with dexamethasone and redisivir; pt's condition worsened and she requested a DNR/DNI; pt expired in the hosp; COVID pneumonia"
	"1829067-1"	"1829067-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt tested positive for COVID 10 dys prior to hosp admission; presents to hosp with increase in SOB and chest pain; O2 sats at home were 60% on O2 3 LPM; placed on 100% NRBM; hx of COPD and OSA with CPAP; treated with dexamethasone and redisivir; pt's condition worsened and she requested a DNR/DNI; pt expired in the hosp; COVID pneumonia"
	"1829276-1"	"1829276-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"COMA"	"10010071"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"EXTUBATION"	"10015894"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1829276-1"	"1829276-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"pt admitted to hosp after 3 days of fever, cough, SOB; positive for COVID 19; hypoxic respiratory failure; septic shock - treated with Levophed; acute encephalopathy; remained in coma; exacerbated episode of COPD; placed on ventilator 100% FiO2; multiorgan system failure; pt was made a DNR and comfort measures; extubated and pt died at the hospital"
	"1833104-1"	"1833104-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt admitted to hosp and diagnosed with bilateral COVID pneumonia with respiratory failure; treated with remdesivir and Plavix; 15 L O2 on heated high flow; pt coded and was intubated; bradycardic then asystolte; pt pronounced dead in the hospital; acute on chronic hypoxia and respiratory failure due to COVID"
	"1833104-1"	"1833104-1"	"BRADYCARDIA"	"10006093"	"65-79 years"	"65-79"	"pt admitted to hosp and diagnosed with bilateral COVID pneumonia with respiratory failure; treated with remdesivir and Plavix; 15 L O2 on heated high flow; pt coded and was intubated; bradycardic then asystolte; pt pronounced dead in the hospital; acute on chronic hypoxia and respiratory failure due to COVID"
	"1833104-1"	"1833104-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"pt admitted to hosp and diagnosed with bilateral COVID pneumonia with respiratory failure; treated with remdesivir and Plavix; 15 L O2 on heated high flow; pt coded and was intubated; bradycardic then asystolte; pt pronounced dead in the hospital; acute on chronic hypoxia and respiratory failure due to COVID"
	"1833104-1"	"1833104-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"pt admitted to hosp and diagnosed with bilateral COVID pneumonia with respiratory failure; treated with remdesivir and Plavix; 15 L O2 on heated high flow; pt coded and was intubated; bradycardic then asystolte; pt pronounced dead in the hospital; acute on chronic hypoxia and respiratory failure due to COVID"
	"1833104-1"	"1833104-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt admitted to hosp and diagnosed with bilateral COVID pneumonia with respiratory failure; treated with remdesivir and Plavix; 15 L O2 on heated high flow; pt coded and was intubated; bradycardic then asystolte; pt pronounced dead in the hospital; acute on chronic hypoxia and respiratory failure due to COVID"
	"1833104-1"	"1833104-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt admitted to hosp and diagnosed with bilateral COVID pneumonia with respiratory failure; treated with remdesivir and Plavix; 15 L O2 on heated high flow; pt coded and was intubated; bradycardic then asystolte; pt pronounced dead in the hospital; acute on chronic hypoxia and respiratory failure due to COVID"
	"1833104-1"	"1833104-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt admitted to hosp and diagnosed with bilateral COVID pneumonia with respiratory failure; treated with remdesivir and Plavix; 15 L O2 on heated high flow; pt coded and was intubated; bradycardic then asystolte; pt pronounced dead in the hospital; acute on chronic hypoxia and respiratory failure due to COVID"
	"1833104-1"	"1833104-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"pt admitted to hosp and diagnosed with bilateral COVID pneumonia with respiratory failure; treated with remdesivir and Plavix; 15 L O2 on heated high flow; pt coded and was intubated; bradycardic then asystolte; pt pronounced dead in the hospital; acute on chronic hypoxia and respiratory failure due to COVID"
	"1833143-1"	"1833143-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"6 days prior to hosp admission, pt diagnosed positive for COVID in the ED; left AMA to home; admitted to hosp with increase in weakness and SOB; O2 sats in the 70s; placed on NRB and NC; treated with remdesivir and dexamethasone; PMH renal transplant, HTN, monoclonal gammopathy; DNI/DNR; optiflow therapy for hypoxia; condition worsened; pt transferred to palliative care; pt's condition continued to decline and she expired in the hosp"
	"1833143-1"	"1833143-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"6 days prior to hosp admission, pt diagnosed positive for COVID in the ED; left AMA to home; admitted to hosp with increase in weakness and SOB; O2 sats in the 70s; placed on NRB and NC; treated with remdesivir and dexamethasone; PMH renal transplant, HTN, monoclonal gammopathy; DNI/DNR; optiflow therapy for hypoxia; condition worsened; pt transferred to palliative care; pt's condition continued to decline and she expired in the hosp"
	"1833143-1"	"1833143-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"6 days prior to hosp admission, pt diagnosed positive for COVID in the ED; left AMA to home; admitted to hosp with increase in weakness and SOB; O2 sats in the 70s; placed on NRB and NC; treated with remdesivir and dexamethasone; PMH renal transplant, HTN, monoclonal gammopathy; DNI/DNR; optiflow therapy for hypoxia; condition worsened; pt transferred to palliative care; pt's condition continued to decline and she expired in the hosp"
	"1833143-1"	"1833143-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"6 days prior to hosp admission, pt diagnosed positive for COVID in the ED; left AMA to home; admitted to hosp with increase in weakness and SOB; O2 sats in the 70s; placed on NRB and NC; treated with remdesivir and dexamethasone; PMH renal transplant, HTN, monoclonal gammopathy; DNI/DNR; optiflow therapy for hypoxia; condition worsened; pt transferred to palliative care; pt's condition continued to decline and she expired in the hosp"
	"1833143-1"	"1833143-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"6 days prior to hosp admission, pt diagnosed positive for COVID in the ED; left AMA to home; admitted to hosp with increase in weakness and SOB; O2 sats in the 70s; placed on NRB and NC; treated with remdesivir and dexamethasone; PMH renal transplant, HTN, monoclonal gammopathy; DNI/DNR; optiflow therapy for hypoxia; condition worsened; pt transferred to palliative care; pt's condition continued to decline and she expired in the hosp"
	"1833143-1"	"1833143-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"6 days prior to hosp admission, pt diagnosed positive for COVID in the ED; left AMA to home; admitted to hosp with increase in weakness and SOB; O2 sats in the 70s; placed on NRB and NC; treated with remdesivir and dexamethasone; PMH renal transplant, HTN, monoclonal gammopathy; DNI/DNR; optiflow therapy for hypoxia; condition worsened; pt transferred to palliative care; pt's condition continued to decline and she expired in the hosp"
	"1833143-1"	"1833143-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"6 days prior to hosp admission, pt diagnosed positive for COVID in the ED; left AMA to home; admitted to hosp with increase in weakness and SOB; O2 sats in the 70s; placed on NRB and NC; treated with remdesivir and dexamethasone; PMH renal transplant, HTN, monoclonal gammopathy; DNI/DNR; optiflow therapy for hypoxia; condition worsened; pt transferred to palliative care; pt's condition continued to decline and she expired in the hosp"
	"1833171-1"	"1833171-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"END STAGE RENAL DISEASE"	"10077512"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833171-1"	"1833171-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"pt  admitted to hosp with c/o increasing SOB, malaise, N/V, O2 sats in 30s; placed on 60 L high flow NC; O2 sats in 70s, pt was intubated; diagnosed positive for COVID 19 and UTI; pt eventually extubated and placed on 35 L high flow NC with O2 sats @ 97%; began to wean off of O2 but later condition worsened and required intubation; pt's condition worsened and family wished to withdraw care; pt died in the hosp; respiratory failure due to COVID pneumonia as well as PE related to CHF and end-stage renal disease"
	"1833197-1"	"1833197-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"CHRONIC KIDNEY DISEASE"	"10064848"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833197-1"	"1833197-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/25; received monoclonal antibody infusion on 8/30; presented to ED on 9/2 with increasing SOB, cough, weakness, N/D, poor appetite; found to have A Fib with RVR; hypoxic respiratory failure due to COVID 19; PMH of liver/pancreatic lesions; pt does not want chemotherapy treatment; started on dexamethasone and remdisivir, 2-3 L O2 via NC; AKI on CKD; pt elects to forego liver bx; comfort care measures were instituted and pt died in the hospital"
	"1833236-1"	"1833236-1"	"CEREBRAL INFARCTION"	"10008118"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1833236-1"	"1833236-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1833236-1"	"1833236-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1833236-1"	"1833236-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1833236-1"	"1833236-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1833236-1"	"1833236-1"	"HYPERGLYCAEMIA"	"10020635"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1833236-1"	"1833236-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1833236-1"	"1833236-1"	"MAGNETIC RESONANCE IMAGING HEAD ABNORMAL"	"10085256"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1833236-1"	"1833236-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1833236-1"	"1833236-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1833236-1"	"1833236-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1833236-1"	"1833236-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt comes to ED and states he was diagnosed positive for COVID 2 days ago; presents to ED with increasing SOB, fever, chills, hypoxic, placed on 3 L O2 via NC; COVID test is positive; pt is hyperglycemic; received insulin, steroids, antibiotics, remdisivir, thromboembolic prophylaxis; eventually switched to BiPAP; mental status worsened; MRI of brain shows widespread, extensive acute infarctions; his condition worsened and he eventually passed away in the hospital"
	"1836663-1"	"1836663-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"TRACHEOSTOMY"	"10044320"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836663-1"	"1836663-1"	"TYPE 2 DIABETES MELLITUS"	"10067585"	"65-79 years"	"65-79"	"pt told to come to ED due to blood sugars over 500; when got to ED his O2 sats where 59% on RA; increasing SOB; positive for COVID; placed on BiPAP; eventually required intubation and tracheostomy; O2 status continued to worsen and his sats went down; he went into cardiac arrest twice; CPR was done; family decided to stop CPR and pt expired in the hospital; Acute hypoxic respiratory failure secondary to COVID pneumonia; acute renal failure; DMT2; MI."
	"1836681-1"	"1836681-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836681-1"	"1836681-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836681-1"	"1836681-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836681-1"	"1836681-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836681-1"	"1836681-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836681-1"	"1836681-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836681-1"	"1836681-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836681-1"	"1836681-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836681-1"	"1836681-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836681-1"	"1836681-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836681-1"	"1836681-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836681-1"	"1836681-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"pt to ED for increasing SOB over several days; was seen a dr's office for SOB and hypoxemia and told to come to ED; c/o cough; O2 sats in 70s on RA; started on 6 L O2 via NC; eventually transitioned to BiPAP due to worsening oxygenation; COVID test positive; placed on steroids, antibiotics, remdisivir, baricitinib; eventually required intubation and went into septic shock; condition deteriorated and pt expired in the hosp; acute hypoxic respiratory failure with multiorgan failure secondary to COVID"
	"1836838-1"	"1836838-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient received 3rd dose of vaccine on 10/25 and experienced cardiac arrest and subsequently passed on 10/28."
	"1836838-1"	"1836838-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient received 3rd dose of vaccine on 10/25 and experienced cardiac arrest and subsequently passed on 10/28."
