"Notes"	"VAERS ID"	"VAERS ID Code"	"Symptoms"	"Symptoms Code"	"Age"	"Age Code"	Adverse Event Description
	"0926269-1"	"0926269-1"	"CARDIOVERSION"	"10007661"	"65-79 years"	"65-79"	""Pt last seen at 1200 by nurse for ID band check. No visible signs of distress noted. Pt states ""I just want to be left alone"". 1230 nurse was called to pt room. Pt was noted unresponsive, no pulse and respiration noted. CPR started immediately, at 1239 first shock given. 1245 EMT took over, at 1319 EMT called time of death""
	"0926269-1"	"0926269-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Pt last seen at 1200 by nurse for ID band check. No visible signs of distress noted. Pt states ""I just want to be left alone"". 1230 nurse was called to pt room. Pt was noted unresponsive, no pulse and respiration noted. CPR started immediately, at 1239 first shock given. 1245 EMT took over, at 1319 EMT called time of death""
	"0926269-1"	"0926269-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	""Pt last seen at 1200 by nurse for ID band check. No visible signs of distress noted. Pt states ""I just want to be left alone"". 1230 nurse was called to pt room. Pt was noted unresponsive, no pulse and respiration noted. CPR started immediately, at 1239 first shock given. 1245 EMT took over, at 1319 EMT called time of death""
	"0926269-1"	"0926269-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	""Pt last seen at 1200 by nurse for ID band check. No visible signs of distress noted. Pt states ""I just want to be left alone"". 1230 nurse was called to pt room. Pt was noted unresponsive, no pulse and respiration noted. CPR started immediately, at 1239 first shock given. 1245 EMT took over, at 1319 EMT called time of death""
	"0926269-1"	"0926269-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	""Pt last seen at 1200 by nurse for ID band check. No visible signs of distress noted. Pt states ""I just want to be left alone"". 1230 nurse was called to pt room. Pt was noted unresponsive, no pulse and respiration noted. CPR started immediately, at 1239 first shock given. 1245 EMT took over, at 1319 EMT called time of death""
	"0926269-1"	"0926269-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	""Pt last seen at 1200 by nurse for ID band check. No visible signs of distress noted. Pt states ""I just want to be left alone"". 1230 nurse was called to pt room. Pt was noted unresponsive, no pulse and respiration noted. CPR started immediately, at 1239 first shock given. 1245 EMT took over, at 1319 EMT called time of death""
	"0932787-1"	"0932787-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"RECIEVED VACCINE 1/8/21 EXPIRED UNEXPECTED 1/10/21, NO ADVERSE REACTIONS NOTED"
	"0934050-1"	"0934050-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Staff reported that patient was found Friday morning (Jan 8) sitting at a table with his head tilted forward and unresponsive to verbal or physical stimuli. Staff lowered patient to floor and started CPR. EMS was called and continued CPR at scene, however they were not able to revive patient. Patient was pronounced dead at the scene. Staff written statements following the death of patient show that he had a fall about 1 hr. prior. It is unknown if this fall contributed to patient's death. An autopsy has been requested."
	"0934050-1"	"0934050-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Staff reported that patient was found Friday morning (Jan 8) sitting at a table with his head tilted forward and unresponsive to verbal or physical stimuli. Staff lowered patient to floor and started CPR. EMS was called and continued CPR at scene, however they were not able to revive patient. Patient was pronounced dead at the scene. Staff written statements following the death of patient show that he had a fall about 1 hr. prior. It is unknown if this fall contributed to patient's death. An autopsy has been requested."
	"0934050-1"	"0934050-1"	"POSTURE ABNORMAL"	"10036436"	"65-79 years"	"65-79"	"Staff reported that patient was found Friday morning (Jan 8) sitting at a table with his head tilted forward and unresponsive to verbal or physical stimuli. Staff lowered patient to floor and started CPR. EMS was called and continued CPR at scene, however they were not able to revive patient. Patient was pronounced dead at the scene. Staff written statements following the death of patient show that he had a fall about 1 hr. prior. It is unknown if this fall contributed to patient's death. An autopsy has been requested."
	"0934050-1"	"0934050-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Staff reported that patient was found Friday morning (Jan 8) sitting at a table with his head tilted forward and unresponsive to verbal or physical stimuli. Staff lowered patient to floor and started CPR. EMS was called and continued CPR at scene, however they were not able to revive patient. Patient was pronounced dead at the scene. Staff written statements following the death of patient show that he had a fall about 1 hr. prior. It is unknown if this fall contributed to patient's death. An autopsy has been requested."
	"0934050-1"	"0934050-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Staff reported that patient was found Friday morning (Jan 8) sitting at a table with his head tilted forward and unresponsive to verbal or physical stimuli. Staff lowered patient to floor and started CPR. EMS was called and continued CPR at scene, however they were not able to revive patient. Patient was pronounced dead at the scene. Staff written statements following the death of patient show that he had a fall about 1 hr. prior. It is unknown if this fall contributed to patient's death. An autopsy has been requested."
	"0934539-1"	"0934539-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"Patient received COVID-19 (Moderna) vaccine from the Health Department on afternoon of January 8, 2021 and went to sleep approximately 2300 that night. Was found unresponsive in bed the following morning and pronounced dead at 1336 on January 9, 2021"
	"0934539-1"	"0934539-1"	"BLOOD TEST"	"10061726"	"65-79 years"	"65-79"	"Patient received COVID-19 (Moderna) vaccine from the Health Department on afternoon of January 8, 2021 and went to sleep approximately 2300 that night. Was found unresponsive in bed the following morning and pronounced dead at 1336 on January 9, 2021"
	"0934539-1"	"0934539-1"	"CULTURE TISSUE SPECIMEN"	"10011635"	"65-79 years"	"65-79"	"Patient received COVID-19 (Moderna) vaccine from the Health Department on afternoon of January 8, 2021 and went to sleep approximately 2300 that night. Was found unresponsive in bed the following morning and pronounced dead at 1336 on January 9, 2021"
	"0934539-1"	"0934539-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient received COVID-19 (Moderna) vaccine from the Health Department on afternoon of January 8, 2021 and went to sleep approximately 2300 that night. Was found unresponsive in bed the following morning and pronounced dead at 1336 on January 9, 2021"
	"0934539-1"	"0934539-1"	"TOXICOLOGIC TEST"	"10061384"	"65-79 years"	"65-79"	"Patient received COVID-19 (Moderna) vaccine from the Health Department on afternoon of January 8, 2021 and went to sleep approximately 2300 that night. Was found unresponsive in bed the following morning and pronounced dead at 1336 on January 9, 2021"
	"0934539-1"	"0934539-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patient received COVID-19 (Moderna) vaccine from the Health Department on afternoon of January 8, 2021 and went to sleep approximately 2300 that night. Was found unresponsive in bed the following morning and pronounced dead at 1336 on January 9, 2021"
	"0934745-1"	"0934745-1"	"HEART RATE INCREASED"	"10019303"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0934745-1"	"0934745-1"	"MUSCULOSKELETAL STIFFNESS"	"10052904"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0934745-1"	"0934745-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0934745-1"	"0934745-1"	"PERIPHERAL COLDNESS"	"10034568"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0934745-1"	"0934745-1"	"PRESYNCOPE"	"10036653"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0934745-1"	"0934745-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0934745-1"	"0934745-1"	"RESPIRATORY RATE INCREASED"	"10038712"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0934745-1"	"0934745-1"	"SEIZURE LIKE PHENOMENA"	"10071048"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0934745-1"	"0934745-1"	"SKIN DISCOLOURATION"	"10040829"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0934745-1"	"0934745-1"	"SKIN WARM"	"10040952"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0934745-1"	"0934745-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0934745-1"	"0934745-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli."
	"0942040-1"	"0942040-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"little bit of a reaction light headed after 5 minutes.   vitals were low, so observed for 30 minutes after being light headed.  Patient was found unresponsive and pronounced dead later that day."
	"0942040-1"	"0942040-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"little bit of a reaction light headed after 5 minutes.   vitals were low, so observed for 30 minutes after being light headed.  Patient was found unresponsive and pronounced dead later that day."
	"0942040-1"	"0942040-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"little bit of a reaction light headed after 5 minutes.   vitals were low, so observed for 30 minutes after being light headed.  Patient was found unresponsive and pronounced dead later that day."
	"0942040-1"	"0942040-1"	"VITAL FUNCTIONS ABNORMAL"	"10063644"	"65-79 years"	"65-79"	"little bit of a reaction light headed after 5 minutes.   vitals were low, so observed for 30 minutes after being light headed.  Patient was found unresponsive and pronounced dead later that day."
	"0944365-1"	"0944365-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Resident expired on 12/30/20, dx cardiac arrest."
	"0944365-1"	"0944365-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Resident expired on 12/30/20, dx cardiac arrest."
	"0945241-1"	"0945241-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"71yo female resident who died after receiving Pfizer BioNTech vaccine.  On 1/14/2021, VS taken at 10am, B/P 99/60, O2 sats, 95% (trach w/O2). At 11:30am, Patient showed no s/sx of distress, A&Ox3.  At 11:50am, a nurse went to perform a COVID test and assessment (the facility is experiencing an outbreak), and found the patient unresponsive on the bathroom floor.  CPR was immediately started; no shock advised per AED; 12:15pm EMS arrived and took over.  At 12:38pm, EMT called time of death."
	"0945241-1"	"0945241-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"65-79 years"	"65-79"	"71yo female resident who died after receiving Pfizer BioNTech vaccine.  On 1/14/2021, VS taken at 10am, B/P 99/60, O2 sats, 95% (trach w/O2). At 11:30am, Patient showed no s/sx of distress, A&Ox3.  At 11:50am, a nurse went to perform a COVID test and assessment (the facility is experiencing an outbreak), and found the patient unresponsive on the bathroom floor.  CPR was immediately started; no shock advised per AED; 12:15pm EMS arrived and took over.  At 12:38pm, EMT called time of death."
	"0945241-1"	"0945241-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"71yo female resident who died after receiving Pfizer BioNTech vaccine.  On 1/14/2021, VS taken at 10am, B/P 99/60, O2 sats, 95% (trach w/O2). At 11:30am, Patient showed no s/sx of distress, A&Ox3.  At 11:50am, a nurse went to perform a COVID test and assessment (the facility is experiencing an outbreak), and found the patient unresponsive on the bathroom floor.  CPR was immediately started; no shock advised per AED; 12:15pm EMS arrived and took over.  At 12:38pm, EMT called time of death."
	"0945241-1"	"0945241-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"71yo female resident who died after receiving Pfizer BioNTech vaccine.  On 1/14/2021, VS taken at 10am, B/P 99/60, O2 sats, 95% (trach w/O2). At 11:30am, Patient showed no s/sx of distress, A&Ox3.  At 11:50am, a nurse went to perform a COVID test and assessment (the facility is experiencing an outbreak), and found the patient unresponsive on the bathroom floor.  CPR was immediately started; no shock advised per AED; 12:15pm EMS arrived and took over.  At 12:38pm, EMT called time of death."
	"0945578-1"	"0945578-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"No reactions immediately after vaccine was given. Resident has dementia, has had multiple hospitalizations related to a renal stone recently. Had a tooth that was bothering her, went to see her dentist and it was extracted on 1/6/21. On 1/10 they noted feet and ankles are dark purple with white splotches appears to be mottling. Minimally responsive to voice and touch. Not eating. Compassionate visit with family. Family did not want hospice, did not feel it was needed, said, what more could they do for her than you're already doing?  On 1/11 at 1950 was determined to be deceased."
	"0945578-1"	"0945578-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"No reactions immediately after vaccine was given. Resident has dementia, has had multiple hospitalizations related to a renal stone recently. Had a tooth that was bothering her, went to see her dentist and it was extracted on 1/6/21. On 1/10 they noted feet and ankles are dark purple with white splotches appears to be mottling. Minimally responsive to voice and touch. Not eating. Compassionate visit with family. Family did not want hospice, did not feel it was needed, said, what more could they do for her than you're already doing?  On 1/11 at 1950 was determined to be deceased."
	"0945578-1"	"0945578-1"	"HYPORESPONSIVE TO STIMULI"	"10071552"	"65-79 years"	"65-79"	"No reactions immediately after vaccine was given. Resident has dementia, has had multiple hospitalizations related to a renal stone recently. Had a tooth that was bothering her, went to see her dentist and it was extracted on 1/6/21. On 1/10 they noted feet and ankles are dark purple with white splotches appears to be mottling. Minimally responsive to voice and touch. Not eating. Compassionate visit with family. Family did not want hospice, did not feel it was needed, said, what more could they do for her than you're already doing?  On 1/11 at 1950 was determined to be deceased."
	"0945578-1"	"0945578-1"	"LIVEDO RETICULARIS"	"10024648"	"65-79 years"	"65-79"	"No reactions immediately after vaccine was given. Resident has dementia, has had multiple hospitalizations related to a renal stone recently. Had a tooth that was bothering her, went to see her dentist and it was extracted on 1/6/21. On 1/10 they noted feet and ankles are dark purple with white splotches appears to be mottling. Minimally responsive to voice and touch. Not eating. Compassionate visit with family. Family did not want hospice, did not feel it was needed, said, what more could they do for her than you're already doing?  On 1/11 at 1950 was determined to be deceased."
	"0945578-1"	"0945578-1"	"SKIN DISCOLOURATION"	"10040829"	"65-79 years"	"65-79"	"No reactions immediately after vaccine was given. Resident has dementia, has had multiple hospitalizations related to a renal stone recently. Had a tooth that was bothering her, went to see her dentist and it was extracted on 1/6/21. On 1/10 they noted feet and ankles are dark purple with white splotches appears to be mottling. Minimally responsive to voice and touch. Not eating. Compassionate visit with family. Family did not want hospice, did not feel it was needed, said, what more could they do for her than you're already doing?  On 1/11 at 1950 was determined to be deceased."
	"0953129-1"	"0953129-1"	"ARTHRALGIA"	"10003239"	"65-79 years"	"65-79"	"Patient presented to our Emergency Department via EMS in full code status; asystole.  Patient expired. Per nursing, husband stated patient awoke this AM and reported pain in back between shoulders and in bilateral shoulders. Patient then went unresponsive and husband called EMS."
	"0953129-1"	"0953129-1"	"BACK PAIN"	"10003988"	"65-79 years"	"65-79"	"Patient presented to our Emergency Department via EMS in full code status; asystole.  Patient expired. Per nursing, husband stated patient awoke this AM and reported pain in back between shoulders and in bilateral shoulders. Patient then went unresponsive and husband called EMS."
	"0953129-1"	"0953129-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient presented to our Emergency Department via EMS in full code status; asystole.  Patient expired. Per nursing, husband stated patient awoke this AM and reported pain in back between shoulders and in bilateral shoulders. Patient then went unresponsive and husband called EMS."
	"0953129-1"	"0953129-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient presented to our Emergency Department via EMS in full code status; asystole.  Patient expired. Per nursing, husband stated patient awoke this AM and reported pain in back between shoulders and in bilateral shoulders. Patient then went unresponsive and husband called EMS."
	"0953129-1"	"0953129-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patient presented to our Emergency Department via EMS in full code status; asystole.  Patient expired. Per nursing, husband stated patient awoke this AM and reported pain in back between shoulders and in bilateral shoulders. Patient then went unresponsive and husband called EMS."
	"0953922-1"	"0953922-1"	"ANXIETY"	"10002855"	"65-79 years"	"65-79"	"The day following the vaccine, the patient complained of throat issues and anxiety.  This was not new... however .  That evening he reported difficulty breathing and was placed on oxygen; a COVID test was performed and was negative.   On 12/30/2020, patient complained of sternal pressure and was transferred to the hospital.  The patient died 12/31/2020 and records obtained from the hospital indicated the patient died from a massive myocardial infarction."
	"0953922-1"	"0953922-1"	"CHEST DISCOMFORT"	"10008469"	"65-79 years"	"65-79"	"The day following the vaccine, the patient complained of throat issues and anxiety.  This was not new... however .  That evening he reported difficulty breathing and was placed on oxygen; a COVID test was performed and was negative.   On 12/30/2020, patient complained of sternal pressure and was transferred to the hospital.  The patient died 12/31/2020 and records obtained from the hospital indicated the patient died from a massive myocardial infarction."
	"0953922-1"	"0953922-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"The day following the vaccine, the patient complained of throat issues and anxiety.  This was not new... however .  That evening he reported difficulty breathing and was placed on oxygen; a COVID test was performed and was negative.   On 12/30/2020, patient complained of sternal pressure and was transferred to the hospital.  The patient died 12/31/2020 and records obtained from the hospital indicated the patient died from a massive myocardial infarction."
	"0953922-1"	"0953922-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"The day following the vaccine, the patient complained of throat issues and anxiety.  This was not new... however .  That evening he reported difficulty breathing and was placed on oxygen; a COVID test was performed and was negative.   On 12/30/2020, patient complained of sternal pressure and was transferred to the hospital.  The patient died 12/31/2020 and records obtained from the hospital indicated the patient died from a massive myocardial infarction."
	"0953922-1"	"0953922-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"The day following the vaccine, the patient complained of throat issues and anxiety.  This was not new... however .  That evening he reported difficulty breathing and was placed on oxygen; a COVID test was performed and was negative.   On 12/30/2020, patient complained of sternal pressure and was transferred to the hospital.  The patient died 12/31/2020 and records obtained from the hospital indicated the patient died from a massive myocardial infarction."
	"0953922-1"	"0953922-1"	"OROPHARYNGEAL DISCOMFORT"	"10068318"	"65-79 years"	"65-79"	"The day following the vaccine, the patient complained of throat issues and anxiety.  This was not new... however .  That evening he reported difficulty breathing and was placed on oxygen; a COVID test was performed and was negative.   On 12/30/2020, patient complained of sternal pressure and was transferred to the hospital.  The patient died 12/31/2020 and records obtained from the hospital indicated the patient died from a massive myocardial infarction."
	"0953922-1"	"0953922-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"The day following the vaccine, the patient complained of throat issues and anxiety.  This was not new... however .  That evening he reported difficulty breathing and was placed on oxygen; a COVID test was performed and was negative.   On 12/30/2020, patient complained of sternal pressure and was transferred to the hospital.  The patient died 12/31/2020 and records obtained from the hospital indicated the patient died from a massive myocardial infarction."
	"0956843-1"	"0956843-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Resident was found deceased in his bed at 7:15 am."
	"0957116-1"	"0957116-1"	"SUDDEN DEATH"	"10042434"	"65-79 years"	"65-79"	"Sudden death without warning symptoms 4 days after vaccine.  Many medical problems which most likely explain the outcome but spouse feels it is related and it is a new vaccine.  Monitor for pattern?"
	"0960752-1"	"0960752-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Extreme Fatigue"
	"0965922-1"	"0965922-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"We were alerted that the patient died at home."
	"0966359-1"	"0966359-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Headache, pain in the injection site, threw up. A few hours later she died."
	"0966359-1"	"0966359-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Headache, pain in the injection site, threw up. A few hours later she died."
	"0966359-1"	"0966359-1"	"INJECTION SITE PAIN"	"10022086"	"65-79 years"	"65-79"	"Headache, pain in the injection site, threw up. A few hours later she died."
	"0966359-1"	"0966359-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Headache, pain in the injection site, threw up. A few hours later she died."
	"0971969-1"	"0971969-1"	"SEIZURE"	"10039906"	"65-79 years"	"65-79"	"brought by EMS to ED; seizures at home in bed; 6 Epi and 1 bicarb; no hx of seizure"
	"0972392-1"	"0972392-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient sent to hospital 1/2 and 1/5.  Returned both times to nursing home covid unit without a hospital admission.  Resident had been diagnosed with COVID later in the day on 12/30, when routine testing PCR results returned to facility, after resident had already had her first covid vaccination on 12/30/20 in the morning.  Resident continued decline, was again sent to hospital on 1/24/21, and expired in hospital 1/25/21."
	"0972392-1"	"0972392-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient sent to hospital 1/2 and 1/5.  Returned both times to nursing home covid unit without a hospital admission.  Resident had been diagnosed with COVID later in the day on 12/30, when routine testing PCR results returned to facility, after resident had already had her first covid vaccination on 12/30/20 in the morning.  Resident continued decline, was again sent to hospital on 1/24/21, and expired in hospital 1/25/21."
	"0972392-1"	"0972392-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Patient sent to hospital 1/2 and 1/5.  Returned both times to nursing home covid unit without a hospital admission.  Resident had been diagnosed with COVID later in the day on 12/30, when routine testing PCR results returned to facility, after resident had already had her first covid vaccination on 12/30/20 in the morning.  Resident continued decline, was again sent to hospital on 1/24/21, and expired in hospital 1/25/21."
	"0972392-1"	"0972392-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient sent to hospital 1/2 and 1/5.  Returned both times to nursing home covid unit without a hospital admission.  Resident had been diagnosed with COVID later in the day on 12/30, when routine testing PCR results returned to facility, after resident had already had her first covid vaccination on 12/30/20 in the morning.  Resident continued decline, was again sent to hospital on 1/24/21, and expired in hospital 1/25/21."
	"0974033-1"	"0974033-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Resident deceased on 1/26 at 445am. No signs ahead of time."
	"0974855-1"	"0974855-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"decedent had shortness of breath and hypoxia, cardiac arrested in front of the EMS crew, ACLS initiated, arrived in the  Hospital ED asystole and pronounced dead"
	"0974855-1"	"0974855-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"decedent had shortness of breath and hypoxia, cardiac arrested in front of the EMS crew, ACLS initiated, arrived in the  Hospital ED asystole and pronounced dead"
	"0974855-1"	"0974855-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"decedent had shortness of breath and hypoxia, cardiac arrested in front of the EMS crew, ACLS initiated, arrived in the  Hospital ED asystole and pronounced dead"
	"0974855-1"	"0974855-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"decedent had shortness of breath and hypoxia, cardiac arrested in front of the EMS crew, ACLS initiated, arrived in the  Hospital ED asystole and pronounced dead"
	"0975434-1"	"0975434-1"	"ABNORMAL BEHAVIOUR"	"10061422"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"BLOOD GLUCOSE NORMAL"	"10005558"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"COMPUTERISED TOMOGRAM"	"10010234"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"DISORIENTATION"	"10013395"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"GRUNTING"	"10018762"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"THROAT CLEARING"	"10080125"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"TREMOR"	"10044565"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0975434-1"	"0975434-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	""vomiting x3 1/8/21 1/9/21 00:34 - called to resident room by CNAs, staff stated resident was ""different"". Vitals taken and 02 sat was low, O2 in room and applied via NC @3L, O2 sat returned to 98 and all other vitals WNL including BS. Resident asked how he felt, stated he felt ""okay"". Resident exhibiting some shakey movements and clearing throat, states he does not have any phlegm or drainage or trouble swallowing. MD called and updated on situation, voicemail left. 1/9/21 11am-  resident has been making a ""growling"" noise this shift. resident also has tremors. resident alert and answers questions appropriately. when asked if resident wants to go to hospital, resident firmly states ""no"". vitals wnl. no emesis noted. will continue to monitor resident. 1/9/21 12p-  resident not answering questions appropriately. resident only answering yes or no. resident cannot tell me name, or the year, resident cannot state where he is currently or birthdate.""
	"0977426-1"	"0977426-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Patient has a history of advanced melanoma with brain metastasis. He developed seizure disorder as well and had some mild seizures at home over the prior month. He received the vaccine at 4pm and was monitored in the office for 15 minutes. He then went home with his daughter whom he lives with. He ate dinner with her and read until 8pm when he went to his room. She found him in his room at 9pm unresponsive with seizures. Hospice was alerted and recommend oral valium. He continued to be unresponsive and expired the following day at 7:30 pm."
	"0977426-1"	"0977426-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient has a history of advanced melanoma with brain metastasis. He developed seizure disorder as well and had some mild seizures at home over the prior month. He received the vaccine at 4pm and was monitored in the office for 15 minutes. He then went home with his daughter whom he lives with. He ate dinner with her and read until 8pm when he went to his room. She found him in his room at 9pm unresponsive with seizures. Hospice was alerted and recommend oral valium. He continued to be unresponsive and expired the following day at 7:30 pm."
	"0977426-1"	"0977426-1"	"SEIZURE"	"10039906"	"65-79 years"	"65-79"	"Patient has a history of advanced melanoma with brain metastasis. He developed seizure disorder as well and had some mild seizures at home over the prior month. He received the vaccine at 4pm and was monitored in the office for 15 minutes. He then went home with his daughter whom he lives with. He ate dinner with her and read until 8pm when he went to his room. She found him in his room at 9pm unresponsive with seizures. Hospice was alerted and recommend oral valium. He continued to be unresponsive and expired the following day at 7:30 pm."
	"0977426-1"	"0977426-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patient has a history of advanced melanoma with brain metastasis. He developed seizure disorder as well and had some mild seizures at home over the prior month. He received the vaccine at 4pm and was monitored in the office for 15 minutes. He then went home with his daughter whom he lives with. He ate dinner with her and read until 8pm when he went to his room. She found him in his room at 9pm unresponsive with seizures. Hospice was alerted and recommend oral valium. He continued to be unresponsive and expired the following day at 7:30 pm."
	"0987636-1"	"0987636-1"	"BLOOD PRESSURE DECREASED"	"10005734"	"65-79 years"	"65-79"	"Legs started swelling and shortness of breath Thursday January 21 2021 Was rushed to hospital with kidney failure and fluid build up around lungs and entire body Blood pressure dropped and had multiple organ failure"
	"0987636-1"	"0987636-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Legs started swelling and shortness of breath Thursday January 21 2021 Was rushed to hospital with kidney failure and fluid build up around lungs and entire body Blood pressure dropped and had multiple organ failure"
	"0987636-1"	"0987636-1"	"FLUID RETENTION"	"10016807"	"65-79 years"	"65-79"	"Legs started swelling and shortness of breath Thursday January 21 2021 Was rushed to hospital with kidney failure and fluid build up around lungs and entire body Blood pressure dropped and had multiple organ failure"
	"0987636-1"	"0987636-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"65-79 years"	"65-79"	"Legs started swelling and shortness of breath Thursday January 21 2021 Was rushed to hospital with kidney failure and fluid build up around lungs and entire body Blood pressure dropped and had multiple organ failure"
	"0987636-1"	"0987636-1"	"PERIPHERAL SWELLING"	"10048959"	"65-79 years"	"65-79"	"Legs started swelling and shortness of breath Thursday January 21 2021 Was rushed to hospital with kidney failure and fluid build up around lungs and entire body Blood pressure dropped and had multiple organ failure"
	"0987636-1"	"0987636-1"	"PULMONARY OEDEMA"	"10037423"	"65-79 years"	"65-79"	"Legs started swelling and shortness of breath Thursday January 21 2021 Was rushed to hospital with kidney failure and fluid build up around lungs and entire body Blood pressure dropped and had multiple organ failure"
	"0987636-1"	"0987636-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"Legs started swelling and shortness of breath Thursday January 21 2021 Was rushed to hospital with kidney failure and fluid build up around lungs and entire body Blood pressure dropped and had multiple organ failure"
	"0991080-1"	"0991080-1"	"SUDDEN DEATH"	"10042434"	"65-79 years"	"65-79"	"Patient sudden death reported by family.  No further details available at this time."
	"0991216-1"	"0991216-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Vaccine given on 01-25-2021. Wife reported on 01-29-2021 that patient had a ran a fever on 01-26-2021, Was better on 01-27-2021. She found him dead when she came home work on the evening of 01-28-2021."
	"0991216-1"	"0991216-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Vaccine given on 01-25-2021. Wife reported on 01-29-2021 that patient had a ran a fever on 01-26-2021, Was better on 01-27-2021. She found him dead when she came home work on the evening of 01-28-2021."
	"0992082-1"	"0992082-1"	"CULTURE URINE NEGATIVE"	"10011639"	"65-79 years"	"65-79"	"Resident was noted on 1/25 with an increased functional decline as she would not feed herself with utensils, but would eat finger foods if placed in her hand. She was started on Rocephin IM for possible infections. Labs had been obtained on 1/21/21, unremarkable for CBC and CMP. 75,000 colony count on urine. On 1/26/21 she was noted with right sided weakness and further decline. She was sent to Hospital for further evaluation. We were notified that she expired on 1/28/2021. Resident had been noted with a decline in function about 2 weeks earlier when she would not stand or transfer any longer. She was still responsive, taking meds, and feeding herself until 1/26/21. Further information on admitting diagnoses and progress notes from hospital have not been available to date."
	"0992082-1"	"0992082-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Resident was noted on 1/25 with an increased functional decline as she would not feed herself with utensils, but would eat finger foods if placed in her hand. She was started on Rocephin IM for possible infections. Labs had been obtained on 1/21/21, unremarkable for CBC and CMP. 75,000 colony count on urine. On 1/26/21 she was noted with right sided weakness and further decline. She was sent to Hospital for further evaluation. We were notified that she expired on 1/28/2021. Resident had been noted with a decline in function about 2 weeks earlier when she would not stand or transfer any longer. She was still responsive, taking meds, and feeding herself until 1/26/21. Further information on admitting diagnoses and progress notes from hospital have not been available to date."
	"0992082-1"	"0992082-1"	"FULL BLOOD COUNT NORMAL"	"10017414"	"65-79 years"	"65-79"	"Resident was noted on 1/25 with an increased functional decline as she would not feed herself with utensils, but would eat finger foods if placed in her hand. She was started on Rocephin IM for possible infections. Labs had been obtained on 1/21/21, unremarkable for CBC and CMP. 75,000 colony count on urine. On 1/26/21 she was noted with right sided weakness and further decline. She was sent to Hospital for further evaluation. We were notified that she expired on 1/28/2021. Resident had been noted with a decline in function about 2 weeks earlier when she would not stand or transfer any longer. She was still responsive, taking meds, and feeding herself until 1/26/21. Further information on admitting diagnoses and progress notes from hospital have not been available to date."
	"0992082-1"	"0992082-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Resident was noted on 1/25 with an increased functional decline as she would not feed herself with utensils, but would eat finger foods if placed in her hand. She was started on Rocephin IM for possible infections. Labs had been obtained on 1/21/21, unremarkable for CBC and CMP. 75,000 colony count on urine. On 1/26/21 she was noted with right sided weakness and further decline. She was sent to Hospital for further evaluation. We were notified that she expired on 1/28/2021. Resident had been noted with a decline in function about 2 weeks earlier when she would not stand or transfer any longer. She was still responsive, taking meds, and feeding herself until 1/26/21. Further information on admitting diagnoses and progress notes from hospital have not been available to date."
	"0992082-1"	"0992082-1"	"HEMIPARESIS"	"10019465"	"65-79 years"	"65-79"	"Resident was noted on 1/25 with an increased functional decline as she would not feed herself with utensils, but would eat finger foods if placed in her hand. She was started on Rocephin IM for possible infections. Labs had been obtained on 1/21/21, unremarkable for CBC and CMP. 75,000 colony count on urine. On 1/26/21 she was noted with right sided weakness and further decline. She was sent to Hospital for further evaluation. We were notified that she expired on 1/28/2021. Resident had been noted with a decline in function about 2 weeks earlier when she would not stand or transfer any longer. She was still responsive, taking meds, and feeding herself until 1/26/21. Further information on admitting diagnoses and progress notes from hospital have not been available to date."
	"0992082-1"	"0992082-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"Resident was noted on 1/25 with an increased functional decline as she would not feed herself with utensils, but would eat finger foods if placed in her hand. She was started on Rocephin IM for possible infections. Labs had been obtained on 1/21/21, unremarkable for CBC and CMP. 75,000 colony count on urine. On 1/26/21 she was noted with right sided weakness and further decline. She was sent to Hospital for further evaluation. We were notified that she expired on 1/28/2021. Resident had been noted with a decline in function about 2 weeks earlier when she would not stand or transfer any longer. She was still responsive, taking meds, and feeding herself until 1/26/21. Further information on admitting diagnoses and progress notes from hospital have not been available to date."
	"0992082-1"	"0992082-1"	"METABOLIC FUNCTION TEST NORMAL"	"10062192"	"65-79 years"	"65-79"	"Resident was noted on 1/25 with an increased functional decline as she would not feed herself with utensils, but would eat finger foods if placed in her hand. She was started on Rocephin IM for possible infections. Labs had been obtained on 1/21/21, unremarkable for CBC and CMP. 75,000 colony count on urine. On 1/26/21 she was noted with right sided weakness and further decline. She was sent to Hospital for further evaluation. We were notified that she expired on 1/28/2021. Resident had been noted with a decline in function about 2 weeks earlier when she would not stand or transfer any longer. She was still responsive, taking meds, and feeding herself until 1/26/21. Further information on admitting diagnoses and progress notes from hospital have not been available to date."
	"0992082-1"	"0992082-1"	"MOBILITY DECREASED"	"10048334"	"65-79 years"	"65-79"	"Resident was noted on 1/25 with an increased functional decline as she would not feed herself with utensils, but would eat finger foods if placed in her hand. She was started on Rocephin IM for possible infections. Labs had been obtained on 1/21/21, unremarkable for CBC and CMP. 75,000 colony count on urine. On 1/26/21 she was noted with right sided weakness and further decline. She was sent to Hospital for further evaluation. We were notified that she expired on 1/28/2021. Resident had been noted with a decline in function about 2 weeks earlier when she would not stand or transfer any longer. She was still responsive, taking meds, and feeding herself until 1/26/21. Further information on admitting diagnoses and progress notes from hospital have not been available to date."
	"0993028-1"	"0993028-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"On 1/9/21-Diaphoresis, O2 90%, respirations 22, increased weakness, wheezing bilaterally. Send to ER for evaluation and treatment. She was sent to ER, where she was admitted for 2 days, then expired there on 1/11/21"
	"0993028-1"	"0993028-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"On 1/9/21-Diaphoresis, O2 90%, respirations 22, increased weakness, wheezing bilaterally. Send to ER for evaluation and treatment. She was sent to ER, where she was admitted for 2 days, then expired there on 1/11/21"
	"0993028-1"	"0993028-1"	"HYPERHIDROSIS"	"10020642"	"65-79 years"	"65-79"	"On 1/9/21-Diaphoresis, O2 90%, respirations 22, increased weakness, wheezing bilaterally. Send to ER for evaluation and treatment. She was sent to ER, where she was admitted for 2 days, then expired there on 1/11/21"
	"0993028-1"	"0993028-1"	"WHEEZING"	"10047924"	"65-79 years"	"65-79"	"On 1/9/21-Diaphoresis, O2 90%, respirations 22, increased weakness, wheezing bilaterally. Send to ER for evaluation and treatment. She was sent to ER, where she was admitted for 2 days, then expired there on 1/11/21"
	"0994788-1"	"0994788-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient death on 2/1/2021 at 4:55am at hospital."
	"1000752-1"	"1000752-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Pt son, reports patient passed away on 2/1/21 in the early hours. Pt wife, told Pt's son that patient started feeling ""bad"" with common cold like symptoms on 1/31/21, had a temp of 99.0. Pt's wife went to take a shower, when she got out patient was unresponsive. She called EMS, they pronounced patient deceased upon arrival.    Pt's son also reports patient and Pt's wife both had their 1st COVID-19 vaccine 13 days prior. He was told by EMT on sight to notify the facility where they received their vaccines. He did contact them and was told to notify PCP.""
	"1000752-1"	"1000752-1"	"FEELING ABNORMAL"	"10016322"	"65-79 years"	"65-79"	""Pt son, reports patient passed away on 2/1/21 in the early hours. Pt wife, told Pt's son that patient started feeling ""bad"" with common cold like symptoms on 1/31/21, had a temp of 99.0. Pt's wife went to take a shower, when she got out patient was unresponsive. She called EMS, they pronounced patient deceased upon arrival.    Pt's son also reports patient and Pt's wife both had their 1st COVID-19 vaccine 13 days prior. He was told by EMT on sight to notify the facility where they received their vaccines. He did contact them and was told to notify PCP.""
	"1000752-1"	"1000752-1"	"NASOPHARYNGITIS"	"10028810"	"65-79 years"	"65-79"	""Pt son, reports patient passed away on 2/1/21 in the early hours. Pt wife, told Pt's son that patient started feeling ""bad"" with common cold like symptoms on 1/31/21, had a temp of 99.0. Pt's wife went to take a shower, when she got out patient was unresponsive. She called EMS, they pronounced patient deceased upon arrival.    Pt's son also reports patient and Pt's wife both had their 1st COVID-19 vaccine 13 days prior. He was told by EMT on sight to notify the facility where they received their vaccines. He did contact them and was told to notify PCP.""
	"1000752-1"	"1000752-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	""Pt son, reports patient passed away on 2/1/21 in the early hours. Pt wife, told Pt's son that patient started feeling ""bad"" with common cold like symptoms on 1/31/21, had a temp of 99.0. Pt's wife went to take a shower, when she got out patient was unresponsive. She called EMS, they pronounced patient deceased upon arrival.    Pt's son also reports patient and Pt's wife both had their 1st COVID-19 vaccine 13 days prior. He was told by EMT on sight to notify the facility where they received their vaccines. He did contact them and was told to notify PCP.""
	"1005455-1"	"1005455-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"We don't know what happened. 25 hours after the shot, he started gagging and stopped breathing. He was pronounced at OSF at 8:07pm after we took him off life support."
	"1005455-1"	"1005455-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"We don't know what happened. 25 hours after the shot, he started gagging and stopped breathing. He was pronounced at OSF at 8:07pm after we took him off life support."
	"1005455-1"	"1005455-1"	"RETCHING"	"10038776"	"65-79 years"	"65-79"	"We don't know what happened. 25 hours after the shot, he started gagging and stopped breathing. He was pronounced at OSF at 8:07pm after we took him off life support."
	"1005455-1"	"1005455-1"	"WITHDRAWAL OF LIFE SUPPORT"	"10067595"	"65-79 years"	"65-79"	"We don't know what happened. 25 hours after the shot, he started gagging and stopped breathing. He was pronounced at OSF at 8:07pm after we took him off life support."
	"1005568-1"	"1005568-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt. deceased."
	"1006289-1"	"1006289-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death- 2/1/2021"
	"1006303-1"	"1006303-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death- 2/1/2021"
	"1006316-1"	"1006316-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death- 2/2/2021"
	"1012604-1"	"1012604-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1014865-1"	"1014865-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"He had not been feeling well after his second Covid vaccination (on 01/23/2021) and was found unresponsive in his room at the nursing home (late evening on 02/02/2021). He was taken to a hospital where they did tests and he had pneumonia and kidney failure, but he was being transferred to a larger hospital when he arrested and died (02/03/2021)"
	"1014865-1"	"1014865-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"He had not been feeling well after his second Covid vaccination (on 01/23/2021) and was found unresponsive in his room at the nursing home (late evening on 02/02/2021). He was taken to a hospital where they did tests and he had pneumonia and kidney failure, but he was being transferred to a larger hospital when he arrested and died (02/03/2021)"
	"1014865-1"	"1014865-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"He had not been feeling well after his second Covid vaccination (on 01/23/2021) and was found unresponsive in his room at the nursing home (late evening on 02/02/2021). He was taken to a hospital where they did tests and he had pneumonia and kidney failure, but he was being transferred to a larger hospital when he arrested and died (02/03/2021)"
	"1014865-1"	"1014865-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"He had not been feeling well after his second Covid vaccination (on 01/23/2021) and was found unresponsive in his room at the nursing home (late evening on 02/02/2021). He was taken to a hospital where they did tests and he had pneumonia and kidney failure, but he was being transferred to a larger hospital when he arrested and died (02/03/2021)"
	"1014865-1"	"1014865-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"He had not been feeling well after his second Covid vaccination (on 01/23/2021) and was found unresponsive in his room at the nursing home (late evening on 02/02/2021). He was taken to a hospital where they did tests and he had pneumonia and kidney failure, but he was being transferred to a larger hospital when he arrested and died (02/03/2021)"
	"1014865-1"	"1014865-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"He had not been feeling well after his second Covid vaccination (on 01/23/2021) and was found unresponsive in his room at the nursing home (late evening on 02/02/2021). He was taken to a hospital where they did tests and he had pneumonia and kidney failure, but he was being transferred to a larger hospital when he arrested and died (02/03/2021)"
	"1015465-1"	"1015465-1"	"HEART RATE ABNORMAL"	"10019300"	"65-79 years"	"65-79"	"DISCOVERED UNRESPONSIVE WITHOUT PULSE, RESPIRATIONS, HEART BEAT ON 2/7/21 AT 0435 A.M. RESIDENT WAS DNR STATUS."
	"1015465-1"	"1015465-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"DISCOVERED UNRESPONSIVE WITHOUT PULSE, RESPIRATIONS, HEART BEAT ON 2/7/21 AT 0435 A.M. RESIDENT WAS DNR STATUS."
	"1015465-1"	"1015465-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"DISCOVERED UNRESPONSIVE WITHOUT PULSE, RESPIRATIONS, HEART BEAT ON 2/7/21 AT 0435 A.M. RESIDENT WAS DNR STATUS."
	"1015465-1"	"1015465-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"DISCOVERED UNRESPONSIVE WITHOUT PULSE, RESPIRATIONS, HEART BEAT ON 2/7/21 AT 0435 A.M. RESIDENT WAS DNR STATUS."
	"1016097-1"	"1016097-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died 02/08/21"
	"1019850-1"	"1019850-1"	"BLOOD SODIUM DECREASED"	"10005802"	"65-79 years"	"65-79"	"HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and ACLS guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and ACLS guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1019850-1"	"1019850-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and ACLS guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and ACLS guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1019850-1"	"1019850-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and ACLS guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and ACLS guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1019850-1"	"1019850-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and ACLS guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and ACLS guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1019850-1"	"1019850-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and ACLS guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and ACLS guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1019850-1"	"1019850-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and ACLS guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and ACLS guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1019850-1"	"1019850-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and ACLS guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and ACLS guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1020654-1"	"1020654-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient found unresponsive in room with no pulse or respirations.  She was pronounced dead by paramedics at 06:25am on 2/5/2021."
	"1020654-1"	"1020654-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"Patient found unresponsive in room with no pulse or respirations.  She was pronounced dead by paramedics at 06:25am on 2/5/2021."
	"1020654-1"	"1020654-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patient found unresponsive in room with no pulse or respirations.  She was pronounced dead by paramedics at 06:25am on 2/5/2021."
	"1023673-1"	"1023673-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"65-79 years"	"65-79"	"Patient was vaccinated on 1/14/2021.  On 1/22/2021, patient tested positive for COVID-19 and admitted to the hospital for acute hypoxemic respiratory failure, COVID-19 pneumonia, and severe ARDS.  Patient was intubated on 1/23/2021 and later died on 2/10/2021 after being extubated and placed on comfort measures."
	"1023673-1"	"1023673-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient was vaccinated on 1/14/2021.  On 1/22/2021, patient tested positive for COVID-19 and admitted to the hospital for acute hypoxemic respiratory failure, COVID-19 pneumonia, and severe ARDS.  Patient was intubated on 1/23/2021 and later died on 2/10/2021 after being extubated and placed on comfort measures."
	"1023673-1"	"1023673-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was vaccinated on 1/14/2021.  On 1/22/2021, patient tested positive for COVID-19 and admitted to the hospital for acute hypoxemic respiratory failure, COVID-19 pneumonia, and severe ARDS.  Patient was intubated on 1/23/2021 and later died on 2/10/2021 after being extubated and placed on comfort measures."
	"1023673-1"	"1023673-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient was vaccinated on 1/14/2021.  On 1/22/2021, patient tested positive for COVID-19 and admitted to the hospital for acute hypoxemic respiratory failure, COVID-19 pneumonia, and severe ARDS.  Patient was intubated on 1/23/2021 and later died on 2/10/2021 after being extubated and placed on comfort measures."
	"1023673-1"	"1023673-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Patient was vaccinated on 1/14/2021.  On 1/22/2021, patient tested positive for COVID-19 and admitted to the hospital for acute hypoxemic respiratory failure, COVID-19 pneumonia, and severe ARDS.  Patient was intubated on 1/23/2021 and later died on 2/10/2021 after being extubated and placed on comfort measures."
	"1023673-1"	"1023673-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient was vaccinated on 1/14/2021.  On 1/22/2021, patient tested positive for COVID-19 and admitted to the hospital for acute hypoxemic respiratory failure, COVID-19 pneumonia, and severe ARDS.  Patient was intubated on 1/23/2021 and later died on 2/10/2021 after being extubated and placed on comfort measures."
	"1024343-1"	"1024343-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"PATIENT ARRIVED TO ED ON 2/9 IN FULL CARDIAC ARREST"
	"1024627-1"	"1024627-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"covid shot 2/2; feel bad 2/5; covid positive diagnosis  - 2/8 s/s cough, fever, shortness of breath , hypertension, afib (in er) - admitted  went into DIC per intensivist 2/11 patient died"
	"1024627-1"	"1024627-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"covid shot 2/2; feel bad 2/5; covid positive diagnosis  - 2/8 s/s cough, fever, shortness of breath , hypertension, afib (in er) - admitted  went into DIC per intensivist 2/11 patient died"
	"1024627-1"	"1024627-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"covid shot 2/2; feel bad 2/5; covid positive diagnosis  - 2/8 s/s cough, fever, shortness of breath , hypertension, afib (in er) - admitted  went into DIC per intensivist 2/11 patient died"
	"1024627-1"	"1024627-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"covid shot 2/2; feel bad 2/5; covid positive diagnosis  - 2/8 s/s cough, fever, shortness of breath , hypertension, afib (in er) - admitted  went into DIC per intensivist 2/11 patient died"
	"1024627-1"	"1024627-1"	"DISSEMINATED INTRAVASCULAR COAGULATION"	"10013442"	"65-79 years"	"65-79"	"covid shot 2/2; feel bad 2/5; covid positive diagnosis  - 2/8 s/s cough, fever, shortness of breath , hypertension, afib (in er) - admitted  went into DIC per intensivist 2/11 patient died"
	"1024627-1"	"1024627-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"covid shot 2/2; feel bad 2/5; covid positive diagnosis  - 2/8 s/s cough, fever, shortness of breath , hypertension, afib (in er) - admitted  went into DIC per intensivist 2/11 patient died"
	"1024627-1"	"1024627-1"	"FEELING ABNORMAL"	"10016322"	"65-79 years"	"65-79"	"covid shot 2/2; feel bad 2/5; covid positive diagnosis  - 2/8 s/s cough, fever, shortness of breath , hypertension, afib (in er) - admitted  went into DIC per intensivist 2/11 patient died"
	"1024627-1"	"1024627-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"covid shot 2/2; feel bad 2/5; covid positive diagnosis  - 2/8 s/s cough, fever, shortness of breath , hypertension, afib (in er) - admitted  went into DIC per intensivist 2/11 patient died"
	"1024627-1"	"1024627-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"covid shot 2/2; feel bad 2/5; covid positive diagnosis  - 2/8 s/s cough, fever, shortness of breath , hypertension, afib (in er) - admitted  went into DIC per intensivist 2/11 patient died"
	"1024853-1"	"1024853-1"	"ABDOMINAL PAIN UPPER"	"10000087"	"65-79 years"	"65-79"	"Feb 8 states she had a cold. Feb 9 added stomach ache and nausea.  Feb 9 visited urgent care facility for exam and Covid-19 test. Rapid test results were negative. Appeared tired but fine.  Told to go home and rest. Feb 10 at 9:00 am found dead on the floor  in pool of blood and aspirated. Excessive blood in toilet, pooled on floor and hallway rug."
	"1024853-1"	"1024853-1"	"ASPIRATION"	"10003504"	"65-79 years"	"65-79"	"Feb 8 states she had a cold. Feb 9 added stomach ache and nausea.  Feb 9 visited urgent care facility for exam and Covid-19 test. Rapid test results were negative. Appeared tired but fine.  Told to go home and rest. Feb 10 at 9:00 am found dead on the floor  in pool of blood and aspirated. Excessive blood in toilet, pooled on floor and hallway rug."
	"1024853-1"	"1024853-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Feb 8 states she had a cold. Feb 9 added stomach ache and nausea.  Feb 9 visited urgent care facility for exam and Covid-19 test. Rapid test results were negative. Appeared tired but fine.  Told to go home and rest. Feb 10 at 9:00 am found dead on the floor  in pool of blood and aspirated. Excessive blood in toilet, pooled on floor and hallway rug."
	"1024853-1"	"1024853-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Feb 8 states she had a cold. Feb 9 added stomach ache and nausea.  Feb 9 visited urgent care facility for exam and Covid-19 test. Rapid test results were negative. Appeared tired but fine.  Told to go home and rest. Feb 10 at 9:00 am found dead on the floor  in pool of blood and aspirated. Excessive blood in toilet, pooled on floor and hallway rug."
	"1024853-1"	"1024853-1"	"HAEMORRHAGE"	"10055798"	"65-79 years"	"65-79"	"Feb 8 states she had a cold. Feb 9 added stomach ache and nausea.  Feb 9 visited urgent care facility for exam and Covid-19 test. Rapid test results were negative. Appeared tired but fine.  Told to go home and rest. Feb 10 at 9:00 am found dead on the floor  in pool of blood and aspirated. Excessive blood in toilet, pooled on floor and hallway rug."
	"1024853-1"	"1024853-1"	"NASOPHARYNGITIS"	"10028810"	"65-79 years"	"65-79"	"Feb 8 states she had a cold. Feb 9 added stomach ache and nausea.  Feb 9 visited urgent care facility for exam and Covid-19 test. Rapid test results were negative. Appeared tired but fine.  Told to go home and rest. Feb 10 at 9:00 am found dead on the floor  in pool of blood and aspirated. Excessive blood in toilet, pooled on floor and hallway rug."
	"1024853-1"	"1024853-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Feb 8 states she had a cold. Feb 9 added stomach ache and nausea.  Feb 9 visited urgent care facility for exam and Covid-19 test. Rapid test results were negative. Appeared tired but fine.  Told to go home and rest. Feb 10 at 9:00 am found dead on the floor  in pool of blood and aspirated. Excessive blood in toilet, pooled on floor and hallway rug."
	"1024853-1"	"1024853-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"Feb 8 states she had a cold. Feb 9 added stomach ache and nausea.  Feb 9 visited urgent care facility for exam and Covid-19 test. Rapid test results were negative. Appeared tired but fine.  Told to go home and rest. Feb 10 at 9:00 am found dead on the floor  in pool of blood and aspirated. Excessive blood in toilet, pooled on floor and hallway rug."
	"1025398-1"	"1025398-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient received vaccine on 2/5.  We were told on 2/9 that the patient visited another emergency department on 2/6 but no information was given as to what prompted that visit.  She was sent home.  Daughter found her on 2/6 or 2/ 7 unresponsive and she died."
	"1025398-1"	"1025398-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patient received vaccine on 2/5.  We were told on 2/9 that the patient visited another emergency department on 2/6 but no information was given as to what prompted that visit.  She was sent home.  Daughter found her on 2/6 or 2/ 7 unresponsive and she died."
	"1025579-1"	"1025579-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"Patient received the vaccine at an outside healthcare facility on 2/11/21. At approximately 1 pm she screamed out and fell out of her chair. EMS was called and patient was found to be in Vfib. ACLS was performed for approximately 42 minutes prior to arrival at ED. At that time the patient had been pulseless for 25 minutes. Patient received 450 mg of amiodarone, epinephrine x7, sodium bicarbonate x2, and 7 AED shocks. In the ED 3 more doses of epinephrine were given, one more dose of sodium bicarbonate, and 5 additional shocks. ROSC was not achieved and time of death was called at 1416."
	"1025579-1"	"1025579-1"	"CARDIOVERSION"	"10007661"	"65-79 years"	"65-79"	"Patient received the vaccine at an outside healthcare facility on 2/11/21. At approximately 1 pm she screamed out and fell out of her chair. EMS was called and patient was found to be in Vfib. ACLS was performed for approximately 42 minutes prior to arrival at ED. At that time the patient had been pulseless for 25 minutes. Patient received 450 mg of amiodarone, epinephrine x7, sodium bicarbonate x2, and 7 AED shocks. In the ED 3 more doses of epinephrine were given, one more dose of sodium bicarbonate, and 5 additional shocks. ROSC was not achieved and time of death was called at 1416."
	"1025579-1"	"1025579-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient received the vaccine at an outside healthcare facility on 2/11/21. At approximately 1 pm she screamed out and fell out of her chair. EMS was called and patient was found to be in Vfib. ACLS was performed for approximately 42 minutes prior to arrival at ED. At that time the patient had been pulseless for 25 minutes. Patient received 450 mg of amiodarone, epinephrine x7, sodium bicarbonate x2, and 7 AED shocks. In the ED 3 more doses of epinephrine were given, one more dose of sodium bicarbonate, and 5 additional shocks. ROSC was not achieved and time of death was called at 1416."
	"1025579-1"	"1025579-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Patient received the vaccine at an outside healthcare facility on 2/11/21. At approximately 1 pm she screamed out and fell out of her chair. EMS was called and patient was found to be in Vfib. ACLS was performed for approximately 42 minutes prior to arrival at ED. At that time the patient had been pulseless for 25 minutes. Patient received 450 mg of amiodarone, epinephrine x7, sodium bicarbonate x2, and 7 AED shocks. In the ED 3 more doses of epinephrine were given, one more dose of sodium bicarbonate, and 5 additional shocks. ROSC was not achieved and time of death was called at 1416."
	"1025579-1"	"1025579-1"	"LIFE SUPPORT"	"10024447"	"65-79 years"	"65-79"	"Patient received the vaccine at an outside healthcare facility on 2/11/21. At approximately 1 pm she screamed out and fell out of her chair. EMS was called and patient was found to be in Vfib. ACLS was performed for approximately 42 minutes prior to arrival at ED. At that time the patient had been pulseless for 25 minutes. Patient received 450 mg of amiodarone, epinephrine x7, sodium bicarbonate x2, and 7 AED shocks. In the ED 3 more doses of epinephrine were given, one more dose of sodium bicarbonate, and 5 additional shocks. ROSC was not achieved and time of death was called at 1416."
	"1025579-1"	"1025579-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"Patient received the vaccine at an outside healthcare facility on 2/11/21. At approximately 1 pm she screamed out and fell out of her chair. EMS was called and patient was found to be in Vfib. ACLS was performed for approximately 42 minutes prior to arrival at ED. At that time the patient had been pulseless for 25 minutes. Patient received 450 mg of amiodarone, epinephrine x7, sodium bicarbonate x2, and 7 AED shocks. In the ED 3 more doses of epinephrine were given, one more dose of sodium bicarbonate, and 5 additional shocks. ROSC was not achieved and time of death was called at 1416."
	"1025579-1"	"1025579-1"	"SCREAMING"	"10039740"	"65-79 years"	"65-79"	"Patient received the vaccine at an outside healthcare facility on 2/11/21. At approximately 1 pm she screamed out and fell out of her chair. EMS was called and patient was found to be in Vfib. ACLS was performed for approximately 42 minutes prior to arrival at ED. At that time the patient had been pulseless for 25 minutes. Patient received 450 mg of amiodarone, epinephrine x7, sodium bicarbonate x2, and 7 AED shocks. In the ED 3 more doses of epinephrine were given, one more dose of sodium bicarbonate, and 5 additional shocks. ROSC was not achieved and time of death was called at 1416."
	"1025579-1"	"1025579-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"65-79 years"	"65-79"	"Patient received the vaccine at an outside healthcare facility on 2/11/21. At approximately 1 pm she screamed out and fell out of her chair. EMS was called and patient was found to be in Vfib. ACLS was performed for approximately 42 minutes prior to arrival at ED. At that time the patient had been pulseless for 25 minutes. Patient received 450 mg of amiodarone, epinephrine x7, sodium bicarbonate x2, and 7 AED shocks. In the ED 3 more doses of epinephrine were given, one more dose of sodium bicarbonate, and 5 additional shocks. ROSC was not achieved and time of death was called at 1416."
	"1027503-1"	"1027503-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died on 02/08/2021"
	"1028101-1"	"1028101-1"	"BLOOD GASES ABNORMAL"	"10005539"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"ELECTROCARDIOGRAM ABNORMAL"	"10014363"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"METABOLIC ACIDOSIS"	"10027417"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"METABOLIC FUNCTION TEST NORMAL"	"10062192"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"MYOCARDIAL ISCHAEMIA"	"10028600"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"PAIN IN EXTREMITY"	"10033425"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"PERIPHERAL SWELLING"	"10048959"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1028101-1"	"1028101-1"	"TROPONIN NORMAL"	"10071322"	"65-79 years"	"65-79"	"Pt develops left leg pain The day after vaccination in AM subsequently drove approximately 150 miles On his way back stopped at his brothers place for lunch. He then collapsed coning down the steps, EMS started CPR. took him to ER  Resuscitated briefly  but went into CardioPulm Arrest again and PEA Resucitaion for aprox 1 hour but was unsuccessful. Noted to have Left leg more swollen than Right by 3 to 4 CM presumed to have died from massive Pulmonary embolism and inferior wall myocardial ischemia"
	"1029335-1"	"1029335-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Cardiopulmonary arrest"
	"1029554-1"	"1029554-1"	"SUDDEN DEATH"	"10042434"	"65-79 years"	"65-79"	"Patient died suddenly on 2/1/21 from unknown causes according to his son."
	"1032880-1"	"1032880-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Received Pfizer 1/22/2021. RNA+ 2/4/2021. S/S SOB, cough, confusion. COVID assoc. resp. failure, stage 4 lung cancer, COPD, HTN, former smoker. patient in hospice  and died 2/10/2021."
	"1032880-1"	"1032880-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"Received Pfizer 1/22/2021. RNA+ 2/4/2021. S/S SOB, cough, confusion. COVID assoc. resp. failure, stage 4 lung cancer, COPD, HTN, former smoker. patient in hospice  and died 2/10/2021."
	"1032880-1"	"1032880-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Received Pfizer 1/22/2021. RNA+ 2/4/2021. S/S SOB, cough, confusion. COVID assoc. resp. failure, stage 4 lung cancer, COPD, HTN, former smoker. patient in hospice  and died 2/10/2021."
	"1032880-1"	"1032880-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Received Pfizer 1/22/2021. RNA+ 2/4/2021. S/S SOB, cough, confusion. COVID assoc. resp. failure, stage 4 lung cancer, COPD, HTN, former smoker. patient in hospice  and died 2/10/2021."
	"1032880-1"	"1032880-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Received Pfizer 1/22/2021. RNA+ 2/4/2021. S/S SOB, cough, confusion. COVID assoc. resp. failure, stage 4 lung cancer, COPD, HTN, former smoker. patient in hospice  and died 2/10/2021."
	"1032880-1"	"1032880-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Received Pfizer 1/22/2021. RNA+ 2/4/2021. S/S SOB, cough, confusion. COVID assoc. resp. failure, stage 4 lung cancer, COPD, HTN, former smoker. patient in hospice  and died 2/10/2021."
	"1032880-1"	"1032880-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"Received Pfizer 1/22/2021. RNA+ 2/4/2021. S/S SOB, cough, confusion. COVID assoc. resp. failure, stage 4 lung cancer, COPD, HTN, former smoker. patient in hospice  and died 2/10/2021."
	"1032880-1"	"1032880-1"	"LUNG CARCINOMA CELL TYPE UNSPECIFIED STAGE IV"	"10025070"	"65-79 years"	"65-79"	"Received Pfizer 1/22/2021. RNA+ 2/4/2021. S/S SOB, cough, confusion. COVID assoc. resp. failure, stage 4 lung cancer, COPD, HTN, former smoker. patient in hospice  and died 2/10/2021."
	"1032880-1"	"1032880-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Received Pfizer 1/22/2021. RNA+ 2/4/2021. S/S SOB, cough, confusion. COVID assoc. resp. failure, stage 4 lung cancer, COPD, HTN, former smoker. patient in hospice  and died 2/10/2021."
	"1032880-1"	"1032880-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Received Pfizer 1/22/2021. RNA+ 2/4/2021. S/S SOB, cough, confusion. COVID assoc. resp. failure, stage 4 lung cancer, COPD, HTN, former smoker. patient in hospice  and died 2/10/2021."
	"1033131-1"	"1033131-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient received initial COVID vaccine on 2/11/2021 at Clinic. Direct observation for 15 minutes and no documentation noting an adverse reaction. On 2/14/2021 was diagnosed with Sepsis secondary to pneumonia, started on antibiotic therapy, cardiac arrested, and expired on 2/14/2021 while at Hospital."
	"1033131-1"	"1033131-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient received initial COVID vaccine on 2/11/2021 at Clinic. Direct observation for 15 minutes and no documentation noting an adverse reaction. On 2/14/2021 was diagnosed with Sepsis secondary to pneumonia, started on antibiotic therapy, cardiac arrested, and expired on 2/14/2021 while at Hospital."
	"1033131-1"	"1033131-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Patient received initial COVID vaccine on 2/11/2021 at Clinic. Direct observation for 15 minutes and no documentation noting an adverse reaction. On 2/14/2021 was diagnosed with Sepsis secondary to pneumonia, started on antibiotic therapy, cardiac arrested, and expired on 2/14/2021 while at Hospital."
	"1033131-1"	"1033131-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Patient received initial COVID vaccine on 2/11/2021 at Clinic. Direct observation for 15 minutes and no documentation noting an adverse reaction. On 2/14/2021 was diagnosed with Sepsis secondary to pneumonia, started on antibiotic therapy, cardiac arrested, and expired on 2/14/2021 while at Hospital."
	"1035866-1"	"1035866-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt died on 2/15/21. On 2/13/21, pt complained of muscle aches."
	"1035866-1"	"1035866-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"Pt died on 2/15/21. On 2/13/21, pt complained of muscle aches."
	"1036440-1"	"1036440-1"	"BLADDER CANCER STAGE IV"	"10005012"	"65-79 years"	"65-79"	"Patient died at home in hospice care from complications of stage 4 bladder cancer"
	"1036440-1"	"1036440-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Patient died at home in hospice care from complications of stage 4 bladder cancer"
	"1036440-1"	"1036440-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died at home in hospice care from complications of stage 4 bladder cancer"
	"1036479-1"	"1036479-1"	"ABDOMINAL INJURY"	"10060924"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"BILEVEL POSITIVE AIRWAY PRESSURE"	"10064530"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"BLOOD ALKALINE PHOSPHATASE INCREASED"	"10059570"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"BLOOD LACTIC ACID DECREASED"	"10005634"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"BLOOD UREA INCREASED"	"10005851"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"BRAIN NATRIURETIC PEPTIDE INCREASED"	"10053405"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"CHEST INJURY"	"10061386"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"COMPUTERISED TOMOGRAM NORMAL"	"10010236"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"CONTUSION"	"10050584"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"GLOMERULAR FILTRATION RATE DECREASED"	"10018358"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"PLATELET COUNT DECREASED"	"10035528"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036479-1"	"1036479-1"	"TROPONIN I INCREASED"	"10058268"	"65-79 years"	"65-79"	"Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021.  Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021."
	"1036519-1"	"1036519-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Received first SARS-CoV2  vaccination yesterday at local store Experienced new symptoms of chills, nausea as well as worsening from baseline dyspnea at night. Wife states he had rough morning breathing and had sudden loss of consciousness and unresponsiveness and failed to respond to bystander CPR. He expired at his home."
	"1036519-1"	"1036519-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Received first SARS-CoV2  vaccination yesterday at local store Experienced new symptoms of chills, nausea as well as worsening from baseline dyspnea at night. Wife states he had rough morning breathing and had sudden loss of consciousness and unresponsiveness and failed to respond to bystander CPR. He expired at his home."
	"1036519-1"	"1036519-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Received first SARS-CoV2  vaccination yesterday at local store Experienced new symptoms of chills, nausea as well as worsening from baseline dyspnea at night. Wife states he had rough morning breathing and had sudden loss of consciousness and unresponsiveness and failed to respond to bystander CPR. He expired at his home."
	"1036519-1"	"1036519-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"65-79 years"	"65-79"	"Received first SARS-CoV2  vaccination yesterday at local store Experienced new symptoms of chills, nausea as well as worsening from baseline dyspnea at night. Wife states he had rough morning breathing and had sudden loss of consciousness and unresponsiveness and failed to respond to bystander CPR. He expired at his home."
	"1036519-1"	"1036519-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Received first SARS-CoV2  vaccination yesterday at local store Experienced new symptoms of chills, nausea as well as worsening from baseline dyspnea at night. Wife states he had rough morning breathing and had sudden loss of consciousness and unresponsiveness and failed to respond to bystander CPR. He expired at his home."
	"1036519-1"	"1036519-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Received first SARS-CoV2  vaccination yesterday at local store Experienced new symptoms of chills, nausea as well as worsening from baseline dyspnea at night. Wife states he had rough morning breathing and had sudden loss of consciousness and unresponsiveness and failed to respond to bystander CPR. He expired at his home."
	"1036519-1"	"1036519-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Received first SARS-CoV2  vaccination yesterday at local store Experienced new symptoms of chills, nausea as well as worsening from baseline dyspnea at night. Wife states he had rough morning breathing and had sudden loss of consciousness and unresponsiveness and failed to respond to bystander CPR. He expired at his home."
	"1036634-1"	"1036634-1"	"BODY TEMPERATURE INCREASED"	"10005911"	"65-79 years"	"65-79"	"Patient had COVID in Sept.  Minimal symptoms.  Received 1st dose 1/18 without adverse reactions.  Second dose on 2/8-had complaints of arm soreness several days after then appeared in usual state of health.  On 2/14 @ 2 hours after having lunch, patient was found unresponsive with Respirations 60, pulse 130, PO 84%, blood pressure 105/68.  Patient with lots of white foam coming out of mouth.   Temperature to 101.3.  Patient DNR B and family deferred transfer, wanted comfort measures only.  Nursing received order for MSIR.  Patient continued with temps in 99-100 range with tylenol suppositories.  Patient passed on 2/16."
	"1036634-1"	"1036634-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had COVID in Sept.  Minimal symptoms.  Received 1st dose 1/18 without adverse reactions.  Second dose on 2/8-had complaints of arm soreness several days after then appeared in usual state of health.  On 2/14 @ 2 hours after having lunch, patient was found unresponsive with Respirations 60, pulse 130, PO 84%, blood pressure 105/68.  Patient with lots of white foam coming out of mouth.   Temperature to 101.3.  Patient DNR B and family deferred transfer, wanted comfort measures only.  Nursing received order for MSIR.  Patient continued with temps in 99-100 range with tylenol suppositories.  Patient passed on 2/16."
	"1036634-1"	"1036634-1"	"FOAMING AT MOUTH"	"10062654"	"65-79 years"	"65-79"	"Patient had COVID in Sept.  Minimal symptoms.  Received 1st dose 1/18 without adverse reactions.  Second dose on 2/8-had complaints of arm soreness several days after then appeared in usual state of health.  On 2/14 @ 2 hours after having lunch, patient was found unresponsive with Respirations 60, pulse 130, PO 84%, blood pressure 105/68.  Patient with lots of white foam coming out of mouth.   Temperature to 101.3.  Patient DNR B and family deferred transfer, wanted comfort measures only.  Nursing received order for MSIR.  Patient continued with temps in 99-100 range with tylenol suppositories.  Patient passed on 2/16."
	"1036634-1"	"1036634-1"	"PAIN IN EXTREMITY"	"10033425"	"65-79 years"	"65-79"	"Patient had COVID in Sept.  Minimal symptoms.  Received 1st dose 1/18 without adverse reactions.  Second dose on 2/8-had complaints of arm soreness several days after then appeared in usual state of health.  On 2/14 @ 2 hours after having lunch, patient was found unresponsive with Respirations 60, pulse 130, PO 84%, blood pressure 105/68.  Patient with lots of white foam coming out of mouth.   Temperature to 101.3.  Patient DNR B and family deferred transfer, wanted comfort measures only.  Nursing received order for MSIR.  Patient continued with temps in 99-100 range with tylenol suppositories.  Patient passed on 2/16."
	"1036634-1"	"1036634-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patient had COVID in Sept.  Minimal symptoms.  Received 1st dose 1/18 without adverse reactions.  Second dose on 2/8-had complaints of arm soreness several days after then appeared in usual state of health.  On 2/14 @ 2 hours after having lunch, patient was found unresponsive with Respirations 60, pulse 130, PO 84%, blood pressure 105/68.  Patient with lots of white foam coming out of mouth.   Temperature to 101.3.  Patient DNR B and family deferred transfer, wanted comfort measures only.  Nursing received order for MSIR.  Patient continued with temps in 99-100 range with tylenol suppositories.  Patient passed on 2/16."
	"1036655-1"	"1036655-1"	"ALANINE AMINOTRANSFERASE INCREASED"	"10001551"	"65-79 years"	"65-79"	"Death on 1/31/2021 multiple comorbidities"
	"1036655-1"	"1036655-1"	"ASPARTATE AMINOTRANSFERASE INCREASED"	"10003481"	"65-79 years"	"65-79"	"Death on 1/31/2021 multiple comorbidities"
	"1036655-1"	"1036655-1"	"BLOOD ALBUMIN DECREASED"	"10005287"	"65-79 years"	"65-79"	"Death on 1/31/2021 multiple comorbidities"
	"1036655-1"	"1036655-1"	"BLOOD ALKALINE PHOSPHATASE INCREASED"	"10059570"	"65-79 years"	"65-79"	"Death on 1/31/2021 multiple comorbidities"
	"1036655-1"	"1036655-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"Death on 1/31/2021 multiple comorbidities"
	"1036655-1"	"1036655-1"	"BLOOD UREA INCREASED"	"10005851"	"65-79 years"	"65-79"	"Death on 1/31/2021 multiple comorbidities"
	"1036655-1"	"1036655-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death on 1/31/2021 multiple comorbidities"
	"1036655-1"	"1036655-1"	"GLOBULINS INCREASED"	"10018350"	"65-79 years"	"65-79"	"Death on 1/31/2021 multiple comorbidities"
	"1036655-1"	"1036655-1"	"LYMPHOCYTE PERCENTAGE DECREASED"	"10052231"	"65-79 years"	"65-79"	"Death on 1/31/2021 multiple comorbidities"
	"1036655-1"	"1036655-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	"Death on 1/31/2021 multiple comorbidities"
	"1036697-1"	"1036697-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Multiple co-morbidities history of COVID-19 6/8/2020 and 12/28/2020.  At time of vaccination fighting osteomyelitis.  1st dose 1/13/21, 2nd dose 2/3/2021 expired 2/8/2021."
	"1036993-1"	"1036993-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient reported at review of questionnaire had headache that day. Temp was taken, 97.8, okay. proceeded. Conversing customer friend in store afterward. When timer went off, said he was fine, he and his wife left. Daughter called to store Wednesday morning, said Pt had passed away Tuesday, that it was unknown the cause, and just wanted to let us know.  We did not take down her phone number and last name.  The patient was a long time customer."
	"1036993-1"	"1036993-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Patient reported at review of questionnaire had headache that day. Temp was taken, 97.8, okay. proceeded. Conversing customer friend in store afterward. When timer went off, said he was fine, he and his wife left. Daughter called to store Wednesday morning, said Pt had passed away Tuesday, that it was unknown the cause, and just wanted to let us know.  We did not take down her phone number and last name.  The patient was a long time customer."
	"1038290-1"	"1038290-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"Death on same day as vaccination"
	"1038290-1"	"1038290-1"	"BLOOD UREA INCREASED"	"10005851"	"65-79 years"	"65-79"	"Death on same day as vaccination"
	"1038290-1"	"1038290-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death on same day as vaccination"
	"1038290-1"	"1038290-1"	"GLOMERULAR FILTRATION RATE"	"10018355"	"65-79 years"	"65-79"	"Death on same day as vaccination"
	"1038290-1"	"1038290-1"	"LYMPHOCYTE PERCENTAGE DECREASED"	"10052231"	"65-79 years"	"65-79"	"Death on same day as vaccination"
	"1038290-1"	"1038290-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	"Death on same day as vaccination"
	"1040574-1"	"1040574-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient collapsed and could not be revived. There was no prior warning. She was otherwise in good condition for her age. The death was listed as probable cardiac arrest but no autopsy was performed. Since it occurred so close to the vaccine shot I thought someone may want to know."
	"1040574-1"	"1040574-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient collapsed and could not be revived. There was no prior warning. She was otherwise in good condition for her age. The death was listed as probable cardiac arrest but no autopsy was performed. Since it occurred so close to the vaccine shot I thought someone may want to know."
	"1040574-1"	"1040574-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"Patient collapsed and could not be revived. There was no prior warning. She was otherwise in good condition for her age. The death was listed as probable cardiac arrest but no autopsy was performed. Since it occurred so close to the vaccine shot I thought someone may want to know."
	"1040574-1"	"1040574-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patient collapsed and could not be revived. There was no prior warning. She was otherwise in good condition for her age. The death was listed as probable cardiac arrest but no autopsy was performed. Since it occurred so close to the vaccine shot I thought someone may want to know."
	"1043690-1"	"1043690-1"	"SUDDEN DEATH"	"10042434"	"65-79 years"	"65-79"	"Ventricular fibrillation/sudden death"
	"1043690-1"	"1043690-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"65-79 years"	"65-79"	"Ventricular fibrillation/sudden death"
	"1046752-1"	"1046752-1"	"ARRHYTHMIA"	"10003119"	"65-79 years"	"65-79"	"Pt was hospitalized Jan 18, 2021 after he had fallen outside overnight and lay there approximately 12 hours until he was found. Hypothermic & rhabdomyolis diagnosis. Gradually improved w/ strength & mental status - was in swing bed @ hospital. He got his first Covid 19 shot on 2-8-21. Was fine @ 0300 on 2-9-21 and @ 0430 he was found unresponsive. Dx: probable arrythmia & pronounced dead @ 0454. Noted on pain scale @ 2/8/21 @ 21:11, clients pain was a 7/10 They offered pain med & he refused They repositioned & distracted him @ 2047 on 2/8/21 Pain had decreased to 3/10 and nothing given. Then @ 0300 check he was sleeping and @ 0430 unresponsive."
	"1046752-1"	"1046752-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Pt was hospitalized Jan 18, 2021 after he had fallen outside overnight and lay there approximately 12 hours until he was found. Hypothermic & rhabdomyolis diagnosis. Gradually improved w/ strength & mental status - was in swing bed @ hospital. He got his first Covid 19 shot on 2-8-21. Was fine @ 0300 on 2-9-21 and @ 0430 he was found unresponsive. Dx: probable arrythmia & pronounced dead @ 0454. Noted on pain scale @ 2/8/21 @ 21:11, clients pain was a 7/10 They offered pain med & he refused They repositioned & distracted him @ 2047 on 2/8/21 Pain had decreased to 3/10 and nothing given. Then @ 0300 check he was sleeping and @ 0430 unresponsive."