	"1840108-1"	"1840108-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and altered mental status; tested positive for COVID; on 15LO2 via NRB saturating  @ 75%; intubated; waiting to transfer to another hospital since there are no isolation bed; severe sepsis secondary to COVID pneumonia; suffered cardiac arrest while waiting to transfer; ACLS started; pt remained in asystole x 20mins where she was declared dead in the ED"
	"1840108-1"	"1840108-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and altered mental status; tested positive for COVID; on 15LO2 via NRB saturating  @ 75%; intubated; waiting to transfer to another hospital since there are no isolation bed; severe sepsis secondary to COVID pneumonia; suffered cardiac arrest while waiting to transfer; ACLS started; pt remained in asystole x 20mins where she was declared dead in the ED"
	"1840108-1"	"1840108-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and altered mental status; tested positive for COVID; on 15LO2 via NRB saturating  @ 75%; intubated; waiting to transfer to another hospital since there are no isolation bed; severe sepsis secondary to COVID pneumonia; suffered cardiac arrest while waiting to transfer; ACLS started; pt remained in asystole x 20mins where she was declared dead in the ED"
	"1840108-1"	"1840108-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and altered mental status; tested positive for COVID; on 15LO2 via NRB saturating  @ 75%; intubated; waiting to transfer to another hospital since there are no isolation bed; severe sepsis secondary to COVID pneumonia; suffered cardiac arrest while waiting to transfer; ACLS started; pt remained in asystole x 20mins where she was declared dead in the ED"
	"1840108-1"	"1840108-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and altered mental status; tested positive for COVID; on 15LO2 via NRB saturating  @ 75%; intubated; waiting to transfer to another hospital since there are no isolation bed; severe sepsis secondary to COVID pneumonia; suffered cardiac arrest while waiting to transfer; ACLS started; pt remained in asystole x 20mins where she was declared dead in the ED"
	"1840108-1"	"1840108-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and altered mental status; tested positive for COVID; on 15LO2 via NRB saturating  @ 75%; intubated; waiting to transfer to another hospital since there are no isolation bed; severe sepsis secondary to COVID pneumonia; suffered cardiac arrest while waiting to transfer; ACLS started; pt remained in asystole x 20mins where she was declared dead in the ED"
	"1840108-1"	"1840108-1"	"LIFE SUPPORT"	"10024447"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and altered mental status; tested positive for COVID; on 15LO2 via NRB saturating  @ 75%; intubated; waiting to transfer to another hospital since there are no isolation bed; severe sepsis secondary to COVID pneumonia; suffered cardiac arrest while waiting to transfer; ACLS started; pt remained in asystole x 20mins where she was declared dead in the ED"
	"1840108-1"	"1840108-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and altered mental status; tested positive for COVID; on 15LO2 via NRB saturating  @ 75%; intubated; waiting to transfer to another hospital since there are no isolation bed; severe sepsis secondary to COVID pneumonia; suffered cardiac arrest while waiting to transfer; ACLS started; pt remained in asystole x 20mins where she was declared dead in the ED"
	"1840108-1"	"1840108-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and altered mental status; tested positive for COVID; on 15LO2 via NRB saturating  @ 75%; intubated; waiting to transfer to another hospital since there are no isolation bed; severe sepsis secondary to COVID pneumonia; suffered cardiac arrest while waiting to transfer; ACLS started; pt remained in asystole x 20mins where she was declared dead in the ED"
	"1840108-1"	"1840108-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and altered mental status; tested positive for COVID; on 15LO2 via NRB saturating  @ 75%; intubated; waiting to transfer to another hospital since there are no isolation bed; severe sepsis secondary to COVID pneumonia; suffered cardiac arrest while waiting to transfer; ACLS started; pt remained in asystole x 20mins where she was declared dead in the ED"
	"1840173-1"	"1840173-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt brought to ED with fever and malaise, BS was in the 50s at home; In ESRD, on hemodialysis; after dialysis pt did not feel well; EMS called; diagnosed with UTI, positive for COVID; acute hypoxic respiratory failure secondary to COVID pneumonia; pt's condition continued to decline; palliative care consulted; family decided to dc dialysis; pt passed away in the hospital"
	"1840173-1"	"1840173-1"	"BLOOD GLUCOSE NORMAL"	"10005558"	"65-79 years"	"65-79"	"pt brought to ED with fever and malaise, BS was in the 50s at home; In ESRD, on hemodialysis; after dialysis pt did not feel well; EMS called; diagnosed with UTI, positive for COVID; acute hypoxic respiratory failure secondary to COVID pneumonia; pt's condition continued to decline; palliative care consulted; family decided to dc dialysis; pt passed away in the hospital"
	"1840173-1"	"1840173-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt brought to ED with fever and malaise, BS was in the 50s at home; In ESRD, on hemodialysis; after dialysis pt did not feel well; EMS called; diagnosed with UTI, positive for COVID; acute hypoxic respiratory failure secondary to COVID pneumonia; pt's condition continued to decline; palliative care consulted; family decided to dc dialysis; pt passed away in the hospital"
	"1840173-1"	"1840173-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt brought to ED with fever and malaise, BS was in the 50s at home; In ESRD, on hemodialysis; after dialysis pt did not feel well; EMS called; diagnosed with UTI, positive for COVID; acute hypoxic respiratory failure secondary to COVID pneumonia; pt's condition continued to decline; palliative care consulted; family decided to dc dialysis; pt passed away in the hospital"
	"1840173-1"	"1840173-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt brought to ED with fever and malaise, BS was in the 50s at home; In ESRD, on hemodialysis; after dialysis pt did not feel well; EMS called; diagnosed with UTI, positive for COVID; acute hypoxic respiratory failure secondary to COVID pneumonia; pt's condition continued to decline; palliative care consulted; family decided to dc dialysis; pt passed away in the hospital"
	"1840173-1"	"1840173-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt brought to ED with fever and malaise, BS was in the 50s at home; In ESRD, on hemodialysis; after dialysis pt did not feel well; EMS called; diagnosed with UTI, positive for COVID; acute hypoxic respiratory failure secondary to COVID pneumonia; pt's condition continued to decline; palliative care consulted; family decided to dc dialysis; pt passed away in the hospital"
	"1840173-1"	"1840173-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"pt brought to ED with fever and malaise, BS was in the 50s at home; In ESRD, on hemodialysis; after dialysis pt did not feel well; EMS called; diagnosed with UTI, positive for COVID; acute hypoxic respiratory failure secondary to COVID pneumonia; pt's condition continued to decline; palliative care consulted; family decided to dc dialysis; pt passed away in the hospital"
	"1840173-1"	"1840173-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"pt brought to ED with fever and malaise, BS was in the 50s at home; In ESRD, on hemodialysis; after dialysis pt did not feel well; EMS called; diagnosed with UTI, positive for COVID; acute hypoxic respiratory failure secondary to COVID pneumonia; pt's condition continued to decline; palliative care consulted; family decided to dc dialysis; pt passed away in the hospital"
	"1840173-1"	"1840173-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt brought to ED with fever and malaise, BS was in the 50s at home; In ESRD, on hemodialysis; after dialysis pt did not feel well; EMS called; diagnosed with UTI, positive for COVID; acute hypoxic respiratory failure secondary to COVID pneumonia; pt's condition continued to decline; palliative care consulted; family decided to dc dialysis; pt passed away in the hospital"
	"1840173-1"	"1840173-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"pt brought to ED with fever and malaise, BS was in the 50s at home; In ESRD, on hemodialysis; after dialysis pt did not feel well; EMS called; diagnosed with UTI, positive for COVID; acute hypoxic respiratory failure secondary to COVID pneumonia; pt's condition continued to decline; palliative care consulted; family decided to dc dialysis; pt passed away in the hospital"
	"1840240-1"	"1840240-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"pt presented to ED with increasing SOB; positive for COVID; on NRB mask; had been dc'd from hosp 2 days before for treatment of COPD exacerbation, was negative for COVID @ that time; placed on BiPAP then Venturi mask; given remdisivir, Baricitinib, antibiotics, steroids; back on BiPAP; DNR/DNI; pt experienced V Tach and condition deteriorated; comfort measures put in place and pt died in the hospital"
	"1840240-1"	"1840240-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt presented to ED with increasing SOB; positive for COVID; on NRB mask; had been dc'd from hosp 2 days before for treatment of COPD exacerbation, was negative for COVID @ that time; placed on BiPAP then Venturi mask; given remdisivir, Baricitinib, antibiotics, steroids; back on BiPAP; DNR/DNI; pt experienced V Tach and condition deteriorated; comfort measures put in place and pt died in the hospital"
	"1840240-1"	"1840240-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt presented to ED with increasing SOB; positive for COVID; on NRB mask; had been dc'd from hosp 2 days before for treatment of COPD exacerbation, was negative for COVID @ that time; placed on BiPAP then Venturi mask; given remdisivir, Baricitinib, antibiotics, steroids; back on BiPAP; DNR/DNI; pt experienced V Tach and condition deteriorated; comfort measures put in place and pt died in the hospital"
	"1840240-1"	"1840240-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt presented to ED with increasing SOB; positive for COVID; on NRB mask; had been dc'd from hosp 2 days before for treatment of COPD exacerbation, was negative for COVID @ that time; placed on BiPAP then Venturi mask; given remdisivir, Baricitinib, antibiotics, steroids; back on BiPAP; DNR/DNI; pt experienced V Tach and condition deteriorated; comfort measures put in place and pt died in the hospital"
	"1840240-1"	"1840240-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt presented to ED with increasing SOB; positive for COVID; on NRB mask; had been dc'd from hosp 2 days before for treatment of COPD exacerbation, was negative for COVID @ that time; placed on BiPAP then Venturi mask; given remdisivir, Baricitinib, antibiotics, steroids; back on BiPAP; DNR/DNI; pt experienced V Tach and condition deteriorated; comfort measures put in place and pt died in the hospital"
	"1840240-1"	"1840240-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt presented to ED with increasing SOB; positive for COVID; on NRB mask; had been dc'd from hosp 2 days before for treatment of COPD exacerbation, was negative for COVID @ that time; placed on BiPAP then Venturi mask; given remdisivir, Baricitinib, antibiotics, steroids; back on BiPAP; DNR/DNI; pt experienced V Tach and condition deteriorated; comfort measures put in place and pt died in the hospital"
	"1840240-1"	"1840240-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"pt presented to ED with increasing SOB; positive for COVID; on NRB mask; had been dc'd from hosp 2 days before for treatment of COPD exacerbation, was negative for COVID @ that time; placed on BiPAP then Venturi mask; given remdisivir, Baricitinib, antibiotics, steroids; back on BiPAP; DNR/DNI; pt experienced V Tach and condition deteriorated; comfort measures put in place and pt died in the hospital"
	"1840240-1"	"1840240-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt presented to ED with increasing SOB; positive for COVID; on NRB mask; had been dc'd from hosp 2 days before for treatment of COPD exacerbation, was negative for COVID @ that time; placed on BiPAP then Venturi mask; given remdisivir, Baricitinib, antibiotics, steroids; back on BiPAP; DNR/DNI; pt experienced V Tach and condition deteriorated; comfort measures put in place and pt died in the hospital"
	"1840240-1"	"1840240-1"	"VENTRICULAR TACHYCARDIA"	"10047302"	"65-79 years"	"65-79"	"pt presented to ED with increasing SOB; positive for COVID; on NRB mask; had been dc'd from hosp 2 days before for treatment of COPD exacerbation, was negative for COVID @ that time; placed on BiPAP then Venturi mask; given remdisivir, Baricitinib, antibiotics, steroids; back on BiPAP; DNR/DNI; pt experienced V Tach and condition deteriorated; comfort measures put in place and pt died in the hospital"
	"1840279-1"	"1840279-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt to ED with hx of COPD; presents with increasing SOB x 4-5 days; positive test for COVID; placed on supplemental O2, given remdisivir and steroids; pt's condition worsened and he was admitted to ICU; intubates; developed left intramuscular neck hematoma; condition declined; placed on comfort care and extubated; pt died in the ICU"
	"1840279-1"	"1840279-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt to ED with hx of COPD; presents with increasing SOB x 4-5 days; positive test for COVID; placed on supplemental O2, given remdisivir and steroids; pt's condition worsened and he was admitted to ICU; intubates; developed left intramuscular neck hematoma; condition declined; placed on comfort care and extubated; pt died in the ICU"
	"1840279-1"	"1840279-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt to ED with hx of COPD; presents with increasing SOB x 4-5 days; positive test for COVID; placed on supplemental O2, given remdisivir and steroids; pt's condition worsened and he was admitted to ICU; intubates; developed left intramuscular neck hematoma; condition declined; placed on comfort care and extubated; pt died in the ICU"
	"1840279-1"	"1840279-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt to ED with hx of COPD; presents with increasing SOB x 4-5 days; positive test for COVID; placed on supplemental O2, given remdisivir and steroids; pt's condition worsened and he was admitted to ICU; intubates; developed left intramuscular neck hematoma; condition declined; placed on comfort care and extubated; pt died in the ICU"
	"1840279-1"	"1840279-1"	"HAEMATOMA MUSCLE"	"10055890"	"65-79 years"	"65-79"	"pt to ED with hx of COPD; presents with increasing SOB x 4-5 days; positive test for COVID; placed on supplemental O2, given remdisivir and steroids; pt's condition worsened and he was admitted to ICU; intubates; developed left intramuscular neck hematoma; condition declined; placed on comfort care and extubated; pt died in the ICU"
	"1840279-1"	"1840279-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"pt to ED with hx of COPD; presents with increasing SOB x 4-5 days; positive test for COVID; placed on supplemental O2, given remdisivir and steroids; pt's condition worsened and he was admitted to ICU; intubates; developed left intramuscular neck hematoma; condition declined; placed on comfort care and extubated; pt died in the ICU"
	"1840279-1"	"1840279-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt to ED with hx of COPD; presents with increasing SOB x 4-5 days; positive test for COVID; placed on supplemental O2, given remdisivir and steroids; pt's condition worsened and he was admitted to ICU; intubates; developed left intramuscular neck hematoma; condition declined; placed on comfort care and extubated; pt died in the ICU"
	"1840339-1"	"1840339-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"EMS called due to seizure like activity; altered mental status; hx of DM, A Fib, CHF; positive for COVID on 8/7; started on remdisivir; intubated; EEG shows no seizure activity, moderate encephalopathy; unresponsive; pt's condition worsened and he died in the hospital"
	"1840339-1"	"1840339-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"EMS called due to seizure like activity; altered mental status; hx of DM, A Fib, CHF; positive for COVID on 8/7; started on remdisivir; intubated; EEG shows no seizure activity, moderate encephalopathy; unresponsive; pt's condition worsened and he died in the hospital"
	"1840339-1"	"1840339-1"	"ELECTROENCEPHALOGRAM ABNORMAL"	"10014408"	"65-79 years"	"65-79"	"EMS called due to seizure like activity; altered mental status; hx of DM, A Fib, CHF; positive for COVID on 8/7; started on remdisivir; intubated; EEG shows no seizure activity, moderate encephalopathy; unresponsive; pt's condition worsened and he died in the hospital"
	"1840339-1"	"1840339-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"EMS called due to seizure like activity; altered mental status; hx of DM, A Fib, CHF; positive for COVID on 8/7; started on remdisivir; intubated; EEG shows no seizure activity, moderate encephalopathy; unresponsive; pt's condition worsened and he died in the hospital"
	"1840339-1"	"1840339-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"EMS called due to seizure like activity; altered mental status; hx of DM, A Fib, CHF; positive for COVID on 8/7; started on remdisivir; intubated; EEG shows no seizure activity, moderate encephalopathy; unresponsive; pt's condition worsened and he died in the hospital"
	"1840339-1"	"1840339-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"EMS called due to seizure like activity; altered mental status; hx of DM, A Fib, CHF; positive for COVID on 8/7; started on remdisivir; intubated; EEG shows no seizure activity, moderate encephalopathy; unresponsive; pt's condition worsened and he died in the hospital"
	"1840339-1"	"1840339-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"EMS called due to seizure like activity; altered mental status; hx of DM, A Fib, CHF; positive for COVID on 8/7; started on remdisivir; intubated; EEG shows no seizure activity, moderate encephalopathy; unresponsive; pt's condition worsened and he died in the hospital"
	"1840339-1"	"1840339-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"EMS called due to seizure like activity; altered mental status; hx of DM, A Fib, CHF; positive for COVID on 8/7; started on remdisivir; intubated; EEG shows no seizure activity, moderate encephalopathy; unresponsive; pt's condition worsened and he died in the hospital"
	"1840339-1"	"1840339-1"	"SEIZURE LIKE PHENOMENA"	"10071048"	"65-79 years"	"65-79"	"EMS called due to seizure like activity; altered mental status; hx of DM, A Fib, CHF; positive for COVID on 8/7; started on remdisivir; intubated; EEG shows no seizure activity, moderate encephalopathy; unresponsive; pt's condition worsened and he died in the hospital"
	"1840339-1"	"1840339-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"EMS called due to seizure like activity; altered mental status; hx of DM, A Fib, CHF; positive for COVID on 8/7; started on remdisivir; intubated; EEG shows no seizure activity, moderate encephalopathy; unresponsive; pt's condition worsened and he died in the hospital"
	"1840440-1"	"1840440-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt received COVID vaccine on 8/26/21; presented to ED on 9/11/21 with SOB; diagnosed positive for COVID; placed on 100% BiPAP and eventually required intubation, proning and paralytics; developed a tension pneumothorax and bacterial pneumonia, septic shock; condition worsened; pt placed on comfort measures and she expired in the hospital"
	"1840440-1"	"1840440-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt received COVID vaccine on 8/26/21; presented to ED on 9/11/21 with SOB; diagnosed positive for COVID; placed on 100% BiPAP and eventually required intubation, proning and paralytics; developed a tension pneumothorax and bacterial pneumonia, septic shock; condition worsened; pt placed on comfort measures and she expired in the hospital"
	"1840440-1"	"1840440-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt received COVID vaccine on 8/26/21; presented to ED on 9/11/21 with SOB; diagnosed positive for COVID; placed on 100% BiPAP and eventually required intubation, proning and paralytics; developed a tension pneumothorax and bacterial pneumonia, septic shock; condition worsened; pt placed on comfort measures and she expired in the hospital"
	"1840440-1"	"1840440-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt received COVID vaccine on 8/26/21; presented to ED on 9/11/21 with SOB; diagnosed positive for COVID; placed on 100% BiPAP and eventually required intubation, proning and paralytics; developed a tension pneumothorax and bacterial pneumonia, septic shock; condition worsened; pt placed on comfort measures and she expired in the hospital"
	"1840440-1"	"1840440-1"	"PNEUMONIA BACTERIAL"	"10060946"	"65-79 years"	"65-79"	"pt received COVID vaccine on 8/26/21; presented to ED on 9/11/21 with SOB; diagnosed positive for COVID; placed on 100% BiPAP and eventually required intubation, proning and paralytics; developed a tension pneumothorax and bacterial pneumonia, septic shock; condition worsened; pt placed on comfort measures and she expired in the hospital"
	"1840440-1"	"1840440-1"	"PNEUMOTHORAX"	"10035759"	"65-79 years"	"65-79"	"pt received COVID vaccine on 8/26/21; presented to ED on 9/11/21 with SOB; diagnosed positive for COVID; placed on 100% BiPAP and eventually required intubation, proning and paralytics; developed a tension pneumothorax and bacterial pneumonia, septic shock; condition worsened; pt placed on comfort measures and she expired in the hospital"
	"1840440-1"	"1840440-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt received COVID vaccine on 8/26/21; presented to ED on 9/11/21 with SOB; diagnosed positive for COVID; placed on 100% BiPAP and eventually required intubation, proning and paralytics; developed a tension pneumothorax and bacterial pneumonia, septic shock; condition worsened; pt placed on comfort measures and she expired in the hospital"
	"1840440-1"	"1840440-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt received COVID vaccine on 8/26/21; presented to ED on 9/11/21 with SOB; diagnosed positive for COVID; placed on 100% BiPAP and eventually required intubation, proning and paralytics; developed a tension pneumothorax and bacterial pneumonia, septic shock; condition worsened; pt placed on comfort measures and she expired in the hospital"
	"1840440-1"	"1840440-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"pt received COVID vaccine on 8/26/21; presented to ED on 9/11/21 with SOB; diagnosed positive for COVID; placed on 100% BiPAP and eventually required intubation, proning and paralytics; developed a tension pneumothorax and bacterial pneumonia, septic shock; condition worsened; pt placed on comfort measures and she expired in the hospital"
	"1840473-1"	"1840473-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"Hx of dementia and recent pneumonia; diagnosed positive for COVID 1 wk ago in nursing facility; has been in isolation in the facility; presents to ED with cough; on 4 L O2 via NC, sats in the 90s; increased confusion during the course of hospitalization; condition worsened; encephalopathy; antibiotics and O2 supplementation given; mental status never recovered; comfort care measures in place; pt died in the hosp"
	"1840473-1"	"1840473-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Hx of dementia and recent pneumonia; diagnosed positive for COVID 1 wk ago in nursing facility; has been in isolation in the facility; presents to ED with cough; on 4 L O2 via NC, sats in the 90s; increased confusion during the course of hospitalization; condition worsened; encephalopathy; antibiotics and O2 supplementation given; mental status never recovered; comfort care measures in place; pt died in the hosp"
	"1840473-1"	"1840473-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hx of dementia and recent pneumonia; diagnosed positive for COVID 1 wk ago in nursing facility; has been in isolation in the facility; presents to ED with cough; on 4 L O2 via NC, sats in the 90s; increased confusion during the course of hospitalization; condition worsened; encephalopathy; antibiotics and O2 supplementation given; mental status never recovered; comfort care measures in place; pt died in the hosp"
	"1840473-1"	"1840473-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hx of dementia and recent pneumonia; diagnosed positive for COVID 1 wk ago in nursing facility; has been in isolation in the facility; presents to ED with cough; on 4 L O2 via NC, sats in the 90s; increased confusion during the course of hospitalization; condition worsened; encephalopathy; antibiotics and O2 supplementation given; mental status never recovered; comfort care measures in place; pt died in the hosp"
	"1840473-1"	"1840473-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"Hx of dementia and recent pneumonia; diagnosed positive for COVID 1 wk ago in nursing facility; has been in isolation in the facility; presents to ED with cough; on 4 L O2 via NC, sats in the 90s; increased confusion during the course of hospitalization; condition worsened; encephalopathy; antibiotics and O2 supplementation given; mental status never recovered; comfort care measures in place; pt died in the hosp"
	"1840473-1"	"1840473-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Hx of dementia and recent pneumonia; diagnosed positive for COVID 1 wk ago in nursing facility; has been in isolation in the facility; presents to ED with cough; on 4 L O2 via NC, sats in the 90s; increased confusion during the course of hospitalization; condition worsened; encephalopathy; antibiotics and O2 supplementation given; mental status never recovered; comfort care measures in place; pt died in the hosp"
	"1840473-1"	"1840473-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"Hx of dementia and recent pneumonia; diagnosed positive for COVID 1 wk ago in nursing facility; has been in isolation in the facility; presents to ED with cough; on 4 L O2 via NC, sats in the 90s; increased confusion during the course of hospitalization; condition worsened; encephalopathy; antibiotics and O2 supplementation given; mental status never recovered; comfort care measures in place; pt died in the hosp"
	"1840473-1"	"1840473-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Hx of dementia and recent pneumonia; diagnosed positive for COVID 1 wk ago in nursing facility; has been in isolation in the facility; presents to ED with cough; on 4 L O2 via NC, sats in the 90s; increased confusion during the course of hospitalization; condition worsened; encephalopathy; antibiotics and O2 supplementation given; mental status never recovered; comfort care measures in place; pt died in the hosp"
	"1840511-1"	"1840511-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"8 days before admission to hosp, pt diagnosed positive for COVID; received antibiotic infusion on 9/2; O2 sats @ home were in the 60 -70s; went for x-ray today @ walk-in clinic and O2 sats were in the 80s; EMS transported pt to ED; hx of COPD, DM, HTN, CKD3; given remdisivir; placed on BiPAP; admitted to ICU where he eventually was intubated; condition deteriorated and comfort measures were requested; pt was extubated and passed away in the hosp"
	"1840511-1"	"1840511-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"8 days before admission to hosp, pt diagnosed positive for COVID; received antibiotic infusion on 9/2; O2 sats @ home were in the 60 -70s; went for x-ray today @ walk-in clinic and O2 sats were in the 80s; EMS transported pt to ED; hx of COPD, DM, HTN, CKD3; given remdisivir; placed on BiPAP; admitted to ICU where he eventually was intubated; condition deteriorated and comfort measures were requested; pt was extubated and passed away in the hosp"
	"1840511-1"	"1840511-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"8 days before admission to hosp, pt diagnosed positive for COVID; received antibiotic infusion on 9/2; O2 sats @ home were in the 60 -70s; went for x-ray today @ walk-in clinic and O2 sats were in the 80s; EMS transported pt to ED; hx of COPD, DM, HTN, CKD3; given remdisivir; placed on BiPAP; admitted to ICU where he eventually was intubated; condition deteriorated and comfort measures were requested; pt was extubated and passed away in the hosp"
	"1840511-1"	"1840511-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"8 days before admission to hosp, pt diagnosed positive for COVID; received antibiotic infusion on 9/2; O2 sats @ home were in the 60 -70s; went for x-ray today @ walk-in clinic and O2 sats were in the 80s; EMS transported pt to ED; hx of COPD, DM, HTN, CKD3; given remdisivir; placed on BiPAP; admitted to ICU where he eventually was intubated; condition deteriorated and comfort measures were requested; pt was extubated and passed away in the hosp"
	"1840511-1"	"1840511-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"8 days before admission to hosp, pt diagnosed positive for COVID; received antibiotic infusion on 9/2; O2 sats @ home were in the 60 -70s; went for x-ray today @ walk-in clinic and O2 sats were in the 80s; EMS transported pt to ED; hx of COPD, DM, HTN, CKD3; given remdisivir; placed on BiPAP; admitted to ICU where he eventually was intubated; condition deteriorated and comfort measures were requested; pt was extubated and passed away in the hosp"
	"1840511-1"	"1840511-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"8 days before admission to hosp, pt diagnosed positive for COVID; received antibiotic infusion on 9/2; O2 sats @ home were in the 60 -70s; went for x-ray today @ walk-in clinic and O2 sats were in the 80s; EMS transported pt to ED; hx of COPD, DM, HTN, CKD3; given remdisivir; placed on BiPAP; admitted to ICU where he eventually was intubated; condition deteriorated and comfort measures were requested; pt was extubated and passed away in the hosp"
	"1840511-1"	"1840511-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"8 days before admission to hosp, pt diagnosed positive for COVID; received antibiotic infusion on 9/2; O2 sats @ home were in the 60 -70s; went for x-ray today @ walk-in clinic and O2 sats were in the 80s; EMS transported pt to ED; hx of COPD, DM, HTN, CKD3; given remdisivir; placed on BiPAP; admitted to ICU where he eventually was intubated; condition deteriorated and comfort measures were requested; pt was extubated and passed away in the hosp"
	"1840511-1"	"1840511-1"	"X-RAY"	"10048064"	"65-79 years"	"65-79"	"8 days before admission to hosp, pt diagnosed positive for COVID; received antibiotic infusion on 9/2; O2 sats @ home were in the 60 -70s; went for x-ray today @ walk-in clinic and O2 sats were in the 80s; EMS transported pt to ED; hx of COPD, DM, HTN, CKD3; given remdisivir; placed on BiPAP; admitted to ICU where he eventually was intubated; condition deteriorated and comfort measures were requested; pt was extubated and passed away in the hosp"
	"1842972-1"	"1842972-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"pt has been treated in facility for COPD, renal failure, and COVID pneumonia; transferred to MICU with worsening renal failure; DNR/DNI; pt's condition continued to decline; comfort care measures instituted along with in house hospice care; pt passed away in the hosp"
	"1842972-1"	"1842972-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt has been treated in facility for COPD, renal failure, and COVID pneumonia; transferred to MICU with worsening renal failure; DNR/DNI; pt's condition continued to decline; comfort care measures instituted along with in house hospice care; pt passed away in the hosp"
	"1842972-1"	"1842972-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt has been treated in facility for COPD, renal failure, and COVID pneumonia; transferred to MICU with worsening renal failure; DNR/DNI; pt's condition continued to decline; comfort care measures instituted along with in house hospice care; pt passed away in the hosp"
	"1842972-1"	"1842972-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt has been treated in facility for COPD, renal failure, and COVID pneumonia; transferred to MICU with worsening renal failure; DNR/DNI; pt's condition continued to decline; comfort care measures instituted along with in house hospice care; pt passed away in the hosp"
	"1842972-1"	"1842972-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"pt has been treated in facility for COPD, renal failure, and COVID pneumonia; transferred to MICU with worsening renal failure; DNR/DNI; pt's condition continued to decline; comfort care measures instituted along with in house hospice care; pt passed away in the hosp"
	"1842972-1"	"1842972-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"pt has been treated in facility for COPD, renal failure, and COVID pneumonia; transferred to MICU with worsening renal failure; DNR/DNI; pt's condition continued to decline; comfort care measures instituted along with in house hospice care; pt passed away in the hosp"
	"1843015-1"	"1843015-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843015-1"	"1843015-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843015-1"	"1843015-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843015-1"	"1843015-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843015-1"	"1843015-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843015-1"	"1843015-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843015-1"	"1843015-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843015-1"	"1843015-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843015-1"	"1843015-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843015-1"	"1843015-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843015-1"	"1843015-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843015-1"	"1843015-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"pt presents with worsening dyspnea x 2-3 days; hx of COPD, on 5 L O2 via NC @ home; hx of MS, A Fib,CHF; positive for COVID; O2 sats 70s on BiPAP in EMS; c/o fever, diarrhea, myalgias, nausea; pt is septic; required intubation  and mechanical ventilation during her hospital stay; extubated and on BiPAP; condition worsened and she died in the hospital"
	"1843606-1"	"1843606-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt seen in clinic 3 days before hospitalization, was dx'd COVID positive, given monoclonal antibodies the following day; presents to ED with worsening SOB over past week; hypoxic; steroids, antibiotics, remdisivir, baricitinib given; O2 therapy of HFNC with FiO2 of 100%; pt's condition worsened and required BiPAP, O2 sats in 80s; became hypotensive, vasopressors given; intubation; DNR; pt's condition declined and he died in the hosp"
	"1843606-1"	"1843606-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt seen in clinic 3 days before hospitalization, was dx'd COVID positive, given monoclonal antibodies the following day; presents to ED with worsening SOB over past week; hypoxic; steroids, antibiotics, remdisivir, baricitinib given; O2 therapy of HFNC with FiO2 of 100%; pt's condition worsened and required BiPAP, O2 sats in 80s; became hypotensive, vasopressors given; intubation; DNR; pt's condition declined and he died in the hosp"