	"1046752-1"	"1046752-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt was hospitalized Jan 18, 2021 after he had fallen outside overnight and lay there approximately 12 hours until he was found. Hypothermic & rhabdomyolis diagnosis. Gradually improved w/ strength & mental status - was in swing bed @ hospital. He got his first Covid 19 shot on 2-8-21. Was fine @ 0300 on 2-9-21 and @ 0430 he was found unresponsive. Dx: probable arrythmia & pronounced dead @ 0454. Noted on pain scale @ 2/8/21 @ 21:11, clients pain was a 7/10 They offered pain med & he refused They repositioned & distracted him @ 2047 on 2/8/21 Pain had decreased to 3/10 and nothing given. Then @ 0300 check he was sleeping and @ 0430 unresponsive."
	"1046752-1"	"1046752-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Pt was hospitalized Jan 18, 2021 after he had fallen outside overnight and lay there approximately 12 hours until he was found. Hypothermic & rhabdomyolis diagnosis. Gradually improved w/ strength & mental status - was in swing bed @ hospital. He got his first Covid 19 shot on 2-8-21. Was fine @ 0300 on 2-9-21 and @ 0430 he was found unresponsive. Dx: probable arrythmia & pronounced dead @ 0454. Noted on pain scale @ 2/8/21 @ 21:11, clients pain was a 7/10 They offered pain med & he refused They repositioned & distracted him @ 2047 on 2/8/21 Pain had decreased to 3/10 and nothing given. Then @ 0300 check he was sleeping and @ 0430 unresponsive."
	"1046752-1"	"1046752-1"	"HYPOTHERMIA"	"10021113"	"65-79 years"	"65-79"	"Pt was hospitalized Jan 18, 2021 after he had fallen outside overnight and lay there approximately 12 hours until he was found. Hypothermic & rhabdomyolis diagnosis. Gradually improved w/ strength & mental status - was in swing bed @ hospital. He got his first Covid 19 shot on 2-8-21. Was fine @ 0300 on 2-9-21 and @ 0430 he was found unresponsive. Dx: probable arrythmia & pronounced dead @ 0454. Noted on pain scale @ 2/8/21 @ 21:11, clients pain was a 7/10 They offered pain med & he refused They repositioned & distracted him @ 2047 on 2/8/21 Pain had decreased to 3/10 and nothing given. Then @ 0300 check he was sleeping and @ 0430 unresponsive."
	"1046752-1"	"1046752-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"Pt was hospitalized Jan 18, 2021 after he had fallen outside overnight and lay there approximately 12 hours until he was found. Hypothermic & rhabdomyolis diagnosis. Gradually improved w/ strength & mental status - was in swing bed @ hospital. He got his first Covid 19 shot on 2-8-21. Was fine @ 0300 on 2-9-21 and @ 0430 he was found unresponsive. Dx: probable arrythmia & pronounced dead @ 0454. Noted on pain scale @ 2/8/21 @ 21:11, clients pain was a 7/10 They offered pain med & he refused They repositioned & distracted him @ 2047 on 2/8/21 Pain had decreased to 3/10 and nothing given. Then @ 0300 check he was sleeping and @ 0430 unresponsive."
	"1046752-1"	"1046752-1"	"REFUSAL OF TREATMENT BY PATIENT"	"10056407"	"65-79 years"	"65-79"	"Pt was hospitalized Jan 18, 2021 after he had fallen outside overnight and lay there approximately 12 hours until he was found. Hypothermic & rhabdomyolis diagnosis. Gradually improved w/ strength & mental status - was in swing bed @ hospital. He got his first Covid 19 shot on 2-8-21. Was fine @ 0300 on 2-9-21 and @ 0430 he was found unresponsive. Dx: probable arrythmia & pronounced dead @ 0454. Noted on pain scale @ 2/8/21 @ 21:11, clients pain was a 7/10 They offered pain med & he refused They repositioned & distracted him @ 2047 on 2/8/21 Pain had decreased to 3/10 and nothing given. Then @ 0300 check he was sleeping and @ 0430 unresponsive."
	"1046752-1"	"1046752-1"	"RHABDOMYOLYSIS"	"10039020"	"65-79 years"	"65-79"	"Pt was hospitalized Jan 18, 2021 after he had fallen outside overnight and lay there approximately 12 hours until he was found. Hypothermic & rhabdomyolis diagnosis. Gradually improved w/ strength & mental status - was in swing bed @ hospital. He got his first Covid 19 shot on 2-8-21. Was fine @ 0300 on 2-9-21 and @ 0430 he was found unresponsive. Dx: probable arrythmia & pronounced dead @ 0454. Noted on pain scale @ 2/8/21 @ 21:11, clients pain was a 7/10 They offered pain med & he refused They repositioned & distracted him @ 2047 on 2/8/21 Pain had decreased to 3/10 and nothing given. Then @ 0300 check he was sleeping and @ 0430 unresponsive."
	"1046752-1"	"1046752-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Pt was hospitalized Jan 18, 2021 after he had fallen outside overnight and lay there approximately 12 hours until he was found. Hypothermic & rhabdomyolis diagnosis. Gradually improved w/ strength & mental status - was in swing bed @ hospital. He got his first Covid 19 shot on 2-8-21. Was fine @ 0300 on 2-9-21 and @ 0430 he was found unresponsive. Dx: probable arrythmia & pronounced dead @ 0454. Noted on pain scale @ 2/8/21 @ 21:11, clients pain was a 7/10 They offered pain med & he refused They repositioned & distracted him @ 2047 on 2/8/21 Pain had decreased to 3/10 and nothing given. Then @ 0300 check he was sleeping and @ 0430 unresponsive."
	"1046915-1"	"1046915-1"	"BLOOD PRESSURE IMMEASURABLE"	"10005748"	"65-79 years"	"65-79"	"Resident received the 2nd dose of the Covid vaccine approximately around 1105 by pharmacy through the pharmacy LTC partnership vaccination program. Resident had no adverse effects until around 8:00 pm she began complaining of body aches, and chills, Tylenol was given at this time. Around 9:30pm resident was sleeping in bed. Around 12:00 am the CNA called nurse into room to assess resident as the resident stated she did not feel good. Temperature at that time was 102.2, and vomiting. RN came to assess @ 1220 am She was noted to be vomiting, diaphoretic, pale and having trouble breathing. Temp was 97.3 after vomting, Pulse 53, Resp 20, o2 sats were 40-45%, unable to obtain Blood pressure, Applied 5 L of oxygen at this time and had LPN call 911 immediately. Resident was repsonsive and able to follow staff members instructions but was only answering yes or no simple questions at the time time of assessment. Paramedics arrived at 0040 and resident was sent to Hospital. @ 0130 ER nurse called to nursing facility to notify resident had coded in the ER and passed away @ 0110."
	"1046915-1"	"1046915-1"	"BODY TEMPERATURE INCREASED"	"10005911"	"65-79 years"	"65-79"	"Resident received the 2nd dose of the Covid vaccine approximately around 1105 by pharmacy through the pharmacy LTC partnership vaccination program. Resident had no adverse effects until around 8:00 pm she began complaining of body aches, and chills, Tylenol was given at this time. Around 9:30pm resident was sleeping in bed. Around 12:00 am the CNA called nurse into room to assess resident as the resident stated she did not feel good. Temperature at that time was 102.2, and vomiting. RN came to assess @ 1220 am She was noted to be vomiting, diaphoretic, pale and having trouble breathing. Temp was 97.3 after vomting, Pulse 53, Resp 20, o2 sats were 40-45%, unable to obtain Blood pressure, Applied 5 L of oxygen at this time and had LPN call 911 immediately. Resident was repsonsive and able to follow staff members instructions but was only answering yes or no simple questions at the time time of assessment. Paramedics arrived at 0040 and resident was sent to Hospital. @ 0130 ER nurse called to nursing facility to notify resident had coded in the ER and passed away @ 0110."
	"1046915-1"	"1046915-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Resident received the 2nd dose of the Covid vaccine approximately around 1105 by pharmacy through the pharmacy LTC partnership vaccination program. Resident had no adverse effects until around 8:00 pm she began complaining of body aches, and chills, Tylenol was given at this time. Around 9:30pm resident was sleeping in bed. Around 12:00 am the CNA called nurse into room to assess resident as the resident stated she did not feel good. Temperature at that time was 102.2, and vomiting. RN came to assess @ 1220 am She was noted to be vomiting, diaphoretic, pale and having trouble breathing. Temp was 97.3 after vomting, Pulse 53, Resp 20, o2 sats were 40-45%, unable to obtain Blood pressure, Applied 5 L of oxygen at this time and had LPN call 911 immediately. Resident was repsonsive and able to follow staff members instructions but was only answering yes or no simple questions at the time time of assessment. Paramedics arrived at 0040 and resident was sent to Hospital. @ 0130 ER nurse called to nursing facility to notify resident had coded in the ER and passed away @ 0110."
	"1046915-1"	"1046915-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Resident received the 2nd dose of the Covid vaccine approximately around 1105 by pharmacy through the pharmacy LTC partnership vaccination program. Resident had no adverse effects until around 8:00 pm she began complaining of body aches, and chills, Tylenol was given at this time. Around 9:30pm resident was sleeping in bed. Around 12:00 am the CNA called nurse into room to assess resident as the resident stated she did not feel good. Temperature at that time was 102.2, and vomiting. RN came to assess @ 1220 am She was noted to be vomiting, diaphoretic, pale and having trouble breathing. Temp was 97.3 after vomting, Pulse 53, Resp 20, o2 sats were 40-45%, unable to obtain Blood pressure, Applied 5 L of oxygen at this time and had LPN call 911 immediately. Resident was repsonsive and able to follow staff members instructions but was only answering yes or no simple questions at the time time of assessment. Paramedics arrived at 0040 and resident was sent to Hospital. @ 0130 ER nurse called to nursing facility to notify resident had coded in the ER and passed away @ 0110."
	"1046915-1"	"1046915-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Resident received the 2nd dose of the Covid vaccine approximately around 1105 by pharmacy through the pharmacy LTC partnership vaccination program. Resident had no adverse effects until around 8:00 pm she began complaining of body aches, and chills, Tylenol was given at this time. Around 9:30pm resident was sleeping in bed. Around 12:00 am the CNA called nurse into room to assess resident as the resident stated she did not feel good. Temperature at that time was 102.2, and vomiting. RN came to assess @ 1220 am She was noted to be vomiting, diaphoretic, pale and having trouble breathing. Temp was 97.3 after vomting, Pulse 53, Resp 20, o2 sats were 40-45%, unable to obtain Blood pressure, Applied 5 L of oxygen at this time and had LPN call 911 immediately. Resident was repsonsive and able to follow staff members instructions but was only answering yes or no simple questions at the time time of assessment. Paramedics arrived at 0040 and resident was sent to Hospital. @ 0130 ER nurse called to nursing facility to notify resident had coded in the ER and passed away @ 0110."
	"1046915-1"	"1046915-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Resident received the 2nd dose of the Covid vaccine approximately around 1105 by pharmacy through the pharmacy LTC partnership vaccination program. Resident had no adverse effects until around 8:00 pm she began complaining of body aches, and chills, Tylenol was given at this time. Around 9:30pm resident was sleeping in bed. Around 12:00 am the CNA called nurse into room to assess resident as the resident stated she did not feel good. Temperature at that time was 102.2, and vomiting. RN came to assess @ 1220 am She was noted to be vomiting, diaphoretic, pale and having trouble breathing. Temp was 97.3 after vomting, Pulse 53, Resp 20, o2 sats were 40-45%, unable to obtain Blood pressure, Applied 5 L of oxygen at this time and had LPN call 911 immediately. Resident was repsonsive and able to follow staff members instructions but was only answering yes or no simple questions at the time time of assessment. Paramedics arrived at 0040 and resident was sent to Hospital. @ 0130 ER nurse called to nursing facility to notify resident had coded in the ER and passed away @ 0110."
	"1046915-1"	"1046915-1"	"FEELING ABNORMAL"	"10016322"	"65-79 years"	"65-79"	"Resident received the 2nd dose of the Covid vaccine approximately around 1105 by pharmacy through the pharmacy LTC partnership vaccination program. Resident had no adverse effects until around 8:00 pm she began complaining of body aches, and chills, Tylenol was given at this time. Around 9:30pm resident was sleeping in bed. Around 12:00 am the CNA called nurse into room to assess resident as the resident stated she did not feel good. Temperature at that time was 102.2, and vomiting. RN came to assess @ 1220 am She was noted to be vomiting, diaphoretic, pale and having trouble breathing. Temp was 97.3 after vomting, Pulse 53, Resp 20, o2 sats were 40-45%, unable to obtain Blood pressure, Applied 5 L of oxygen at this time and had LPN call 911 immediately. Resident was repsonsive and able to follow staff members instructions but was only answering yes or no simple questions at the time time of assessment. Paramedics arrived at 0040 and resident was sent to Hospital. @ 0130 ER nurse called to nursing facility to notify resident had coded in the ER and passed away @ 0110."
	"1046915-1"	"1046915-1"	"HYPERHIDROSIS"	"10020642"	"65-79 years"	"65-79"	"Resident received the 2nd dose of the Covid vaccine approximately around 1105 by pharmacy through the pharmacy LTC partnership vaccination program. Resident had no adverse effects until around 8:00 pm she began complaining of body aches, and chills, Tylenol was given at this time. Around 9:30pm resident was sleeping in bed. Around 12:00 am the CNA called nurse into room to assess resident as the resident stated she did not feel good. Temperature at that time was 102.2, and vomiting. RN came to assess @ 1220 am She was noted to be vomiting, diaphoretic, pale and having trouble breathing. Temp was 97.3 after vomting, Pulse 53, Resp 20, o2 sats were 40-45%, unable to obtain Blood pressure, Applied 5 L of oxygen at this time and had LPN call 911 immediately. Resident was repsonsive and able to follow staff members instructions but was only answering yes or no simple questions at the time time of assessment. Paramedics arrived at 0040 and resident was sent to Hospital. @ 0130 ER nurse called to nursing facility to notify resident had coded in the ER and passed away @ 0110."
	"1046915-1"	"1046915-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"Resident received the 2nd dose of the Covid vaccine approximately around 1105 by pharmacy through the pharmacy LTC partnership vaccination program. Resident had no adverse effects until around 8:00 pm she began complaining of body aches, and chills, Tylenol was given at this time. Around 9:30pm resident was sleeping in bed. Around 12:00 am the CNA called nurse into room to assess resident as the resident stated she did not feel good. Temperature at that time was 102.2, and vomiting. RN came to assess @ 1220 am She was noted to be vomiting, diaphoretic, pale and having trouble breathing. Temp was 97.3 after vomting, Pulse 53, Resp 20, o2 sats were 40-45%, unable to obtain Blood pressure, Applied 5 L of oxygen at this time and had LPN call 911 immediately. Resident was repsonsive and able to follow staff members instructions but was only answering yes or no simple questions at the time time of assessment. Paramedics arrived at 0040 and resident was sent to Hospital. @ 0130 ER nurse called to nursing facility to notify resident had coded in the ER and passed away @ 0110."
	"1046915-1"	"1046915-1"	"PALLOR"	"10033546"	"65-79 years"	"65-79"	"Resident received the 2nd dose of the Covid vaccine approximately around 1105 by pharmacy through the pharmacy LTC partnership vaccination program. Resident had no adverse effects until around 8:00 pm she began complaining of body aches, and chills, Tylenol was given at this time. Around 9:30pm resident was sleeping in bed. Around 12:00 am the CNA called nurse into room to assess resident as the resident stated she did not feel good. Temperature at that time was 102.2, and vomiting. RN came to assess @ 1220 am She was noted to be vomiting, diaphoretic, pale and having trouble breathing. Temp was 97.3 after vomting, Pulse 53, Resp 20, o2 sats were 40-45%, unable to obtain Blood pressure, Applied 5 L of oxygen at this time and had LPN call 911 immediately. Resident was repsonsive and able to follow staff members instructions but was only answering yes or no simple questions at the time time of assessment. Paramedics arrived at 0040 and resident was sent to Hospital. @ 0130 ER nurse called to nursing facility to notify resident had coded in the ER and passed away @ 0110."
	"1046915-1"	"1046915-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Resident received the 2nd dose of the Covid vaccine approximately around 1105 by pharmacy through the pharmacy LTC partnership vaccination program. Resident had no adverse effects until around 8:00 pm she began complaining of body aches, and chills, Tylenol was given at this time. Around 9:30pm resident was sleeping in bed. Around 12:00 am the CNA called nurse into room to assess resident as the resident stated she did not feel good. Temperature at that time was 102.2, and vomiting. RN came to assess @ 1220 am She was noted to be vomiting, diaphoretic, pale and having trouble breathing. Temp was 97.3 after vomting, Pulse 53, Resp 20, o2 sats were 40-45%, unable to obtain Blood pressure, Applied 5 L of oxygen at this time and had LPN call 911 immediately. Resident was repsonsive and able to follow staff members instructions but was only answering yes or no simple questions at the time time of assessment. Paramedics arrived at 0040 and resident was sent to Hospital. @ 0130 ER nurse called to nursing facility to notify resident had coded in the ER and passed away @ 0110."
	"1048745-1"	"1048745-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"Death on February 12, 2021 acute cardiac tamponade"
	"1048745-1"	"1048745-1"	"CARDIAC TAMPONADE"	"10007610"	"65-79 years"	"65-79"	"Death on February 12, 2021 acute cardiac tamponade"
	"1048745-1"	"1048745-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death on February 12, 2021 acute cardiac tamponade"
	"1048882-1"	"1048882-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Vaccine was administered 2/1/2021 at approximately 9am.  Due to self reporting of allergic reaction (hives) to Augmentin, patient was monitored on site for 30 minutes.  After the monitoring period, she was cleared to go with no issues reported at the time.  We were later informed that the patient passed away from a pulmonary embolism on 2/12/2021."
	"1048882-1"	"1048882-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"Vaccine was administered 2/1/2021 at approximately 9am.  Due to self reporting of allergic reaction (hives) to Augmentin, patient was monitored on site for 30 minutes.  After the monitoring period, she was cleared to go with no issues reported at the time.  We were later informed that the patient passed away from a pulmonary embolism on 2/12/2021."
	"1049389-1"	"1049389-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient passed away Saturday at 14:04pm. Patient's wife reports his death was sudden, he passed away sitting in his chair his heart just stopped she said. They tried to perform CPR, 911 was called and paramedics arrived at the scene and he was given medication but never had any return of vital signs and so his death was called at the scene. Wife reports he was not ill, did not have any symptoms prior to the event. They are not going to be doing a autopsy. She wanted us to know based on timing that there may be some possible correlation with his COVID19 vaccine. He obtained the vaccine on 02/09/2021 - wife reports he had no symptoms, not even arm soreness after the vaccine. Had no fever, shortness of breath. Did not complain of chest pain. We can update chart to reflect the patient is deceased and lets make a card for the family."
	"1049389-1"	"1049389-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient passed away Saturday at 14:04pm. Patient's wife reports his death was sudden, he passed away sitting in his chair his heart just stopped she said. They tried to perform CPR, 911 was called and paramedics arrived at the scene and he was given medication but never had any return of vital signs and so his death was called at the scene. Wife reports he was not ill, did not have any symptoms prior to the event. They are not going to be doing a autopsy. She wanted us to know based on timing that there may be some possible correlation with his COVID19 vaccine. He obtained the vaccine on 02/09/2021 - wife reports he had no symptoms, not even arm soreness after the vaccine. Had no fever, shortness of breath. Did not complain of chest pain. We can update chart to reflect the patient is deceased and lets make a card for the family."
	"1049389-1"	"1049389-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Patient passed away Saturday at 14:04pm. Patient's wife reports his death was sudden, he passed away sitting in his chair his heart just stopped she said. They tried to perform CPR, 911 was called and paramedics arrived at the scene and he was given medication but never had any return of vital signs and so his death was called at the scene. Wife reports he was not ill, did not have any symptoms prior to the event. They are not going to be doing a autopsy. She wanted us to know based on timing that there may be some possible correlation with his COVID19 vaccine. He obtained the vaccine on 02/09/2021 - wife reports he had no symptoms, not even arm soreness after the vaccine. Had no fever, shortness of breath. Did not complain of chest pain. We can update chart to reflect the patient is deceased and lets make a card for the family."
	"1049724-1"	"1049724-1"	"BLOOD CREATINE PHOSPHOKINASE"	"10005467"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"BLOOD CREATINE PHOSPHOKINASE MB"	"10005471"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"BLOOD CULTURE"	"10005485"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"BLOOD LACTIC ACID"	"10005632"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"CHEST X-RAY"	"10008498"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"CHOKING"	"10008589"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"CULTURE URINE"	"10011638"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"DEPRESSED LEVEL OF CONSCIOUSNESS"	"10012373"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"DIFFERENTIAL WHITE BLOOD CELL COUNT"	"10012784"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"ELECTROCARDIOGRAM"	"10014362"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"FULL BLOOD COUNT"	"10017411"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"SLOW RESPONSE TO STIMULI"	"10041045"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"TROPONIN"	"10061576"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049724-1"	"1049724-1"	"URINE ANALYSIS"	"10046614"	"65-79 years"	"65-79"	"Emergency room 1/11/21   Patient is a 72 year old female who presents with decreased level of consciousness.  The patient is a nursing home patient and had an episode of choking yesterday that was treated with a Heimlich maneuver.  Nursing staff at the nursing home reports that she seems to be a bit less responsive today.  However, the patient has been for the most part unresponsive for 3-4 months time following a COVID-19 infection.  Of note, her oxygen saturation on room air is 72%.  The patient is also febrile to 100.8¦.  She was unable to provide any information and the aforementioned information is gathered from nursing home staff report."
	"1049864-1"	"1049864-1"	"BLOOD THYROID STIMULATING HORMONE"	"10005829"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"CHEST X-RAY"	"10008498"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"CYANOSIS"	"10011703"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"DIFFERENTIAL WHITE BLOOD CELL COUNT"	"10012784"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"ELECTROCARDIOGRAM"	"10014362"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"FULL BLOOD COUNT"	"10017411"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"TROPONIN"	"10061576"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1049864-1"	"1049864-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed.   2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest.  Patient is resident of local nursing home.  According to nursing home staff, a tech was in his room talking with him as patient was laying in bed.  Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive.  Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately.  911 was called.  This occurred around 5:30 a.m..   Upon EMS arrival on scene, they found a male unresponsive with CPR being performed.  There was no spontaneous respirations or circulation.  Thus, ET tube was placed and life support guidelines initiated.  Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb.  Patient was worked on at the scene for approximately 40 min before being transferred to ER.   Upon arrival to ER trauma room 1 patient is still in full arrest.  ET tube in place with good ventilation.  Patient remains in PEA.  Chest compressions and life support guidelines initiated.   In reviewing patient's chart and nursing home notes, patient is a full code.  Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG.  Patient also has history of 3rd degree heart block and pacemaker placement.  Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%."
	"1051637-1"	"1051637-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"2/9 received 2nd vaccine in series. 2/10 mild headache and fatigue. 2/11 worsening headache, extreme fatigue, and general malaise. In bed except for bathroom use and minimal food consumption starting 2/11 until hospitalization on 2/17/2021."
	"1051637-1"	"1051637-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"2/9 received 2nd vaccine in series. 2/10 mild headache and fatigue. 2/11 worsening headache, extreme fatigue, and general malaise. In bed except for bathroom use and minimal food consumption starting 2/11 until hospitalization on 2/17/2021."
	"1051637-1"	"1051637-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"2/9 received 2nd vaccine in series. 2/10 mild headache and fatigue. 2/11 worsening headache, extreme fatigue, and general malaise. In bed except for bathroom use and minimal food consumption starting 2/11 until hospitalization on 2/17/2021."
	"1051637-1"	"1051637-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"2/9 received 2nd vaccine in series. 2/10 mild headache and fatigue. 2/11 worsening headache, extreme fatigue, and general malaise. In bed except for bathroom use and minimal food consumption starting 2/11 until hospitalization on 2/17/2021."
	"1051637-1"	"1051637-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"2/9 received 2nd vaccine in series. 2/10 mild headache and fatigue. 2/11 worsening headache, extreme fatigue, and general malaise. In bed except for bathroom use and minimal food consumption starting 2/11 until hospitalization on 2/17/2021."
	"1051637-1"	"1051637-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"2/9 received 2nd vaccine in series. 2/10 mild headache and fatigue. 2/11 worsening headache, extreme fatigue, and general malaise. In bed except for bathroom use and minimal food consumption starting 2/11 until hospitalization on 2/17/2021."
	"1051637-1"	"1051637-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"2/9 received 2nd vaccine in series. 2/10 mild headache and fatigue. 2/11 worsening headache, extreme fatigue, and general malaise. In bed except for bathroom use and minimal food consumption starting 2/11 until hospitalization on 2/17/2021."
	"1052645-1"	"1052645-1"	"ALANINE AMINOTRANSFERASE INCREASED"	"10001551"	"65-79 years"	"65-79"	"Cardiogenic shock occurred on 2/10/2021,  approximately 12 hours after patient received her 12th dose of pemetrexed/pembrolizumab and 4 days after COVID vaccine. Coronary angiography was done on 2/10/2021 and no significant coronary narrowing or blockage were noted. Baseline troponin on 2/10/21 was 0.02 and later on 2/10/21, troponins were 9.99 & 25.27. Creatinine increase from 1.2 to 3.4 within 24hours, and AST/ALT increased from 23 & 31 to  4,220 & 4,786 respectively on 2/11. Patient expired on 02/11/2021."
	"1052645-1"	"1052645-1"	"ANGIOCARDIOGRAM"	"10080743"	"65-79 years"	"65-79"	"Cardiogenic shock occurred on 2/10/2021,  approximately 12 hours after patient received her 12th dose of pemetrexed/pembrolizumab and 4 days after COVID vaccine. Coronary angiography was done on 2/10/2021 and no significant coronary narrowing or blockage were noted. Baseline troponin on 2/10/21 was 0.02 and later on 2/10/21, troponins were 9.99 & 25.27. Creatinine increase from 1.2 to 3.4 within 24hours, and AST/ALT increased from 23 & 31 to  4,220 & 4,786 respectively on 2/11. Patient expired on 02/11/2021."
	"1052645-1"	"1052645-1"	"ARTERIOGRAM CAROTID NORMAL"	"10003196"	"65-79 years"	"65-79"	"Cardiogenic shock occurred on 2/10/2021,  approximately 12 hours after patient received her 12th dose of pemetrexed/pembrolizumab and 4 days after COVID vaccine. Coronary angiography was done on 2/10/2021 and no significant coronary narrowing or blockage were noted. Baseline troponin on 2/10/21 was 0.02 and later on 2/10/21, troponins were 9.99 & 25.27. Creatinine increase from 1.2 to 3.4 within 24hours, and AST/ALT increased from 23 & 31 to  4,220 & 4,786 respectively on 2/11. Patient expired on 02/11/2021."
	"1052645-1"	"1052645-1"	"ASPARTATE AMINOTRANSFERASE INCREASED"	"10003481"	"65-79 years"	"65-79"	"Cardiogenic shock occurred on 2/10/2021,  approximately 12 hours after patient received her 12th dose of pemetrexed/pembrolizumab and 4 days after COVID vaccine. Coronary angiography was done on 2/10/2021 and no significant coronary narrowing or blockage were noted. Baseline troponin on 2/10/21 was 0.02 and later on 2/10/21, troponins were 9.99 & 25.27. Creatinine increase from 1.2 to 3.4 within 24hours, and AST/ALT increased from 23 & 31 to  4,220 & 4,786 respectively on 2/11. Patient expired on 02/11/2021."
	"1052645-1"	"1052645-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"Cardiogenic shock occurred on 2/10/2021,  approximately 12 hours after patient received her 12th dose of pemetrexed/pembrolizumab and 4 days after COVID vaccine. Coronary angiography was done on 2/10/2021 and no significant coronary narrowing or blockage were noted. Baseline troponin on 2/10/21 was 0.02 and later on 2/10/21, troponins were 9.99 & 25.27. Creatinine increase from 1.2 to 3.4 within 24hours, and AST/ALT increased from 23 & 31 to  4,220 & 4,786 respectively on 2/11. Patient expired on 02/11/2021."
	"1052645-1"	"1052645-1"	"CARDIOGENIC SHOCK"	"10007625"	"65-79 years"	"65-79"	"Cardiogenic shock occurred on 2/10/2021,  approximately 12 hours after patient received her 12th dose of pemetrexed/pembrolizumab and 4 days after COVID vaccine. Coronary angiography was done on 2/10/2021 and no significant coronary narrowing or blockage were noted. Baseline troponin on 2/10/21 was 0.02 and later on 2/10/21, troponins were 9.99 & 25.27. Creatinine increase from 1.2 to 3.4 within 24hours, and AST/ALT increased from 23 & 31 to  4,220 & 4,786 respectively on 2/11. Patient expired on 02/11/2021."
	"1052645-1"	"1052645-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Cardiogenic shock occurred on 2/10/2021,  approximately 12 hours after patient received her 12th dose of pemetrexed/pembrolizumab and 4 days after COVID vaccine. Coronary angiography was done on 2/10/2021 and no significant coronary narrowing or blockage were noted. Baseline troponin on 2/10/21 was 0.02 and later on 2/10/21, troponins were 9.99 & 25.27. Creatinine increase from 1.2 to 3.4 within 24hours, and AST/ALT increased from 23 & 31 to  4,220 & 4,786 respectively on 2/11. Patient expired on 02/11/2021."
	"1052645-1"	"1052645-1"	"TROPONIN INCREASED"	"10058267"	"65-79 years"	"65-79"	"Cardiogenic shock occurred on 2/10/2021,  approximately 12 hours after patient received her 12th dose of pemetrexed/pembrolizumab and 4 days after COVID vaccine. Coronary angiography was done on 2/10/2021 and no significant coronary narrowing or blockage were noted. Baseline troponin on 2/10/21 was 0.02 and later on 2/10/21, troponins were 9.99 & 25.27. Creatinine increase from 1.2 to 3.4 within 24hours, and AST/ALT increased from 23 & 31 to  4,220 & 4,786 respectively on 2/11. Patient expired on 02/11/2021."
	"1053191-1"	"1053191-1"	"APHASIA"	"10002948"	"65-79 years"	"65-79"	"Vaccine administered 02/08/2021 , by Thursday 02/11/2021 patient almost nonverbal, by Monday 02/15/2021 patient went to the hospital with bruising, sores on her stomach and clots reported as thrombocytopenia, deceased by Friday 02/19/2021."
	"1053191-1"	"1053191-1"	"COMMUNICATION DISORDER"	"10061046"	"65-79 years"	"65-79"	"Vaccine administered 02/08/2021 , by Thursday 02/11/2021 patient almost nonverbal, by Monday 02/15/2021 patient went to the hospital with bruising, sores on her stomach and clots reported as thrombocytopenia, deceased by Friday 02/19/2021."
	"1053191-1"	"1053191-1"	"CONTUSION"	"10050584"	"65-79 years"	"65-79"	"Vaccine administered 02/08/2021 , by Thursday 02/11/2021 patient almost nonverbal, by Monday 02/15/2021 patient went to the hospital with bruising, sores on her stomach and clots reported as thrombocytopenia, deceased by Friday 02/19/2021."
	"1053191-1"	"1053191-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Vaccine administered 02/08/2021 , by Thursday 02/11/2021 patient almost nonverbal, by Monday 02/15/2021 patient went to the hospital with bruising, sores on her stomach and clots reported as thrombocytopenia, deceased by Friday 02/19/2021."
	"1053191-1"	"1053191-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"Vaccine administered 02/08/2021 , by Thursday 02/11/2021 patient almost nonverbal, by Monday 02/15/2021 patient went to the hospital with bruising, sores on her stomach and clots reported as thrombocytopenia, deceased by Friday 02/19/2021."
	"1053191-1"	"1053191-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"Vaccine administered 02/08/2021 , by Thursday 02/11/2021 patient almost nonverbal, by Monday 02/15/2021 patient went to the hospital with bruising, sores on her stomach and clots reported as thrombocytopenia, deceased by Friday 02/19/2021."
	"1053978-1"	"1053978-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"pt woke up at 0400 with fever, chills, and body aches progressing over 4 hours to the point when she became unresponsive. husband called 911, pt was declared dead at the time of EMS arrival around 1200"
	"1053978-1"	"1053978-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt woke up at 0400 with fever, chills, and body aches progressing over 4 hours to the point when she became unresponsive. husband called 911, pt was declared dead at the time of EMS arrival around 1200"
	"1053978-1"	"1053978-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"pt woke up at 0400 with fever, chills, and body aches progressing over 4 hours to the point when she became unresponsive. husband called 911, pt was declared dead at the time of EMS arrival around 1200"
	"1053978-1"	"1053978-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"pt woke up at 0400 with fever, chills, and body aches progressing over 4 hours to the point when she became unresponsive. husband called 911, pt was declared dead at the time of EMS arrival around 1200"
	"1053978-1"	"1053978-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"pt woke up at 0400 with fever, chills, and body aches progressing over 4 hours to the point when she became unresponsive. husband called 911, pt was declared dead at the time of EMS arrival around 1200"
	"1054551-1"	"1054551-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Resident expired on 2/29/21."
	"1054592-1"	"1054592-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Resident expired on 2/24/21, under hospice care."
	"1054592-1"	"1054592-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Resident expired on 2/24/21, under hospice care."
	"1055298-1"	"1055298-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"BLADDER CATHETERISATION"	"10005028"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"BLOOD LACTIC ACID INCREASED"	"10005635"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"BODY TEMPERATURE INCREASED"	"10005911"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"COMPUTERISED TOMOGRAM ABDOMEN"	"10053876"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"COMPUTERISED TOMOGRAM HEAD"	"10054003"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"COMPUTERISED TOMOGRAM THORAX"	"10053875"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"CULTURE URINE"	"10011638"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"DIFFERENTIAL WHITE BLOOD CELL COUNT"	"10012784"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"EMPHYSEMA"	"10014561"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"FULL BLOOD COUNT"	"10017411"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"GLYCOSYLATED HAEMOGLOBIN"	"10018480"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"MYOCARDIAL NECROSIS MARKER NORMAL"	"10075212"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"OXYGEN THERAPY"	"10078798"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"PHYSICAL EXAMINATION"	"10034986"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"PLEURAL EFFUSION"	"10035598"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"PULMONARY FIBROSIS"	"10037383"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"SCAN WITH CONTRAST"	"10059696"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1055298-1"	"1055298-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	"Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6¦, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased"
	"1056972-1"	"1056972-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"ANTIPHOSPHOLIPID SYNDROME"	"10002817"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"BILIARY DILATATION"	"10057202"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"DYSPHAGIA"	"10013950"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"ELECTROCARDIOGRAM QT PROLONGED"	"10014387"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"ENDOSCOPY"	"10014805"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"GASTROINTESTINAL OEDEMA"	"10058061"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"HEPATIC CIRRHOSIS"	"10019641"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"IMAGING PROCEDURE"	"10068979"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"INTESTINAL ANGIOEDEMA"	"10076229"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"INTESTINAL MASS"	"10059017"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"INTRACRANIAL MASS"	"10077667"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"LEUKOCYTOSIS"	"10024378"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"OESOPHAGEAL VARICES HAEMORRHAGE"	"10030210"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"PERITONITIS BACTERIAL"	"10062070"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"SUPRAVENTRICULAR TACHYCARDIA"	"10042604"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1056972-1"	"1056972-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"5-6 days after receiving first Moderna covid vaccine pt. began not feeling well. On 02/10/2021 she saw a provider in an office for eval of abdominal pain and diarrhea and sent home. On 02/15/2021 she presented to a local ED with continuing symptoms, transferred to Medical Center. She is currently an inpatient there with a diagnosis of multiple blood clots in abdomen and brain and antiphospholipid syndrome."
	"1057281-1"	"1057281-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient's husband reported her death that happened after first COVID-19 vaccine"
	"1058266-1"	"1058266-1"	"ANURIA"	"10002847"	"65-79 years"	"65-79"	"Pale, not eating, no urine output"
	"1058266-1"	"1058266-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"Pale, not eating, no urine output"
	"1058266-1"	"1058266-1"	"PALLOR"	"10033546"	"65-79 years"	"65-79"	"Pale, not eating, no urine output"
	"1058266-1"	"1058266-1"	"URINE OUTPUT DECREASED"	"10059895"	"65-79 years"	"65-79"	"Pale, not eating, no urine output"
	"1059344-1"	"1059344-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"death 2/25/21"
	"1059344-1"	"1059344-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death 2/25/21"
	"1059344-1"	"1059344-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"death 2/25/21"
	"1059621-1"	"1059621-1"	"CHEST X-RAY NORMAL"	"10008500"	"65-79 years"	"65-79"	"1/14/21 - Resident complained of SOB. SPO2 66% on RA, vs 105/66-96-20 T98.2 O2 administered Pox 97% Binax test revealed (+) COVID results. Resident transferred to COVID wing. Family (HCP) updated and declined transfer to hospital Resident continued with fever, hypoxia and lethargy. Family elected CMO and Hospice notified. Resident died on 1/16/2021 @ 930AM."
	"1059621-1"	"1059621-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"1/14/21 - Resident complained of SOB. SPO2 66% on RA, vs 105/66-96-20 T98.2 O2 administered Pox 97% Binax test revealed (+) COVID results. Resident transferred to COVID wing. Family (HCP) updated and declined transfer to hospital Resident continued with fever, hypoxia and lethargy. Family elected CMO and Hospice notified. Resident died on 1/16/2021 @ 930AM."
	"1059621-1"	"1059621-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"1/14/21 - Resident complained of SOB. SPO2 66% on RA, vs 105/66-96-20 T98.2 O2 administered Pox 97% Binax test revealed (+) COVID results. Resident transferred to COVID wing. Family (HCP) updated and declined transfer to hospital Resident continued with fever, hypoxia and lethargy. Family elected CMO and Hospice notified. Resident died on 1/16/2021 @ 930AM."
	"1059621-1"	"1059621-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"1/14/21 - Resident complained of SOB. SPO2 66% on RA, vs 105/66-96-20 T98.2 O2 administered Pox 97% Binax test revealed (+) COVID results. Resident transferred to COVID wing. Family (HCP) updated and declined transfer to hospital Resident continued with fever, hypoxia and lethargy. Family elected CMO and Hospice notified. Resident died on 1/16/2021 @ 930AM."
	"1059621-1"	"1059621-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"1/14/21 - Resident complained of SOB. SPO2 66% on RA, vs 105/66-96-20 T98.2 O2 administered Pox 97% Binax test revealed (+) COVID results. Resident transferred to COVID wing. Family (HCP) updated and declined transfer to hospital Resident continued with fever, hypoxia and lethargy. Family elected CMO and Hospice notified. Resident died on 1/16/2021 @ 930AM."
	"1059621-1"	"1059621-1"	"LETHARGY"	"10024264"	"65-79 years"	"65-79"	"1/14/21 - Resident complained of SOB. SPO2 66% on RA, vs 105/66-96-20 T98.2 O2 administered Pox 97% Binax test revealed (+) COVID results. Resident transferred to COVID wing. Family (HCP) updated and declined transfer to hospital Resident continued with fever, hypoxia and lethargy. Family elected CMO and Hospice notified. Resident died on 1/16/2021 @ 930AM."
	"1059621-1"	"1059621-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"1/14/21 - Resident complained of SOB. SPO2 66% on RA, vs 105/66-96-20 T98.2 O2 administered Pox 97% Binax test revealed (+) COVID results. Resident transferred to COVID wing. Family (HCP) updated and declined transfer to hospital Resident continued with fever, hypoxia and lethargy. Family elected CMO and Hospice notified. Resident died on 1/16/2021 @ 930AM."
	"1059621-1"	"1059621-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"1/14/21 - Resident complained of SOB. SPO2 66% on RA, vs 105/66-96-20 T98.2 O2 administered Pox 97% Binax test revealed (+) COVID results. Resident transferred to COVID wing. Family (HCP) updated and declined transfer to hospital Resident continued with fever, hypoxia and lethargy. Family elected CMO and Hospice notified. Resident died on 1/16/2021 @ 930AM."
	"1063812-1"	"1063812-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"Resident had severe CAD, DM type 2, and hx of RBKA and left 5 digits on foot amputation. Hx of osteomyelitis post surgical. After last surgery, resident did not have a good appetite, more restless, increased confusion with dementia. Significant other passed away on 12/30/20, resident began refusing meals, decreased eating. Vaccinated on 1/13/21. On 1/25/21 Resident labs showed kidney failure. Dr. spoke with family and transitioned to Comfort care, on 2/5/21 went hospice.  Patient passed away on 2/13/2021."
	"1063812-1"	"1063812-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Resident had severe CAD, DM type 2, and hx of RBKA and left 5 digits on foot amputation. Hx of osteomyelitis post surgical. After last surgery, resident did not have a good appetite, more restless, increased confusion with dementia. Significant other passed away on 12/30/20, resident began refusing meals, decreased eating. Vaccinated on 1/13/21. On 1/25/21 Resident labs showed kidney failure. Dr. spoke with family and transitioned to Comfort care, on 2/5/21 went hospice.  Patient passed away on 2/13/2021."
	"1063812-1"	"1063812-1"	"DEMENTIA"	"10012267"	"65-79 years"	"65-79"	"Resident had severe CAD, DM type 2, and hx of RBKA and left 5 digits on foot amputation. Hx of osteomyelitis post surgical. After last surgery, resident did not have a good appetite, more restless, increased confusion with dementia. Significant other passed away on 12/30/20, resident began refusing meals, decreased eating. Vaccinated on 1/13/21. On 1/25/21 Resident labs showed kidney failure. Dr. spoke with family and transitioned to Comfort care, on 2/5/21 went hospice.  Patient passed away on 2/13/2021."
	"1063812-1"	"1063812-1"	"DIET REFUSAL"	"10012775"	"65-79 years"	"65-79"	"Resident had severe CAD, DM type 2, and hx of RBKA and left 5 digits on foot amputation. Hx of osteomyelitis post surgical. After last surgery, resident did not have a good appetite, more restless, increased confusion with dementia. Significant other passed away on 12/30/20, resident began refusing meals, decreased eating. Vaccinated on 1/13/21. On 1/25/21 Resident labs showed kidney failure. Dr. spoke with family and transitioned to Comfort care, on 2/5/21 went hospice.  Patient passed away on 2/13/2021."
	"1063812-1"	"1063812-1"	"LABORATORY TEST ABNORMAL"	"10023547"	"65-79 years"	"65-79"	"Resident had severe CAD, DM type 2, and hx of RBKA and left 5 digits on foot amputation. Hx of osteomyelitis post surgical. After last surgery, resident did not have a good appetite, more restless, increased confusion with dementia. Significant other passed away on 12/30/20, resident began refusing meals, decreased eating. Vaccinated on 1/13/21. On 1/25/21 Resident labs showed kidney failure. Dr. spoke with family and transitioned to Comfort care, on 2/5/21 went hospice.  Patient passed away on 2/13/2021."
	"1063812-1"	"1063812-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"Resident had severe CAD, DM type 2, and hx of RBKA and left 5 digits on foot amputation. Hx of osteomyelitis post surgical. After last surgery, resident did not have a good appetite, more restless, increased confusion with dementia. Significant other passed away on 12/30/20, resident began refusing meals, decreased eating. Vaccinated on 1/13/21. On 1/25/21 Resident labs showed kidney failure. Dr. spoke with family and transitioned to Comfort care, on 2/5/21 went hospice.  Patient passed away on 2/13/2021."
	"1063812-1"	"1063812-1"	"RESTLESSNESS"	"10038743"	"65-79 years"	"65-79"	"Resident had severe CAD, DM type 2, and hx of RBKA and left 5 digits on foot amputation. Hx of osteomyelitis post surgical. After last surgery, resident did not have a good appetite, more restless, increased confusion with dementia. Significant other passed away on 12/30/20, resident began refusing meals, decreased eating. Vaccinated on 1/13/21. On 1/25/21 Resident labs showed kidney failure. Dr. spoke with family and transitioned to Comfort care, on 2/5/21 went hospice.  Patient passed away on 2/13/2021."
	"1065551-1"	"1065551-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"65-79 years"	"65-79"	""Pt received 2nd Pfizer BioNTech Covid 19 EUA vaccine @1:50 pm; Pt released from Observation @2:09 pm. Approximately 2:18 pm RN called to parking  lot and observed pt having difficulties. Called for EMS & crash cart. Vitals taken 2:20 BP 83/55, no respirations noted, pt unresponsive. AED attached.  EMS arrived 2:22 and took over care of pt. and transported @2:40 pm to Hospital. Per wife, pt has history of PE in Oct. 2020, HTN, diabetes with insulin pump, obesity, gastroparesis, home oxygen and uses motorized scooter. Wife also said pt had allergy to iodine not previously reported, and MD had stopped Zarelto subsequent to 1st Pfizer vaccine 2/8/21 ""due to  breathing difficulty"". Patient was  unable to be resuscitated.  Time of death 14:59.""
	"1065551-1"	"1065551-1"	"CARDIOVERSION"	"10007661"	"65-79 years"	"65-79"	""Pt received 2nd Pfizer BioNTech Covid 19 EUA vaccine @1:50 pm; Pt released from Observation @2:09 pm. Approximately 2:18 pm RN called to parking  lot and observed pt having difficulties. Called for EMS & crash cart. Vitals taken 2:20 BP 83/55, no respirations noted, pt unresponsive. AED attached.  EMS arrived 2:22 and took over care of pt. and transported @2:40 pm to Hospital. Per wife, pt has history of PE in Oct. 2020, HTN, diabetes with insulin pump, obesity, gastroparesis, home oxygen and uses motorized scooter. Wife also said pt had allergy to iodine not previously reported, and MD had stopped Zarelto subsequent to 1st Pfizer vaccine 2/8/21 ""due to  breathing difficulty"". Patient was  unable to be resuscitated.  Time of death 14:59.""
	"1065551-1"	"1065551-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Pt received 2nd Pfizer BioNTech Covid 19 EUA vaccine @1:50 pm; Pt released from Observation @2:09 pm. Approximately 2:18 pm RN called to parking  lot and observed pt having difficulties. Called for EMS & crash cart. Vitals taken 2:20 BP 83/55, no respirations noted, pt unresponsive. AED attached.  EMS arrived 2:22 and took over care of pt. and transported @2:40 pm to Hospital. Per wife, pt has history of PE in Oct. 2020, HTN, diabetes with insulin pump, obesity, gastroparesis, home oxygen and uses motorized scooter. Wife also said pt had allergy to iodine not previously reported, and MD had stopped Zarelto subsequent to 1st Pfizer vaccine 2/8/21 ""due to  breathing difficulty"". Patient was  unable to be resuscitated.  Time of death 14:59.""
	"1065551-1"	"1065551-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""Pt received 2nd Pfizer BioNTech Covid 19 EUA vaccine @1:50 pm; Pt released from Observation @2:09 pm. Approximately 2:18 pm RN called to parking  lot and observed pt having difficulties. Called for EMS & crash cart. Vitals taken 2:20 BP 83/55, no respirations noted, pt unresponsive. AED attached.  EMS arrived 2:22 and took over care of pt. and transported @2:40 pm to Hospital. Per wife, pt has history of PE in Oct. 2020, HTN, diabetes with insulin pump, obesity, gastroparesis, home oxygen and uses motorized scooter. Wife also said pt had allergy to iodine not previously reported, and MD had stopped Zarelto subsequent to 1st Pfizer vaccine 2/8/21 ""due to  breathing difficulty"". Patient was  unable to be resuscitated.  Time of death 14:59.""
	"1065551-1"	"1065551-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	""Pt received 2nd Pfizer BioNTech Covid 19 EUA vaccine @1:50 pm; Pt released from Observation @2:09 pm. Approximately 2:18 pm RN called to parking  lot and observed pt having difficulties. Called for EMS & crash cart. Vitals taken 2:20 BP 83/55, no respirations noted, pt unresponsive. AED attached.  EMS arrived 2:22 and took over care of pt. and transported @2:40 pm to Hospital. Per wife, pt has history of PE in Oct. 2020, HTN, diabetes with insulin pump, obesity, gastroparesis, home oxygen and uses motorized scooter. Wife also said pt had allergy to iodine not previously reported, and MD had stopped Zarelto subsequent to 1st Pfizer vaccine 2/8/21 ""due to  breathing difficulty"". Patient was  unable to be resuscitated.  Time of death 14:59.""
	"1065551-1"	"1065551-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	""Pt received 2nd Pfizer BioNTech Covid 19 EUA vaccine @1:50 pm; Pt released from Observation @2:09 pm. Approximately 2:18 pm RN called to parking  lot and observed pt having difficulties. Called for EMS & crash cart. Vitals taken 2:20 BP 83/55, no respirations noted, pt unresponsive. AED attached.  EMS arrived 2:22 and took over care of pt. and transported @2:40 pm to Hospital. Per wife, pt has history of PE in Oct. 2020, HTN, diabetes with insulin pump, obesity, gastroparesis, home oxygen and uses motorized scooter. Wife also said pt had allergy to iodine not previously reported, and MD had stopped Zarelto subsequent to 1st Pfizer vaccine 2/8/21 ""due to  breathing difficulty"". Patient was  unable to be resuscitated.  Time of death 14:59.""
	"1065551-1"	"1065551-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	""Pt received 2nd Pfizer BioNTech Covid 19 EUA vaccine @1:50 pm; Pt released from Observation @2:09 pm. Approximately 2:18 pm RN called to parking  lot and observed pt having difficulties. Called for EMS & crash cart. Vitals taken 2:20 BP 83/55, no respirations noted, pt unresponsive. AED attached.  EMS arrived 2:22 and took over care of pt. and transported @2:40 pm to Hospital. Per wife, pt has history of PE in Oct. 2020, HTN, diabetes with insulin pump, obesity, gastroparesis, home oxygen and uses motorized scooter. Wife also said pt had allergy to iodine not previously reported, and MD had stopped Zarelto subsequent to 1st Pfizer vaccine 2/8/21 ""due to  breathing difficulty"". Patient was  unable to be resuscitated.  Time of death 14:59.""
	"1066852-1"	"1066852-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"History of terminal cancer, entered hospice care 1/2021,  expired 2/28/2021.  No reported adverse events from patient or family after receiving vaccine"
	"1069118-1"	"1069118-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Within 10 minutes following the second vaccination, patient reported dizziness and nausea, had an episode of vomiting but recovered within 30 minutes.  It was reported to our clinic that the patient was found deceased on March 1, 2021 at approximately 10 pm.  Cause of death is not determined at this time."
	"1069118-1"	"1069118-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"Within 10 minutes following the second vaccination, patient reported dizziness and nausea, had an episode of vomiting but recovered within 30 minutes.  It was reported to our clinic that the patient was found deceased on March 1, 2021 at approximately 10 pm.  Cause of death is not determined at this time."
	"1069118-1"	"1069118-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Within 10 minutes following the second vaccination, patient reported dizziness and nausea, had an episode of vomiting but recovered within 30 minutes.  It was reported to our clinic that the patient was found deceased on March 1, 2021 at approximately 10 pm.  Cause of death is not determined at this time."
	"1069118-1"	"1069118-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Within 10 minutes following the second vaccination, patient reported dizziness and nausea, had an episode of vomiting but recovered within 30 minutes.  It was reported to our clinic that the patient was found deceased on March 1, 2021 at approximately 10 pm.  Cause of death is not determined at this time."
	"1070038-1"	"1070038-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Client passed away 8 days after being vaccinated.  It is unknown if it occurred from the vaccine or other comorbidities."
	"1070040-1"	"1070040-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Admitted to hospital 2/22/21"
	"1073225-1"	"1073225-1"	"ASCITES"	"10003445"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"BACTERAEMIA"	"10003997"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"CATHETER SITE HAEMORRHAGE"	"10051099"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"COMPLICATION ASSOCIATED WITH DEVICE"	"10077107"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"HAEMORRHAGE"	"10055798"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"HIP FRACTURE"	"10020100"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"HIP SURGERY"	"10051060"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073225-1"	"1073225-1"	"TACHYCARDIA"	"10043071"	"65-79 years"	"65-79"	"Death within 30 days: Admit 2/8/21-2/13/21 s/p fall with left hip fracture (repaired), severe debility with recurrent falls discharged to SNF. Not doing well postop at the SNF, brought to ED due to failed foley insertion with bright red blood upon arrival to ER febrile, hypotensive, tachycardic, severe sepsis. Gran negative bacteremia likely from chronic ascites, family decided on comfort care and he expired within hours of admission."
	"1073252-1"	"1073252-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death within 30 days of vaccine"
	"1073283-1"	"1073283-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death within 30 days of vaccination"
	"1081762-1"	"1081762-1"	"BRADYCARDIA"	"10006093"	"65-79 years"	"65-79"	"Pfizer-BioNTech COVID-19 vaccine treatment under Emergency Use Authorization(EUA): Male received his second vaccine on February 28, 2021 and had been following the vaccine. Symptoms included nausea, vomiting, hypotension, and bradycardia. He was admitted to the hospital on March 1st. Medical history included Coronary Artery Disease, A-Fib, and a previous CABG procedure."
	"1081762-1"	"1081762-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Pfizer-BioNTech COVID-19 vaccine treatment under Emergency Use Authorization(EUA): Male received his second vaccine on February 28, 2021 and had been following the vaccine. Symptoms included nausea, vomiting, hypotension, and bradycardia. He was admitted to the hospital on March 1st. Medical history included Coronary Artery Disease, A-Fib, and a previous CABG procedure."
	"1081762-1"	"1081762-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Pfizer-BioNTech COVID-19 vaccine treatment under Emergency Use Authorization(EUA): Male received his second vaccine on February 28, 2021 and had been following the vaccine. Symptoms included nausea, vomiting, hypotension, and bradycardia. He was admitted to the hospital on March 1st. Medical history included Coronary Artery Disease, A-Fib, and a previous CABG procedure."
	"1081762-1"	"1081762-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Pfizer-BioNTech COVID-19 vaccine treatment under Emergency Use Authorization(EUA): Male received his second vaccine on February 28, 2021 and had been following the vaccine. Symptoms included nausea, vomiting, hypotension, and bradycardia. He was admitted to the hospital on March 1st. Medical history included Coronary Artery Disease, A-Fib, and a previous CABG procedure."
	"1084180-1"	"1084180-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Patient came with husband to Vaccine clinic today 3/5 for 2nd dose of vaccine. Did well during and immediately after vaccine. Husband states patient has c/o severe chest pressure and pain for several weeks but has refused to come to ER for evaluation. Today, after getting vaccine dose and going to local bank, patient was in passenger side of truck when chest pain started again. Husband begged patient to let him take her to the ER but she said no, I?m fine and I don?t want to go. She then went unresponsive. At a stop light, he was next to a couple of cops who he was able to wave down and proceed to escort them in to ER. Upon arrival to the ER, patient was unresponsive and pulseless. CPR was initiated, 1 defib, and 1mg of epi was given. Return of pulse was obtained, but husband asked for no life support and only comfort measures. Patient was admitted for comfort measures.  I do NOT think this was related to her vaccine, but rather the unfortunately end to a sub-acute chest pain patient that declined multiple urgings to seek care.  Patient then expired on 3/5/21 at 2037."
	"1084180-1"	"1084180-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Patient came with husband to Vaccine clinic today 3/5 for 2nd dose of vaccine. Did well during and immediately after vaccine. Husband states patient has c/o severe chest pressure and pain for several weeks but has refused to come to ER for evaluation. Today, after getting vaccine dose and going to local bank, patient was in passenger side of truck when chest pain started again. Husband begged patient to let him take her to the ER but she said no, I?m fine and I don?t want to go. She then went unresponsive. At a stop light, he was next to a couple of cops who he was able to wave down and proceed to escort them in to ER. Upon arrival to the ER, patient was unresponsive and pulseless. CPR was initiated, 1 defib, and 1mg of epi was given. Return of pulse was obtained, but husband asked for no life support and only comfort measures. Patient was admitted for comfort measures.  I do NOT think this was related to her vaccine, but rather the unfortunately end to a sub-acute chest pain patient that declined multiple urgings to seek care.  Patient then expired on 3/5/21 at 2037."
	"1084180-1"	"1084180-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient came with husband to Vaccine clinic today 3/5 for 2nd dose of vaccine. Did well during and immediately after vaccine. Husband states patient has c/o severe chest pressure and pain for several weeks but has refused to come to ER for evaluation. Today, after getting vaccine dose and going to local bank, patient was in passenger side of truck when chest pain started again. Husband begged patient to let him take her to the ER but she said no, I?m fine and I don?t want to go. She then went unresponsive. At a stop light, he was next to a couple of cops who he was able to wave down and proceed to escort them in to ER. Upon arrival to the ER, patient was unresponsive and pulseless. CPR was initiated, 1 defib, and 1mg of epi was given. Return of pulse was obtained, but husband asked for no life support and only comfort measures. Patient was admitted for comfort measures.  I do NOT think this was related to her vaccine, but rather the unfortunately end to a sub-acute chest pain patient that declined multiple urgings to seek care.  Patient then expired on 3/5/21 at 2037."
	"1084180-1"	"1084180-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"Patient came with husband to Vaccine clinic today 3/5 for 2nd dose of vaccine. Did well during and immediately after vaccine. Husband states patient has c/o severe chest pressure and pain for several weeks but has refused to come to ER for evaluation. Today, after getting vaccine dose and going to local bank, patient was in passenger side of truck when chest pain started again. Husband begged patient to let him take her to the ER but she said no, I?m fine and I don?t want to go. She then went unresponsive. At a stop light, he was next to a couple of cops who he was able to wave down and proceed to escort them in to ER. Upon arrival to the ER, patient was unresponsive and pulseless. CPR was initiated, 1 defib, and 1mg of epi was given. Return of pulse was obtained, but husband asked for no life support and only comfort measures. Patient was admitted for comfort measures.  I do NOT think this was related to her vaccine, but rather the unfortunately end to a sub-acute chest pain patient that declined multiple urgings to seek care.  Patient then expired on 3/5/21 at 2037."
	"1084180-1"	"1084180-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Patient came with husband to Vaccine clinic today 3/5 for 2nd dose of vaccine. Did well during and immediately after vaccine. Husband states patient has c/o severe chest pressure and pain for several weeks but has refused to come to ER for evaluation. Today, after getting vaccine dose and going to local bank, patient was in passenger side of truck when chest pain started again. Husband begged patient to let him take her to the ER but she said no, I?m fine and I don?t want to go. She then went unresponsive. At a stop light, he was next to a couple of cops who he was able to wave down and proceed to escort them in to ER. Upon arrival to the ER, patient was unresponsive and pulseless. CPR was initiated, 1 defib, and 1mg of epi was given. Return of pulse was obtained, but husband asked for no life support and only comfort measures. Patient was admitted for comfort measures.  I do NOT think this was related to her vaccine, but rather the unfortunately end to a sub-acute chest pain patient that declined multiple urgings to seek care.  Patient then expired on 3/5/21 at 2037."
	"1084180-1"	"1084180-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patient came with husband to Vaccine clinic today 3/5 for 2nd dose of vaccine. Did well during and immediately after vaccine. Husband states patient has c/o severe chest pressure and pain for several weeks but has refused to come to ER for evaluation. Today, after getting vaccine dose and going to local bank, patient was in passenger side of truck when chest pain started again. Husband begged patient to let him take her to the ER but she said no, I?m fine and I don?t want to go. She then went unresponsive. At a stop light, he was next to a couple of cops who he was able to wave down and proceed to escort them in to ER. Upon arrival to the ER, patient was unresponsive and pulseless. CPR was initiated, 1 defib, and 1mg of epi was given. Return of pulse was obtained, but husband asked for no life support and only comfort measures. Patient was admitted for comfort measures.  I do NOT think this was related to her vaccine, but rather the unfortunately end to a sub-acute chest pain patient that declined multiple urgings to seek care.  Patient then expired on 3/5/21 at 2037."
	"1084685-1"	"1084685-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"We received a phone call stating that the patient passed away overnight."
	"1086868-1"	"1086868-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Passed away; Severe hypotension; Hemodialysis shunt bleeding; A spontaneous report was received from other health professional concerning a 72 years old, male patient who experienced hypotension, removal and replacement of hemodialysis shunt (procedure), hemodialysis shunt bleeding and death.   The patient's medical history was not provided.  Concomitant product use was not provided/unknown by the reporter.    On 29-DEC-2020, the patient received their first of two planned doses of mRNA-1273 (Batch number [LOT/BATCH: 039K208] intramuscularly in the right arm for prophylaxis of COVID-19 infection.      The patient was hospitalized for severe hypotension and Removal and Replacement of hemodialysis shunt from 17-JAN-2021 to 21-Jan-2021. On 26-01-2021 the patient was sent to hospital due to his hemodialysis shunt bleeding. On 27-01-2021, the patient passed away at the hospital . Treatment information was unknown.  Action taken with mRNA-1273 in response to the events was not applicable.  The patient died on 27 Jan 2021. The cause of death was unknown. Plans for an autopsy were unknown.; Reporter's Comments: Very limited information regarding this event/s has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death"
	"1086868-1"	"1086868-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Passed away; Severe hypotension; Hemodialysis shunt bleeding; A spontaneous report was received from other health professional concerning a 72 years old, male patient who experienced hypotension, removal and replacement of hemodialysis shunt (procedure), hemodialysis shunt bleeding and death.   The patient's medical history was not provided.  Concomitant product use was not provided/unknown by the reporter.    On 29-DEC-2020, the patient received their first of two planned doses of mRNA-1273 (Batch number [LOT/BATCH: 039K208] intramuscularly in the right arm for prophylaxis of COVID-19 infection.      The patient was hospitalized for severe hypotension and Removal and Replacement of hemodialysis shunt from 17-JAN-2021 to 21-Jan-2021. On 26-01-2021 the patient was sent to hospital due to his hemodialysis shunt bleeding. On 27-01-2021, the patient passed away at the hospital . Treatment information was unknown.  Action taken with mRNA-1273 in response to the events was not applicable.  The patient died on 27 Jan 2021. The cause of death was unknown. Plans for an autopsy were unknown.; Reporter's Comments: Very limited information regarding this event/s has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death"
	"1086868-1"	"1086868-1"	"MEDICAL DEVICE SITE HAEMORRHAGE"	"10075578"	"65-79 years"	"65-79"	"Passed away; Severe hypotension; Hemodialysis shunt bleeding; A spontaneous report was received from other health professional concerning a 72 years old, male patient who experienced hypotension, removal and replacement of hemodialysis shunt (procedure), hemodialysis shunt bleeding and death.   The patient's medical history was not provided.  Concomitant product use was not provided/unknown by the reporter.    On 29-DEC-2020, the patient received their first of two planned doses of mRNA-1273 (Batch number [LOT/BATCH: 039K208] intramuscularly in the right arm for prophylaxis of COVID-19 infection.      The patient was hospitalized for severe hypotension and Removal and Replacement of hemodialysis shunt from 17-JAN-2021 to 21-Jan-2021. On 26-01-2021 the patient was sent to hospital due to his hemodialysis shunt bleeding. On 27-01-2021, the patient passed away at the hospital . Treatment information was unknown.  Action taken with mRNA-1273 in response to the events was not applicable.  The patient died on 27 Jan 2021. The cause of death was unknown. Plans for an autopsy were unknown.; Reporter's Comments: Very limited information regarding this event/s has been provided at this time.  Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death"
	"1088112-1"	"1088112-1"	"AGITATION"	"10001497"	"65-79 years"	"65-79"	"03/05/2021: Increased SOB, DOE, increased HR and RR, pain on inhalation, agitation 3/06/2021: increased work of breathing, using accessory muscles, sweats, low-grade fever 3/07/2021- death"
	"1088112-1"	"1088112-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"03/05/2021: Increased SOB, DOE, increased HR and RR, pain on inhalation, agitation 3/06/2021: increased work of breathing, using accessory muscles, sweats, low-grade fever 3/07/2021- death"
	"1088112-1"	"1088112-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"03/05/2021: Increased SOB, DOE, increased HR and RR, pain on inhalation, agitation 3/06/2021: increased work of breathing, using accessory muscles, sweats, low-grade fever 3/07/2021- death"
	"1088112-1"	"1088112-1"	"DYSPNOEA EXERTIONAL"	"10013971"	"65-79 years"	"65-79"	"03/05/2021: Increased SOB, DOE, increased HR and RR, pain on inhalation, agitation 3/06/2021: increased work of breathing, using accessory muscles, sweats, low-grade fever 3/07/2021- death"
	"1088112-1"	"1088112-1"	"HEART RATE INCREASED"	"10019303"	"65-79 years"	"65-79"	"03/05/2021: Increased SOB, DOE, increased HR and RR, pain on inhalation, agitation 3/06/2021: increased work of breathing, using accessory muscles, sweats, low-grade fever 3/07/2021- death"
	"1088112-1"	"1088112-1"	"HYPERHIDROSIS"	"10020642"	"65-79 years"	"65-79"	"03/05/2021: Increased SOB, DOE, increased HR and RR, pain on inhalation, agitation 3/06/2021: increased work of breathing, using accessory muscles, sweats, low-grade fever 3/07/2021- death"
	"1088112-1"	"1088112-1"	"PAINFUL RESPIRATION"	"10033517"	"65-79 years"	"65-79"	"03/05/2021: Increased SOB, DOE, increased HR and RR, pain on inhalation, agitation 3/06/2021: increased work of breathing, using accessory muscles, sweats, low-grade fever 3/07/2021- death"
	"1088112-1"	"1088112-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"03/05/2021: Increased SOB, DOE, increased HR and RR, pain on inhalation, agitation 3/06/2021: increased work of breathing, using accessory muscles, sweats, low-grade fever 3/07/2021- death"
	"1088112-1"	"1088112-1"	"RESPIRATORY RATE INCREASED"	"10038712"	"65-79 years"	"65-79"	"03/05/2021: Increased SOB, DOE, increased HR and RR, pain on inhalation, agitation 3/06/2021: increased work of breathing, using accessory muscles, sweats, low-grade fever 3/07/2021- death"
	"1088112-1"	"1088112-1"	"USE OF ACCESSORY RESPIRATORY MUSCLES"	"10069555"	"65-79 years"	"65-79"	"03/05/2021: Increased SOB, DOE, increased HR and RR, pain on inhalation, agitation 3/06/2021: increased work of breathing, using accessory muscles, sweats, low-grade fever 3/07/2021- death"
	"1088175-1"	"1088175-1"	"ASCITES"	"10003445"	"65-79 years"	"65-79"	"death within 30 days of vaccination"
	"1088175-1"	"1088175-1"	"BLOOD POTASSIUM INCREASED"	"10005725"	"65-79 years"	"65-79"	"death within 30 days of vaccination"
	"1088175-1"	"1088175-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"death within 30 days of vaccination"
	"1088175-1"	"1088175-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death within 30 days of vaccination"
	"1088175-1"	"1088175-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"death within 30 days of vaccination"
	"1088175-1"	"1088175-1"	"PARACENTESIS"	"10061905"	"65-79 years"	"65-79"	"death within 30 days of vaccination"
	"1088216-1"	"1088216-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death within 30 days of vaccination"
	"1089038-1"	"1089038-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"Patient died 2 days after COVID vaccination, concern for vaccine related death.  Autopsy showed bilateral pulmonary emboli.  No evidence death was vaccine related."
	"1089038-1"	"1089038-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died 2 days after COVID vaccination, concern for vaccine related death.  Autopsy showed bilateral pulmonary emboli.  No evidence death was vaccine related."
	"1089038-1"	"1089038-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"Patient died 2 days after COVID vaccination, concern for vaccine related death.  Autopsy showed bilateral pulmonary emboli.  No evidence death was vaccine related."
	"1091695-1"	"1091695-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient expired 2/10/2021.  Unknown whether the death was even related to the vaccine. Pt did not have any problems during 15 min observation period and no issues reported to HD after vaccination.  reported because the person expired within 7 days of vaccination."
	"1091753-1"	"1091753-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"observed for 15 min after both vaccines and no reported issues after vaccination.  Patient did expire 2/25/2021 but cause of death unknown."
	"1091894-1"	"1091894-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"The patient presented to the off complaining of feeling weak in the legs on Monday, March 1, 2021. She had been moving over the weekend and was over-exerting herself and stated she had fallen on a rug at the old house and then had lain down on the floor to sleep with her dog in the new home,  had difficulty getting up and needed help. No symptoms of fever, chills, sweats, headache, myalgias. The next day she passed away at her home, sitting in her chair."
	"1091894-1"	"1091894-1"	"DYSSTASIA"	"10050256"	"65-79 years"	"65-79"	"The patient presented to the off complaining of feeling weak in the legs on Monday, March 1, 2021. She had been moving over the weekend and was over-exerting herself and stated she had fallen on a rug at the old house and then had lain down on the floor to sleep with her dog in the new home,  had difficulty getting up and needed help. No symptoms of fever, chills, sweats, headache, myalgias. The next day she passed away at her home, sitting in her chair."
	"1091894-1"	"1091894-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"The patient presented to the off complaining of feeling weak in the legs on Monday, March 1, 2021. She had been moving over the weekend and was over-exerting herself and stated she had fallen on a rug at the old house and then had lain down on the floor to sleep with her dog in the new home,  had difficulty getting up and needed help. No symptoms of fever, chills, sweats, headache, myalgias. The next day she passed away at her home, sitting in her chair."
	"1091894-1"	"1091894-1"	"MUSCULAR WEAKNESS"	"10028372"	"65-79 years"	"65-79"	"The patient presented to the off complaining of feeling weak in the legs on Monday, March 1, 2021. She had been moving over the weekend and was over-exerting herself and stated she had fallen on a rug at the old house and then had lain down on the floor to sleep with her dog in the new home,  had difficulty getting up and needed help. No symptoms of fever, chills, sweats, headache, myalgias. The next day she passed away at her home, sitting in her chair."
	"1092214-1"	"1092214-1"	"SUDDEN CARDIAC DEATH"	"10049418"	"65-79 years"	"65-79"	"Patient received his first COVID vaccine on 3/2 and then passed away 3 days after receiving Moderna vaccine.  Provider presumed he died from sudden heart attack, this occurred at home."
	"1092483-1"	"1092483-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Both patient and spouse we given their Moderna prime dose on 2-10-21. Both patient and spouse agreed to observe the post vaccination waiting period and reported no concerns.  On 3-10-2021, they returned for their boost dose at 12:30 PM.  Prior to administration of their second dose,  they reported only mild headache and fatigue that presented approximately 12 hours after their  first dose was administered.   Once again, spouse and patient observed the post vaccination waiting period and reported no issues.  On 3-11-21,  I was notified that patient had passed away at home.  In speaking to spouse, he stated that they both went to bed that evening with with a mild headache and fatigue. Spouse stated that he woke up early that morning with a more pronounced headache and had difficulty sleeping.  He noted that at approximately 5:18 AM  patient seemed to breathing heavily and may have gasped a bit.  He checked on her again around 6:40 and determined that she had passed away.  He contacted EMS and the technician confirmed that she had passed away.  Spouse reports that the state will perform and autopsy in the next few days at the direction of Medical staff."
	"1092483-1"	"1092483-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Both patient and spouse we given their Moderna prime dose on 2-10-21. Both patient and spouse agreed to observe the post vaccination waiting period and reported no concerns.  On 3-10-2021, they returned for their boost dose at 12:30 PM.  Prior to administration of their second dose,  they reported only mild headache and fatigue that presented approximately 12 hours after their  first dose was administered.   Once again, spouse and patient observed the post vaccination waiting period and reported no issues.  On 3-11-21,  I was notified that patient had passed away at home.  In speaking to spouse, he stated that they both went to bed that evening with with a mild headache and fatigue. Spouse stated that he woke up early that morning with a more pronounced headache and had difficulty sleeping.  He noted that at approximately 5:18 AM  patient seemed to breathing heavily and may have gasped a bit.  He checked on her again around 6:40 and determined that she had passed away.  He contacted EMS and the technician confirmed that she had passed away.  Spouse reports that the state will perform and autopsy in the next few days at the direction of Medical staff."
	"1092483-1"	"1092483-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Both patient and spouse we given their Moderna prime dose on 2-10-21. Both patient and spouse agreed to observe the post vaccination waiting period and reported no concerns.  On 3-10-2021, they returned for their boost dose at 12:30 PM.  Prior to administration of their second dose,  they reported only mild headache and fatigue that presented approximately 12 hours after their  first dose was administered.   Once again, spouse and patient observed the post vaccination waiting period and reported no issues.  On 3-11-21,  I was notified that patient had passed away at home.  In speaking to spouse, he stated that they both went to bed that evening with with a mild headache and fatigue. Spouse stated that he woke up early that morning with a more pronounced headache and had difficulty sleeping.  He noted that at approximately 5:18 AM  patient seemed to breathing heavily and may have gasped a bit.  He checked on her again around 6:40 and determined that she had passed away.  He contacted EMS and the technician confirmed that she had passed away.  Spouse reports that the state will perform and autopsy in the next few days at the direction of Medical staff."
	"1092483-1"	"1092483-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Both patient and spouse we given their Moderna prime dose on 2-10-21. Both patient and spouse agreed to observe the post vaccination waiting period and reported no concerns.  On 3-10-2021, they returned for their boost dose at 12:30 PM.  Prior to administration of their second dose,  they reported only mild headache and fatigue that presented approximately 12 hours after their  first dose was administered.   Once again, spouse and patient observed the post vaccination waiting period and reported no issues.  On 3-11-21,  I was notified that patient had passed away at home.  In speaking to spouse, he stated that they both went to bed that evening with with a mild headache and fatigue. Spouse stated that he woke up early that morning with a more pronounced headache and had difficulty sleeping.  He noted that at approximately 5:18 AM  patient seemed to breathing heavily and may have gasped a bit.  He checked on her again around 6:40 and determined that she had passed away.  He contacted EMS and the technician confirmed that she had passed away.  Spouse reports that the state will perform and autopsy in the next few days at the direction of Medical staff."
	"1092483-1"	"1092483-1"	"RESPIRATION ABNORMAL"	"10038647"	"65-79 years"	"65-79"	"Both patient and spouse we given their Moderna prime dose on 2-10-21. Both patient and spouse agreed to observe the post vaccination waiting period and reported no concerns.  On 3-10-2021, they returned for their boost dose at 12:30 PM.  Prior to administration of their second dose,  they reported only mild headache and fatigue that presented approximately 12 hours after their  first dose was administered.   Once again, spouse and patient observed the post vaccination waiting period and reported no issues.  On 3-11-21,  I was notified that patient had passed away at home.  In speaking to spouse, he stated that they both went to bed that evening with with a mild headache and fatigue. Spouse stated that he woke up early that morning with a more pronounced headache and had difficulty sleeping.  He noted that at approximately 5:18 AM  patient seemed to breathing heavily and may have gasped a bit.  He checked on her again around 6:40 and determined that she had passed away.  He contacted EMS and the technician confirmed that she had passed away.  Spouse reports that the state will perform and autopsy in the next few days at the direction of Medical staff."
	"1092737-1"	"1092737-1"	"SUDDEN DEATH"	"10042434"	"65-79 years"	"65-79"	"Sudden death. Alone at home, found on floor 4 hours after last phone contact"
	"1092883-1"	"1092883-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death. Patient lived alone, was found dead at 11:04 the morning following his second dose of vaccine. Actual time of death is unknown. Time of vaccine administration the previous day is estimated."
	"1094165-1"	"1094165-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Patient received her first dose of the Mederna Covid vaccine at the Health unit on 03/10/21.  Her family states she began experiencing nausea and vomiting last night (03/11/2021) and then started having chest pain at around midnight.  This morning (03/12/2021) she was still experiencing vomiting and chest pain.  She collapsed at approximately 07:30 and her family initiated CPR and EMS was called.  She was brought the Hospital via Ambulance at 08:18 in cardiac arrest.  The emergency department was unable to resuscitate her and she was pronounced dead."
	"1094165-1"	"1094165-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient received her first dose of the Mederna Covid vaccine at the Health unit on 03/10/21.  Her family states she began experiencing nausea and vomiting last night (03/11/2021) and then started having chest pain at around midnight.  This morning (03/12/2021) she was still experiencing vomiting and chest pain.  She collapsed at approximately 07:30 and her family initiated CPR and EMS was called.  She was brought the Hospital via Ambulance at 08:18 in cardiac arrest.  The emergency department was unable to resuscitate her and she was pronounced dead."
	"1094165-1"	"1094165-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Patient received her first dose of the Mederna Covid vaccine at the Health unit on 03/10/21.  Her family states she began experiencing nausea and vomiting last night (03/11/2021) and then started having chest pain at around midnight.  This morning (03/12/2021) she was still experiencing vomiting and chest pain.  She collapsed at approximately 07:30 and her family initiated CPR and EMS was called.  She was brought the Hospital via Ambulance at 08:18 in cardiac arrest.  The emergency department was unable to resuscitate her and she was pronounced dead."
	"1094165-1"	"1094165-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Patient received her first dose of the Mederna Covid vaccine at the Health unit on 03/10/21.  Her family states she began experiencing nausea and vomiting last night (03/11/2021) and then started having chest pain at around midnight.  This morning (03/12/2021) she was still experiencing vomiting and chest pain.  She collapsed at approximately 07:30 and her family initiated CPR and EMS was called.  She was brought the Hospital via Ambulance at 08:18 in cardiac arrest.  The emergency department was unable to resuscitate her and she was pronounced dead."
	"1094165-1"	"1094165-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"Patient received her first dose of the Mederna Covid vaccine at the Health unit on 03/10/21.  Her family states she began experiencing nausea and vomiting last night (03/11/2021) and then started having chest pain at around midnight.  This morning (03/12/2021) she was still experiencing vomiting and chest pain.  She collapsed at approximately 07:30 and her family initiated CPR and EMS was called.  She was brought the Hospital via Ambulance at 08:18 in cardiac arrest.  The emergency department was unable to resuscitate her and she was pronounced dead."
	"1094165-1"	"1094165-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Patient received her first dose of the Mederna Covid vaccine at the Health unit on 03/10/21.  Her family states she began experiencing nausea and vomiting last night (03/11/2021) and then started having chest pain at around midnight.  This morning (03/12/2021) she was still experiencing vomiting and chest pain.  She collapsed at approximately 07:30 and her family initiated CPR and EMS was called.  She was brought the Hospital via Ambulance at 08:18 in cardiac arrest.  The emergency department was unable to resuscitate her and she was pronounced dead."
	"1094290-1"	"1094290-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died on March 10th 2021 and received the vaccine on February 23 2021. Patient had health issues. Spoke with coroner and patient did die at home. Patient was taken straight the the funeral home afterwards."
	"1095184-1"	"1095184-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""""Pfizer-BioNTech COVID-19 Vaccine EUA"" Patient was discovered deceased this morning by her family members.""
	"1095392-1"	"1095392-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Received shot 02/04/2021, sudden Cardiac Arrest 2/8/2021, found 2/10/2021"
	"1096602-1"	"1096602-1"	"APHASIA"	"10002948"	"65-79 years"	"65-79"	"Hospice nurse reported patient started experiencing fatigue, nausea, dizziness, decreased appetite and shortness of breath immediately following vaccination.  Hospice medications were ordered and patient began receiving morphine and nebulizer treatments. She then started having dysphasia. She then died on 3/5/21 from presumed respiratory failure."
	"1096602-1"	"1096602-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospice nurse reported patient started experiencing fatigue, nausea, dizziness, decreased appetite and shortness of breath immediately following vaccination.  Hospice medications were ordered and patient began receiving morphine and nebulizer treatments. She then started having dysphasia. She then died on 3/5/21 from presumed respiratory failure."
	"1096602-1"	"1096602-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"Hospice nurse reported patient started experiencing fatigue, nausea, dizziness, decreased appetite and shortness of breath immediately following vaccination.  Hospice medications were ordered and patient began receiving morphine and nebulizer treatments. She then started having dysphasia. She then died on 3/5/21 from presumed respiratory failure."
	"1096602-1"	"1096602-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"Hospice nurse reported patient started experiencing fatigue, nausea, dizziness, decreased appetite and shortness of breath immediately following vaccination.  Hospice medications were ordered and patient began receiving morphine and nebulizer treatments. She then started having dysphasia. She then died on 3/5/21 from presumed respiratory failure."
	"1096602-1"	"1096602-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Hospice nurse reported patient started experiencing fatigue, nausea, dizziness, decreased appetite and shortness of breath immediately following vaccination.  Hospice medications were ordered and patient began receiving morphine and nebulizer treatments. She then started having dysphasia. She then died on 3/5/21 from presumed respiratory failure."
	"1096602-1"	"1096602-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Hospice nurse reported patient started experiencing fatigue, nausea, dizziness, decreased appetite and shortness of breath immediately following vaccination.  Hospice medications were ordered and patient began receiving morphine and nebulizer treatments. She then started having dysphasia. She then died on 3/5/21 from presumed respiratory failure."
	"1096602-1"	"1096602-1"	"IMMEDIATE POST-INJECTION REACTION"	"10067142"	"65-79 years"	"65-79"	"Hospice nurse reported patient started experiencing fatigue, nausea, dizziness, decreased appetite and shortness of breath immediately following vaccination.  Hospice medications were ordered and patient began receiving morphine and nebulizer treatments. She then started having dysphasia. She then died on 3/5/21 from presumed respiratory failure."
	"1096602-1"	"1096602-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Hospice nurse reported patient started experiencing fatigue, nausea, dizziness, decreased appetite and shortness of breath immediately following vaccination.  Hospice medications were ordered and patient began receiving morphine and nebulizer treatments. She then started having dysphasia. She then died on 3/5/21 from presumed respiratory failure."
	"1096602-1"	"1096602-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Hospice nurse reported patient started experiencing fatigue, nausea, dizziness, decreased appetite and shortness of breath immediately following vaccination.  Hospice medications were ordered and patient began receiving morphine and nebulizer treatments. She then started having dysphasia. She then died on 3/5/21 from presumed respiratory failure."
	"1098299-1"	"1098299-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Husband returned for second dose of COVID-19 vaccine and reported that wife, expired the day after her first dose of the COVID vaccine. Medical team did not feel that there was a correlation so we were not notified prior to that date"
	"1102244-1"	"1102244-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient expired on 02/26/2021 from a Myocardial Infarction"
	"1102244-1"	"1102244-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Patient expired on 02/26/2021 from a Myocardial Infarction"
	"1103055-1"	"1103055-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient wife called on 3/11/21 to state that she would like us to cancel her husband second dose appointment for his COVID-19 Moderna vaccine. Wife stated that 24 hours after receiving vaccine patient died. Hospital told patient wife that it could be due to receiving COVID-19 vaccine. Unable to get anymore pertinent information from patient representative."
	"1103943-1"	"1103943-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"unexplained death"
	"1104666-1"	"1104666-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient presented with dyspnea and found to have COVID 19 infection. Treated with steroids and oxygen but clinically deteriorated and died"
	"1104666-1"	"1104666-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient presented with dyspnea and found to have COVID 19 infection. Treated with steroids and oxygen but clinically deteriorated and died"
	"1104666-1"	"1104666-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient presented with dyspnea and found to have COVID 19 infection. Treated with steroids and oxygen but clinically deteriorated and died"
	"1104666-1"	"1104666-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Patient presented with dyspnea and found to have COVID 19 infection. Treated with steroids and oxygen but clinically deteriorated and died"
	"1104666-1"	"1104666-1"	"SARS-COV-2 ANTIBODY TEST NEGATIVE"	"10084509"	"65-79 years"	"65-79"	"Patient presented with dyspnea and found to have COVID 19 infection. Treated with steroids and oxygen but clinically deteriorated and died"
	"1104666-1"	"1104666-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient presented with dyspnea and found to have COVID 19 infection. Treated with steroids and oxygen but clinically deteriorated and died"
	"1105125-1"	"1105125-1"	"HAEMORRHAGIC STROKE"	"10019016"	"65-79 years"	"65-79"	"Patient had a hemorrhagic stroke"
	"1108623-1"	"1108623-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Fatigue, Body aches, loss of appetite, 100 degree fever for a short time. indigestion, nausea for about 3 days Fatal Heart attack 2/28/2021"
	"1108623-1"	"1108623-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"Fatigue, Body aches, loss of appetite, 100 degree fever for a short time. indigestion, nausea for about 3 days Fatal Heart attack 2/28/2021"
	"1108623-1"	"1108623-1"	"DYSPEPSIA"	"10013946"	"65-79 years"	"65-79"	"Fatigue, Body aches, loss of appetite, 100 degree fever for a short time. indigestion, nausea for about 3 days Fatal Heart attack 2/28/2021"
	"1108623-1"	"1108623-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Fatigue, Body aches, loss of appetite, 100 degree fever for a short time. indigestion, nausea for about 3 days Fatal Heart attack 2/28/2021"
	"1108623-1"	"1108623-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Fatigue, Body aches, loss of appetite, 100 degree fever for a short time. indigestion, nausea for about 3 days Fatal Heart attack 2/28/2021"
	"1108623-1"	"1108623-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Fatigue, Body aches, loss of appetite, 100 degree fever for a short time. indigestion, nausea for about 3 days Fatal Heart attack 2/28/2021"
	"1108623-1"	"1108623-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"Fatigue, Body aches, loss of appetite, 100 degree fever for a short time. indigestion, nausea for about 3 days Fatal Heart attack 2/28/2021"
	"1108623-1"	"1108623-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Fatigue, Body aches, loss of appetite, 100 degree fever for a short time. indigestion, nausea for about 3 days Fatal Heart attack 2/28/2021"
	"1108766-1"	"1108766-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Family reported today 3/17/2021 that patient passed away 3/12/2021, they did not indicate that it had anything to do with the vaccination or give medical history."
	"1110160-1"	"1110160-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Phone call from patient' s 2 daughters on 3/10/2021.  Patient was found dead in bed with a remote in his hand.  He had not been sick.  He had received Moderna SARS vaccine 2/27/2021= 11 days earlier, but did not have any adverse reactions.  He had recovered from lumbar spine surgery several months earlier.  He was pronounced dead by the fire chief."
	"1111042-1"	"1111042-1"	"PAIN IN EXTREMITY"	"10033425"	"65-79 years"	"65-79"	"RHC 3/15/21.  No significant reaction from vaccine. Had sore arm."
	"1111042-1"	"1111042-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"RHC 3/15/21.  No significant reaction from vaccine. Had sore arm."
	"1111957-1"	"1111957-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Received vaccine on 3/3/2021 then was found dead in bed by her husband on 3/7/2021."
	"1116594-1"	"1116594-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient called EMS from for respiratory distress. EMS arrived, noted severe distress and hypoxia. Patient transported to Hospital Emergency Dept. Patient deteriorated to respiratory arrest and cardiac arrest. Per ED note, after 30 minutes of aggressive resuscitation (including approximately 19 minutes in the ED), no ROSC was achieved. Patient expired"
	"1116594-1"	"1116594-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient called EMS from for respiratory distress. EMS arrived, noted severe distress and hypoxia. Patient transported to Hospital Emergency Dept. Patient deteriorated to respiratory arrest and cardiac arrest. Per ED note, after 30 minutes of aggressive resuscitation (including approximately 19 minutes in the ED), no ROSC was achieved. Patient expired"
	"1116594-1"	"1116594-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient called EMS from for respiratory distress. EMS arrived, noted severe distress and hypoxia. Patient transported to Hospital Emergency Dept. Patient deteriorated to respiratory arrest and cardiac arrest. Per ED note, after 30 minutes of aggressive resuscitation (including approximately 19 minutes in the ED), no ROSC was achieved. Patient expired"
	"1116594-1"	"1116594-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"Patient called EMS from for respiratory distress. EMS arrived, noted severe distress and hypoxia. Patient transported to Hospital Emergency Dept. Patient deteriorated to respiratory arrest and cardiac arrest. Per ED note, after 30 minutes of aggressive resuscitation (including approximately 19 minutes in the ED), no ROSC was achieved. Patient expired"
	"1116594-1"	"1116594-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"Patient called EMS from for respiratory distress. EMS arrived, noted severe distress and hypoxia. Patient transported to Hospital Emergency Dept. Patient deteriorated to respiratory arrest and cardiac arrest. Per ED note, after 30 minutes of aggressive resuscitation (including approximately 19 minutes in the ED), no ROSC was achieved. Patient expired"
	"1116594-1"	"1116594-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Patient called EMS from for respiratory distress. EMS arrived, noted severe distress and hypoxia. Patient transported to Hospital Emergency Dept. Patient deteriorated to respiratory arrest and cardiac arrest. Per ED note, after 30 minutes of aggressive resuscitation (including approximately 19 minutes in the ED), no ROSC was achieved. Patient expired"
	"1117213-1"	"1117213-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Case tested positive for COVID-19 on 3/1/2021 by rapid antigen and then again on 3/3/2021 by PCR.  Case was admitted to hospital on 3/3/2021 for shortness of breath and occult infection.  Case was previously admitted and discharged from hospital on 2/22/2021 after a lumbar compression fracture.  Case had monoclonal antibody infusions; was afebrile and denied chills, but had a dry cough.  Case was a previous smoker, quit 2 years prior.  Case developed pneumonia.  Case required supplemental oxygen."
	"1117213-1"	"1117213-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Case tested positive for COVID-19 on 3/1/2021 by rapid antigen and then again on 3/3/2021 by PCR.  Case was admitted to hospital on 3/3/2021 for shortness of breath and occult infection.  Case was previously admitted and discharged from hospital on 2/22/2021 after a lumbar compression fracture.  Case had monoclonal antibody infusions; was afebrile and denied chills, but had a dry cough.  Case was a previous smoker, quit 2 years prior.  Case developed pneumonia.  Case required supplemental oxygen."
	"1117213-1"	"1117213-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Case tested positive for COVID-19 on 3/1/2021 by rapid antigen and then again on 3/3/2021 by PCR.  Case was admitted to hospital on 3/3/2021 for shortness of breath and occult infection.  Case was previously admitted and discharged from hospital on 2/22/2021 after a lumbar compression fracture.  Case had monoclonal antibody infusions; was afebrile and denied chills, but had a dry cough.  Case was a previous smoker, quit 2 years prior.  Case developed pneumonia.  Case required supplemental oxygen."
	"1117213-1"	"1117213-1"	"INFECTION"	"10021789"	"65-79 years"	"65-79"	"Case tested positive for COVID-19 on 3/1/2021 by rapid antigen and then again on 3/3/2021 by PCR.  Case was admitted to hospital on 3/3/2021 for shortness of breath and occult infection.  Case was previously admitted and discharged from hospital on 2/22/2021 after a lumbar compression fracture.  Case had monoclonal antibody infusions; was afebrile and denied chills, but had a dry cough.  Case was a previous smoker, quit 2 years prior.  Case developed pneumonia.  Case required supplemental oxygen."
	"1117213-1"	"1117213-1"	"MONOCLONAL ANTIBODY IMMUNOCONJUGATE THERAPY"	"10027859"	"65-79 years"	"65-79"	"Case tested positive for COVID-19 on 3/1/2021 by rapid antigen and then again on 3/3/2021 by PCR.  Case was admitted to hospital on 3/3/2021 for shortness of breath and occult infection.  Case was previously admitted and discharged from hospital on 2/22/2021 after a lumbar compression fracture.  Case had monoclonal antibody infusions; was afebrile and denied chills, but had a dry cough.  Case was a previous smoker, quit 2 years prior.  Case developed pneumonia.  Case required supplemental oxygen."
	"1117213-1"	"1117213-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Case tested positive for COVID-19 on 3/1/2021 by rapid antigen and then again on 3/3/2021 by PCR.  Case was admitted to hospital on 3/3/2021 for shortness of breath and occult infection.  Case was previously admitted and discharged from hospital on 2/22/2021 after a lumbar compression fracture.  Case had monoclonal antibody infusions; was afebrile and denied chills, but had a dry cough.  Case was a previous smoker, quit 2 years prior.  Case developed pneumonia.  Case required supplemental oxygen."
	"1117213-1"	"1117213-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Case tested positive for COVID-19 on 3/1/2021 by rapid antigen and then again on 3/3/2021 by PCR.  Case was admitted to hospital on 3/3/2021 for shortness of breath and occult infection.  Case was previously admitted and discharged from hospital on 2/22/2021 after a lumbar compression fracture.  Case had monoclonal antibody infusions; was afebrile and denied chills, but had a dry cough.  Case was a previous smoker, quit 2 years prior.  Case developed pneumonia.  Case required supplemental oxygen."
	"1117213-1"	"1117213-1"	"SPINAL COMPRESSION FRACTURE"	"10041541"	"65-79 years"	"65-79"	"Case tested positive for COVID-19 on 3/1/2021 by rapid antigen and then again on 3/3/2021 by PCR.  Case was admitted to hospital on 3/3/2021 for shortness of breath and occult infection.  Case was previously admitted and discharged from hospital on 2/22/2021 after a lumbar compression fracture.  Case had monoclonal antibody infusions; was afebrile and denied chills, but had a dry cough.  Case was a previous smoker, quit 2 years prior.  Case developed pneumonia.  Case required supplemental oxygen."
	"1119393-1"	"1119393-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Systemic: Death. Unknow cause as of reporting date. -Severe, Additional Details: PT caregiver called to report that the Pt passed away on 3/8/21 2 days post vaccince, Caregiver was distrot and not very able to provided more details due to reccent nature of report."
	"1120523-1"	"1120523-1"	"HAEMORRHAGE"	"10055798"	"65-79 years"	"65-79"	"Hemorrhage/Bleeding"
	"1120816-1"	"1120816-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death. No autopsy performed."
	"1124281-1"	"1124281-1"	"CLOSTRIDIUM DIFFICILE COLITIS"	"10009657"	"65-79 years"	"65-79"	"79 yo with HFpEF, CKD, neurogenic bladder with chronic indwelling Foley admitted to Facility 01/21/21-01/28/21 with recurrent c. difficile/sepsis.  Received COVID vaccine on 2/3/21 as outpatietn.  Readmitted to Facility on 02/16/21 with sepsis with E. coli BSI from GU source, recurrent/persistent c. difficile colitis.  Worsening sepsis.  Family transitioned goals from full code to DNR/DNI and then to CMO.  Patient expired 02/18/2021."
	"1124281-1"	"1124281-1"	"CLOSTRIDIUM DIFFICILE INFECTION"	"10054236"	"65-79 years"	"65-79"	"79 yo with HFpEF, CKD, neurogenic bladder with chronic indwelling Foley admitted to Facility 01/21/21-01/28/21 with recurrent c. difficile/sepsis.  Received COVID vaccine on 2/3/21 as outpatietn.  Readmitted to Facility on 02/16/21 with sepsis with E. coli BSI from GU source, recurrent/persistent c. difficile colitis.  Worsening sepsis.  Family transitioned goals from full code to DNR/DNI and then to CMO.  Patient expired 02/18/2021."
	"1124281-1"	"1124281-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"79 yo with HFpEF, CKD, neurogenic bladder with chronic indwelling Foley admitted to Facility 01/21/21-01/28/21 with recurrent c. difficile/sepsis.  Received COVID vaccine on 2/3/21 as outpatietn.  Readmitted to Facility on 02/16/21 with sepsis with E. coli BSI from GU source, recurrent/persistent c. difficile colitis.  Worsening sepsis.  Family transitioned goals from full code to DNR/DNI and then to CMO.  Patient expired 02/18/2021."
	"1124281-1"	"1124281-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"79 yo with HFpEF, CKD, neurogenic bladder with chronic indwelling Foley admitted to Facility 01/21/21-01/28/21 with recurrent c. difficile/sepsis.  Received COVID vaccine on 2/3/21 as outpatietn.  Readmitted to Facility on 02/16/21 with sepsis with E. coli BSI from GU source, recurrent/persistent c. difficile colitis.  Worsening sepsis.  Family transitioned goals from full code to DNR/DNI and then to CMO.  Patient expired 02/18/2021."
	"1124281-1"	"1124281-1"	"ESCHERICHIA SEPSIS"	"10015296"	"65-79 years"	"65-79"	"79 yo with HFpEF, CKD, neurogenic bladder with chronic indwelling Foley admitted to Facility 01/21/21-01/28/21 with recurrent c. difficile/sepsis.  Received COVID vaccine on 2/3/21 as outpatietn.  Readmitted to Facility on 02/16/21 with sepsis with E. coli BSI from GU source, recurrent/persistent c. difficile colitis.  Worsening sepsis.  Family transitioned goals from full code to DNR/DNI and then to CMO.  Patient expired 02/18/2021."
	"1124363-1"	"1124363-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"patient died at home.  apparently he awoke in the middle of the night and asked for help, then collapsed.  CPR failed.  patient and family did not want an autopsy.  suspect sudden cardiac death"
	"1124363-1"	"1124363-1"	"SUDDEN CARDIAC DEATH"	"10049418"	"65-79 years"	"65-79"	"patient died at home.  apparently he awoke in the middle of the night and asked for help, then collapsed.  CPR failed.  patient and family did not want an autopsy.  suspect sudden cardiac death"
	"1124363-1"	"1124363-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"patient died at home.  apparently he awoke in the middle of the night and asked for help, then collapsed.  CPR failed.  patient and family did not want an autopsy.  suspect sudden cardiac death"
	"1124604-1"	"1124604-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Pt presented SOB several days prior to receiving vaccine. His sister reported he had severe COPD and was getting progressively worse. On the day pt was vaccinated, his sister picked him up for the appointment and pt refused a wheelchair. Pt walked into the clinic on his own and recevied his vaccine. Sister reported pt walked to the car after his vaccine and was winded. She dropped him off at his house and called him later to check up on him. Pt stated he was feeling fine but his arm was sore. Pt's sister called the next morning and reported that he sounded terrible. He was strugging to breathe and was SOB. His sister went over to his house to check on him and wanted to take him to the doctor's office or the hospital. Pt refused at that time. Pt agreed to make a doctor appointment for later in the afternoon. Sister left at noon. She stated her brother had made a doctor appointment for 4:00 at Family Practice. Upon arriving, pt started walking towards the entrance and became SOB. His significant other asked the doctor's office for a  wheelchair and was denied. Pt coded in parking lot of Doctor's Office and passed away at 4:31 p.m."
	"1124604-1"	"1124604-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Pt presented SOB several days prior to receiving vaccine. His sister reported he had severe COPD and was getting progressively worse. On the day pt was vaccinated, his sister picked him up for the appointment and pt refused a wheelchair. Pt walked into the clinic on his own and recevied his vaccine. Sister reported pt walked to the car after his vaccine and was winded. She dropped him off at his house and called him later to check up on him. Pt stated he was feeling fine but his arm was sore. Pt's sister called the next morning and reported that he sounded terrible. He was strugging to breathe and was SOB. His sister went over to his house to check on him and wanted to take him to the doctor's office or the hospital. Pt refused at that time. Pt agreed to make a doctor appointment for later in the afternoon. Sister left at noon. She stated her brother had made a doctor appointment for 4:00 at Family Practice. Upon arriving, pt started walking towards the entrance and became SOB. His significant other asked the doctor's office for a  wheelchair and was denied. Pt coded in parking lot of Doctor's Office and passed away at 4:31 p.m."
	"1124604-1"	"1124604-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt presented SOB several days prior to receiving vaccine. His sister reported he had severe COPD and was getting progressively worse. On the day pt was vaccinated, his sister picked him up for the appointment and pt refused a wheelchair. Pt walked into the clinic on his own and recevied his vaccine. Sister reported pt walked to the car after his vaccine and was winded. She dropped him off at his house and called him later to check up on him. Pt stated he was feeling fine but his arm was sore. Pt's sister called the next morning and reported that he sounded terrible. He was strugging to breathe and was SOB. His sister went over to his house to check on him and wanted to take him to the doctor's office or the hospital. Pt refused at that time. Pt agreed to make a doctor appointment for later in the afternoon. Sister left at noon. She stated her brother had made a doctor appointment for 4:00 at Family Practice. Upon arriving, pt started walking towards the entrance and became SOB. His significant other asked the doctor's office for a  wheelchair and was denied. Pt coded in parking lot of Doctor's Office and passed away at 4:31 p.m."
	"1124604-1"	"1124604-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Pt presented SOB several days prior to receiving vaccine. His sister reported he had severe COPD and was getting progressively worse. On the day pt was vaccinated, his sister picked him up for the appointment and pt refused a wheelchair. Pt walked into the clinic on his own and recevied his vaccine. Sister reported pt walked to the car after his vaccine and was winded. She dropped him off at his house and called him later to check up on him. Pt stated he was feeling fine but his arm was sore. Pt's sister called the next morning and reported that he sounded terrible. He was strugging to breathe and was SOB. His sister went over to his house to check on him and wanted to take him to the doctor's office or the hospital. Pt refused at that time. Pt agreed to make a doctor appointment for later in the afternoon. Sister left at noon. She stated her brother had made a doctor appointment for 4:00 at Family Practice. Upon arriving, pt started walking towards the entrance and became SOB. His significant other asked the doctor's office for a  wheelchair and was denied. Pt coded in parking lot of Doctor's Office and passed away at 4:31 p.m."
	"1124604-1"	"1124604-1"	"PAIN IN EXTREMITY"	"10033425"	"65-79 years"	"65-79"	"Pt presented SOB several days prior to receiving vaccine. His sister reported he had severe COPD and was getting progressively worse. On the day pt was vaccinated, his sister picked him up for the appointment and pt refused a wheelchair. Pt walked into the clinic on his own and recevied his vaccine. Sister reported pt walked to the car after his vaccine and was winded. She dropped him off at his house and called him later to check up on him. Pt stated he was feeling fine but his arm was sore. Pt's sister called the next morning and reported that he sounded terrible. He was strugging to breathe and was SOB. His sister went over to his house to check on him and wanted to take him to the doctor's office or the hospital. Pt refused at that time. Pt agreed to make a doctor appointment for later in the afternoon. Sister left at noon. She stated her brother had made a doctor appointment for 4:00 at Family Practice. Upon arriving, pt started walking towards the entrance and became SOB. His significant other asked the doctor's office for a  wheelchair and was denied. Pt coded in parking lot of Doctor's Office and passed away at 4:31 p.m."
	"1125507-1"	"1125507-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death within 60 days of vaccination"
	"1126639-1"	"1126639-1"	"APNOEA"	"10002974"	"65-79 years"	"65-79"	"@ 6:50 pm- Resident lying in bed with signs of apnea also has o2 in progress per Nasal cannula. Call bell in reach. v/s 53/20, 12, 101.5, o2 is 92%. Family choice not to send out to hospital bc resident had HX of periods of apnea  @ 9:30 pm-  resident had no means of life, vitals wasnt reading at this time."
	"1126639-1"	"1126639-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"@ 6:50 pm- Resident lying in bed with signs of apnea also has o2 in progress per Nasal cannula. Call bell in reach. v/s 53/20, 12, 101.5, o2 is 92%. Family choice not to send out to hospital bc resident had HX of periods of apnea  @ 9:30 pm-  resident had no means of life, vitals wasnt reading at this time."
	"1126639-1"	"1126639-1"	"VITAL CAPACITY ABNORMAL"	"10047580"	"65-79 years"	"65-79"	"@ 6:50 pm- Resident lying in bed with signs of apnea also has o2 in progress per Nasal cannula. Call bell in reach. v/s 53/20, 12, 101.5, o2 is 92%. Family choice not to send out to hospital bc resident had HX of periods of apnea  @ 9:30 pm-  resident had no means of life, vitals wasnt reading at this time."
	"1126724-1"	"1126724-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death within 30 days of vaccination."
	"1127402-1"	"1127402-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Pt recieved 1st Pfizer vaccine on 2/25/21 and her 2nd one on 3/18/21 Pt went to the ER on 3/23 via 911 in full cardiac arrest Per daugher, she c/o lightheaded this A< she came out of her room snad fell down, was vomitting and labored breathing paramedics were called, she went to Hospital and later died"
	"1127402-1"	"1127402-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt recieved 1st Pfizer vaccine on 2/25/21 and her 2nd one on 3/18/21 Pt went to the ER on 3/23 via 911 in full cardiac arrest Per daugher, she c/o lightheaded this A< she came out of her room snad fell down, was vomitting and labored breathing paramedics were called, she went to Hospital and later died"
	"1127402-1"	"1127402-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"Pt recieved 1st Pfizer vaccine on 2/25/21 and her 2nd one on 3/18/21 Pt went to the ER on 3/23 via 911 in full cardiac arrest Per daugher, she c/o lightheaded this A< she came out of her room snad fell down, was vomitting and labored breathing paramedics were called, she went to Hospital and later died"
	"1127402-1"	"1127402-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Pt recieved 1st Pfizer vaccine on 2/25/21 and her 2nd one on 3/18/21 Pt went to the ER on 3/23 via 911 in full cardiac arrest Per daugher, she c/o lightheaded this A< she came out of her room snad fell down, was vomitting and labored breathing paramedics were called, she went to Hospital and later died"
	"1127402-1"	"1127402-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Pt recieved 1st Pfizer vaccine on 2/25/21 and her 2nd one on 3/18/21 Pt went to the ER on 3/23 via 911 in full cardiac arrest Per daugher, she c/o lightheaded this A< she came out of her room snad fell down, was vomitting and labored breathing paramedics were called, she went to Hospital and later died"
	"1127402-1"	"1127402-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Pt recieved 1st Pfizer vaccine on 2/25/21 and her 2nd one on 3/18/21 Pt went to the ER on 3/23 via 911 in full cardiac arrest Per daugher, she c/o lightheaded this A< she came out of her room snad fell down, was vomitting and labored breathing paramedics were called, she went to Hospital and later died"
	"1129838-1"	"1129838-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"chest pain, vomiting, death"
	"1129838-1"	"1129838-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"chest pain, vomiting, death"
	"1129838-1"	"1129838-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"chest pain, vomiting, death"
	"1130955-1"	"1130955-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Atrial fibrillation, respiratory distress, acute renal failure"
	"1130955-1"	"1130955-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"Atrial fibrillation, respiratory distress, acute renal failure"
	"1130955-1"	"1130955-1"	"BLOOD CULTURE"	"10005485"	"65-79 years"	"65-79"	"Atrial fibrillation, respiratory distress, acute renal failure"
	"1130955-1"	"1130955-1"	"BLOOD GASES"	"10005537"	"65-79 years"	"65-79"	"Atrial fibrillation, respiratory distress, acute renal failure"
	"1130955-1"	"1130955-1"	"CHEST X-RAY"	"10008498"	"65-79 years"	"65-79"	"Atrial fibrillation, respiratory distress, acute renal failure"
	"1130955-1"	"1130955-1"	"ELECTROCARDIOGRAM"	"10014362"	"65-79 years"	"65-79"	"Atrial fibrillation, respiratory distress, acute renal failure"
	"1130955-1"	"1130955-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"Atrial fibrillation, respiratory distress, acute renal failure"
	"1130955-1"	"1130955-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"Atrial fibrillation, respiratory distress, acute renal failure"
	"1130955-1"	"1130955-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"Atrial fibrillation, respiratory distress, acute renal failure"
	"1130955-1"	"1130955-1"	"TROPONIN NORMAL"	"10071322"	"65-79 years"	"65-79"	"Atrial fibrillation, respiratory distress, acute renal failure"
	"1130955-1"	"1130955-1"	"URINE ANALYSIS"	"10046614"	"65-79 years"	"65-79"	"Atrial fibrillation, respiratory distress, acute renal failure"
	"1131328-1"	"1131328-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Severe GI symptoms followed by death"
	"1131328-1"	"1131328-1"	"GASTROINTESTINAL DISORDER"	"10017944"	"65-79 years"	"65-79"	"Severe GI symptoms followed by death"
	"1133044-1"	"1133044-1"	"VENTRICULAR TACHYCARDIA"	"10047302"	"65-79 years"	"65-79"	"Ventricular tachycardia; This is a spontaneous report from a contactable physician and consumer. A 73-year-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection; Lot Number: UNKNOWN) via intramuscular in left arm on 10Mar2021 (at the age of 73-years-old) as single dose for covid-19 immunisation. The patient medical history was not reported. The patient did not receive other vaccine in four weeks prior to vaccination. Prior to vaccination the patient was not diagnosed with COVID-19. Concomitant medications included carvedilol (COREG), apixaban (ELIQUIS), enalapril(MANUFACTURER UNKNOWN), furosemide (LASIX), dofetilide (TIKOSYN), allopurinol (MANUFACTURER UNKNOWN). The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) on an unspecified date for Covid-19 immunization. On 13Mar2021, the patient experienced ventricular tachycardia. Seriousness criteria was considered as emergency room/department or urgent care, hospitalization, life threatening illness (immediate risk of death from the event). The patient was hospitalized for 1 day and died on same day (13Mar2021). The patient was not tested for covid post vaccination. The patient received treatment for the event. An autopsy was not performed, and the reported cause of death was ventricular tachycardia.  Information on the lot/batch number has been requested.; Sender's Comments: Based on the information currently available, a causal association between the reported event ventricular tachycardia and BNT162B2 cannot be fully excluded. Case will be reassessed when additional information is available including medical history data. 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 RAs, Ethics Committees, and investigators, as appropriate. ; Reported Cause(s) of Death: Ventricular tachycardia"
	"1133939-1"	"1133939-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"65-79 years"	"65-79"	"Acute hemolytic anemia of unknown cause - may/may not be related to vaccination"
	"1133939-1"	"1133939-1"	"HAEMOLYTIC ANAEMIA"	"10018916"	"65-79 years"	"65-79"	"Acute hemolytic anemia of unknown cause - may/may not be related to vaccination"
	"1133940-1"	"1133940-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was found deceased at home on 2/20/2021, 8 days after receiving the 1st dose of COVID-19 vaccine."
	"1139653-1"	"1139653-1"	"ASPIRATION"	"10003504"	"65-79 years"	"65-79"	"Patient reported to hospital ER department the day following second vaccination.  Patients issues at ER was: breathing difficulty, Respiratory arrest, Cardiac arrest, aspiration vomit.  The patient died while in ER.  It should be noted patient had been on hospice prior to vaccination."
	"1139653-1"	"1139653-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient reported to hospital ER department the day following second vaccination.  Patients issues at ER was: breathing difficulty, Respiratory arrest, Cardiac arrest, aspiration vomit.  The patient died while in ER.  It should be noted patient had been on hospice prior to vaccination."
	"1139653-1"	"1139653-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient reported to hospital ER department the day following second vaccination.  Patients issues at ER was: breathing difficulty, Respiratory arrest, Cardiac arrest, aspiration vomit.  The patient died while in ER.  It should be noted patient had been on hospice prior to vaccination."
	"1139653-1"	"1139653-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient reported to hospital ER department the day following second vaccination.  Patients issues at ER was: breathing difficulty, Respiratory arrest, Cardiac arrest, aspiration vomit.  The patient died while in ER.  It should be noted patient had been on hospice prior to vaccination."
	"1139653-1"	"1139653-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"Patient reported to hospital ER department the day following second vaccination.  Patients issues at ER was: breathing difficulty, Respiratory arrest, Cardiac arrest, aspiration vomit.  The patient died while in ER.  It should be noted patient had been on hospice prior to vaccination."
	"1142724-1"	"1142724-1"	"BLOOD TEST"	"10061726"	"65-79 years"	"65-79"	"PATIENT RECIEVED FIRST SHOT ON FEBRUARY 18TH AND SHOWED NO OBVIOUS SIGNS, SYMPTOMS, OR ISSUES. PATIENT RECIEVED THE SECOND SHOT ON MARCH 11TH SHOWED NO IMMEDIATE SIGNS OR SYMPTOMS UNTIL A DAY AND A HALF LATER ON MARCH 13TH WHEN PATIENT SUDDENLY STOPPED BREATHING AND WENT INTO CARDIAC FAILURE FOR NO APPARENT REASON."
	"1142724-1"	"1142724-1"	"CARDIAC FAILURE"	"10007554"	"65-79 years"	"65-79"	"PATIENT RECIEVED FIRST SHOT ON FEBRUARY 18TH AND SHOWED NO OBVIOUS SIGNS, SYMPTOMS, OR ISSUES. PATIENT RECIEVED THE SECOND SHOT ON MARCH 11TH SHOWED NO IMMEDIATE SIGNS OR SYMPTOMS UNTIL A DAY AND A HALF LATER ON MARCH 13TH WHEN PATIENT SUDDENLY STOPPED BREATHING AND WENT INTO CARDIAC FAILURE FOR NO APPARENT REASON."
	"1142724-1"	"1142724-1"	"COMPUTERISED TOMOGRAM"	"10010234"	"65-79 years"	"65-79"	"PATIENT RECIEVED FIRST SHOT ON FEBRUARY 18TH AND SHOWED NO OBVIOUS SIGNS, SYMPTOMS, OR ISSUES. PATIENT RECIEVED THE SECOND SHOT ON MARCH 11TH SHOWED NO IMMEDIATE SIGNS OR SYMPTOMS UNTIL A DAY AND A HALF LATER ON MARCH 13TH WHEN PATIENT SUDDENLY STOPPED BREATHING AND WENT INTO CARDIAC FAILURE FOR NO APPARENT REASON."
	"1142724-1"	"1142724-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"PATIENT RECIEVED FIRST SHOT ON FEBRUARY 18TH AND SHOWED NO OBVIOUS SIGNS, SYMPTOMS, OR ISSUES. PATIENT RECIEVED THE SECOND SHOT ON MARCH 11TH SHOWED NO IMMEDIATE SIGNS OR SYMPTOMS UNTIL A DAY AND A HALF LATER ON MARCH 13TH WHEN PATIENT SUDDENLY STOPPED BREATHING AND WENT INTO CARDIAC FAILURE FOR NO APPARENT REASON."
	"1144617-1"	"1144617-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was found deceased in her home by her daughter 9+ hours after receiving the vaccine.  The was no indication of how long the patient had been deceased prior to being discovered."
	"1145005-1"	"1145005-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient presented to the ED on 3/4/2021 with left facial droop, left-sided weakness, and dysarthria that started upon awakening that morning.  Patient found to have an ischemic stroke and ultimately admitted to hospice.  Patient expired on 3/10/2021."
	"1145005-1"	"1145005-1"	"DYSARTHRIA"	"10013887"	"65-79 years"	"65-79"	"Patient presented to the ED on 3/4/2021 with left facial droop, left-sided weakness, and dysarthria that started upon awakening that morning.  Patient found to have an ischemic stroke and ultimately admitted to hospice.  Patient expired on 3/10/2021."
	"1145005-1"	"1145005-1"	"FACIAL PARALYSIS"	"10016062"	"65-79 years"	"65-79"	"Patient presented to the ED on 3/4/2021 with left facial droop, left-sided weakness, and dysarthria that started upon awakening that morning.  Patient found to have an ischemic stroke and ultimately admitted to hospice.  Patient expired on 3/10/2021."
	"1145005-1"	"1145005-1"	"HEMIPARESIS"	"10019465"	"65-79 years"	"65-79"	"Patient presented to the ED on 3/4/2021 with left facial droop, left-sided weakness, and dysarthria that started upon awakening that morning.  Patient found to have an ischemic stroke and ultimately admitted to hospice.  Patient expired on 3/10/2021."
	"1145005-1"	"1145005-1"	"ISCHAEMIC STROKE"	"10061256"	"65-79 years"	"65-79"	"Patient presented to the ED on 3/4/2021 with left facial droop, left-sided weakness, and dysarthria that started upon awakening that morning.  Patient found to have an ischemic stroke and ultimately admitted to hospice.  Patient expired on 3/10/2021."
	"1145531-1"	"1145531-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 despite 2 COVID vaccines (first given 1/15/2021.   Pt developed respiratory symptoms, including dyspnea, which progressed over 3.5 weeks and then systemic symptoms of myalgias, malaise.  He was admitted 3/21/2021 and had positive NP swab for SARS-CoV-2 x 2.  He required admission to ICU and died of respiratory failure on 3/28/2021."
	"1145531-1"	"1145531-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 despite 2 COVID vaccines (first given 1/15/2021.   Pt developed respiratory symptoms, including dyspnea, which progressed over 3.5 weeks and then systemic symptoms of myalgias, malaise.  He was admitted 3/21/2021 and had positive NP swab for SARS-CoV-2 x 2.  He required admission to ICU and died of respiratory failure on 3/28/2021."
	"1145531-1"	"1145531-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 despite 2 COVID vaccines (first given 1/15/2021.   Pt developed respiratory symptoms, including dyspnea, which progressed over 3.5 weeks and then systemic symptoms of myalgias, malaise.  He was admitted 3/21/2021 and had positive NP swab for SARS-CoV-2 x 2.  He required admission to ICU and died of respiratory failure on 3/28/2021."
	"1145531-1"	"1145531-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 despite 2 COVID vaccines (first given 1/15/2021.   Pt developed respiratory symptoms, including dyspnea, which progressed over 3.5 weeks and then systemic symptoms of myalgias, malaise.  He was admitted 3/21/2021 and had positive NP swab for SARS-CoV-2 x 2.  He required admission to ICU and died of respiratory failure on 3/28/2021."
	"1145531-1"	"1145531-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 despite 2 COVID vaccines (first given 1/15/2021.   Pt developed respiratory symptoms, including dyspnea, which progressed over 3.5 weeks and then systemic symptoms of myalgias, malaise.  He was admitted 3/21/2021 and had positive NP swab for SARS-CoV-2 x 2.  He required admission to ICU and died of respiratory failure on 3/28/2021."
	"1145531-1"	"1145531-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 despite 2 COVID vaccines (first given 1/15/2021.   Pt developed respiratory symptoms, including dyspnea, which progressed over 3.5 weeks and then systemic symptoms of myalgias, malaise.  He was admitted 3/21/2021 and had positive NP swab for SARS-CoV-2 x 2.  He required admission to ICU and died of respiratory failure on 3/28/2021."
	"1145531-1"	"1145531-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 despite 2 COVID vaccines (first given 1/15/2021.   Pt developed respiratory symptoms, including dyspnea, which progressed over 3.5 weeks and then systemic symptoms of myalgias, malaise.  He was admitted 3/21/2021 and had positive NP swab for SARS-CoV-2 x 2.  He required admission to ICU and died of respiratory failure on 3/28/2021."
	"1145531-1"	"1145531-1"	"RESPIRATORY SYMPTOM"	"10075535"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 despite 2 COVID vaccines (first given 1/15/2021.   Pt developed respiratory symptoms, including dyspnea, which progressed over 3.5 weeks and then systemic symptoms of myalgias, malaise.  He was admitted 3/21/2021 and had positive NP swab for SARS-CoV-2 x 2.  He required admission to ICU and died of respiratory failure on 3/28/2021."
	"1145531-1"	"1145531-1"	"SARS-COV-2 ANTIBODY TEST NEGATIVE"	"10084509"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 despite 2 COVID vaccines (first given 1/15/2021.   Pt developed respiratory symptoms, including dyspnea, which progressed over 3.5 weeks and then systemic symptoms of myalgias, malaise.  He was admitted 3/21/2021 and had positive NP swab for SARS-CoV-2 x 2.  He required admission to ICU and died of respiratory failure on 3/28/2021."
	"1145531-1"	"1145531-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 despite 2 COVID vaccines (first given 1/15/2021.   Pt developed respiratory symptoms, including dyspnea, which progressed over 3.5 weeks and then systemic symptoms of myalgias, malaise.  He was admitted 3/21/2021 and had positive NP swab for SARS-CoV-2 x 2.  He required admission to ICU and died of respiratory failure on 3/28/2021."
	"1145552-1"	"1145552-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient expired 3/8/2021 at home.  Coroner pronounced time of death at 0415 and assumed cause of death was history of transplant and cardiac."
	"1146768-1"	"1146768-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1147326-1"	"1147326-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient received 1st vaccine on 3/24 with no issues reported.  Patient returned on FRiday for routine treatment and was afebrile, BP within normal limits and no compliants.  Left the unit stable post treatment.  Patient passed away on Saturday morning.  There was no hospitalization.  Patient went straight from home to the funeral home.  Daughter states that patient had been feeling warm since Wednesday."
	"1147326-1"	"1147326-1"	"FEELING HOT"	"10016334"	"65-79 years"	"65-79"	"Patient received 1st vaccine on 3/24 with no issues reported.  Patient returned on FRiday for routine treatment and was afebrile, BP within normal limits and no compliants.  Left the unit stable post treatment.  Patient passed away on Saturday morning.  There was no hospitalization.  Patient went straight from home to the funeral home.  Daughter states that patient had been feeling warm since Wednesday."
	"1147392-1"	"1147392-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death--Patient woke up in morning and c/o not feeling well. Died in route to hospital."
	"1147392-1"	"1147392-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Death--Patient woke up in morning and c/o not feeling well. Died in route to hospital."
	"1147418-1"	"1147418-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died 6 days after 2nd Moderna vaccine."
	"1147433-1"	"1147433-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Decedent received first Covid-19 vaccination on 03/16/2021, has not been feeling well the past week. This past week the decedent stated she had been more tired and was experiencing shortness of breath."
	"1147433-1"	"1147433-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Decedent received first Covid-19 vaccination on 03/16/2021, has not been feeling well the past week. This past week the decedent stated she had been more tired and was experiencing shortness of breath."
	"1147433-1"	"1147433-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Decedent received first Covid-19 vaccination on 03/16/2021, has not been feeling well the past week. This past week the decedent stated she had been more tired and was experiencing shortness of breath."
	"1147433-1"	"1147433-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Decedent received first Covid-19 vaccination on 03/16/2021, has not been feeling well the past week. This past week the decedent stated she had been more tired and was experiencing shortness of breath."
	"1147527-1"	"1147527-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt. died due to natural causes at home"
	"1147848-1"	"1147848-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"CARDIAC FAILURE ACUTE"	"10007556"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"CLOSTRIDIUM DIFFICILE COLITIS"	"10009657"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"DIALYSIS"	"10061105"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"GASTROINTESTINAL HAEMORRHAGE"	"10017955"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1147848-1"	"1147848-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Approximately 3-4 days after her first immunization, patient became ill.  She contacted our triage line 6 days after immunization with report of chills and weakness.  She presented to Medical Center Emergency Room where she was admitted for hypoxia.  She was subsequently diagnosed with COVID by PCR.  She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure.  Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened.  She was made comfort care and died on 2.26.21"
	"1148091-1"	"1148091-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospice Care. End of Life. Expired."
	"1148250-1"	"1148250-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"3/28/21 ER HPI  66 y.o. male who presents with cardiac arrest.  Wife said patient went to load machines in the truck between 6:30 p.m. to 7:00 p.m. and about 745 p.m. when she did not see him, she went searching for him and found him about 8:15 p.m. without pulseless and cold.  EMS was called and they got there about 8:23 p.m. and started CPR and brought the patient to the emergency room at at 9:05 p.m. and he was certified dead at 2110 p.m."
	"1148250-1"	"1148250-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"3/28/21 ER HPI  66 y.o. male who presents with cardiac arrest.  Wife said patient went to load machines in the truck between 6:30 p.m. to 7:00 p.m. and about 745 p.m. when she did not see him, she went searching for him and found him about 8:15 p.m. without pulseless and cold.  EMS was called and they got there about 8:23 p.m. and started CPR and brought the patient to the emergency room at at 9:05 p.m. and he was certified dead at 2110 p.m."
	"1148250-1"	"1148250-1"	"FEELING COLD"	"10016326"	"65-79 years"	"65-79"	"3/28/21 ER HPI  66 y.o. male who presents with cardiac arrest.  Wife said patient went to load machines in the truck between 6:30 p.m. to 7:00 p.m. and about 745 p.m. when she did not see him, she went searching for him and found him about 8:15 p.m. without pulseless and cold.  EMS was called and they got there about 8:23 p.m. and started CPR and brought the patient to the emergency room at at 9:05 p.m. and he was certified dead at 2110 p.m."
	"1148250-1"	"1148250-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"3/28/21 ER HPI  66 y.o. male who presents with cardiac arrest.  Wife said patient went to load machines in the truck between 6:30 p.m. to 7:00 p.m. and about 745 p.m. when she did not see him, she went searching for him and found him about 8:15 p.m. without pulseless and cold.  EMS was called and they got there about 8:23 p.m. and started CPR and brought the patient to the emergency room at at 9:05 p.m. and he was certified dead at 2110 p.m."
	"1148250-1"	"1148250-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"3/28/21 ER HPI  66 y.o. male who presents with cardiac arrest.  Wife said patient went to load machines in the truck between 6:30 p.m. to 7:00 p.m. and about 745 p.m. when she did not see him, she went searching for him and found him about 8:15 p.m. without pulseless and cold.  EMS was called and they got there about 8:23 p.m. and started CPR and brought the patient to the emergency room at at 9:05 p.m. and he was certified dead at 2110 p.m."
	"1148585-1"	"1148585-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Overall Decline, Hospice Care, Crisis Care, Expired."
	"1148585-1"	"1148585-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Overall Decline, Hospice Care, Crisis Care, Expired."
	"1151915-1"	"1151915-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"AGONAL RESPIRATION"	"10085467"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"AGONAL RHYTHM"	"10054015"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"CENTRAL VENOUS CATHETERISATION"	"10053377"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"ELECTROCARDIOGRAM ABNORMAL"	"10014363"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"SINUS BRADYCARDIA"	"10040741"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"THERAPEUTIC HYPOTHERMIA"	"10059485"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1151915-1"	"1151915-1"	"VITAL FUNCTIONS ABNORMAL"	"10063644"	"65-79 years"	"65-79"	"presents to the ED via EMS in cardiac arrest. EMS report patient was in agonal respiration upon arrival and has had no pulse since 2109. Patient had a syncopal episode on the toilet prior to EMS call. EMS notes they gave patient 4 epinephrine, 1 bicarbonate, and 1 Narcan. Patient arrived with a lucas machine in place and intubated. Patient's intubation was verified to be a 7.0 ETT and 23 cm at the lip. Cardiac Activity noted in ED at 2150. See nurses notes for times medications were administered. Further history limited due to unstable vital signs. Pt hypotensive, started and maxed on levophed, epinephrine infusions and additional push dose epi given.  Right femoral central line placed.  Pt began to brady down, was given atropine, ultimately again became pulseless and CPR resumed.  After 2 further rounds of ACLS, total down time approached 1 hour without return of pulse.  On echo, there were occasional agonal beats, but no organized cardiac activity.  EKG and case had been discussed with Dr. Friday and decision was to attempt therapeutic hypothermia prior to second cardiac arrest as EKG showed inferolateral STEMI"
	"1155002-1"	"1155002-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died between late afternoon 3/9/21 and morning of 3/10/21. Found at a well-being check by police 3/10/21. Medical examiner declined autopsy."
	"1161011-1"	"1161011-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Immediately following vaccination no adverse reaction noted. April 1, 2021 patient went into cardiac arrest and passed"
	"1161011-1"	"1161011-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Immediately following vaccination no adverse reaction noted. April 1, 2021 patient went into cardiac arrest and passed"
	"1161011-1"	"1161011-1"	"ECHOCARDIOGRAM"	"10014113"	"65-79 years"	"65-79"	"Immediately following vaccination no adverse reaction noted. April 1, 2021 patient went into cardiac arrest and passed"
	"1161042-1"	"1161042-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"PATIENT CONTRACTED COVID, DATE OF COLLECTION 3/18/2021, DIED ON 3/21/2021"
	"1161042-1"	"1161042-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT CONTRACTED COVID, DATE OF COLLECTION 3/18/2021, DIED ON 3/21/2021"
	"1163967-1"	"1163967-1"	"COMPUTERISED TOMOGRAM ABNORMAL"	"10010235"	"65-79 years"	"65-79"	"Felt crummy on day one and two better on day three and on day four developed four blood clots on Coumadin with an INR of 4.5 and died the next day on 3/31/2021."
	"1163967-1"	"1163967-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Felt crummy on day one and two better on day three and on day four developed four blood clots on Coumadin with an INR of 4.5 and died the next day on 3/31/2021."
	"1163967-1"	"1163967-1"	"FEELING ABNORMAL"	"10016322"	"65-79 years"	"65-79"	"Felt crummy on day one and two better on day three and on day four developed four blood clots on Coumadin with an INR of 4.5 and died the next day on 3/31/2021."
	"1163967-1"	"1163967-1"	"INTERNATIONAL NORMALISED RATIO INCREASED"	"10022595"	"65-79 years"	"65-79"	"Felt crummy on day one and two better on day three and on day four developed four blood clots on Coumadin with an INR of 4.5 and died the next day on 3/31/2021."
	"1163967-1"	"1163967-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"Felt crummy on day one and two better on day three and on day four developed four blood clots on Coumadin with an INR of 4.5 and died the next day on 3/31/2021."
	"1167965-1"	"1167965-1"	"AGONAL RESPIRATION"	"10085467"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"AUTOIMMUNE THYROIDITIS"	"10049046"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"GASTRIC POLYPS"	"10017817"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"LEFT VENTRICULAR HYPERTROPHY"	"10049773"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1167965-1"	"1167965-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Patient called PCP office 3/5 w/ c/o N/V/D, weakness and lightheaded when she stood up. Was advised to hold blood pressure medication. On 3/8, was feeling much worse and called 911. Upon arrival (8:55), patient A&O x 4 with poor oxygen saturation (O2: 88%). Given nebulized albuterol/ipratropium. BG: 247mg/dl. Patient has episode of dry heaving after which she vagaled down with HR in the 40s. Recovered on her own. Once the nebulizer treatment ended, she was place on nasal O2 at 3 liters/minutes. Given 4mg ondansetron. Lost consciousness and respirations became agonal. Pt was bagged via BVM and noted to be in PEA. CPR initiated, including intubation. Given 1mg epinephrine. NSR obtained after two rounds of CPR. Pt arrested again shortly after arrival to ED. ACLS initiated once more. Patient expired at 10:40 am."
	"1168142-1"	"1168142-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"ER 3/17 HPI: 72 y.o. female who presents with generalized weakness and not feeling well.  Patient states that she had her 1st dose of COVID-19 vaccine about a week ago and since then has not felt well.  She denies fever or chills, she denies any arthralgias or myalgias, she has had some nausea and vomiting but none in the last couple of days.  There has been no diarrhea.  There have been no urinary symptoms.  3/22/21 Inpt Admission hpi 72 y.o. female who presents with shortness of breath and hemoptysis.  Patient has known history of COPD and also has a history of squamous cell carcinoma of the lung that is in remission.  Patient reports she has noticed increasing shortness of breath for the past several weeks.  She states the got worse around the noon time today.  Patient reports she began having some hemoptysis today.  Patient denies any chest pain or palpitations.  Patient denies any fevers or chills.  Patient denies any sinus congestion or nasal drainage.  Patient denies any headaches, myalgias, or loss of sense of taste and smell.  Patient does report a 4 day history of intermittent diarrhea.  She denies any nausea or vomiting.  Patient has had COVID-19 vaccination.  Of note, patient's family reports she has lost 10 lb in the past 30 days.  3/30/21 Deceased"
	"1168142-1"	"1168142-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"ER 3/17 HPI: 72 y.o. female who presents with generalized weakness and not feeling well.  Patient states that she had her 1st dose of COVID-19 vaccine about a week ago and since then has not felt well.  She denies fever or chills, she denies any arthralgias or myalgias, she has had some nausea and vomiting but none in the last couple of days.  There has been no diarrhea.  There have been no urinary symptoms.  3/22/21 Inpt Admission hpi 72 y.o. female who presents with shortness of breath and hemoptysis.  Patient has known history of COPD and also has a history of squamous cell carcinoma of the lung that is in remission.  Patient reports she has noticed increasing shortness of breath for the past several weeks.  She states the got worse around the noon time today.  Patient reports she began having some hemoptysis today.  Patient denies any chest pain or palpitations.  Patient denies any fevers or chills.  Patient denies any sinus congestion or nasal drainage.  Patient denies any headaches, myalgias, or loss of sense of taste and smell.  Patient does report a 4 day history of intermittent diarrhea.  She denies any nausea or vomiting.  Patient has had COVID-19 vaccination.  Of note, patient's family reports she has lost 10 lb in the past 30 days.  3/30/21 Deceased"
	"1168142-1"	"1168142-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"ER 3/17 HPI: 72 y.o. female who presents with generalized weakness and not feeling well.  Patient states that she had her 1st dose of COVID-19 vaccine about a week ago and since then has not felt well.  She denies fever or chills, she denies any arthralgias or myalgias, she has had some nausea and vomiting but none in the last couple of days.  There has been no diarrhea.  There have been no urinary symptoms.  3/22/21 Inpt Admission hpi 72 y.o. female who presents with shortness of breath and hemoptysis.  Patient has known history of COPD and also has a history of squamous cell carcinoma of the lung that is in remission.  Patient reports she has noticed increasing shortness of breath for the past several weeks.  She states the got worse around the noon time today.  Patient reports she began having some hemoptysis today.  Patient denies any chest pain or palpitations.  Patient denies any fevers or chills.  Patient denies any sinus congestion or nasal drainage.  Patient denies any headaches, myalgias, or loss of sense of taste and smell.  Patient does report a 4 day history of intermittent diarrhea.  She denies any nausea or vomiting.  Patient has had COVID-19 vaccination.  Of note, patient's family reports she has lost 10 lb in the past 30 days.  3/30/21 Deceased"
	"1168142-1"	"1168142-1"	"HAEMOPTYSIS"	"10018964"	"65-79 years"	"65-79"	"ER 3/17 HPI: 72 y.o. female who presents with generalized weakness and not feeling well.  Patient states that she had her 1st dose of COVID-19 vaccine about a week ago and since then has not felt well.  She denies fever or chills, she denies any arthralgias or myalgias, she has had some nausea and vomiting but none in the last couple of days.  There has been no diarrhea.  There have been no urinary symptoms.  3/22/21 Inpt Admission hpi 72 y.o. female who presents with shortness of breath and hemoptysis.  Patient has known history of COPD and also has a history of squamous cell carcinoma of the lung that is in remission.  Patient reports she has noticed increasing shortness of breath for the past several weeks.  She states the got worse around the noon time today.  Patient reports she began having some hemoptysis today.  Patient denies any chest pain or palpitations.  Patient denies any fevers or chills.  Patient denies any sinus congestion or nasal drainage.  Patient denies any headaches, myalgias, or loss of sense of taste and smell.  Patient does report a 4 day history of intermittent diarrhea.  She denies any nausea or vomiting.  Patient has had COVID-19 vaccination.  Of note, patient's family reports she has lost 10 lb in the past 30 days.  3/30/21 Deceased"
	"1168142-1"	"1168142-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"ER 3/17 HPI: 72 y.o. female who presents with generalized weakness and not feeling well.  Patient states that she had her 1st dose of COVID-19 vaccine about a week ago and since then has not felt well.  She denies fever or chills, she denies any arthralgias or myalgias, she has had some nausea and vomiting but none in the last couple of days.  There has been no diarrhea.  There have been no urinary symptoms.  3/22/21 Inpt Admission hpi 72 y.o. female who presents with shortness of breath and hemoptysis.  Patient has known history of COPD and also has a history of squamous cell carcinoma of the lung that is in remission.  Patient reports she has noticed increasing shortness of breath for the past several weeks.  She states the got worse around the noon time today.  Patient reports she began having some hemoptysis today.  Patient denies any chest pain or palpitations.  Patient denies any fevers or chills.  Patient denies any sinus congestion or nasal drainage.  Patient denies any headaches, myalgias, or loss of sense of taste and smell.  Patient does report a 4 day history of intermittent diarrhea.  She denies any nausea or vomiting.  Patient has had COVID-19 vaccination.  Of note, patient's family reports she has lost 10 lb in the past 30 days.  3/30/21 Deceased"
	"1168142-1"	"1168142-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"ER 3/17 HPI: 72 y.o. female who presents with generalized weakness and not feeling well.  Patient states that she had her 1st dose of COVID-19 vaccine about a week ago and since then has not felt well.  She denies fever or chills, she denies any arthralgias or myalgias, she has had some nausea and vomiting but none in the last couple of days.  There has been no diarrhea.  There have been no urinary symptoms.  3/22/21 Inpt Admission hpi 72 y.o. female who presents with shortness of breath and hemoptysis.  Patient has known history of COPD and also has a history of squamous cell carcinoma of the lung that is in remission.  Patient reports she has noticed increasing shortness of breath for the past several weeks.  She states the got worse around the noon time today.  Patient reports she began having some hemoptysis today.  Patient denies any chest pain or palpitations.  Patient denies any fevers or chills.  Patient denies any sinus congestion or nasal drainage.  Patient denies any headaches, myalgias, or loss of sense of taste and smell.  Patient does report a 4 day history of intermittent diarrhea.  She denies any nausea or vomiting.  Patient has had COVID-19 vaccination.  Of note, patient's family reports she has lost 10 lb in the past 30 days.  3/30/21 Deceased"
	"1168142-1"	"1168142-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"ER 3/17 HPI: 72 y.o. female who presents with generalized weakness and not feeling well.  Patient states that she had her 1st dose of COVID-19 vaccine about a week ago and since then has not felt well.  She denies fever or chills, she denies any arthralgias or myalgias, she has had some nausea and vomiting but none in the last couple of days.  There has been no diarrhea.  There have been no urinary symptoms.  3/22/21 Inpt Admission hpi 72 y.o. female who presents with shortness of breath and hemoptysis.  Patient has known history of COPD and also has a history of squamous cell carcinoma of the lung that is in remission.  Patient reports she has noticed increasing shortness of breath for the past several weeks.  She states the got worse around the noon time today.  Patient reports she began having some hemoptysis today.  Patient denies any chest pain or palpitations.  Patient denies any fevers or chills.  Patient denies any sinus congestion or nasal drainage.  Patient denies any headaches, myalgias, or loss of sense of taste and smell.  Patient does report a 4 day history of intermittent diarrhea.  She denies any nausea or vomiting.  Patient has had COVID-19 vaccination.  Of note, patient's family reports she has lost 10 lb in the past 30 days.  3/30/21 Deceased"
	"1168142-1"	"1168142-1"	"WEIGHT DECREASED"	"10047895"	"65-79 years"	"65-79"	"ER 3/17 HPI: 72 y.o. female who presents with generalized weakness and not feeling well.  Patient states that she had her 1st dose of COVID-19 vaccine about a week ago and since then has not felt well.  She denies fever or chills, she denies any arthralgias or myalgias, she has had some nausea and vomiting but none in the last couple of days.  There has been no diarrhea.  There have been no urinary symptoms.  3/22/21 Inpt Admission hpi 72 y.o. female who presents with shortness of breath and hemoptysis.  Patient has known history of COPD and also has a history of squamous cell carcinoma of the lung that is in remission.  Patient reports she has noticed increasing shortness of breath for the past several weeks.  She states the got worse around the noon time today.  Patient reports she began having some hemoptysis today.  Patient denies any chest pain or palpitations.  Patient denies any fevers or chills.  Patient denies any sinus congestion or nasal drainage.  Patient denies any headaches, myalgias, or loss of sense of taste and smell.  Patient does report a 4 day history of intermittent diarrhea.  She denies any nausea or vomiting.  Patient has had COVID-19 vaccination.  Of note, patient's family reports she has lost 10 lb in the past 30 days.  3/30/21 Deceased"
	"1168221-1"	"1168221-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"ER HPI: 78 y.o. female who presents with respiratory distress.  Patient is transported to the emergency room via emergency medical services from local long-term care facility.  Patient is unable to give any history due to acuity and severity of current condition.  On arrival to the emergency room patient is in obvious distress she is hypertensive with a blood pressure of 74/51 she is tachycardic with a rate of about 140 she is tachypneic with a rate of the 29th at 30 her oxygen saturation on a non-rebreather are 82% and her temperature is 102.9¦. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Septic shock (HCC)  A41.9 038.9   R65.21 785.52     995.92 2. Aspiration pneumonia of right lower lobe due to gastric secretions (HCC)  J69.0 507.0 3. Acute hypoxemic respiratory failure (HCC)  J96.01 518.81"
	"1168221-1"	"1168221-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"ER HPI: 78 y.o. female who presents with respiratory distress.  Patient is transported to the emergency room via emergency medical services from local long-term care facility.  Patient is unable to give any history due to acuity and severity of current condition.  On arrival to the emergency room patient is in obvious distress she is hypertensive with a blood pressure of 74/51 she is tachycardic with a rate of about 140 she is tachypneic with a rate of the 29th at 30 her oxygen saturation on a non-rebreather are 82% and her temperature is 102.9¦. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Septic shock (HCC)  A41.9 038.9   R65.21 785.52     995.92 2. Aspiration pneumonia of right lower lobe due to gastric secretions (HCC)  J69.0 507.0 3. Acute hypoxemic respiratory failure (HCC)  J96.01 518.81"
	"1168221-1"	"1168221-1"	"PNEUMONIA ASPIRATION"	"10035669"	"65-79 years"	"65-79"	"ER HPI: 78 y.o. female who presents with respiratory distress.  Patient is transported to the emergency room via emergency medical services from local long-term care facility.  Patient is unable to give any history due to acuity and severity of current condition.  On arrival to the emergency room patient is in obvious distress she is hypertensive with a blood pressure of 74/51 she is tachycardic with a rate of about 140 she is tachypneic with a rate of the 29th at 30 her oxygen saturation on a non-rebreather are 82% and her temperature is 102.9¦. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Septic shock (HCC)  A41.9 038.9   R65.21 785.52     995.92 2. Aspiration pneumonia of right lower lobe due to gastric secretions (HCC)  J69.0 507.0 3. Acute hypoxemic respiratory failure (HCC)  J96.01 518.81"
	"1168221-1"	"1168221-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"ER HPI: 78 y.o. female who presents with respiratory distress.  Patient is transported to the emergency room via emergency medical services from local long-term care facility.  Patient is unable to give any history due to acuity and severity of current condition.  On arrival to the emergency room patient is in obvious distress she is hypertensive with a blood pressure of 74/51 she is tachycardic with a rate of about 140 she is tachypneic with a rate of the 29th at 30 her oxygen saturation on a non-rebreather are 82% and her temperature is 102.9¦. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Septic shock (HCC)  A41.9 038.9   R65.21 785.52     995.92 2. Aspiration pneumonia of right lower lobe due to gastric secretions (HCC)  J69.0 507.0 3. Acute hypoxemic respiratory failure (HCC)  J96.01 518.81"
	"1168221-1"	"1168221-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"ER HPI: 78 y.o. female who presents with respiratory distress.  Patient is transported to the emergency room via emergency medical services from local long-term care facility.  Patient is unable to give any history due to acuity and severity of current condition.  On arrival to the emergency room patient is in obvious distress she is hypertensive with a blood pressure of 74/51 she is tachycardic with a rate of about 140 she is tachypneic with a rate of the 29th at 30 her oxygen saturation on a non-rebreather are 82% and her temperature is 102.9¦. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Septic shock (HCC)  A41.9 038.9   R65.21 785.52     995.92 2. Aspiration pneumonia of right lower lobe due to gastric secretions (HCC)  J69.0 507.0 3. Acute hypoxemic respiratory failure (HCC)  J96.01 518.81"
	"1168221-1"	"1168221-1"	"TACHYCARDIA"	"10043071"	"65-79 years"	"65-79"	"ER HPI: 78 y.o. female who presents with respiratory distress.  Patient is transported to the emergency room via emergency medical services from local long-term care facility.  Patient is unable to give any history due to acuity and severity of current condition.  On arrival to the emergency room patient is in obvious distress she is hypertensive with a blood pressure of 74/51 she is tachycardic with a rate of about 140 she is tachypneic with a rate of the 29th at 30 her oxygen saturation on a non-rebreather are 82% and her temperature is 102.9¦. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Septic shock (HCC)  A41.9 038.9   R65.21 785.52     995.92 2. Aspiration pneumonia of right lower lobe due to gastric secretions (HCC)  J69.0 507.0 3. Acute hypoxemic respiratory failure (HCC)  J96.01 518.81"
	"1168221-1"	"1168221-1"	"TACHYPNOEA"	"10043089"	"65-79 years"	"65-79"	"ER HPI: 78 y.o. female who presents with respiratory distress.  Patient is transported to the emergency room via emergency medical services from local long-term care facility.  Patient is unable to give any history due to acuity and severity of current condition.  On arrival to the emergency room patient is in obvious distress she is hypertensive with a blood pressure of 74/51 she is tachycardic with a rate of about 140 she is tachypneic with a rate of the 29th at 30 her oxygen saturation on a non-rebreather are 82% and her temperature is 102.9¦. FINAL IMPRESSION     ICD-10-CM ICD-9-CM 1. Septic shock (HCC)  A41.9 038.9   R65.21 785.52     995.92 2. Aspiration pneumonia of right lower lobe due to gastric secretions (HCC)  J69.0 507.0 3. Acute hypoxemic respiratory failure (HCC)  J96.01 518.81"
	"1168291-1"	"1168291-1"	"AGONAL RHYTHM"	"10054015"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"BLOOD GLUCOSE NORMAL"	"10005558"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"BREATH SOUNDS ABNORMAL"	"10064780"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"MOBILITY DECREASED"	"10048334"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"PHYSICAL DECONDITIONING"	"10051588"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"PUPIL FIXED"	"10037515"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168291-1"	"1168291-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"3/22/21 Admission HPI: 71 y.o. male with a history of poorly controlled diabetes mellitus and COPD.  He presented to my office today acutely with a several day history of increasing shortness of breath.  He has increased his prednisone at home recently and been increasing the frequency of his DuoNebs.  Despite this, he states that his oxygen saturations have been staying in the low 80s.  He has a hard time walking due to the shortness of breath.  He states previous to about a week ago he was doing very well.  He denies any fever.  He denies any known exposure to coronavirus (COVID-19).  In the office today his oxygen saturations were 88% on 4 L. Because of his failure of outpatient therapy, he will be admitted to the hospital for further evaluation and treatment.  This patient has a history of severe respiratory decompensation that happens very quickly.  Therefore, it is medically urgent we get him into the hospital.     3/25/21 Admission HPI71 y.o. male with a known history of severe COPD and type 2 diabetes mellitus.  He came to my office with a several day history of increasing shortness of breath.  He had increased his oral steroids and breathing treatments at home and despite this was still having oxygen saturations in the low to mid 80s on 2-4 L of supplemental oxygen.  In my office he was extremely diminished and had basically failed outpatient therapy.  Therefore he was admitted to inpatient status for acute treatment of a severe COPD exacerbation requiring IV antibiotics and IV steroids.  He was admitted and treated with IV treatments.  He did recover nicely.  However, he was found to be extremely physically deconditioned.  Because of this he was thought to be an excellent candidate for swing bed and is being transitioned to swing bed.    4/5/21 ER Practitioner Note: Upon arrival to ED trauma room I found patient to be in cardiac arrest, CPR in progress. History is that EMS was called to the scene for a patient with chest pain.  Shortly after arrival at his home  patient developed a cardiac arrest.  They followed standard ACLS  protocol and the patient was intubated. Blood sugar normal. As CPR was given, medications were administered consisting of epinephrine and 1 mg in 2 different doses along with 1 amp of bicarb. IV access via an IO. Patient was then transported to the emergency department.  Upon arrival, CPR was continued and oxygen supplied via endotracheal tube with good tube placement verified by auscultation and good sat readings.  Monitor was placed and patient demonstrated initially a sinus rhythm but there was no pulse.  Therefore, diagnosis was PEA and no reversible causes were identified.  ACLS protocol was followed with epinephrine 1 mg IV every 5 min.  He received a total that including EMS, 5 mg of epinephrine and 1 amp of bicarb.  Monitor at this point revealed the rhythm changed to an agonal rhythm.  When CPR was given, there was good results from the CPR.  However, CPR discontinued and there is no pulse and patient had an agonal  rhythm for several minutes, pupils were fixed but not dilated year.  Lungs demonstrating clear bilateral breath sounds when he was bagged via the endotracheal tube.  No external signs of any trauma noted. The patient's sister is here and she is a registered nurse.  We had discussed management at this point with her and all were in agreement that the code be terminated.  At 1015, patient was pronounced deceased..    ACLS protocol was followed.  See nursing record for medication and vital sign details.   Code outcome: Deceased   CC time 20 minutes."