	"1843606-1"	"1843606-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt seen in clinic 3 days before hospitalization, was dx'd COVID positive, given monoclonal antibodies the following day; presents to ED with worsening SOB over past week; hypoxic; steroids, antibiotics, remdisivir, baricitinib given; O2 therapy of HFNC with FiO2 of 100%; pt's condition worsened and required BiPAP, O2 sats in 80s; became hypotensive, vasopressors given; intubation; DNR; pt's condition declined and he died in the hosp"
	"1843606-1"	"1843606-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt seen in clinic 3 days before hospitalization, was dx'd COVID positive, given monoclonal antibodies the following day; presents to ED with worsening SOB over past week; hypoxic; steroids, antibiotics, remdisivir, baricitinib given; O2 therapy of HFNC with FiO2 of 100%; pt's condition worsened and required BiPAP, O2 sats in 80s; became hypotensive, vasopressors given; intubation; DNR; pt's condition declined and he died in the hosp"
	"1843606-1"	"1843606-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt seen in clinic 3 days before hospitalization, was dx'd COVID positive, given monoclonal antibodies the following day; presents to ED with worsening SOB over past week; hypoxic; steroids, antibiotics, remdisivir, baricitinib given; O2 therapy of HFNC with FiO2 of 100%; pt's condition worsened and required BiPAP, O2 sats in 80s; became hypotensive, vasopressors given; intubation; DNR; pt's condition declined and he died in the hosp"
	"1843606-1"	"1843606-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"pt seen in clinic 3 days before hospitalization, was dx'd COVID positive, given monoclonal antibodies the following day; presents to ED with worsening SOB over past week; hypoxic; steroids, antibiotics, remdisivir, baricitinib given; O2 therapy of HFNC with FiO2 of 100%; pt's condition worsened and required BiPAP, O2 sats in 80s; became hypotensive, vasopressors given; intubation; DNR; pt's condition declined and he died in the hosp"
	"1843606-1"	"1843606-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"pt seen in clinic 3 days before hospitalization, was dx'd COVID positive, given monoclonal antibodies the following day; presents to ED with worsening SOB over past week; hypoxic; steroids, antibiotics, remdisivir, baricitinib given; O2 therapy of HFNC with FiO2 of 100%; pt's condition worsened and required BiPAP, O2 sats in 80s; became hypotensive, vasopressors given; intubation; DNR; pt's condition declined and he died in the hosp"
	"1843606-1"	"1843606-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt seen in clinic 3 days before hospitalization, was dx'd COVID positive, given monoclonal antibodies the following day; presents to ED with worsening SOB over past week; hypoxic; steroids, antibiotics, remdisivir, baricitinib given; O2 therapy of HFNC with FiO2 of 100%; pt's condition worsened and required BiPAP, O2 sats in 80s; became hypotensive, vasopressors given; intubation; DNR; pt's condition declined and he died in the hosp"
	"1843606-1"	"1843606-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt seen in clinic 3 days before hospitalization, was dx'd COVID positive, given monoclonal antibodies the following day; presents to ED with worsening SOB over past week; hypoxic; steroids, antibiotics, remdisivir, baricitinib given; O2 therapy of HFNC with FiO2 of 100%; pt's condition worsened and required BiPAP, O2 sats in 80s; became hypotensive, vasopressors given; intubation; DNR; pt's condition declined and he died in the hosp"
	"1846194-1"	"1846194-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/24/21; received monoclonal antibody infusion 8/31/21; presented to ED(9/1/21) via EMS for increasing SOB, cough, weakness; O2 sats 75% on RA; Hx of CKD, DM; suffered AKI requiring hemodialysis during his stay; pt's condition worsened; he was made comfort care; died in the hospital"
	"1846194-1"	"1846194-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/24/21; received monoclonal antibody infusion 8/31/21; presented to ED(9/1/21) via EMS for increasing SOB, cough, weakness; O2 sats 75% on RA; Hx of CKD, DM; suffered AKI requiring hemodialysis during his stay; pt's condition worsened; he was made comfort care; died in the hospital"
	"1846194-1"	"1846194-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/24/21; received monoclonal antibody infusion 8/31/21; presented to ED(9/1/21) via EMS for increasing SOB, cough, weakness; O2 sats 75% on RA; Hx of CKD, DM; suffered AKI requiring hemodialysis during his stay; pt's condition worsened; he was made comfort care; died in the hospital"
	"1846194-1"	"1846194-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/24/21; received monoclonal antibody infusion 8/31/21; presented to ED(9/1/21) via EMS for increasing SOB, cough, weakness; O2 sats 75% on RA; Hx of CKD, DM; suffered AKI requiring hemodialysis during his stay; pt's condition worsened; he was made comfort care; died in the hospital"
	"1846194-1"	"1846194-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/24/21; received monoclonal antibody infusion 8/31/21; presented to ED(9/1/21) via EMS for increasing SOB, cough, weakness; O2 sats 75% on RA; Hx of CKD, DM; suffered AKI requiring hemodialysis during his stay; pt's condition worsened; he was made comfort care; died in the hospital"
	"1846194-1"	"1846194-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/24/21; received monoclonal antibody infusion 8/31/21; presented to ED(9/1/21) via EMS for increasing SOB, cough, weakness; O2 sats 75% on RA; Hx of CKD, DM; suffered AKI requiring hemodialysis during his stay; pt's condition worsened; he was made comfort care; died in the hospital"
	"1846194-1"	"1846194-1"	"HAEMODIALYSIS"	"10018875"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/24/21; received monoclonal antibody infusion 8/31/21; presented to ED(9/1/21) via EMS for increasing SOB, cough, weakness; O2 sats 75% on RA; Hx of CKD, DM; suffered AKI requiring hemodialysis during his stay; pt's condition worsened; he was made comfort care; died in the hospital"
	"1846194-1"	"1846194-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID on 8/24/21; received monoclonal antibody infusion 8/31/21; presented to ED(9/1/21) via EMS for increasing SOB, cough, weakness; O2 sats 75% on RA; Hx of CKD, DM; suffered AKI requiring hemodialysis during his stay; pt's condition worsened; he was made comfort care; died in the hospital"
	"1846211-1"	"1846211-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/31/21; presents to ED on 9/8/21 with c/o SOB, productive cough, weakness and leg swelling; Hx of CKD III-IV, CAD, lupus, HTN, Gout; states has not taken any polyclonal antibodies; started on dexamethasone and remdisivir; on O2 4-6L and High Flow; DNR/DNI; placed on BiPAP for short period of time but unable to tolerate; pt's condition declined and she was placed on comfort care; she died in the hospital"
	"1846211-1"	"1846211-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/31/21; presents to ED on 9/8/21 with c/o SOB, productive cough, weakness and leg swelling; Hx of CKD III-IV, CAD, lupus, HTN, Gout; states has not taken any polyclonal antibodies; started on dexamethasone and remdisivir; on O2 4-6L and High Flow; DNR/DNI; placed on BiPAP for short period of time but unable to tolerate; pt's condition declined and she was placed on comfort care; she died in the hospital"
	"1846211-1"	"1846211-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/31/21; presents to ED on 9/8/21 with c/o SOB, productive cough, weakness and leg swelling; Hx of CKD III-IV, CAD, lupus, HTN, Gout; states has not taken any polyclonal antibodies; started on dexamethasone and remdisivir; on O2 4-6L and High Flow; DNR/DNI; placed on BiPAP for short period of time but unable to tolerate; pt's condition declined and she was placed on comfort care; she died in the hospital"
	"1846211-1"	"1846211-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/31/21; presents to ED on 9/8/21 with c/o SOB, productive cough, weakness and leg swelling; Hx of CKD III-IV, CAD, lupus, HTN, Gout; states has not taken any polyclonal antibodies; started on dexamethasone and remdisivir; on O2 4-6L and High Flow; DNR/DNI; placed on BiPAP for short period of time but unable to tolerate; pt's condition declined and she was placed on comfort care; she died in the hospital"
	"1846211-1"	"1846211-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/31/21; presents to ED on 9/8/21 with c/o SOB, productive cough, weakness and leg swelling; Hx of CKD III-IV, CAD, lupus, HTN, Gout; states has not taken any polyclonal antibodies; started on dexamethasone and remdisivir; on O2 4-6L and High Flow; DNR/DNI; placed on BiPAP for short period of time but unable to tolerate; pt's condition declined and she was placed on comfort care; she died in the hospital"
	"1846211-1"	"1846211-1"	"PERIPHERAL SWELLING"	"10048959"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/31/21; presents to ED on 9/8/21 with c/o SOB, productive cough, weakness and leg swelling; Hx of CKD III-IV, CAD, lupus, HTN, Gout; states has not taken any polyclonal antibodies; started on dexamethasone and remdisivir; on O2 4-6L and High Flow; DNR/DNI; placed on BiPAP for short period of time but unable to tolerate; pt's condition declined and she was placed on comfort care; she died in the hospital"
	"1846211-1"	"1846211-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/31/21; presents to ED on 9/8/21 with c/o SOB, productive cough, weakness and leg swelling; Hx of CKD III-IV, CAD, lupus, HTN, Gout; states has not taken any polyclonal antibodies; started on dexamethasone and remdisivir; on O2 4-6L and High Flow; DNR/DNI; placed on BiPAP for short period of time but unable to tolerate; pt's condition declined and she was placed on comfort care; she died in the hospital"
	"1846211-1"	"1846211-1"	"PRODUCTIVE COUGH"	"10036790"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/31/21; presents to ED on 9/8/21 with c/o SOB, productive cough, weakness and leg swelling; Hx of CKD III-IV, CAD, lupus, HTN, Gout; states has not taken any polyclonal antibodies; started on dexamethasone and remdisivir; on O2 4-6L and High Flow; DNR/DNI; placed on BiPAP for short period of time but unable to tolerate; pt's condition declined and she was placed on comfort care; she died in the hospital"
	"1846211-1"	"1846211-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 8/31/21; presents to ED on 9/8/21 with c/o SOB, productive cough, weakness and leg swelling; Hx of CKD III-IV, CAD, lupus, HTN, Gout; states has not taken any polyclonal antibodies; started on dexamethasone and remdisivir; on O2 4-6L and High Flow; DNR/DNI; placed on BiPAP for short period of time but unable to tolerate; pt's condition declined and she was placed on comfort care; she died in the hospital"
	"1846309-1"	"1846309-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt died @ home; medical records from doctor who signed death certificate do not mention being positive for COVID, but there is a positive COVID test reported from Lab, test was submitted on 9/11/21; pt died on 9/18/21; COVID -19 is also listed on the death certificate; no other information found on this patient"
	"1846309-1"	"1846309-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt died @ home; medical records from doctor who signed death certificate do not mention being positive for COVID, but there is a positive COVID test reported from Lab, test was submitted on 9/11/21; pt died on 9/18/21; COVID -19 is also listed on the death certificate; no other information found on this patient"
	"1846309-1"	"1846309-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt died @ home; medical records from doctor who signed death certificate do not mention being positive for COVID, but there is a positive COVID test reported from Lab, test was submitted on 9/11/21; pt died on 9/18/21; COVID -19 is also listed on the death certificate; no other information found on this patient"
	"1846368-1"	"1846368-1"	"ANTICOAGULANT THERAPY"	"10053468"	"65-79 years"	"65-79"	"pt presented to ED with weakness and non-productive cough; dx with hyponatremia and positive for COVID; admitted to hosp; hx of adenocarcinoma of left lung with metastasis to bone and brain; DNR/DNI; placed on BiPAP; given ATB, remdisivir, dexamethasone, and therapeutic anti-coagulation med; pt's condition worsened; became extremely hypotensive and hypoxic; she passed away in the hosp"
	"1846368-1"	"1846368-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"pt presented to ED with weakness and non-productive cough; dx with hyponatremia and positive for COVID; admitted to hosp; hx of adenocarcinoma of left lung with metastasis to bone and brain; DNR/DNI; placed on BiPAP; given ATB, remdisivir, dexamethasone, and therapeutic anti-coagulation med; pt's condition worsened; became extremely hypotensive and hypoxic; she passed away in the hosp"
	"1846368-1"	"1846368-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt presented to ED with weakness and non-productive cough; dx with hyponatremia and positive for COVID; admitted to hosp; hx of adenocarcinoma of left lung with metastasis to bone and brain; DNR/DNI; placed on BiPAP; given ATB, remdisivir, dexamethasone, and therapeutic anti-coagulation med; pt's condition worsened; became extremely hypotensive and hypoxic; she passed away in the hosp"
	"1846368-1"	"1846368-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt presented to ED with weakness and non-productive cough; dx with hyponatremia and positive for COVID; admitted to hosp; hx of adenocarcinoma of left lung with metastasis to bone and brain; DNR/DNI; placed on BiPAP; given ATB, remdisivir, dexamethasone, and therapeutic anti-coagulation med; pt's condition worsened; became extremely hypotensive and hypoxic; she passed away in the hosp"
	"1846368-1"	"1846368-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt presented to ED with weakness and non-productive cough; dx with hyponatremia and positive for COVID; admitted to hosp; hx of adenocarcinoma of left lung with metastasis to bone and brain; DNR/DNI; placed on BiPAP; given ATB, remdisivir, dexamethasone, and therapeutic anti-coagulation med; pt's condition worsened; became extremely hypotensive and hypoxic; she passed away in the hosp"
	"1846368-1"	"1846368-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt presented to ED with weakness and non-productive cough; dx with hyponatremia and positive for COVID; admitted to hosp; hx of adenocarcinoma of left lung with metastasis to bone and brain; DNR/DNI; placed on BiPAP; given ATB, remdisivir, dexamethasone, and therapeutic anti-coagulation med; pt's condition worsened; became extremely hypotensive and hypoxic; she passed away in the hosp"
	"1846368-1"	"1846368-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"pt presented to ED with weakness and non-productive cough; dx with hyponatremia and positive for COVID; admitted to hosp; hx of adenocarcinoma of left lung with metastasis to bone and brain; DNR/DNI; placed on BiPAP; given ATB, remdisivir, dexamethasone, and therapeutic anti-coagulation med; pt's condition worsened; became extremely hypotensive and hypoxic; she passed away in the hosp"
	"1846368-1"	"1846368-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"pt presented to ED with weakness and non-productive cough; dx with hyponatremia and positive for COVID; admitted to hosp; hx of adenocarcinoma of left lung with metastasis to bone and brain; DNR/DNI; placed on BiPAP; given ATB, remdisivir, dexamethasone, and therapeutic anti-coagulation med; pt's condition worsened; became extremely hypotensive and hypoxic; she passed away in the hosp"
	"1846368-1"	"1846368-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"pt presented to ED with weakness and non-productive cough; dx with hyponatremia and positive for COVID; admitted to hosp; hx of adenocarcinoma of left lung with metastasis to bone and brain; DNR/DNI; placed on BiPAP; given ATB, remdisivir, dexamethasone, and therapeutic anti-coagulation med; pt's condition worsened; became extremely hypotensive and hypoxic; she passed away in the hosp"
	"1846368-1"	"1846368-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt presented to ED with weakness and non-productive cough; dx with hyponatremia and positive for COVID; admitted to hosp; hx of adenocarcinoma of left lung with metastasis to bone and brain; DNR/DNI; placed on BiPAP; given ATB, remdisivir, dexamethasone, and therapeutic anti-coagulation med; pt's condition worsened; became extremely hypotensive and hypoxic; she passed away in the hosp"
	"1846368-1"	"1846368-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt presented to ED with weakness and non-productive cough; dx with hyponatremia and positive for COVID; admitted to hosp; hx of adenocarcinoma of left lung with metastasis to bone and brain; DNR/DNI; placed on BiPAP; given ATB, remdisivir, dexamethasone, and therapeutic anti-coagulation med; pt's condition worsened; became extremely hypotensive and hypoxic; she passed away in the hosp"
	"1846776-1"	"1846776-1"	"APHASIA"	"10002948"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1846776-1"	"1846776-1"	"BLOOD PRESSURE INCREASED"	"10005750"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1846776-1"	"1846776-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1846776-1"	"1846776-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1846776-1"	"1846776-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1846776-1"	"1846776-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1846776-1"	"1846776-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1846776-1"	"1846776-1"	"LETHARGY"	"10024264"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1846776-1"	"1846776-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1846776-1"	"1846776-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1846776-1"	"1846776-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1846776-1"	"1846776-1"	"TREMOR"	"10044565"	"65-79 years"	"65-79"	"brought to ED via EMS; tested positive for COVID; lethargic; responds to painful and repeated verbal stimuli but doesn't answer questions; placed on BiPAP and COVID protocol started; COVID pneumonia; observed with worsening tremors/rigors; in respiratory distress despite BiPAP, BP elevated; DNR/DNI; condition declined; BiPAP removed and pt died in the hospital"