	"1168978-1"	"1168978-1"	"AGEUSIA"	"10001480"	"65-79 years"	"65-79"	"hypertrophic cardiomyopathy; he just suddenly fell; lost his sense of taste; excruciating pains all over his body; General body aches like he got ran over by a truck/excruciating pains all over his body; Headache; Chills; Fever; Nausea; Pain; Based on the current available information which includes a strong temporal association between the use of the product and onset of the events, and excluding other etiologies, causal relationship cannot be excluded..This spontaneous case was reported by a consumer and describes the occurrence of hypertrophic cardiomyopathy in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination.   The patient's past medical history included Angiogram (Was told they had an excellent heart and no surgery was needed)   Concomitant products included acetylsalicylic (E.C.) for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.  On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form.   On 23-Feb-2021, the patient experienced pain, headache, chills, fever and nausea.   On 24-Feb-2021, the patient experienced lost his sense of taste, excruciating pains all over his body and myalgia (general body aches like he got ran over by a truck/excruciating pains all over his body).   On 06-Mar-2021, the patient experienced hypertrophic cardiomyopathy (seriousness criterion death) and he just suddenly fell.. An autopsy was performed.    Consumer reported on behalf of spouse. Ambulance was called and patient was pronounced dead. Awaiting toxicology report.  Most recent FOLLOW-UP information incorporated above includes:  On 26-Mar-2021: Major narrative update - outcome of events, additional events reported; Sender's Comments: Based on the current available information which includes a strong temporal association between the use of the product and onset of pain, headache, chills, fever , nausea, loss of sense of taste, excruciating pains all over his body and myalgia and excluding other etiologies, causal relationship cannot be excluded. There is not enough details to assess the fatal event of hypertrophic cardiomyopathy and the administration of the product. Additional information has been requested.; Reported Cause(s) of Death: hypertrophic cardiomyopathy"
	"1168978-1"	"1168978-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"hypertrophic cardiomyopathy; he just suddenly fell; lost his sense of taste; excruciating pains all over his body; General body aches like he got ran over by a truck/excruciating pains all over his body; Headache; Chills; Fever; Nausea; Pain; Based on the current available information which includes a strong temporal association between the use of the product and onset of the events, and excluding other etiologies, causal relationship cannot be excluded..This spontaneous case was reported by a consumer and describes the occurrence of hypertrophic cardiomyopathy in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination.   The patient's past medical history included Angiogram (Was told they had an excellent heart and no surgery was needed)   Concomitant products included acetylsalicylic (E.C.) for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.  On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form.   On 23-Feb-2021, the patient experienced pain, headache, chills, fever and nausea.   On 24-Feb-2021, the patient experienced lost his sense of taste, excruciating pains all over his body and myalgia (general body aches like he got ran over by a truck/excruciating pains all over his body).   On 06-Mar-2021, the patient experienced hypertrophic cardiomyopathy (seriousness criterion death) and he just suddenly fell.. An autopsy was performed.    Consumer reported on behalf of spouse. Ambulance was called and patient was pronounced dead. Awaiting toxicology report.  Most recent FOLLOW-UP information incorporated above includes:  On 26-Mar-2021: Major narrative update - outcome of events, additional events reported; Sender's Comments: Based on the current available information which includes a strong temporal association between the use of the product and onset of pain, headache, chills, fever , nausea, loss of sense of taste, excruciating pains all over his body and myalgia and excluding other etiologies, causal relationship cannot be excluded. There is not enough details to assess the fatal event of hypertrophic cardiomyopathy and the administration of the product. Additional information has been requested.; Reported Cause(s) of Death: hypertrophic cardiomyopathy"
	"1168978-1"	"1168978-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"hypertrophic cardiomyopathy; he just suddenly fell; lost his sense of taste; excruciating pains all over his body; General body aches like he got ran over by a truck/excruciating pains all over his body; Headache; Chills; Fever; Nausea; Pain; Based on the current available information which includes a strong temporal association between the use of the product and onset of the events, and excluding other etiologies, causal relationship cannot be excluded..This spontaneous case was reported by a consumer and describes the occurrence of hypertrophic cardiomyopathy in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination.   The patient's past medical history included Angiogram (Was told they had an excellent heart and no surgery was needed)   Concomitant products included acetylsalicylic (E.C.) for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.  On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form.   On 23-Feb-2021, the patient experienced pain, headache, chills, fever and nausea.   On 24-Feb-2021, the patient experienced lost his sense of taste, excruciating pains all over his body and myalgia (general body aches like he got ran over by a truck/excruciating pains all over his body).   On 06-Mar-2021, the patient experienced hypertrophic cardiomyopathy (seriousness criterion death) and he just suddenly fell.. An autopsy was performed.    Consumer reported on behalf of spouse. Ambulance was called and patient was pronounced dead. Awaiting toxicology report.  Most recent FOLLOW-UP information incorporated above includes:  On 26-Mar-2021: Major narrative update - outcome of events, additional events reported; Sender's Comments: Based on the current available information which includes a strong temporal association between the use of the product and onset of pain, headache, chills, fever , nausea, loss of sense of taste, excruciating pains all over his body and myalgia and excluding other etiologies, causal relationship cannot be excluded. There is not enough details to assess the fatal event of hypertrophic cardiomyopathy and the administration of the product. Additional information has been requested.; Reported Cause(s) of Death: hypertrophic cardiomyopathy"
	"1168978-1"	"1168978-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"hypertrophic cardiomyopathy; he just suddenly fell; lost his sense of taste; excruciating pains all over his body; General body aches like he got ran over by a truck/excruciating pains all over his body; Headache; Chills; Fever; Nausea; Pain; Based on the current available information which includes a strong temporal association between the use of the product and onset of the events, and excluding other etiologies, causal relationship cannot be excluded..This spontaneous case was reported by a consumer and describes the occurrence of hypertrophic cardiomyopathy in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination.   The patient's past medical history included Angiogram (Was told they had an excellent heart and no surgery was needed)   Concomitant products included acetylsalicylic (E.C.) for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.  On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form.   On 23-Feb-2021, the patient experienced pain, headache, chills, fever and nausea.   On 24-Feb-2021, the patient experienced lost his sense of taste, excruciating pains all over his body and myalgia (general body aches like he got ran over by a truck/excruciating pains all over his body).   On 06-Mar-2021, the patient experienced hypertrophic cardiomyopathy (seriousness criterion death) and he just suddenly fell.. An autopsy was performed.    Consumer reported on behalf of spouse. Ambulance was called and patient was pronounced dead. Awaiting toxicology report.  Most recent FOLLOW-UP information incorporated above includes:  On 26-Mar-2021: Major narrative update - outcome of events, additional events reported; Sender's Comments: Based on the current available information which includes a strong temporal association between the use of the product and onset of pain, headache, chills, fever , nausea, loss of sense of taste, excruciating pains all over his body and myalgia and excluding other etiologies, causal relationship cannot be excluded. There is not enough details to assess the fatal event of hypertrophic cardiomyopathy and the administration of the product. Additional information has been requested.; Reported Cause(s) of Death: hypertrophic cardiomyopathy"
	"1168978-1"	"1168978-1"	"HYPERTROPHIC CARDIOMYOPATHY"	"10020871"	"65-79 years"	"65-79"	"hypertrophic cardiomyopathy; he just suddenly fell; lost his sense of taste; excruciating pains all over his body; General body aches like he got ran over by a truck/excruciating pains all over his body; Headache; Chills; Fever; Nausea; Pain; Based on the current available information which includes a strong temporal association between the use of the product and onset of the events, and excluding other etiologies, causal relationship cannot be excluded..This spontaneous case was reported by a consumer and describes the occurrence of hypertrophic cardiomyopathy in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination.   The patient's past medical history included Angiogram (Was told they had an excellent heart and no surgery was needed)   Concomitant products included acetylsalicylic (E.C.) for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.  On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form.   On 23-Feb-2021, the patient experienced pain, headache, chills, fever and nausea.   On 24-Feb-2021, the patient experienced lost his sense of taste, excruciating pains all over his body and myalgia (general body aches like he got ran over by a truck/excruciating pains all over his body).   On 06-Mar-2021, the patient experienced hypertrophic cardiomyopathy (seriousness criterion death) and he just suddenly fell.. An autopsy was performed.    Consumer reported on behalf of spouse. Ambulance was called and patient was pronounced dead. Awaiting toxicology report.  Most recent FOLLOW-UP information incorporated above includes:  On 26-Mar-2021: Major narrative update - outcome of events, additional events reported; Sender's Comments: Based on the current available information which includes a strong temporal association between the use of the product and onset of pain, headache, chills, fever , nausea, loss of sense of taste, excruciating pains all over his body and myalgia and excluding other etiologies, causal relationship cannot be excluded. There is not enough details to assess the fatal event of hypertrophic cardiomyopathy and the administration of the product. Additional information has been requested.; Reported Cause(s) of Death: hypertrophic cardiomyopathy"
	"1168978-1"	"1168978-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"hypertrophic cardiomyopathy; he just suddenly fell; lost his sense of taste; excruciating pains all over his body; General body aches like he got ran over by a truck/excruciating pains all over his body; Headache; Chills; Fever; Nausea; Pain; Based on the current available information which includes a strong temporal association between the use of the product and onset of the events, and excluding other etiologies, causal relationship cannot be excluded..This spontaneous case was reported by a consumer and describes the occurrence of hypertrophic cardiomyopathy in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination.   The patient's past medical history included Angiogram (Was told they had an excellent heart and no surgery was needed)   Concomitant products included acetylsalicylic (E.C.) for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.  On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form.   On 23-Feb-2021, the patient experienced pain, headache, chills, fever and nausea.   On 24-Feb-2021, the patient experienced lost his sense of taste, excruciating pains all over his body and myalgia (general body aches like he got ran over by a truck/excruciating pains all over his body).   On 06-Mar-2021, the patient experienced hypertrophic cardiomyopathy (seriousness criterion death) and he just suddenly fell.. An autopsy was performed.    Consumer reported on behalf of spouse. Ambulance was called and patient was pronounced dead. Awaiting toxicology report.  Most recent FOLLOW-UP information incorporated above includes:  On 26-Mar-2021: Major narrative update - outcome of events, additional events reported; Sender's Comments: Based on the current available information which includes a strong temporal association between the use of the product and onset of pain, headache, chills, fever , nausea, loss of sense of taste, excruciating pains all over his body and myalgia and excluding other etiologies, causal relationship cannot be excluded. There is not enough details to assess the fatal event of hypertrophic cardiomyopathy and the administration of the product. Additional information has been requested.; Reported Cause(s) of Death: hypertrophic cardiomyopathy"
	"1168978-1"	"1168978-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"hypertrophic cardiomyopathy; he just suddenly fell; lost his sense of taste; excruciating pains all over his body; General body aches like he got ran over by a truck/excruciating pains all over his body; Headache; Chills; Fever; Nausea; Pain; Based on the current available information which includes a strong temporal association between the use of the product and onset of the events, and excluding other etiologies, causal relationship cannot be excluded..This spontaneous case was reported by a consumer and describes the occurrence of hypertrophic cardiomyopathy in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination.   The patient's past medical history included Angiogram (Was told they had an excellent heart and no surgery was needed)   Concomitant products included acetylsalicylic (E.C.) for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.  On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form.   On 23-Feb-2021, the patient experienced pain, headache, chills, fever and nausea.   On 24-Feb-2021, the patient experienced lost his sense of taste, excruciating pains all over his body and myalgia (general body aches like he got ran over by a truck/excruciating pains all over his body).   On 06-Mar-2021, the patient experienced hypertrophic cardiomyopathy (seriousness criterion death) and he just suddenly fell.. An autopsy was performed.    Consumer reported on behalf of spouse. Ambulance was called and patient was pronounced dead. Awaiting toxicology report.  Most recent FOLLOW-UP information incorporated above includes:  On 26-Mar-2021: Major narrative update - outcome of events, additional events reported; Sender's Comments: Based on the current available information which includes a strong temporal association between the use of the product and onset of pain, headache, chills, fever , nausea, loss of sense of taste, excruciating pains all over his body and myalgia and excluding other etiologies, causal relationship cannot be excluded. There is not enough details to assess the fatal event of hypertrophic cardiomyopathy and the administration of the product. Additional information has been requested.; Reported Cause(s) of Death: hypertrophic cardiomyopathy"
	"1168978-1"	"1168978-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"hypertrophic cardiomyopathy; he just suddenly fell; lost his sense of taste; excruciating pains all over his body; General body aches like he got ran over by a truck/excruciating pains all over his body; Headache; Chills; Fever; Nausea; Pain; Based on the current available information which includes a strong temporal association between the use of the product and onset of the events, and excluding other etiologies, causal relationship cannot be excluded..This spontaneous case was reported by a consumer and describes the occurrence of hypertrophic cardiomyopathy in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination.   The patient's past medical history included Angiogram (Was told they had an excellent heart and no surgery was needed)   Concomitant products included acetylsalicylic (E.C.) for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.  On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form.   On 23-Feb-2021, the patient experienced pain, headache, chills, fever and nausea.   On 24-Feb-2021, the patient experienced lost his sense of taste, excruciating pains all over his body and myalgia (general body aches like he got ran over by a truck/excruciating pains all over his body).   On 06-Mar-2021, the patient experienced hypertrophic cardiomyopathy (seriousness criterion death) and he just suddenly fell.. An autopsy was performed.    Consumer reported on behalf of spouse. Ambulance was called and patient was pronounced dead. Awaiting toxicology report.  Most recent FOLLOW-UP information incorporated above includes:  On 26-Mar-2021: Major narrative update - outcome of events, additional events reported; Sender's Comments: Based on the current available information which includes a strong temporal association between the use of the product and onset of pain, headache, chills, fever , nausea, loss of sense of taste, excruciating pains all over his body and myalgia and excluding other etiologies, causal relationship cannot be excluded. There is not enough details to assess the fatal event of hypertrophic cardiomyopathy and the administration of the product. Additional information has been requested.; Reported Cause(s) of Death: hypertrophic cardiomyopathy"
	"1168978-1"	"1168978-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"hypertrophic cardiomyopathy; he just suddenly fell; lost his sense of taste; excruciating pains all over his body; General body aches like he got ran over by a truck/excruciating pains all over his body; Headache; Chills; Fever; Nausea; Pain; Based on the current available information which includes a strong temporal association between the use of the product and onset of the events, and excluding other etiologies, causal relationship cannot be excluded..This spontaneous case was reported by a consumer and describes the occurrence of hypertrophic cardiomyopathy in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination.   The patient's past medical history included Angiogram (Was told they had an excellent heart and no surgery was needed)   Concomitant products included acetylsalicylic (E.C.) for an unknown indication.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.  On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form.   On 23-Feb-2021, the patient experienced pain, headache, chills, fever and nausea.   On 24-Feb-2021, the patient experienced lost his sense of taste, excruciating pains all over his body and myalgia (general body aches like he got ran over by a truck/excruciating pains all over his body).   On 06-Mar-2021, the patient experienced hypertrophic cardiomyopathy (seriousness criterion death) and he just suddenly fell.. An autopsy was performed.    Consumer reported on behalf of spouse. Ambulance was called and patient was pronounced dead. Awaiting toxicology report.  Most recent FOLLOW-UP information incorporated above includes:  On 26-Mar-2021: Major narrative update - outcome of events, additional events reported; Sender's Comments: Based on the current available information which includes a strong temporal association between the use of the product and onset of pain, headache, chills, fever , nausea, loss of sense of taste, excruciating pains all over his body and myalgia and excluding other etiologies, causal relationship cannot be excluded. There is not enough details to assess the fatal event of hypertrophic cardiomyopathy and the administration of the product. Additional information has been requested.; Reported Cause(s) of Death: hypertrophic cardiomyopathy"
	"1175722-1"	"1175722-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Family member reported patient deceased.  Was found on 3/21/21.  She had told a friend she wasn't feeling well on the night of 3/19/21."
	"1175722-1"	"1175722-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Family member reported patient deceased.  Was found on 3/21/21.  She had told a friend she wasn't feeling well on the night of 3/19/21."
	"1176215-1"	"1176215-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was admitted to the hospital on 03/27/2021. He was symptomatic and died at the hospital on 04/06/2021."
	"1178304-1"	"1178304-1"	"EYE DISORDER"	"10015916"	"65-79 years"	"65-79"	"died/cancer; collapsed on the floor; eyes rolled back; stopped breathing for a very short.; This is a spontaneous report from a contactable consumer. A 70-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: en6100, expiry date not reported), via an unspecified route of administration, administered in right arm Right on 06Mar2021 11:00 at a single dose for covid-19 immunization.Medical history included stage 4 esophagis cancer and mushroom allergies (known allergies to mushrooms). The patient had no covid prior vaccination; not diagnosed with COVID-19.  The patient had other medications (unspecified) that the patient received within 2 weeks of vaccination. The most COVID-19 vaccine was administered in hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received first dose of bnt162b2 (lot number: el9267) for covid-19 immunisation in the right arm on 13Feb2021. The patient was not tested for covid post vaccination. Since the vaccination, the patient has not been tested for COVID-19. On the afternoon of 06Mar2021 (16:00), patient collapsed on the floor, eyes rolled back, stopped breathing for a very short. The patient was revived and carried to bed. She died at 4 am on the 13Mar2021. She told the reporter she did not want to go to the hospital and she said she wanted to die at home. The reporter stated that the cause of death was cancer since an unknown date. The events were reported as serious resulting in death. No treatment received for the adverse events reported. The patient died on 13Mar2021. The causes of death were cancer, collapsed on the floor, eyes rolled back, and stopped breathing for a very short.  An autopsy was not performed.; Reported Cause(s) of Death: collapsed on the floor; eyes rolled back; stopped breathing for a very short; died/cancer"
	"1178304-1"	"1178304-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"died/cancer; collapsed on the floor; eyes rolled back; stopped breathing for a very short.; This is a spontaneous report from a contactable consumer. A 70-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: en6100, expiry date not reported), via an unspecified route of administration, administered in right arm Right on 06Mar2021 11:00 at a single dose for covid-19 immunization.Medical history included stage 4 esophagis cancer and mushroom allergies (known allergies to mushrooms). The patient had no covid prior vaccination; not diagnosed with COVID-19.  The patient had other medications (unspecified) that the patient received within 2 weeks of vaccination. The most COVID-19 vaccine was administered in hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received first dose of bnt162b2 (lot number: el9267) for covid-19 immunisation in the right arm on 13Feb2021. The patient was not tested for covid post vaccination. Since the vaccination, the patient has not been tested for COVID-19. On the afternoon of 06Mar2021 (16:00), patient collapsed on the floor, eyes rolled back, stopped breathing for a very short. The patient was revived and carried to bed. She died at 4 am on the 13Mar2021. She told the reporter she did not want to go to the hospital and she said she wanted to die at home. The reporter stated that the cause of death was cancer since an unknown date. The events were reported as serious resulting in death. No treatment received for the adverse events reported. The patient died on 13Mar2021. The causes of death were cancer, collapsed on the floor, eyes rolled back, and stopped breathing for a very short.  An autopsy was not performed.; Reported Cause(s) of Death: collapsed on the floor; eyes rolled back; stopped breathing for a very short; died/cancer"
	"1178304-1"	"1178304-1"	"NEOPLASM MALIGNANT"	"10028997"	"65-79 years"	"65-79"	"died/cancer; collapsed on the floor; eyes rolled back; stopped breathing for a very short.; This is a spontaneous report from a contactable consumer. A 70-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: en6100, expiry date not reported), via an unspecified route of administration, administered in right arm Right on 06Mar2021 11:00 at a single dose for covid-19 immunization.Medical history included stage 4 esophagis cancer and mushroom allergies (known allergies to mushrooms). The patient had no covid prior vaccination; not diagnosed with COVID-19.  The patient had other medications (unspecified) that the patient received within 2 weeks of vaccination. The most COVID-19 vaccine was administered in hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received first dose of bnt162b2 (lot number: el9267) for covid-19 immunisation in the right arm on 13Feb2021. The patient was not tested for covid post vaccination. Since the vaccination, the patient has not been tested for COVID-19. On the afternoon of 06Mar2021 (16:00), patient collapsed on the floor, eyes rolled back, stopped breathing for a very short. The patient was revived and carried to bed. She died at 4 am on the 13Mar2021. She told the reporter she did not want to go to the hospital and she said she wanted to die at home. The reporter stated that the cause of death was cancer since an unknown date. The events were reported as serious resulting in death. No treatment received for the adverse events reported. The patient died on 13Mar2021. The causes of death were cancer, collapsed on the floor, eyes rolled back, and stopped breathing for a very short.  An autopsy was not performed.; Reported Cause(s) of Death: collapsed on the floor; eyes rolled back; stopped breathing for a very short; died/cancer"
	"1178304-1"	"1178304-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"died/cancer; collapsed on the floor; eyes rolled back; stopped breathing for a very short.; This is a spontaneous report from a contactable consumer. A 70-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: en6100, expiry date not reported), via an unspecified route of administration, administered in right arm Right on 06Mar2021 11:00 at a single dose for covid-19 immunization.Medical history included stage 4 esophagis cancer and mushroom allergies (known allergies to mushrooms). The patient had no covid prior vaccination; not diagnosed with COVID-19.  The patient had other medications (unspecified) that the patient received within 2 weeks of vaccination. The most COVID-19 vaccine was administered in hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received first dose of bnt162b2 (lot number: el9267) for covid-19 immunisation in the right arm on 13Feb2021. The patient was not tested for covid post vaccination. Since the vaccination, the patient has not been tested for COVID-19. On the afternoon of 06Mar2021 (16:00), patient collapsed on the floor, eyes rolled back, stopped breathing for a very short. The patient was revived and carried to bed. She died at 4 am on the 13Mar2021. She told the reporter she did not want to go to the hospital and she said she wanted to die at home. The reporter stated that the cause of death was cancer since an unknown date. The events were reported as serious resulting in death. No treatment received for the adverse events reported. The patient died on 13Mar2021. The causes of death were cancer, collapsed on the floor, eyes rolled back, and stopped breathing for a very short.  An autopsy was not performed.; Reported Cause(s) of Death: collapsed on the floor; eyes rolled back; stopped breathing for a very short; died/cancer"
	"1179974-1"	"1179974-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt was diagnosed with covid on 3-29-21 , hospitalized for pneumonia and respiratory failure and expired on 4-6-21 at Hospital"
	"1179974-1"	"1179974-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt was diagnosed with covid on 3-29-21 , hospitalized for pneumonia and respiratory failure and expired on 4-6-21 at Hospital"
	"1179974-1"	"1179974-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"pt was diagnosed with covid on 3-29-21 , hospitalized for pneumonia and respiratory failure and expired on 4-6-21 at Hospital"
	"1179974-1"	"1179974-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"pt was diagnosed with covid on 3-29-21 , hospitalized for pneumonia and respiratory failure and expired on 4-6-21 at Hospital"
	"1179974-1"	"1179974-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt was diagnosed with covid on 3-29-21 , hospitalized for pneumonia and respiratory failure and expired on 4-6-21 at Hospital"
	"1180051-1"	"1180051-1"	"AGEUSIA"	"10001480"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"ANOSMIA"	"10002653"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"OROPHARYNGEAL PAIN"	"10068319"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"PRODUCTIVE COUGH"	"10036790"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"RESPIRATORY TRACT CONGESTION"	"10052251"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180051-1"	"1180051-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Was hospitalized (unsure dates on hospitalization);  has no known pre-existing conditions; symptom onset was 3/3/2021 with fever, chills, rigors, myalgia, rhinorrhea/congestion, sore throat, cough (wet productive), nausea/vomiting, headache, loss of smell and taste, and fatigue.  Was a household contact to a known COID-19 case."
	"1180107-1"	"1180107-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death within 30 days of vaccination"
	"1180107-1"	"1180107-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"Death within 30 days of vaccination"
	"1180145-1"	"1180145-1"	"BLOOD MAGNESIUM NORMAL"	"10005656"	"65-79 years"	"65-79"	"Low Magnesium levels 2/24 Mag 1.5, 3/4 received 4gm Mag Sulfate, 3/8 Mag 1.6 (obtained from Hospital.  Death within 30 days of vaccination"
	"1180145-1"	"1180145-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Low Magnesium levels 2/24 Mag 1.5, 3/4 received 4gm Mag Sulfate, 3/8 Mag 1.6 (obtained from Hospital.  Death within 30 days of vaccination"
	"1180245-1"	"1180245-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Death within 30 days of vaccination"
	"1180245-1"	"1180245-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death within 30 days of vaccination"
	"1180245-1"	"1180245-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"65-79 years"	"65-79"	"Death within 30 days of vaccination"
	"1180245-1"	"1180245-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Death within 30 days of vaccination"
	"1180245-1"	"1180245-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Death within 30 days of vaccination"
	"1180245-1"	"1180245-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"Death within 30 days of vaccination"
	"1180640-1"	"1180640-1"	"ABNORMAL SLEEP-RELATED EVENT"	"10061613"	"65-79 years"	"65-79"	"4/4/21 woke up more tired than usual. Progressed from there, prominent fatigue for the next couple days, slept on the couch on and off for a couple days which was unusual for him. Mild SOA and weakness 4/7/21. Died in his sleep into the morning of 4/8/21."
	"1180640-1"	"1180640-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"4/4/21 woke up more tired than usual. Progressed from there, prominent fatigue for the next couple days, slept on the couch on and off for a couple days which was unusual for him. Mild SOA and weakness 4/7/21. Died in his sleep into the morning of 4/8/21."
	"1180640-1"	"1180640-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"4/4/21 woke up more tired than usual. Progressed from there, prominent fatigue for the next couple days, slept on the couch on and off for a couple days which was unusual for him. Mild SOA and weakness 4/7/21. Died in his sleep into the morning of 4/8/21."
	"1180640-1"	"1180640-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"4/4/21 woke up more tired than usual. Progressed from there, prominent fatigue for the next couple days, slept on the couch on and off for a couple days which was unusual for him. Mild SOA and weakness 4/7/21. Died in his sleep into the morning of 4/8/21."
	"1180640-1"	"1180640-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"4/4/21 woke up more tired than usual. Progressed from there, prominent fatigue for the next couple days, slept on the couch on and off for a couple days which was unusual for him. Mild SOA and weakness 4/7/21. Died in his sleep into the morning of 4/8/21."
	"1190541-1"	"1190541-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"RECEIVED VACCINE ON 2/5/21 AND WAS FOUND DEAD MORNING OF 2/7/21.  SHE HAD NO SIDE EFFECTS OTHER THAN SLIGHTLY SORE ARM UP TO THAT POINT.  ED MD FELT SHE HAD SIGNIFICANT CARDIAC HISTORY AND LIKELY HAD MI. MEDICAL EXAMINER DID NOT ORDER AN AUTOPSY AND SHE WAS CREMATED. I FELT THAT I SHOULD JUST REPORT IT SINCE IT WAS SO CLOSE TO RECIVING THE VACCINE."
	"1190541-1"	"1190541-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"RECEIVED VACCINE ON 2/5/21 AND WAS FOUND DEAD MORNING OF 2/7/21.  SHE HAD NO SIDE EFFECTS OTHER THAN SLIGHTLY SORE ARM UP TO THAT POINT.  ED MD FELT SHE HAD SIGNIFICANT CARDIAC HISTORY AND LIKELY HAD MI. MEDICAL EXAMINER DID NOT ORDER AN AUTOPSY AND SHE WAS CREMATED. I FELT THAT I SHOULD JUST REPORT IT SINCE IT WAS SO CLOSE TO RECIVING THE VACCINE."
	"1190541-1"	"1190541-1"	"PAIN IN EXTREMITY"	"10033425"	"65-79 years"	"65-79"	"RECEIVED VACCINE ON 2/5/21 AND WAS FOUND DEAD MORNING OF 2/7/21.  SHE HAD NO SIDE EFFECTS OTHER THAN SLIGHTLY SORE ARM UP TO THAT POINT.  ED MD FELT SHE HAD SIGNIFICANT CARDIAC HISTORY AND LIKELY HAD MI. MEDICAL EXAMINER DID NOT ORDER AN AUTOPSY AND SHE WAS CREMATED. I FELT THAT I SHOULD JUST REPORT IT SINCE IT WAS SO CLOSE TO RECIVING THE VACCINE."
	"1190541-1"	"1190541-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"RECEIVED VACCINE ON 2/5/21 AND WAS FOUND DEAD MORNING OF 2/7/21.  SHE HAD NO SIDE EFFECTS OTHER THAN SLIGHTLY SORE ARM UP TO THAT POINT.  ED MD FELT SHE HAD SIGNIFICANT CARDIAC HISTORY AND LIKELY HAD MI. MEDICAL EXAMINER DID NOT ORDER AN AUTOPSY AND SHE WAS CREMATED. I FELT THAT I SHOULD JUST REPORT IT SINCE IT WAS SO CLOSE TO RECIVING THE VACCINE."
	"1190541-1"	"1190541-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"RECEIVED VACCINE ON 2/5/21 AND WAS FOUND DEAD MORNING OF 2/7/21.  SHE HAD NO SIDE EFFECTS OTHER THAN SLIGHTLY SORE ARM UP TO THAT POINT.  ED MD FELT SHE HAD SIGNIFICANT CARDIAC HISTORY AND LIKELY HAD MI. MEDICAL EXAMINER DID NOT ORDER AN AUTOPSY AND SHE WAS CREMATED. I FELT THAT I SHOULD JUST REPORT IT SINCE IT WAS SO CLOSE TO RECIVING THE VACCINE."
	"1197251-1"	"1197251-1"	"BACTERIAL TEST NEGATIVE"	"10065004"	"65-79 years"	"65-79"	"She had trouble breathing within days of the second vaccine. She went to the hospital 9 days after the vaccine. Her breathing continued to decline where she had to be placed on a ventilator. She stayed on that for almost 3 weeks. The doctors had no hope of her recovery and we chose to end life support exactly one month after her second shot."
	"1197251-1"	"1197251-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"She had trouble breathing within days of the second vaccine. She went to the hospital 9 days after the vaccine. Her breathing continued to decline where she had to be placed on a ventilator. She stayed on that for almost 3 weeks. The doctors had no hope of her recovery and we chose to end life support exactly one month after her second shot."
	"1197251-1"	"1197251-1"	"FUNGAL TEST NEGATIVE"	"10070458"	"65-79 years"	"65-79"	"She had trouble breathing within days of the second vaccine. She went to the hospital 9 days after the vaccine. Her breathing continued to decline where she had to be placed on a ventilator. She stayed on that for almost 3 weeks. The doctors had no hope of her recovery and we chose to end life support exactly one month after her second shot."
	"1197251-1"	"1197251-1"	"LIFE SUPPORT"	"10024447"	"65-79 years"	"65-79"	"She had trouble breathing within days of the second vaccine. She went to the hospital 9 days after the vaccine. Her breathing continued to decline where she had to be placed on a ventilator. She stayed on that for almost 3 weeks. The doctors had no hope of her recovery and we chose to end life support exactly one month after her second shot."
	"1197251-1"	"1197251-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"She had trouble breathing within days of the second vaccine. She went to the hospital 9 days after the vaccine. Her breathing continued to decline where she had to be placed on a ventilator. She stayed on that for almost 3 weeks. The doctors had no hope of her recovery and we chose to end life support exactly one month after her second shot."
	"1197251-1"	"1197251-1"	"VIRAL TEST NEGATIVE"	"10062362"	"65-79 years"	"65-79"	"She had trouble breathing within days of the second vaccine. She went to the hospital 9 days after the vaccine. Her breathing continued to decline where she had to be placed on a ventilator. She stayed on that for almost 3 weeks. The doctors had no hope of her recovery and we chose to end life support exactly one month after her second shot."
	"1197766-1"	"1197766-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was vaccinated at Pharmacy with 2nd dose Moderna 03/28/2021, patient called dialysis clinic that she was coughing up blood and she is going to Hospital in the afternoon. Pt's daughter called the clinic informed staff that pt passed away 4/3/2021 due to internal bleeding."
	"1197766-1"	"1197766-1"	"HAEMOPTYSIS"	"10018964"	"65-79 years"	"65-79"	"Patient was vaccinated at Pharmacy with 2nd dose Moderna 03/28/2021, patient called dialysis clinic that she was coughing up blood and she is going to Hospital in the afternoon. Pt's daughter called the clinic informed staff that pt passed away 4/3/2021 due to internal bleeding."
	"1197766-1"	"1197766-1"	"INTERNAL HAEMORRHAGE"	"10075192"	"65-79 years"	"65-79"	"Patient was vaccinated at Pharmacy with 2nd dose Moderna 03/28/2021, patient called dialysis clinic that she was coughing up blood and she is going to Hospital in the afternoon. Pt's daughter called the clinic informed staff that pt passed away 4/3/2021 due to internal bleeding."
	"1200923-1"	"1200923-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died of a heart attack"
	"1200923-1"	"1200923-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Patient died of a heart attack"
	"1201981-1"	"1201981-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"7 days after the COVID vaccine, patient went into resp. arrest and died in the ER"
	"1201981-1"	"1201981-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"7 days after the COVID vaccine, patient went into resp. arrest and died in the ER"
	"1202019-1"	"1202019-1"	"BLOOD GLUCOSE DECREASED"	"10005555"	"65-79 years"	"65-79"	""This patient was under hospice care at home with Nursing Service and Hospice. He received the J&J vaccination at noon by local public health nurse on Mon 4/12/21. The patient's wife, reported to hospice team that he had been sleepy during the day and had received a dose of Ativan  earlier that morning (PRN medication at 0750). The primary hospice nurse reported wife noted he became more lethargic throughout the day after vaccination with his condition worsening at 1720; at that time his blood sugar levels were noted to be low at ""47"" but patient was alert enough to drink orange juice, eat ice cream. The patient continued to deteriorate so MD was consulted and he was transported to the ED where he later expired at 1930.""
	"1202019-1"	"1202019-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	""This patient was under hospice care at home with Nursing Service and Hospice. He received the J&J vaccination at noon by local public health nurse on Mon 4/12/21. The patient's wife, reported to hospice team that he had been sleepy during the day and had received a dose of Ativan  earlier that morning (PRN medication at 0750). The primary hospice nurse reported wife noted he became more lethargic throughout the day after vaccination with his condition worsening at 1720; at that time his blood sugar levels were noted to be low at ""47"" but patient was alert enough to drink orange juice, eat ice cream. The patient continued to deteriorate so MD was consulted and he was transported to the ED where he later expired at 1930.""
	"1202019-1"	"1202019-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""This patient was under hospice care at home with Nursing Service and Hospice. He received the J&J vaccination at noon by local public health nurse on Mon 4/12/21. The patient's wife, reported to hospice team that he had been sleepy during the day and had received a dose of Ativan  earlier that morning (PRN medication at 0750). The primary hospice nurse reported wife noted he became more lethargic throughout the day after vaccination with his condition worsening at 1720; at that time his blood sugar levels were noted to be low at ""47"" but patient was alert enough to drink orange juice, eat ice cream. The patient continued to deteriorate so MD was consulted and he was transported to the ED where he later expired at 1930.""
	"1202019-1"	"1202019-1"	"LETHARGY"	"10024264"	"65-79 years"	"65-79"	""This patient was under hospice care at home with Nursing Service and Hospice. He received the J&J vaccination at noon by local public health nurse on Mon 4/12/21. The patient's wife, reported to hospice team that he had been sleepy during the day and had received a dose of Ativan  earlier that morning (PRN medication at 0750). The primary hospice nurse reported wife noted he became more lethargic throughout the day after vaccination with his condition worsening at 1720; at that time his blood sugar levels were noted to be low at ""47"" but patient was alert enough to drink orange juice, eat ice cream. The patient continued to deteriorate so MD was consulted and he was transported to the ED where he later expired at 1930.""
	"1202019-1"	"1202019-1"	"SOMNOLENCE"	"10041349"	"65-79 years"	"65-79"	""This patient was under hospice care at home with Nursing Service and Hospice. He received the J&J vaccination at noon by local public health nurse on Mon 4/12/21. The patient's wife, reported to hospice team that he had been sleepy during the day and had received a dose of Ativan  earlier that morning (PRN medication at 0750). The primary hospice nurse reported wife noted he became more lethargic throughout the day after vaccination with his condition worsening at 1720; at that time his blood sugar levels were noted to be low at ""47"" but patient was alert enough to drink orange juice, eat ice cream. The patient continued to deteriorate so MD was consulted and he was transported to the ED where he later expired at 1930.""
	"1203337-1"	"1203337-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203337-1"	"1203337-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203337-1"	"1203337-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203337-1"	"1203337-1"	"FOAMING AT MOUTH"	"10062654"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203337-1"	"1203337-1"	"FULL BLOOD COUNT"	"10017411"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203337-1"	"1203337-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203337-1"	"1203337-1"	"HIV TEST"	"10020185"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203337-1"	"1203337-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203337-1"	"1203337-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203337-1"	"1203337-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203337-1"	"1203337-1"	"PLATELET COUNT DECREASED"	"10035528"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203337-1"	"1203337-1"	"SPUTUM DISCOLOURED"	"10041807"	"65-79 years"	"65-79"	"Brought to the ER as a code blue, 50 minutes down. CBC, CMP, and HIV screen completed. Deceased despite attempts of revival. Wife reports patient reported not feeling well, c/o feeling short of breath, started having foaming at the mouth, loss consciousness. He had pink sputum on arrival."
	"1203603-1"	"1203603-1"	"ABDOMINAL PAIN UPPER"	"10000087"	"65-79 years"	"65-79"	"Diarrhea, fever, stomach pain for 7 days. She died on the seventh day."
	"1203603-1"	"1203603-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Diarrhea, fever, stomach pain for 7 days. She died on the seventh day."
	"1203603-1"	"1203603-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"Diarrhea, fever, stomach pain for 7 days. She died on the seventh day."
	"1203603-1"	"1203603-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Diarrhea, fever, stomach pain for 7 days. She died on the seventh day."
	"1204162-1"	"1204162-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt developed respiratory illness requiring hospitalization on 3-8-21. She expired on 3-31-21 while still hospitalized."
	"1204162-1"	"1204162-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"Pt developed respiratory illness requiring hospitalization on 3-8-21. She expired on 3-31-21 while still hospitalized."
	"1204162-1"	"1204162-1"	"RESPIRATORY DISORDER"	"10038683"	"65-79 years"	"65-79"	"Pt developed respiratory illness requiring hospitalization on 3-8-21. She expired on 3-31-21 while still hospitalized."
	"1205863-1"	"1205863-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Died from Pulmonary Embolism. No leg pain, no leg swelling to indicate DVT in leg. Also was thrombocytopenic at the time of emergency/ER visit/treatment. He suddenly complained of very bad chest pain, could hardly speak to tell symptoms. Immediate resuscitation was started by family member and 911 was called. Ambulance detected tech, tried to electroconvert, but was not successful. Chest compression and bagging was done until patient got the hospital. There full resuscitation effort. Unsuccessful. Troponin normal, D-dimer sky high."
	"1205863-1"	"1205863-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Died from Pulmonary Embolism. No leg pain, no leg swelling to indicate DVT in leg. Also was thrombocytopenic at the time of emergency/ER visit/treatment. He suddenly complained of very bad chest pain, could hardly speak to tell symptoms. Immediate resuscitation was started by family member and 911 was called. Ambulance detected tech, tried to electroconvert, but was not successful. Chest compression and bagging was done until patient got the hospital. There full resuscitation effort. Unsuccessful. Troponin normal, D-dimer sky high."
	"1205863-1"	"1205863-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"65-79 years"	"65-79"	"Died from Pulmonary Embolism. No leg pain, no leg swelling to indicate DVT in leg. Also was thrombocytopenic at the time of emergency/ER visit/treatment. He suddenly complained of very bad chest pain, could hardly speak to tell symptoms. Immediate resuscitation was started by family member and 911 was called. Ambulance detected tech, tried to electroconvert, but was not successful. Chest compression and bagging was done until patient got the hospital. There full resuscitation effort. Unsuccessful. Troponin normal, D-dimer sky high."
	"1205863-1"	"1205863-1"	"FULL BLOOD COUNT"	"10017411"	"65-79 years"	"65-79"	"Died from Pulmonary Embolism. No leg pain, no leg swelling to indicate DVT in leg. Also was thrombocytopenic at the time of emergency/ER visit/treatment. He suddenly complained of very bad chest pain, could hardly speak to tell symptoms. Immediate resuscitation was started by family member and 911 was called. Ambulance detected tech, tried to electroconvert, but was not successful. Chest compression and bagging was done until patient got the hospital. There full resuscitation effort. Unsuccessful. Troponin normal, D-dimer sky high."
	"1205863-1"	"1205863-1"	"PLATELET COUNT"	"10035525"	"65-79 years"	"65-79"	"Died from Pulmonary Embolism. No leg pain, no leg swelling to indicate DVT in leg. Also was thrombocytopenic at the time of emergency/ER visit/treatment. He suddenly complained of very bad chest pain, could hardly speak to tell symptoms. Immediate resuscitation was started by family member and 911 was called. Ambulance detected tech, tried to electroconvert, but was not successful. Chest compression and bagging was done until patient got the hospital. There full resuscitation effort. Unsuccessful. Troponin normal, D-dimer sky high."
	"1205863-1"	"1205863-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"Died from Pulmonary Embolism. No leg pain, no leg swelling to indicate DVT in leg. Also was thrombocytopenic at the time of emergency/ER visit/treatment. He suddenly complained of very bad chest pain, could hardly speak to tell symptoms. Immediate resuscitation was started by family member and 911 was called. Ambulance detected tech, tried to electroconvert, but was not successful. Chest compression and bagging was done until patient got the hospital. There full resuscitation effort. Unsuccessful. Troponin normal, D-dimer sky high."
	"1205863-1"	"1205863-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Died from Pulmonary Embolism. No leg pain, no leg swelling to indicate DVT in leg. Also was thrombocytopenic at the time of emergency/ER visit/treatment. He suddenly complained of very bad chest pain, could hardly speak to tell symptoms. Immediate resuscitation was started by family member and 911 was called. Ambulance detected tech, tried to electroconvert, but was not successful. Chest compression and bagging was done until patient got the hospital. There full resuscitation effort. Unsuccessful. Troponin normal, D-dimer sky high."
	"1205863-1"	"1205863-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"Died from Pulmonary Embolism. No leg pain, no leg swelling to indicate DVT in leg. Also was thrombocytopenic at the time of emergency/ER visit/treatment. He suddenly complained of very bad chest pain, could hardly speak to tell symptoms. Immediate resuscitation was started by family member and 911 was called. Ambulance detected tech, tried to electroconvert, but was not successful. Chest compression and bagging was done until patient got the hospital. There full resuscitation effort. Unsuccessful. Troponin normal, D-dimer sky high."
	"1205863-1"	"1205863-1"	"TROPONIN NORMAL"	"10071322"	"65-79 years"	"65-79"	"Died from Pulmonary Embolism. No leg pain, no leg swelling to indicate DVT in leg. Also was thrombocytopenic at the time of emergency/ER visit/treatment. He suddenly complained of very bad chest pain, could hardly speak to tell symptoms. Immediate resuscitation was started by family member and 911 was called. Ambulance detected tech, tried to electroconvert, but was not successful. Chest compression and bagging was done until patient got the hospital. There full resuscitation effort. Unsuccessful. Troponin normal, D-dimer sky high."
	"1205982-1"	"1205982-1"	"ARTHRALGIA"	"10003239"	"65-79 years"	"65-79"	"On 1-27-21 my mother received her first dose of the Moderna COVID-19 vaccine (031L2A). The next day she felt something in the back of her left knee. The following day (2 days) after the injection she saw her primary care physician for the discomfort in the back of her knee. She was treated for what was believed to be a soft tissue injury. She received her second dose of the Moderna COVID-19 (14M20A) vaccine on Friday 2-26-21. The next day the back of her knee started to bother her again. She saw her doctor on Monday3-1-21 and had an x-ray. On Tuesday the doctor's office called and said her x-ray  was clear. Friday morning, 3-5-21 my father heard a loud noise (thud) and  found my mother unresponsive on the bathroom floor at approximately 8:30am. He called 911. She was transported to the hospital via ambulance. The emergency room physicians worked on her for over an hour and were unable to get her back. Her time of death was 10:12am. The primary cause of death listed on her death certificate is pulmonary embolism."
	"1205982-1"	"1205982-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"On 1-27-21 my mother received her first dose of the Moderna COVID-19 vaccine (031L2A). The next day she felt something in the back of her left knee. The following day (2 days) after the injection she saw her primary care physician for the discomfort in the back of her knee. She was treated for what was believed to be a soft tissue injury. She received her second dose of the Moderna COVID-19 (14M20A) vaccine on Friday 2-26-21. The next day the back of her knee started to bother her again. She saw her doctor on Monday3-1-21 and had an x-ray. On Tuesday the doctor's office called and said her x-ray  was clear. Friday morning, 3-5-21 my father heard a loud noise (thud) and  found my mother unresponsive on the bathroom floor at approximately 8:30am. He called 911. She was transported to the hospital via ambulance. The emergency room physicians worked on her for over an hour and were unable to get her back. Her time of death was 10:12am. The primary cause of death listed on her death certificate is pulmonary embolism."
	"1205982-1"	"1205982-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"On 1-27-21 my mother received her first dose of the Moderna COVID-19 vaccine (031L2A). The next day she felt something in the back of her left knee. The following day (2 days) after the injection she saw her primary care physician for the discomfort in the back of her knee. She was treated for what was believed to be a soft tissue injury. She received her second dose of the Moderna COVID-19 (14M20A) vaccine on Friday 2-26-21. The next day the back of her knee started to bother her again. She saw her doctor on Monday3-1-21 and had an x-ray. On Tuesday the doctor's office called and said her x-ray  was clear. Friday morning, 3-5-21 my father heard a loud noise (thud) and  found my mother unresponsive on the bathroom floor at approximately 8:30am. He called 911. She was transported to the hospital via ambulance. The emergency room physicians worked on her for over an hour and were unable to get her back. Her time of death was 10:12am. The primary cause of death listed on her death certificate is pulmonary embolism."
	"1205982-1"	"1205982-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"On 1-27-21 my mother received her first dose of the Moderna COVID-19 vaccine (031L2A). The next day she felt something in the back of her left knee. The following day (2 days) after the injection she saw her primary care physician for the discomfort in the back of her knee. She was treated for what was believed to be a soft tissue injury. She received her second dose of the Moderna COVID-19 (14M20A) vaccine on Friday 2-26-21. The next day the back of her knee started to bother her again. She saw her doctor on Monday3-1-21 and had an x-ray. On Tuesday the doctor's office called and said her x-ray  was clear. Friday morning, 3-5-21 my father heard a loud noise (thud) and  found my mother unresponsive on the bathroom floor at approximately 8:30am. He called 911. She was transported to the hospital via ambulance. The emergency room physicians worked on her for over an hour and were unable to get her back. Her time of death was 10:12am. The primary cause of death listed on her death certificate is pulmonary embolism."
	"1205982-1"	"1205982-1"	"X-RAY LIMB NORMAL"	"10061587"	"65-79 years"	"65-79"	"On 1-27-21 my mother received her first dose of the Moderna COVID-19 vaccine (031L2A). The next day she felt something in the back of her left knee. The following day (2 days) after the injection she saw her primary care physician for the discomfort in the back of her knee. She was treated for what was believed to be a soft tissue injury. She received her second dose of the Moderna COVID-19 (14M20A) vaccine on Friday 2-26-21. The next day the back of her knee started to bother her again. She saw her doctor on Monday3-1-21 and had an x-ray. On Tuesday the doctor's office called and said her x-ray  was clear. Friday morning, 3-5-21 my father heard a loud noise (thud) and  found my mother unresponsive on the bathroom floor at approximately 8:30am. He called 911. She was transported to the hospital via ambulance. The emergency room physicians worked on her for over an hour and were unable to get her back. Her time of death was 10:12am. The primary cause of death listed on her death certificate is pulmonary embolism."
	"1207773-1"	"1207773-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"2nd maderna vaccine was given to my dad on 02/26/2021 and on 03/15/2021 my dad was visiting me all day and he acted fine and normal. At the end of our visit between 8 & 9 pm we went to the store where he started to gasp for breath. He had to keep stopping and said he couldn't breath. I had him sit several times because I didn't know how bad it was. By the time we reached the doors to leave after a short trip  he almost fell over and he became confused and said he couldn't breath. I had another customer get my dad a wheel chair close by while I called 911. The ambulance came quickly but at the hospital my dad went into cardiac arrest and his heart stopped 2 or 3 times and it had to be restarted. When I was able to get to the hospital my dad was on a ventilator and sedated. They had put him on medicine to blast the blood clots they had found. They said he had 2 very large blood clots with one on each lung. Later his kidneys started failing him and they said he would need to go on dialysis as soon as the next day. Later that night they told me my dads heart was shutting down and he had developed pneumonia. My dad died that night and I had to watch him take his last breath. If you want further information please contact Medical center would be the ones to contact for all information and my dad was in the critical care unit."
	"1207773-1"	"1207773-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"2nd maderna vaccine was given to my dad on 02/26/2021 and on 03/15/2021 my dad was visiting me all day and he acted fine and normal. At the end of our visit between 8 & 9 pm we went to the store where he started to gasp for breath. He had to keep stopping and said he couldn't breath. I had him sit several times because I didn't know how bad it was. By the time we reached the doors to leave after a short trip  he almost fell over and he became confused and said he couldn't breath. I had another customer get my dad a wheel chair close by while I called 911. The ambulance came quickly but at the hospital my dad went into cardiac arrest and his heart stopped 2 or 3 times and it had to be restarted. When I was able to get to the hospital my dad was on a ventilator and sedated. They had put him on medicine to blast the blood clots they had found. They said he had 2 very large blood clots with one on each lung. Later his kidneys started failing him and they said he would need to go on dialysis as soon as the next day. Later that night they told me my dads heart was shutting down and he had developed pneumonia. My dad died that night and I had to watch him take his last breath. If you want further information please contact Medical center would be the ones to contact for all information and my dad was in the critical care unit."
	"1207773-1"	"1207773-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"2nd maderna vaccine was given to my dad on 02/26/2021 and on 03/15/2021 my dad was visiting me all day and he acted fine and normal. At the end of our visit between 8 & 9 pm we went to the store where he started to gasp for breath. He had to keep stopping and said he couldn't breath. I had him sit several times because I didn't know how bad it was. By the time we reached the doors to leave after a short trip  he almost fell over and he became confused and said he couldn't breath. I had another customer get my dad a wheel chair close by while I called 911. The ambulance came quickly but at the hospital my dad went into cardiac arrest and his heart stopped 2 or 3 times and it had to be restarted. When I was able to get to the hospital my dad was on a ventilator and sedated. They had put him on medicine to blast the blood clots they had found. They said he had 2 very large blood clots with one on each lung. Later his kidneys started failing him and they said he would need to go on dialysis as soon as the next day. Later that night they told me my dads heart was shutting down and he had developed pneumonia. My dad died that night and I had to watch him take his last breath. If you want further information please contact Medical center would be the ones to contact for all information and my dad was in the critical care unit."
	"1207773-1"	"1207773-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"2nd maderna vaccine was given to my dad on 02/26/2021 and on 03/15/2021 my dad was visiting me all day and he acted fine and normal. At the end of our visit between 8 & 9 pm we went to the store where he started to gasp for breath. He had to keep stopping and said he couldn't breath. I had him sit several times because I didn't know how bad it was. By the time we reached the doors to leave after a short trip  he almost fell over and he became confused and said he couldn't breath. I had another customer get my dad a wheel chair close by while I called 911. The ambulance came quickly but at the hospital my dad went into cardiac arrest and his heart stopped 2 or 3 times and it had to be restarted. When I was able to get to the hospital my dad was on a ventilator and sedated. They had put him on medicine to blast the blood clots they had found. They said he had 2 very large blood clots with one on each lung. Later his kidneys started failing him and they said he would need to go on dialysis as soon as the next day. Later that night they told me my dads heart was shutting down and he had developed pneumonia. My dad died that night and I had to watch him take his last breath. If you want further information please contact Medical center would be the ones to contact for all information and my dad was in the critical care unit."
	"1207773-1"	"1207773-1"	"GAIT DISTURBANCE"	"10017577"	"65-79 years"	"65-79"	"2nd maderna vaccine was given to my dad on 02/26/2021 and on 03/15/2021 my dad was visiting me all day and he acted fine and normal. At the end of our visit between 8 & 9 pm we went to the store where he started to gasp for breath. He had to keep stopping and said he couldn't breath. I had him sit several times because I didn't know how bad it was. By the time we reached the doors to leave after a short trip  he almost fell over and he became confused and said he couldn't breath. I had another customer get my dad a wheel chair close by while I called 911. The ambulance came quickly but at the hospital my dad went into cardiac arrest and his heart stopped 2 or 3 times and it had to be restarted. When I was able to get to the hospital my dad was on a ventilator and sedated. They had put him on medicine to blast the blood clots they had found. They said he had 2 very large blood clots with one on each lung. Later his kidneys started failing him and they said he would need to go on dialysis as soon as the next day. Later that night they told me my dads heart was shutting down and he had developed pneumonia. My dad died that night and I had to watch him take his last breath. If you want further information please contact Medical center would be the ones to contact for all information and my dad was in the critical care unit."
	"1207773-1"	"1207773-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"2nd maderna vaccine was given to my dad on 02/26/2021 and on 03/15/2021 my dad was visiting me all day and he acted fine and normal. At the end of our visit between 8 & 9 pm we went to the store where he started to gasp for breath. He had to keep stopping and said he couldn't breath. I had him sit several times because I didn't know how bad it was. By the time we reached the doors to leave after a short trip  he almost fell over and he became confused and said he couldn't breath. I had another customer get my dad a wheel chair close by while I called 911. The ambulance came quickly but at the hospital my dad went into cardiac arrest and his heart stopped 2 or 3 times and it had to be restarted. When I was able to get to the hospital my dad was on a ventilator and sedated. They had put him on medicine to blast the blood clots they had found. They said he had 2 very large blood clots with one on each lung. Later his kidneys started failing him and they said he would need to go on dialysis as soon as the next day. Later that night they told me my dads heart was shutting down and he had developed pneumonia. My dad died that night and I had to watch him take his last breath. If you want further information please contact Medical center would be the ones to contact for all information and my dad was in the critical care unit."
	"1207773-1"	"1207773-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"2nd maderna vaccine was given to my dad on 02/26/2021 and on 03/15/2021 my dad was visiting me all day and he acted fine and normal. At the end of our visit between 8 & 9 pm we went to the store where he started to gasp for breath. He had to keep stopping and said he couldn't breath. I had him sit several times because I didn't know how bad it was. By the time we reached the doors to leave after a short trip  he almost fell over and he became confused and said he couldn't breath. I had another customer get my dad a wheel chair close by while I called 911. The ambulance came quickly but at the hospital my dad went into cardiac arrest and his heart stopped 2 or 3 times and it had to be restarted. When I was able to get to the hospital my dad was on a ventilator and sedated. They had put him on medicine to blast the blood clots they had found. They said he had 2 very large blood clots with one on each lung. Later his kidneys started failing him and they said he would need to go on dialysis as soon as the next day. Later that night they told me my dads heart was shutting down and he had developed pneumonia. My dad died that night and I had to watch him take his last breath. If you want further information please contact Medical center would be the ones to contact for all information and my dad was in the critical care unit."
	"1207773-1"	"1207773-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"2nd maderna vaccine was given to my dad on 02/26/2021 and on 03/15/2021 my dad was visiting me all day and he acted fine and normal. At the end of our visit between 8 & 9 pm we went to the store where he started to gasp for breath. He had to keep stopping and said he couldn't breath. I had him sit several times because I didn't know how bad it was. By the time we reached the doors to leave after a short trip  he almost fell over and he became confused and said he couldn't breath. I had another customer get my dad a wheel chair close by while I called 911. The ambulance came quickly but at the hospital my dad went into cardiac arrest and his heart stopped 2 or 3 times and it had to be restarted. When I was able to get to the hospital my dad was on a ventilator and sedated. They had put him on medicine to blast the blood clots they had found. They said he had 2 very large blood clots with one on each lung. Later his kidneys started failing him and they said he would need to go on dialysis as soon as the next day. Later that night they told me my dads heart was shutting down and he had developed pneumonia. My dad died that night and I had to watch him take his last breath. If you want further information please contact Medical center would be the ones to contact for all information and my dad was in the critical care unit."
	"1207773-1"	"1207773-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"2nd maderna vaccine was given to my dad on 02/26/2021 and on 03/15/2021 my dad was visiting me all day and he acted fine and normal. At the end of our visit between 8 & 9 pm we went to the store where he started to gasp for breath. He had to keep stopping and said he couldn't breath. I had him sit several times because I didn't know how bad it was. By the time we reached the doors to leave after a short trip  he almost fell over and he became confused and said he couldn't breath. I had another customer get my dad a wheel chair close by while I called 911. The ambulance came quickly but at the hospital my dad went into cardiac arrest and his heart stopped 2 or 3 times and it had to be restarted. When I was able to get to the hospital my dad was on a ventilator and sedated. They had put him on medicine to blast the blood clots they had found. They said he had 2 very large blood clots with one on each lung. Later his kidneys started failing him and they said he would need to go on dialysis as soon as the next day. Later that night they told me my dads heart was shutting down and he had developed pneumonia. My dad died that night and I had to watch him take his last breath. If you want further information please contact Medical center would be the ones to contact for all information and my dad was in the critical care unit."
	"1207773-1"	"1207773-1"	"RENAL DISORDER"	"10038428"	"65-79 years"	"65-79"	"2nd maderna vaccine was given to my dad on 02/26/2021 and on 03/15/2021 my dad was visiting me all day and he acted fine and normal. At the end of our visit between 8 & 9 pm we went to the store where he started to gasp for breath. He had to keep stopping and said he couldn't breath. I had him sit several times because I didn't know how bad it was. By the time we reached the doors to leave after a short trip  he almost fell over and he became confused and said he couldn't breath. I had another customer get my dad a wheel chair close by while I called 911. The ambulance came quickly but at the hospital my dad went into cardiac arrest and his heart stopped 2 or 3 times and it had to be restarted. When I was able to get to the hospital my dad was on a ventilator and sedated. They had put him on medicine to blast the blood clots they had found. They said he had 2 very large blood clots with one on each lung. Later his kidneys started failing him and they said he would need to go on dialysis as soon as the next day. Later that night they told me my dads heart was shutting down and he had developed pneumonia. My dad died that night and I had to watch him take his last breath. If you want further information please contact Medical center would be the ones to contact for all information and my dad was in the critical care unit."
	"1207773-1"	"1207773-1"	"SEDATION"	"10039897"	"65-79 years"	"65-79"	"2nd maderna vaccine was given to my dad on 02/26/2021 and on 03/15/2021 my dad was visiting me all day and he acted fine and normal. At the end of our visit between 8 & 9 pm we went to the store where he started to gasp for breath. He had to keep stopping and said he couldn't breath. I had him sit several times because I didn't know how bad it was. By the time we reached the doors to leave after a short trip  he almost fell over and he became confused and said he couldn't breath. I had another customer get my dad a wheel chair close by while I called 911. The ambulance came quickly but at the hospital my dad went into cardiac arrest and his heart stopped 2 or 3 times and it had to be restarted. When I was able to get to the hospital my dad was on a ventilator and sedated. They had put him on medicine to blast the blood clots they had found. They said he had 2 very large blood clots with one on each lung. Later his kidneys started failing him and they said he would need to go on dialysis as soon as the next day. Later that night they told me my dads heart was shutting down and he had developed pneumonia. My dad died that night and I had to watch him take his last breath. If you want further information please contact Medical center would be the ones to contact for all information and my dad was in the critical care unit."
	"1209341-1"	"1209341-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Received Vaccine 1/15/21 and 2/5/21. Transitioned to Hospice care. Expired 4/13/2021."
	"1209441-1"	"1209441-1"	"BRAIN INJURY"	"10067967"	"65-79 years"	"65-79"	"My mother and I received the Moderna vaccine on January 20th. About two weeks later on January 31st, she complained about her leg. It was swollen. Later on  that day, she collapsed, was rushed to the hospital. Died on February 4th due to anoxic brain injury due to DVT that caused a massive pulmonary embolism."
	"1209441-1"	"1209441-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"My mother and I received the Moderna vaccine on January 20th. About two weeks later on January 31st, she complained about her leg. It was swollen. Later on  that day, she collapsed, was rushed to the hospital. Died on February 4th due to anoxic brain injury due to DVT that caused a massive pulmonary embolism."
	"1209441-1"	"1209441-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"65-79 years"	"65-79"	"My mother and I received the Moderna vaccine on January 20th. About two weeks later on January 31st, she complained about her leg. It was swollen. Later on  that day, she collapsed, was rushed to the hospital. Died on February 4th due to anoxic brain injury due to DVT that caused a massive pulmonary embolism."
	"1209441-1"	"1209441-1"	"PERIPHERAL SWELLING"	"10048959"	"65-79 years"	"65-79"	"My mother and I received the Moderna vaccine on January 20th. About two weeks later on January 31st, she complained about her leg. It was swollen. Later on  that day, she collapsed, was rushed to the hospital. Died on February 4th due to anoxic brain injury due to DVT that caused a massive pulmonary embolism."
	"1209441-1"	"1209441-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"My mother and I received the Moderna vaccine on January 20th. About two weeks later on January 31st, she complained about her leg. It was swollen. Later on  that day, she collapsed, was rushed to the hospital. Died on February 4th due to anoxic brain injury due to DVT that caused a massive pulmonary embolism."
	"1209441-1"	"1209441-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"My mother and I received the Moderna vaccine on January 20th. About two weeks later on January 31st, she complained about her leg. It was swollen. Later on  that day, she collapsed, was rushed to the hospital. Died on February 4th due to anoxic brain injury due to DVT that caused a massive pulmonary embolism."
	"1211052-1"	"1211052-1"	"ASPIRATION"	"10003504"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"BRAIN STEM SYNDROME"	"10063292"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"CHEST X-RAY"	"10008498"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"COMPUTERISED TOMOGRAM"	"10010234"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"DYSPHAGIA"	"10013950"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"GAIT INABILITY"	"10017581"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"HYPOAESTHESIA"	"10020937"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"MAGNETIC RESONANCE IMAGING"	"10078223"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1211052-1"	"1211052-1"	"PARALYSIS"	"10033799"	"65-79 years"	"65-79"	"My father received his shot on March 13, 2021.  He drove to move home and on March 28th started having his right arm go numb but did not tell us.  He asked to go the ER March 29th at 6:45am saying his chest hurt and was having a hard time breathing, this has happened before since having Covid in September.  I called 911 after he became dizzy and could not walk.  While at the ER suffered a massive stroke that paralyzed him from his nose down over a course of 3 days.  His brain stem was affected and he lost the ability to swallow.  After being on a ventilator for 72 hours he was removed from it and died less then 30 mins later from drowning in his own saliva on April 1, 2021."
	"1213217-1"	"1213217-1"	"CARDIAC FAILURE"	"10007554"	"65-79 years"	"65-79"	"Death - no symptoms, signs or treatment provided"
	"1213217-1"	"1213217-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death - no symptoms, signs or treatment provided"
	"1213217-1"	"1213217-1"	"STRESS CARDIOMYOPATHY"	"10066286"	"65-79 years"	"65-79"	"Death - no symptoms, signs or treatment provided"
	"1213217-1"	"1213217-1"	"VACCINATION COMPLICATION"	"10046861"	"65-79 years"	"65-79"	"Death - no symptoms, signs or treatment provided"
	"1213302-1"	"1213302-1"	"ANGIOGRAM PULMONARY ABNORMAL"	"10002441"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"DECREASED INSULIN REQUIREMENT"	"10052340"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"HYPOGLYCAEMIA"	"10020993"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"MOBILITY DECREASED"	"10048334"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"NEUTROPENIA"	"10029354"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"PLEURAL EFFUSION"	"10035598"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"PULMONARY MASS"	"10056342"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1213302-1"	"1213302-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"He received his first COVID19 shot (Pfizer) reportedly on 3/2/21, then began a new chemotherapy regimen on 3/10/21. On 3/18, he fell to the floor and could not get up. He was admitted to the hospital for sepsis, pneumonia, and chemotherapy-induced neutropenia, treated on IV antibiotics and discharged on PO antibiotics. His home insulin was also decreased but continued to have hypoglycemic to hyperglycemic events. Insulin was decreased in clinic afterward and was compliant on antibiotics. Returned to hospital again a few days later for sepsis and pneumonia/effusion. He later went to a nursing facility / on hospice. He ultimately required supplemental oxygen and breathing increasingly became labored. Patient ultimately died on 4/9/21."
	"1214135-1"	"1214135-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"unknown, death at home, with no one in attendance. Pt with mulitple medical conditions, when RN adminstered 2nd dose on 4/07/2021. They dicussed how the first one went. Pt states, besides sore arm nothing. She did have acid reflux, (common for her) which she took regular medication which took care of it. But denied any other problems with first dose. Seccond dose given with no reaction during 15 min observation time.    EMS was called to scene on 4/08/2021 at approx 1630 hrs, to find pt deceased, spine in bed. approx down time 2-3 hrs. Pt's primary Dr. contact as well as corner. With pt's medical history no further investigation was done."
	"1214325-1"	"1214325-1"	"ANXIETY"	"10002855"	"65-79 years"	"65-79"	"Severe anxiety, Kidney Failure, Hypoglycemia, ER visits, Overall decline, Hospice care, Expired"
	"1214325-1"	"1214325-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Severe anxiety, Kidney Failure, Hypoglycemia, ER visits, Overall decline, Hospice care, Expired"
	"1214325-1"	"1214325-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Severe anxiety, Kidney Failure, Hypoglycemia, ER visits, Overall decline, Hospice care, Expired"
	"1214325-1"	"1214325-1"	"GLYCOSYLATED HAEMOGLOBIN"	"10018480"	"65-79 years"	"65-79"	"Severe anxiety, Kidney Failure, Hypoglycemia, ER visits, Overall decline, Hospice care, Expired"
	"1214325-1"	"1214325-1"	"HYPOGLYCAEMIA"	"10020993"	"65-79 years"	"65-79"	"Severe anxiety, Kidney Failure, Hypoglycemia, ER visits, Overall decline, Hospice care, Expired"
	"1214325-1"	"1214325-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"Severe anxiety, Kidney Failure, Hypoglycemia, ER visits, Overall decline, Hospice care, Expired"
	"1214325-1"	"1214325-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"Severe anxiety, Kidney Failure, Hypoglycemia, ER visits, Overall decline, Hospice care, Expired"
	"1214482-1"	"1214482-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Not feeling well according to mother the night before he passed away.  11 days after vaccination."
	"1214482-1"	"1214482-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Not feeling well according to mother the night before he passed away.  11 days after vaccination."
	"1218464-1"	"1218464-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""EMS was dispatched to patient's home for ""non breathing.""  EMS found patient on the floor in the kitchen with sheet already over her.  No pulse, patient cold to the touch, jaw was locked shut.  Patient's family members stated the last time they saw the patient alive was around 2:30 am on the same day.  Patient pronounced dead on arrival at 6:20 am.  No evidence of foul play noted.""
	"1218464-1"	"1218464-1"	"PERIPHERAL COLDNESS"	"10034568"	"65-79 years"	"65-79"	""EMS was dispatched to patient's home for ""non breathing.""  EMS found patient on the floor in the kitchen with sheet already over her.  No pulse, patient cold to the touch, jaw was locked shut.  Patient's family members stated the last time they saw the patient alive was around 2:30 am on the same day.  Patient pronounced dead on arrival at 6:20 am.  No evidence of foul play noted.""
	"1218464-1"	"1218464-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	""EMS was dispatched to patient's home for ""non breathing.""  EMS found patient on the floor in the kitchen with sheet already over her.  No pulse, patient cold to the touch, jaw was locked shut.  Patient's family members stated the last time they saw the patient alive was around 2:30 am on the same day.  Patient pronounced dead on arrival at 6:20 am.  No evidence of foul play noted.""
	"1218464-1"	"1218464-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	""EMS was dispatched to patient's home for ""non breathing.""  EMS found patient on the floor in the kitchen with sheet already over her.  No pulse, patient cold to the touch, jaw was locked shut.  Patient's family members stated the last time they saw the patient alive was around 2:30 am on the same day.  Patient pronounced dead on arrival at 6:20 am.  No evidence of foul play noted.""
	"1218464-1"	"1218464-1"	"TRISMUS"	"10044684"	"65-79 years"	"65-79"	""EMS was dispatched to patient's home for ""non breathing.""  EMS found patient on the floor in the kitchen with sheet already over her.  No pulse, patient cold to the touch, jaw was locked shut.  Patient's family members stated the last time they saw the patient alive was around 2:30 am on the same day.  Patient pronounced dead on arrival at 6:20 am.  No evidence of foul play noted.""
	"1218467-1"	"1218467-1"	"ACUTE LEFT VENTRICULAR FAILURE"	"10063081"	"65-79 years"	"65-79"	"Patient hospitalized Hospital Admission Diagnoses: Severe sepsis (CMS/HCC) [A41.9, R65.20] Discharge Diagnosis: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021 Discharge Diagnoses: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021  *Acute respiratory failure with hypoxia (CMS/HCC) 03/24/2021  *Acute pulmonary edema (CMS/HCC) 03/24/2021  *IVH (Intraventricular hemorrhage) (CMS/HCC) 06/06/2018  *Brain edema (CMS/HCC) 06/06/2018  *Brain compression (CMS/HCC) 06/06/2018  *Benign essential HTN  *Coronary artery disease * Type 2 diabetes mellitus with hemoglobin A1c goal of less than 7.0% (CMS/HCC)  *Nontraumatic right thalamic hemorrhage (HCC) 06/05/2018  Consults:  IP CONSULT TO PULMONOLOGY IP CONSULT TO CARDIOLOGY INPATIENT CONSULT TO PHARMACY INPATIENT CONSULT TO PHARMACY IP CONSULT TO NUTRITION SERVICES IP CONSULT TO NUTRITION SERVICES Procedures:  Intubation Catheterization  Significant Diagnostic Studies: Cardiac Catheterization"
	"1218467-1"	"1218467-1"	"ACUTE PULMONARY OEDEMA"	"10001029"	"65-79 years"	"65-79"	"Patient hospitalized Hospital Admission Diagnoses: Severe sepsis (CMS/HCC) [A41.9, R65.20] Discharge Diagnosis: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021 Discharge Diagnoses: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021  *Acute respiratory failure with hypoxia (CMS/HCC) 03/24/2021  *Acute pulmonary edema (CMS/HCC) 03/24/2021  *IVH (Intraventricular hemorrhage) (CMS/HCC) 06/06/2018  *Brain edema (CMS/HCC) 06/06/2018  *Brain compression (CMS/HCC) 06/06/2018  *Benign essential HTN  *Coronary artery disease * Type 2 diabetes mellitus with hemoglobin A1c goal of less than 7.0% (CMS/HCC)  *Nontraumatic right thalamic hemorrhage (HCC) 06/05/2018  Consults:  IP CONSULT TO PULMONOLOGY IP CONSULT TO CARDIOLOGY INPATIENT CONSULT TO PHARMACY INPATIENT CONSULT TO PHARMACY IP CONSULT TO NUTRITION SERVICES IP CONSULT TO NUTRITION SERVICES Procedures:  Intubation Catheterization  Significant Diagnostic Studies: Cardiac Catheterization"
	"1218467-1"	"1218467-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Patient hospitalized Hospital Admission Diagnoses: Severe sepsis (CMS/HCC) [A41.9, R65.20] Discharge Diagnosis: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021 Discharge Diagnoses: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021  *Acute respiratory failure with hypoxia (CMS/HCC) 03/24/2021  *Acute pulmonary edema (CMS/HCC) 03/24/2021  *IVH (Intraventricular hemorrhage) (CMS/HCC) 06/06/2018  *Brain edema (CMS/HCC) 06/06/2018  *Brain compression (CMS/HCC) 06/06/2018  *Benign essential HTN  *Coronary artery disease * Type 2 diabetes mellitus with hemoglobin A1c goal of less than 7.0% (CMS/HCC)  *Nontraumatic right thalamic hemorrhage (HCC) 06/05/2018  Consults:  IP CONSULT TO PULMONOLOGY IP CONSULT TO CARDIOLOGY INPATIENT CONSULT TO PHARMACY INPATIENT CONSULT TO PHARMACY IP CONSULT TO NUTRITION SERVICES IP CONSULT TO NUTRITION SERVICES Procedures:  Intubation Catheterization  Significant Diagnostic Studies: Cardiac Catheterization"
	"1218467-1"	"1218467-1"	"CATHETER PLACEMENT"	"10052915"	"65-79 years"	"65-79"	"Patient hospitalized Hospital Admission Diagnoses: Severe sepsis (CMS/HCC) [A41.9, R65.20] Discharge Diagnosis: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021 Discharge Diagnoses: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021  *Acute respiratory failure with hypoxia (CMS/HCC) 03/24/2021  *Acute pulmonary edema (CMS/HCC) 03/24/2021  *IVH (Intraventricular hemorrhage) (CMS/HCC) 06/06/2018  *Brain edema (CMS/HCC) 06/06/2018  *Brain compression (CMS/HCC) 06/06/2018  *Benign essential HTN  *Coronary artery disease * Type 2 diabetes mellitus with hemoglobin A1c goal of less than 7.0% (CMS/HCC)  *Nontraumatic right thalamic hemorrhage (HCC) 06/05/2018  Consults:  IP CONSULT TO PULMONOLOGY IP CONSULT TO CARDIOLOGY INPATIENT CONSULT TO PHARMACY INPATIENT CONSULT TO PHARMACY IP CONSULT TO NUTRITION SERVICES IP CONSULT TO NUTRITION SERVICES Procedures:  Intubation Catheterization  Significant Diagnostic Studies: Cardiac Catheterization"
	"1218467-1"	"1218467-1"	"CATHETERISATION CARDIAC"	"10007815"	"65-79 years"	"65-79"	"Patient hospitalized Hospital Admission Diagnoses: Severe sepsis (CMS/HCC) [A41.9, R65.20] Discharge Diagnosis: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021 Discharge Diagnoses: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021  *Acute respiratory failure with hypoxia (CMS/HCC) 03/24/2021  *Acute pulmonary edema (CMS/HCC) 03/24/2021  *IVH (Intraventricular hemorrhage) (CMS/HCC) 06/06/2018  *Brain edema (CMS/HCC) 06/06/2018  *Brain compression (CMS/HCC) 06/06/2018  *Benign essential HTN  *Coronary artery disease * Type 2 diabetes mellitus with hemoglobin A1c goal of less than 7.0% (CMS/HCC)  *Nontraumatic right thalamic hemorrhage (HCC) 06/05/2018  Consults:  IP CONSULT TO PULMONOLOGY IP CONSULT TO CARDIOLOGY INPATIENT CONSULT TO PHARMACY INPATIENT CONSULT TO PHARMACY IP CONSULT TO NUTRITION SERVICES IP CONSULT TO NUTRITION SERVICES Procedures:  Intubation Catheterization  Significant Diagnostic Studies: Cardiac Catheterization"
	"1218467-1"	"1218467-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient hospitalized Hospital Admission Diagnoses: Severe sepsis (CMS/HCC) [A41.9, R65.20] Discharge Diagnosis: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021 Discharge Diagnoses: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021  *Acute respiratory failure with hypoxia (CMS/HCC) 03/24/2021  *Acute pulmonary edema (CMS/HCC) 03/24/2021  *IVH (Intraventricular hemorrhage) (CMS/HCC) 06/06/2018  *Brain edema (CMS/HCC) 06/06/2018  *Brain compression (CMS/HCC) 06/06/2018  *Benign essential HTN  *Coronary artery disease * Type 2 diabetes mellitus with hemoglobin A1c goal of less than 7.0% (CMS/HCC)  *Nontraumatic right thalamic hemorrhage (HCC) 06/05/2018  Consults:  IP CONSULT TO PULMONOLOGY IP CONSULT TO CARDIOLOGY INPATIENT CONSULT TO PHARMACY INPATIENT CONSULT TO PHARMACY IP CONSULT TO NUTRITION SERVICES IP CONSULT TO NUTRITION SERVICES Procedures:  Intubation Catheterization  Significant Diagnostic Studies: Cardiac Catheterization"
	"1218467-1"	"1218467-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Patient hospitalized Hospital Admission Diagnoses: Severe sepsis (CMS/HCC) [A41.9, R65.20] Discharge Diagnosis: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021 Discharge Diagnoses: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021  *Acute respiratory failure with hypoxia (CMS/HCC) 03/24/2021  *Acute pulmonary edema (CMS/HCC) 03/24/2021  *IVH (Intraventricular hemorrhage) (CMS/HCC) 06/06/2018  *Brain edema (CMS/HCC) 06/06/2018  *Brain compression (CMS/HCC) 06/06/2018  *Benign essential HTN  *Coronary artery disease * Type 2 diabetes mellitus with hemoglobin A1c goal of less than 7.0% (CMS/HCC)  *Nontraumatic right thalamic hemorrhage (HCC) 06/05/2018  Consults:  IP CONSULT TO PULMONOLOGY IP CONSULT TO CARDIOLOGY INPATIENT CONSULT TO PHARMACY INPATIENT CONSULT TO PHARMACY IP CONSULT TO NUTRITION SERVICES IP CONSULT TO NUTRITION SERVICES Procedures:  Intubation Catheterization  Significant Diagnostic Studies: Cardiac Catheterization"
	"1218467-1"	"1218467-1"	"TROPONIN INCREASED"	"10058267"	"65-79 years"	"65-79"	"Patient hospitalized Hospital Admission Diagnoses: Severe sepsis (CMS/HCC) [A41.9, R65.20] Discharge Diagnosis: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021 Discharge Diagnoses: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021  *Acute respiratory failure with hypoxia (CMS/HCC) 03/24/2021  *Acute pulmonary edema (CMS/HCC) 03/24/2021  *IVH (Intraventricular hemorrhage) (CMS/HCC) 06/06/2018  *Brain edema (CMS/HCC) 06/06/2018  *Brain compression (CMS/HCC) 06/06/2018  *Benign essential HTN  *Coronary artery disease * Type 2 diabetes mellitus with hemoglobin A1c goal of less than 7.0% (CMS/HCC)  *Nontraumatic right thalamic hemorrhage (HCC) 06/05/2018  Consults:  IP CONSULT TO PULMONOLOGY IP CONSULT TO CARDIOLOGY INPATIENT CONSULT TO PHARMACY INPATIENT CONSULT TO PHARMACY IP CONSULT TO NUTRITION SERVICES IP CONSULT TO NUTRITION SERVICES Procedures:  Intubation Catheterization  Significant Diagnostic Studies: Cardiac Catheterization"
	"1218467-1"	"1218467-1"	"VITAMIN B12 DEFICIENCY"	"10047609"	"65-79 years"	"65-79"	"Patient hospitalized Hospital Admission Diagnoses: Severe sepsis (CMS/HCC) [A41.9, R65.20] Discharge Diagnosis: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021 Discharge Diagnoses: Patient Active Problem List Diagnosis Date Noted  *Elevated troponin 03/30/2021  *B12 deficiency 03/30/2021  *Acute systolic heart failure (CMS/HCC) 03/25/2021  *Acute respiratory failure with hypoxia (CMS/HCC) 03/24/2021  *Acute pulmonary edema (CMS/HCC) 03/24/2021  *IVH (Intraventricular hemorrhage) (CMS/HCC) 06/06/2018  *Brain edema (CMS/HCC) 06/06/2018  *Brain compression (CMS/HCC) 06/06/2018  *Benign essential HTN  *Coronary artery disease * Type 2 diabetes mellitus with hemoglobin A1c goal of less than 7.0% (CMS/HCC)  *Nontraumatic right thalamic hemorrhage (HCC) 06/05/2018  Consults:  IP CONSULT TO PULMONOLOGY IP CONSULT TO CARDIOLOGY INPATIENT CONSULT TO PHARMACY INPATIENT CONSULT TO PHARMACY IP CONSULT TO NUTRITION SERVICES IP CONSULT TO NUTRITION SERVICES Procedures:  Intubation Catheterization  Significant Diagnostic Studies: Cardiac Catheterization"
	"1218764-1"	"1218764-1"	"ACTIVATED PARTIAL THROMBOPLASTIN TIME SHORTENED"	"10000637"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"BRAIN HERNIATION"	"10006126"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"CEREBRAL MASS EFFECT"	"10067086"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"COMPUTERISED TOMOGRAM HEAD ABNORMAL"	"10072168"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"INTERNATIONAL NORMALISED RATIO INCREASED"	"10022595"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"LEUKAEMIA RECURRENT"	"10062489"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"LEUKAPHERESIS"	"10051524"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"LEUKOCYTOSIS"	"10024378"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"LUNG INFILTRATION"	"10025102"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"OEDEMA PERIPHERAL"	"10030124"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"PLATELET COUNT DECREASED"	"10035528"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"PROTHROMBIN TIME PROLONGED"	"10037063"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"RESPIRATORY VIRAL PANEL"	"10075165"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"SUBDURAL HAEMORRHAGE"	"10042364"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"VIRAL TEST NEGATIVE"	"10062362"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218764-1"	"1218764-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	"Patient with Hx of AML received 1st dose COVID vaccine 2/10/2021, 2nd dose 3/4/2021.  She developed DVT of the right leg, AML relapse. The patient has been diagnosed with AML back in 2016 and underwent several lines of therapy including chemotherapy with 7 and 3 and the last treatment was decitabine with maintenance treatment with ivosidenib.  Having severe leukocytosis and right-sided leg edema with DVT raised concern about  blast crisis and leukostasis. Patient was admitted to hospital and received. ceftriaxone and azithromycin for possible pneumonia.  She underwent leukophoresis on the 4/6/2021, 4/7/2021. Patient received IV heparin gtt for DVT but later on was on hold given worsening thrombocytopenia. She was transferred from one hospital to another hospital.  I do not think the development of DVT was due to COVID vaccine. But prior to COVID vaccine, patient was in AML remission."
	"1218779-1"	"1218779-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1219772-1"	"1219772-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died 1 month after vaccination, cause of death is failure to thrive"
	"1219772-1"	"1219772-1"	"FAILURE TO THRIVE"	"10016165"	"65-79 years"	"65-79"	"Patient died 1 month after vaccination, cause of death is failure to thrive"
	"1228448-1"	"1228448-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Received vaccine 04/08/2021.  Was admitted to the hospital later in the day  with cardiac arrest.  Deceased 4/9/2021"
	"1228448-1"	"1228448-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Received vaccine 04/08/2021.  Was admitted to the hospital later in the day  with cardiac arrest.  Deceased 4/9/2021"
	"1229797-1"	"1229797-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Paient was vaccinated on 3/29/2021 with dose 1 of Moderna. Patient developed COVID symptoms on 4/4/2021 and passed away on 4/16/2021."
	"1229797-1"	"1229797-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Paient was vaccinated on 3/29/2021 with dose 1 of Moderna. Patient developed COVID symptoms on 4/4/2021 and passed away on 4/16/2021."
	"1230079-1"	"1230079-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"My husband passed away two weeks and one day after getting his last vaccine"
	"1230357-1"	"1230357-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"On the morning of Friday 4/16/21, patient came to vaccine clinic to let us know that his wife passed away the night of her second dose of her Pfizer covid vaccine. He states that she complained of arm pain at the injection site that evening (4/14/21) and went to bed around 9:30pm because the pain was excruciating. He said around 2:00am, she woke up stating she couldn't breathe. This has happened before, so she went and sat up in the living room which helped her last time. For whatever reason, she then went into her bedroom where he said she fell out. He noticed foam coming from her mouth and called 911. EMS was unable to revive her. She passed away at home."
	"1230357-1"	"1230357-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"On the morning of Friday 4/16/21, patient came to vaccine clinic to let us know that his wife passed away the night of her second dose of her Pfizer covid vaccine. He states that she complained of arm pain at the injection site that evening (4/14/21) and went to bed around 9:30pm because the pain was excruciating. He said around 2:00am, she woke up stating she couldn't breathe. This has happened before, so she went and sat up in the living room which helped her last time. For whatever reason, she then went into her bedroom where he said she fell out. He noticed foam coming from her mouth and called 911. EMS was unable to revive her. She passed away at home."
	"1230357-1"	"1230357-1"	"FOAMING AT MOUTH"	"10062654"	"65-79 years"	"65-79"	"On the morning of Friday 4/16/21, patient came to vaccine clinic to let us know that his wife passed away the night of her second dose of her Pfizer covid vaccine. He states that she complained of arm pain at the injection site that evening (4/14/21) and went to bed around 9:30pm because the pain was excruciating. He said around 2:00am, she woke up stating she couldn't breathe. This has happened before, so she went and sat up in the living room which helped her last time. For whatever reason, she then went into her bedroom where he said she fell out. He noticed foam coming from her mouth and called 911. EMS was unable to revive her. She passed away at home."
	"1230357-1"	"1230357-1"	"INJECTION SITE PAIN"	"10022086"	"65-79 years"	"65-79"	"On the morning of Friday 4/16/21, patient came to vaccine clinic to let us know that his wife passed away the night of her second dose of her Pfizer covid vaccine. He states that she complained of arm pain at the injection site that evening (4/14/21) and went to bed around 9:30pm because the pain was excruciating. He said around 2:00am, she woke up stating she couldn't breathe. This has happened before, so she went and sat up in the living room which helped her last time. For whatever reason, she then went into her bedroom where he said she fell out. He noticed foam coming from her mouth and called 911. EMS was unable to revive her. She passed away at home."
	"1230357-1"	"1230357-1"	"SLEEP DISORDER"	"10040984"	"65-79 years"	"65-79"	"On the morning of Friday 4/16/21, patient came to vaccine clinic to let us know that his wife passed away the night of her second dose of her Pfizer covid vaccine. He states that she complained of arm pain at the injection site that evening (4/14/21) and went to bed around 9:30pm because the pain was excruciating. He said around 2:00am, she woke up stating she couldn't breathe. This has happened before, so she went and sat up in the living room which helped her last time. For whatever reason, she then went into her bedroom where he said she fell out. He noticed foam coming from her mouth and called 911. EMS was unable to revive her. She passed away at home."
	"1230357-1"	"1230357-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"On the morning of Friday 4/16/21, patient came to vaccine clinic to let us know that his wife passed away the night of her second dose of her Pfizer covid vaccine. He states that she complained of arm pain at the injection site that evening (4/14/21) and went to bed around 9:30pm because the pain was excruciating. He said around 2:00am, she woke up stating she couldn't breathe. This has happened before, so she went and sat up in the living room which helped her last time. For whatever reason, she then went into her bedroom where he said she fell out. He noticed foam coming from her mouth and called 911. EMS was unable to revive her. She passed away at home."
	"1230493-1"	"1230493-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had just been advised that his cancer had stopped growing and would be able to resume his immunotherapy drug Tagrisso. After receiving his first dose he went downhill very quickly. On the evening of 2/23 he had an unexplained seizure and went to the ER through 2/26. He was discharged to Hospice and passed away on 2/28."
	"1230493-1"	"1230493-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Patient had just been advised that his cancer had stopped growing and would be able to resume his immunotherapy drug Tagrisso. After receiving his first dose he went downhill very quickly. On the evening of 2/23 he had an unexplained seizure and went to the ER through 2/26. He was discharged to Hospice and passed away on 2/28."
	"1230493-1"	"1230493-1"	"SEIZURE"	"10039906"	"65-79 years"	"65-79"	"Patient had just been advised that his cancer had stopped growing and would be able to resume his immunotherapy drug Tagrisso. After receiving his first dose he went downhill very quickly. On the evening of 2/23 he had an unexplained seizure and went to the ER through 2/26. He was discharged to Hospice and passed away on 2/28."
	"1231272-1"	"1231272-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT RECEIVED THE WND INJECTION APPROX 4:00PM. DAY OF - INITIAL COMPLAINT CHRONIC FATIGUE AND REDNESS & TENDERNESS AT THE INJECTION SITE. NEXT DAY CHRONIC FATIGUE, REDNESS AND TENDERNESS AT THE INJECTION SITE. APPROX 9:30 PM PATIENT COMPLAINED OF A POUNDING HEADACHE AND FATIGUE. SHE DIED A FEW HOURS LATER. CORONER'S OFFICE PROCLAIMED TIME OF DEATH APPROX MIDNIGHT THURSDAY NIGHT/FRIDAY MORNING."
	"1231272-1"	"1231272-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"PATIENT RECEIVED THE WND INJECTION APPROX 4:00PM. DAY OF - INITIAL COMPLAINT CHRONIC FATIGUE AND REDNESS & TENDERNESS AT THE INJECTION SITE. NEXT DAY CHRONIC FATIGUE, REDNESS AND TENDERNESS AT THE INJECTION SITE. APPROX 9:30 PM PATIENT COMPLAINED OF A POUNDING HEADACHE AND FATIGUE. SHE DIED A FEW HOURS LATER. CORONER'S OFFICE PROCLAIMED TIME OF DEATH APPROX MIDNIGHT THURSDAY NIGHT/FRIDAY MORNING."
	"1231272-1"	"1231272-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"PATIENT RECEIVED THE WND INJECTION APPROX 4:00PM. DAY OF - INITIAL COMPLAINT CHRONIC FATIGUE AND REDNESS & TENDERNESS AT THE INJECTION SITE. NEXT DAY CHRONIC FATIGUE, REDNESS AND TENDERNESS AT THE INJECTION SITE. APPROX 9:30 PM PATIENT COMPLAINED OF A POUNDING HEADACHE AND FATIGUE. SHE DIED A FEW HOURS LATER. CORONER'S OFFICE PROCLAIMED TIME OF DEATH APPROX MIDNIGHT THURSDAY NIGHT/FRIDAY MORNING."
	"1231272-1"	"1231272-1"	"INJECTION SITE ERYTHEMA"	"10022061"	"65-79 years"	"65-79"	"PATIENT RECEIVED THE WND INJECTION APPROX 4:00PM. DAY OF - INITIAL COMPLAINT CHRONIC FATIGUE AND REDNESS & TENDERNESS AT THE INJECTION SITE. NEXT DAY CHRONIC FATIGUE, REDNESS AND TENDERNESS AT THE INJECTION SITE. APPROX 9:30 PM PATIENT COMPLAINED OF A POUNDING HEADACHE AND FATIGUE. SHE DIED A FEW HOURS LATER. CORONER'S OFFICE PROCLAIMED TIME OF DEATH APPROX MIDNIGHT THURSDAY NIGHT/FRIDAY MORNING."
	"1231272-1"	"1231272-1"	"INJECTION SITE PAIN"	"10022086"	"65-79 years"	"65-79"	"PATIENT RECEIVED THE WND INJECTION APPROX 4:00PM. DAY OF - INITIAL COMPLAINT CHRONIC FATIGUE AND REDNESS & TENDERNESS AT THE INJECTION SITE. NEXT DAY CHRONIC FATIGUE, REDNESS AND TENDERNESS AT THE INJECTION SITE. APPROX 9:30 PM PATIENT COMPLAINED OF A POUNDING HEADACHE AND FATIGUE. SHE DIED A FEW HOURS LATER. CORONER'S OFFICE PROCLAIMED TIME OF DEATH APPROX MIDNIGHT THURSDAY NIGHT/FRIDAY MORNING."
	"1231384-1"	"1231384-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Sharp Chest Pain resulting in Death 2 hours later, 03/13/2021 @ 12:08"
	"1231384-1"	"1231384-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Sharp Chest Pain resulting in Death 2 hours later, 03/13/2021 @ 12:08"
	"1232970-1"	"1232970-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient passed away."
	"1233186-1"	"1233186-1"	"ACTIVATED PARTIAL THROMBOPLASTIN TIME PROLONGED"	"10000636"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"AMPUTATION"	"10061627"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"ANION GAP NORMAL"	"10002530"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"BLOOD ALBUMIN NORMAL"	"10005289"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"BLOOD BICARBONATE DECREASED"	"10005359"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"BLOOD CALCIUM DECREASED"	"10005395"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"BLOOD CHLORIDE INCREASED"	"10005420"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"BLOOD GLUCOSE NORMAL"	"10005558"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"BLOOD PH DECREASED"	"10005706"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"BLOOD PHOSPHORUS DECREASED"	"10049471"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"BLOOD POTASSIUM NORMAL"	"10005726"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"BLOOD SODIUM NORMAL"	"10005804"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"BLOOD UREA NORMAL"	"10005857"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"CARBON DIOXIDE DECREASED"	"10007223"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"DEBRIDEMENT"	"10067806"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"EGFR STATUS ASSAY"	"10071955"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"HAEMATOCRIT DECREASED"	"10018838"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"MEAN CELL HAEMOGLOBIN CONCENTRATION NORMAL"	"10026994"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"MEAN CELL HAEMOGLOBIN NORMAL"	"10026997"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"MEAN CELL VOLUME NORMAL"	"10027006"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"MEAN PLATELET VOLUME INCREASED"	"10055052"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"PCO2 DECREASED"	"10034181"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"PLATELET COUNT DECREASED"	"10035528"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"PO2 INCREASED"	"10035769"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"RED BLOOD CELL COUNT DECREASED"	"10038153"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"RED CELL DISTRIBUTION WIDTH INCREASED"	"10053920"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1233186-1"	"1233186-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	"The patient is a 73yr old female with multiple comorbidities including but not limiting to ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021, with multiple admissions (?6) this year already, admitted with septic shock, NSTEMI on 4/13/2021. She underwent R foot debridement and amputation on 4/16/2021. ID team treated with Vanco/Cefepime. On 4/18 afternoon, she developed PEA and coded for about 25min. Since ROSC, she never regained consciousness. This morning, at the beginning of my shift at 7am, she's on bicarb drip, maxed Levophed 100, Epi 100 drips and full vent. However, she was getting paced and BP stayed in 40s. I discussed with ICU pharmacist and gave her stress dose Solu-cortef. Checked serum cortisol level, turned out to be appropriate later. Lactic acid 22 and bicarb was only 2 despite being on Bicarb drip. I called Shauna/daughter to  inform her about guarded prognosis (imminent death) and asked to bring husband to come see her asap. Before family arrived, she developed another PEA and code blue was called. She was given Epi, bicarb pushes and CPR started immediately. Code blue was unsuccessful. At 8:13am, she was pronounced dead. I called daughter again to notify her of patient's death. Family arrived around 10am. I met both daughter and husband at bedside and offered emotional support. Chaplain was consulted.   Disposition  - critically ill patient with multi-organ failure, septic shock from R foot osteomyelitis, ESRD  on dialysis, DM, COPD on home oxygen, OSA not compliant with CPAP at home, pulmonary hypertension, tachy-brady syndrome s/p pacemaker in March 2021  - Patient coded and did not survive"
	"1235829-1"	"1235829-1"	"DROWNING"	"10013647"	"65-79 years"	"65-79"	"Drowning; He didn't feel well; This is a spontaneous report from a contactable consumer (patient's wife). A 69-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 1 via an unspecified route of administration administered in left arm on 05Mar202113:00 (Lot Number: En6198) as single dose for COVID-19 immunisation. Medical history included hypertensive cardio disease, remote myocardial infraction. No COVID prior vaccination. No known allergies. No COVID was tested post vaccination. There were no concomitant medications. No other vaccine was received in four weeks. The patient didn't feel well Saturday on 06Mar2021 12:00 AM, went surfing Sunday morning on 07Mar2021 as usual for the last 60 yrs. He was in excellent shape and surfed every day. At about 7am the reporter received a phone call that the patient had been pulled from the water unresponsive. But what the reporter didn't understand was he had his arm over his board. But his face was in the water. The reporter realize he drowned but something happened before that. The events resulted in Emergency room/department or urgent care. It was unknown if patient received treatment for events. The patient died on 07Mar2021. An autopsy was performed that revealed drowning. The outcome of event didn't feel well was unknown.; Reported Cause(s) of Death: Drowning; Autopsy-determined Cause(s) of Death: Drowning"
	"1235829-1"	"1235829-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Drowning; He didn't feel well; This is a spontaneous report from a contactable consumer (patient's wife). A 69-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 1 via an unspecified route of administration administered in left arm on 05Mar202113:00 (Lot Number: En6198) as single dose for COVID-19 immunisation. Medical history included hypertensive cardio disease, remote myocardial infraction. No COVID prior vaccination. No known allergies. No COVID was tested post vaccination. There were no concomitant medications. No other vaccine was received in four weeks. The patient didn't feel well Saturday on 06Mar2021 12:00 AM, went surfing Sunday morning on 07Mar2021 as usual for the last 60 yrs. He was in excellent shape and surfed every day. At about 7am the reporter received a phone call that the patient had been pulled from the water unresponsive. But what the reporter didn't understand was he had his arm over his board. But his face was in the water. The reporter realize he drowned but something happened before that. The events resulted in Emergency room/department or urgent care. It was unknown if patient received treatment for events. The patient died on 07Mar2021. An autopsy was performed that revealed drowning. The outcome of event didn't feel well was unknown.; Reported Cause(s) of Death: Drowning; Autopsy-determined Cause(s) of Death: Drowning"
	"1237069-1"	"1237069-1"	"CARDIAC FAILURE"	"10007554"	"65-79 years"	"65-79"	"Spouse reported that patient was taken to The Hospital after unresponsive in the home on 4/2/2021.  States was told that cause of death was heart failure."
	"1237069-1"	"1237069-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Spouse reported that patient was taken to The Hospital after unresponsive in the home on 4/2/2021.  States was told that cause of death was heart failure."
	"1237069-1"	"1237069-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Spouse reported that patient was taken to The Hospital after unresponsive in the home on 4/2/2021.  States was told that cause of death was heart failure."
	"1244814-1"	"1244814-1"	"BLOOD TEST"	"10061726"	"65-79 years"	"65-79"	"Dizziness off and on for 2 weeks along with muscle weakness and developed a cough about a week after this injection.  My mother passed away."
	"1244814-1"	"1244814-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Dizziness off and on for 2 weeks along with muscle weakness and developed a cough about a week after this injection.  My mother passed away."
	"1244814-1"	"1244814-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Dizziness off and on for 2 weeks along with muscle weakness and developed a cough about a week after this injection.  My mother passed away."
	"1244814-1"	"1244814-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"Dizziness off and on for 2 weeks along with muscle weakness and developed a cough about a week after this injection.  My mother passed away."
	"1244814-1"	"1244814-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"Dizziness off and on for 2 weeks along with muscle weakness and developed a cough about a week after this injection.  My mother passed away."
	"1244814-1"	"1244814-1"	"MAGNETIC RESONANCE IMAGING NORMAL"	"10078225"	"65-79 years"	"65-79"	"Dizziness off and on for 2 weeks along with muscle weakness and developed a cough about a week after this injection.  My mother passed away."
	"1244814-1"	"1244814-1"	"MUSCULAR WEAKNESS"	"10028372"	"65-79 years"	"65-79"	"Dizziness off and on for 2 weeks along with muscle weakness and developed a cough about a week after this injection.  My mother passed away."
	"1244814-1"	"1244814-1"	"X-RAY"	"10048064"	"65-79 years"	"65-79"	"Dizziness off and on for 2 weeks along with muscle weakness and developed a cough about a week after this injection.  My mother passed away."
	"1246110-1"	"1246110-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Lethargy, weakness, headache; ultimately pronounced on 4/3/2021 at 1310 hours"
	"1246110-1"	"1246110-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Lethargy, weakness, headache; ultimately pronounced on 4/3/2021 at 1310 hours"
	"1246110-1"	"1246110-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Lethargy, weakness, headache; ultimately pronounced on 4/3/2021 at 1310 hours"
	"1246110-1"	"1246110-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Lethargy, weakness, headache; ultimately pronounced on 4/3/2021 at 1310 hours"
	"1246110-1"	"1246110-1"	"INFLUENZA VIRUS TEST POSITIVE"	"10070717"	"65-79 years"	"65-79"	"Lethargy, weakness, headache; ultimately pronounced on 4/3/2021 at 1310 hours"
	"1246110-1"	"1246110-1"	"LETHARGY"	"10024264"	"65-79 years"	"65-79"	"Lethargy, weakness, headache; ultimately pronounced on 4/3/2021 at 1310 hours"
	"1246110-1"	"1246110-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Lethargy, weakness, headache; ultimately pronounced on 4/3/2021 at 1310 hours"
	"1246110-1"	"1246110-1"	"TRYPTASE"	"10063240"	"65-79 years"	"65-79"	"Lethargy, weakness, headache; ultimately pronounced on 4/3/2021 at 1310 hours"
	"1247588-1"	"1247588-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"Shortness of breath in early March, hospitalized on 3/17/2021, was COVID positive and was found to have pulmonary emboli"
	"1247588-1"	"1247588-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"65-79 years"	"65-79"	"Shortness of breath in early March, hospitalized on 3/17/2021, was COVID positive and was found to have pulmonary emboli"
	"1247588-1"	"1247588-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Shortness of breath in early March, hospitalized on 3/17/2021, was COVID positive and was found to have pulmonary emboli"
	"1247588-1"	"1247588-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"65-79 years"	"65-79"	"Shortness of breath in early March, hospitalized on 3/17/2021, was COVID positive and was found to have pulmonary emboli"
	"1247588-1"	"1247588-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Shortness of breath in early March, hospitalized on 3/17/2021, was COVID positive and was found to have pulmonary emboli"
	"1247588-1"	"1247588-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"Shortness of breath in early March, hospitalized on 3/17/2021, was COVID positive and was found to have pulmonary emboli"
	"1247588-1"	"1247588-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Shortness of breath in early March, hospitalized on 3/17/2021, was COVID positive and was found to have pulmonary emboli"
	"1247588-1"	"1247588-1"	"TROPONIN INCREASED"	"10058267"	"65-79 years"	"65-79"	"Shortness of breath in early March, hospitalized on 3/17/2021, was COVID positive and was found to have pulmonary emboli"
	"1248748-1"	"1248748-1"	"COORDINATION ABNORMAL"	"10010947"	"65-79 years"	"65-79"	"Pt in previously good health received J&J vaccine 04/09 and felt well until 04/21 when she developed lower extremity weakness and incoordination which became progressively worse and was accompanied by slurred speech on the afternoon of 04/22.  The pt's husband helped her into bed and she apparently died during the night of 04/22-04/23."
	"1248748-1"	"1248748-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt in previously good health received J&J vaccine 04/09 and felt well until 04/21 when she developed lower extremity weakness and incoordination which became progressively worse and was accompanied by slurred speech on the afternoon of 04/22.  The pt's husband helped her into bed and she apparently died during the night of 04/22-04/23."
	"1248748-1"	"1248748-1"	"DYSARTHRIA"	"10013887"	"65-79 years"	"65-79"	"Pt in previously good health received J&J vaccine 04/09 and felt well until 04/21 when she developed lower extremity weakness and incoordination which became progressively worse and was accompanied by slurred speech on the afternoon of 04/22.  The pt's husband helped her into bed and she apparently died during the night of 04/22-04/23."
	"1248748-1"	"1248748-1"	"MUSCULAR WEAKNESS"	"10028372"	"65-79 years"	"65-79"	"Pt in previously good health received J&J vaccine 04/09 and felt well until 04/21 when she developed lower extremity weakness and incoordination which became progressively worse and was accompanied by slurred speech on the afternoon of 04/22.  The pt's husband helped her into bed and she apparently died during the night of 04/22-04/23."
	"1266361-1"	"1266361-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	""April 22, 2021 morning my auntie got her first dose of Pfizer vaccine. She happily shared here vaccine experience with family member and relative.  April 23 morning, she told us she has  severe abdominal pain, has the need to have a bowel movement, but she was defecated. She also told us that she vomit couple times already,  then she has no more energy to talk. She got into the hospital and she was announced death right after midnight at 12:04 April 25th.  Reason of death given is ""septic shock secondary to ischemic bowel & intra-abdominal sepsis"".   But it is the blood clots issue that is causing it.   I was told that after my auntie got into hospital the very next day after Pfizer vaccine, hospital later found out that my auntie has blood blockage issue that is causing blood couldn't flow to her intestines. The acid in her blood was very high, 6+.  After more than 6 hours without blood to her intestines, her intestines tissues start dying and turned black color. Doctor found out about this at the night of April 23, 2021 nighttime. April 22, 2021 morning is the day my auntie got her Pfizer covid vaccine.  There is a very high chances of the Pfizer vaccine is causing the blood clots that lead to blood blockages.""
	"1266361-1"	"1266361-1"	"ABDOMINAL SEPSIS"	"10058040"	"65-79 years"	"65-79"	""April 22, 2021 morning my auntie got her first dose of Pfizer vaccine. She happily shared here vaccine experience with family member and relative.  April 23 morning, she told us she has  severe abdominal pain, has the need to have a bowel movement, but she was defecated. She also told us that she vomit couple times already,  then she has no more energy to talk. She got into the hospital and she was announced death right after midnight at 12:04 April 25th.  Reason of death given is ""septic shock secondary to ischemic bowel & intra-abdominal sepsis"".   But it is the blood clots issue that is causing it.   I was told that after my auntie got into hospital the very next day after Pfizer vaccine, hospital later found out that my auntie has blood blockage issue that is causing blood couldn't flow to her intestines. The acid in her blood was very high, 6+.  After more than 6 hours without blood to her intestines, her intestines tissues start dying and turned black color. Doctor found out about this at the night of April 23, 2021 nighttime. April 22, 2021 morning is the day my auntie got her Pfizer covid vaccine.  There is a very high chances of the Pfizer vaccine is causing the blood clots that lead to blood blockages.""
	"1266361-1"	"1266361-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	""April 22, 2021 morning my auntie got her first dose of Pfizer vaccine. She happily shared here vaccine experience with family member and relative.  April 23 morning, she told us she has  severe abdominal pain, has the need to have a bowel movement, but she was defecated. She also told us that she vomit couple times already,  then she has no more energy to talk. She got into the hospital and she was announced death right after midnight at 12:04 April 25th.  Reason of death given is ""septic shock secondary to ischemic bowel & intra-abdominal sepsis"".   But it is the blood clots issue that is causing it.   I was told that after my auntie got into hospital the very next day after Pfizer vaccine, hospital later found out that my auntie has blood blockage issue that is causing blood couldn't flow to her intestines. The acid in her blood was very high, 6+.  After more than 6 hours without blood to her intestines, her intestines tissues start dying and turned black color. Doctor found out about this at the night of April 23, 2021 nighttime. April 22, 2021 morning is the day my auntie got her Pfizer covid vaccine.  There is a very high chances of the Pfizer vaccine is causing the blood clots that lead to blood blockages.""
	"1266361-1"	"1266361-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""April 22, 2021 morning my auntie got her first dose of Pfizer vaccine. She happily shared here vaccine experience with family member and relative.  April 23 morning, she told us she has  severe abdominal pain, has the need to have a bowel movement, but she was defecated. She also told us that she vomit couple times already,  then she has no more energy to talk. She got into the hospital and she was announced death right after midnight at 12:04 April 25th.  Reason of death given is ""septic shock secondary to ischemic bowel & intra-abdominal sepsis"".   But it is the blood clots issue that is causing it.   I was told that after my auntie got into hospital the very next day after Pfizer vaccine, hospital later found out that my auntie has blood blockage issue that is causing blood couldn't flow to her intestines. The acid in her blood was very high, 6+.  After more than 6 hours without blood to her intestines, her intestines tissues start dying and turned black color. Doctor found out about this at the night of April 23, 2021 nighttime. April 22, 2021 morning is the day my auntie got her Pfizer covid vaccine.  There is a very high chances of the Pfizer vaccine is causing the blood clots that lead to blood blockages.""
	"1266361-1"	"1266361-1"	"DEFAECATION URGENCY"	"10012110"	"65-79 years"	"65-79"	""April 22, 2021 morning my auntie got her first dose of Pfizer vaccine. She happily shared here vaccine experience with family member and relative.  April 23 morning, she told us she has  severe abdominal pain, has the need to have a bowel movement, but she was defecated. She also told us that she vomit couple times already,  then she has no more energy to talk. She got into the hospital and she was announced death right after midnight at 12:04 April 25th.  Reason of death given is ""septic shock secondary to ischemic bowel & intra-abdominal sepsis"".   But it is the blood clots issue that is causing it.   I was told that after my auntie got into hospital the very next day after Pfizer vaccine, hospital later found out that my auntie has blood blockage issue that is causing blood couldn't flow to her intestines. The acid in her blood was very high, 6+.  After more than 6 hours without blood to her intestines, her intestines tissues start dying and turned black color. Doctor found out about this at the night of April 23, 2021 nighttime. April 22, 2021 morning is the day my auntie got her Pfizer covid vaccine.  There is a very high chances of the Pfizer vaccine is causing the blood clots that lead to blood blockages.""
	"1266361-1"	"1266361-1"	"GASTROINTESTINAL NECROSIS"	"10017982"	"65-79 years"	"65-79"	""April 22, 2021 morning my auntie got her first dose of Pfizer vaccine. She happily shared here vaccine experience with family member and relative.  April 23 morning, she told us she has  severe abdominal pain, has the need to have a bowel movement, but she was defecated. She also told us that she vomit couple times already,  then she has no more energy to talk. She got into the hospital and she was announced death right after midnight at 12:04 April 25th.  Reason of death given is ""septic shock secondary to ischemic bowel & intra-abdominal sepsis"".   But it is the blood clots issue that is causing it.   I was told that after my auntie got into hospital the very next day after Pfizer vaccine, hospital later found out that my auntie has blood blockage issue that is causing blood couldn't flow to her intestines. The acid in her blood was very high, 6+.  After more than 6 hours without blood to her intestines, her intestines tissues start dying and turned black color. Doctor found out about this at the night of April 23, 2021 nighttime. April 22, 2021 morning is the day my auntie got her Pfizer covid vaccine.  There is a very high chances of the Pfizer vaccine is causing the blood clots that lead to blood blockages.""
	"1266361-1"	"1266361-1"	"INTESTINAL ISCHAEMIA"	"10022680"	"65-79 years"	"65-79"	""April 22, 2021 morning my auntie got her first dose of Pfizer vaccine. She happily shared here vaccine experience with family member and relative.  April 23 morning, she told us she has  severe abdominal pain, has the need to have a bowel movement, but she was defecated. She also told us that she vomit couple times already,  then she has no more energy to talk. She got into the hospital and she was announced death right after midnight at 12:04 April 25th.  Reason of death given is ""septic shock secondary to ischemic bowel & intra-abdominal sepsis"".   But it is the blood clots issue that is causing it.   I was told that after my auntie got into hospital the very next day after Pfizer vaccine, hospital later found out that my auntie has blood blockage issue that is causing blood couldn't flow to her intestines. The acid in her blood was very high, 6+.  After more than 6 hours without blood to her intestines, her intestines tissues start dying and turned black color. Doctor found out about this at the night of April 23, 2021 nighttime. April 22, 2021 morning is the day my auntie got her Pfizer covid vaccine.  There is a very high chances of the Pfizer vaccine is causing the blood clots that lead to blood blockages.""
	"1266361-1"	"1266361-1"	"METABOLIC ACIDOSIS"	"10027417"	"65-79 years"	"65-79"	""April 22, 2021 morning my auntie got her first dose of Pfizer vaccine. She happily shared here vaccine experience with family member and relative.  April 23 morning, she told us she has  severe abdominal pain, has the need to have a bowel movement, but she was defecated. She also told us that she vomit couple times already,  then she has no more energy to talk. She got into the hospital and she was announced death right after midnight at 12:04 April 25th.  Reason of death given is ""septic shock secondary to ischemic bowel & intra-abdominal sepsis"".   But it is the blood clots issue that is causing it.   I was told that after my auntie got into hospital the very next day after Pfizer vaccine, hospital later found out that my auntie has blood blockage issue that is causing blood couldn't flow to her intestines. The acid in her blood was very high, 6+.  After more than 6 hours without blood to her intestines, her intestines tissues start dying and turned black color. Doctor found out about this at the night of April 23, 2021 nighttime. April 22, 2021 morning is the day my auntie got her Pfizer covid vaccine.  There is a very high chances of the Pfizer vaccine is causing the blood clots that lead to blood blockages.""
	"1266361-1"	"1266361-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	""April 22, 2021 morning my auntie got her first dose of Pfizer vaccine. She happily shared here vaccine experience with family member and relative.  April 23 morning, she told us she has  severe abdominal pain, has the need to have a bowel movement, but she was defecated. She also told us that she vomit couple times already,  then she has no more energy to talk. She got into the hospital and she was announced death right after midnight at 12:04 April 25th.  Reason of death given is ""septic shock secondary to ischemic bowel & intra-abdominal sepsis"".   But it is the blood clots issue that is causing it.   I was told that after my auntie got into hospital the very next day after Pfizer vaccine, hospital later found out that my auntie has blood blockage issue that is causing blood couldn't flow to her intestines. The acid in her blood was very high, 6+.  After more than 6 hours without blood to her intestines, her intestines tissues start dying and turned black color. Doctor found out about this at the night of April 23, 2021 nighttime. April 22, 2021 morning is the day my auntie got her Pfizer covid vaccine.  There is a very high chances of the Pfizer vaccine is causing the blood clots that lead to blood blockages.""
	"1266361-1"	"1266361-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	""April 22, 2021 morning my auntie got her first dose of Pfizer vaccine. She happily shared here vaccine experience with family member and relative.  April 23 morning, she told us she has  severe abdominal pain, has the need to have a bowel movement, but she was defecated. She also told us that she vomit couple times already,  then she has no more energy to talk. She got into the hospital and she was announced death right after midnight at 12:04 April 25th.  Reason of death given is ""septic shock secondary to ischemic bowel & intra-abdominal sepsis"".   But it is the blood clots issue that is causing it.   I was told that after my auntie got into hospital the very next day after Pfizer vaccine, hospital later found out that my auntie has blood blockage issue that is causing blood couldn't flow to her intestines. The acid in her blood was very high, 6+.  After more than 6 hours without blood to her intestines, her intestines tissues start dying and turned black color. Doctor found out about this at the night of April 23, 2021 nighttime. April 22, 2021 morning is the day my auntie got her Pfizer covid vaccine.  There is a very high chances of the Pfizer vaccine is causing the blood clots that lead to blood blockages.""
	"1266361-1"	"1266361-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	""April 22, 2021 morning my auntie got her first dose of Pfizer vaccine. She happily shared here vaccine experience with family member and relative.  April 23 morning, she told us she has  severe abdominal pain, has the need to have a bowel movement, but she was defecated. She also told us that she vomit couple times already,  then she has no more energy to talk. She got into the hospital and she was announced death right after midnight at 12:04 April 25th.  Reason of death given is ""septic shock secondary to ischemic bowel & intra-abdominal sepsis"".   But it is the blood clots issue that is causing it.   I was told that after my auntie got into hospital the very next day after Pfizer vaccine, hospital later found out that my auntie has blood blockage issue that is causing blood couldn't flow to her intestines. The acid in her blood was very high, 6+.  After more than 6 hours without blood to her intestines, her intestines tissues start dying and turned black color. Doctor found out about this at the night of April 23, 2021 nighttime. April 22, 2021 morning is the day my auntie got her Pfizer covid vaccine.  There is a very high chances of the Pfizer vaccine is causing the blood clots that lead to blood blockages.""
	"1267444-1"	"1267444-1"	"ABDOMINAL PAIN LOWER"	"10000084"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"ANAEMIA"	"10002034"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"BLOOD CULTURE POSITIVE"	"10005488"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"BLOOD POTASSIUM DECREASED"	"10005724"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"CLOSTRIDIUM DIFFICILE INFECTION"	"10054236"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"HYPOKALAEMIA"	"10021015"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"POSITRON EMISSION TOMOGRAM ABNORMAL"	"10036221"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"PULMONARY MASS"	"10056342"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"TRANSFUSION"	"10066152"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"WEIGHT DECREASED"	"10047895"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267444-1"	"1267444-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	"multiple er/admissions from february through april 27.  pt deceased on 4/27/21 2/25/21  known past medical history of hypertension and hypothyroidism.  Status-post spinal decompression due to stenosis. The patient then developed worsening issues with a surgical site infection. Patient has had numerous bouts of C diff.  Staff notes patient is to have GI consult in the near future.  Patient is seen today in her room. Patient was once again diagnosed with C diff and is currently being treated with antibiotics. Patient notes no bowel movements today.  Patient has not had any issues with intake recently.  The patient's weight has declined partially due to likely diarrhea. Patient's blood pressure continues to be monitored closely as it has been on the lower side of normal.  Patient's potassium 2.9 on CMP.  Patient's other care and therapies were reviewed. 2/28/21 Patient was admitted the hospital after found to be anemic at skilled care facility where she is being treated for C diff infection recurrent Lea. Patient was transfused. Patient was also found to have pneumonia/lung mass. Patient has struggled with electrolyte dysfunction. Patient had to be transfused a second time. Patient did well with second transfusion. Patient was found to be hypokalemic. Patient did well with potassium replacement. The patient was advised will have to do outpatient PET scan. Patient was found to have positive blood cultures as well 4/26/21 68 y.o. female who presents from nursing home with complaints of elevated white blood cell count.  According to nursing home records patient had CBC checked on Saturday 04/24/2021 and her WBC count was found to be 50,000. At that point in time no other orders were given and patient was not sent in for evaluation.   CBC was repeated this morning and WBC count found to be in the 70,000s.  Patient was sent in for evaluation this morning.  In talking with the patient, she denies any runny nose, sinus drainage or cough.  Patient does report shortness of breath.  Patient denies any chest pain or palpitations.  Patient denies any dysuria, hematuria, fevers, or chills.  Patient denies any nausea or vomiting.  Patient does report diffuse pain across the lower abdomen.  She does report chronic diarrhea.  Patient had C diff stool checked on 04/13/2021 and was negative.   (4/26 cdiff positive)  Of note patient does have known lung mass that was seen on chest x-ray and PET scan.  Patient reports that she does not want anything done and understands it could be cancer.  And continuing to question patient, she reports she wants to be a DNR and does not want any aggressive measures."
	"1267593-1"	"1267593-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Headache, Increasing fatigue and difficulty breathing over two weeks before 2nd dose -- exacerbated by 2nd dose.  Worsening condition led to visit to Primary Care   In office tests indicated presence of blood clots and need for emergency hospital treatment.  Emergency surgery to remove blood clots throughout her body and attempt to put her on ECMO were unsuccessful and patient succumbed at 12:06 AM 3/3/21."
	"1267593-1"	"1267593-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Headache, Increasing fatigue and difficulty breathing over two weeks before 2nd dose -- exacerbated by 2nd dose.  Worsening condition led to visit to Primary Care   In office tests indicated presence of blood clots and need for emergency hospital treatment.  Emergency surgery to remove blood clots throughout her body and attempt to put her on ECMO were unsuccessful and patient succumbed at 12:06 AM 3/3/21."
	"1267593-1"	"1267593-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Headache, Increasing fatigue and difficulty breathing over two weeks before 2nd dose -- exacerbated by 2nd dose.  Worsening condition led to visit to Primary Care   In office tests indicated presence of blood clots and need for emergency hospital treatment.  Emergency surgery to remove blood clots throughout her body and attempt to put her on ECMO were unsuccessful and patient succumbed at 12:06 AM 3/3/21."
	"1267593-1"	"1267593-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Headache, Increasing fatigue and difficulty breathing over two weeks before 2nd dose -- exacerbated by 2nd dose.  Worsening condition led to visit to Primary Care   In office tests indicated presence of blood clots and need for emergency hospital treatment.  Emergency surgery to remove blood clots throughout her body and attempt to put her on ECMO were unsuccessful and patient succumbed at 12:06 AM 3/3/21."
	"1267593-1"	"1267593-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"Headache, Increasing fatigue and difficulty breathing over two weeks before 2nd dose -- exacerbated by 2nd dose.  Worsening condition led to visit to Primary Care   In office tests indicated presence of blood clots and need for emergency hospital treatment.  Emergency surgery to remove blood clots throughout her body and attempt to put her on ECMO were unsuccessful and patient succumbed at 12:06 AM 3/3/21."
	"1268137-1"	"1268137-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Cause of Death A:  Acute encephalopathy Cause of Death B:  COVID 19 IMMUNIZATION FOLLOWING COVID 19 VIRUS INFECTION Cause of Death Other:  Chronic Schizophrenia"
	"1268137-1"	"1268137-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Cause of Death A:  Acute encephalopathy Cause of Death B:  COVID 19 IMMUNIZATION FOLLOWING COVID 19 VIRUS INFECTION Cause of Death Other:  Chronic Schizophrenia"
	"1268137-1"	"1268137-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Cause of Death A:  Acute encephalopathy Cause of Death B:  COVID 19 IMMUNIZATION FOLLOWING COVID 19 VIRUS INFECTION Cause of Death Other:  Chronic Schizophrenia"
	"1268137-1"	"1268137-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"Cause of Death A:  Acute encephalopathy Cause of Death B:  COVID 19 IMMUNIZATION FOLLOWING COVID 19 VIRUS INFECTION Cause of Death Other:  Chronic Schizophrenia"
	"1268137-1"	"1268137-1"	"SCHIZOPHRENIA"	"10039626"	"65-79 years"	"65-79"	"Cause of Death A:  Acute encephalopathy Cause of Death B:  COVID 19 IMMUNIZATION FOLLOWING COVID 19 VIRUS INFECTION Cause of Death Other:  Chronic Schizophrenia"
	"1268636-1"	"1268636-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient received the vaccine, no adverse reactions while at the facility/post observation time period.  Patient's niece came into the facility on 4/28/2021 and stated that patient was sick and couldn't move out of the bed after getting the shot.  After three days, patient went into Hospital and later expired on 4/27/2021."
	"1268636-1"	"1268636-1"	"ILLNESS"	"10080284"	"65-79 years"	"65-79"	"Patient received the vaccine, no adverse reactions while at the facility/post observation time period.  Patient's niece came into the facility on 4/28/2021 and stated that patient was sick and couldn't move out of the bed after getting the shot.  After three days, patient went into Hospital and later expired on 4/27/2021."
	"1271626-1"	"1271626-1"	"BODY TEMPERATURE INCREASED"	"10005911"	"65-79 years"	"65-79"	"SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021."
	"1271626-1"	"1271626-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021."
	"1271626-1"	"1271626-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021."
	"1271626-1"	"1271626-1"	"GAIT INABILITY"	"10017581"	"65-79 years"	"65-79"	"SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021."
	"1271626-1"	"1271626-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021."
	"1271626-1"	"1271626-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021."
	"1271626-1"	"1271626-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021."
	"1271626-1"	"1271626-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021."
	"1271626-1"	"1271626-1"	"OROPHARYNGEAL PAIN"	"10068319"	"65-79 years"	"65-79"	"SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021."
	"1271626-1"	"1271626-1"	"RHABDOMYOLYSIS"	"10039020"	"65-79 years"	"65-79"	"SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021."
	"1271626-1"	"1271626-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"SPOUSE REPORTS THE FOLLOWING FOR PATIENT  4/21/2021 @ 9PM GENERAL MALAISE  4/22/2021 APPROX 4AM SEVERE HEADACHE TOOK IBUPROFEN  4/23/2021 AFTER LUNCH, PATIENT WAS UNABLE TO WALK AS PREVIOUS AND HAD 4 FALLS, ALSO COMPLAINED OF A SORE THROAT. 4/24/2021 DID NOT FEEL WELL, TEMP UP TO 100.4, NAUSEA AND VOMITTING X 1 AND CHEST PAIN, CALLED EMS AND WAS TRANSPORTED TO MEDICAL CENTER ER.  4/26/2021 PATIENT WAS DISCHAGED HOME AFTER TREATMENT FOR RHABDOMYOLYSIS AND RETURNED TO THE HOSTPITAL AGAIN ON 04/27/2021 WITH RHABDOMYOLYSIS AS PRIMARY DIAGNSOSIS. RESIDENT DISCHARGED TO SNF ON 04/28/2021."
	"1273691-1"	"1273691-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient tested positive for COVID 19 on 03/21 after a symptom onset of 03/19/21. She was admitted to the hospital on 03/24 and passed away 04/19. Cause of death is listed as multi-organ dysfunction secondary to hemorrhagic shock, other contributing factors: COVID-19 pneumonia."
	"1273691-1"	"1273691-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient tested positive for COVID 19 on 03/21 after a symptom onset of 03/19/21. She was admitted to the hospital on 03/24 and passed away 04/19. Cause of death is listed as multi-organ dysfunction secondary to hemorrhagic shock, other contributing factors: COVID-19 pneumonia."
	"1273691-1"	"1273691-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient tested positive for COVID 19 on 03/21 after a symptom onset of 03/19/21. She was admitted to the hospital on 03/24 and passed away 04/19. Cause of death is listed as multi-organ dysfunction secondary to hemorrhagic shock, other contributing factors: COVID-19 pneumonia."
	"1273691-1"	"1273691-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"65-79 years"	"65-79"	"Patient tested positive for COVID 19 on 03/21 after a symptom onset of 03/19/21. She was admitted to the hospital on 03/24 and passed away 04/19. Cause of death is listed as multi-organ dysfunction secondary to hemorrhagic shock, other contributing factors: COVID-19 pneumonia."
	"1273691-1"	"1273691-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient tested positive for COVID 19 on 03/21 after a symptom onset of 03/19/21. She was admitted to the hospital on 03/24 and passed away 04/19. Cause of death is listed as multi-organ dysfunction secondary to hemorrhagic shock, other contributing factors: COVID-19 pneumonia."
	"1273691-1"	"1273691-1"	"SHOCK HAEMORRHAGIC"	"10049771"	"65-79 years"	"65-79"	"Patient tested positive for COVID 19 on 03/21 after a symptom onset of 03/19/21. She was admitted to the hospital on 03/24 and passed away 04/19. Cause of death is listed as multi-organ dysfunction secondary to hemorrhagic shock, other contributing factors: COVID-19 pneumonia."
	"1274462-1"	"1274462-1"	"BLOOD POTASSIUM DECREASED"	"10005724"	"65-79 years"	"65-79"	"Resident developed and was being treated for pneumonia on  or about  February 14, 2021, He was admitted to hospital on March 6, 2021 for low potassium and returned to the facility about March 11,2021. He returned with a diagnosis of pneumonia. He was admitted hospital on 4-1-2021 and returned to the facility on 4-7-2021 with a diagnosis of CVA. He was admitted to hospital again on 4-12-2021 with a diagnosis of aspiration pneumonia. He returned to the facility on 4-21-2021 and expired at the facility on 4-26-2021"
	"1274462-1"	"1274462-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"Resident developed and was being treated for pneumonia on  or about  February 14, 2021, He was admitted to hospital on March 6, 2021 for low potassium and returned to the facility about March 11,2021. He returned with a diagnosis of pneumonia. He was admitted hospital on 4-1-2021 and returned to the facility on 4-7-2021 with a diagnosis of CVA. He was admitted to hospital again on 4-12-2021 with a diagnosis of aspiration pneumonia. He returned to the facility on 4-21-2021 and expired at the facility on 4-26-2021"
	"1274462-1"	"1274462-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Resident developed and was being treated for pneumonia on  or about  February 14, 2021, He was admitted to hospital on March 6, 2021 for low potassium and returned to the facility about March 11,2021. He returned with a diagnosis of pneumonia. He was admitted hospital on 4-1-2021 and returned to the facility on 4-7-2021 with a diagnosis of CVA. He was admitted to hospital again on 4-12-2021 with a diagnosis of aspiration pneumonia. He returned to the facility on 4-21-2021 and expired at the facility on 4-26-2021"
	"1274462-1"	"1274462-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Resident developed and was being treated for pneumonia on  or about  February 14, 2021, He was admitted to hospital on March 6, 2021 for low potassium and returned to the facility about March 11,2021. He returned with a diagnosis of pneumonia. He was admitted hospital on 4-1-2021 and returned to the facility on 4-7-2021 with a diagnosis of CVA. He was admitted to hospital again on 4-12-2021 with a diagnosis of aspiration pneumonia. He returned to the facility on 4-21-2021 and expired at the facility on 4-26-2021"
	"1274462-1"	"1274462-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Resident developed and was being treated for pneumonia on  or about  February 14, 2021, He was admitted to hospital on March 6, 2021 for low potassium and returned to the facility about March 11,2021. He returned with a diagnosis of pneumonia. He was admitted hospital on 4-1-2021 and returned to the facility on 4-7-2021 with a diagnosis of CVA. He was admitted to hospital again on 4-12-2021 with a diagnosis of aspiration pneumonia. He returned to the facility on 4-21-2021 and expired at the facility on 4-26-2021"
	"1274462-1"	"1274462-1"	"PNEUMONIA ASPIRATION"	"10035669"	"65-79 years"	"65-79"	"Resident developed and was being treated for pneumonia on  or about  February 14, 2021, He was admitted to hospital on March 6, 2021 for low potassium and returned to the facility about March 11,2021. He returned with a diagnosis of pneumonia. He was admitted hospital on 4-1-2021 and returned to the facility on 4-7-2021 with a diagnosis of CVA. He was admitted to hospital again on 4-12-2021 with a diagnosis of aspiration pneumonia. He returned to the facility on 4-21-2021 and expired at the facility on 4-26-2021"
	"1283082-1"	"1283082-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"HAD LITTLE WEAKNESS AND TIREDNESS SINCE NEXT DAY AFTER TAKING VACCINE ON 4/7/2021 ON 4TH DAY, MORNING, 8.00 AM, 4/11/2021, WHEN I CHECKED AFTER WAKING UP, PATIENT WAS NOTICED NOT RESPONDING, NOT BREATHING, NO HEART BEAT. 911 WAS CALLED AND ARRIVED AT 8.20 AM. THEY TRIED VARIOUS MEASURES FOR 1 HOUR, AND THEN THEY CONCLUDED THAT THE PATIENT IS NO MORE."
	"1283082-1"	"1283082-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"HAD LITTLE WEAKNESS AND TIREDNESS SINCE NEXT DAY AFTER TAKING VACCINE ON 4/7/2021 ON 4TH DAY, MORNING, 8.00 AM, 4/11/2021, WHEN I CHECKED AFTER WAKING UP, PATIENT WAS NOTICED NOT RESPONDING, NOT BREATHING, NO HEART BEAT. 911 WAS CALLED AND ARRIVED AT 8.20 AM. THEY TRIED VARIOUS MEASURES FOR 1 HOUR, AND THEN THEY CONCLUDED THAT THE PATIENT IS NO MORE."
	"1283082-1"	"1283082-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"HAD LITTLE WEAKNESS AND TIREDNESS SINCE NEXT DAY AFTER TAKING VACCINE ON 4/7/2021 ON 4TH DAY, MORNING, 8.00 AM, 4/11/2021, WHEN I CHECKED AFTER WAKING UP, PATIENT WAS NOTICED NOT RESPONDING, NOT BREATHING, NO HEART BEAT. 911 WAS CALLED AND ARRIVED AT 8.20 AM. THEY TRIED VARIOUS MEASURES FOR 1 HOUR, AND THEN THEY CONCLUDED THAT THE PATIENT IS NO MORE."
	"1283082-1"	"1283082-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"HAD LITTLE WEAKNESS AND TIREDNESS SINCE NEXT DAY AFTER TAKING VACCINE ON 4/7/2021 ON 4TH DAY, MORNING, 8.00 AM, 4/11/2021, WHEN I CHECKED AFTER WAKING UP, PATIENT WAS NOTICED NOT RESPONDING, NOT BREATHING, NO HEART BEAT. 911 WAS CALLED AND ARRIVED AT 8.20 AM. THEY TRIED VARIOUS MEASURES FOR 1 HOUR, AND THEN THEY CONCLUDED THAT THE PATIENT IS NO MORE."
	"1283082-1"	"1283082-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"HAD LITTLE WEAKNESS AND TIREDNESS SINCE NEXT DAY AFTER TAKING VACCINE ON 4/7/2021 ON 4TH DAY, MORNING, 8.00 AM, 4/11/2021, WHEN I CHECKED AFTER WAKING UP, PATIENT WAS NOTICED NOT RESPONDING, NOT BREATHING, NO HEART BEAT. 911 WAS CALLED AND ARRIVED AT 8.20 AM. THEY TRIED VARIOUS MEASURES FOR 1 HOUR, AND THEN THEY CONCLUDED THAT THE PATIENT IS NO MORE."
	"1283082-1"	"1283082-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"HAD LITTLE WEAKNESS AND TIREDNESS SINCE NEXT DAY AFTER TAKING VACCINE ON 4/7/2021 ON 4TH DAY, MORNING, 8.00 AM, 4/11/2021, WHEN I CHECKED AFTER WAKING UP, PATIENT WAS NOTICED NOT RESPONDING, NOT BREATHING, NO HEART BEAT. 911 WAS CALLED AND ARRIVED AT 8.20 AM. THEY TRIED VARIOUS MEASURES FOR 1 HOUR, AND THEN THEY CONCLUDED THAT THE PATIENT IS NO MORE."
	"1283204-1"	"1283204-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Per the nursing home facility patient received her second dose of vaccine on 01/14/2021 but it was not listed on KYIR. Patient tested positive on 04/14/2021 and died on 04/16/2021."
	"1283204-1"	"1283204-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Per the nursing home facility patient received her second dose of vaccine on 01/14/2021 but it was not listed on KYIR. Patient tested positive on 04/14/2021 and died on 04/16/2021."
	"1283204-1"	"1283204-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Per the nursing home facility patient received her second dose of vaccine on 01/14/2021 but it was not listed on KYIR. Patient tested positive on 04/14/2021 and died on 04/16/2021."
	"1284727-1"	"1284727-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"heart attack; Bood clot; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of MYOCARDIAL INFARCTION (heart attack) and THROMBOSIS (Bood clot) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.    On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (heart attack) (seriousness criteria death and medically significant) and THROMBOSIS (Bood clot) (seriousness criterion death). The patient died on 23-Mar-2021. The reported cause of death was Heart attack and Clot blood. It is unknown if an autopsy was performed. Not Provided          No concomitant medication were reported. No treatment information was provided.; Reported Cause(s) of Death: Heart attack; Clot blood"
	"1284727-1"	"1284727-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"heart attack; Bood clot; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of MYOCARDIAL INFARCTION (heart attack) and THROMBOSIS (Bood clot) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.    On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (heart attack) (seriousness criteria death and medically significant) and THROMBOSIS (Bood clot) (seriousness criterion death). The patient died on 23-Mar-2021. The reported cause of death was Heart attack and Clot blood. It is unknown if an autopsy was performed. Not Provided          No concomitant medication were reported. No treatment information was provided.; Reported Cause(s) of Death: Heart attack; Clot blood"
	"1286108-1"	"1286108-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"BRAIN NATRIURETIC PEPTIDE INCREASED"	"10053405"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"HYPOMAGNESAEMIA"	"10021027"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"INFLUENZA VIRUS TEST NEGATIVE"	"10070718"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"PLEURAL EFFUSION"	"10035598"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"URINE ANALYSIS ABNORMAL"	"10062226"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1286108-1"	"1286108-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	"Hospitalization 4/8/2021-4/16/2021 with discharge home on hospice and death 4/28/2021. Admitting diagnosis: Acute respiratory distress, COPD, acute hypercapnic hypoxic respiratory failure, Hypomagnesemia; HTN; probable UTI with concerns for Severe Sepsis; Altered mental status with concerns for metabolic encephalopathy along with dementia."
	"1289324-1"	"1289324-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Generally not feeling well after first shot. Shortness of breath the day after getting the second shot. The patient died the day after getting the second shot."
	"1289324-1"	"1289324-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Generally not feeling well after first shot. Shortness of breath the day after getting the second shot. The patient died the day after getting the second shot."
	"1289324-1"	"1289324-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Generally not feeling well after first shot. Shortness of breath the day after getting the second shot. The patient died the day after getting the second shot."
	"1289664-1"	"1289664-1"	"APHASIA"	"10002948"	"65-79 years"	"65-79"	"2/4/21  Woke with bad headache continued all day 2/5,2/6 Bad headache continued-Tylanol no help 2/8 AM  Loss of conshance. Loss of ability to speak. Taken to hospital. Briefly gained conshanceness. Still unable to speak. 2/27   Died."
	"1289664-1"	"1289664-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"2/4/21  Woke with bad headache continued all day 2/5,2/6 Bad headache continued-Tylanol no help 2/8 AM  Loss of conshance. Loss of ability to speak. Taken to hospital. Briefly gained conshanceness. Still unable to speak. 2/27   Died."
	"1289664-1"	"1289664-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"2/4/21  Woke with bad headache continued all day 2/5,2/6 Bad headache continued-Tylanol no help 2/8 AM  Loss of conshance. Loss of ability to speak. Taken to hospital. Briefly gained conshanceness. Still unable to speak. 2/27   Died."
	"1289664-1"	"1289664-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"65-79 years"	"65-79"	"2/4/21  Woke with bad headache continued all day 2/5,2/6 Bad headache continued-Tylanol no help 2/8 AM  Loss of conshance. Loss of ability to speak. Taken to hospital. Briefly gained conshanceness. Still unable to speak. 2/27   Died."
	"1295072-1"	"1295072-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Acute renal failure, admitted to the  hospital on 4/6/21.  Underlying source never identified, died on 4/9/21."
	"1295072-1"	"1295072-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"Acute renal failure, admitted to the  hospital on 4/6/21.  Underlying source never identified, died on 4/9/21."
	"1295072-1"	"1295072-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Acute renal failure, admitted to the  hospital on 4/6/21.  Underlying source never identified, died on 4/9/21."
	"1302213-1"	"1302213-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Short of breath, died March 20, 2021"
	"1302213-1"	"1302213-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Short of breath, died March 20, 2021"
	"1302793-1"	"1302793-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization and Death"
	"1303327-1"	"1303327-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization and Death"
	"1310067-1"	"1310067-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death - Within 24 hours of receiving the vaccine the patient died."
	"1313933-1"	"1313933-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Dizzy weak breathing a lil heavy"
	"1313933-1"	"1313933-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"Dizzy weak breathing a lil heavy"
	"1313933-1"	"1313933-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Dizzy weak breathing a lil heavy"
	"1323351-1"	"1323351-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death within 30 days of vaccination."
	"1323752-1"	"1323752-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Clinic contacted patient date of death: 05/09/2021. No other information on symptoms, signs experienced prior to time of death."
	"1326498-1"	"1326498-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"5 minutes after vaccination, patient suffered cardiac arrest in clinic.  CPR started immediately, shocked, EPI given.  EMS transported to hospital patient expired in ED."
	"1326498-1"	"1326498-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"5 minutes after vaccination, patient suffered cardiac arrest in clinic.  CPR started immediately, shocked, EPI given.  EMS transported to hospital patient expired in ED."
	"1326498-1"	"1326498-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"5 minutes after vaccination, patient suffered cardiac arrest in clinic.  CPR started immediately, shocked, EPI given.  EMS transported to hospital patient expired in ED."
	"1330319-1"	"1330319-1"	"CHEST X-RAY"	"10008498"	"65-79 years"	"65-79"	"04/02/2021 - 04/21/2021 fever (100.5-105.9), chills, fatigue, night sweats ibuprofen"
	"1330319-1"	"1330319-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"04/02/2021 - 04/21/2021 fever (100.5-105.9), chills, fatigue, night sweats ibuprofen"
	"1330319-1"	"1330319-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"04/02/2021 - 04/21/2021 fever (100.5-105.9), chills, fatigue, night sweats ibuprofen"
	"1330319-1"	"1330319-1"	"INFLUENZA A VIRUS TEST"	"10070416"	"65-79 years"	"65-79"	"04/02/2021 - 04/21/2021 fever (100.5-105.9), chills, fatigue, night sweats ibuprofen"
	"1330319-1"	"1330319-1"	"INFLUENZA B VIRUS TEST"	"10071544"	"65-79 years"	"65-79"	"04/02/2021 - 04/21/2021 fever (100.5-105.9), chills, fatigue, night sweats ibuprofen"
	"1330319-1"	"1330319-1"	"NIGHT SWEATS"	"10029410"	"65-79 years"	"65-79"	"04/02/2021 - 04/21/2021 fever (100.5-105.9), chills, fatigue, night sweats ibuprofen"
	"1330319-1"	"1330319-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"04/02/2021 - 04/21/2021 fever (100.5-105.9), chills, fatigue, night sweats ibuprofen"
	"1330319-1"	"1330319-1"	"SARS-COV-2 ANTIBODY TEST NEGATIVE"	"10084509"	"65-79 years"	"65-79"	"04/02/2021 - 04/21/2021 fever (100.5-105.9), chills, fatigue, night sweats ibuprofen"
	"1330319-1"	"1330319-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"04/02/2021 - 04/21/2021 fever (100.5-105.9), chills, fatigue, night sweats ibuprofen"
	"1330319-1"	"1330319-1"	"URINE ANALYSIS"	"10046614"	"65-79 years"	"65-79"	"04/02/2021 - 04/21/2021 fever (100.5-105.9), chills, fatigue, night sweats ibuprofen"
	"1330712-1"	"1330712-1"	"CHEST X-RAY NORMAL"	"10008500"	"65-79 years"	"65-79"	"Family considers patients demise 5/8/2021 a result of vaccination with COVID-19 series given 2/3/2021 and 3/3/2021. He died from respiratory acidosis yet never had breathing problems prior tom vaccine."
	"1330712-1"	"1330712-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Family considers patients demise 5/8/2021 a result of vaccination with COVID-19 series given 2/3/2021 and 3/3/2021. He died from respiratory acidosis yet never had breathing problems prior tom vaccine."
	"1330712-1"	"1330712-1"	"RESPIRATORY ACIDOSIS"	"10038661"	"65-79 years"	"65-79"	"Family considers patients demise 5/8/2021 a result of vaccination with COVID-19 series given 2/3/2021 and 3/3/2021. He died from respiratory acidosis yet never had breathing problems prior tom vaccine."
	"1333650-1"	"1333650-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"passed away sometime after 2/16/21 and before 2/20/21 in her home.  Cause of death ruled by Corner as Myocardial infarcation and congestive heart failure.  Sometime between 11 and 15 days after receiving dose 1.  did not receive dose 2 due to her passing before she could receive it."
	"1333650-1"	"1333650-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"passed away sometime after 2/16/21 and before 2/20/21 in her home.  Cause of death ruled by Corner as Myocardial infarcation and congestive heart failure.  Sometime between 11 and 15 days after receiving dose 1.  did not receive dose 2 due to her passing before she could receive it."
	"1333650-1"	"1333650-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"passed away sometime after 2/16/21 and before 2/20/21 in her home.  Cause of death ruled by Corner as Myocardial infarcation and congestive heart failure.  Sometime between 11 and 15 days after receiving dose 1.  did not receive dose 2 due to her passing before she could receive it."
	"1334283-1"	"1334283-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Patient felt very weak, body aches, shortness of breath and was found deceased at home on 5/10/2021"
	"1334283-1"	"1334283-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient felt very weak, body aches, shortness of breath and was found deceased at home on 5/10/2021"
	"1334283-1"	"1334283-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient felt very weak, body aches, shortness of breath and was found deceased at home on 5/10/2021"
	"1334283-1"	"1334283-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"Patient felt very weak, body aches, shortness of breath and was found deceased at home on 5/10/2021"
	"1337019-1"	"1337019-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"unknown"
	"1337502-1"	"1337502-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death, code blue at home, received COVID vaccine 5/20/21.  No known health issues"
	"1337634-1"	"1337634-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"had second dose on 5/14/21, passed away during the night of 5/15/21. Found dead on 5/16/21 morning"
	"1337728-1"	"1337728-1"	"ABDOMINAL DISCOMFORT"	"10000059"	"65-79 years"	"65-79"	"Intestinal distress ending in dead gut sundrome"
	"1337728-1"	"1337728-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Intestinal distress ending in dead gut sundrome"
	"1337728-1"	"1337728-1"	"GASTROINTESTINAL NECROSIS"	"10017982"	"65-79 years"	"65-79"	"Intestinal distress ending in dead gut sundrome"
	"1337755-1"	"1337755-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Person died on 5/9/2021, with death note listing acute and chronic respiratory failure with hypoxia, COVID-19, paroxysmal atrial fibrillation, chronic heart failure with reduced ejection fraction, follicular lymphoma, history of CABG, hyperglycemia, and type 2 diabetes."
	"1337755-1"	"1337755-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"Person died on 5/9/2021, with death note listing acute and chronic respiratory failure with hypoxia, COVID-19, paroxysmal atrial fibrillation, chronic heart failure with reduced ejection fraction, follicular lymphoma, history of CABG, hyperglycemia, and type 2 diabetes."
	"1337755-1"	"1337755-1"	"CARDIAC FAILURE CHRONIC"	"10007558"	"65-79 years"	"65-79"	"Person died on 5/9/2021, with death note listing acute and chronic respiratory failure with hypoxia, COVID-19, paroxysmal atrial fibrillation, chronic heart failure with reduced ejection fraction, follicular lymphoma, history of CABG, hyperglycemia, and type 2 diabetes."
	"1337755-1"	"1337755-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Person died on 5/9/2021, with death note listing acute and chronic respiratory failure with hypoxia, COVID-19, paroxysmal atrial fibrillation, chronic heart failure with reduced ejection fraction, follicular lymphoma, history of CABG, hyperglycemia, and type 2 diabetes."
	"1337755-1"	"1337755-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Person died on 5/9/2021, with death note listing acute and chronic respiratory failure with hypoxia, COVID-19, paroxysmal atrial fibrillation, chronic heart failure with reduced ejection fraction, follicular lymphoma, history of CABG, hyperglycemia, and type 2 diabetes."
	"1337755-1"	"1337755-1"	"EJECTION FRACTION DECREASED"	"10050528"	"65-79 years"	"65-79"	"Person died on 5/9/2021, with death note listing acute and chronic respiratory failure with hypoxia, COVID-19, paroxysmal atrial fibrillation, chronic heart failure with reduced ejection fraction, follicular lymphoma, history of CABG, hyperglycemia, and type 2 diabetes."
	"1337755-1"	"1337755-1"	"FOLLICULAR LYMPHOMA"	"10085128"	"65-79 years"	"65-79"	"Person died on 5/9/2021, with death note listing acute and chronic respiratory failure with hypoxia, COVID-19, paroxysmal atrial fibrillation, chronic heart failure with reduced ejection fraction, follicular lymphoma, history of CABG, hyperglycemia, and type 2 diabetes."
	"1337755-1"	"1337755-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Person died on 5/9/2021, with death note listing acute and chronic respiratory failure with hypoxia, COVID-19, paroxysmal atrial fibrillation, chronic heart failure with reduced ejection fraction, follicular lymphoma, history of CABG, hyperglycemia, and type 2 diabetes."
	"1337755-1"	"1337755-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Person died on 5/9/2021, with death note listing acute and chronic respiratory failure with hypoxia, COVID-19, paroxysmal atrial fibrillation, chronic heart failure with reduced ejection fraction, follicular lymphoma, history of CABG, hyperglycemia, and type 2 diabetes."
	"1337780-1"	"1337780-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Person died on 5/7/2021 with death note stating acute respiratory failure with hypoxia, thrombocytopenia."
	"1337780-1"	"1337780-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Person died on 5/7/2021 with death note stating acute respiratory failure with hypoxia, thrombocytopenia."
	"1337780-1"	"1337780-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Person died on 5/7/2021 with death note stating acute respiratory failure with hypoxia, thrombocytopenia."
	"1337780-1"	"1337780-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Person died on 5/7/2021 with death note stating acute respiratory failure with hypoxia, thrombocytopenia."
	"1337780-1"	"1337780-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Person died on 5/7/2021 with death note stating acute respiratory failure with hypoxia, thrombocytopenia."
	"1337780-1"	"1337780-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"Person died on 5/7/2021 with death note stating acute respiratory failure with hypoxia, thrombocytopenia."
	"1350509-1"	"1350509-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"unknown"
	"1350766-1"	"1350766-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization and death"
	"1351091-1"	"1351091-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"ANAEMIA"	"10002034"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"BLOOD ALBUMIN DECREASED"	"10005287"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"BLOOD SODIUM DECREASED"	"10005802"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"BLOOD TEST"	"10061726"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"COMPUTERISED TOMOGRAM HEAD NORMAL"	"10072167"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"COMPUTERISED TOMOGRAM NECK"	"10082961"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"ECHOCARDIOGRAM"	"10014113"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"ELECTROCARDIOGRAM"	"10014362"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"GLOBULINS INCREASED"	"10018350"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"HCOV-OC43 INFECTION"	"10085077"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"LYMPHADENOPATHY"	"10025197"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"MAGNETIC RESONANCE IMAGING HEAD NORMAL"	"10085257"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"NECK PAIN"	"10028836"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"ORTHOSTATIC HYPOTENSION"	"10031127"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"PERIPHERAL T-CELL LYMPHOMA UNSPECIFIED"	"10034623"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"PROTEIN TOTAL INCREASED"	"10037016"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"RASH"	"10037844"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"RESPIRATORY SYMPTOM"	"10075535"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1351091-1"	"1351091-1"	"URTICARIA"	"10046735"	"65-79 years"	"65-79"	"Onset urticaria 3/12/21. ED visit 3/14/21. Syncopal episode in context of rash 3/17/21 leading to hospitalization 3/17-8/21. Benadryl, loratadine, famotidine, cephalexin for UTI. 2nd Moderna shot 3/27/21. 4/2 Office visit dizzy, weak, headaches, nausea, loss of appetite since 2nd vaccine Na 127. 4/16 Office visit for Headache, neck pain. 4/25 ED visit for dizziness. MRI head NL, labs mild hyponatremia. Given meclizine. 4/27-8 Hospitalization for dizziness, orthostasis, URI symptoms. OC43 Coronavirus, orthostasis. Alb 2.7 Globulin 5. New cervical and axillary Lymph adenopathy. 5/8/21 admitted to hospital w/ new diagnosis of lymphoma (pathologic diagnosis Nodal peripheral T cell lymphoma w/ follicular helper phenotype. Large axillary lymphadenopathy, thrombocytopenia, elevated total protein, acute kidney injury, anemia. 5/15/21 patient passed away from acute hypoxic respiratory failure in the setting of new lymphoma diagnosis."