	"1851121-1"	"1851121-1"	"BRADYCARDIA"	"10006093"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"HAEMATEMESIS"	"10018830"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"HAEMATOCHEZIA"	"10018836"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1851121-1"	"1851121-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"pt in ED with a positive COVID test; dx'd with respiratory failure; pt c/o N/V, SOB, cough; experienced 3 episodes of hematochezia; transferred to ICU; pt became unresponsive and vomited up blood; was intubated; bradycardia and no pulse; CPR started; pt never regained pulse or respirations"
	"1854316-1"	"1854316-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt to ED with worsening SOB, hypoxic, placed on HF O2 with intermittent BiPAP; hx of squamous cell carcinoma of right upper lobe, post chemo radiation, COPD, CKD; pt's condition worsened, he went into respiratory distress requiring intubation and mechanical ventilation; condition continued to deteriorate; was placed on comfort care and extubated; pt died in the hosp"
	"1854316-1"	"1854316-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt to ED with worsening SOB, hypoxic, placed on HF O2 with intermittent BiPAP; hx of squamous cell carcinoma of right upper lobe, post chemo radiation, COPD, CKD; pt's condition worsened, he went into respiratory distress requiring intubation and mechanical ventilation; condition continued to deteriorate; was placed on comfort care and extubated; pt died in the hosp"
	"1854316-1"	"1854316-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt to ED with worsening SOB, hypoxic, placed on HF O2 with intermittent BiPAP; hx of squamous cell carcinoma of right upper lobe, post chemo radiation, COPD, CKD; pt's condition worsened, he went into respiratory distress requiring intubation and mechanical ventilation; condition continued to deteriorate; was placed on comfort care and extubated; pt died in the hosp"
	"1854316-1"	"1854316-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt to ED with worsening SOB, hypoxic, placed on HF O2 with intermittent BiPAP; hx of squamous cell carcinoma of right upper lobe, post chemo radiation, COPD, CKD; pt's condition worsened, he went into respiratory distress requiring intubation and mechanical ventilation; condition continued to deteriorate; was placed on comfort care and extubated; pt died in the hosp"
	"1854316-1"	"1854316-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"pt to ED with worsening SOB, hypoxic, placed on HF O2 with intermittent BiPAP; hx of squamous cell carcinoma of right upper lobe, post chemo radiation, COPD, CKD; pt's condition worsened, he went into respiratory distress requiring intubation and mechanical ventilation; condition continued to deteriorate; was placed on comfort care and extubated; pt died in the hosp"
	"1854316-1"	"1854316-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"pt to ED with worsening SOB, hypoxic, placed on HF O2 with intermittent BiPAP; hx of squamous cell carcinoma of right upper lobe, post chemo radiation, COPD, CKD; pt's condition worsened, he went into respiratory distress requiring intubation and mechanical ventilation; condition continued to deteriorate; was placed on comfort care and extubated; pt died in the hosp"
	"1854316-1"	"1854316-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt to ED with worsening SOB, hypoxic, placed on HF O2 with intermittent BiPAP; hx of squamous cell carcinoma of right upper lobe, post chemo radiation, COPD, CKD; pt's condition worsened, he went into respiratory distress requiring intubation and mechanical ventilation; condition continued to deteriorate; was placed on comfort care and extubated; pt died in the hosp"
	"1854316-1"	"1854316-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"pt to ED with worsening SOB, hypoxic, placed on HF O2 with intermittent BiPAP; hx of squamous cell carcinoma of right upper lobe, post chemo radiation, COPD, CKD; pt's condition worsened, he went into respiratory distress requiring intubation and mechanical ventilation; condition continued to deteriorate; was placed on comfort care and extubated; pt died in the hosp"
	"1854367-1"	"1854367-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"pt transferred from hospital for evaluation of elevated troponin; pt found to have a positive COVID test and UTI; while pt was being assessed he went into cardio respiratory arrest; ACLS protocol was performed and a pulse was regained; spoke with pt's wife and she requested no future CPR; pt arrested again and died in the hospital"
	"1854367-1"	"1854367-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"pt transferred from hospital for evaluation of elevated troponin; pt found to have a positive COVID test and UTI; while pt was being assessed he went into cardio respiratory arrest; ACLS protocol was performed and a pulse was regained; spoke with pt's wife and she requested no future CPR; pt arrested again and died in the hospital"
	"1854367-1"	"1854367-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt transferred from hospital for evaluation of elevated troponin; pt found to have a positive COVID test and UTI; while pt was being assessed he went into cardio respiratory arrest; ACLS protocol was performed and a pulse was regained; spoke with pt's wife and she requested no future CPR; pt arrested again and died in the hospital"
	"1854367-1"	"1854367-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt transferred from hospital for evaluation of elevated troponin; pt found to have a positive COVID test and UTI; while pt was being assessed he went into cardio respiratory arrest; ACLS protocol was performed and a pulse was regained; spoke with pt's wife and she requested no future CPR; pt arrested again and died in the hospital"
	"1854367-1"	"1854367-1"	"LIFE SUPPORT"	"10024447"	"65-79 years"	"65-79"	"pt transferred from hospital for evaluation of elevated troponin; pt found to have a positive COVID test and UTI; while pt was being assessed he went into cardio respiratory arrest; ACLS protocol was performed and a pulse was regained; spoke with pt's wife and she requested no future CPR; pt arrested again and died in the hospital"
	"1854367-1"	"1854367-1"	"PULSE ABNORMAL"	"10037466"	"65-79 years"	"65-79"	"pt transferred from hospital for evaluation of elevated troponin; pt found to have a positive COVID test and UTI; while pt was being assessed he went into cardio respiratory arrest; ACLS protocol was performed and a pulse was regained; spoke with pt's wife and she requested no future CPR; pt arrested again and died in the hospital"
	"1854367-1"	"1854367-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt transferred from hospital for evaluation of elevated troponin; pt found to have a positive COVID test and UTI; while pt was being assessed he went into cardio respiratory arrest; ACLS protocol was performed and a pulse was regained; spoke with pt's wife and she requested no future CPR; pt arrested again and died in the hospital"
	"1854367-1"	"1854367-1"	"TROPONIN INCREASED"	"10058267"	"65-79 years"	"65-79"	"pt transferred from hospital for evaluation of elevated troponin; pt found to have a positive COVID test and UTI; while pt was being assessed he went into cardio respiratory arrest; ACLS protocol was performed and a pulse was regained; spoke with pt's wife and she requested no future CPR; pt arrested again and died in the hospital"
	"1854367-1"	"1854367-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"pt transferred from hospital for evaluation of elevated troponin; pt found to have a positive COVID test and UTI; while pt was being assessed he went into cardio respiratory arrest; ACLS protocol was performed and a pulse was regained; spoke with pt's wife and she requested no future CPR; pt arrested again and died in the hospital"
	"1854402-1"	"1854402-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt transferred to Hospital from PCP; pt was to receive IV infusion of Regeneron (for positive COVID test) but was dyspneic and O2 sats in the 70s on RA; was transferred from Hospital to another Hospital and found to have COVID pneumonia; placed on NRB mask and eventually BiPAP; given steroids and inhalers; no remdisivir due to renal function; pt's condition deteriorated in spite of treatments; was placed on comfort care measures when pt experienced hypotension and she passed away in the hospital"
	"1854402-1"	"1854402-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt transferred to Hospital from PCP; pt was to receive IV infusion of Regeneron (for positive COVID test) but was dyspneic and O2 sats in the 70s on RA; was transferred from Hospital to another Hospital and found to have COVID pneumonia; placed on NRB mask and eventually BiPAP; given steroids and inhalers; no remdisivir due to renal function; pt's condition deteriorated in spite of treatments; was placed on comfort care measures when pt experienced hypotension and she passed away in the hospital"
	"1854402-1"	"1854402-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt transferred to Hospital from PCP; pt was to receive IV infusion of Regeneron (for positive COVID test) but was dyspneic and O2 sats in the 70s on RA; was transferred from Hospital to another Hospital and found to have COVID pneumonia; placed on NRB mask and eventually BiPAP; given steroids and inhalers; no remdisivir due to renal function; pt's condition deteriorated in spite of treatments; was placed on comfort care measures when pt experienced hypotension and she passed away in the hospital"
	"1854402-1"	"1854402-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt transferred to Hospital from PCP; pt was to receive IV infusion of Regeneron (for positive COVID test) but was dyspneic and O2 sats in the 70s on RA; was transferred from Hospital to another Hospital and found to have COVID pneumonia; placed on NRB mask and eventually BiPAP; given steroids and inhalers; no remdisivir due to renal function; pt's condition deteriorated in spite of treatments; was placed on comfort care measures when pt experienced hypotension and she passed away in the hospital"
	"1854402-1"	"1854402-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt transferred to Hospital from PCP; pt was to receive IV infusion of Regeneron (for positive COVID test) but was dyspneic and O2 sats in the 70s on RA; was transferred from Hospital to another Hospital and found to have COVID pneumonia; placed on NRB mask and eventually BiPAP; given steroids and inhalers; no remdisivir due to renal function; pt's condition deteriorated in spite of treatments; was placed on comfort care measures when pt experienced hypotension and she passed away in the hospital"
	"1854402-1"	"1854402-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"pt transferred to Hospital from PCP; pt was to receive IV infusion of Regeneron (for positive COVID test) but was dyspneic and O2 sats in the 70s on RA; was transferred from Hospital to another Hospital and found to have COVID pneumonia; placed on NRB mask and eventually BiPAP; given steroids and inhalers; no remdisivir due to renal function; pt's condition deteriorated in spite of treatments; was placed on comfort care measures when pt experienced hypotension and she passed away in the hospital"
	"1854402-1"	"1854402-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt transferred to Hospital from PCP; pt was to receive IV infusion of Regeneron (for positive COVID test) but was dyspneic and O2 sats in the 70s on RA; was transferred from Hospital to another Hospital and found to have COVID pneumonia; placed on NRB mask and eventually BiPAP; given steroids and inhalers; no remdisivir due to renal function; pt's condition deteriorated in spite of treatments; was placed on comfort care measures when pt experienced hypotension and she passed away in the hospital"
	"1854402-1"	"1854402-1"	"RENAL IMPAIRMENT"	"10062237"	"65-79 years"	"65-79"	"pt transferred to Hospital from PCP; pt was to receive IV infusion of Regeneron (for positive COVID test) but was dyspneic and O2 sats in the 70s on RA; was transferred from Hospital to another Hospital and found to have COVID pneumonia; placed on NRB mask and eventually BiPAP; given steroids and inhalers; no remdisivir due to renal function; pt's condition deteriorated in spite of treatments; was placed on comfort care measures when pt experienced hypotension and she passed away in the hospital"
	"1854402-1"	"1854402-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt transferred to Hospital from PCP; pt was to receive IV infusion of Regeneron (for positive COVID test) but was dyspneic and O2 sats in the 70s on RA; was transferred from Hospital to another Hospital and found to have COVID pneumonia; placed on NRB mask and eventually BiPAP; given steroids and inhalers; no remdisivir due to renal function; pt's condition deteriorated in spite of treatments; was placed on comfort care measures when pt experienced hypotension and she passed away in the hospital"
	"1854443-1"	"1854443-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"pt with positive COVID test x 1 wk; presents to ED with increase in SOB, cough, fever, malaise; treated with corticosteroids, antiviral, bronchodilators; hx of non-Hodgkins lymphoma, treated with immune therapy; O2 supplementation of BiPAP and Vapotherm NRB; suffered left MCA CVA while in hospital; DNI and no PEG tube placement; comfort measures; pt died in the hospital with daughter at her side"
	"1854443-1"	"1854443-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt with positive COVID test x 1 wk; presents to ED with increase in SOB, cough, fever, malaise; treated with corticosteroids, antiviral, bronchodilators; hx of non-Hodgkins lymphoma, treated with immune therapy; O2 supplementation of BiPAP and Vapotherm NRB; suffered left MCA CVA while in hospital; DNI and no PEG tube placement; comfort measures; pt died in the hospital with daughter at her side"
	"1854443-1"	"1854443-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt with positive COVID test x 1 wk; presents to ED with increase in SOB, cough, fever, malaise; treated with corticosteroids, antiviral, bronchodilators; hx of non-Hodgkins lymphoma, treated with immune therapy; O2 supplementation of BiPAP and Vapotherm NRB; suffered left MCA CVA while in hospital; DNI and no PEG tube placement; comfort measures; pt died in the hospital with daughter at her side"
	"1854443-1"	"1854443-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt with positive COVID test x 1 wk; presents to ED with increase in SOB, cough, fever, malaise; treated with corticosteroids, antiviral, bronchodilators; hx of non-Hodgkins lymphoma, treated with immune therapy; O2 supplementation of BiPAP and Vapotherm NRB; suffered left MCA CVA while in hospital; DNI and no PEG tube placement; comfort measures; pt died in the hospital with daughter at her side"
	"1854443-1"	"1854443-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt with positive COVID test x 1 wk; presents to ED with increase in SOB, cough, fever, malaise; treated with corticosteroids, antiviral, bronchodilators; hx of non-Hodgkins lymphoma, treated with immune therapy; O2 supplementation of BiPAP and Vapotherm NRB; suffered left MCA CVA while in hospital; DNI and no PEG tube placement; comfort measures; pt died in the hospital with daughter at her side"
	"1854443-1"	"1854443-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"pt with positive COVID test x 1 wk; presents to ED with increase in SOB, cough, fever, malaise; treated with corticosteroids, antiviral, bronchodilators; hx of non-Hodgkins lymphoma, treated with immune therapy; O2 supplementation of BiPAP and Vapotherm NRB; suffered left MCA CVA while in hospital; DNI and no PEG tube placement; comfort measures; pt died in the hospital with daughter at her side"
	"1854443-1"	"1854443-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"pt with positive COVID test x 1 wk; presents to ED with increase in SOB, cough, fever, malaise; treated with corticosteroids, antiviral, bronchodilators; hx of non-Hodgkins lymphoma, treated with immune therapy; O2 supplementation of BiPAP and Vapotherm NRB; suffered left MCA CVA while in hospital; DNI and no PEG tube placement; comfort measures; pt died in the hospital with daughter at her side"
	"1854443-1"	"1854443-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt with positive COVID test x 1 wk; presents to ED with increase in SOB, cough, fever, malaise; treated with corticosteroids, antiviral, bronchodilators; hx of non-Hodgkins lymphoma, treated with immune therapy; O2 supplementation of BiPAP and Vapotherm NRB; suffered left MCA CVA while in hospital; DNI and no PEG tube placement; comfort measures; pt died in the hospital with daughter at her side"
	"1857978-1"	"1857978-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"10/1/21 for COVID pneumonia after presenting with hypotension in the setting of increased ostomy output. increasing oxygen requirements and eventually required initiation of HFNC."
	"1857978-1"	"1857978-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"10/1/21 for COVID pneumonia after presenting with hypotension in the setting of increased ostomy output. increasing oxygen requirements and eventually required initiation of HFNC."