	"1353752-1"	"1353752-1"	"CAUTERY TO NOSE"	"10007829"	"65-79 years"	"65-79"	"He received both doses March 2021. second dose on 3/26. on 4/26 presented to ER with Epistaxis, came to about a month after Pfizer series pt went to Hospital ER 3 times that week for care of what was thought nose bleeds from picking, and later ENT for care that required travel. Pt stopped Plavix use and 6 days later on 5/1 returned to Hospital ER with serious symptoms, developed multiple thrombotic events that lead to clotting of leg/bowel/coronary. Transferred to Hospital on 5/1/2021. Multiple MI events and expired at Hospital on 5/3/2021"
	"1353752-1"	"1353752-1"	"COMPUTERISED TOMOGRAM ABNORMAL"	"10010235"	"65-79 years"	"65-79"	"He received both doses March 2021. second dose on 3/26. on 4/26 presented to ER with Epistaxis, came to about a month after Pfizer series pt went to Hospital ER 3 times that week for care of what was thought nose bleeds from picking, and later ENT for care that required travel. Pt stopped Plavix use and 6 days later on 5/1 returned to Hospital ER with serious symptoms, developed multiple thrombotic events that lead to clotting of leg/bowel/coronary. Transferred to Hospital on 5/1/2021. Multiple MI events and expired at Hospital on 5/3/2021"
	"1353752-1"	"1353752-1"	"CORONARY ARTERY THROMBOSIS"	"10011091"	"65-79 years"	"65-79"	"He received both doses March 2021. second dose on 3/26. on 4/26 presented to ER with Epistaxis, came to about a month after Pfizer series pt went to Hospital ER 3 times that week for care of what was thought nose bleeds from picking, and later ENT for care that required travel. Pt stopped Plavix use and 6 days later on 5/1 returned to Hospital ER with serious symptoms, developed multiple thrombotic events that lead to clotting of leg/bowel/coronary. Transferred to Hospital on 5/1/2021. Multiple MI events and expired at Hospital on 5/3/2021"
	"1353752-1"	"1353752-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"He received both doses March 2021. second dose on 3/26. on 4/26 presented to ER with Epistaxis, came to about a month after Pfizer series pt went to Hospital ER 3 times that week for care of what was thought nose bleeds from picking, and later ENT for care that required travel. Pt stopped Plavix use and 6 days later on 5/1 returned to Hospital ER with serious symptoms, developed multiple thrombotic events that lead to clotting of leg/bowel/coronary. Transferred to Hospital on 5/1/2021. Multiple MI events and expired at Hospital on 5/3/2021"
	"1353752-1"	"1353752-1"	"ELECTROCARDIOGRAM ABNORMAL"	"10014363"	"65-79 years"	"65-79"	"He received both doses March 2021. second dose on 3/26. on 4/26 presented to ER with Epistaxis, came to about a month after Pfizer series pt went to Hospital ER 3 times that week for care of what was thought nose bleeds from picking, and later ENT for care that required travel. Pt stopped Plavix use and 6 days later on 5/1 returned to Hospital ER with serious symptoms, developed multiple thrombotic events that lead to clotting of leg/bowel/coronary. Transferred to Hospital on 5/1/2021. Multiple MI events and expired at Hospital on 5/3/2021"
	"1353752-1"	"1353752-1"	"EPISTAXIS"	"10015090"	"65-79 years"	"65-79"	"He received both doses March 2021. second dose on 3/26. on 4/26 presented to ER with Epistaxis, came to about a month after Pfizer series pt went to Hospital ER 3 times that week for care of what was thought nose bleeds from picking, and later ENT for care that required travel. Pt stopped Plavix use and 6 days later on 5/1 returned to Hospital ER with serious symptoms, developed multiple thrombotic events that lead to clotting of leg/bowel/coronary. Transferred to Hospital on 5/1/2021. Multiple MI events and expired at Hospital on 5/3/2021"
	"1353752-1"	"1353752-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"He received both doses March 2021. second dose on 3/26. on 4/26 presented to ER with Epistaxis, came to about a month after Pfizer series pt went to Hospital ER 3 times that week for care of what was thought nose bleeds from picking, and later ENT for care that required travel. Pt stopped Plavix use and 6 days later on 5/1 returned to Hospital ER with serious symptoms, developed multiple thrombotic events that lead to clotting of leg/bowel/coronary. Transferred to Hospital on 5/1/2021. Multiple MI events and expired at Hospital on 5/3/2021"
	"1353752-1"	"1353752-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"He received both doses March 2021. second dose on 3/26. on 4/26 presented to ER with Epistaxis, came to about a month after Pfizer series pt went to Hospital ER 3 times that week for care of what was thought nose bleeds from picking, and later ENT for care that required travel. Pt stopped Plavix use and 6 days later on 5/1 returned to Hospital ER with serious symptoms, developed multiple thrombotic events that lead to clotting of leg/bowel/coronary. Transferred to Hospital on 5/1/2021. Multiple MI events and expired at Hospital on 5/3/2021"
	"1353752-1"	"1353752-1"	"NASAL CAVITY PACKING"	"10028733"	"65-79 years"	"65-79"	"He received both doses March 2021. second dose on 3/26. on 4/26 presented to ER with Epistaxis, came to about a month after Pfizer series pt went to Hospital ER 3 times that week for care of what was thought nose bleeds from picking, and later ENT for care that required travel. Pt stopped Plavix use and 6 days later on 5/1 returned to Hospital ER with serious symptoms, developed multiple thrombotic events that lead to clotting of leg/bowel/coronary. Transferred to Hospital on 5/1/2021. Multiple MI events and expired at Hospital on 5/3/2021"
	"1353752-1"	"1353752-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"He received both doses March 2021. second dose on 3/26. on 4/26 presented to ER with Epistaxis, came to about a month after Pfizer series pt went to Hospital ER 3 times that week for care of what was thought nose bleeds from picking, and later ENT for care that required travel. Pt stopped Plavix use and 6 days later on 5/1 returned to Hospital ER with serious symptoms, developed multiple thrombotic events that lead to clotting of leg/bowel/coronary. Transferred to Hospital on 5/1/2021. Multiple MI events and expired at Hospital on 5/3/2021"
	"1353752-1"	"1353752-1"	"THROMBOSIS MESENTERIC VESSEL"	"10043626"	"65-79 years"	"65-79"	"He received both doses March 2021. second dose on 3/26. on 4/26 presented to ER with Epistaxis, came to about a month after Pfizer series pt went to Hospital ER 3 times that week for care of what was thought nose bleeds from picking, and later ENT for care that required travel. Pt stopped Plavix use and 6 days later on 5/1 returned to Hospital ER with serious symptoms, developed multiple thrombotic events that lead to clotting of leg/bowel/coronary. Transferred to Hospital on 5/1/2021. Multiple MI events and expired at Hospital on 5/3/2021"
	"1354172-1"	"1354172-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"PATIENT REPORTED DIFFICULTY BREATHING UPON EXERTION AND CHEST PAIN STARTING AROUND 05/08/2021. PATIENT WENT TO MD ON 05/12/2021 WHERE MD FOUND EKG ABNORMAL. PATIENT PASSED AWAY THAT EVENING"
	"1354172-1"	"1354172-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT REPORTED DIFFICULTY BREATHING UPON EXERTION AND CHEST PAIN STARTING AROUND 05/08/2021. PATIENT WENT TO MD ON 05/12/2021 WHERE MD FOUND EKG ABNORMAL. PATIENT PASSED AWAY THAT EVENING"
	"1354172-1"	"1354172-1"	"DYSPNOEA EXERTIONAL"	"10013971"	"65-79 years"	"65-79"	"PATIENT REPORTED DIFFICULTY BREATHING UPON EXERTION AND CHEST PAIN STARTING AROUND 05/08/2021. PATIENT WENT TO MD ON 05/12/2021 WHERE MD FOUND EKG ABNORMAL. PATIENT PASSED AWAY THAT EVENING"
	"1354172-1"	"1354172-1"	"ELECTROCARDIOGRAM ABNORMAL"	"10014363"	"65-79 years"	"65-79"	"PATIENT REPORTED DIFFICULTY BREATHING UPON EXERTION AND CHEST PAIN STARTING AROUND 05/08/2021. PATIENT WENT TO MD ON 05/12/2021 WHERE MD FOUND EKG ABNORMAL. PATIENT PASSED AWAY THAT EVENING"
	"1354359-1"	"1354359-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Patient presented to this facility on 5/12/21 as transfer from hospital for treatment of acute hypoxic respiratory failure secondary to COVID pneumonia requiring intensive care unit treatment.  Patient did receive a J&J COVID vaccine on 4/7/21.  Patient was intubated on arrival.  Patient was treated with remdesivir, tocilizumab, steroids, and antibiotics.  Patient's ARDS progressed.  He developed septic shock, recurrent pneumothoraces, and acute kidney injury on chronic kidney disease.  Patient did not improve.  Patient was transitioned to comfort care on 5/23/21 and patient expired."
	"1354359-1"	"1354359-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"65-79 years"	"65-79"	"Patient presented to this facility on 5/12/21 as transfer from hospital for treatment of acute hypoxic respiratory failure secondary to COVID pneumonia requiring intensive care unit treatment.  Patient did receive a J&J COVID vaccine on 4/7/21.  Patient was intubated on arrival.  Patient was treated with remdesivir, tocilizumab, steroids, and antibiotics.  Patient's ARDS progressed.  He developed septic shock, recurrent pneumothoraces, and acute kidney injury on chronic kidney disease.  Patient did not improve.  Patient was transitioned to comfort care on 5/23/21 and patient expired."
	"1354359-1"	"1354359-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Patient presented to this facility on 5/12/21 as transfer from hospital for treatment of acute hypoxic respiratory failure secondary to COVID pneumonia requiring intensive care unit treatment.  Patient did receive a J&J COVID vaccine on 4/7/21.  Patient was intubated on arrival.  Patient was treated with remdesivir, tocilizumab, steroids, and antibiotics.  Patient's ARDS progressed.  He developed septic shock, recurrent pneumothoraces, and acute kidney injury on chronic kidney disease.  Patient did not improve.  Patient was transitioned to comfort care on 5/23/21 and patient expired."
	"1354359-1"	"1354359-1"	"CHRONIC KIDNEY DISEASE"	"10064848"	"65-79 years"	"65-79"	"Patient presented to this facility on 5/12/21 as transfer from hospital for treatment of acute hypoxic respiratory failure secondary to COVID pneumonia requiring intensive care unit treatment.  Patient did receive a J&J COVID vaccine on 4/7/21.  Patient was intubated on arrival.  Patient was treated with remdesivir, tocilizumab, steroids, and antibiotics.  Patient's ARDS progressed.  He developed septic shock, recurrent pneumothoraces, and acute kidney injury on chronic kidney disease.  Patient did not improve.  Patient was transitioned to comfort care on 5/23/21 and patient expired."
	"1354359-1"	"1354359-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Patient presented to this facility on 5/12/21 as transfer from hospital for treatment of acute hypoxic respiratory failure secondary to COVID pneumonia requiring intensive care unit treatment.  Patient did receive a J&J COVID vaccine on 4/7/21.  Patient was intubated on arrival.  Patient was treated with remdesivir, tocilizumab, steroids, and antibiotics.  Patient's ARDS progressed.  He developed septic shock, recurrent pneumothoraces, and acute kidney injury on chronic kidney disease.  Patient did not improve.  Patient was transitioned to comfort care on 5/23/21 and patient expired."
	"1354359-1"	"1354359-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient presented to this facility on 5/12/21 as transfer from hospital for treatment of acute hypoxic respiratory failure secondary to COVID pneumonia requiring intensive care unit treatment.  Patient did receive a J&J COVID vaccine on 4/7/21.  Patient was intubated on arrival.  Patient was treated with remdesivir, tocilizumab, steroids, and antibiotics.  Patient's ARDS progressed.  He developed septic shock, recurrent pneumothoraces, and acute kidney injury on chronic kidney disease.  Patient did not improve.  Patient was transitioned to comfort care on 5/23/21 and patient expired."
	"1354359-1"	"1354359-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient presented to this facility on 5/12/21 as transfer from hospital for treatment of acute hypoxic respiratory failure secondary to COVID pneumonia requiring intensive care unit treatment.  Patient did receive a J&J COVID vaccine on 4/7/21.  Patient was intubated on arrival.  Patient was treated with remdesivir, tocilizumab, steroids, and antibiotics.  Patient's ARDS progressed.  He developed septic shock, recurrent pneumothoraces, and acute kidney injury on chronic kidney disease.  Patient did not improve.  Patient was transitioned to comfort care on 5/23/21 and patient expired."
	"1354359-1"	"1354359-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient presented to this facility on 5/12/21 as transfer from hospital for treatment of acute hypoxic respiratory failure secondary to COVID pneumonia requiring intensive care unit treatment.  Patient did receive a J&J COVID vaccine on 4/7/21.  Patient was intubated on arrival.  Patient was treated with remdesivir, tocilizumab, steroids, and antibiotics.  Patient's ARDS progressed.  He developed septic shock, recurrent pneumothoraces, and acute kidney injury on chronic kidney disease.  Patient did not improve.  Patient was transitioned to comfort care on 5/23/21 and patient expired."
	"1354359-1"	"1354359-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient presented to this facility on 5/12/21 as transfer from hospital for treatment of acute hypoxic respiratory failure secondary to COVID pneumonia requiring intensive care unit treatment.  Patient did receive a J&J COVID vaccine on 4/7/21.  Patient was intubated on arrival.  Patient was treated with remdesivir, tocilizumab, steroids, and antibiotics.  Patient's ARDS progressed.  He developed septic shock, recurrent pneumothoraces, and acute kidney injury on chronic kidney disease.  Patient did not improve.  Patient was transitioned to comfort care on 5/23/21 and patient expired."
	"1354359-1"	"1354359-1"	"PNEUMOTHORAX"	"10035759"	"65-79 years"	"65-79"	"Patient presented to this facility on 5/12/21 as transfer from hospital for treatment of acute hypoxic respiratory failure secondary to COVID pneumonia requiring intensive care unit treatment.  Patient did receive a J&J COVID vaccine on 4/7/21.  Patient was intubated on arrival.  Patient was treated with remdesivir, tocilizumab, steroids, and antibiotics.  Patient's ARDS progressed.  He developed septic shock, recurrent pneumothoraces, and acute kidney injury on chronic kidney disease.  Patient did not improve.  Patient was transitioned to comfort care on 5/23/21 and patient expired."
	"1354359-1"	"1354359-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"Patient presented to this facility on 5/12/21 as transfer from hospital for treatment of acute hypoxic respiratory failure secondary to COVID pneumonia requiring intensive care unit treatment.  Patient did receive a J&J COVID vaccine on 4/7/21.  Patient was intubated on arrival.  Patient was treated with remdesivir, tocilizumab, steroids, and antibiotics.  Patient's ARDS progressed.  He developed septic shock, recurrent pneumothoraces, and acute kidney injury on chronic kidney disease.  Patient did not improve.  Patient was transitioned to comfort care on 5/23/21 and patient expired."
	"1355128-1"	"1355128-1"	"ASPIRATION"	"10003504"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"BLOOD TEST ABNORMAL"	"10061016"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"COLONOSCOPY"	"10010007"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"COMA"	"10010071"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"DYSPHAGIA"	"10013950"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"INTERNAL HAEMORRHAGE"	"10075192"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1355128-1"	"1355128-1"	"TRANSFUSION"	"10066152"	"65-79 years"	"65-79"	"Fainted in apartment parking lot, on morning of April 3; transported to ER,, via ambulance.  Hospital stay for several days, moved to Rehab, sent back to ER with a cough, trouble breathing, and swallowing. Diagnosed with pneumonia. Went into coma on 4/18. Passed away on 4/22/2021."
	"1357112-1"	"1357112-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient developed COVID after vaccination; She is now deceased; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (She is now deceased) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Cancer (previously had cancer twice). Concomitant products included ATORVASTATIN CALCIUM (LIPITOR), NIFEDIPINE (PROCARDIA [NIFEDIPINE]), TICLOPIDINE HYDROCHLORIDE (TICLID), OMEPRAZOLE (PRILOSEC [OMEPRAZOLE]) and CLOPIDOGREL BISULFATE (PLAVIX) for an unknown indication.    On 22-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (Patient developed COVID after vaccination). The patient died on 23-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, COVID-19 (Patient developed COVID after vaccination) outcome was unknown.            It was reported that the patient previously had cancer twice, and her immune system was not what it should have been. The patient got really, really sick and had COVID at some point after receiving the vaccine.  No corrective treatment was provided.  Action taken with the drug in response to the events was not applicable.  Company comment: Very limited information regarding this event has been provided at this time. Noting the subject had received 1st dose of vaccine prior to COVID. However, based on the mechanism of action of mRNA1273, the event COVID is unlikely related to vaccine.; Sender's Comments: Very limited information regarding this event has been provided at this time. Noting the subject had received 1st dose of vaccine prior to COVID. However, based on the mechanism of action of mRNA1273, the event COVID is unlikely related to vaccine.; Reported Cause(s) of Death: Unknown cause of death"
	"1357112-1"	"1357112-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient developed COVID after vaccination; She is now deceased; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (She is now deceased) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Cancer (previously had cancer twice). Concomitant products included ATORVASTATIN CALCIUM (LIPITOR), NIFEDIPINE (PROCARDIA [NIFEDIPINE]), TICLOPIDINE HYDROCHLORIDE (TICLID), OMEPRAZOLE (PRILOSEC [OMEPRAZOLE]) and CLOPIDOGREL BISULFATE (PLAVIX) for an unknown indication.    On 22-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (Patient developed COVID after vaccination). The patient died on 23-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, COVID-19 (Patient developed COVID after vaccination) outcome was unknown.            It was reported that the patient previously had cancer twice, and her immune system was not what it should have been. The patient got really, really sick and had COVID at some point after receiving the vaccine.  No corrective treatment was provided.  Action taken with the drug in response to the events was not applicable.  Company comment: Very limited information regarding this event has been provided at this time. Noting the subject had received 1st dose of vaccine prior to COVID. However, based on the mechanism of action of mRNA1273, the event COVID is unlikely related to vaccine.; Sender's Comments: Very limited information regarding this event has been provided at this time. Noting the subject had received 1st dose of vaccine prior to COVID. However, based on the mechanism of action of mRNA1273, the event COVID is unlikely related to vaccine.; Reported Cause(s) of Death: Unknown cause of death"
	"1357346-1"	"1357346-1"	"BLOOD PRESSURE DECREASED"	"10005734"	"65-79 years"	"65-79"	"she slowly declined with pneumonia; Woozy/Dizzy; Sleeping all the time; Not eating; Running a fever off and on; Her blood pressure was a bit low, 105 over something; suspected COVID-19 with symptoms; Heart attack; This is a spontaneous report from Pfizer from a contactable Consumer reported for mother. A 65-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 05May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. The cancer doctor told her that she needed a Covid vaccine since she has cancer and a lowered immune system. Medical history included Metastatic rectal cancer from Jul2019 to 17May2021, Osteoporosis from unknown date to 17May2021 (She had it for maybe 10 years or something), Fibromyalgia from unknown date to 17May2021 (She had the fibromyalgia for 20 years). She had rectal cancer, osteoporosis, fibromyalgia, and a couple other things that the caller can't think of off hand. Her mother was diagnosed with the rectal cancer in Jul2019. The caller has no idea when she was diagnosed with the osteoporosis. She had the fibromyalgia for 20 years, and the caller is sure it was the same for the osteoporosis, maybe 10 years or something. They were being managed. There were no concomitant medications.  The patient did have metastatic rectal cancer, but it was managed. She was not on hospice or terminal, and they hadn't exhausted all of the treatment plans yet. It was being controlled. She was under the surveillance of a cancer doctor who was completely shocked by her sudden death. It seemed like there was no reason. She was fine and drove herself to her appointments all the time. She had just driven herself to her last appointment. She passed away yesterday morning. She was slowly declining since she got the vaccine. The coroner was playing guessing games and assumed it was pancreatic cancer. Well, she didn't have pancreatic cancer, and the doctor already said the cancer didn't kill her. The doctor said if he had to guess it could have been some kind of pneumonia or a reaction to the vaccine. All of it made her heart stop. The coroner couldn't get the city to approve an autopsy to see the real cause of death because there was no foul play. The caller took it upon herself to discover if maybe Pfizer could help, and she needs to alleviate the vaccine as an option if it contributed. She is so tired and hasn't slept. It is devastating. This woman was everything in her life, and the caller is probably going to go next with how she feels. She feels responsible. Her other guess is if she gave her mother Covid and she slowly declined with pneumonia. The caller couldn't get her sister to take her mother to the ER. Her sister was there Sunday night. On Monday morning her sister called to say her mother was gone. On 05May2021 the patient had the first dose of the Covid vaccine. The caller could have gone there or called an ambulance when her mother wasn't answering the phone. She knew something was wrong. She called her sister who said their mother wasn't feeling good. Her mother was woozy, dizzy, and sleeping all the time. On day 3, Sunday, the caller couldn't get her mother on the phone. She thought she had some level of peace because her sister was there and could keep her updated. Her mother often gets sickly, but she always answers the phone even if she is deathly sick. The caller thought enough is enough and she needed to be put on the phone on speaker with her mother. The caller's sister said her mother was sleeping. The doctor said to probably bring her mother to the ER. The caller told her sister who just didn't take her mother to the ER. The caller could have called an ambulance. She feels incompetent. They are assuming the cause of death was a heart attack. If her mother had gone to the ER on Sunday night they may have found out. Her mother became woozy last weekend because the caller was there on Thursday and her mother didn't look good. She had her chemo bag because she brings it home. It was her first new chemo treatment, and the caller had never seen her mother respond like this. It was strange. Any other time when she was getting chemo she felt great because there is so much stuff in there like steroids to prevent a reaction. It was surprising because she was only sick on chemo once and she had been on this one before. She was just off. Then she continued to decline from there. It started before the chemo. She got on chemo that Thursday before Mother's Day, she was on her first chemo treatment at that time. She was sick a couple of days before that. She had the chemo on 06May2021. She started feeling sickly the day she got the injection on 05May2021. When the caller was there she was thinking it was from the chemo. The caller calls her mother every day and she was sounding worse and worse. On Thursday 13May2021 her mother took herself to her chemo follow up appointment and was telling the doctor that she was woozy, dizzy, and not eating. The doctor gave her fluids, and he didn't give her chemo because she was not scheduled for it that day. It was just a follow up appointment. He sent her home. The caller talked to her mother on Thursday evening and she didn't sound good and told her she was woozy and dizzy. On Friday, Saturday, and Sunday she didn't answer the phone. The caller's mother is totally against vaccines, and she had been begged to get the pneumonia and flu vaccine and denied them. She had never responded well to them in her life. Even as a cancer patient they would say she needed it and she wouldn't. She did get the Covid vaccine even though she didn't want to. The caller thought her mother was trying to convince herself it was because of the vaccine because she is so against them, but now she doesn't know. The doctor said he didn't think it would have been Covid because she didn't have a fever. Her mother told her that she had been running a fever off and on, which is not unusual for her mother. The doctor didn't think it would have been Covid. Her mother started sleeping all the time mid week last week. She started not eating at the end of last week. The caller has no idea when her mother had a fever. She hadn't gotten to talk to her mother all weekend. At some point last week her mother had said in a conversation that she had a fever off and on. Then on Thursday when she went to the chemo doctor she had no fever it shows it was 97 something. Her oxygen was fine. Her blood pressure was a bit low, 105 over something, which is low for her. She didn't have a fever last Thursday. Prior Vaccinations within 4 weeks no other vaccinations. Blood work on 13May2021 with unknown result. The patient passed away on 17May2021 after receiving the first dose of the Pfizer Covid vaccine. The caller expresses concern that her mother may have had Covid. No autopsy done. Cause of death was Heart attack.  Information on Lot/Batch number has been requested.; Reported Cause(s) of Death: Heart attack"
	"1357346-1"	"1357346-1"	"BLOOD PRESSURE MEASUREMENT"	"10076581"	"65-79 years"	"65-79"	"she slowly declined with pneumonia; Woozy/Dizzy; Sleeping all the time; Not eating; Running a fever off and on; Her blood pressure was a bit low, 105 over something; suspected COVID-19 with symptoms; Heart attack; This is a spontaneous report from Pfizer from a contactable Consumer reported for mother. A 65-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 05May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. The cancer doctor told her that she needed a Covid vaccine since she has cancer and a lowered immune system. Medical history included Metastatic rectal cancer from Jul2019 to 17May2021, Osteoporosis from unknown date to 17May2021 (She had it for maybe 10 years or something), Fibromyalgia from unknown date to 17May2021 (She had the fibromyalgia for 20 years). She had rectal cancer, osteoporosis, fibromyalgia, and a couple other things that the caller can't think of off hand. Her mother was diagnosed with the rectal cancer in Jul2019. The caller has no idea when she was diagnosed with the osteoporosis. She had the fibromyalgia for 20 years, and the caller is sure it was the same for the osteoporosis, maybe 10 years or something. They were being managed. There were no concomitant medications.  The patient did have metastatic rectal cancer, but it was managed. She was not on hospice or terminal, and they hadn't exhausted all of the treatment plans yet. It was being controlled. She was under the surveillance of a cancer doctor who was completely shocked by her sudden death. It seemed like there was no reason. She was fine and drove herself to her appointments all the time. She had just driven herself to her last appointment. She passed away yesterday morning. She was slowly declining since she got the vaccine. The coroner was playing guessing games and assumed it was pancreatic cancer. Well, she didn't have pancreatic cancer, and the doctor already said the cancer didn't kill her. The doctor said if he had to guess it could have been some kind of pneumonia or a reaction to the vaccine. All of it made her heart stop. The coroner couldn't get the city to approve an autopsy to see the real cause of death because there was no foul play. The caller took it upon herself to discover if maybe Pfizer could help, and she needs to alleviate the vaccine as an option if it contributed. She is so tired and hasn't slept. It is devastating. This woman was everything in her life, and the caller is probably going to go next with how she feels. She feels responsible. Her other guess is if she gave her mother Covid and she slowly declined with pneumonia. The caller couldn't get her sister to take her mother to the ER. Her sister was there Sunday night. On Monday morning her sister called to say her mother was gone. On 05May2021 the patient had the first dose of the Covid vaccine. The caller could have gone there or called an ambulance when her mother wasn't answering the phone. She knew something was wrong. She called her sister who said their mother wasn't feeling good. Her mother was woozy, dizzy, and sleeping all the time. On day 3, Sunday, the caller couldn't get her mother on the phone. She thought she had some level of peace because her sister was there and could keep her updated. Her mother often gets sickly, but she always answers the phone even if she is deathly sick. The caller thought enough is enough and she needed to be put on the phone on speaker with her mother. The caller's sister said her mother was sleeping. The doctor said to probably bring her mother to the ER. The caller told her sister who just didn't take her mother to the ER. The caller could have called an ambulance. She feels incompetent. They are assuming the cause of death was a heart attack. If her mother had gone to the ER on Sunday night they may have found out. Her mother became woozy last weekend because the caller was there on Thursday and her mother didn't look good. She had her chemo bag because she brings it home. It was her first new chemo treatment, and the caller had never seen her mother respond like this. It was strange. Any other time when she was getting chemo she felt great because there is so much stuff in there like steroids to prevent a reaction. It was surprising because she was only sick on chemo once and she had been on this one before. She was just off. Then she continued to decline from there. It started before the chemo. She got on chemo that Thursday before Mother's Day, she was on her first chemo treatment at that time. She was sick a couple of days before that. She had the chemo on 06May2021. She started feeling sickly the day she got the injection on 05May2021. When the caller was there she was thinking it was from the chemo. The caller calls her mother every day and she was sounding worse and worse. On Thursday 13May2021 her mother took herself to her chemo follow up appointment and was telling the doctor that she was woozy, dizzy, and not eating. The doctor gave her fluids, and he didn't give her chemo because she was not scheduled for it that day. It was just a follow up appointment. He sent her home. The caller talked to her mother on Thursday evening and she didn't sound good and told her she was woozy and dizzy. On Friday, Saturday, and Sunday she didn't answer the phone. The caller's mother is totally against vaccines, and she had been begged to get the pneumonia and flu vaccine and denied them. She had never responded well to them in her life. Even as a cancer patient they would say she needed it and she wouldn't. She did get the Covid vaccine even though she didn't want to. The caller thought her mother was trying to convince herself it was because of the vaccine because she is so against them, but now she doesn't know. The doctor said he didn't think it would have been Covid because she didn't have a fever. Her mother told her that she had been running a fever off and on, which is not unusual for her mother. The doctor didn't think it would have been Covid. Her mother started sleeping all the time mid week last week. She started not eating at the end of last week. The caller has no idea when her mother had a fever. She hadn't gotten to talk to her mother all weekend. At some point last week her mother had said in a conversation that she had a fever off and on. Then on Thursday when she went to the chemo doctor she had no fever it shows it was 97 something. Her oxygen was fine. Her blood pressure was a bit low, 105 over something, which is low for her. She didn't have a fever last Thursday. Prior Vaccinations within 4 weeks no other vaccinations. Blood work on 13May2021 with unknown result. The patient passed away on 17May2021 after receiving the first dose of the Pfizer Covid vaccine. The caller expresses concern that her mother may have had Covid. No autopsy done. Cause of death was Heart attack.  Information on Lot/Batch number has been requested.; Reported Cause(s) of Death: Heart attack"
	"1357346-1"	"1357346-1"	"BLOOD TEST"	"10061726"	"65-79 years"	"65-79"	"she slowly declined with pneumonia; Woozy/Dizzy; Sleeping all the time; Not eating; Running a fever off and on; Her blood pressure was a bit low, 105 over something; suspected COVID-19 with symptoms; Heart attack; This is a spontaneous report from Pfizer from a contactable Consumer reported for mother. A 65-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 05May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. The cancer doctor told her that she needed a Covid vaccine since she has cancer and a lowered immune system. Medical history included Metastatic rectal cancer from Jul2019 to 17May2021, Osteoporosis from unknown date to 17May2021 (She had it for maybe 10 years or something), Fibromyalgia from unknown date to 17May2021 (She had the fibromyalgia for 20 years). She had rectal cancer, osteoporosis, fibromyalgia, and a couple other things that the caller can't think of off hand. Her mother was diagnosed with the rectal cancer in Jul2019. The caller has no idea when she was diagnosed with the osteoporosis. She had the fibromyalgia for 20 years, and the caller is sure it was the same for the osteoporosis, maybe 10 years or something. They were being managed. There were no concomitant medications.  The patient did have metastatic rectal cancer, but it was managed. She was not on hospice or terminal, and they hadn't exhausted all of the treatment plans yet. It was being controlled. She was under the surveillance of a cancer doctor who was completely shocked by her sudden death. It seemed like there was no reason. She was fine and drove herself to her appointments all the time. She had just driven herself to her last appointment. She passed away yesterday morning. She was slowly declining since she got the vaccine. The coroner was playing guessing games and assumed it was pancreatic cancer. Well, she didn't have pancreatic cancer, and the doctor already said the cancer didn't kill her. The doctor said if he had to guess it could have been some kind of pneumonia or a reaction to the vaccine. All of it made her heart stop. The coroner couldn't get the city to approve an autopsy to see the real cause of death because there was no foul play. The caller took it upon herself to discover if maybe Pfizer could help, and she needs to alleviate the vaccine as an option if it contributed. She is so tired and hasn't slept. It is devastating. This woman was everything in her life, and the caller is probably going to go next with how she feels. She feels responsible. Her other guess is if she gave her mother Covid and she slowly declined with pneumonia. The caller couldn't get her sister to take her mother to the ER. Her sister was there Sunday night. On Monday morning her sister called to say her mother was gone. On 05May2021 the patient had the first dose of the Covid vaccine. The caller could have gone there or called an ambulance when her mother wasn't answering the phone. She knew something was wrong. She called her sister who said their mother wasn't feeling good. Her mother was woozy, dizzy, and sleeping all the time. On day 3, Sunday, the caller couldn't get her mother on the phone. She thought she had some level of peace because her sister was there and could keep her updated. Her mother often gets sickly, but she always answers the phone even if she is deathly sick. The caller thought enough is enough and she needed to be put on the phone on speaker with her mother. The caller's sister said her mother was sleeping. The doctor said to probably bring her mother to the ER. The caller told her sister who just didn't take her mother to the ER. The caller could have called an ambulance. She feels incompetent. They are assuming the cause of death was a heart attack. If her mother had gone to the ER on Sunday night they may have found out. Her mother became woozy last weekend because the caller was there on Thursday and her mother didn't look good. She had her chemo bag because she brings it home. It was her first new chemo treatment, and the caller had never seen her mother respond like this. It was strange. Any other time when she was getting chemo she felt great because there is so much stuff in there like steroids to prevent a reaction. It was surprising because she was only sick on chemo once and she had been on this one before. She was just off. Then she continued to decline from there. It started before the chemo. She got on chemo that Thursday before Mother's Day, she was on her first chemo treatment at that time. She was sick a couple of days before that. She had the chemo on 06May2021. She started feeling sickly the day she got the injection on 05May2021. When the caller was there she was thinking it was from the chemo. The caller calls her mother every day and she was sounding worse and worse. On Thursday 13May2021 her mother took herself to her chemo follow up appointment and was telling the doctor that she was woozy, dizzy, and not eating. The doctor gave her fluids, and he didn't give her chemo because she was not scheduled for it that day. It was just a follow up appointment. He sent her home. The caller talked to her mother on Thursday evening and she didn't sound good and told her she was woozy and dizzy. On Friday, Saturday, and Sunday she didn't answer the phone. The caller's mother is totally against vaccines, and she had been begged to get the pneumonia and flu vaccine and denied them. She had never responded well to them in her life. Even as a cancer patient they would say she needed it and she wouldn't. She did get the Covid vaccine even though she didn't want to. The caller thought her mother was trying to convince herself it was because of the vaccine because she is so against them, but now she doesn't know. The doctor said he didn't think it would have been Covid because she didn't have a fever. Her mother told her that she had been running a fever off and on, which is not unusual for her mother. The doctor didn't think it would have been Covid. Her mother started sleeping all the time mid week last week. She started not eating at the end of last week. The caller has no idea when her mother had a fever. She hadn't gotten to talk to her mother all weekend. At some point last week her mother had said in a conversation that she had a fever off and on. Then on Thursday when she went to the chemo doctor she had no fever it shows it was 97 something. Her oxygen was fine. Her blood pressure was a bit low, 105 over something, which is low for her. She didn't have a fever last Thursday. Prior Vaccinations within 4 weeks no other vaccinations. Blood work on 13May2021 with unknown result. The patient passed away on 17May2021 after receiving the first dose of the Pfizer Covid vaccine. The caller expresses concern that her mother may have had Covid. No autopsy done. Cause of death was Heart attack.  Information on Lot/Batch number has been requested.; Reported Cause(s) of Death: Heart attack"
	"1357346-1"	"1357346-1"	"BODY TEMPERATURE"	"10005906"	"65-79 years"	"65-79"	"she slowly declined with pneumonia; Woozy/Dizzy; Sleeping all the time; Not eating; Running a fever off and on; Her blood pressure was a bit low, 105 over something; suspected COVID-19 with symptoms; Heart attack; This is a spontaneous report from Pfizer from a contactable Consumer reported for mother. A 65-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 05May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. The cancer doctor told her that she needed a Covid vaccine since she has cancer and a lowered immune system. Medical history included Metastatic rectal cancer from Jul2019 to 17May2021, Osteoporosis from unknown date to 17May2021 (She had it for maybe 10 years or something), Fibromyalgia from unknown date to 17May2021 (She had the fibromyalgia for 20 years). She had rectal cancer, osteoporosis, fibromyalgia, and a couple other things that the caller can't think of off hand. Her mother was diagnosed with the rectal cancer in Jul2019. The caller has no idea when she was diagnosed with the osteoporosis. She had the fibromyalgia for 20 years, and the caller is sure it was the same for the osteoporosis, maybe 10 years or something. They were being managed. There were no concomitant medications.  The patient did have metastatic rectal cancer, but it was managed. She was not on hospice or terminal, and they hadn't exhausted all of the treatment plans yet. It was being controlled. She was under the surveillance of a cancer doctor who was completely shocked by her sudden death. It seemed like there was no reason. She was fine and drove herself to her appointments all the time. She had just driven herself to her last appointment. She passed away yesterday morning. She was slowly declining since she got the vaccine. The coroner was playing guessing games and assumed it was pancreatic cancer. Well, she didn't have pancreatic cancer, and the doctor already said the cancer didn't kill her. The doctor said if he had to guess it could have been some kind of pneumonia or a reaction to the vaccine. All of it made her heart stop. The coroner couldn't get the city to approve an autopsy to see the real cause of death because there was no foul play. The caller took it upon herself to discover if maybe Pfizer could help, and she needs to alleviate the vaccine as an option if it contributed. She is so tired and hasn't slept. It is devastating. This woman was everything in her life, and the caller is probably going to go next with how she feels. She feels responsible. Her other guess is if she gave her mother Covid and she slowly declined with pneumonia. The caller couldn't get her sister to take her mother to the ER. Her sister was there Sunday night. On Monday morning her sister called to say her mother was gone. On 05May2021 the patient had the first dose of the Covid vaccine. The caller could have gone there or called an ambulance when her mother wasn't answering the phone. She knew something was wrong. She called her sister who said their mother wasn't feeling good. Her mother was woozy, dizzy, and sleeping all the time. On day 3, Sunday, the caller couldn't get her mother on the phone. She thought she had some level of peace because her sister was there and could keep her updated. Her mother often gets sickly, but she always answers the phone even if she is deathly sick. The caller thought enough is enough and she needed to be put on the phone on speaker with her mother. The caller's sister said her mother was sleeping. The doctor said to probably bring her mother to the ER. The caller told her sister who just didn't take her mother to the ER. The caller could have called an ambulance. She feels incompetent. They are assuming the cause of death was a heart attack. If her mother had gone to the ER on Sunday night they may have found out. Her mother became woozy last weekend because the caller was there on Thursday and her mother didn't look good. She had her chemo bag because she brings it home. It was her first new chemo treatment, and the caller had never seen her mother respond like this. It was strange. Any other time when she was getting chemo she felt great because there is so much stuff in there like steroids to prevent a reaction. It was surprising because she was only sick on chemo once and she had been on this one before. She was just off. Then she continued to decline from there. It started before the chemo. She got on chemo that Thursday before Mother's Day, she was on her first chemo treatment at that time. She was sick a couple of days before that. She had the chemo on 06May2021. She started feeling sickly the day she got the injection on 05May2021. When the caller was there she was thinking it was from the chemo. The caller calls her mother every day and she was sounding worse and worse. On Thursday 13May2021 her mother took herself to her chemo follow up appointment and was telling the doctor that she was woozy, dizzy, and not eating. The doctor gave her fluids, and he didn't give her chemo because she was not scheduled for it that day. It was just a follow up appointment. He sent her home. The caller talked to her mother on Thursday evening and she didn't sound good and told her she was woozy and dizzy. On Friday, Saturday, and Sunday she didn't answer the phone. The caller's mother is totally against vaccines, and she had been begged to get the pneumonia and flu vaccine and denied them. She had never responded well to them in her life. Even as a cancer patient they would say she needed it and she wouldn't. She did get the Covid vaccine even though she didn't want to. The caller thought her mother was trying to convince herself it was because of the vaccine because she is so against them, but now she doesn't know. The doctor said he didn't think it would have been Covid because she didn't have a fever. Her mother told her that she had been running a fever off and on, which is not unusual for her mother. The doctor didn't think it would have been Covid. Her mother started sleeping all the time mid week last week. She started not eating at the end of last week. The caller has no idea when her mother had a fever. She hadn't gotten to talk to her mother all weekend. At some point last week her mother had said in a conversation that she had a fever off and on. Then on Thursday when she went to the chemo doctor she had no fever it shows it was 97 something. Her oxygen was fine. Her blood pressure was a bit low, 105 over something, which is low for her. She didn't have a fever last Thursday. Prior Vaccinations within 4 weeks no other vaccinations. Blood work on 13May2021 with unknown result. The patient passed away on 17May2021 after receiving the first dose of the Pfizer Covid vaccine. The caller expresses concern that her mother may have had Covid. No autopsy done. Cause of death was Heart attack.  Information on Lot/Batch number has been requested.; Reported Cause(s) of Death: Heart attack"
	"1357346-1"	"1357346-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"she slowly declined with pneumonia; Woozy/Dizzy; Sleeping all the time; Not eating; Running a fever off and on; Her blood pressure was a bit low, 105 over something; suspected COVID-19 with symptoms; Heart attack; This is a spontaneous report from Pfizer from a contactable Consumer reported for mother. A 65-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 05May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. The cancer doctor told her that she needed a Covid vaccine since she has cancer and a lowered immune system. Medical history included Metastatic rectal cancer from Jul2019 to 17May2021, Osteoporosis from unknown date to 17May2021 (She had it for maybe 10 years or something), Fibromyalgia from unknown date to 17May2021 (She had the fibromyalgia for 20 years). She had rectal cancer, osteoporosis, fibromyalgia, and a couple other things that the caller can't think of off hand. Her mother was diagnosed with the rectal cancer in Jul2019. The caller has no idea when she was diagnosed with the osteoporosis. She had the fibromyalgia for 20 years, and the caller is sure it was the same for the osteoporosis, maybe 10 years or something. They were being managed. There were no concomitant medications.  The patient did have metastatic rectal cancer, but it was managed. She was not on hospice or terminal, and they hadn't exhausted all of the treatment plans yet. It was being controlled. She was under the surveillance of a cancer doctor who was completely shocked by her sudden death. It seemed like there was no reason. She was fine and drove herself to her appointments all the time. She had just driven herself to her last appointment. She passed away yesterday morning. She was slowly declining since she got the vaccine. The coroner was playing guessing games and assumed it was pancreatic cancer. Well, she didn't have pancreatic cancer, and the doctor already said the cancer didn't kill her. The doctor said if he had to guess it could have been some kind of pneumonia or a reaction to the vaccine. All of it made her heart stop. The coroner couldn't get the city to approve an autopsy to see the real cause of death because there was no foul play. The caller took it upon herself to discover if maybe Pfizer could help, and she needs to alleviate the vaccine as an option if it contributed. She is so tired and hasn't slept. It is devastating. This woman was everything in her life, and the caller is probably going to go next with how she feels. She feels responsible. Her other guess is if she gave her mother Covid and she slowly declined with pneumonia. The caller couldn't get her sister to take her mother to the ER. Her sister was there Sunday night. On Monday morning her sister called to say her mother was gone. On 05May2021 the patient had the first dose of the Covid vaccine. The caller could have gone there or called an ambulance when her mother wasn't answering the phone. She knew something was wrong. She called her sister who said their mother wasn't feeling good. Her mother was woozy, dizzy, and sleeping all the time. On day 3, Sunday, the caller couldn't get her mother on the phone. She thought she had some level of peace because her sister was there and could keep her updated. Her mother often gets sickly, but she always answers the phone even if she is deathly sick. The caller thought enough is enough and she needed to be put on the phone on speaker with her mother. The caller's sister said her mother was sleeping. The doctor said to probably bring her mother to the ER. The caller told her sister who just didn't take her mother to the ER. The caller could have called an ambulance. She feels incompetent. They are assuming the cause of death was a heart attack. If her mother had gone to the ER on Sunday night they may have found out. Her mother became woozy last weekend because the caller was there on Thursday and her mother didn't look good. She had her chemo bag because she brings it home. It was her first new chemo treatment, and the caller had never seen her mother respond like this. It was strange. Any other time when she was getting chemo she felt great because there is so much stuff in there like steroids to prevent a reaction. It was surprising because she was only sick on chemo once and she had been on this one before. She was just off. Then she continued to decline from there. It started before the chemo. She got on chemo that Thursday before Mother's Day, she was on her first chemo treatment at that time. She was sick a couple of days before that. She had the chemo on 06May2021. She started feeling sickly the day she got the injection on 05May2021. When the caller was there she was thinking it was from the chemo. The caller calls her mother every day and she was sounding worse and worse. On Thursday 13May2021 her mother took herself to her chemo follow up appointment and was telling the doctor that she was woozy, dizzy, and not eating. The doctor gave her fluids, and he didn't give her chemo because she was not scheduled for it that day. It was just a follow up appointment. He sent her home. The caller talked to her mother on Thursday evening and she didn't sound good and told her she was woozy and dizzy. On Friday, Saturday, and Sunday she didn't answer the phone. The caller's mother is totally against vaccines, and she had been begged to get the pneumonia and flu vaccine and denied them. She had never responded well to them in her life. Even as a cancer patient they would say she needed it and she wouldn't. She did get the Covid vaccine even though she didn't want to. The caller thought her mother was trying to convince herself it was because of the vaccine because she is so against them, but now she doesn't know. The doctor said he didn't think it would have been Covid because she didn't have a fever. Her mother told her that she had been running a fever off and on, which is not unusual for her mother. The doctor didn't think it would have been Covid. Her mother started sleeping all the time mid week last week. She started not eating at the end of last week. The caller has no idea when her mother had a fever. She hadn't gotten to talk to her mother all weekend. At some point last week her mother had said in a conversation that she had a fever off and on. Then on Thursday when she went to the chemo doctor she had no fever it shows it was 97 something. Her oxygen was fine. Her blood pressure was a bit low, 105 over something, which is low for her. She didn't have a fever last Thursday. Prior Vaccinations within 4 weeks no other vaccinations. Blood work on 13May2021 with unknown result. The patient passed away on 17May2021 after receiving the first dose of the Pfizer Covid vaccine. The caller expresses concern that her mother may have had Covid. No autopsy done. Cause of death was Heart attack.  Information on Lot/Batch number has been requested.; Reported Cause(s) of Death: Heart attack"
	"1357346-1"	"1357346-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"she slowly declined with pneumonia; Woozy/Dizzy; Sleeping all the time; Not eating; Running a fever off and on; Her blood pressure was a bit low, 105 over something; suspected COVID-19 with symptoms; Heart attack; This is a spontaneous report from Pfizer from a contactable Consumer reported for mother. A 65-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 05May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. The cancer doctor told her that she needed a Covid vaccine since she has cancer and a lowered immune system. Medical history included Metastatic rectal cancer from Jul2019 to 17May2021, Osteoporosis from unknown date to 17May2021 (She had it for maybe 10 years or something), Fibromyalgia from unknown date to 17May2021 (She had the fibromyalgia for 20 years). She had rectal cancer, osteoporosis, fibromyalgia, and a couple other things that the caller can't think of off hand. Her mother was diagnosed with the rectal cancer in Jul2019. The caller has no idea when she was diagnosed with the osteoporosis. She had the fibromyalgia for 20 years, and the caller is sure it was the same for the osteoporosis, maybe 10 years or something. They were being managed. There were no concomitant medications.  The patient did have metastatic rectal cancer, but it was managed. She was not on hospice or terminal, and they hadn't exhausted all of the treatment plans yet. It was being controlled. She was under the surveillance of a cancer doctor who was completely shocked by her sudden death. It seemed like there was no reason. She was fine and drove herself to her appointments all the time. She had just driven herself to her last appointment. She passed away yesterday morning. She was slowly declining since she got the vaccine. The coroner was playing guessing games and assumed it was pancreatic cancer. Well, she didn't have pancreatic cancer, and the doctor already said the cancer didn't kill her. The doctor said if he had to guess it could have been some kind of pneumonia or a reaction to the vaccine. All of it made her heart stop. The coroner couldn't get the city to approve an autopsy to see the real cause of death because there was no foul play. The caller took it upon herself to discover if maybe Pfizer could help, and she needs to alleviate the vaccine as an option if it contributed. She is so tired and hasn't slept. It is devastating. This woman was everything in her life, and the caller is probably going to go next with how she feels. She feels responsible. Her other guess is if she gave her mother Covid and she slowly declined with pneumonia. The caller couldn't get her sister to take her mother to the ER. Her sister was there Sunday night. On Monday morning her sister called to say her mother was gone. On 05May2021 the patient had the first dose of the Covid vaccine. The caller could have gone there or called an ambulance when her mother wasn't answering the phone. She knew something was wrong. She called her sister who said their mother wasn't feeling good. Her mother was woozy, dizzy, and sleeping all the time. On day 3, Sunday, the caller couldn't get her mother on the phone. She thought she had some level of peace because her sister was there and could keep her updated. Her mother often gets sickly, but she always answers the phone even if she is deathly sick. The caller thought enough is enough and she needed to be put on the phone on speaker with her mother. The caller's sister said her mother was sleeping. The doctor said to probably bring her mother to the ER. The caller told her sister who just didn't take her mother to the ER. The caller could have called an ambulance. She feels incompetent. They are assuming the cause of death was a heart attack. If her mother had gone to the ER on Sunday night they may have found out. Her mother became woozy last weekend because the caller was there on Thursday and her mother didn't look good. She had her chemo bag because she brings it home. It was her first new chemo treatment, and the caller had never seen her mother respond like this. It was strange. Any other time when she was getting chemo she felt great because there is so much stuff in there like steroids to prevent a reaction. It was surprising because she was only sick on chemo once and she had been on this one before. She was just off. Then she continued to decline from there. It started before the chemo. She got on chemo that Thursday before Mother's Day, she was on her first chemo treatment at that time. She was sick a couple of days before that. She had the chemo on 06May2021. She started feeling sickly the day she got the injection on 05May2021. When the caller was there she was thinking it was from the chemo. The caller calls her mother every day and she was sounding worse and worse. On Thursday 13May2021 her mother took herself to her chemo follow up appointment and was telling the doctor that she was woozy, dizzy, and not eating. The doctor gave her fluids, and he didn't give her chemo because she was not scheduled for it that day. It was just a follow up appointment. He sent her home. The caller talked to her mother on Thursday evening and she didn't sound good and told her she was woozy and dizzy. On Friday, Saturday, and Sunday she didn't answer the phone. The caller's mother is totally against vaccines, and she had been begged to get the pneumonia and flu vaccine and denied them. She had never responded well to them in her life. Even as a cancer patient they would say she needed it and she wouldn't. She did get the Covid vaccine even though she didn't want to. The caller thought her mother was trying to convince herself it was because of the vaccine because she is so against them, but now she doesn't know. The doctor said he didn't think it would have been Covid because she didn't have a fever. Her mother told her that she had been running a fever off and on, which is not unusual for her mother. The doctor didn't think it would have been Covid. Her mother started sleeping all the time mid week last week. She started not eating at the end of last week. The caller has no idea when her mother had a fever. She hadn't gotten to talk to her mother all weekend. At some point last week her mother had said in a conversation that she had a fever off and on. Then on Thursday when she went to the chemo doctor she had no fever it shows it was 97 something. Her oxygen was fine. Her blood pressure was a bit low, 105 over something, which is low for her. She didn't have a fever last Thursday. Prior Vaccinations within 4 weeks no other vaccinations. Blood work on 13May2021 with unknown result. The patient passed away on 17May2021 after receiving the first dose of the Pfizer Covid vaccine. The caller expresses concern that her mother may have had Covid. No autopsy done. Cause of death was Heart attack.  Information on Lot/Batch number has been requested.; Reported Cause(s) of Death: Heart attack"
	"1357346-1"	"1357346-1"	"HYPERSOMNIA"	"10020765"	"65-79 years"	"65-79"	"she slowly declined with pneumonia; Woozy/Dizzy; Sleeping all the time; Not eating; Running a fever off and on; Her blood pressure was a bit low, 105 over something; suspected COVID-19 with symptoms; Heart attack; This is a spontaneous report from Pfizer from a contactable Consumer reported for mother. A 65-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 05May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. The cancer doctor told her that she needed a Covid vaccine since she has cancer and a lowered immune system. Medical history included Metastatic rectal cancer from Jul2019 to 17May2021, Osteoporosis from unknown date to 17May2021 (She had it for maybe 10 years or something), Fibromyalgia from unknown date to 17May2021 (She had the fibromyalgia for 20 years). She had rectal cancer, osteoporosis, fibromyalgia, and a couple other things that the caller can't think of off hand. Her mother was diagnosed with the rectal cancer in Jul2019. The caller has no idea when she was diagnosed with the osteoporosis. She had the fibromyalgia for 20 years, and the caller is sure it was the same for the osteoporosis, maybe 10 years or something. They were being managed. There were no concomitant medications.  The patient did have metastatic rectal cancer, but it was managed. She was not on hospice or terminal, and they hadn't exhausted all of the treatment plans yet. It was being controlled. She was under the surveillance of a cancer doctor who was completely shocked by her sudden death. It seemed like there was no reason. She was fine and drove herself to her appointments all the time. She had just driven herself to her last appointment. She passed away yesterday morning. She was slowly declining since she got the vaccine. The coroner was playing guessing games and assumed it was pancreatic cancer. Well, she didn't have pancreatic cancer, and the doctor already said the cancer didn't kill her. The doctor said if he had to guess it could have been some kind of pneumonia or a reaction to the vaccine. All of it made her heart stop. The coroner couldn't get the city to approve an autopsy to see the real cause of death because there was no foul play. The caller took it upon herself to discover if maybe Pfizer could help, and she needs to alleviate the vaccine as an option if it contributed. She is so tired and hasn't slept. It is devastating. This woman was everything in her life, and the caller is probably going to go next with how she feels. She feels responsible. Her other guess is if she gave her mother Covid and she slowly declined with pneumonia. The caller couldn't get her sister to take her mother to the ER. Her sister was there Sunday night. On Monday morning her sister called to say her mother was gone. On 05May2021 the patient had the first dose of the Covid vaccine. The caller could have gone there or called an ambulance when her mother wasn't answering the phone. She knew something was wrong. She called her sister who said their mother wasn't feeling good. Her mother was woozy, dizzy, and sleeping all the time. On day 3, Sunday, the caller couldn't get her mother on the phone. She thought she had some level of peace because her sister was there and could keep her updated. Her mother often gets sickly, but she always answers the phone even if she is deathly sick. The caller thought enough is enough and she needed to be put on the phone on speaker with her mother. The caller's sister said her mother was sleeping. The doctor said to probably bring her mother to the ER. The caller told her sister who just didn't take her mother to the ER. The caller could have called an ambulance. She feels incompetent. They are assuming the cause of death was a heart attack. If her mother had gone to the ER on Sunday night they may have found out. Her mother became woozy last weekend because the caller was there on Thursday and her mother didn't look good. She had her chemo bag because she brings it home. It was her first new chemo treatment, and the caller had never seen her mother respond like this. It was strange. Any other time when she was getting chemo she felt great because there is so much stuff in there like steroids to prevent a reaction. It was surprising because she was only sick on chemo once and she had been on this one before. She was just off. Then she continued to decline from there. It started before the chemo. She got on chemo that Thursday before Mother's Day, she was on her first chemo treatment at that time. She was sick a couple of days before that. She had the chemo on 06May2021. She started feeling sickly the day she got the injection on 05May2021. When the caller was there she was thinking it was from the chemo. The caller calls her mother every day and she was sounding worse and worse. On Thursday 13May2021 her mother took herself to her chemo follow up appointment and was telling the doctor that she was woozy, dizzy, and not eating. The doctor gave her fluids, and he didn't give her chemo because she was not scheduled for it that day. It was just a follow up appointment. He sent her home. The caller talked to her mother on Thursday evening and she didn't sound good and told her she was woozy and dizzy. On Friday, Saturday, and Sunday she didn't answer the phone. The caller's mother is totally against vaccines, and she had been begged to get the pneumonia and flu vaccine and denied them. She had never responded well to them in her life. Even as a cancer patient they would say she needed it and she wouldn't. She did get the Covid vaccine even though she didn't want to. The caller thought her mother was trying to convince herself it was because of the vaccine because she is so against them, but now she doesn't know. The doctor said he didn't think it would have been Covid because she didn't have a fever. Her mother told her that she had been running a fever off and on, which is not unusual for her mother. The doctor didn't think it would have been Covid. Her mother started sleeping all the time mid week last week. She started not eating at the end of last week. The caller has no idea when her mother had a fever. She hadn't gotten to talk to her mother all weekend. At some point last week her mother had said in a conversation that she had a fever off and on. Then on Thursday when she went to the chemo doctor she had no fever it shows it was 97 something. Her oxygen was fine. Her blood pressure was a bit low, 105 over something, which is low for her. She didn't have a fever last Thursday. Prior Vaccinations within 4 weeks no other vaccinations. Blood work on 13May2021 with unknown result. The patient passed away on 17May2021 after receiving the first dose of the Pfizer Covid vaccine. The caller expresses concern that her mother may have had Covid. No autopsy done. Cause of death was Heart attack.  Information on Lot/Batch number has been requested.; Reported Cause(s) of Death: Heart attack"
	"1357346-1"	"1357346-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"she slowly declined with pneumonia; Woozy/Dizzy; Sleeping all the time; Not eating; Running a fever off and on; Her blood pressure was a bit low, 105 over something; suspected COVID-19 with symptoms; Heart attack; This is a spontaneous report from Pfizer from a contactable Consumer reported for mother. A 65-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 05May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. The cancer doctor told her that she needed a Covid vaccine since she has cancer and a lowered immune system. Medical history included Metastatic rectal cancer from Jul2019 to 17May2021, Osteoporosis from unknown date to 17May2021 (She had it for maybe 10 years or something), Fibromyalgia from unknown date to 17May2021 (She had the fibromyalgia for 20 years). She had rectal cancer, osteoporosis, fibromyalgia, and a couple other things that the caller can't think of off hand. Her mother was diagnosed with the rectal cancer in Jul2019. The caller has no idea when she was diagnosed with the osteoporosis. She had the fibromyalgia for 20 years, and the caller is sure it was the same for the osteoporosis, maybe 10 years or something. They were being managed. There were no concomitant medications.  The patient did have metastatic rectal cancer, but it was managed. She was not on hospice or terminal, and they hadn't exhausted all of the treatment plans yet. It was being controlled. She was under the surveillance of a cancer doctor who was completely shocked by her sudden death. It seemed like there was no reason. She was fine and drove herself to her appointments all the time. She had just driven herself to her last appointment. She passed away yesterday morning. She was slowly declining since she got the vaccine. The coroner was playing guessing games and assumed it was pancreatic cancer. Well, she didn't have pancreatic cancer, and the doctor already said the cancer didn't kill her. The doctor said if he had to guess it could have been some kind of pneumonia or a reaction to the vaccine. All of it made her heart stop. The coroner couldn't get the city to approve an autopsy to see the real cause of death because there was no foul play. The caller took it upon herself to discover if maybe Pfizer could help, and she needs to alleviate the vaccine as an option if it contributed. She is so tired and hasn't slept. It is devastating. This woman was everything in her life, and the caller is probably going to go next with how she feels. She feels responsible. Her other guess is if she gave her mother Covid and she slowly declined with pneumonia. The caller couldn't get her sister to take her mother to the ER. Her sister was there Sunday night. On Monday morning her sister called to say her mother was gone. On 05May2021 the patient had the first dose of the Covid vaccine. The caller could have gone there or called an ambulance when her mother wasn't answering the phone. She knew something was wrong. She called her sister who said their mother wasn't feeling good. Her mother was woozy, dizzy, and sleeping all the time. On day 3, Sunday, the caller couldn't get her mother on the phone. She thought she had some level of peace because her sister was there and could keep her updated. Her mother often gets sickly, but she always answers the phone even if she is deathly sick. The caller thought enough is enough and she needed to be put on the phone on speaker with her mother. The caller's sister said her mother was sleeping. The doctor said to probably bring her mother to the ER. The caller told her sister who just didn't take her mother to the ER. The caller could have called an ambulance. She feels incompetent. They are assuming the cause of death was a heart attack. If her mother had gone to the ER on Sunday night they may have found out. Her mother became woozy last weekend because the caller was there on Thursday and her mother didn't look good. She had her chemo bag because she brings it home. It was her first new chemo treatment, and the caller had never seen her mother respond like this. It was strange. Any other time when she was getting chemo she felt great because there is so much stuff in there like steroids to prevent a reaction. It was surprising because she was only sick on chemo once and she had been on this one before. She was just off. Then she continued to decline from there. It started before the chemo. She got on chemo that Thursday before Mother's Day, she was on her first chemo treatment at that time. She was sick a couple of days before that. She had the chemo on 06May2021. She started feeling sickly the day she got the injection on 05May2021. When the caller was there she was thinking it was from the chemo. The caller calls her mother every day and she was sounding worse and worse. On Thursday 13May2021 her mother took herself to her chemo follow up appointment and was telling the doctor that she was woozy, dizzy, and not eating. The doctor gave her fluids, and he didn't give her chemo because she was not scheduled for it that day. It was just a follow up appointment. He sent her home. The caller talked to her mother on Thursday evening and she didn't sound good and told her she was woozy and dizzy. On Friday, Saturday, and Sunday she didn't answer the phone. The caller's mother is totally against vaccines, and she had been begged to get the pneumonia and flu vaccine and denied them. She had never responded well to them in her life. Even as a cancer patient they would say she needed it and she wouldn't. She did get the Covid vaccine even though she didn't want to. The caller thought her mother was trying to convince herself it was because of the vaccine because she is so against them, but now she doesn't know. The doctor said he didn't think it would have been Covid because she didn't have a fever. Her mother told her that she had been running a fever off and on, which is not unusual for her mother. The doctor didn't think it would have been Covid. Her mother started sleeping all the time mid week last week. She started not eating at the end of last week. The caller has no idea when her mother had a fever. She hadn't gotten to talk to her mother all weekend. At some point last week her mother had said in a conversation that she had a fever off and on. Then on Thursday when she went to the chemo doctor she had no fever it shows it was 97 something. Her oxygen was fine. Her blood pressure was a bit low, 105 over something, which is low for her. She didn't have a fever last Thursday. Prior Vaccinations within 4 weeks no other vaccinations. Blood work on 13May2021 with unknown result. The patient passed away on 17May2021 after receiving the first dose of the Pfizer Covid vaccine. The caller expresses concern that her mother may have had Covid. No autopsy done. Cause of death was Heart attack.  Information on Lot/Batch number has been requested.; Reported Cause(s) of Death: Heart attack"
	"1357346-1"	"1357346-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"she slowly declined with pneumonia; Woozy/Dizzy; Sleeping all the time; Not eating; Running a fever off and on; Her blood pressure was a bit low, 105 over something; suspected COVID-19 with symptoms; Heart attack; This is a spontaneous report from Pfizer from a contactable Consumer reported for mother. A 65-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 05May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. The cancer doctor told her that she needed a Covid vaccine since she has cancer and a lowered immune system. Medical history included Metastatic rectal cancer from Jul2019 to 17May2021, Osteoporosis from unknown date to 17May2021 (She had it for maybe 10 years or something), Fibromyalgia from unknown date to 17May2021 (She had the fibromyalgia for 20 years). She had rectal cancer, osteoporosis, fibromyalgia, and a couple other things that the caller can't think of off hand. Her mother was diagnosed with the rectal cancer in Jul2019. The caller has no idea when she was diagnosed with the osteoporosis. She had the fibromyalgia for 20 years, and the caller is sure it was the same for the osteoporosis, maybe 10 years or something. They were being managed. There were no concomitant medications.  The patient did have metastatic rectal cancer, but it was managed. She was not on hospice or terminal, and they hadn't exhausted all of the treatment plans yet. It was being controlled. She was under the surveillance of a cancer doctor who was completely shocked by her sudden death. It seemed like there was no reason. She was fine and drove herself to her appointments all the time. She had just driven herself to her last appointment. She passed away yesterday morning. She was slowly declining since she got the vaccine. The coroner was playing guessing games and assumed it was pancreatic cancer. Well, she didn't have pancreatic cancer, and the doctor already said the cancer didn't kill her. The doctor said if he had to guess it could have been some kind of pneumonia or a reaction to the vaccine. All of it made her heart stop. The coroner couldn't get the city to approve an autopsy to see the real cause of death because there was no foul play. The caller took it upon herself to discover if maybe Pfizer could help, and she needs to alleviate the vaccine as an option if it contributed. She is so tired and hasn't slept. It is devastating. This woman was everything in her life, and the caller is probably going to go next with how she feels. She feels responsible. Her other guess is if she gave her mother Covid and she slowly declined with pneumonia. The caller couldn't get her sister to take her mother to the ER. Her sister was there Sunday night. On Monday morning her sister called to say her mother was gone. On 05May2021 the patient had the first dose of the Covid vaccine. The caller could have gone there or called an ambulance when her mother wasn't answering the phone. She knew something was wrong. She called her sister who said their mother wasn't feeling good. Her mother was woozy, dizzy, and sleeping all the time. On day 3, Sunday, the caller couldn't get her mother on the phone. She thought she had some level of peace because her sister was there and could keep her updated. Her mother often gets sickly, but she always answers the phone even if she is deathly sick. The caller thought enough is enough and she needed to be put on the phone on speaker with her mother. The caller's sister said her mother was sleeping. The doctor said to probably bring her mother to the ER. The caller told her sister who just didn't take her mother to the ER. The caller could have called an ambulance. She feels incompetent. They are assuming the cause of death was a heart attack. If her mother had gone to the ER on Sunday night they may have found out. Her mother became woozy last weekend because the caller was there on Thursday and her mother didn't look good. She had her chemo bag because she brings it home. It was her first new chemo treatment, and the caller had never seen her mother respond like this. It was strange. Any other time when she was getting chemo she felt great because there is so much stuff in there like steroids to prevent a reaction. It was surprising because she was only sick on chemo once and she had been on this one before. She was just off. Then she continued to decline from there. It started before the chemo. She got on chemo that Thursday before Mother's Day, she was on her first chemo treatment at that time. She was sick a couple of days before that. She had the chemo on 06May2021. She started feeling sickly the day she got the injection on 05May2021. When the caller was there she was thinking it was from the chemo. The caller calls her mother every day and she was sounding worse and worse. On Thursday 13May2021 her mother took herself to her chemo follow up appointment and was telling the doctor that she was woozy, dizzy, and not eating. The doctor gave her fluids, and he didn't give her chemo because she was not scheduled for it that day. It was just a follow up appointment. He sent her home. The caller talked to her mother on Thursday evening and she didn't sound good and told her she was woozy and dizzy. On Friday, Saturday, and Sunday she didn't answer the phone. The caller's mother is totally against vaccines, and she had been begged to get the pneumonia and flu vaccine and denied them. She had never responded well to them in her life. Even as a cancer patient they would say she needed it and she wouldn't. She did get the Covid vaccine even though she didn't want to. The caller thought her mother was trying to convince herself it was because of the vaccine because she is so against them, but now she doesn't know. The doctor said he didn't think it would have been Covid because she didn't have a fever. Her mother told her that she had been running a fever off and on, which is not unusual for her mother. The doctor didn't think it would have been Covid. Her mother started sleeping all the time mid week last week. She started not eating at the end of last week. The caller has no idea when her mother had a fever. She hadn't gotten to talk to her mother all weekend. At some point last week her mother had said in a conversation that she had a fever off and on. Then on Thursday when she went to the chemo doctor she had no fever it shows it was 97 something. Her oxygen was fine. Her blood pressure was a bit low, 105 over something, which is low for her. She didn't have a fever last Thursday. Prior Vaccinations within 4 weeks no other vaccinations. Blood work on 13May2021 with unknown result. The patient passed away on 17May2021 after receiving the first dose of the Pfizer Covid vaccine. The caller expresses concern that her mother may have had Covid. No autopsy done. Cause of death was Heart attack.  Information on Lot/Batch number has been requested.; Reported Cause(s) of Death: Heart attack"
	"1357346-1"	"1357346-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"she slowly declined with pneumonia; Woozy/Dizzy; Sleeping all the time; Not eating; Running a fever off and on; Her blood pressure was a bit low, 105 over something; suspected COVID-19 with symptoms; Heart attack; This is a spontaneous report from Pfizer from a contactable Consumer reported for mother. A 65-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 05May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. The cancer doctor told her that she needed a Covid vaccine since she has cancer and a lowered immune system. Medical history included Metastatic rectal cancer from Jul2019 to 17May2021, Osteoporosis from unknown date to 17May2021 (She had it for maybe 10 years or something), Fibromyalgia from unknown date to 17May2021 (She had the fibromyalgia for 20 years). She had rectal cancer, osteoporosis, fibromyalgia, and a couple other things that the caller can't think of off hand. Her mother was diagnosed with the rectal cancer in Jul2019. The caller has no idea when she was diagnosed with the osteoporosis. She had the fibromyalgia for 20 years, and the caller is sure it was the same for the osteoporosis, maybe 10 years or something. They were being managed. There were no concomitant medications.  The patient did have metastatic rectal cancer, but it was managed. She was not on hospice or terminal, and they hadn't exhausted all of the treatment plans yet. It was being controlled. She was under the surveillance of a cancer doctor who was completely shocked by her sudden death. It seemed like there was no reason. She was fine and drove herself to her appointments all the time. She had just driven herself to her last appointment. She passed away yesterday morning. She was slowly declining since she got the vaccine. The coroner was playing guessing games and assumed it was pancreatic cancer. Well, she didn't have pancreatic cancer, and the doctor already said the cancer didn't kill her. The doctor said if he had to guess it could have been some kind of pneumonia or a reaction to the vaccine. All of it made her heart stop. The coroner couldn't get the city to approve an autopsy to see the real cause of death because there was no foul play. The caller took it upon herself to discover if maybe Pfizer could help, and she needs to alleviate the vaccine as an option if it contributed. She is so tired and hasn't slept. It is devastating. This woman was everything in her life, and the caller is probably going to go next with how she feels. She feels responsible. Her other guess is if she gave her mother Covid and she slowly declined with pneumonia. The caller couldn't get her sister to take her mother to the ER. Her sister was there Sunday night. On Monday morning her sister called to say her mother was gone. On 05May2021 the patient had the first dose of the Covid vaccine. The caller could have gone there or called an ambulance when her mother wasn't answering the phone. She knew something was wrong. She called her sister who said their mother wasn't feeling good. Her mother was woozy, dizzy, and sleeping all the time. On day 3, Sunday, the caller couldn't get her mother on the phone. She thought she had some level of peace because her sister was there and could keep her updated. Her mother often gets sickly, but she always answers the phone even if she is deathly sick. The caller thought enough is enough and she needed to be put on the phone on speaker with her mother. The caller's sister said her mother was sleeping. The doctor said to probably bring her mother to the ER. The caller told her sister who just didn't take her mother to the ER. The caller could have called an ambulance. She feels incompetent. They are assuming the cause of death was a heart attack. If her mother had gone to the ER on Sunday night they may have found out. Her mother became woozy last weekend because the caller was there on Thursday and her mother didn't look good. She had her chemo bag because she brings it home. It was her first new chemo treatment, and the caller had never seen her mother respond like this. It was strange. Any other time when she was getting chemo she felt great because there is so much stuff in there like steroids to prevent a reaction. It was surprising because she was only sick on chemo once and she had been on this one before. She was just off. Then she continued to decline from there. It started before the chemo. She got on chemo that Thursday before Mother's Day, she was on her first chemo treatment at that time. She was sick a couple of days before that. She had the chemo on 06May2021. She started feeling sickly the day she got the injection on 05May2021. When the caller was there she was thinking it was from the chemo. The caller calls her mother every day and she was sounding worse and worse. On Thursday 13May2021 her mother took herself to her chemo follow up appointment and was telling the doctor that she was woozy, dizzy, and not eating. The doctor gave her fluids, and he didn't give her chemo because she was not scheduled for it that day. It was just a follow up appointment. He sent her home. The caller talked to her mother on Thursday evening and she didn't sound good and told her she was woozy and dizzy. On Friday, Saturday, and Sunday she didn't answer the phone. The caller's mother is totally against vaccines, and she had been begged to get the pneumonia and flu vaccine and denied them. She had never responded well to them in her life. Even as a cancer patient they would say she needed it and she wouldn't. She did get the Covid vaccine even though she didn't want to. The caller thought her mother was trying to convince herself it was because of the vaccine because she is so against them, but now she doesn't know. The doctor said he didn't think it would have been Covid because she didn't have a fever. Her mother told her that she had been running a fever off and on, which is not unusual for her mother. The doctor didn't think it would have been Covid. Her mother started sleeping all the time mid week last week. She started not eating at the end of last week. The caller has no idea when her mother had a fever. She hadn't gotten to talk to her mother all weekend. At some point last week her mother had said in a conversation that she had a fever off and on. Then on Thursday when she went to the chemo doctor she had no fever it shows it was 97 something. Her oxygen was fine. Her blood pressure was a bit low, 105 over something, which is low for her. She didn't have a fever last Thursday. Prior Vaccinations within 4 weeks no other vaccinations. Blood work on 13May2021 with unknown result. The patient passed away on 17May2021 after receiving the first dose of the Pfizer Covid vaccine. The caller expresses concern that her mother may have had Covid. No autopsy done. Cause of death was Heart attack.  Information on Lot/Batch number has been requested.; Reported Cause(s) of Death: Heart attack"
	"1357346-1"	"1357346-1"	"SUSPECTED COVID-19"	"10084451"	"65-79 years"	"65-79"	"she slowly declined with pneumonia; Woozy/Dizzy; Sleeping all the time; Not eating; Running a fever off and on; Her blood pressure was a bit low, 105 over something; suspected COVID-19 with symptoms; Heart attack; This is a spontaneous report from Pfizer from a contactable Consumer reported for mother. A 65-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 05May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. The cancer doctor told her that she needed a Covid vaccine since she has cancer and a lowered immune system. Medical history included Metastatic rectal cancer from Jul2019 to 17May2021, Osteoporosis from unknown date to 17May2021 (She had it for maybe 10 years or something), Fibromyalgia from unknown date to 17May2021 (She had the fibromyalgia for 20 years). She had rectal cancer, osteoporosis, fibromyalgia, and a couple other things that the caller can't think of off hand. Her mother was diagnosed with the rectal cancer in Jul2019. The caller has no idea when she was diagnosed with the osteoporosis. She had the fibromyalgia for 20 years, and the caller is sure it was the same for the osteoporosis, maybe 10 years or something. They were being managed. There were no concomitant medications.  The patient did have metastatic rectal cancer, but it was managed. She was not on hospice or terminal, and they hadn't exhausted all of the treatment plans yet. It was being controlled. She was under the surveillance of a cancer doctor who was completely shocked by her sudden death. It seemed like there was no reason. She was fine and drove herself to her appointments all the time. She had just driven herself to her last appointment. She passed away yesterday morning. She was slowly declining since she got the vaccine. The coroner was playing guessing games and assumed it was pancreatic cancer. Well, she didn't have pancreatic cancer, and the doctor already said the cancer didn't kill her. The doctor said if he had to guess it could have been some kind of pneumonia or a reaction to the vaccine. All of it made her heart stop. The coroner couldn't get the city to approve an autopsy to see the real cause of death because there was no foul play. The caller took it upon herself to discover if maybe Pfizer could help, and she needs to alleviate the vaccine as an option if it contributed. She is so tired and hasn't slept. It is devastating. This woman was everything in her life, and the caller is probably going to go next with how she feels. She feels responsible. Her other guess is if she gave her mother Covid and she slowly declined with pneumonia. The caller couldn't get her sister to take her mother to the ER. Her sister was there Sunday night. On Monday morning her sister called to say her mother was gone. On 05May2021 the patient had the first dose of the Covid vaccine. The caller could have gone there or called an ambulance when her mother wasn't answering the phone. She knew something was wrong. She called her sister who said their mother wasn't feeling good. Her mother was woozy, dizzy, and sleeping all the time. On day 3, Sunday, the caller couldn't get her mother on the phone. She thought she had some level of peace because her sister was there and could keep her updated. Her mother often gets sickly, but she always answers the phone even if she is deathly sick. The caller thought enough is enough and she needed to be put on the phone on speaker with her mother. The caller's sister said her mother was sleeping. The doctor said to probably bring her mother to the ER. The caller told her sister who just didn't take her mother to the ER. The caller could have called an ambulance. She feels incompetent. They are assuming the cause of death was a heart attack. If her mother had gone to the ER on Sunday night they may have found out. Her mother became woozy last weekend because the caller was there on Thursday and her mother didn't look good. She had her chemo bag because she brings it home. It was her first new chemo treatment, and the caller had never seen her mother respond like this. It was strange. Any other time when she was getting chemo she felt great because there is so much stuff in there like steroids to prevent a reaction. It was surprising because she was only sick on chemo once and she had been on this one before. She was just off. Then she continued to decline from there. It started before the chemo. She got on chemo that Thursday before Mother's Day, she was on her first chemo treatment at that time. She was sick a couple of days before that. She had the chemo on 06May2021. She started feeling sickly the day she got the injection on 05May2021. When the caller was there she was thinking it was from the chemo. The caller calls her mother every day and she was sounding worse and worse. On Thursday 13May2021 her mother took herself to her chemo follow up appointment and was telling the doctor that she was woozy, dizzy, and not eating. The doctor gave her fluids, and he didn't give her chemo because she was not scheduled for it that day. It was just a follow up appointment. He sent her home. The caller talked to her mother on Thursday evening and she didn't sound good and told her she was woozy and dizzy. On Friday, Saturday, and Sunday she didn't answer the phone. The caller's mother is totally against vaccines, and she had been begged to get the pneumonia and flu vaccine and denied them. She had never responded well to them in her life. Even as a cancer patient they would say she needed it and she wouldn't. She did get the Covid vaccine even though she didn't want to. The caller thought her mother was trying to convince herself it was because of the vaccine because she is so against them, but now she doesn't know. The doctor said he didn't think it would have been Covid because she didn't have a fever. Her mother told her that she had been running a fever off and on, which is not unusual for her mother. The doctor didn't think it would have been Covid. Her mother started sleeping all the time mid week last week. She started not eating at the end of last week. The caller has no idea when her mother had a fever. She hadn't gotten to talk to her mother all weekend. At some point last week her mother had said in a conversation that she had a fever off and on. Then on Thursday when she went to the chemo doctor she had no fever it shows it was 97 something. Her oxygen was fine. Her blood pressure was a bit low, 105 over something, which is low for her. She didn't have a fever last Thursday. Prior Vaccinations within 4 weeks no other vaccinations. Blood work on 13May2021 with unknown result. The patient passed away on 17May2021 after receiving the first dose of the Pfizer Covid vaccine. The caller expresses concern that her mother may have had Covid. No autopsy done. Cause of death was Heart attack.  Information on Lot/Batch number has been requested.; Reported Cause(s) of Death: Heart attack"
	"1368648-1"	"1368648-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Died on 1/31/2021."
	"1368648-1"	"1368648-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Died on 1/31/2021."
	"1368648-1"	"1368648-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Died on 1/31/2021."
	"1368651-1"	"1368651-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient's daughter came to the pharmacy today and said patient died of a heart attack.  Patient thought that she was sick from the vaccine.  Did not get help until five days after"
	"1368651-1"	"1368651-1"	"ILLNESS"	"10080284"	"65-79 years"	"65-79"	"Patient's daughter came to the pharmacy today and said patient died of a heart attack.  Patient thought that she was sick from the vaccine.  Did not get help until five days after"
	"1368651-1"	"1368651-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Patient's daughter came to the pharmacy today and said patient died of a heart attack.  Patient thought that she was sick from the vaccine.  Did not get help until five days after"
	"1371516-1"	"1371516-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PASSED AWAY AT THE HOSPICE HOUSE"
	"1371516-1"	"1371516-1"	"POLYMERASE CHAIN REACTION"	"10050967"	"65-79 years"	"65-79"	"PASSED AWAY AT THE HOSPICE HOUSE"
	"1371594-1"	"1371594-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"cardiac arrest (V fib) treated: with amiodarone, magnesium, 6 doses of epi, calcium, bicarb. Achieved ROSC. outcome: withdrawal of care"
	"1371594-1"	"1371594-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"cardiac arrest (V fib) treated: with amiodarone, magnesium, 6 doses of epi, calcium, bicarb. Achieved ROSC. outcome: withdrawal of care"
	"1371594-1"	"1371594-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"65-79 years"	"65-79"	"cardiac arrest (V fib) treated: with amiodarone, magnesium, 6 doses of epi, calcium, bicarb. Achieved ROSC. outcome: withdrawal of care"
	"1371859-1"	"1371859-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"COMPARTMENT SYNDROME"	"10010121"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"LIMB OPERATION"	"10061226"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1371859-1"	"1371859-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	""COVID -19 Vaccine, Primary care MD. Wife, 5/23/2021 patient admitted through ED for chief complaint of 5 days shortness of air, tested positive for COVID-19; patient vaccinated 3/30/2021 at 'local church'. 5/24/2021 admitted to ICU - Attending, 5/26/2021 rapid response due to vitals, 5/27/2021 patient intubated due to respiratory failure/distress/hypoxia; identified in septic shock. 5/31/2021 went to surgery for left forearm and hand compartment syndrome. 6/3/2021 Code blue called, 6/3/2021 date of death. Allergies: Losartan (other) and Verapamil (intolerance) Date of Vaccination: 3/30/2021, Dose: 2, Vaccine Manufacturer: Moderna Lot #:  Clinic Administering Vaccine: ""local church"" - no specific name was provided, Injection site: Description of event/reaction: Patient does not have vaccination card and reports not knowing date of first vaccine or exact clinic location. Date of Hospitalization: 5/24/2021 Reason for clinic visit or hospitalization: Shortness of air COVID-19 positive test result: Yes or No; if Yes, date 05/23/2021""
	"1372049-1"	"1372049-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PASSED AWAY 06/01/21"
	"1374461-1"	"1374461-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization and death within 30 days of vaccination.  Obituary stated that he died at Hospital."
	"1382252-1"	"1382252-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient found deceased in his room on 5/19/21 at approximately 9:35am"
	"1385230-1"	"1385230-1"	"BLOOD PRESSURE DECREASED"	"10005734"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"CSF PROTEIN INCREASED"	"10011575"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"GAIT DISTURBANCE"	"10017577"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"GUILLAIN-BARRE SYNDROME"	"10018767"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"IMMUNOGLOBULIN THERAPY"	"10069534"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"INFLAMMATION"	"10061218"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"LUMBAR PUNCTURE ABNORMAL"	"10025000"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"MUSCLE ATROPHY"	"10028289"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"MUSCULAR WEAKNESS"	"10028372"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"TREMOR"	"10044565"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385230-1"	"1385230-1"	"WALKING AID USER"	"10050778"	"65-79 years"	"65-79"	"Became a bit dizzy, BP dropped significantly, and he fell while walking into the doctors office (he had no ambulatory issues before this). Legs became weak, couldn?t walk on his own, could barely walk with a walker, legs were beginning to get atrophied, arms began to shake.  He had 5 falls total after receiving both Moderna shots. While in hospital, received IVIG for possible Guillan-Barre Syndrome."
	"1385476-1"	"1385476-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Resident passed away at 12:40pm on 05/24/2021 at Care and Rehab ."
	"1386097-1"	"1386097-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"patient died of cardiac arrest that night in hospital"
	"1386097-1"	"1386097-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient died of cardiac arrest that night in hospital"
	"1386631-1"	"1386631-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"My father had an acute myocardial infarction.  He was perfectly fine the Sunday before and earlier the day of.  On Monday April 26th he had sudden onset of c/o a headache didnt feel well that then led to c/o jaw neck pain.  He sat down eyes rolled back 911 EMS dispatched"
	"1386631-1"	"1386631-1"	"CARDIOGENIC SHOCK"	"10007625"	"65-79 years"	"65-79"	"My father had an acute myocardial infarction.  He was perfectly fine the Sunday before and earlier the day of.  On Monday April 26th he had sudden onset of c/o a headache didnt feel well that then led to c/o jaw neck pain.  He sat down eyes rolled back 911 EMS dispatched"
	"1386631-1"	"1386631-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"My father had an acute myocardial infarction.  He was perfectly fine the Sunday before and earlier the day of.  On Monday April 26th he had sudden onset of c/o a headache didnt feel well that then led to c/o jaw neck pain.  He sat down eyes rolled back 911 EMS dispatched"
	"1386631-1"	"1386631-1"	"ELECTROCARDIOGRAM ST SEGMENT ELEVATION"	"10014392"	"65-79 years"	"65-79"	"My father had an acute myocardial infarction.  He was perfectly fine the Sunday before and earlier the day of.  On Monday April 26th he had sudden onset of c/o a headache didnt feel well that then led to c/o jaw neck pain.  He sat down eyes rolled back 911 EMS dispatched"
	"1386631-1"	"1386631-1"	"EYE MOVEMENT DISORDER"	"10061129"	"65-79 years"	"65-79"	"My father had an acute myocardial infarction.  He was perfectly fine the Sunday before and earlier the day of.  On Monday April 26th he had sudden onset of c/o a headache didnt feel well that then led to c/o jaw neck pain.  He sat down eyes rolled back 911 EMS dispatched"
	"1386631-1"	"1386631-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"My father had an acute myocardial infarction.  He was perfectly fine the Sunday before and earlier the day of.  On Monday April 26th he had sudden onset of c/o a headache didnt feel well that then led to c/o jaw neck pain.  He sat down eyes rolled back 911 EMS dispatched"
	"1386631-1"	"1386631-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"My father had an acute myocardial infarction.  He was perfectly fine the Sunday before and earlier the day of.  On Monday April 26th he had sudden onset of c/o a headache didnt feel well that then led to c/o jaw neck pain.  He sat down eyes rolled back 911 EMS dispatched"
	"1386631-1"	"1386631-1"	"NECK PAIN"	"10028836"	"65-79 years"	"65-79"	"My father had an acute myocardial infarction.  He was perfectly fine the Sunday before and earlier the day of.  On Monday April 26th he had sudden onset of c/o a headache didnt feel well that then led to c/o jaw neck pain.  He sat down eyes rolled back 911 EMS dispatched"
	"1386631-1"	"1386631-1"	"PAIN IN JAW"	"10033433"	"65-79 years"	"65-79"	"My father had an acute myocardial infarction.  He was perfectly fine the Sunday before and earlier the day of.  On Monday April 26th he had sudden onset of c/o a headache didnt feel well that then led to c/o jaw neck pain.  He sat down eyes rolled back 911 EMS dispatched"
	"1388528-1"	"1388528-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"ANGIOGRAM"	"10061637"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"ANGIOGRAM PULMONARY ABNORMAL"	"10002441"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"ANTICOAGULANT THERAPY"	"10053468"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"ATELECTASIS"	"10003598"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"ATRIAL ENLARGEMENT"	"10079340"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"COMPUTERISED TOMOGRAM HEAD NORMAL"	"10072167"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"GALLBLADDER DISORDER"	"10017626"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"LUNG CONSOLIDATION"	"10025080"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"MULTIPLE ORGAN DYSFUNCTION SYNDROME"	"10077361"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"NEUROLOGICAL DECOMPENSATION"	"10068357"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"PULMONARY INFARCTION"	"10037410"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"RENAL CYST"	"10038423"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"SCAN WITH CONTRAST ABNORMAL"	"10062152"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"SHOCK"	"10040560"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"THROMBECTOMY"	"10043530"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"ULTRASOUND DOPPLER"	"10045412"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"ULTRASOUND SCAN NORMAL"	"10061607"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1388528-1"	"1388528-1"	"VENTRICULAR ENLARGEMENT"	"10079339"	"65-79 years"	"65-79"	"Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination.  She was a 69 yr old female who was transferred to hospital on 6/8  at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449."
	"1390953-1"	"1390953-1"	"BACK PAIN"	"10003988"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1390953-1"	"1390953-1"	"BRAIN DEATH"	"10049054"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1390953-1"	"1390953-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1390953-1"	"1390953-1"	"COMPUTERISED TOMOGRAM ABDOMEN"	"10053876"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1390953-1"	"1390953-1"	"COMPUTERISED TOMOGRAM HEAD"	"10054003"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1390953-1"	"1390953-1"	"CONTUSION"	"10050584"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1390953-1"	"1390953-1"	"FIBRIN D DIMER"	"10016577"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1390953-1"	"1390953-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1390953-1"	"1390953-1"	"IMMUNE THROMBOCYTOPENIA"	"10083842"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1390953-1"	"1390953-1"	"LACK OF SPONTANEOUS SPEECH"	"10023615"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1390953-1"	"1390953-1"	"MOUTH HAEMORRHAGE"	"10028024"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1390953-1"	"1390953-1"	"RASH"	"10037844"	"65-79 years"	"65-79"	"ITP; Brain dead; Brain hemorrhage; Blood in the mouth; Patches on legs; Back pain; D Dimer Very high; Her husband couldn't talk; bruise on arm; This is a spontaneous report from a contactable Nurse (patient's wife). A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm on 17Mar2021 16:00 (Batch/Lot Number: EL3247; Expiration Date: 31May2021) as 2ND DOSE, SINGLE (at the age of 72 years) for covid-19 immunisation .  The patient received the first dose of BNT162B2 (Lot number: EL3246, Expiration date: Unknown) on 25Feb2021 16:30 in Arm (side not specified) as single dose (at the age of 72 years) for Covid-19 immunisation.  Medical history included blood cholesterol from an unknown date and unknown if ongoing, vascular graft from 2013 to an unknown date. Had flu shot and pneumonia shot. No problems. The patient received no other vaccine other than BNT162B2 within 4 weeks. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]) taken for blood cholesterol, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for vascular graft from 2013 to an unspecified stop date; metoprolol (METOPROLOL) taken for vascular graft, start and stop date were not reported.  6 weeks after the second vaccine, he had patches on legs and back pain. He went to hospital. They found generalized bleeding and ITP, and he passed away immediately. The patient experienced brain dead (death, hospitalization) on 09May2021 , brain hemorrhage (death, hospitalization) on 04May2021 , ITP (immune thrombocytopenia) (death, hospitalization) on an unspecified date , blood in the mouth  (death, hospitalization) on 03May2021 , back pain (death, hospitalization) on 2021 , patches on legs (death, hospitalization) on May2021 , D Dimer very high (death, medically significant) on an unspecified date , her husband couldn't talk (Her husband couldn't talk. She was calling his name. She asked him why he was not talking. She squeezed his hand and he squeezed back. He couldn't talk.) (death) on an unspecified date, bruise on arm (death) on 2021.  The patient was hospitalized from 03May2021 to 09May2021.  The patient underwent lab tests and procedures which included computerised tomogram abdomen: no active bleeding, no mass on 03May2021, computerised tomogram head: hemorrhage on 04May2021, fibrin D Dimer: very high on unspecified date.  Therapeutic measures were taken as a result of ITP, back pain.  With ITP, they started to do plasmapheresis. Wife stated that the doctor gave him medication Aleve, for back pain. He took 5 tablets only. Then she saw the spots. She told her husband not to take anymore and he did not. The patient died on 09May2021.  An autopsy was not performed.  Wife said that the doctor was not sure if they were related. The wife stated that she did feel that they were related.  The reporter stated events back pain, ITP, blood in the mouth, brain Hemorrhage, Patches on legs, were related to the suspect product.  Wife stated that before this, her husband did 2 miles running every other day or twice a week. He was healthy. He ate healthy foods. Her husband's cholesterol was always under 200. He had no issues. His bloodwork was done, and all was OK. He constantly went to the doctor. This case is not related to a study.; Sender's Comments: Based on the information currently available, the reported events are attributed to intercurrent or underlying medical conditions that were unlikely related to BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). 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: Brain dead; Brain hemorrhage; ITP; Blood in the mouth; Back pain; Patches on legs; bruise on arm; Her husband couldn't talk; D Dimer Very high"
	"1391469-1"	"1391469-1"	"CARDITIS"	"10062746"	"65-79 years"	"65-79"	"Slurred speech, loss of use of limbs, confusion,  heart inflammation and liver failure"
	"1391469-1"	"1391469-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"Slurred speech, loss of use of limbs, confusion,  heart inflammation and liver failure"
	"1391469-1"	"1391469-1"	"DYSARTHRIA"	"10013887"	"65-79 years"	"65-79"	"Slurred speech, loss of use of limbs, confusion,  heart inflammation and liver failure"
	"1391469-1"	"1391469-1"	"HEPATIC FAILURE"	"10019663"	"65-79 years"	"65-79"	"Slurred speech, loss of use of limbs, confusion,  heart inflammation and liver failure"
	"1391469-1"	"1391469-1"	"MOBILITY DECREASED"	"10048334"	"65-79 years"	"65-79"	"Slurred speech, loss of use of limbs, confusion,  heart inflammation and liver failure"
	"1392054-1"	"1392054-1"	"B-CELL LYMPHOMA"	"10003899"	"65-79 years"	"65-79"	"He died after being diagnosed with Lymphoma. Double hit , B cell.  He was fatigued a couple weeks after vaccine, fatigue worsened, then developed severe pain. Diagnosis to death was 11 days."
	"1392054-1"	"1392054-1"	"COMPUTERISED TOMOGRAM"	"10010234"	"65-79 years"	"65-79"	"He died after being diagnosed with Lymphoma. Double hit , B cell.  He was fatigued a couple weeks after vaccine, fatigue worsened, then developed severe pain. Diagnosis to death was 11 days."
	"1392054-1"	"1392054-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"He died after being diagnosed with Lymphoma. Double hit , B cell.  He was fatigued a couple weeks after vaccine, fatigue worsened, then developed severe pain. Diagnosis to death was 11 days."
	"1392054-1"	"1392054-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"He died after being diagnosed with Lymphoma. Double hit , B cell.  He was fatigued a couple weeks after vaccine, fatigue worsened, then developed severe pain. Diagnosis to death was 11 days."
	"1392054-1"	"1392054-1"	"FULL BLOOD COUNT"	"10017411"	"65-79 years"	"65-79"	"He died after being diagnosed with Lymphoma. Double hit , B cell.  He was fatigued a couple weeks after vaccine, fatigue worsened, then developed severe pain. Diagnosis to death was 11 days."
	"1392054-1"	"1392054-1"	"LYMPHOMA"	"10025310"	"65-79 years"	"65-79"	"He died after being diagnosed with Lymphoma. Double hit , B cell.  He was fatigued a couple weeks after vaccine, fatigue worsened, then developed severe pain. Diagnosis to death was 11 days."
	"1392054-1"	"1392054-1"	"MAGNETIC RESONANCE IMAGING"	"10078223"	"65-79 years"	"65-79"	"He died after being diagnosed with Lymphoma. Double hit , B cell.  He was fatigued a couple weeks after vaccine, fatigue worsened, then developed severe pain. Diagnosis to death was 11 days."
	"1392054-1"	"1392054-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"He died after being diagnosed with Lymphoma. Double hit , B cell.  He was fatigued a couple weeks after vaccine, fatigue worsened, then developed severe pain. Diagnosis to death was 11 days."
	"1392406-1"	"1392406-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"BACK PAIN"	"10003988"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"BLOOD ELECTROLYTES DECREASED"	"10061715"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"BLOOD SODIUM DECREASED"	"10005802"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"COMPUTERISED TOMOGRAM"	"10010234"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"DYSPHAGIA"	"10013950"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"ELECTROCARDIOGRAM"	"10014362"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"HEART RATE INCREASED"	"10019303"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"SWELLING"	"10042674"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1392406-1"	"1392406-1"	"ULTRASOUND SCAN"	"10045434"	"65-79 years"	"65-79"	"On April 7, my husband received the J&J COVID vaccination. On April 17, he started to feel ill and developed severe abdomen and back pain, which were not normal symptoms of his other health conditions. He ate very little on that date (and that was the last food he had). At 3:30 a.m. on Monday, April 19, I took him to the ER because of severe pain. They gave him multiple tests, including CT scan, labs, EKG, ultrasound, and others. He was admitted to the hospital, and multiple other tests were performed during his stay. During his stay, his sodium and other electrolyte levels dropped to dangerously low levels, he experienced major swelling, his pain persisted, his swallowing ability diminished, he didn't eat, and his heart consistently ran at a high rate. He was transferred home (with comfort care/hospice) on Tuesday, April 27, and died on Wednesday, April 28, at about 9:30 p.m."
	"1394314-1"	"1394314-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"ANAEMIA"	"10002034"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"BLOOD LACTIC ACID INCREASED"	"10005635"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"CATHETERISATION CARDIAC ABNORMAL"	"10007816"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"CORONARY ARTERY DISEASE"	"10011078"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"ECHOCARDIOGRAM"	"10014113"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"EPIGASTRIC DISCOMFORT"	"10053155"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"FEELING COLD"	"10016326"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"HYPOGLYCAEMIA"	"10020993"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"HYPOKINESIA"	"10021021"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"LIVEDO RETICULARIS"	"10024648"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"PNEUMONIA ASPIRATION"	"10035669"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"TACHYCARDIA"	"10043071"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394314-1"	"1394314-1"	"WALL MOTION SCORE INDEX ABNORMAL"	"10079016"	"65-79 years"	"65-79"	""73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy.    Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation.  Patient was found to be anemic during that hospitalization, but did not require blood transfusion.  Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine.  She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise.  Repeat TTE with anterior wall motion abnormalities and decreased EF.  Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease.  Cardiology thinks findings are related to stress-induced cardiomyopathy.  6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM   Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE.  Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities.  Ultimately, it was thought to be stress induced cardiomyopathy.  Patient was improving, but still complained of epigastric discomfort.  Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12   Rapid response was called at at approximately 4:40 AM.  They were mottled appearing, hypotensive and cool to touch.  Patient was found to be severely hypoglycemic and had wide-complex tachycardia.  Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP.  Eventually patient was transition to comfort measures only.  After discussion with patient's daughter, patient's last 10 minutes of life consisted of ""fluid pouring out of her mouth"".   Work-up also was positive for elevated lactic acid and elevated D-dimer.  Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause.  Unclear if had pulmonary embolism or ischemia to gut.  Interestingly, patient was visiting her from Indiana for her brother's funeral.  After discussion with family, patient's brother had a similar unexplained death just a few weeks prior.  The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital.  Patient's brother also had a Maderna vaccine before his recent demise.   Given the unknown cause of death, an autopsy was discussed with family.  They were agreeable to this.  Highly concern for thrombotic event, but unable to confirm at this time without autopsy.  Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission.  Patient was noted to have a ""severe"" reaction to her first vaccine.""
	"1394685-1"	"1394685-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"He died suddenly on May 13th.  Had just had thorough physical prior to vaccines.  Perfect health, weight perfect.  No prior health concerns.  Heart attack or stroke in his yard.  After his first dose on March 16, 2021 he ceased his several mile walk each day stating he was tired and lethargic.  He was a military man that rose each day of his life to that walk.  His second dose was 04/16/21 he still did not continue the walks and on May 13, 2021 died suddenly of heart attack or stroke."
	"1394685-1"	"1394685-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"He died suddenly on May 13th.  Had just had thorough physical prior to vaccines.  Perfect health, weight perfect.  No prior health concerns.  Heart attack or stroke in his yard.  After his first dose on March 16, 2021 he ceased his several mile walk each day stating he was tired and lethargic.  He was a military man that rose each day of his life to that walk.  His second dose was 04/16/21 he still did not continue the walks and on May 13, 2021 died suddenly of heart attack or stroke."
	"1394685-1"	"1394685-1"	"SUDDEN DEATH"	"10042434"	"65-79 years"	"65-79"	"He died suddenly on May 13th.  Had just had thorough physical prior to vaccines.  Perfect health, weight perfect.  No prior health concerns.  Heart attack or stroke in his yard.  After his first dose on March 16, 2021 he ceased his several mile walk each day stating he was tired and lethargic.  He was a military man that rose each day of his life to that walk.  His second dose was 04/16/21 he still did not continue the walks and on May 13, 2021 died suddenly of heart attack or stroke."
	"1394806-1"	"1394806-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"My father passed 2 days after vaccine"
	"1395844-1"	"1395844-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt had 2nd Moderna vaccine on 2/10/2021 lot # 013M20A.   Pt became Ill on 5/10/2021, test covid-19 positive on 5/17/2021 and treated with BAM, Intubated on vent 6/1/2021 deceased 6/13/2021"
	"1395844-1"	"1395844-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt had 2nd Moderna vaccine on 2/10/2021 lot # 013M20A.   Pt became Ill on 5/10/2021, test covid-19 positive on 5/17/2021 and treated with BAM, Intubated on vent 6/1/2021 deceased 6/13/2021"
	"1395844-1"	"1395844-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt had 2nd Moderna vaccine on 2/10/2021 lot # 013M20A.   Pt became Ill on 5/10/2021, test covid-19 positive on 5/17/2021 and treated with BAM, Intubated on vent 6/1/2021 deceased 6/13/2021"
	"1395844-1"	"1395844-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"pt had 2nd Moderna vaccine on 2/10/2021 lot # 013M20A.   Pt became Ill on 5/10/2021, test covid-19 positive on 5/17/2021 and treated with BAM, Intubated on vent 6/1/2021 deceased 6/13/2021"
	"1395844-1"	"1395844-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"pt had 2nd Moderna vaccine on 2/10/2021 lot # 013M20A.   Pt became Ill on 5/10/2021, test covid-19 positive on 5/17/2021 and treated with BAM, Intubated on vent 6/1/2021 deceased 6/13/2021"
	"1395844-1"	"1395844-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt had 2nd Moderna vaccine on 2/10/2021 lot # 013M20A.   Pt became Ill on 5/10/2021, test covid-19 positive on 5/17/2021 and treated with BAM, Intubated on vent 6/1/2021 deceased 6/13/2021"
	"1395873-1"	"1395873-1"	"BILEVEL POSITIVE AIRWAY PRESSURE"	"10064530"	"65-79 years"	"65-79"	"Pt went to the hospital with covid 05/30. She was on bipap at 100%.  Pt ended up passing away 06/11 at 5:32 pm."
	"1395873-1"	"1395873-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt went to the hospital with covid 05/30. She was on bipap at 100%.  Pt ended up passing away 06/11 at 5:32 pm."
	"1395873-1"	"1395873-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt went to the hospital with covid 05/30. She was on bipap at 100%.  Pt ended up passing away 06/11 at 5:32 pm."
	"1395873-1"	"1395873-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Pt went to the hospital with covid 05/30. She was on bipap at 100%.  Pt ended up passing away 06/11 at 5:32 pm."
	"1401286-1"	"1401286-1"	"BLOOD CREATINE PHOSPHOKINASE"	"10005467"	"65-79 years"	"65-79"	"rhabdomyolysis leading to death"
	"1401286-1"	"1401286-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"rhabdomyolysis leading to death"
	"1401286-1"	"1401286-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"rhabdomyolysis leading to death"
	"1401286-1"	"1401286-1"	"RENAL FUNCTION TEST"	"10061490"	"65-79 years"	"65-79"	"rhabdomyolysis leading to death"
	"1401286-1"	"1401286-1"	"RHABDOMYOLYSIS"	"10039020"	"65-79 years"	"65-79"	"rhabdomyolysis leading to death"
	"1401286-1"	"1401286-1"	"X-RAY"	"10048064"	"65-79 years"	"65-79"	"rhabdomyolysis leading to death"
	"1402355-1"	"1402355-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"day after vax she became weak, couldn't walk, couldn't move arms/legs"
	"1402355-1"	"1402355-1"	"CARDIAC ABLATION"	"10059864"	"65-79 years"	"65-79"	"day after vax she became weak, couldn't walk, couldn't move arms/legs"
	"1402355-1"	"1402355-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"day after vax she became weak, couldn't walk, couldn't move arms/legs"
	"1402355-1"	"1402355-1"	"GAIT INABILITY"	"10017581"	"65-79 years"	"65-79"	"day after vax she became weak, couldn't walk, couldn't move arms/legs"
	"1402355-1"	"1402355-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"day after vax she became weak, couldn't walk, couldn't move arms/legs"
	"1402355-1"	"1402355-1"	"MOVEMENT DISORDER"	"10028035"	"65-79 years"	"65-79"	"day after vax she became weak, couldn't walk, couldn't move arms/legs"
	"1403424-1"	"1403424-1"	"ADENOCARCINOMA OF COLON"	"10001167"	"65-79 years"	"65-79"	"Hospital Course: Complicated. Patient was brought in for ostomy reversal, had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma. Had a right colectomy performed , had a  massive myocardial infarction and died. Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements. Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction."
	"1403424-1"	"1403424-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Hospital Course: Complicated. Patient was brought in for ostomy reversal, had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma. Had a right colectomy performed , had a  massive myocardial infarction and died. Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements. Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction."
	"1403424-1"	"1403424-1"	"COLECTOMY"	"10061778"	"65-79 years"	"65-79"	"Hospital Course: Complicated. Patient was brought in for ostomy reversal, had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma. Had a right colectomy performed , had a  massive myocardial infarction and died. Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements. Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction."
	"1403424-1"	"1403424-1"	"COLONOSCOPY ABNORMAL"	"10010008"	"65-79 years"	"65-79"	"Hospital Course: Complicated. Patient was brought in for ostomy reversal, had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma. Had a right colectomy performed , had a  massive myocardial infarction and died. Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements. Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction."
	"1403424-1"	"1403424-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospital Course: Complicated. Patient was brought in for ostomy reversal, had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma. Had a right colectomy performed , had a  massive myocardial infarction and died. Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements. Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction."
	"1403424-1"	"1403424-1"	"ENDOSCOPY LARGE BOWEL"	"10061839"	"65-79 years"	"65-79"	"Hospital Course: Complicated. Patient was brought in for ostomy reversal, had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma. Had a right colectomy performed , had a  massive myocardial infarction and died. Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements. Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction."
	"1403424-1"	"1403424-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Hospital Course: Complicated. Patient was brought in for ostomy reversal, had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma. Had a right colectomy performed , had a  massive myocardial infarction and died. Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements. Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction."
	"1403424-1"	"1403424-1"	"STOMA CLOSURE"	"10074172"	"65-79 years"	"65-79"	"Hospital Course: Complicated. Patient was brought in for ostomy reversal, had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma. Had a right colectomy performed , had a  massive myocardial infarction and died. Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements. Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction."
	"1404023-1"	"1404023-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient died. right side of patients face (eye, nose, mouth) were drooped, right hand was drawled up."
	"1404023-1"	"1404023-1"	"FACIAL PARALYSIS"	"10016062"	"65-79 years"	"65-79"	"patient died. right side of patients face (eye, nose, mouth) were drooped, right hand was drawled up."
	"1404023-1"	"1404023-1"	"JOINT CONTRACTURE"	"10023201"	"65-79 years"	"65-79"	"patient died. right side of patients face (eye, nose, mouth) were drooped, right hand was drawled up."
	"1404274-1"	"1404274-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Death, sudden heart attack or blood clot"
	"1404274-1"	"1404274-1"	"SUDDEN DEATH"	"10042434"	"65-79 years"	"65-79"	"Death, sudden heart attack or blood clot"
	"1404274-1"	"1404274-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"Death, sudden heart attack or blood clot"
	"1405284-1"	"1405284-1"	"AGEUSIA"	"10001480"	"65-79 years"	"65-79"	"loss sense of taste; Lost sense of smell; pain in body; chills; Patient died; This spontaneous case was reported by a patient family member or friend and describes the occurrence of DEATH (Patient died) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced AGEUSIA (loss sense of taste), ANOSMIA (Lost sense of smell), PAIN (pain in body) and CHILLS (chills). The patient died on 06-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, AGEUSIA (loss sense of taste), ANOSMIA (Lost sense of smell), PAIN (pain in body) and CHILLS (chills) was resolving.            Concomitant medications were not reported.  No treatment information was provided.  Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-201255 (Patient Link).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: unknown casue of death"
	"1405284-1"	"1405284-1"	"ANOSMIA"	"10002653"	"65-79 years"	"65-79"	"loss sense of taste; Lost sense of smell; pain in body; chills; Patient died; This spontaneous case was reported by a patient family member or friend and describes the occurrence of DEATH (Patient died) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced AGEUSIA (loss sense of taste), ANOSMIA (Lost sense of smell), PAIN (pain in body) and CHILLS (chills). The patient died on 06-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, AGEUSIA (loss sense of taste), ANOSMIA (Lost sense of smell), PAIN (pain in body) and CHILLS (chills) was resolving.            Concomitant medications were not reported.  No treatment information was provided.  Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-201255 (Patient Link).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: unknown casue of death"
	"1405284-1"	"1405284-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"loss sense of taste; Lost sense of smell; pain in body; chills; Patient died; This spontaneous case was reported by a patient family member or friend and describes the occurrence of DEATH (Patient died) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced AGEUSIA (loss sense of taste), ANOSMIA (Lost sense of smell), PAIN (pain in body) and CHILLS (chills). The patient died on 06-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, AGEUSIA (loss sense of taste), ANOSMIA (Lost sense of smell), PAIN (pain in body) and CHILLS (chills) was resolving.            Concomitant medications were not reported.  No treatment information was provided.  Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-201255 (Patient Link).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: unknown casue of death"
	"1405284-1"	"1405284-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"loss sense of taste; Lost sense of smell; pain in body; chills; Patient died; This spontaneous case was reported by a patient family member or friend and describes the occurrence of DEATH (Patient died) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced AGEUSIA (loss sense of taste), ANOSMIA (Lost sense of smell), PAIN (pain in body) and CHILLS (chills). The patient died on 06-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, AGEUSIA (loss sense of taste), ANOSMIA (Lost sense of smell), PAIN (pain in body) and CHILLS (chills) was resolving.            Concomitant medications were not reported.  No treatment information was provided.  Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-201255 (Patient Link).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: unknown casue of death"
	"1405284-1"	"1405284-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"loss sense of taste; Lost sense of smell; pain in body; chills; Patient died; This spontaneous case was reported by a patient family member or friend and describes the occurrence of DEATH (Patient died) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 007M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced AGEUSIA (loss sense of taste), ANOSMIA (Lost sense of smell), PAIN (pain in body) and CHILLS (chills). The patient died on 06-Mar-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, AGEUSIA (loss sense of taste), ANOSMIA (Lost sense of smell), PAIN (pain in body) and CHILLS (chills) was resolving.            Concomitant medications were not reported.  No treatment information was provided.  Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.   This case was linked to MOD-2021-201255 (Patient Link).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: unknown casue of death"
	"1407048-1"	"1407048-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Pt. did not die from COVID vaccine.  He was diagnosed with COVID19 on 06/04/2021.  He had an extensive past medical history with several preexisting conditions which COVID exacerbated."
	"1407048-1"	"1407048-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt. did not die from COVID vaccine.  He was diagnosed with COVID19 on 06/04/2021.  He had an extensive past medical history with several preexisting conditions which COVID exacerbated."
	"1407048-1"	"1407048-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt. did not die from COVID vaccine.  He was diagnosed with COVID19 on 06/04/2021.  He had an extensive past medical history with several preexisting conditions which COVID exacerbated."
	"1407938-1"	"1407938-1"	"ABDOMINAL DISTENSION"	"10000060"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"ABDOMINAL PAIN UPPER"	"10000087"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"AMNESIA"	"10001949"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"CARDIAC MONITORING"	"10053438"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"COMPUTERISED TOMOGRAM"	"10010234"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"IMMOBILE"	"10021417"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"INCOHERENT"	"10021630"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"PATHOLOGY TEST"	"10068056"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"SKIN EXFOLIATION"	"10040844"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1407938-1"	"1407938-1"	"X-RAY"	"10048064"	"65-79 years"	"65-79"	"Intense diarrhea, stomach cramps and bloating. nausea, fatigue,  memory loss, incoherent, skin peeling over entire body including face, immobile and labored breathing (over and above her COPD)."
	"1408205-1"	"1408205-1"	"ARTHRALGIA"	"10003239"	"65-79 years"	"65-79"	"2/22/2021 - Tested positive for Covid 3/9/2021 - found down at her SNF, taken to ER. complains of lower back pain, left hip pain, bilateral knee pain, low O2 sat Dx: Aspiration pneumonia of both lower lobes (HCC), *Left lower lobe pneumonia, History of COVID-19, Urinary retention, Diarrhea C diff negative.  3/22: placed on palliative care after speaking with family 3/23: Expired"
	"1408205-1"	"1408205-1"	"BACK PAIN"	"10003988"	"65-79 years"	"65-79"	"2/22/2021 - Tested positive for Covid 3/9/2021 - found down at her SNF, taken to ER. complains of lower back pain, left hip pain, bilateral knee pain, low O2 sat Dx: Aspiration pneumonia of both lower lobes (HCC), *Left lower lobe pneumonia, History of COVID-19, Urinary retention, Diarrhea C diff negative.  3/22: placed on palliative care after speaking with family 3/23: Expired"
	"1408205-1"	"1408205-1"	"CLOSTRIDIUM TEST"	"10070270"	"65-79 years"	"65-79"	"2/22/2021 - Tested positive for Covid 3/9/2021 - found down at her SNF, taken to ER. complains of lower back pain, left hip pain, bilateral knee pain, low O2 sat Dx: Aspiration pneumonia of both lower lobes (HCC), *Left lower lobe pneumonia, History of COVID-19, Urinary retention, Diarrhea C diff negative.  3/22: placed on palliative care after speaking with family 3/23: Expired"
	"1408205-1"	"1408205-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"2/22/2021 - Tested positive for Covid 3/9/2021 - found down at her SNF, taken to ER. complains of lower back pain, left hip pain, bilateral knee pain, low O2 sat Dx: Aspiration pneumonia of both lower lobes (HCC), *Left lower lobe pneumonia, History of COVID-19, Urinary retention, Diarrhea C diff negative.  3/22: placed on palliative care after speaking with family 3/23: Expired"
	"1408205-1"	"1408205-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"2/22/2021 - Tested positive for Covid 3/9/2021 - found down at her SNF, taken to ER. complains of lower back pain, left hip pain, bilateral knee pain, low O2 sat Dx: Aspiration pneumonia of both lower lobes (HCC), *Left lower lobe pneumonia, History of COVID-19, Urinary retention, Diarrhea C diff negative.  3/22: placed on palliative care after speaking with family 3/23: Expired"
	"1408205-1"	"1408205-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"2/22/2021 - Tested positive for Covid 3/9/2021 - found down at her SNF, taken to ER. complains of lower back pain, left hip pain, bilateral knee pain, low O2 sat Dx: Aspiration pneumonia of both lower lobes (HCC), *Left lower lobe pneumonia, History of COVID-19, Urinary retention, Diarrhea C diff negative.  3/22: placed on palliative care after speaking with family 3/23: Expired"
	"1408205-1"	"1408205-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"2/22/2021 - Tested positive for Covid 3/9/2021 - found down at her SNF, taken to ER. complains of lower back pain, left hip pain, bilateral knee pain, low O2 sat Dx: Aspiration pneumonia of both lower lobes (HCC), *Left lower lobe pneumonia, History of COVID-19, Urinary retention, Diarrhea C diff negative.  3/22: placed on palliative care after speaking with family 3/23: Expired"
	"1408205-1"	"1408205-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"2/22/2021 - Tested positive for Covid 3/9/2021 - found down at her SNF, taken to ER. complains of lower back pain, left hip pain, bilateral knee pain, low O2 sat Dx: Aspiration pneumonia of both lower lobes (HCC), *Left lower lobe pneumonia, History of COVID-19, Urinary retention, Diarrhea C diff negative.  3/22: placed on palliative care after speaking with family 3/23: Expired"
	"1408205-1"	"1408205-1"	"PNEUMONIA ASPIRATION"	"10035669"	"65-79 years"	"65-79"	"2/22/2021 - Tested positive for Covid 3/9/2021 - found down at her SNF, taken to ER. complains of lower back pain, left hip pain, bilateral knee pain, low O2 sat Dx: Aspiration pneumonia of both lower lobes (HCC), *Left lower lobe pneumonia, History of COVID-19, Urinary retention, Diarrhea C diff negative.  3/22: placed on palliative care after speaking with family 3/23: Expired"
	"1408205-1"	"1408205-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"2/22/2021 - Tested positive for Covid 3/9/2021 - found down at her SNF, taken to ER. complains of lower back pain, left hip pain, bilateral knee pain, low O2 sat Dx: Aspiration pneumonia of both lower lobes (HCC), *Left lower lobe pneumonia, History of COVID-19, Urinary retention, Diarrhea C diff negative.  3/22: placed on palliative care after speaking with family 3/23: Expired"
	"1408205-1"	"1408205-1"	"URINARY RETENTION"	"10046555"	"65-79 years"	"65-79"	"2/22/2021 - Tested positive for Covid 3/9/2021 - found down at her SNF, taken to ER. complains of lower back pain, left hip pain, bilateral knee pain, low O2 sat Dx: Aspiration pneumonia of both lower lobes (HCC), *Left lower lobe pneumonia, History of COVID-19, Urinary retention, Diarrhea C diff negative.  3/22: placed on palliative care after speaking with family 3/23: Expired"
	"1415252-1"	"1415252-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died 06/20/2021."
	"1416721-1"	"1416721-1"	"CARDIAC DEATH"	"10049993"	"65-79 years"	"65-79"	"Dehydrated; Collapsed; Cardiac death/the patient woke up and then grab it's chest and collapsed; Started having heart issues; Chest pain; Lose it's appetite; Thirsty; Short of breath/got very winded; Fatigue/ very tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CARDIAC DEATH (Cardiac death/the patient woke up and then grab it's chest and collapsed), DEHYDRATION (Dehydrated) and CIRCULATORY COLLAPSE (Collapsed) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included CHLORTHALIDONE, LOSARTAN POTASSIUM, MELOXICAM, METOPROLOL SUCCINATE, PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE SODIUM), TAMSULOSIN HYDROCHLORIDE (TAMSULOSIN HCL), RIVAROXABAN (XARELTO), AMLODIPINE BESILATE (AMLODIPINE BESYLATE) and TADALAFIL for an unknown indication.   On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2021, the patient experienced DEHYDRATION (Dehydrated) (seriousness criterion hospitalization), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired). On an unknown date, the patient experienced CIRCULATORY COLLAPSE (Collapsed) (seriousness criterion medically significant). The patient died on 10-Apr-2021. The reported cause of death was Cardiac death. An autopsy was not performed. At the time of death, DEHYDRATION (Dehydrated), CIRCULATORY COLLAPSE (Collapsed), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: inconclusive (Inconclusive) Inconclusive and inconclusive (Inconclusive) Inconclusive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Action taken with the mRNA-1273 vaccine due to the events was not applicable.  The reporter informed that the patient had received both doses of mRNA-1273 vaccine. He first lost his appetite and started feeling thirsty on the following day after vaccination, which worsened progressively for the next five days. The patient then started having chest pain, was short of breath and experienced fatigue. He got very winded when he went to the bathroom and felt very tired for the next two days, When he went to the hospital, the doctor said that he would need to be admitted if he doesn't feel well. On a Wednesday, the patient went to the hospital and an ECG was done. The reporter informed that when the doctor compared it with an ECG from few days before, he could not believe it was of the same patient's. The patient was taken to the ER (emergency room) and was them transferred to ICU (intensive care unit) as he was dehydrated. Dehydration was treated and at the time the patient started having heart issues. By Friday, the patient started doing better and the doctor discussed discharging him. On Saturday, when the patient woke up he grabbed his chest and collapsed. The reporter informed that they were not able to get an autopsy but the death was assumed to be cardiac death. It was reported that the patient passed away approximately nine days after receiving the second dose of the vaccine. The reporter further informed that the patient was in good health and had a full 'cardiac work' prior to his vaccination.  Company comment: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Sender's Comments: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Reported Cause(s) of Death: Cardiac death"
	"1416721-1"	"1416721-1"	"CARDIAC DISORDER"	"10061024"	"65-79 years"	"65-79"	"Dehydrated; Collapsed; Cardiac death/the patient woke up and then grab it's chest and collapsed; Started having heart issues; Chest pain; Lose it's appetite; Thirsty; Short of breath/got very winded; Fatigue/ very tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CARDIAC DEATH (Cardiac death/the patient woke up and then grab it's chest and collapsed), DEHYDRATION (Dehydrated) and CIRCULATORY COLLAPSE (Collapsed) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included CHLORTHALIDONE, LOSARTAN POTASSIUM, MELOXICAM, METOPROLOL SUCCINATE, PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE SODIUM), TAMSULOSIN HYDROCHLORIDE (TAMSULOSIN HCL), RIVAROXABAN (XARELTO), AMLODIPINE BESILATE (AMLODIPINE BESYLATE) and TADALAFIL for an unknown indication.   On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2021, the patient experienced DEHYDRATION (Dehydrated) (seriousness criterion hospitalization), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired). On an unknown date, the patient experienced CIRCULATORY COLLAPSE (Collapsed) (seriousness criterion medically significant). The patient died on 10-Apr-2021. The reported cause of death was Cardiac death. An autopsy was not performed. At the time of death, DEHYDRATION (Dehydrated), CIRCULATORY COLLAPSE (Collapsed), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: inconclusive (Inconclusive) Inconclusive and inconclusive (Inconclusive) Inconclusive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Action taken with the mRNA-1273 vaccine due to the events was not applicable.  The reporter informed that the patient had received both doses of mRNA-1273 vaccine. He first lost his appetite and started feeling thirsty on the following day after vaccination, which worsened progressively for the next five days. The patient then started having chest pain, was short of breath and experienced fatigue. He got very winded when he went to the bathroom and felt very tired for the next two days, When he went to the hospital, the doctor said that he would need to be admitted if he doesn't feel well. On a Wednesday, the patient went to the hospital and an ECG was done. The reporter informed that when the doctor compared it with an ECG from few days before, he could not believe it was of the same patient's. The patient was taken to the ER (emergency room) and was them transferred to ICU (intensive care unit) as he was dehydrated. Dehydration was treated and at the time the patient started having heart issues. By Friday, the patient started doing better and the doctor discussed discharging him. On Saturday, when the patient woke up he grabbed his chest and collapsed. The reporter informed that they were not able to get an autopsy but the death was assumed to be cardiac death. It was reported that the patient passed away approximately nine days after receiving the second dose of the vaccine. The reporter further informed that the patient was in good health and had a full 'cardiac work' prior to his vaccination.  Company comment: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Sender's Comments: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Reported Cause(s) of Death: Cardiac death"
	"1416721-1"	"1416721-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Dehydrated; Collapsed; Cardiac death/the patient woke up and then grab it's chest and collapsed; Started having heart issues; Chest pain; Lose it's appetite; Thirsty; Short of breath/got very winded; Fatigue/ very tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CARDIAC DEATH (Cardiac death/the patient woke up and then grab it's chest and collapsed), DEHYDRATION (Dehydrated) and CIRCULATORY COLLAPSE (Collapsed) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included CHLORTHALIDONE, LOSARTAN POTASSIUM, MELOXICAM, METOPROLOL SUCCINATE, PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE SODIUM), TAMSULOSIN HYDROCHLORIDE (TAMSULOSIN HCL), RIVAROXABAN (XARELTO), AMLODIPINE BESILATE (AMLODIPINE BESYLATE) and TADALAFIL for an unknown indication.   On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2021, the patient experienced DEHYDRATION (Dehydrated) (seriousness criterion hospitalization), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired). On an unknown date, the patient experienced CIRCULATORY COLLAPSE (Collapsed) (seriousness criterion medically significant). The patient died on 10-Apr-2021. The reported cause of death was Cardiac death. An autopsy was not performed. At the time of death, DEHYDRATION (Dehydrated), CIRCULATORY COLLAPSE (Collapsed), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: inconclusive (Inconclusive) Inconclusive and inconclusive (Inconclusive) Inconclusive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Action taken with the mRNA-1273 vaccine due to the events was not applicable.  The reporter informed that the patient had received both doses of mRNA-1273 vaccine. He first lost his appetite and started feeling thirsty on the following day after vaccination, which worsened progressively for the next five days. The patient then started having chest pain, was short of breath and experienced fatigue. He got very winded when he went to the bathroom and felt very tired for the next two days, When he went to the hospital, the doctor said that he would need to be admitted if he doesn't feel well. On a Wednesday, the patient went to the hospital and an ECG was done. The reporter informed that when the doctor compared it with an ECG from few days before, he could not believe it was of the same patient's. The patient was taken to the ER (emergency room) and was them transferred to ICU (intensive care unit) as he was dehydrated. Dehydration was treated and at the time the patient started having heart issues. By Friday, the patient started doing better and the doctor discussed discharging him. On Saturday, when the patient woke up he grabbed his chest and collapsed. The reporter informed that they were not able to get an autopsy but the death was assumed to be cardiac death. It was reported that the patient passed away approximately nine days after receiving the second dose of the vaccine. The reporter further informed that the patient was in good health and had a full 'cardiac work' prior to his vaccination.  Company comment: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Sender's Comments: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Reported Cause(s) of Death: Cardiac death"
	"1416721-1"	"1416721-1"	"CIRCULATORY COLLAPSE"	"10009192"	"65-79 years"	"65-79"	"Dehydrated; Collapsed; Cardiac death/the patient woke up and then grab it's chest and collapsed; Started having heart issues; Chest pain; Lose it's appetite; Thirsty; Short of breath/got very winded; Fatigue/ very tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CARDIAC DEATH (Cardiac death/the patient woke up and then grab it's chest and collapsed), DEHYDRATION (Dehydrated) and CIRCULATORY COLLAPSE (Collapsed) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included CHLORTHALIDONE, LOSARTAN POTASSIUM, MELOXICAM, METOPROLOL SUCCINATE, PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE SODIUM), TAMSULOSIN HYDROCHLORIDE (TAMSULOSIN HCL), RIVAROXABAN (XARELTO), AMLODIPINE BESILATE (AMLODIPINE BESYLATE) and TADALAFIL for an unknown indication.   On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2021, the patient experienced DEHYDRATION (Dehydrated) (seriousness criterion hospitalization), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired). On an unknown date, the patient experienced CIRCULATORY COLLAPSE (Collapsed) (seriousness criterion medically significant). The patient died on 10-Apr-2021. The reported cause of death was Cardiac death. An autopsy was not performed. At the time of death, DEHYDRATION (Dehydrated), CIRCULATORY COLLAPSE (Collapsed), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: inconclusive (Inconclusive) Inconclusive and inconclusive (Inconclusive) Inconclusive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Action taken with the mRNA-1273 vaccine due to the events was not applicable.  The reporter informed that the patient had received both doses of mRNA-1273 vaccine. He first lost his appetite and started feeling thirsty on the following day after vaccination, which worsened progressively for the next five days. The patient then started having chest pain, was short of breath and experienced fatigue. He got very winded when he went to the bathroom and felt very tired for the next two days, When he went to the hospital, the doctor said that he would need to be admitted if he doesn't feel well. On a Wednesday, the patient went to the hospital and an ECG was done. The reporter informed that when the doctor compared it with an ECG from few days before, he could not believe it was of the same patient's. The patient was taken to the ER (emergency room) and was them transferred to ICU (intensive care unit) as he was dehydrated. Dehydration was treated and at the time the patient started having heart issues. By Friday, the patient started doing better and the doctor discussed discharging him. On Saturday, when the patient woke up he grabbed his chest and collapsed. The reporter informed that they were not able to get an autopsy but the death was assumed to be cardiac death. It was reported that the patient passed away approximately nine days after receiving the second dose of the vaccine. The reporter further informed that the patient was in good health and had a full 'cardiac work' prior to his vaccination.  Company comment: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Sender's Comments: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Reported Cause(s) of Death: Cardiac death"
	"1416721-1"	"1416721-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"Dehydrated; Collapsed; Cardiac death/the patient woke up and then grab it's chest and collapsed; Started having heart issues; Chest pain; Lose it's appetite; Thirsty; Short of breath/got very winded; Fatigue/ very tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CARDIAC DEATH (Cardiac death/the patient woke up and then grab it's chest and collapsed), DEHYDRATION (Dehydrated) and CIRCULATORY COLLAPSE (Collapsed) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included CHLORTHALIDONE, LOSARTAN POTASSIUM, MELOXICAM, METOPROLOL SUCCINATE, PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE SODIUM), TAMSULOSIN HYDROCHLORIDE (TAMSULOSIN HCL), RIVAROXABAN (XARELTO), AMLODIPINE BESILATE (AMLODIPINE BESYLATE) and TADALAFIL for an unknown indication.   On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2021, the patient experienced DEHYDRATION (Dehydrated) (seriousness criterion hospitalization), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired). On an unknown date, the patient experienced CIRCULATORY COLLAPSE (Collapsed) (seriousness criterion medically significant). The patient died on 10-Apr-2021. The reported cause of death was Cardiac death. An autopsy was not performed. At the time of death, DEHYDRATION (Dehydrated), CIRCULATORY COLLAPSE (Collapsed), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: inconclusive (Inconclusive) Inconclusive and inconclusive (Inconclusive) Inconclusive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Action taken with the mRNA-1273 vaccine due to the events was not applicable.  The reporter informed that the patient had received both doses of mRNA-1273 vaccine. He first lost his appetite and started feeling thirsty on the following day after vaccination, which worsened progressively for the next five days. The patient then started having chest pain, was short of breath and experienced fatigue. He got very winded when he went to the bathroom and felt very tired for the next two days, When he went to the hospital, the doctor said that he would need to be admitted if he doesn't feel well. On a Wednesday, the patient went to the hospital and an ECG was done. The reporter informed that when the doctor compared it with an ECG from few days before, he could not believe it was of the same patient's. The patient was taken to the ER (emergency room) and was them transferred to ICU (intensive care unit) as he was dehydrated. Dehydration was treated and at the time the patient started having heart issues. By Friday, the patient started doing better and the doctor discussed discharging him. On Saturday, when the patient woke up he grabbed his chest and collapsed. The reporter informed that they were not able to get an autopsy but the death was assumed to be cardiac death. It was reported that the patient passed away approximately nine days after receiving the second dose of the vaccine. The reporter further informed that the patient was in good health and had a full 'cardiac work' prior to his vaccination.  Company comment: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Sender's Comments: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Reported Cause(s) of Death: Cardiac death"
	"1416721-1"	"1416721-1"	"DEHYDRATION"	"10012174"	"65-79 years"	"65-79"	"Dehydrated; Collapsed; Cardiac death/the patient woke up and then grab it's chest and collapsed; Started having heart issues; Chest pain; Lose it's appetite; Thirsty; Short of breath/got very winded; Fatigue/ very tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CARDIAC DEATH (Cardiac death/the patient woke up and then grab it's chest and collapsed), DEHYDRATION (Dehydrated) and CIRCULATORY COLLAPSE (Collapsed) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included CHLORTHALIDONE, LOSARTAN POTASSIUM, MELOXICAM, METOPROLOL SUCCINATE, PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE SODIUM), TAMSULOSIN HYDROCHLORIDE (TAMSULOSIN HCL), RIVAROXABAN (XARELTO), AMLODIPINE BESILATE (AMLODIPINE BESYLATE) and TADALAFIL for an unknown indication.   On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2021, the patient experienced DEHYDRATION (Dehydrated) (seriousness criterion hospitalization), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired). On an unknown date, the patient experienced CIRCULATORY COLLAPSE (Collapsed) (seriousness criterion medically significant). The patient died on 10-Apr-2021. The reported cause of death was Cardiac death. An autopsy was not performed. At the time of death, DEHYDRATION (Dehydrated), CIRCULATORY COLLAPSE (Collapsed), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: inconclusive (Inconclusive) Inconclusive and inconclusive (Inconclusive) Inconclusive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Action taken with the mRNA-1273 vaccine due to the events was not applicable.  The reporter informed that the patient had received both doses of mRNA-1273 vaccine. He first lost his appetite and started feeling thirsty on the following day after vaccination, which worsened progressively for the next five days. The patient then started having chest pain, was short of breath and experienced fatigue. He got very winded when he went to the bathroom and felt very tired for the next two days, When he went to the hospital, the doctor said that he would need to be admitted if he doesn't feel well. On a Wednesday, the patient went to the hospital and an ECG was done. The reporter informed that when the doctor compared it with an ECG from few days before, he could not believe it was of the same patient's. The patient was taken to the ER (emergency room) and was them transferred to ICU (intensive care unit) as he was dehydrated. Dehydration was treated and at the time the patient started having heart issues. By Friday, the patient started doing better and the doctor discussed discharging him. On Saturday, when the patient woke up he grabbed his chest and collapsed. The reporter informed that they were not able to get an autopsy but the death was assumed to be cardiac death. It was reported that the patient passed away approximately nine days after receiving the second dose of the vaccine. The reporter further informed that the patient was in good health and had a full 'cardiac work' prior to his vaccination.  Company comment: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Sender's Comments: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Reported Cause(s) of Death: Cardiac death"
	"1416721-1"	"1416721-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Dehydrated; Collapsed; Cardiac death/the patient woke up and then grab it's chest and collapsed; Started having heart issues; Chest pain; Lose it's appetite; Thirsty; Short of breath/got very winded; Fatigue/ very tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CARDIAC DEATH (Cardiac death/the patient woke up and then grab it's chest and collapsed), DEHYDRATION (Dehydrated) and CIRCULATORY COLLAPSE (Collapsed) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included CHLORTHALIDONE, LOSARTAN POTASSIUM, MELOXICAM, METOPROLOL SUCCINATE, PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE SODIUM), TAMSULOSIN HYDROCHLORIDE (TAMSULOSIN HCL), RIVAROXABAN (XARELTO), AMLODIPINE BESILATE (AMLODIPINE BESYLATE) and TADALAFIL for an unknown indication.   On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2021, the patient experienced DEHYDRATION (Dehydrated) (seriousness criterion hospitalization), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired). On an unknown date, the patient experienced CIRCULATORY COLLAPSE (Collapsed) (seriousness criterion medically significant). The patient died on 10-Apr-2021. The reported cause of death was Cardiac death. An autopsy was not performed. At the time of death, DEHYDRATION (Dehydrated), CIRCULATORY COLLAPSE (Collapsed), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: inconclusive (Inconclusive) Inconclusive and inconclusive (Inconclusive) Inconclusive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Action taken with the mRNA-1273 vaccine due to the events was not applicable.  The reporter informed that the patient had received both doses of mRNA-1273 vaccine. He first lost his appetite and started feeling thirsty on the following day after vaccination, which worsened progressively for the next five days. The patient then started having chest pain, was short of breath and experienced fatigue. He got very winded when he went to the bathroom and felt very tired for the next two days, When he went to the hospital, the doctor said that he would need to be admitted if he doesn't feel well. On a Wednesday, the patient went to the hospital and an ECG was done. The reporter informed that when the doctor compared it with an ECG from few days before, he could not believe it was of the same patient's. The patient was taken to the ER (emergency room) and was them transferred to ICU (intensive care unit) as he was dehydrated. Dehydration was treated and at the time the patient started having heart issues. By Friday, the patient started doing better and the doctor discussed discharging him. On Saturday, when the patient woke up he grabbed his chest and collapsed. The reporter informed that they were not able to get an autopsy but the death was assumed to be cardiac death. It was reported that the patient passed away approximately nine days after receiving the second dose of the vaccine. The reporter further informed that the patient was in good health and had a full 'cardiac work' prior to his vaccination.  Company comment: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Sender's Comments: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Reported Cause(s) of Death: Cardiac death"
	"1416721-1"	"1416721-1"	"ELECTROCARDIOGRAM"	"10014362"	"65-79 years"	"65-79"	"Dehydrated; Collapsed; Cardiac death/the patient woke up and then grab it's chest and collapsed; Started having heart issues; Chest pain; Lose it's appetite; Thirsty; Short of breath/got very winded; Fatigue/ very tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CARDIAC DEATH (Cardiac death/the patient woke up and then grab it's chest and collapsed), DEHYDRATION (Dehydrated) and CIRCULATORY COLLAPSE (Collapsed) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included CHLORTHALIDONE, LOSARTAN POTASSIUM, MELOXICAM, METOPROLOL SUCCINATE, PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE SODIUM), TAMSULOSIN HYDROCHLORIDE (TAMSULOSIN HCL), RIVAROXABAN (XARELTO), AMLODIPINE BESILATE (AMLODIPINE BESYLATE) and TADALAFIL for an unknown indication.   On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2021, the patient experienced DEHYDRATION (Dehydrated) (seriousness criterion hospitalization), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired). On an unknown date, the patient experienced CIRCULATORY COLLAPSE (Collapsed) (seriousness criterion medically significant). The patient died on 10-Apr-2021. The reported cause of death was Cardiac death. An autopsy was not performed. At the time of death, DEHYDRATION (Dehydrated), CIRCULATORY COLLAPSE (Collapsed), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: inconclusive (Inconclusive) Inconclusive and inconclusive (Inconclusive) Inconclusive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Action taken with the mRNA-1273 vaccine due to the events was not applicable.  The reporter informed that the patient had received both doses of mRNA-1273 vaccine. He first lost his appetite and started feeling thirsty on the following day after vaccination, which worsened progressively for the next five days. The patient then started having chest pain, was short of breath and experienced fatigue. He got very winded when he went to the bathroom and felt very tired for the next two days, When he went to the hospital, the doctor said that he would need to be admitted if he doesn't feel well. On a Wednesday, the patient went to the hospital and an ECG was done. The reporter informed that when the doctor compared it with an ECG from few days before, he could not believe it was of the same patient's. The patient was taken to the ER (emergency room) and was them transferred to ICU (intensive care unit) as he was dehydrated. Dehydration was treated and at the time the patient started having heart issues. By Friday, the patient started doing better and the doctor discussed discharging him. On Saturday, when the patient woke up he grabbed his chest and collapsed. The reporter informed that they were not able to get an autopsy but the death was assumed to be cardiac death. It was reported that the patient passed away approximately nine days after receiving the second dose of the vaccine. The reporter further informed that the patient was in good health and had a full 'cardiac work' prior to his vaccination.  Company comment: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Sender's Comments: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Reported Cause(s) of Death: Cardiac death"
	"1416721-1"	"1416721-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Dehydrated; Collapsed; Cardiac death/the patient woke up and then grab it's chest and collapsed; Started having heart issues; Chest pain; Lose it's appetite; Thirsty; Short of breath/got very winded; Fatigue/ very tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CARDIAC DEATH (Cardiac death/the patient woke up and then grab it's chest and collapsed), DEHYDRATION (Dehydrated) and CIRCULATORY COLLAPSE (Collapsed) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included CHLORTHALIDONE, LOSARTAN POTASSIUM, MELOXICAM, METOPROLOL SUCCINATE, PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE SODIUM), TAMSULOSIN HYDROCHLORIDE (TAMSULOSIN HCL), RIVAROXABAN (XARELTO), AMLODIPINE BESILATE (AMLODIPINE BESYLATE) and TADALAFIL for an unknown indication.   On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2021, the patient experienced DEHYDRATION (Dehydrated) (seriousness criterion hospitalization), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired). On an unknown date, the patient experienced CIRCULATORY COLLAPSE (Collapsed) (seriousness criterion medically significant). The patient died on 10-Apr-2021. The reported cause of death was Cardiac death. An autopsy was not performed. At the time of death, DEHYDRATION (Dehydrated), CIRCULATORY COLLAPSE (Collapsed), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: inconclusive (Inconclusive) Inconclusive and inconclusive (Inconclusive) Inconclusive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Action taken with the mRNA-1273 vaccine due to the events was not applicable.  The reporter informed that the patient had received both doses of mRNA-1273 vaccine. He first lost his appetite and started feeling thirsty on the following day after vaccination, which worsened progressively for the next five days. The patient then started having chest pain, was short of breath and experienced fatigue. He got very winded when he went to the bathroom and felt very tired for the next two days, When he went to the hospital, the doctor said that he would need to be admitted if he doesn't feel well. On a Wednesday, the patient went to the hospital and an ECG was done. The reporter informed that when the doctor compared it with an ECG from few days before, he could not believe it was of the same patient's. The patient was taken to the ER (emergency room) and was them transferred to ICU (intensive care unit) as he was dehydrated. Dehydration was treated and at the time the patient started having heart issues. By Friday, the patient started doing better and the doctor discussed discharging him. On Saturday, when the patient woke up he grabbed his chest and collapsed. The reporter informed that they were not able to get an autopsy but the death was assumed to be cardiac death. It was reported that the patient passed away approximately nine days after receiving the second dose of the vaccine. The reporter further informed that the patient was in good health and had a full 'cardiac work' prior to his vaccination.  Company comment: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Sender's Comments: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Reported Cause(s) of Death: Cardiac death"
	"1416721-1"	"1416721-1"	"THIRST"	"10043458"	"65-79 years"	"65-79"	"Dehydrated; Collapsed; Cardiac death/the patient woke up and then grab it's chest and collapsed; Started having heart issues; Chest pain; Lose it's appetite; Thirsty; Short of breath/got very winded; Fatigue/ very tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CARDIAC DEATH (Cardiac death/the patient woke up and then grab it's chest and collapsed), DEHYDRATION (Dehydrated) and CIRCULATORY COLLAPSE (Collapsed) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concomitant products included CHLORTHALIDONE, LOSARTAN POTASSIUM, MELOXICAM, METOPROLOL SUCCINATE, PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE SODIUM), TAMSULOSIN HYDROCHLORIDE (TAMSULOSIN HCL), RIVAROXABAN (XARELTO), AMLODIPINE BESILATE (AMLODIPINE BESYLATE) and TADALAFIL for an unknown indication.   On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2021, the patient experienced DEHYDRATION (Dehydrated) (seriousness criterion hospitalization), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired). On an unknown date, the patient experienced CIRCULATORY COLLAPSE (Collapsed) (seriousness criterion medically significant). The patient died on 10-Apr-2021. The reported cause of death was Cardiac death. An autopsy was not performed. At the time of death, DEHYDRATION (Dehydrated), CIRCULATORY COLLAPSE (Collapsed), CARDIAC DISORDER (Started having heart issues), CHEST PAIN (Chest pain), DECREASED APPETITE (Lose it's appetite), THIRST (Thirsty), DYSPNOEA (Short of breath/got very winded) and FATIGUE (Fatigue/ very tired) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: inconclusive (Inconclusive) Inconclusive and inconclusive (Inconclusive) Inconclusive.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Action taken with the mRNA-1273 vaccine due to the events was not applicable.  The reporter informed that the patient had received both doses of mRNA-1273 vaccine. He first lost his appetite and started feeling thirsty on the following day after vaccination, which worsened progressively for the next five days. The patient then started having chest pain, was short of breath and experienced fatigue. He got very winded when he went to the bathroom and felt very tired for the next two days, When he went to the hospital, the doctor said that he would need to be admitted if he doesn't feel well. On a Wednesday, the patient went to the hospital and an ECG was done. The reporter informed that when the doctor compared it with an ECG from few days before, he could not believe it was of the same patient's. The patient was taken to the ER (emergency room) and was them transferred to ICU (intensive care unit) as he was dehydrated. Dehydration was treated and at the time the patient started having heart issues. By Friday, the patient started doing better and the doctor discussed discharging him. On Saturday, when the patient woke up he grabbed his chest and collapsed. The reporter informed that they were not able to get an autopsy but the death was assumed to be cardiac death. It was reported that the patient passed away approximately nine days after receiving the second dose of the vaccine. The reporter further informed that the patient was in good health and had a full 'cardiac work' prior to his vaccination.  Company comment: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Sender's Comments: Very limited information regarding this event has been provided at this time. Details regarding medical history and course in the hospital is required for further evaluation.; Reported Cause(s) of Death: Cardiac death"
	"1420514-1"	"1420514-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Symptom onset was 12/26/2020, with nausea, fever, chills, rigors, fatigue, cough, & myalgia."
	"1420514-1"	"1420514-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Symptom onset was 12/26/2020, with nausea, fever, chills, rigors, fatigue, cough, & myalgia."
	"1420514-1"	"1420514-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Symptom onset was 12/26/2020, with nausea, fever, chills, rigors, fatigue, cough, & myalgia."
	"1420514-1"	"1420514-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Symptom onset was 12/26/2020, with nausea, fever, chills, rigors, fatigue, cough, & myalgia."
	"1420514-1"	"1420514-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"Symptom onset was 12/26/2020, with nausea, fever, chills, rigors, fatigue, cough, & myalgia."
	"1420514-1"	"1420514-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Symptom onset was 12/26/2020, with nausea, fever, chills, rigors, fatigue, cough, & myalgia."
	"1420514-1"	"1420514-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Symptom onset was 12/26/2020, with nausea, fever, chills, rigors, fatigue, cough, & myalgia."
	"1420514-1"	"1420514-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Symptom onset was 12/26/2020, with nausea, fever, chills, rigors, fatigue, cough, & myalgia."
	"1423777-1"	"1423777-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"Death 3/8/2021"
	"1423777-1"	"1423777-1"	"CARDIAC FAILURE"	"10007554"	"65-79 years"	"65-79"	"Death 3/8/2021"
	"1423777-1"	"1423777-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death 3/8/2021"
	"1423777-1"	"1423777-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death 3/8/2021"
	"1423777-1"	"1423777-1"	"DEMENTIA"	"10012267"	"65-79 years"	"65-79"	"Death 3/8/2021"
	"1423777-1"	"1423777-1"	"DYSPHAGIA"	"10013950"	"65-79 years"	"65-79"	"Death 3/8/2021"
	"1423777-1"	"1423777-1"	"HYPOPHAGIA"	"10063743"	"65-79 years"	"65-79"	"Death 3/8/2021"
	"1423777-1"	"1423777-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"Death 3/8/2021"
	"1423777-1"	"1423777-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Death 3/8/2021"
	"1423777-1"	"1423777-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Death 3/8/2021"
	"1423882-1"	"1423882-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Death 4/1/2021 Causes of death listed on patient's death certificate: 1) Acute on chronic respiratory failure  2) Metastatic spindle cell malignancy  Other: COVID-19, pneumonia"
	"1423882-1"	"1423882-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death 4/1/2021 Causes of death listed on patient's death certificate: 1) Acute on chronic respiratory failure  2) Metastatic spindle cell malignancy  Other: COVID-19, pneumonia"
	"1423882-1"	"1423882-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Death 4/1/2021 Causes of death listed on patient's death certificate: 1) Acute on chronic respiratory failure  2) Metastatic spindle cell malignancy  Other: COVID-19, pneumonia"
	"1423882-1"	"1423882-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death 4/1/2021 Causes of death listed on patient's death certificate: 1) Acute on chronic respiratory failure  2) Metastatic spindle cell malignancy  Other: COVID-19, pneumonia"
	"1423882-1"	"1423882-1"	"METASTATIC CARCINOID TUMOUR"	"10068115"	"65-79 years"	"65-79"	"Death 4/1/2021 Causes of death listed on patient's death certificate: 1) Acute on chronic respiratory failure  2) Metastatic spindle cell malignancy  Other: COVID-19, pneumonia"
	"1423882-1"	"1423882-1"	"NUCLEIC ACID TEST"	"10083356"	"65-79 years"	"65-79"	"Death 4/1/2021 Causes of death listed on patient's death certificate: 1) Acute on chronic respiratory failure  2) Metastatic spindle cell malignancy  Other: COVID-19, pneumonia"
	"1423882-1"	"1423882-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Death 4/1/2021 Causes of death listed on patient's death certificate: 1) Acute on chronic respiratory failure  2) Metastatic spindle cell malignancy  Other: COVID-19, pneumonia"
	"1423882-1"	"1423882-1"	"POLYMERASE CHAIN REACTION"	"10050967"	"65-79 years"	"65-79"	"Death 4/1/2021 Causes of death listed on patient's death certificate: 1) Acute on chronic respiratory failure  2) Metastatic spindle cell malignancy  Other: COVID-19, pneumonia"
	"1423882-1"	"1423882-1"	"SPINDLE CELL SARCOMA"	"10049067"	"65-79 years"	"65-79"	"Death 4/1/2021 Causes of death listed on patient's death certificate: 1) Acute on chronic respiratory failure  2) Metastatic spindle cell malignancy  Other: COVID-19, pneumonia"
	"1424098-1"	"1424098-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"CHRONIC KIDNEY DISEASE"	"10064848"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"LEFT VENTRICULAR FAILURE"	"10024119"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"NUCLEIC ACID TEST"	"10083356"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"PLASMA CELL MYELOMA"	"10035226"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"POLYMERASE CHAIN REACTION"	"10050967"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424098-1"	"1424098-1"	"TYPE 2 DIABETES MELLITUS"	"10067585"	"65-79 years"	"65-79"	"Death  4/27/2021 Causes of death listed on death certificate: 1) ADULT RESPIRATORY DISTRESS SYNDROME WITH HYPOXIA  2) RAPID ATRIAL FIBRILLATION WITH DIASTOLIC HEART FAILURE  3) COVID-19  Other: COVID-10 ENCEPHALOPATHY, COVID-19 PNEUMONITIS, MULTIPLE MYELOMA, STAGE 3 CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS"
	"1424154-1"	"1424154-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"death 4/24/2021 causes of death listed on death certificate: 1) Pneumonia Due to COVID 19  2) Acute Respiratory Failure with Hypoxia  3) COVID 19  4) Acute Exacerbation of Chronic Obstructive Pulmonary Disease"
	"1424154-1"	"1424154-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"death 4/24/2021 causes of death listed on death certificate: 1) Pneumonia Due to COVID 19  2) Acute Respiratory Failure with Hypoxia  3) COVID 19  4) Acute Exacerbation of Chronic Obstructive Pulmonary Disease"
	"1424154-1"	"1424154-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"death 4/24/2021 causes of death listed on death certificate: 1) Pneumonia Due to COVID 19  2) Acute Respiratory Failure with Hypoxia  3) COVID 19  4) Acute Exacerbation of Chronic Obstructive Pulmonary Disease"
	"1424154-1"	"1424154-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"death 4/24/2021 causes of death listed on death certificate: 1) Pneumonia Due to COVID 19  2) Acute Respiratory Failure with Hypoxia  3) COVID 19  4) Acute Exacerbation of Chronic Obstructive Pulmonary Disease"
	"1424154-1"	"1424154-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"death 4/24/2021 causes of death listed on death certificate: 1) Pneumonia Due to COVID 19  2) Acute Respiratory Failure with Hypoxia  3) COVID 19  4) Acute Exacerbation of Chronic Obstructive Pulmonary Disease"
	"1424154-1"	"1424154-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death 4/24/2021 causes of death listed on death certificate: 1) Pneumonia Due to COVID 19  2) Acute Respiratory Failure with Hypoxia  3) COVID 19  4) Acute Exacerbation of Chronic Obstructive Pulmonary Disease"
	"1424154-1"	"1424154-1"	"NUCLEIC ACID TEST"	"10083356"	"65-79 years"	"65-79"	"death 4/24/2021 causes of death listed on death certificate: 1) Pneumonia Due to COVID 19  2) Acute Respiratory Failure with Hypoxia  3) COVID 19  4) Acute Exacerbation of Chronic Obstructive Pulmonary Disease"
	"1424154-1"	"1424154-1"	"POLYMERASE CHAIN REACTION"	"10050967"	"65-79 years"	"65-79"	"death 4/24/2021 causes of death listed on death certificate: 1) Pneumonia Due to COVID 19  2) Acute Respiratory Failure with Hypoxia  3) COVID 19  4) Acute Exacerbation of Chronic Obstructive Pulmonary Disease"
	"1424166-1"	"1424166-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"BLOOD LOSS ANAEMIA"	"10082297"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"CARDIAC FAILURE ACUTE"	"10007556"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"ISCHAEMIC HEPATITIS"	"10023025"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"LEFT VENTRICULAR DYSFUNCTION"	"10049694"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"NUCLEIC ACID TEST"	"10083356"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"POLYMERASE CHAIN REACTION"	"10050967"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1424166-1"	"1424166-1"	"TYPE 2 DIABETES MELLITUS"	"10067585"	"65-79 years"	"65-79"	"Death 4/30/2021 Causes of death listed on death certificate: 1) Acute hypoxemic respiratory failure due to COVID-19 pneumonia  2) COVID-19 pneumonia  3) Acute on chronic left ventricular systolic congestive heart failure  4) Septic shock, liver shock due to COVID-19  Other: Exacerbation of chronic obstructive pulmonary disease, chronic blood loss anemia, diabetes mellitus type II"
	"1426130-1"	"1426130-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"Death   4/30/2021 Causes of death listed on death certificate: 1) Covid Pneumonia  2) Chronic obstructive pulmonary disease, unspecified  Other: none"
	"1426130-1"	"1426130-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death   4/30/2021 Causes of death listed on death certificate: 1) Covid Pneumonia  2) Chronic obstructive pulmonary disease, unspecified  Other: none"
	"1426130-1"	"1426130-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Death   4/30/2021 Causes of death listed on death certificate: 1) Covid Pneumonia  2) Chronic obstructive pulmonary disease, unspecified  Other: none"
	"1426130-1"	"1426130-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death   4/30/2021 Causes of death listed on death certificate: 1) Covid Pneumonia  2) Chronic obstructive pulmonary disease, unspecified  Other: none"
	"1426130-1"	"1426130-1"	"NUCLEIC ACID TEST"	"10083356"	"65-79 years"	"65-79"	"Death   4/30/2021 Causes of death listed on death certificate: 1) Covid Pneumonia  2) Chronic obstructive pulmonary disease, unspecified  Other: none"
	"1426130-1"	"1426130-1"	"POLYMERASE CHAIN REACTION"	"10050967"	"65-79 years"	"65-79"	"Death   4/30/2021 Causes of death listed on death certificate: 1) Covid Pneumonia  2) Chronic obstructive pulmonary disease, unspecified  Other: none"
	"1426460-1"	"1426460-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"CARDIAC FAILURE ACUTE"	"10007556"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"DEPRESSION"	"10012378"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"DYSPHAGIA"	"10013950"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"LEFT VENTRICULAR FAILURE"	"10024119"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"MALNUTRITION"	"10061273"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"NUCLEIC ACID TEST"	"10083356"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"POLYMERASE CHAIN REACTION"	"10050967"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"TOXIC ENCEPHALOPATHY"	"10044221"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426460-1"	"1426460-1"	"TYPE 2 DIABETES MELLITUS"	"10067585"	"65-79 years"	"65-79"	"Death:   5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure  2) Acute on chronic diastolic heart failure  3) Atrial fibrillation  4) Covid 19 pneumonia  Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition."