	"1864918-1"	"1864918-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt with end stage renal disease, on hemodialysis; presents to ED with SOB; positive for COVID, COVID pneumonia; during the pt's stay, required ventilation support; condition worsened; multi-organ failure; expired in the hospital"
	"1864918-1"	"1864918-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt with end stage renal disease, on hemodialysis; presents to ED with SOB; positive for COVID, COVID pneumonia; during the pt's stay, required ventilation support; condition worsened; multi-organ failure; expired in the hospital"
	"1864918-1"	"1864918-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt with end stage renal disease, on hemodialysis; presents to ED with SOB; positive for COVID, COVID pneumonia; during the pt's stay, required ventilation support; condition worsened; multi-organ failure; expired in the hospital"
	"1864918-1"	"1864918-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt with end stage renal disease, on hemodialysis; presents to ED with SOB; positive for COVID, COVID pneumonia; during the pt's stay, required ventilation support; condition worsened; multi-organ failure; expired in the hospital"
	"1864918-1"	"1864918-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"pt with end stage renal disease, on hemodialysis; presents to ED with SOB; positive for COVID, COVID pneumonia; during the pt's stay, required ventilation support; condition worsened; multi-organ failure; expired in the hospital"
	"1864918-1"	"1864918-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"65-79 years"	"65-79"	"pt with end stage renal disease, on hemodialysis; presents to ED with SOB; positive for COVID, COVID pneumonia; during the pt's stay, required ventilation support; condition worsened; multi-organ failure; expired in the hospital"
	"1864918-1"	"1864918-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt with end stage renal disease, on hemodialysis; presents to ED with SOB; positive for COVID, COVID pneumonia; during the pt's stay, required ventilation support; condition worsened; multi-organ failure; expired in the hospital"
	"1865372-1"	"1865372-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"PMH:  CAD (CABG), DM, stage III CKD; in ED tests positive for COVID; dx'd with AHRF and AKI; no remdisivir given due to AKI; treated with IV steroids; intubated requiring up to 70 L O2 supplementation; agitation worsened; developed shock; given vasopressors, antibiotics; worsening O2 needs and increase of pressors; transitioned to comfort care and pt died in the hospital"
	"1865372-1"	"1865372-1"	"AGITATION"	"10001497"	"65-79 years"	"65-79"	"PMH:  CAD (CABG), DM, stage III CKD; in ED tests positive for COVID; dx'd with AHRF and AKI; no remdisivir given due to AKI; treated with IV steroids; intubated requiring up to 70 L O2 supplementation; agitation worsened; developed shock; given vasopressors, antibiotics; worsening O2 needs and increase of pressors; transitioned to comfort care and pt died in the hospital"
	"1865372-1"	"1865372-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"PMH:  CAD (CABG), DM, stage III CKD; in ED tests positive for COVID; dx'd with AHRF and AKI; no remdisivir given due to AKI; treated with IV steroids; intubated requiring up to 70 L O2 supplementation; agitation worsened; developed shock; given vasopressors, antibiotics; worsening O2 needs and increase of pressors; transitioned to comfort care and pt died in the hospital"
	"1865372-1"	"1865372-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PMH:  CAD (CABG), DM, stage III CKD; in ED tests positive for COVID; dx'd with AHRF and AKI; no remdisivir given due to AKI; treated with IV steroids; intubated requiring up to 70 L O2 supplementation; agitation worsened; developed shock; given vasopressors, antibiotics; worsening O2 needs and increase of pressors; transitioned to comfort care and pt died in the hospital"
	"1865372-1"	"1865372-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"PMH:  CAD (CABG), DM, stage III CKD; in ED tests positive for COVID; dx'd with AHRF and AKI; no remdisivir given due to AKI; treated with IV steroids; intubated requiring up to 70 L O2 supplementation; agitation worsened; developed shock; given vasopressors, antibiotics; worsening O2 needs and increase of pressors; transitioned to comfort care and pt died in the hospital"
	"1865372-1"	"1865372-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"PMH:  CAD (CABG), DM, stage III CKD; in ED tests positive for COVID; dx'd with AHRF and AKI; no remdisivir given due to AKI; treated with IV steroids; intubated requiring up to 70 L O2 supplementation; agitation worsened; developed shock; given vasopressors, antibiotics; worsening O2 needs and increase of pressors; transitioned to comfort care and pt died in the hospital"
	"1865372-1"	"1865372-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"PMH:  CAD (CABG), DM, stage III CKD; in ED tests positive for COVID; dx'd with AHRF and AKI; no remdisivir given due to AKI; treated with IV steroids; intubated requiring up to 70 L O2 supplementation; agitation worsened; developed shock; given vasopressors, antibiotics; worsening O2 needs and increase of pressors; transitioned to comfort care and pt died in the hospital"
	"1865372-1"	"1865372-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"PMH:  CAD (CABG), DM, stage III CKD; in ED tests positive for COVID; dx'd with AHRF and AKI; no remdisivir given due to AKI; treated with IV steroids; intubated requiring up to 70 L O2 supplementation; agitation worsened; developed shock; given vasopressors, antibiotics; worsening O2 needs and increase of pressors; transitioned to comfort care and pt died in the hospital"
	"1865372-1"	"1865372-1"	"SHOCK"	"10040560"	"65-79 years"	"65-79"	"PMH:  CAD (CABG), DM, stage III CKD; in ED tests positive for COVID; dx'd with AHRF and AKI; no remdisivir given due to AKI; treated with IV steroids; intubated requiring up to 70 L O2 supplementation; agitation worsened; developed shock; given vasopressors, antibiotics; worsening O2 needs and increase of pressors; transitioned to comfort care and pt died in the hospital"
	"1869414-1"	"1869414-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"dx'd with COVID 8/29/21, admitted to hospital, dc'd to home on 8/31/21; sent per Home Health nurse to ED on 9/13/21 for chest pain, dyspnea, increased weakness past 2-3 dys; pt found to be hypoxic; placed on O2 OptiFlow 50/70; given diuretics, antibiotics, steroids; DNI/DNR; condition worsened and pt placed on OptiFlow 100%; inpatient hospice; comfort care measures; pt died in the hosp after condition continued to deteriorate"
	"1869414-1"	"1869414-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"dx'd with COVID 8/29/21, admitted to hospital, dc'd to home on 8/31/21; sent per Home Health nurse to ED on 9/13/21 for chest pain, dyspnea, increased weakness past 2-3 dys; pt found to be hypoxic; placed on O2 OptiFlow 50/70; given diuretics, antibiotics, steroids; DNI/DNR; condition worsened and pt placed on OptiFlow 100%; inpatient hospice; comfort care measures; pt died in the hosp after condition continued to deteriorate"
	"1869414-1"	"1869414-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"dx'd with COVID 8/29/21, admitted to hospital, dc'd to home on 8/31/21; sent per Home Health nurse to ED on 9/13/21 for chest pain, dyspnea, increased weakness past 2-3 dys; pt found to be hypoxic; placed on O2 OptiFlow 50/70; given diuretics, antibiotics, steroids; DNI/DNR; condition worsened and pt placed on OptiFlow 100%; inpatient hospice; comfort care measures; pt died in the hosp after condition continued to deteriorate"
	"1869414-1"	"1869414-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"dx'd with COVID 8/29/21, admitted to hospital, dc'd to home on 8/31/21; sent per Home Health nurse to ED on 9/13/21 for chest pain, dyspnea, increased weakness past 2-3 dys; pt found to be hypoxic; placed on O2 OptiFlow 50/70; given diuretics, antibiotics, steroids; DNI/DNR; condition worsened and pt placed on OptiFlow 100%; inpatient hospice; comfort care measures; pt died in the hosp after condition continued to deteriorate"
	"1869414-1"	"1869414-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"dx'd with COVID 8/29/21, admitted to hospital, dc'd to home on 8/31/21; sent per Home Health nurse to ED on 9/13/21 for chest pain, dyspnea, increased weakness past 2-3 dys; pt found to be hypoxic; placed on O2 OptiFlow 50/70; given diuretics, antibiotics, steroids; DNI/DNR; condition worsened and pt placed on OptiFlow 100%; inpatient hospice; comfort care measures; pt died in the hosp after condition continued to deteriorate"
	"1869414-1"	"1869414-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"dx'd with COVID 8/29/21, admitted to hospital, dc'd to home on 8/31/21; sent per Home Health nurse to ED on 9/13/21 for chest pain, dyspnea, increased weakness past 2-3 dys; pt found to be hypoxic; placed on O2 OptiFlow 50/70; given diuretics, antibiotics, steroids; DNI/DNR; condition worsened and pt placed on OptiFlow 100%; inpatient hospice; comfort care measures; pt died in the hosp after condition continued to deteriorate"
	"1869414-1"	"1869414-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"dx'd with COVID 8/29/21, admitted to hospital, dc'd to home on 8/31/21; sent per Home Health nurse to ED on 9/13/21 for chest pain, dyspnea, increased weakness past 2-3 dys; pt found to be hypoxic; placed on O2 OptiFlow 50/70; given diuretics, antibiotics, steroids; DNI/DNR; condition worsened and pt placed on OptiFlow 100%; inpatient hospice; comfort care measures; pt died in the hosp after condition continued to deteriorate"
	"1869650-1"	"1869650-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"pt admitted with AHRF secondary to COVID pneumonia, pt was already intubated; PMH:  CHF, CKD, COPD , CAD; refused remdesivir due to kidney disease; pt's condition worsened and he passed away in the hospital"
	"1869650-1"	"1869650-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"pt admitted with AHRF secondary to COVID pneumonia, pt was already intubated; PMH:  CHF, CKD, COPD , CAD; refused remdesivir due to kidney disease; pt's condition worsened and he passed away in the hospital"
	"1869650-1"	"1869650-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt admitted with AHRF secondary to COVID pneumonia, pt was already intubated; PMH:  CHF, CKD, COPD , CAD; refused remdesivir due to kidney disease; pt's condition worsened and he passed away in the hospital"
	"1869650-1"	"1869650-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt admitted with AHRF secondary to COVID pneumonia, pt was already intubated; PMH:  CHF, CKD, COPD , CAD; refused remdesivir due to kidney disease; pt's condition worsened and he passed away in the hospital"
	"1869710-1"	"1869710-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"pt brought to ED with c/o difficulty breathing and congested cough; states was diagnosed positive for COVID 2- 3 wks prior to coming to ED; positive COVID test in ED; pt experiencing A Fib while in ED; admitted to hospital and placed on BiPAP; PMH:  chronic AFib, DM2, CAD,  diverticulitis; pt unable to progress towards weaning from O2 without desaturation; comfort measures instituted with pt's failing condition; once weaning protocol was initiated, the pt died in the hosp"
	"1869710-1"	"1869710-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"pt brought to ED with c/o difficulty breathing and congested cough; states was diagnosed positive for COVID 2- 3 wks prior to coming to ED; positive COVID test in ED; pt experiencing A Fib while in ED; admitted to hospital and placed on BiPAP; PMH:  chronic AFib, DM2, CAD,  diverticulitis; pt unable to progress towards weaning from O2 without desaturation; comfort measures instituted with pt's failing condition; once weaning protocol was initiated, the pt died in the hosp"
	"1869710-1"	"1869710-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt brought to ED with c/o difficulty breathing and congested cough; states was diagnosed positive for COVID 2- 3 wks prior to coming to ED; positive COVID test in ED; pt experiencing A Fib while in ED; admitted to hospital and placed on BiPAP; PMH:  chronic AFib, DM2, CAD,  diverticulitis; pt unable to progress towards weaning from O2 without desaturation; comfort measures instituted with pt's failing condition; once weaning protocol was initiated, the pt died in the hosp"
	"1869710-1"	"1869710-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt brought to ED with c/o difficulty breathing and congested cough; states was diagnosed positive for COVID 2- 3 wks prior to coming to ED; positive COVID test in ED; pt experiencing A Fib while in ED; admitted to hospital and placed on BiPAP; PMH:  chronic AFib, DM2, CAD,  diverticulitis; pt unable to progress towards weaning from O2 without desaturation; comfort measures instituted with pt's failing condition; once weaning protocol was initiated, the pt died in the hosp"
	"1869710-1"	"1869710-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt brought to ED with c/o difficulty breathing and congested cough; states was diagnosed positive for COVID 2- 3 wks prior to coming to ED; positive COVID test in ED; pt experiencing A Fib while in ED; admitted to hospital and placed on BiPAP; PMH:  chronic AFib, DM2, CAD,  diverticulitis; pt unable to progress towards weaning from O2 without desaturation; comfort measures instituted with pt's failing condition; once weaning protocol was initiated, the pt died in the hosp"
	"1869710-1"	"1869710-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt brought to ED with c/o difficulty breathing and congested cough; states was diagnosed positive for COVID 2- 3 wks prior to coming to ED; positive COVID test in ED; pt experiencing A Fib while in ED; admitted to hospital and placed on BiPAP; PMH:  chronic AFib, DM2, CAD,  diverticulitis; pt unable to progress towards weaning from O2 without desaturation; comfort measures instituted with pt's failing condition; once weaning protocol was initiated, the pt died in the hosp"
	"1869710-1"	"1869710-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"pt brought to ED with c/o difficulty breathing and congested cough; states was diagnosed positive for COVID 2- 3 wks prior to coming to ED; positive COVID test in ED; pt experiencing A Fib while in ED; admitted to hospital and placed on BiPAP; PMH:  chronic AFib, DM2, CAD,  diverticulitis; pt unable to progress towards weaning from O2 without desaturation; comfort measures instituted with pt's failing condition; once weaning protocol was initiated, the pt died in the hosp"
	"1869710-1"	"1869710-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt brought to ED with c/o difficulty breathing and congested cough; states was diagnosed positive for COVID 2- 3 wks prior to coming to ED; positive COVID test in ED; pt experiencing A Fib while in ED; admitted to hospital and placed on BiPAP; PMH:  chronic AFib, DM2, CAD,  diverticulitis; pt unable to progress towards weaning from O2 without desaturation; comfort measures instituted with pt's failing condition; once weaning protocol was initiated, the pt died in the hosp"
	"1869710-1"	"1869710-1"	"RESPIRATORY TRACT CONGESTION"	"10052251"	"65-79 years"	"65-79"	"pt brought to ED with c/o difficulty breathing and congested cough; states was diagnosed positive for COVID 2- 3 wks prior to coming to ED; positive COVID test in ED; pt experiencing A Fib while in ED; admitted to hospital and placed on BiPAP; PMH:  chronic AFib, DM2, CAD,  diverticulitis; pt unable to progress towards weaning from O2 without desaturation; comfort measures instituted with pt's failing condition; once weaning protocol was initiated, the pt died in the hosp"
	"1869710-1"	"1869710-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt brought to ED with c/o difficulty breathing and congested cough; states was diagnosed positive for COVID 2- 3 wks prior to coming to ED; positive COVID test in ED; pt experiencing A Fib while in ED; admitted to hospital and placed on BiPAP; PMH:  chronic AFib, DM2, CAD,  diverticulitis; pt unable to progress towards weaning from O2 without desaturation; comfort measures instituted with pt's failing condition; once weaning protocol was initiated, the pt died in the hosp"
	"1873056-1"	"1873056-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 1 day before presents to ED per PCP request; c/o fever, chills, cough x 4-5 days; hyperglycemic; HX CAD, Kidney transplant 2013, HTN, DM; O2 requirements worsened requiring mechanical ventilation and proning; multiorgan failure; placed on DNR; condition worsened and pt died in the hospital"
	"1873056-1"	"1873056-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 1 day before presents to ED per PCP request; c/o fever, chills, cough x 4-5 days; hyperglycemic; HX CAD, Kidney transplant 2013, HTN, DM; O2 requirements worsened requiring mechanical ventilation and proning; multiorgan failure; placed on DNR; condition worsened and pt died in the hospital"
	"1873056-1"	"1873056-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 1 day before presents to ED per PCP request; c/o fever, chills, cough x 4-5 days; hyperglycemic; HX CAD, Kidney transplant 2013, HTN, DM; O2 requirements worsened requiring mechanical ventilation and proning; multiorgan failure; placed on DNR; condition worsened and pt died in the hospital"
	"1873056-1"	"1873056-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 1 day before presents to ED per PCP request; c/o fever, chills, cough x 4-5 days; hyperglycemic; HX CAD, Kidney transplant 2013, HTN, DM; O2 requirements worsened requiring mechanical ventilation and proning; multiorgan failure; placed on DNR; condition worsened and pt died in the hospital"
	"1873056-1"	"1873056-1"	"HYPERGLYCAEMIA"	"10020635"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 1 day before presents to ED per PCP request; c/o fever, chills, cough x 4-5 days; hyperglycemic; HX CAD, Kidney transplant 2013, HTN, DM; O2 requirements worsened requiring mechanical ventilation and proning; multiorgan failure; placed on DNR; condition worsened and pt died in the hospital"
	"1873056-1"	"1873056-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 1 day before presents to ED per PCP request; c/o fever, chills, cough x 4-5 days; hyperglycemic; HX CAD, Kidney transplant 2013, HTN, DM; O2 requirements worsened requiring mechanical ventilation and proning; multiorgan failure; placed on DNR; condition worsened and pt died in the hospital"
	"1873056-1"	"1873056-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 1 day before presents to ED per PCP request; c/o fever, chills, cough x 4-5 days; hyperglycemic; HX CAD, Kidney transplant 2013, HTN, DM; O2 requirements worsened requiring mechanical ventilation and proning; multiorgan failure; placed on DNR; condition worsened and pt died in the hospital"
	"1873056-1"	"1873056-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 1 day before presents to ED per PCP request; c/o fever, chills, cough x 4-5 days; hyperglycemic; HX CAD, Kidney transplant 2013, HTN, DM; O2 requirements worsened requiring mechanical ventilation and proning; multiorgan failure; placed on DNR; condition worsened and pt died in the hospital"
	"1873056-1"	"1873056-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt diagnosed positive for COVID 1 day before presents to ED per PCP request; c/o fever, chills, cough x 4-5 days; hyperglycemic; HX CAD, Kidney transplant 2013, HTN, DM; O2 requirements worsened requiring mechanical ventilation and proning; multiorgan failure; placed on DNR; condition worsened and pt died in the hospital"
	"1873186-1"	"1873186-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"pt brought to ED via EMS after going into cardiac arrest @ home; CPR done @ home and en route to hospital; pt intubated; recently recovering from COVID that did require a hospitalization; family made pt a DNR; pt extubated and passed away in the hospital"
	"1873186-1"	"1873186-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt brought to ED via EMS after going into cardiac arrest @ home; CPR done @ home and en route to hospital; pt intubated; recently recovering from COVID that did require a hospitalization; family made pt a DNR; pt extubated and passed away in the hospital"
	"1873186-1"	"1873186-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt brought to ED via EMS after going into cardiac arrest @ home; CPR done @ home and en route to hospital; pt intubated; recently recovering from COVID that did require a hospitalization; family made pt a DNR; pt extubated and passed away in the hospital"
	"1873186-1"	"1873186-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt brought to ED via EMS after going into cardiac arrest @ home; CPR done @ home and en route to hospital; pt intubated; recently recovering from COVID that did require a hospitalization; family made pt a DNR; pt extubated and passed away in the hospital"
	"1873186-1"	"1873186-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"pt brought to ED via EMS after going into cardiac arrest @ home; CPR done @ home and en route to hospital; pt intubated; recently recovering from COVID that did require a hospitalization; family made pt a DNR; pt extubated and passed away in the hospital"
	"1873244-1"	"1873244-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and difficulty breathing; O2 sats 50% upon EMS arrival; intubated; placed on ventilator; HX:  COPD, HTN, hypokalemia, hypothyroidism; respiratory failure; pt's condition worsened and he died in the hospital"
	"1873244-1"	"1873244-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and difficulty breathing; O2 sats 50% upon EMS arrival; intubated; placed on ventilator; HX:  COPD, HTN, hypokalemia, hypothyroidism; respiratory failure; pt's condition worsened and he died in the hospital"
	"1873244-1"	"1873244-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and difficulty breathing; O2 sats 50% upon EMS arrival; intubated; placed on ventilator; HX:  COPD, HTN, hypokalemia, hypothyroidism; respiratory failure; pt's condition worsened and he died in the hospital"
	"1873244-1"	"1873244-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"pt brought to ED with c/o SOB and difficulty breathing; O2 sats 50% upon EMS arrival; intubated; placed on ventilator; HX:  COPD, HTN, hypokalemia, hypothyroidism; respiratory failure; pt's condition worsened and he died in the hospital"
	"1873694-1"	"1873694-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt to hosp with increasing dyspnea and productive cough x 2 wks; positive for COVID; placed on BiPAP, transitioned to Vapotherm 40 L @ 80%; immunocompromised due to being on Neulasta for prostate CA; started on remdesivir, Decadron; pt's condition worsened; per death certificate, pt expired in the hospital"
	"1873694-1"	"1873694-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt to hosp with increasing dyspnea and productive cough x 2 wks; positive for COVID; placed on BiPAP, transitioned to Vapotherm 40 L @ 80%; immunocompromised due to being on Neulasta for prostate CA; started on remdesivir, Decadron; pt's condition worsened; per death certificate, pt expired in the hospital"
	"1873694-1"	"1873694-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt to hosp with increasing dyspnea and productive cough x 2 wks; positive for COVID; placed on BiPAP, transitioned to Vapotherm 40 L @ 80%; immunocompromised due to being on Neulasta for prostate CA; started on remdesivir, Decadron; pt's condition worsened; per death certificate, pt expired in the hospital"
	"1873694-1"	"1873694-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt to hosp with increasing dyspnea and productive cough x 2 wks; positive for COVID; placed on BiPAP, transitioned to Vapotherm 40 L @ 80%; immunocompromised due to being on Neulasta for prostate CA; started on remdesivir, Decadron; pt's condition worsened; per death certificate, pt expired in the hospital"
	"1873694-1"	"1873694-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt to hosp with increasing dyspnea and productive cough x 2 wks; positive for COVID; placed on BiPAP, transitioned to Vapotherm 40 L @ 80%; immunocompromised due to being on Neulasta for prostate CA; started on remdesivir, Decadron; pt's condition worsened; per death certificate, pt expired in the hospital"
	"1873694-1"	"1873694-1"	"PRODUCTIVE COUGH"	"10036790"	"65-79 years"	"65-79"	"pt to hosp with increasing dyspnea and productive cough x 2 wks; positive for COVID; placed on BiPAP, transitioned to Vapotherm 40 L @ 80%; immunocompromised due to being on Neulasta for prostate CA; started on remdesivir, Decadron; pt's condition worsened; per death certificate, pt expired in the hospital"
	"1873694-1"	"1873694-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt to hosp with increasing dyspnea and productive cough x 2 wks; positive for COVID; placed on BiPAP, transitioned to Vapotherm 40 L @ 80%; immunocompromised due to being on Neulasta for prostate CA; started on remdesivir, Decadron; pt's condition worsened; per death certificate, pt expired in the hospital"
	"1873779-1"	"1873779-1"	"BLOOD LOSS ANAEMIA"	"10082297"	"65-79 years"	"65-79"	"limited medical records received on this pt; pt admitted to the hospital with coffee-ground emesis and vomiting bright red blood; positive for COVID; PMH: cirrhosis and esophageal varices; per death certificate pt died of GI bleed, COVID, blood loss anemia and cirrhosis"
	"1873779-1"	"1873779-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"limited medical records received on this pt; pt admitted to the hospital with coffee-ground emesis and vomiting bright red blood; positive for COVID; PMH: cirrhosis and esophageal varices; per death certificate pt died of GI bleed, COVID, blood loss anemia and cirrhosis"
	"1873779-1"	"1873779-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"limited medical records received on this pt; pt admitted to the hospital with coffee-ground emesis and vomiting bright red blood; positive for COVID; PMH: cirrhosis and esophageal varices; per death certificate pt died of GI bleed, COVID, blood loss anemia and cirrhosis"
	"1873779-1"	"1873779-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"limited medical records received on this pt; pt admitted to the hospital with coffee-ground emesis and vomiting bright red blood; positive for COVID; PMH: cirrhosis and esophageal varices; per death certificate pt died of GI bleed, COVID, blood loss anemia and cirrhosis"
	"1873779-1"	"1873779-1"	"GASTROINTESTINAL HAEMORRHAGE"	"10017955"	"65-79 years"	"65-79"	"limited medical records received on this pt; pt admitted to the hospital with coffee-ground emesis and vomiting bright red blood; positive for COVID; PMH: cirrhosis and esophageal varices; per death certificate pt died of GI bleed, COVID, blood loss anemia and cirrhosis"
	"1873779-1"	"1873779-1"	"HAEMATEMESIS"	"10018830"	"65-79 years"	"65-79"	"limited medical records received on this pt; pt admitted to the hospital with coffee-ground emesis and vomiting bright red blood; positive for COVID; PMH: cirrhosis and esophageal varices; per death certificate pt died of GI bleed, COVID, blood loss anemia and cirrhosis"
	"1873779-1"	"1873779-1"	"HEPATIC CIRRHOSIS"	"10019641"	"65-79 years"	"65-79"	"limited medical records received on this pt; pt admitted to the hospital with coffee-ground emesis and vomiting bright red blood; positive for COVID; PMH: cirrhosis and esophageal varices; per death certificate pt died of GI bleed, COVID, blood loss anemia and cirrhosis"
	"1873779-1"	"1873779-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"limited medical records received on this pt; pt admitted to the hospital with coffee-ground emesis and vomiting bright red blood; positive for COVID; PMH: cirrhosis and esophageal varices; per death certificate pt died of GI bleed, COVID, blood loss anemia and cirrhosis"
	"1876615-1"	"1876615-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"limited medical information received on patient; pt to ED with a positive COVID test and hypoxic; hx of renal transplant on systemic immunosuppression; COVID pneumonia; required intubation; pt's condition worsened and he died in the hospital"
	"1876615-1"	"1876615-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"limited medical information received on patient; pt to ED with a positive COVID test and hypoxic; hx of renal transplant on systemic immunosuppression; COVID pneumonia; required intubation; pt's condition worsened and he died in the hospital"
	"1876615-1"	"1876615-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"limited medical information received on patient; pt to ED with a positive COVID test and hypoxic; hx of renal transplant on systemic immunosuppression; COVID pneumonia; required intubation; pt's condition worsened and he died in the hospital"
	"1876615-1"	"1876615-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"limited medical information received on patient; pt to ED with a positive COVID test and hypoxic; hx of renal transplant on systemic immunosuppression; COVID pneumonia; required intubation; pt's condition worsened and he died in the hospital"
	"1876615-1"	"1876615-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"limited medical information received on patient; pt to ED with a positive COVID test and hypoxic; hx of renal transplant on systemic immunosuppression; COVID pneumonia; required intubation; pt's condition worsened and he died in the hospital"
	"1876615-1"	"1876615-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"limited medical information received on patient; pt to ED with a positive COVID test and hypoxic; hx of renal transplant on systemic immunosuppression; COVID pneumonia; required intubation; pt's condition worsened and he died in the hospital"
	"1876756-1"	"1876756-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt in hospice; respiratory failure due to COVID 19; PMH breast CA, HTN, DM, leukemia, dementia; DNR/DNI; on BiPAP; pt continued to decline; family wanted to take pt home; comfort care measures; pt died @ home shortly after arriving"
	"1876756-1"	"1876756-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt in hospice; respiratory failure due to COVID 19; PMH breast CA, HTN, DM, leukemia, dementia; DNR/DNI; on BiPAP; pt continued to decline; family wanted to take pt home; comfort care measures; pt died @ home shortly after arriving"
	"1876756-1"	"1876756-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt in hospice; respiratory failure due to COVID 19; PMH breast CA, HTN, DM, leukemia, dementia; DNR/DNI; on BiPAP; pt continued to decline; family wanted to take pt home; comfort care measures; pt died @ home shortly after arriving"
	"1876756-1"	"1876756-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"pt in hospice; respiratory failure due to COVID 19; PMH breast CA, HTN, DM, leukemia, dementia; DNR/DNI; on BiPAP; pt continued to decline; family wanted to take pt home; comfort care measures; pt died @ home shortly after arriving"
	"1876808-1"	"1876808-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp"
	"1876808-1"	"1876808-1"	"CHEST DISCOMFORT"	"10008469"	"65-79 years"	"65-79"	"pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp"
	"1876808-1"	"1876808-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp"
	"1876808-1"	"1876808-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp"
	"1876808-1"	"1876808-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp"
	"1876808-1"	"1876808-1"	"HYPERHIDROSIS"	"10020642"	"65-79 years"	"65-79"	"pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp"
	"1876808-1"	"1876808-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp"
	"1876808-1"	"1876808-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp"
	"1876808-1"	"1876808-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp"
	"1876808-1"	"1876808-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt to ED with chest tightness, SOB, nausea, diaphoresis; scheduled for heart catherization; positive for COVID; placed on BiPAP; transported to ICU; pt's condition worsened and she experienced cardiac arrest and died in the hosp"
	"1877361-1"	"1877361-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Dyspnea c/o.  Pt is on 2 liters at home.  COVID positive recently.  Hypoxia concerns with exertion.   Pt is currently on 6 liters via NC, but plan to place on Bipap.                                                                                   patient was a transfer to our facility. one dose of the vaccine was administered on 2/1/2021 but no record of lot number"
	"1877361-1"	"1877361-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Dyspnea c/o.  Pt is on 2 liters at home.  COVID positive recently.  Hypoxia concerns with exertion.   Pt is currently on 6 liters via NC, but plan to place on Bipap.                                                                                   patient was a transfer to our facility. one dose of the vaccine was administered on 2/1/2021 but no record of lot number"
	"1877361-1"	"1877361-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Dyspnea c/o.  Pt is on 2 liters at home.  COVID positive recently.  Hypoxia concerns with exertion.   Pt is currently on 6 liters via NC, but plan to place on Bipap.                                                                                   patient was a transfer to our facility. one dose of the vaccine was administered on 2/1/2021 but no record of lot number"
	"1877361-1"	"1877361-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Dyspnea c/o.  Pt is on 2 liters at home.  COVID positive recently.  Hypoxia concerns with exertion.   Pt is currently on 6 liters via NC, but plan to place on Bipap.                                                                                   patient was a transfer to our facility. one dose of the vaccine was administered on 2/1/2021 but no record of lot number"
	"1885309-1"	"1885309-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"death  - TIA (transient ischemic attack)  - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC)"
	"1885309-1"	"1885309-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death  - TIA (transient ischemic attack)  - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC)"
	"1885309-1"	"1885309-1"	"TRANSIENT ISCHAEMIC ATTACK"	"10044390"	"65-79 years"	"65-79"	"death  - TIA (transient ischemic attack)  - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC)"
	"1885324-1"	"1885324-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death I63.9 - Cerebral infarction, unspecified J96.01 - Acute respiratory failure with hypoxia J12.82 - Pneumonia due to coronavirus disease 2019 N17.9 - Acute kidney failure, unspecified"
	"1885324-1"	"1885324-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"death I63.9 - Cerebral infarction, unspecified J96.01 - Acute respiratory failure with hypoxia J12.82 - Pneumonia due to coronavirus disease 2019 N17.9 - Acute kidney failure, unspecified"
	"1885324-1"	"1885324-1"	"CEREBRAL INFARCTION"	"10008118"	"65-79 years"	"65-79"	"death I63.9 - Cerebral infarction, unspecified J96.01 - Acute respiratory failure with hypoxia J12.82 - Pneumonia due to coronavirus disease 2019 N17.9 - Acute kidney failure, unspecified"
	"1885324-1"	"1885324-1"	"CORONAVIRUS PNEUMONIA"	"10084381"	"65-79 years"	"65-79"	"death I63.9 - Cerebral infarction, unspecified J96.01 - Acute respiratory failure with hypoxia J12.82 - Pneumonia due to coronavirus disease 2019 N17.9 - Acute kidney failure, unspecified"
	"1885324-1"	"1885324-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death I63.9 - Cerebral infarction, unspecified J96.01 - Acute respiratory failure with hypoxia J12.82 - Pneumonia due to coronavirus disease 2019 N17.9 - Acute kidney failure, unspecified"
	"1885346-1"	"1885346-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"death- Acute kidney failure, unspecified"
	"1885346-1"	"1885346-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death- Acute kidney failure, unspecified"
	"1885363-1"	"1885363-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death- Disseminated intravascular coagulation (defibrination syndrome)"
	"1885363-1"	"1885363-1"	"DISSEMINATED INTRAVASCULAR COAGULATION"	"10013442"	"65-79 years"	"65-79"	"death- Disseminated intravascular coagulation (defibrination syndrome)"
	"1905479-1"	"1905479-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"DIABETIC KETOACIDOSIS"	"10012671"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"PRONE POSITION"	"10074744"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905479-1"	"1905479-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"diagnosed positive for COVID on 9/18/21; EMS brought pt to ED with altered mental state, increased SOB and hypotension; 70% O2 saturation on RA, glucose greater than 600; PMH:  DM, chronic kidney disease; treated with DKA protocol, dexamethasone, remdesivir, Olumiant, Budesonide; to ICU; BiPAP ; intubated on 10/3/21 requiring FiO2 of 100% and proned; septic shock; DNR; transitioned by family to comfort care with worsening condition of pt; pt died in the hosp"
	"1905900-1"	"1905900-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had severe hypoxia and hypotension, arrived to the hospital on 11/25/21, was intubated,  and died 8hrs later."
	"1905900-1"	"1905900-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient had severe hypoxia and hypotension, arrived to the hospital on 11/25/21, was intubated,  and died 8hrs later."
	"1905900-1"	"1905900-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Patient had severe hypoxia and hypotension, arrived to the hospital on 11/25/21, was intubated,  and died 8hrs later."
	"1905900-1"	"1905900-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient had severe hypoxia and hypotension, arrived to the hospital on 11/25/21, was intubated,  and died 8hrs later."
	"1912773-1"	"1912773-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"pt presented to ED with c/o SOB x 3 days; fever, headache, fatigue, nausea, left sided chest pain; positive for COVID; DNR/DNI; pt went into respiratory arrest in ED, BiPAP attempted but was unsuccessful; pt died in the ED"
	"1912773-1"	"1912773-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt presented to ED with c/o SOB x 3 days; fever, headache, fatigue, nausea, left sided chest pain; positive for COVID; DNR/DNI; pt went into respiratory arrest in ED, BiPAP attempted but was unsuccessful; pt died in the ED"
	"1912773-1"	"1912773-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt presented to ED with c/o SOB x 3 days; fever, headache, fatigue, nausea, left sided chest pain; positive for COVID; DNR/DNI; pt went into respiratory arrest in ED, BiPAP attempted but was unsuccessful; pt died in the ED"
	"1912773-1"	"1912773-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt presented to ED with c/o SOB x 3 days; fever, headache, fatigue, nausea, left sided chest pain; positive for COVID; DNR/DNI; pt went into respiratory arrest in ED, BiPAP attempted but was unsuccessful; pt died in the ED"
	"1912773-1"	"1912773-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"pt presented to ED with c/o SOB x 3 days; fever, headache, fatigue, nausea, left sided chest pain; positive for COVID; DNR/DNI; pt went into respiratory arrest in ED, BiPAP attempted but was unsuccessful; pt died in the ED"
	"1912773-1"	"1912773-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"pt presented to ED with c/o SOB x 3 days; fever, headache, fatigue, nausea, left sided chest pain; positive for COVID; DNR/DNI; pt went into respiratory arrest in ED, BiPAP attempted but was unsuccessful; pt died in the ED"
	"1912773-1"	"1912773-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"pt presented to ED with c/o SOB x 3 days; fever, headache, fatigue, nausea, left sided chest pain; positive for COVID; DNR/DNI; pt went into respiratory arrest in ED, BiPAP attempted but was unsuccessful; pt died in the ED"
	"1912773-1"	"1912773-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt presented to ED with c/o SOB x 3 days; fever, headache, fatigue, nausea, left sided chest pain; positive for COVID; DNR/DNI; pt went into respiratory arrest in ED, BiPAP attempted but was unsuccessful; pt died in the ED"
	"1912773-1"	"1912773-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"pt presented to ED with c/o SOB x 3 days; fever, headache, fatigue, nausea, left sided chest pain; positive for COVID; DNR/DNI; pt went into respiratory arrest in ED, BiPAP attempted but was unsuccessful; pt died in the ED"
	"1912773-1"	"1912773-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"pt presented to ED with c/o SOB x 3 days; fever, headache, fatigue, nausea, left sided chest pain; positive for COVID; DNR/DNI; pt went into respiratory arrest in ED, BiPAP attempted but was unsuccessful; pt died in the ED"
	"1912773-1"	"1912773-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt presented to ED with c/o SOB x 3 days; fever, headache, fatigue, nausea, left sided chest pain; positive for COVID; DNR/DNI; pt went into respiratory arrest in ED, BiPAP attempted but was unsuccessful; pt died in the ED"
	"1916627-1"	"1916627-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"pt had an overnight admission to hospital for diagnosis COVID positive; dc'd to home and back to ED with worsening SOB & weakness, AHRF, AKI; O2 via NC, transitioned to Vapotherm, BiPAP; pt experienced A Fib and was treated; started on dexamethasone; pt's condition worsened and he was intubated; wife asked for extubation on 9/18/21 and pt was transitioned to comfort care; pt died in the hospital"
	"1916627-1"	"1916627-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"pt had an overnight admission to hospital for diagnosis COVID positive; dc'd to home and back to ED with worsening SOB & weakness, AHRF, AKI; O2 via NC, transitioned to Vapotherm, BiPAP; pt experienced A Fib and was treated; started on dexamethasone; pt's condition worsened and he was intubated; wife asked for extubation on 9/18/21 and pt was transitioned to comfort care; pt died in the hospital"
	"1916627-1"	"1916627-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"pt had an overnight admission to hospital for diagnosis COVID positive; dc'd to home and back to ED with worsening SOB & weakness, AHRF, AKI; O2 via NC, transitioned to Vapotherm, BiPAP; pt experienced A Fib and was treated; started on dexamethasone; pt's condition worsened and he was intubated; wife asked for extubation on 9/18/21 and pt was transitioned to comfort care; pt died in the hospital"
	"1916627-1"	"1916627-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt had an overnight admission to hospital for diagnosis COVID positive; dc'd to home and back to ED with worsening SOB & weakness, AHRF, AKI; O2 via NC, transitioned to Vapotherm, BiPAP; pt experienced A Fib and was treated; started on dexamethasone; pt's condition worsened and he was intubated; wife asked for extubation on 9/18/21 and pt was transitioned to comfort care; pt died in the hospital"
	"1916627-1"	"1916627-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt had an overnight admission to hospital for diagnosis COVID positive; dc'd to home and back to ED with worsening SOB & weakness, AHRF, AKI; O2 via NC, transitioned to Vapotherm, BiPAP; pt experienced A Fib and was treated; started on dexamethasone; pt's condition worsened and he was intubated; wife asked for extubation on 9/18/21 and pt was transitioned to comfort care; pt died in the hospital"
	"1916627-1"	"1916627-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt had an overnight admission to hospital for diagnosis COVID positive; dc'd to home and back to ED with worsening SOB & weakness, AHRF, AKI; O2 via NC, transitioned to Vapotherm, BiPAP; pt experienced A Fib and was treated; started on dexamethasone; pt's condition worsened and he was intubated; wife asked for extubation on 9/18/21 and pt was transitioned to comfort care; pt died in the hospital"
	"1916627-1"	"1916627-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt had an overnight admission to hospital for diagnosis COVID positive; dc'd to home and back to ED with worsening SOB & weakness, AHRF, AKI; O2 via NC, transitioned to Vapotherm, BiPAP; pt experienced A Fib and was treated; started on dexamethasone; pt's condition worsened and he was intubated; wife asked for extubation on 9/18/21 and pt was transitioned to comfort care; pt died in the hospital"
	"1916627-1"	"1916627-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"pt had an overnight admission to hospital for diagnosis COVID positive; dc'd to home and back to ED with worsening SOB & weakness, AHRF, AKI; O2 via NC, transitioned to Vapotherm, BiPAP; pt experienced A Fib and was treated; started on dexamethasone; pt's condition worsened and he was intubated; wife asked for extubation on 9/18/21 and pt was transitioned to comfort care; pt died in the hospital"
	"1916627-1"	"1916627-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt had an overnight admission to hospital for diagnosis COVID positive; dc'd to home and back to ED with worsening SOB & weakness, AHRF, AKI; O2 via NC, transitioned to Vapotherm, BiPAP; pt experienced A Fib and was treated; started on dexamethasone; pt's condition worsened and he was intubated; wife asked for extubation on 9/18/21 and pt was transitioned to comfort care; pt died in the hospital"
	"1916627-1"	"1916627-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"pt had an overnight admission to hospital for diagnosis COVID positive; dc'd to home and back to ED with worsening SOB & weakness, AHRF, AKI; O2 via NC, transitioned to Vapotherm, BiPAP; pt experienced A Fib and was treated; started on dexamethasone; pt's condition worsened and he was intubated; wife asked for extubation on 9/18/21 and pt was transitioned to comfort care; pt died in the hospital"
	"1916627-1"	"1916627-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt had an overnight admission to hospital for diagnosis COVID positive; dc'd to home and back to ED with worsening SOB & weakness, AHRF, AKI; O2 via NC, transitioned to Vapotherm, BiPAP; pt experienced A Fib and was treated; started on dexamethasone; pt's condition worsened and he was intubated; wife asked for extubation on 9/18/21 and pt was transitioned to comfort care; pt died in the hospital"
	"1916675-1"	"1916675-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient passed away 45 days after receiving covid dose #3"
	"1916799-1"	"1916799-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"PMH:  coronary disease, DM, CKD, COPD; presented to ED with SOB; positive for COVID; unable to have hemodialysis due to hypotension; given steroids, IV fluids, Levophed; pt's condition worsened and he was transferred to ICU; condition continued to deteriorate and family decided to not escalate care; pt died in the hosp"
	"1916799-1"	"1916799-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PMH:  coronary disease, DM, CKD, COPD; presented to ED with SOB; positive for COVID; unable to have hemodialysis due to hypotension; given steroids, IV fluids, Levophed; pt's condition worsened and he was transferred to ICU; condition continued to deteriorate and family decided to not escalate care; pt died in the hosp"
	"1916799-1"	"1916799-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"PMH:  coronary disease, DM, CKD, COPD; presented to ED with SOB; positive for COVID; unable to have hemodialysis due to hypotension; given steroids, IV fluids, Levophed; pt's condition worsened and he was transferred to ICU; condition continued to deteriorate and family decided to not escalate care; pt died in the hosp"
	"1916799-1"	"1916799-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"PMH:  coronary disease, DM, CKD, COPD; presented to ED with SOB; positive for COVID; unable to have hemodialysis due to hypotension; given steroids, IV fluids, Levophed; pt's condition worsened and he was transferred to ICU; condition continued to deteriorate and family decided to not escalate care; pt died in the hosp"
	"1916799-1"	"1916799-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"PMH:  coronary disease, DM, CKD, COPD; presented to ED with SOB; positive for COVID; unable to have hemodialysis due to hypotension; given steroids, IV fluids, Levophed; pt's condition worsened and he was transferred to ICU; condition continued to deteriorate and family decided to not escalate care; pt died in the hosp"
	"1916799-1"	"1916799-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"PMH:  coronary disease, DM, CKD, COPD; presented to ED with SOB; positive for COVID; unable to have hemodialysis due to hypotension; given steroids, IV fluids, Levophed; pt's condition worsened and he was transferred to ICU; condition continued to deteriorate and family decided to not escalate care; pt died in the hosp"
	"1916799-1"	"1916799-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"PMH:  coronary disease, DM, CKD, COPD; presented to ED with SOB; positive for COVID; unable to have hemodialysis due to hypotension; given steroids, IV fluids, Levophed; pt's condition worsened and he was transferred to ICU; condition continued to deteriorate and family decided to not escalate care; pt died in the hosp"
"---"
"Dataset: The Vaccine Adverse Event Reporting System (VAERS)"
"Query Parameters:"
"Title: 211214 CDC covid VAERS report - all reports"
"Age: 65-79 years"
"Date Died: 2020; 2021"
"Date of Onset: 2020; 2021"
"Date Report Completed: 2020; 2021"
"Date Report Received: 2020; 2021"
"Date Vaccinated: 2020; 2021"
"State / Territory: Unknown"
"Vaccine Products: COVID19 VACCINE (COVID19)"
"VAERS ID: All"
"Group By: VAERS ID; Symptoms; Age"
"Show Totals: False"
"Show Zero Values: Disabled"
"---"
"Help: See http://wonder.cdc.gov/wonder/help/vaers.html for more information."
"---"
"Query Date: Dec 14, 2021 4:40:27 PM"
"---"
"Suggested Citation: Accessed at http://wonder.cdc.gov/vaers.html on Dec 14, 2021 4:40:27 PM"
"---"
Messages:
"1. The full results are too long to be displayed, only non-zero rows are available."
"2. VAERS data in CDC WONDER are updated every Friday. Hence, results for the same query can change from week to week."
"3. These results are for 478 total events."
"4. When grouped by VAERS ID, results initially don't show Events Reported, Percent, or totals. Use Quick or More Options to"
"restore them, if you wish."
"5. Click on a VAERS ID to see a report containing detailed information for the event."
"---"
Footnotes:
"1. Submitting a report to VAERS does not mean that healthcare personnel or the vaccine caused or contributed to the adverse"
"event (possible side effect)."
"---"
Caveats:
"1. <p> VAERS accepts reports of adverse events and reactions that occur following vaccination. Healthcare providers, vaccine"
"manufacturers, and the public can submit reports to VAERS. While very important in monitoring vaccine safety, VAERS reports"
"alone cannot be used to determine if a vaccine caused or contributed to an adverse event or illness. The reports may contain"
"information that is incomplete, inaccurate, coincidental, or unverifiable. Most reports to VAERS are voluntary, which means they"
"are subject to biases. This creates specific limitations on how the data can be used scientifically. Data from VAERS reports"
"should always be interpreted with these limitations in mind. </p> <p> The strengths of VAERS are that it is national in scope"
"and can quickly provide an early warning of a safety problem with a vaccine. As part of CDC and FDA's multi-system approach to"
"post-licensure vaccine safety monitoring, VAERS is designed to rapidly detect unusual or unexpected patterns of adverse events,"
"also known as ""safety signals."" If a safety signal is found in VAERS, further studies can be done in safety systems such as"
"the CDC's Vaccine Safety Datalink (VSD) or the Clinical Immunization Safety Assessment (CISA) project. These systems do not have"
"the same limitations as VAERS, and can better assess health risks and possible connections between adverse events and a vaccine."
"</p> <p> Key considerations and limitations of VAERS data: <ul><li> Vaccine providers are encouraged to report any clinically"
"significant health problem following vaccination to VAERS, whether or not they believe the vaccine was the cause. </li><li>"
"Reports may include incomplete, inaccurate, coincidental and unverified information. </li><li> The number of reports alone"
"cannot be interpreted or used to reach conclusions about the existence, severity, frequency, or rates of problems associated"
"with vaccines. </li><li> VAERS data are limited to vaccine adverse event reports received between 1990 and the most recent date"
"for which data are available. </li><li> VAERS data do not represent all known safety information for a vaccine and should be"
"interpreted in the context of other scientific information. </li></ul> </p>"
"2."
"3. Some items may have more than 1 occurrence in any single event report, such as Symptoms, Vaccine Products, Manufacturers, and"
"Event Categories. If data are grouped by any of these items, then the number in the Events Reported column may exceed the total"
"number of unique events. If percentages are shown, then the associated percentage of total unique event reports will exceed 100%"
"in such cases. For example, the number of Symptoms mentioned is likely to exceed the number of events reported, because many"
"reports include more than 1 Symptom. When more than 1 Symptom occurs in a single report, then the percentage of Symptoms to"
"unique events is more than 100%. More information: http://wonder.cdc.gov/wonder/help/vaers.html#Suppress."
"4. Data contains VAERS reports processed as of 12/03/2021. The VAERS data in WONDER are updated weekly, yet the VAERS system"
"receives continuous updates including revisions and new reports for preceding time periods. Duplicate event reports and/or"
"reports determined to be false are removed from VAERS. More information: http://wonder.cdc.gov/wonder/help/vaers.html#Reporting."
"5. About COVID19 vaccines: <UL><LI> For more information on how many persons have been vaccinated in the US for COVID19 to date,"
"see https://covid.cdc.gov/covid-data-tracker/#vaccinations/: <a target= .. </LI><LI> One report may state that the patient"
"received more than one brand of COVID-19 vaccine on the same visit. This is a reporting error, but explains why the total number"
"of reports may not equal the total number of COVID-19 vaccine doses. </LI></UL>"