	"1426471-1"	"1426471-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death  5/2/2021 Causes of death listed on death certificate: 1) Small-bowel obstruction  2) Carcinoma of small-bowel"
	"1426471-1"	"1426471-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death  5/2/2021 Causes of death listed on death certificate: 1) Small-bowel obstruction  2) Carcinoma of small-bowel"
	"1426471-1"	"1426471-1"	"NUCLEIC ACID TEST"	"10083356"	"65-79 years"	"65-79"	"Death  5/2/2021 Causes of death listed on death certificate: 1) Small-bowel obstruction  2) Carcinoma of small-bowel"
	"1426471-1"	"1426471-1"	"POLYMERASE CHAIN REACTION"	"10050967"	"65-79 years"	"65-79"	"Death  5/2/2021 Causes of death listed on death certificate: 1) Small-bowel obstruction  2) Carcinoma of small-bowel"
	"1426471-1"	"1426471-1"	"SMALL INTESTINAL OBSTRUCTION"	"10041101"	"65-79 years"	"65-79"	"Death  5/2/2021 Causes of death listed on death certificate: 1) Small-bowel obstruction  2) Carcinoma of small-bowel"
	"1426471-1"	"1426471-1"	"SMALL INTESTINE CARCINOMA"	"10054184"	"65-79 years"	"65-79"	"Death  5/2/2021 Causes of death listed on death certificate: 1) Small-bowel obstruction  2) Carcinoma of small-bowel"
	"1426477-1"	"1426477-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Death   5/15/2021 Causes of death listed on death certificate: 1) COVID 19 pneumonia  2) Acute respiratory failure with hypoxia  3) Pulmonary embolism  4) Paroxysmal atrial fibrillation  Other: obesity, hypertension"
	"1426477-1"	"1426477-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"Death   5/15/2021 Causes of death listed on death certificate: 1) COVID 19 pneumonia  2) Acute respiratory failure with hypoxia  3) Pulmonary embolism  4) Paroxysmal atrial fibrillation  Other: obesity, hypertension"
	"1426477-1"	"1426477-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death   5/15/2021 Causes of death listed on death certificate: 1) COVID 19 pneumonia  2) Acute respiratory failure with hypoxia  3) Pulmonary embolism  4) Paroxysmal atrial fibrillation  Other: obesity, hypertension"
	"1426477-1"	"1426477-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Death   5/15/2021 Causes of death listed on death certificate: 1) COVID 19 pneumonia  2) Acute respiratory failure with hypoxia  3) Pulmonary embolism  4) Paroxysmal atrial fibrillation  Other: obesity, hypertension"
	"1426477-1"	"1426477-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death   5/15/2021 Causes of death listed on death certificate: 1) COVID 19 pneumonia  2) Acute respiratory failure with hypoxia  3) Pulmonary embolism  4) Paroxysmal atrial fibrillation  Other: obesity, hypertension"
	"1426477-1"	"1426477-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"Death   5/15/2021 Causes of death listed on death certificate: 1) COVID 19 pneumonia  2) Acute respiratory failure with hypoxia  3) Pulmonary embolism  4) Paroxysmal atrial fibrillation  Other: obesity, hypertension"
	"1426477-1"	"1426477-1"	"NUCLEIC ACID TEST"	"10083356"	"65-79 years"	"65-79"	"Death   5/15/2021 Causes of death listed on death certificate: 1) COVID 19 pneumonia  2) Acute respiratory failure with hypoxia  3) Pulmonary embolism  4) Paroxysmal atrial fibrillation  Other: obesity, hypertension"
	"1426477-1"	"1426477-1"	"OBESITY"	"10029883"	"65-79 years"	"65-79"	"Death   5/15/2021 Causes of death listed on death certificate: 1) COVID 19 pneumonia  2) Acute respiratory failure with hypoxia  3) Pulmonary embolism  4) Paroxysmal atrial fibrillation  Other: obesity, hypertension"
	"1426477-1"	"1426477-1"	"POLYMERASE CHAIN REACTION"	"10050967"	"65-79 years"	"65-79"	"Death   5/15/2021 Causes of death listed on death certificate: 1) COVID 19 pneumonia  2) Acute respiratory failure with hypoxia  3) Pulmonary embolism  4) Paroxysmal atrial fibrillation  Other: obesity, hypertension"
	"1426477-1"	"1426477-1"	"PULMONARY EMBOLISM"	"10037377"	"65-79 years"	"65-79"	"Death   5/15/2021 Causes of death listed on death certificate: 1) COVID 19 pneumonia  2) Acute respiratory failure with hypoxia  3) Pulmonary embolism  4) Paroxysmal atrial fibrillation  Other: obesity, hypertension"
	"1426770-1"	"1426770-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"COVID-19 PNEUMONIA, ACUTE RESPIRATORY FAILURE WITH HYPOXIC"
	"1426770-1"	"1426770-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"COVID-19 PNEUMONIA, ACUTE RESPIRATORY FAILURE WITH HYPOXIC"
	"1429643-1"	"1429643-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"Lethal stroke"
	"1429643-1"	"1429643-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Lethal stroke"
	"1431211-1"	"1431211-1"	"SUDDEN DEATH"	"10042434"	"65-79 years"	"65-79"	"Sudden Death"
	"1433724-1"	"1433724-1"	"ABNORMAL BEHAVIOUR"	"10061422"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"ANAL INCONTINENCE"	"10077605"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"COGNITIVE DISORDER"	"10057668"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"DEMENTIA"	"10012267"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"GAIT DISTURBANCE"	"10017577"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"HYPOKINESIA"	"10021021"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"LIMB REDUCTION DEFECT"	"10024503"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"MOVEMENT DISORDER"	"10028035"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"MUSCLE TIGHTNESS"	"10049816"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433724-1"	"1433724-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"On March 8 we went and got the 2nd vaccine and he came home with a fever and confusion and I guess dementia just seeming crazy. He was eating dinner on March 9 sitting at the bar with my Mom and for whatever reason when she got back to him (with 5minutes) he was on the floor balled up in a ball, all his muscles were tight- it was hard for us to get him to stretch or even move, unable to move or control his bowels. I went and got him and put him in bed, in the middle of the night he woke up and was going crazy. My Mom called the ambulance and they took him to the hospital and he stayed for 3 days. They got him some Occupation therapy and they were able to snap him out  a little bit. They helped him walk a little it was hard because he has only one arm. We ended up taking him to a nursing home for physical rehab for him to snap out of it but after 2 weeks in the home his brain and cognition and physical abilities deteriorated everyday. To the point we had to send him to a behavioral health hospital who tried to get him on medication to keep him from getting violent- he was there for 31 days and sent back to nursing home and lasted 3 weeks and then he passed away. It was just rapid exponential deteriorated from day to day and was unbelievable to watch.  Every Dr. that saw him said that the vaccine was a contributor to his rapid decline."
	"1433783-1"	"1433783-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death 5/7/2021 Causes of death listed on death certificate: 1) Ventricular fibrillation  2) Covid19 pneumonia  Other: Diabetes"
	"1433783-1"	"1433783-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Death 5/7/2021 Causes of death listed on death certificate: 1) Ventricular fibrillation  2) Covid19 pneumonia  Other: Diabetes"
	"1433783-1"	"1433783-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death 5/7/2021 Causes of death listed on death certificate: 1) Ventricular fibrillation  2) Covid19 pneumonia  Other: Diabetes"
	"1433783-1"	"1433783-1"	"DIABETES MELLITUS"	"10012601"	"65-79 years"	"65-79"	"Death 5/7/2021 Causes of death listed on death certificate: 1) Ventricular fibrillation  2) Covid19 pneumonia  Other: Diabetes"
	"1433783-1"	"1433783-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Death 5/7/2021 Causes of death listed on death certificate: 1) Ventricular fibrillation  2) Covid19 pneumonia  Other: Diabetes"
	"1433783-1"	"1433783-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"65-79 years"	"65-79"	"Death 5/7/2021 Causes of death listed on death certificate: 1) Ventricular fibrillation  2) Covid19 pneumonia  Other: Diabetes"
	"1433809-1"	"1433809-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death 5/19/2021 Causes of death listed on death certificate: 1) COVID 19"
	"1433809-1"	"1433809-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Death 5/19/2021 Causes of death listed on death certificate: 1) COVID 19"
	"1433809-1"	"1433809-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death 5/19/2021 Causes of death listed on death certificate: 1) COVID 19"
	"1433809-1"	"1433809-1"	"NUCLEIC ACID TEST"	"10083356"	"65-79 years"	"65-79"	"Death 5/19/2021 Causes of death listed on death certificate: 1) COVID 19"
	"1433819-1"	"1433819-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death 6/6/2021 Causes of death listed on death certificate: 1) covid pneumonia"
	"1433819-1"	"1433819-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Death 6/6/2021 Causes of death listed on death certificate: 1) covid pneumonia"
	"1433819-1"	"1433819-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death 6/6/2021 Causes of death listed on death certificate: 1) covid pneumonia"
	"1433819-1"	"1433819-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Death 6/6/2021 Causes of death listed on death certificate: 1) covid pneumonia"
	"1437339-1"	"1437339-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death 5/27/2021  No cause of death provided."
	"1437355-1"	"1437355-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death  5/30/2021 Causes of death listed on death certificate 1. respiratory failure  2. covid pneumonia"
	"1437355-1"	"1437355-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Death  5/30/2021 Causes of death listed on death certificate 1. respiratory failure  2. covid pneumonia"
	"1437355-1"	"1437355-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death  5/30/2021 Causes of death listed on death certificate 1. respiratory failure  2. covid pneumonia"
	"1437355-1"	"1437355-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Death  5/30/2021 Causes of death listed on death certificate 1. respiratory failure  2. covid pneumonia"
	"1437355-1"	"1437355-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Death  5/30/2021 Causes of death listed on death certificate 1. respiratory failure  2. covid pneumonia"
	"1437364-1"	"1437364-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Death  5/1/2021 Causes of death listed on death certificate: 1) Cardiac arrest  2) Failure to thrive  3) Parkinson's Disease  4) COVID-19 infection   4/2021  Other: Coronary artery disease"
	"1437364-1"	"1437364-1"	"CORONARY ARTERY DISEASE"	"10011078"	"65-79 years"	"65-79"	"Death  5/1/2021 Causes of death listed on death certificate: 1) Cardiac arrest  2) Failure to thrive  3) Parkinson's Disease  4) COVID-19 infection   4/2021  Other: Coronary artery disease"
	"1437364-1"	"1437364-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Death  5/1/2021 Causes of death listed on death certificate: 1) Cardiac arrest  2) Failure to thrive  3) Parkinson's Disease  4) COVID-19 infection   4/2021  Other: Coronary artery disease"
	"1437364-1"	"1437364-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death  5/1/2021 Causes of death listed on death certificate: 1) Cardiac arrest  2) Failure to thrive  3) Parkinson's Disease  4) COVID-19 infection   4/2021  Other: Coronary artery disease"
	"1437364-1"	"1437364-1"	"FAILURE TO THRIVE"	"10016165"	"65-79 years"	"65-79"	"Death  5/1/2021 Causes of death listed on death certificate: 1) Cardiac arrest  2) Failure to thrive  3) Parkinson's Disease  4) COVID-19 infection   4/2021  Other: Coronary artery disease"
	"1437364-1"	"1437364-1"	"PARKINSON'S DISEASE"	"10061536"	"65-79 years"	"65-79"	"Death  5/1/2021 Causes of death listed on death certificate: 1) Cardiac arrest  2) Failure to thrive  3) Parkinson's Disease  4) COVID-19 infection   4/2021  Other: Coronary artery disease"
	"1437364-1"	"1437364-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Death  5/1/2021 Causes of death listed on death certificate: 1) Cardiac arrest  2) Failure to thrive  3) Parkinson's Disease  4) COVID-19 infection   4/2021  Other: Coronary artery disease"
	"1437399-1"	"1437399-1"	"CARDIAC FAILURE"	"10007554"	"65-79 years"	"65-79"	"Death   5/30/2021 Causes of death listed on death certificate: 1) Covid 19 Pneumonia  2) colo-vesical  fistular  3) Heart failure  4) chronic  uti"
	"1437399-1"	"1437399-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Death   5/30/2021 Causes of death listed on death certificate: 1) Covid 19 Pneumonia  2) colo-vesical  fistular  3) Heart failure  4) chronic  uti"
	"1437399-1"	"1437399-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death   5/30/2021 Causes of death listed on death certificate: 1) Covid 19 Pneumonia  2) colo-vesical  fistular  3) Heart failure  4) chronic  uti"
	"1437399-1"	"1437399-1"	"ENTEROVESICAL FISTULA"	"10062570"	"65-79 years"	"65-79"	"Death   5/30/2021 Causes of death listed on death certificate: 1) Covid 19 Pneumonia  2) colo-vesical  fistular  3) Heart failure  4) chronic  uti"
	"1437399-1"	"1437399-1"	"SARS-COV-2 TEST"	"10084354"	"65-79 years"	"65-79"	"Death   5/30/2021 Causes of death listed on death certificate: 1) Covid 19 Pneumonia  2) colo-vesical  fistular  3) Heart failure  4) chronic  uti"
	"1437439-1"	"1437439-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Death  5/25/2021 Causes of death listed on death certififcate: 1. Acute Hypoxic Respiratory Failure due to Bilateral COVID-19 pneumonia  2. Bilateral Covid-19 Pneumonia  3. Covid-19 disease  4. Acute Renal failure, Metabolic Acidosis, Hyperkalemia, Acute Congestive cardiac failure"
	"1437439-1"	"1437439-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Death  5/25/2021 Causes of death listed on death certififcate: 1. Acute Hypoxic Respiratory Failure due to Bilateral COVID-19 pneumonia  2. Bilateral Covid-19 Pneumonia  3. Covid-19 disease  4. Acute Renal failure, Metabolic Acidosis, Hyperkalemia, Acute Congestive cardiac failure"
	"1437439-1"	"1437439-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"Death  5/25/2021 Causes of death listed on death certififcate: 1. Acute Hypoxic Respiratory Failure due to Bilateral COVID-19 pneumonia  2. Bilateral Covid-19 Pneumonia  3. Covid-19 disease  4. Acute Renal failure, Metabolic Acidosis, Hyperkalemia, Acute Congestive cardiac failure"
	"1437439-1"	"1437439-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Death  5/25/2021 Causes of death listed on death certififcate: 1. Acute Hypoxic Respiratory Failure due to Bilateral COVID-19 pneumonia  2. Bilateral Covid-19 Pneumonia  3. Covid-19 disease  4. Acute Renal failure, Metabolic Acidosis, Hyperkalemia, Acute Congestive cardiac failure"
	"1437439-1"	"1437439-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Death  5/25/2021 Causes of death listed on death certififcate: 1. Acute Hypoxic Respiratory Failure due to Bilateral COVID-19 pneumonia  2. Bilateral Covid-19 Pneumonia  3. Covid-19 disease  4. Acute Renal failure, Metabolic Acidosis, Hyperkalemia, Acute Congestive cardiac failure"
	"1437439-1"	"1437439-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Death  5/25/2021 Causes of death listed on death certififcate: 1. Acute Hypoxic Respiratory Failure due to Bilateral COVID-19 pneumonia  2. Bilateral Covid-19 Pneumonia  3. Covid-19 disease  4. Acute Renal failure, Metabolic Acidosis, Hyperkalemia, Acute Congestive cardiac failure"
	"1437439-1"	"1437439-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death  5/25/2021 Causes of death listed on death certififcate: 1. Acute Hypoxic Respiratory Failure due to Bilateral COVID-19 pneumonia  2. Bilateral Covid-19 Pneumonia  3. Covid-19 disease  4. Acute Renal failure, Metabolic Acidosis, Hyperkalemia, Acute Congestive cardiac failure"
	"1437439-1"	"1437439-1"	"HYPERKALAEMIA"	"10020646"	"65-79 years"	"65-79"	"Death  5/25/2021 Causes of death listed on death certififcate: 1. Acute Hypoxic Respiratory Failure due to Bilateral COVID-19 pneumonia  2. Bilateral Covid-19 Pneumonia  3. Covid-19 disease  4. Acute Renal failure, Metabolic Acidosis, Hyperkalemia, Acute Congestive cardiac failure"
	"1437439-1"	"1437439-1"	"METABOLIC ACIDOSIS"	"10027417"	"65-79 years"	"65-79"	"Death  5/25/2021 Causes of death listed on death certififcate: 1. Acute Hypoxic Respiratory Failure due to Bilateral COVID-19 pneumonia  2. Bilateral Covid-19 Pneumonia  3. Covid-19 disease  4. Acute Renal failure, Metabolic Acidosis, Hyperkalemia, Acute Congestive cardiac failure"
	"1437439-1"	"1437439-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Death  5/25/2021 Causes of death listed on death certififcate: 1. Acute Hypoxic Respiratory Failure due to Bilateral COVID-19 pneumonia  2. Bilateral Covid-19 Pneumonia  3. Covid-19 disease  4. Acute Renal failure, Metabolic Acidosis, Hyperkalemia, Acute Congestive cardiac failure"
	"1437439-1"	"1437439-1"	"SARS-COV-2 TEST"	"10084354"	"65-79 years"	"65-79"	"Death  5/25/2021 Causes of death listed on death certififcate: 1. Acute Hypoxic Respiratory Failure due to Bilateral COVID-19 pneumonia  2. Bilateral Covid-19 Pneumonia  3. Covid-19 disease  4. Acute Renal failure, Metabolic Acidosis, Hyperkalemia, Acute Congestive cardiac failure"
	"1437852-1"	"1437852-1"	"ARTERIOSCLEROSIS"	"10003210"	"65-79 years"	"65-79"	"Arm pain following vaccination.  Was found deceased the following morning (less than 24 hours after the vaccine). Death was not attributed to the vaccination; cause of death was hypertensive and atherosclerotic heart disease."
	"1437852-1"	"1437852-1"	"AUTOPSY"	"10050117"	"65-79 years"	"65-79"	"Arm pain following vaccination.  Was found deceased the following morning (less than 24 hours after the vaccine). Death was not attributed to the vaccination; cause of death was hypertensive and atherosclerotic heart disease."
	"1437852-1"	"1437852-1"	"BLOOD SODIUM DECREASED"	"10005802"	"65-79 years"	"65-79"	"Arm pain following vaccination.  Was found deceased the following morning (less than 24 hours after the vaccine). Death was not attributed to the vaccination; cause of death was hypertensive and atherosclerotic heart disease."
	"1437852-1"	"1437852-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Arm pain following vaccination.  Was found deceased the following morning (less than 24 hours after the vaccine). Death was not attributed to the vaccination; cause of death was hypertensive and atherosclerotic heart disease."
	"1437852-1"	"1437852-1"	"HAEMOLYSIS"	"10018910"	"65-79 years"	"65-79"	"Arm pain following vaccination.  Was found deceased the following morning (less than 24 hours after the vaccine). Death was not attributed to the vaccination; cause of death was hypertensive and atherosclerotic heart disease."
	"1437852-1"	"1437852-1"	"HYPERTENSIVE HEART DISEASE"	"10020823"	"65-79 years"	"65-79"	"Arm pain following vaccination.  Was found deceased the following morning (less than 24 hours after the vaccine). Death was not attributed to the vaccination; cause of death was hypertensive and atherosclerotic heart disease."
	"1437852-1"	"1437852-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"Arm pain following vaccination.  Was found deceased the following morning (less than 24 hours after the vaccine). Death was not attributed to the vaccination; cause of death was hypertensive and atherosclerotic heart disease."
	"1437852-1"	"1437852-1"	"TOXICOLOGIC TEST ABNORMAL"	"10061382"	"65-79 years"	"65-79"	"Arm pain following vaccination.  Was found deceased the following morning (less than 24 hours after the vaccine). Death was not attributed to the vaccination; cause of death was hypertensive and atherosclerotic heart disease."
	"1437852-1"	"1437852-1"	"TRYPTASE"	"10063240"	"65-79 years"	"65-79"	"Arm pain following vaccination.  Was found deceased the following morning (less than 24 hours after the vaccine). Death was not attributed to the vaccination; cause of death was hypertensive and atherosclerotic heart disease."
	"1437852-1"	"1437852-1"	"URINE ANALYSIS NORMAL"	"10061578"	"65-79 years"	"65-79"	"Arm pain following vaccination.  Was found deceased the following morning (less than 24 hours after the vaccine). Death was not attributed to the vaccination; cause of death was hypertensive and atherosclerotic heart disease."
	"1437946-1"	"1437946-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"65-79 years"	"65-79"	"COVID-19 infection resulting in severe ARDS requiring intubation and ultimately death from COVID-19 infection."
	"1437946-1"	"1437946-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"COVID-19 infection resulting in severe ARDS requiring intubation and ultimately death from COVID-19 infection."
	"1437946-1"	"1437946-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"COVID-19 infection resulting in severe ARDS requiring intubation and ultimately death from COVID-19 infection."
	"1437946-1"	"1437946-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"COVID-19 infection resulting in severe ARDS requiring intubation and ultimately death from COVID-19 infection."
	"1441115-1"	"1441115-1"	"ATELECTASIS"	"10003598"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"BLOOD GLUCOSE DECREASED"	"10005555"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"COMPUTERISED TOMOGRAM HEAD NORMAL"	"10072167"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"ECHOCARDIOGRAM NORMAL"	"10014115"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"ELECTROENCEPHALOGRAM ABNORMAL"	"10014408"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"LUNG INFILTRATION"	"10025102"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"MYOCLONUS"	"10028622"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"SEIZURE"	"10039906"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"TROPONIN NORMAL"	"10071322"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1441115-1"	"1441115-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Patient found down at home unresponsive on the floor.   EMS was summoned the patient was found to be in asystole.   EMS was able to get a heartbeat.   Pt intubated and transferred to hospital.   Shortly admission to ICU patient began having severe myoclonic jerking and seizures.   Patient was extubated and made no respiratory attempts.   Patient expired"
	"1454883-1"	"1454883-1"	"AMNESIA"	"10001949"	"65-79 years"	"65-79"	"Heavy breathing, sick, can?t walk, loss of memory, incoherent, couldn?t sleep, no appetite"
	"1454883-1"	"1454883-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"Heavy breathing, sick, can?t walk, loss of memory, incoherent, couldn?t sleep, no appetite"
	"1454883-1"	"1454883-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Heavy breathing, sick, can?t walk, loss of memory, incoherent, couldn?t sleep, no appetite"
	"1454883-1"	"1454883-1"	"GAIT INABILITY"	"10017581"	"65-79 years"	"65-79"	"Heavy breathing, sick, can?t walk, loss of memory, incoherent, couldn?t sleep, no appetite"
	"1454883-1"	"1454883-1"	"INCOHERENT"	"10021630"	"65-79 years"	"65-79"	"Heavy breathing, sick, can?t walk, loss of memory, incoherent, couldn?t sleep, no appetite"
	"1454883-1"	"1454883-1"	"INSOMNIA"	"10022437"	"65-79 years"	"65-79"	"Heavy breathing, sick, can?t walk, loss of memory, incoherent, couldn?t sleep, no appetite"
	"1454883-1"	"1454883-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Heavy breathing, sick, can?t walk, loss of memory, incoherent, couldn?t sleep, no appetite"
	"1457640-1"	"1457640-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Was currently w/hospice care. 5/25/2021 exhibited symptoms nausea/emesis. Seen by MD. Treated for symptoms. continued to decline consistent w/ dx. End of life care with nitro prn, oxygen continued and emotional support followed and he expired 5/27/2021 at facility."
	"1457640-1"	"1457640-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Was currently w/hospice care. 5/25/2021 exhibited symptoms nausea/emesis. Seen by MD. Treated for symptoms. continued to decline consistent w/ dx. End of life care with nitro prn, oxygen continued and emotional support followed and he expired 5/27/2021 at facility."
	"1457640-1"	"1457640-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Was currently w/hospice care. 5/25/2021 exhibited symptoms nausea/emesis. Seen by MD. Treated for symptoms. continued to decline consistent w/ dx. End of life care with nitro prn, oxygen continued and emotional support followed and he expired 5/27/2021 at facility."
	"1457640-1"	"1457640-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Was currently w/hospice care. 5/25/2021 exhibited symptoms nausea/emesis. Seen by MD. Treated for symptoms. continued to decline consistent w/ dx. End of life care with nitro prn, oxygen continued and emotional support followed and he expired 5/27/2021 at facility."
	"1457640-1"	"1457640-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Was currently w/hospice care. 5/25/2021 exhibited symptoms nausea/emesis. Seen by MD. Treated for symptoms. continued to decline consistent w/ dx. End of life care with nitro prn, oxygen continued and emotional support followed and he expired 5/27/2021 at facility."
	"1461758-1"	"1461758-1"	"ABDOMINAL DISTENSION"	"10000060"	"65-79 years"	"65-79"	""Severe diarrhea and destruction of part of her intestine and subsequent sepsis.  ER doctors ""could not rule out the vaccine as a contributing factor.""   It was suggested she have a portion of her intestines removed.  She refused and  went on a high dose of antibiotics.  She was hospitalized in the ICU and eventually released to a nursing home when stabilized.  She never regained control of her bowels or had a solid bowel movement.  Her antibiotics were reduced and she again suffered severe abdominal pain and a distended abdomen and return of sepsis.  She went back to ER and was told this would keep happening if she did not have the damaged portion of her intestine removed.  She elected to go home on hospice, where she died.  Her kidney doctor also relayed  to her family that this reaction was a direct result of the vaccine.  When the family questioned reporting this event, every healthcare provider backed off from admitting it was a result of the vaccine or stated they were not the primary physician and thus was not for them to report.""
	"1461758-1"	"1461758-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	""Severe diarrhea and destruction of part of her intestine and subsequent sepsis.  ER doctors ""could not rule out the vaccine as a contributing factor.""   It was suggested she have a portion of her intestines removed.  She refused and  went on a high dose of antibiotics.  She was hospitalized in the ICU and eventually released to a nursing home when stabilized.  She never regained control of her bowels or had a solid bowel movement.  Her antibiotics were reduced and she again suffered severe abdominal pain and a distended abdomen and return of sepsis.  She went back to ER and was told this would keep happening if she did not have the damaged portion of her intestine removed.  She elected to go home on hospice, where she died.  Her kidney doctor also relayed  to her family that this reaction was a direct result of the vaccine.  When the family questioned reporting this event, every healthcare provider backed off from admitting it was a result of the vaccine or stated they were not the primary physician and thus was not for them to report.""
	"1461758-1"	"1461758-1"	"ANAL INCONTINENCE"	"10077605"	"65-79 years"	"65-79"	""Severe diarrhea and destruction of part of her intestine and subsequent sepsis.  ER doctors ""could not rule out the vaccine as a contributing factor.""   It was suggested she have a portion of her intestines removed.  She refused and  went on a high dose of antibiotics.  She was hospitalized in the ICU and eventually released to a nursing home when stabilized.  She never regained control of her bowels or had a solid bowel movement.  Her antibiotics were reduced and she again suffered severe abdominal pain and a distended abdomen and return of sepsis.  She went back to ER and was told this would keep happening if she did not have the damaged portion of her intestine removed.  She elected to go home on hospice, where she died.  Her kidney doctor also relayed  to her family that this reaction was a direct result of the vaccine.  When the family questioned reporting this event, every healthcare provider backed off from admitting it was a result of the vaccine or stated they were not the primary physician and thus was not for them to report.""
	"1461758-1"	"1461758-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Severe diarrhea and destruction of part of her intestine and subsequent sepsis.  ER doctors ""could not rule out the vaccine as a contributing factor.""   It was suggested she have a portion of her intestines removed.  She refused and  went on a high dose of antibiotics.  She was hospitalized in the ICU and eventually released to a nursing home when stabilized.  She never regained control of her bowels or had a solid bowel movement.  Her antibiotics were reduced and she again suffered severe abdominal pain and a distended abdomen and return of sepsis.  She went back to ER and was told this would keep happening if she did not have the damaged portion of her intestine removed.  She elected to go home on hospice, where she died.  Her kidney doctor also relayed  to her family that this reaction was a direct result of the vaccine.  When the family questioned reporting this event, every healthcare provider backed off from admitting it was a result of the vaccine or stated they were not the primary physician and thus was not for them to report.""
	"1461758-1"	"1461758-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	""Severe diarrhea and destruction of part of her intestine and subsequent sepsis.  ER doctors ""could not rule out the vaccine as a contributing factor.""   It was suggested she have a portion of her intestines removed.  She refused and  went on a high dose of antibiotics.  She was hospitalized in the ICU and eventually released to a nursing home when stabilized.  She never regained control of her bowels or had a solid bowel movement.  Her antibiotics were reduced and she again suffered severe abdominal pain and a distended abdomen and return of sepsis.  She went back to ER and was told this would keep happening if she did not have the damaged portion of her intestine removed.  She elected to go home on hospice, where she died.  Her kidney doctor also relayed  to her family that this reaction was a direct result of the vaccine.  When the family questioned reporting this event, every healthcare provider backed off from admitting it was a result of the vaccine or stated they were not the primary physician and thus was not for them to report.""
	"1461758-1"	"1461758-1"	"GASTROINTESTINAL INJURY"	"10061172"	"65-79 years"	"65-79"	""Severe diarrhea and destruction of part of her intestine and subsequent sepsis.  ER doctors ""could not rule out the vaccine as a contributing factor.""   It was suggested she have a portion of her intestines removed.  She refused and  went on a high dose of antibiotics.  She was hospitalized in the ICU and eventually released to a nursing home when stabilized.  She never regained control of her bowels or had a solid bowel movement.  Her antibiotics were reduced and she again suffered severe abdominal pain and a distended abdomen and return of sepsis.  She went back to ER and was told this would keep happening if she did not have the damaged portion of her intestine removed.  She elected to go home on hospice, where she died.  Her kidney doctor also relayed  to her family that this reaction was a direct result of the vaccine.  When the family questioned reporting this event, every healthcare provider backed off from admitting it was a result of the vaccine or stated they were not the primary physician and thus was not for them to report.""
	"1461758-1"	"1461758-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	""Severe diarrhea and destruction of part of her intestine and subsequent sepsis.  ER doctors ""could not rule out the vaccine as a contributing factor.""   It was suggested she have a portion of her intestines removed.  She refused and  went on a high dose of antibiotics.  She was hospitalized in the ICU and eventually released to a nursing home when stabilized.  She never regained control of her bowels or had a solid bowel movement.  Her antibiotics were reduced and she again suffered severe abdominal pain and a distended abdomen and return of sepsis.  She went back to ER and was told this would keep happening if she did not have the damaged portion of her intestine removed.  She elected to go home on hospice, where she died.  Her kidney doctor also relayed  to her family that this reaction was a direct result of the vaccine.  When the family questioned reporting this event, every healthcare provider backed off from admitting it was a result of the vaccine or stated they were not the primary physician and thus was not for them to report.""
	"1461758-1"	"1461758-1"	"REFUSAL OF TREATMENT BY PATIENT"	"10056407"	"65-79 years"	"65-79"	""Severe diarrhea and destruction of part of her intestine and subsequent sepsis.  ER doctors ""could not rule out the vaccine as a contributing factor.""   It was suggested she have a portion of her intestines removed.  She refused and  went on a high dose of antibiotics.  She was hospitalized in the ICU and eventually released to a nursing home when stabilized.  She never regained control of her bowels or had a solid bowel movement.  Her antibiotics were reduced and she again suffered severe abdominal pain and a distended abdomen and return of sepsis.  She went back to ER and was told this would keep happening if she did not have the damaged portion of her intestine removed.  She elected to go home on hospice, where she died.  Her kidney doctor also relayed  to her family that this reaction was a direct result of the vaccine.  When the family questioned reporting this event, every healthcare provider backed off from admitting it was a result of the vaccine or stated they were not the primary physician and thus was not for them to report.""
	"1461758-1"	"1461758-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	""Severe diarrhea and destruction of part of her intestine and subsequent sepsis.  ER doctors ""could not rule out the vaccine as a contributing factor.""   It was suggested she have a portion of her intestines removed.  She refused and  went on a high dose of antibiotics.  She was hospitalized in the ICU and eventually released to a nursing home when stabilized.  She never regained control of her bowels or had a solid bowel movement.  Her antibiotics were reduced and she again suffered severe abdominal pain and a distended abdomen and return of sepsis.  She went back to ER and was told this would keep happening if she did not have the damaged portion of her intestine removed.  She elected to go home on hospice, where she died.  Her kidney doctor also relayed  to her family that this reaction was a direct result of the vaccine.  When the family questioned reporting this event, every healthcare provider backed off from admitting it was a result of the vaccine or stated they were not the primary physician and thus was not for them to report.""
	"1461758-1"	"1461758-1"	"VACCINATION COMPLICATION"	"10046861"	"65-79 years"	"65-79"	""Severe diarrhea and destruction of part of her intestine and subsequent sepsis.  ER doctors ""could not rule out the vaccine as a contributing factor.""   It was suggested she have a portion of her intestines removed.  She refused and  went on a high dose of antibiotics.  She was hospitalized in the ICU and eventually released to a nursing home when stabilized.  She never regained control of her bowels or had a solid bowel movement.  Her antibiotics were reduced and she again suffered severe abdominal pain and a distended abdomen and return of sepsis.  She went back to ER and was told this would keep happening if she did not have the damaged portion of her intestine removed.  She elected to go home on hospice, where she died.  Her kidney doctor also relayed  to her family that this reaction was a direct result of the vaccine.  When the family questioned reporting this event, every healthcare provider backed off from admitting it was a result of the vaccine or stated they were not the primary physician and thus was not for them to report.""
	"1462975-1"	"1462975-1"	"ADENOCARCINOMA OF COLON"	"10001167"	"65-79 years"	"65-79"	"Death; Adenocarcinoma of colon; Chest pain; Myocardial infarction; This case was received via Regulatory Authority on 29-Jun-2021 and was forwarded to Moderna on 29-Jun-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of DEATH (Death), ADENOCARCINOMA OF COLON (Adenocarcinoma of colon), CHEST PAIN (Chest pain) and MYOCARDIAL INFARCTION (Myocardial infarction) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 047A21A and 045B21A) for COVID-19 vaccination.     The patient's past medical history included COVID-19, Plastic surgery in December 2020, Surgery in January 2021 and Stoma closure (surgery).   On 15-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Jun-2021, the patient experienced DEATH (Death) (seriousness criteria death and hospitalization), ADENOCARCINOMA OF COLON (Adenocarcinoma of colon) (seriousness criteria death and hospitalization), CHEST PAIN (Chest pain) (seriousness criteria death and hospitalization) and MYOCARDIAL INFARCTION (Myocardial infarction) (seriousness criteria death and hospitalization). The patient was treated with Surgery (Colectomy) for Death and Surgery (Colectomy) for Adenocarcinoma of colon. The patient died on 05-Jun-2021. The reported cause of death was Myocardial infarction. It is unknown if an autopsy was performed.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Jun-2021, Colonoscopy: abnormal (abnormal) Abnormal  had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma..     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Concomitant medication were not reported  Treatment medication were not reported. Action taken with mRNA-1273 in response to the drug was not applicable.  Additional information included the patient had decubitus ulcer which failed to heal multiple times and also had plastic and flap surgeries and finally healed .  Patient had underwent Stoma closure surgery .Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction. Endoscopy large bowel was  performed.  Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements.Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction.  Company Comment : This case concerns a 77-year-old male patient who experienced adenocarcinoma of colon, myocardial infarction and chest pain and died 51 day following the first dose of mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: This case concerns a 77-year-old male patient who experienced adenocarcinoma of colon, myocardial infarction and chest pain and died 51 day following the first dose of mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: myocardial infarction"
	"1462975-1"	"1462975-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Death; Adenocarcinoma of colon; Chest pain; Myocardial infarction; This case was received via Regulatory Authority on 29-Jun-2021 and was forwarded to Moderna on 29-Jun-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of DEATH (Death), ADENOCARCINOMA OF COLON (Adenocarcinoma of colon), CHEST PAIN (Chest pain) and MYOCARDIAL INFARCTION (Myocardial infarction) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 047A21A and 045B21A) for COVID-19 vaccination.     The patient's past medical history included COVID-19, Plastic surgery in December 2020, Surgery in January 2021 and Stoma closure (surgery).   On 15-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Jun-2021, the patient experienced DEATH (Death) (seriousness criteria death and hospitalization), ADENOCARCINOMA OF COLON (Adenocarcinoma of colon) (seriousness criteria death and hospitalization), CHEST PAIN (Chest pain) (seriousness criteria death and hospitalization) and MYOCARDIAL INFARCTION (Myocardial infarction) (seriousness criteria death and hospitalization). The patient was treated with Surgery (Colectomy) for Death and Surgery (Colectomy) for Adenocarcinoma of colon. The patient died on 05-Jun-2021. The reported cause of death was Myocardial infarction. It is unknown if an autopsy was performed.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Jun-2021, Colonoscopy: abnormal (abnormal) Abnormal  had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma..     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Concomitant medication were not reported  Treatment medication were not reported. Action taken with mRNA-1273 in response to the drug was not applicable.  Additional information included the patient had decubitus ulcer which failed to heal multiple times and also had plastic and flap surgeries and finally healed .  Patient had underwent Stoma closure surgery .Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction. Endoscopy large bowel was  performed.  Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements.Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction.  Company Comment : This case concerns a 77-year-old male patient who experienced adenocarcinoma of colon, myocardial infarction and chest pain and died 51 day following the first dose of mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: This case concerns a 77-year-old male patient who experienced adenocarcinoma of colon, myocardial infarction and chest pain and died 51 day following the first dose of mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: myocardial infarction"
	"1462975-1"	"1462975-1"	"COLONOSCOPY"	"10010007"	"65-79 years"	"65-79"	"Death; Adenocarcinoma of colon; Chest pain; Myocardial infarction; This case was received via Regulatory Authority on 29-Jun-2021 and was forwarded to Moderna on 29-Jun-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of DEATH (Death), ADENOCARCINOMA OF COLON (Adenocarcinoma of colon), CHEST PAIN (Chest pain) and MYOCARDIAL INFARCTION (Myocardial infarction) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 047A21A and 045B21A) for COVID-19 vaccination.     The patient's past medical history included COVID-19, Plastic surgery in December 2020, Surgery in January 2021 and Stoma closure (surgery).   On 15-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Jun-2021, the patient experienced DEATH (Death) (seriousness criteria death and hospitalization), ADENOCARCINOMA OF COLON (Adenocarcinoma of colon) (seriousness criteria death and hospitalization), CHEST PAIN (Chest pain) (seriousness criteria death and hospitalization) and MYOCARDIAL INFARCTION (Myocardial infarction) (seriousness criteria death and hospitalization). The patient was treated with Surgery (Colectomy) for Death and Surgery (Colectomy) for Adenocarcinoma of colon. The patient died on 05-Jun-2021. The reported cause of death was Myocardial infarction. It is unknown if an autopsy was performed.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Jun-2021, Colonoscopy: abnormal (abnormal) Abnormal  had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma..     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Concomitant medication were not reported  Treatment medication were not reported. Action taken with mRNA-1273 in response to the drug was not applicable.  Additional information included the patient had decubitus ulcer which failed to heal multiple times and also had plastic and flap surgeries and finally healed .  Patient had underwent Stoma closure surgery .Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction. Endoscopy large bowel was  performed.  Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements.Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction.  Company Comment : This case concerns a 77-year-old male patient who experienced adenocarcinoma of colon, myocardial infarction and chest pain and died 51 day following the first dose of mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: This case concerns a 77-year-old male patient who experienced adenocarcinoma of colon, myocardial infarction and chest pain and died 51 day following the first dose of mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: myocardial infarction"
	"1462975-1"	"1462975-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death; Adenocarcinoma of colon; Chest pain; Myocardial infarction; This case was received via Regulatory Authority on 29-Jun-2021 and was forwarded to Moderna on 29-Jun-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of DEATH (Death), ADENOCARCINOMA OF COLON (Adenocarcinoma of colon), CHEST PAIN (Chest pain) and MYOCARDIAL INFARCTION (Myocardial infarction) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 047A21A and 045B21A) for COVID-19 vaccination.     The patient's past medical history included COVID-19, Plastic surgery in December 2020, Surgery in January 2021 and Stoma closure (surgery).   On 15-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Jun-2021, the patient experienced DEATH (Death) (seriousness criteria death and hospitalization), ADENOCARCINOMA OF COLON (Adenocarcinoma of colon) (seriousness criteria death and hospitalization), CHEST PAIN (Chest pain) (seriousness criteria death and hospitalization) and MYOCARDIAL INFARCTION (Myocardial infarction) (seriousness criteria death and hospitalization). The patient was treated with Surgery (Colectomy) for Death and Surgery (Colectomy) for Adenocarcinoma of colon. The patient died on 05-Jun-2021. The reported cause of death was Myocardial infarction. It is unknown if an autopsy was performed.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Jun-2021, Colonoscopy: abnormal (abnormal) Abnormal  had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma..     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Concomitant medication were not reported  Treatment medication were not reported. Action taken with mRNA-1273 in response to the drug was not applicable.  Additional information included the patient had decubitus ulcer which failed to heal multiple times and also had plastic and flap surgeries and finally healed .  Patient had underwent Stoma closure surgery .Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction. Endoscopy large bowel was  performed.  Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements.Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction.  Company Comment : This case concerns a 77-year-old male patient who experienced adenocarcinoma of colon, myocardial infarction and chest pain and died 51 day following the first dose of mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: This case concerns a 77-year-old male patient who experienced adenocarcinoma of colon, myocardial infarction and chest pain and died 51 day following the first dose of mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: myocardial infarction"
	"1462975-1"	"1462975-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Death; Adenocarcinoma of colon; Chest pain; Myocardial infarction; This case was received via Regulatory Authority on 29-Jun-2021 and was forwarded to Moderna on 29-Jun-2021.    This regulatory authority case was reported by an other health care professional and describes the occurrence of DEATH (Death), ADENOCARCINOMA OF COLON (Adenocarcinoma of colon), CHEST PAIN (Chest pain) and MYOCARDIAL INFARCTION (Myocardial infarction) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 047A21A and 045B21A) for COVID-19 vaccination.     The patient's past medical history included COVID-19, Plastic surgery in December 2020, Surgery in January 2021 and Stoma closure (surgery).   On 15-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Jun-2021, the patient experienced DEATH (Death) (seriousness criteria death and hospitalization), ADENOCARCINOMA OF COLON (Adenocarcinoma of colon) (seriousness criteria death and hospitalization), CHEST PAIN (Chest pain) (seriousness criteria death and hospitalization) and MYOCARDIAL INFARCTION (Myocardial infarction) (seriousness criteria death and hospitalization). The patient was treated with Surgery (Colectomy) for Death and Surgery (Colectomy) for Adenocarcinoma of colon. The patient died on 05-Jun-2021. The reported cause of death was Myocardial infarction. It is unknown if an autopsy was performed.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Jun-2021, Colonoscopy: abnormal (abnormal) Abnormal  had a colonoscopy performed through his colostomy which revealed the patient to have a right colonic mass, mass was an adenocarcinoma..     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Concomitant medication were not reported  Treatment medication were not reported. Action taken with mRNA-1273 in response to the drug was not applicable.  Additional information included the patient had decubitus ulcer which failed to heal multiple times and also had plastic and flap surgeries and finally healed .  Patient had underwent Stoma closure surgery .Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction. Endoscopy large bowel was  performed.  Complicated 1 year, started with COVID 19 - patient was admitted prolonged amount of time due to complications of COVID 19 , developed a large decubitus ulcer which was not healing. Was being followed by Dr wound care center. Multiple debridements.Failure to heal. Referred to me for a diverting colostomy to facilitate healing of the large decubitus ulcer. Diverting colostomy was performed September 2nd 2020. Patient had plastic surgery, flap surgeries, in December 2020 and January 2021. finally healed. Brought for a ostomy reversal, found large mass in the cecum attempted endoscopic removal, with micro perforation, taken to the operating room immediately from endoscopy suite had a right colectomy. Colostomy started functioning, patient was recovering, suddenly started having chest pain and had a massive myocardial infarction.  Company Comment : This case concerns a 77-year-old male patient who experienced adenocarcinoma of colon, myocardial infarction and chest pain and died 51 day following the first dose of mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: This case concerns a 77-year-old male patient who experienced adenocarcinoma of colon, myocardial infarction and chest pain and died 51 day following the first dose of mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Reported Cause(s) of Death: myocardial infarction"
	"1464255-1"	"1464255-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Acute onset of dementia, intubated est 1 mo after vaccination Deceased 7/3/21 at Hospital"
	"1464255-1"	"1464255-1"	"DEMENTIA"	"10012267"	"65-79 years"	"65-79"	"Acute onset of dementia, intubated est 1 mo after vaccination Deceased 7/3/21 at Hospital"
	"1464255-1"	"1464255-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Acute onset of dementia, intubated est 1 mo after vaccination Deceased 7/3/21 at Hospital"
	"1465684-1"	"1465684-1"	"BLOOD PRESSURE INCREASED"	"10005750"	"65-79 years"	"65-79"	"Elevated blood pressure since receiving first dose.; This spontaneous case was reported by a consumer and describes the occurrence of BLOOD PRESSURE INCREASED (Elevated blood pressure since receiving first dose.) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017B21A) for COVID-19 vaccination.     Concurrent medical conditions included Bone cancer.    On 08-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Apr-2021, the patient experienced BLOOD PRESSURE INCREASED (Elevated blood pressure since receiving first dose.) (seriousness criterion death). The patient died on 13-Jun-2021. The cause of death was not reported. It is unknown if an autopsy was performed. Not Provided    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Apr-2021, Blood pressure measurement: high (High) Elevated blood pressure.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant product use was not provided. Treatment information was not provided.  Company Comment: Very limited information regarding the event has been provided at this time.  Further information is not expected.   Most recent FOLLOW-UP information incorporated above includes: On 07-Jul-2021: Follow up received on 07 Jul 2021 included relevant history detail (bone cancer), seriousness (death) and outcome of the event (fatal).; Sender's Comments: Very limited information regarding the event has been provided at this time.  Further information is not expected.; Reported Cause(s) of Death: Unknown cause of death"
	"1465684-1"	"1465684-1"	"BLOOD PRESSURE MEASUREMENT"	"10076581"	"65-79 years"	"65-79"	"Elevated blood pressure since receiving first dose.; This spontaneous case was reported by a consumer and describes the occurrence of BLOOD PRESSURE INCREASED (Elevated blood pressure since receiving first dose.) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017B21A) for COVID-19 vaccination.     Concurrent medical conditions included Bone cancer.    On 08-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Apr-2021, the patient experienced BLOOD PRESSURE INCREASED (Elevated blood pressure since receiving first dose.) (seriousness criterion death). The patient died on 13-Jun-2021. The cause of death was not reported. It is unknown if an autopsy was performed. Not Provided    DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Apr-2021, Blood pressure measurement: high (High) Elevated blood pressure.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Concomitant product use was not provided. Treatment information was not provided.  Company Comment: Very limited information regarding the event has been provided at this time.  Further information is not expected.   Most recent FOLLOW-UP information incorporated above includes: On 07-Jul-2021: Follow up received on 07 Jul 2021 included relevant history detail (bone cancer), seriousness (death) and outcome of the event (fatal).; Sender's Comments: Very limited information regarding the event has been provided at this time.  Further information is not expected.; Reported Cause(s) of Death: Unknown cause of death"
	"1466464-1"	"1466464-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"7/3/2021 7:23:41 AM > phone call from Officer pt deceased. discussed with wife. she heard him make a loud breathing noise at 3am and then could not wake him. had been feeling well with no complaints. planned to run a road race this Sunday. offered support. pls mark chart and then FYI to Dr."
	"1466464-1"	"1466464-1"	"RESPIRATION ABNORMAL"	"10038647"	"65-79 years"	"65-79"	"7/3/2021 7:23:41 AM > phone call from Officer pt deceased. discussed with wife. she heard him make a loud breathing noise at 3am and then could not wake him. had been feeling well with no complaints. planned to run a road race this Sunday. offered support. pls mark chart and then FYI to Dr."
	"1467970-1"	"1467970-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"65-79 years"	"65-79"	"Death due to brain bleed, per wife's message left with agency. Obituary located at:"
	"1467970-1"	"1467970-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death due to brain bleed, per wife's message left with agency. Obituary located at:"
	"1475167-1"	"1475167-1"	"AGITATION"	"10001497"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"BLOOD GLUCOSE INCREASED"	"10005557"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"DISCOMFORT"	"10013082"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"DYSARTHRIA"	"10013887"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"FEELING OF BODY TEMPERATURE CHANGE"	"10061458"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"HALLUCINATION"	"10019063"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"ILLNESS"	"10080284"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"INSOMNIA"	"10022437"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475167-1"	"1475167-1"	"X-RAY"	"10048064"	"65-79 years"	"65-79"	"Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache.  She was sick all day on Saturday with nausea and headache.  She could not sleep.  On Sunday, she felt worse and called ambulance.  They came and checked her out.  Said Oxygen level was normal and all her symptoms were normal side effects.  They did not take her to the hospital.  All day Sunday, she continued to be agitated and not able to get comfortable.  She was hot and cold, back and forth.  Her headache was very bad and she felt like she would throw up, but only threw up a little that day.  By Monday, she started not making sense and slurred her words.  We thought this was due to lack of sleep (exhaustion).  Her sugar was high, so we gave her an insulin shot.  She continued to make less and less sense so we called 911 approximately 7 PM on Monday night.  She was hallucinating.  At the hospital, they looked for infection, but could not find any source of infection.  They intubated her and soon after this, her heart stopped breathing.  They performed CPR 3 times, but not successful.  She died at 5 AM Tuesday morning."
	"1475654-1"	"1475654-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"headache, some what tiered and slightly lost of appetite from what I recall my mom telling me after her first shot and then same symptoms on her second shot a month later."
	"1475654-1"	"1475654-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"headache, some what tiered and slightly lost of appetite from what I recall my mom telling me after her first shot and then same symptoms on her second shot a month later."
	"1475654-1"	"1475654-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"headache, some what tiered and slightly lost of appetite from what I recall my mom telling me after her first shot and then same symptoms on her second shot a month later."
	"1475654-1"	"1475654-1"	"VACCINE POSITIVE RECHALLENGE"	"10066903"	"65-79 years"	"65-79"	"headache, some what tiered and slightly lost of appetite from what I recall my mom telling me after her first shot and then same symptoms on her second shot a month later."
	"1478647-1"	"1478647-1"	"COMA"	"10010071"	"65-79 years"	"65-79"	"patient began running a fever day 1 after vaccination, this exacerbated a seizure, he was admitted to the hospital on 3/13/21 and stayed in a coma until his death"
	"1478647-1"	"1478647-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"patient began running a fever day 1 after vaccination, this exacerbated a seizure, he was admitted to the hospital on 3/13/21 and stayed in a coma until his death"
	"1478647-1"	"1478647-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"patient began running a fever day 1 after vaccination, this exacerbated a seizure, he was admitted to the hospital on 3/13/21 and stayed in a coma until his death"
	"1478647-1"	"1478647-1"	"SEIZURE"	"10039906"	"65-79 years"	"65-79"	"patient began running a fever day 1 after vaccination, this exacerbated a seizure, he was admitted to the hospital on 3/13/21 and stayed in a coma until his death"
	"1498124-1"	"1498124-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient died due to COVID-19. Patient was fully vaccinated."
	"1498124-1"	"1498124-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died due to COVID-19. Patient was fully vaccinated."
	"1498141-1"	"1498141-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient died due to COVID-19. Patient was fully vaccinated."
	"1498141-1"	"1498141-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died due to COVID-19. Patient was fully vaccinated."
	"1500722-1"	"1500722-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1505922-1"	"1505922-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt passed away on 07/26/2021."
	"1505922-1"	"1505922-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Pt passed away on 07/26/2021."
	"1505970-1"	"1505970-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient hospitalized and died due to COVID-19 after being fully vaccinated."
	"1505970-1"	"1505970-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient hospitalized and died due to COVID-19 after being fully vaccinated."
	"1512372-1"	"1512372-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"CHRONIC OBSTRUCTIVE PULMONARY DISEASE"	"10009033"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"CORONARY ARTERY DISEASE"	"10011078"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"DECREASED ACTIVITY"	"10011953"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"DIABETES MELLITUS"	"10012601"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"HYPOPHAGIA"	"10063743"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"METABOLIC ACIDOSIS"	"10027417"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"OLIGURIA"	"10030302"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"PNEUMOCONIOSIS"	"10035653"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"POLYMERASE CHAIN REACTION POSITIVE"	"10075628"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512372-1"	"1512372-1"	"SEROLOGY POSITIVE"	"10050409"	"65-79 years"	"65-79"	"79 Male received both doses of Pfizer. Developed symptoms -  SOA, decreased activity, generalized weakness, decreased P. O. intake. Tested PCR positive 4/26/2021 & serology 4/29/2021. Hospitalized 4/27/2021. Diagnosis at time of death: Hypoxic ARF requiring MV, COVID-19 PNA, rule out superimposed bacterial PNA, renal failure, oliguric, metabolic acidosis. CWP/COPD exacerbation, CAD, DM present on admission"
	"1512389-1"	"1512389-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Patient received both doses of the Pfizer COVID vaccine on 01/29/2021 and 02/22/2021. Patient tested positive for COVID on 03/12/2021. She was admitted on 03/14/2021 where she was diagnosed with Covid pneumonia with acute hypoxic respiratory failure. Discharged on 03/18/2021 Nursing & Rehab, where she died on 03/21/2021."
	"1512389-1"	"1512389-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient received both doses of the Pfizer COVID vaccine on 01/29/2021 and 02/22/2021. Patient tested positive for COVID on 03/12/2021. She was admitted on 03/14/2021 where she was diagnosed with Covid pneumonia with acute hypoxic respiratory failure. Discharged on 03/18/2021 Nursing & Rehab, where she died on 03/21/2021."
	"1512389-1"	"1512389-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient received both doses of the Pfizer COVID vaccine on 01/29/2021 and 02/22/2021. Patient tested positive for COVID on 03/12/2021. She was admitted on 03/14/2021 where she was diagnosed with Covid pneumonia with acute hypoxic respiratory failure. Discharged on 03/18/2021 Nursing & Rehab, where she died on 03/21/2021."
	"1512389-1"	"1512389-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient received both doses of the Pfizer COVID vaccine on 01/29/2021 and 02/22/2021. Patient tested positive for COVID on 03/12/2021. She was admitted on 03/14/2021 where she was diagnosed with Covid pneumonia with acute hypoxic respiratory failure. Discharged on 03/18/2021 Nursing & Rehab, where she died on 03/21/2021."
	"1512389-1"	"1512389-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient received both doses of the Pfizer COVID vaccine on 01/29/2021 and 02/22/2021. Patient tested positive for COVID on 03/12/2021. She was admitted on 03/14/2021 where she was diagnosed with Covid pneumonia with acute hypoxic respiratory failure. Discharged on 03/18/2021 Nursing & Rehab, where she died on 03/21/2021."
	"1512405-1"	"1512405-1"	"BACTERAEMIA"	"10003997"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"BILEVEL POSITIVE AIRWAY PRESSURE"	"10064530"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"CONVALESCENT PLASMA TRANSFUSION"	"10084817"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"GASTROINTESTINAL TUBE INSERTION"	"10053050"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"HAEMODIALYSIS"	"10018875"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"POLYMERASE CHAIN REACTION POSITIVE"	"10075628"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"RENAL REPLACEMENT THERAPY"	"10074746"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"RESPIRATORY DISORDER"	"10038683"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512405-1"	"1512405-1"	"TRACHEOSTOMY"	"10044320"	"65-79 years"	"65-79"	"74 Male hospital admission for SOA with COVID-19 PNA. PCR positive 2/20/2021 & 3/23/2021. Started on convalescent plasma, remdesivir, Zyvox, meropren. Developed hypoxia with worsening respiratory problems 2/24/2021 & placed on BiPAP. Transferred to ICU - required mechanical ventilation, intubation. 3/19/2021 had tracheostomy & PEG tube. Placed on Rocephin & vancomycin until 4/4/2021 for bactermia developed 3/17/2021. Required CRRT & hemodialysis for worsening renal function. Developed thrombocytopenia. Patient became encephalopathic. 4/4/2021 several rounds of epinephrine given and patient coded."
	"1512619-1"	"1512619-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"COVID-19 positive 7/20/2021. Pt expired at the hospital on 7/24/2021."
	"1512619-1"	"1512619-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"COVID-19 positive 7/20/2021. Pt expired at the hospital on 7/24/2021."
	"1512619-1"	"1512619-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"COVID-19 positive 7/20/2021. Pt expired at the hospital on 7/24/2021."
	"1512824-1"	"1512824-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient hospitalized and died of COVID-19 after being vaccinated."
	"1512824-1"	"1512824-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient hospitalized and died of COVID-19 after being vaccinated."
	"1512933-1"	"1512933-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospitalized and died due to COVID1-19 after being vaccinated."
	"1512933-1"	"1512933-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalized and died due to COVID1-19 after being vaccinated."
	"1518664-1"	"1518664-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient was a 71-year-old Male, fully vaccinated with Moderna on 03/05/2021. Admitted to hospital on 03/21/2021 as he is tested positive for COVID-19 and passed away on 04/09/2021."
	"1518664-1"	"1518664-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was a 71-year-old Male, fully vaccinated with Moderna on 03/05/2021. Admitted to hospital on 03/21/2021 as he is tested positive for COVID-19 and passed away on 04/09/2021."
	"1518664-1"	"1518664-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient was a 71-year-old Male, fully vaccinated with Moderna on 03/05/2021. Admitted to hospital on 03/21/2021 as he is tested positive for COVID-19 and passed away on 04/09/2021."
	"1525940-1"	"1525940-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"TO ER ON 7/21/21 WITH SHORTNESS OF BREATH AND DYSPHAGIA.   POSITIVE PCR TEST FOR COVID-19.  HAD MONOCLONAL INFUSION IN THE ER AND WAS HOSPITALIZED INTO THE ICU.  DIED ON 8/1/21.   WAS FULLY VACCINATED WITH THE MODERNA VACCINE.  DOSE 1-2/22/21 AND DOSE 2-3/23/21."
	"1525940-1"	"1525940-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"TO ER ON 7/21/21 WITH SHORTNESS OF BREATH AND DYSPHAGIA.   POSITIVE PCR TEST FOR COVID-19.  HAD MONOCLONAL INFUSION IN THE ER AND WAS HOSPITALIZED INTO THE ICU.  DIED ON 8/1/21.   WAS FULLY VACCINATED WITH THE MODERNA VACCINE.  DOSE 1-2/22/21 AND DOSE 2-3/23/21."
	"1525940-1"	"1525940-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"TO ER ON 7/21/21 WITH SHORTNESS OF BREATH AND DYSPHAGIA.   POSITIVE PCR TEST FOR COVID-19.  HAD MONOCLONAL INFUSION IN THE ER AND WAS HOSPITALIZED INTO THE ICU.  DIED ON 8/1/21.   WAS FULLY VACCINATED WITH THE MODERNA VACCINE.  DOSE 1-2/22/21 AND DOSE 2-3/23/21."
	"1525940-1"	"1525940-1"	"DYSPHAGIA"	"10013950"	"65-79 years"	"65-79"	"TO ER ON 7/21/21 WITH SHORTNESS OF BREATH AND DYSPHAGIA.   POSITIVE PCR TEST FOR COVID-19.  HAD MONOCLONAL INFUSION IN THE ER AND WAS HOSPITALIZED INTO THE ICU.  DIED ON 8/1/21.   WAS FULLY VACCINATED WITH THE MODERNA VACCINE.  DOSE 1-2/22/21 AND DOSE 2-3/23/21."
	"1525940-1"	"1525940-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"TO ER ON 7/21/21 WITH SHORTNESS OF BREATH AND DYSPHAGIA.   POSITIVE PCR TEST FOR COVID-19.  HAD MONOCLONAL INFUSION IN THE ER AND WAS HOSPITALIZED INTO THE ICU.  DIED ON 8/1/21.   WAS FULLY VACCINATED WITH THE MODERNA VACCINE.  DOSE 1-2/22/21 AND DOSE 2-3/23/21."
	"1525940-1"	"1525940-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"TO ER ON 7/21/21 WITH SHORTNESS OF BREATH AND DYSPHAGIA.   POSITIVE PCR TEST FOR COVID-19.  HAD MONOCLONAL INFUSION IN THE ER AND WAS HOSPITALIZED INTO THE ICU.  DIED ON 8/1/21.   WAS FULLY VACCINATED WITH THE MODERNA VACCINE.  DOSE 1-2/22/21 AND DOSE 2-3/23/21."
	"1525940-1"	"1525940-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"TO ER ON 7/21/21 WITH SHORTNESS OF BREATH AND DYSPHAGIA.   POSITIVE PCR TEST FOR COVID-19.  HAD MONOCLONAL INFUSION IN THE ER AND WAS HOSPITALIZED INTO THE ICU.  DIED ON 8/1/21.   WAS FULLY VACCINATED WITH THE MODERNA VACCINE.  DOSE 1-2/22/21 AND DOSE 2-3/23/21."
	"1530068-1"	"1530068-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"Stroke on March 24, 2021.  Widespread blood clots discovered on April 3rd, 2021.  Death on April 5th, 2021."
	"1530068-1"	"1530068-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Stroke on March 24, 2021.  Widespread blood clots discovered on April 3rd, 2021.  Death on April 5th, 2021."
	"1530068-1"	"1530068-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"Stroke on March 24, 2021.  Widespread blood clots discovered on April 3rd, 2021.  Death on April 5th, 2021."
	"1540381-1"	"1540381-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient Death"
	"1540381-1"	"1540381-1"	"SARS-COV-2 TEST"	"10084354"	"65-79 years"	"65-79"	"Patient Death"
	"1553784-1"	"1553784-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"65-79 years"	"65-79"	"possible breakthrough case on 8/2 if patient indeed was fully vaccinated last April"
	"1553784-1"	"1553784-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"possible breakthrough case on 8/2 if patient indeed was fully vaccinated last April"
	"1553784-1"	"1553784-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"possible breakthrough case on 8/2 if patient indeed was fully vaccinated last April"
	"1554115-1"	"1554115-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Nurse entered room patient was in PEA CODE BLUE called and patient expired on 8/13/2021"
	"1554115-1"	"1554115-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Nurse entered room patient was in PEA CODE BLUE called and patient expired on 8/13/2021"
	"1554115-1"	"1554115-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"Nurse entered room patient was in PEA CODE BLUE called and patient expired on 8/13/2021"
	"1577966-1"	"1577966-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient admitted to ICU on 8/13/21 on noninvasive ventilation. Patient repeatedly verbalized she did not want to be intubated. Overnight, increasing oxygen needs and AVAPS increased to fio2 100% and epap 14. She had increased work of breathing and tachypnea with respirations up to 50s and oxygen saturations 79-85%.  This morning, monitor alarmed asystole and RN called code blue and initiated CPR with bag valve mask. Monitor tech advised patient was normal sinus rhythm and then ventricular standstill just prior to arrest. Multiple rounds of CPR with epinephrine administered, unfortunately we were not able to regain pulse.  Patient was not intubated in honor of her wishes.  Resuscitation attempts stopped, and time of death called at 09:18; may she rest in peace."
	"1577966-1"	"1577966-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient admitted to ICU on 8/13/21 on noninvasive ventilation. Patient repeatedly verbalized she did not want to be intubated. Overnight, increasing oxygen needs and AVAPS increased to fio2 100% and epap 14. She had increased work of breathing and tachypnea with respirations up to 50s and oxygen saturations 79-85%.  This morning, monitor alarmed asystole and RN called code blue and initiated CPR with bag valve mask. Monitor tech advised patient was normal sinus rhythm and then ventricular standstill just prior to arrest. Multiple rounds of CPR with epinephrine administered, unfortunately we were not able to regain pulse.  Patient was not intubated in honor of her wishes.  Resuscitation attempts stopped, and time of death called at 09:18; may she rest in peace."
	"1577966-1"	"1577966-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient admitted to ICU on 8/13/21 on noninvasive ventilation. Patient repeatedly verbalized she did not want to be intubated. Overnight, increasing oxygen needs and AVAPS increased to fio2 100% and epap 14. She had increased work of breathing and tachypnea with respirations up to 50s and oxygen saturations 79-85%.  This morning, monitor alarmed asystole and RN called code blue and initiated CPR with bag valve mask. Monitor tech advised patient was normal sinus rhythm and then ventricular standstill just prior to arrest. Multiple rounds of CPR with epinephrine administered, unfortunately we were not able to regain pulse.  Patient was not intubated in honor of her wishes.  Resuscitation attempts stopped, and time of death called at 09:18; may she rest in peace."
	"1577966-1"	"1577966-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient admitted to ICU on 8/13/21 on noninvasive ventilation. Patient repeatedly verbalized she did not want to be intubated. Overnight, increasing oxygen needs and AVAPS increased to fio2 100% and epap 14. She had increased work of breathing and tachypnea with respirations up to 50s and oxygen saturations 79-85%.  This morning, monitor alarmed asystole and RN called code blue and initiated CPR with bag valve mask. Monitor tech advised patient was normal sinus rhythm and then ventricular standstill just prior to arrest. Multiple rounds of CPR with epinephrine administered, unfortunately we were not able to regain pulse.  Patient was not intubated in honor of her wishes.  Resuscitation attempts stopped, and time of death called at 09:18; may she rest in peace."
	"1577966-1"	"1577966-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Patient admitted to ICU on 8/13/21 on noninvasive ventilation. Patient repeatedly verbalized she did not want to be intubated. Overnight, increasing oxygen needs and AVAPS increased to fio2 100% and epap 14. She had increased work of breathing and tachypnea with respirations up to 50s and oxygen saturations 79-85%.  This morning, monitor alarmed asystole and RN called code blue and initiated CPR with bag valve mask. Monitor tech advised patient was normal sinus rhythm and then ventricular standstill just prior to arrest. Multiple rounds of CPR with epinephrine administered, unfortunately we were not able to regain pulse.  Patient was not intubated in honor of her wishes.  Resuscitation attempts stopped, and time of death called at 09:18; may she rest in peace."
	"1577966-1"	"1577966-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Patient admitted to ICU on 8/13/21 on noninvasive ventilation. Patient repeatedly verbalized she did not want to be intubated. Overnight, increasing oxygen needs and AVAPS increased to fio2 100% and epap 14. She had increased work of breathing and tachypnea with respirations up to 50s and oxygen saturations 79-85%.  This morning, monitor alarmed asystole and RN called code blue and initiated CPR with bag valve mask. Monitor tech advised patient was normal sinus rhythm and then ventricular standstill just prior to arrest. Multiple rounds of CPR with epinephrine administered, unfortunately we were not able to regain pulse.  Patient was not intubated in honor of her wishes.  Resuscitation attempts stopped, and time of death called at 09:18; may she rest in peace."
	"1577966-1"	"1577966-1"	"TACHYPNOEA"	"10043089"	"65-79 years"	"65-79"	"Patient admitted to ICU on 8/13/21 on noninvasive ventilation. Patient repeatedly verbalized she did not want to be intubated. Overnight, increasing oxygen needs and AVAPS increased to fio2 100% and epap 14. She had increased work of breathing and tachypnea with respirations up to 50s and oxygen saturations 79-85%.  This morning, monitor alarmed asystole and RN called code blue and initiated CPR with bag valve mask. Monitor tech advised patient was normal sinus rhythm and then ventricular standstill just prior to arrest. Multiple rounds of CPR with epinephrine administered, unfortunately we were not able to regain pulse.  Patient was not intubated in honor of her wishes.  Resuscitation attempts stopped, and time of death called at 09:18; may she rest in peace."
	"1578066-1"	"1578066-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"7/29/2021 admitted to hospital; Pfizer on 4/10 and 5/3. Positive on 7/30"
	"1578066-1"	"1578066-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"7/29/2021 admitted to hospital; Pfizer on 4/10 and 5/3. Positive on 7/30"
	"1578245-1"	"1578245-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pfizer on 3/9 and 3/30. Positive on 8/6 8/5-8/13 admitted"
	"1578245-1"	"1578245-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Pfizer on 3/9 and 3/30. Positive on 8/6 8/5-8/13 admitted"
	"1578678-1"	"1578678-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Patient was found to be hypoxic and he required high-flow oxygen. Patient was also found to be COVID-19 positive. According to the patient he was diagnosed with COVID-19 last year. He also to the vaccine this year. He took the 2nd dose back in March of 2021. When I interviewed the patient. Patient had a hard time recalling events and answering the questions directly. He said something about having some fluids buildup for which he had water pills. Patient appeared to be very poor historian about his current condition. He just said that it started 2 days ago to get really worse. He reports generalized weakness and generalized fatigue with generalized pain. He also reported low-grade fever. Nothing made symptoms worsen nothing made his symptoms better.  Patient died on 8/14/2021, cause of death under review."
	"1578678-1"	"1578678-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient was found to be hypoxic and he required high-flow oxygen. Patient was also found to be COVID-19 positive. According to the patient he was diagnosed with COVID-19 last year. He also to the vaccine this year. He took the 2nd dose back in March of 2021. When I interviewed the patient. Patient had a hard time recalling events and answering the questions directly. He said something about having some fluids buildup for which he had water pills. Patient appeared to be very poor historian about his current condition. He just said that it started 2 days ago to get really worse. He reports generalized weakness and generalized fatigue with generalized pain. He also reported low-grade fever. Nothing made symptoms worsen nothing made his symptoms better.  Patient died on 8/14/2021, cause of death under review."
	"1578678-1"	"1578678-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was found to be hypoxic and he required high-flow oxygen. Patient was also found to be COVID-19 positive. According to the patient he was diagnosed with COVID-19 last year. He also to the vaccine this year. He took the 2nd dose back in March of 2021. When I interviewed the patient. Patient had a hard time recalling events and answering the questions directly. He said something about having some fluids buildup for which he had water pills. Patient appeared to be very poor historian about his current condition. He just said that it started 2 days ago to get really worse. He reports generalized weakness and generalized fatigue with generalized pain. He also reported low-grade fever. Nothing made symptoms worsen nothing made his symptoms better.  Patient died on 8/14/2021, cause of death under review."
	"1578678-1"	"1578678-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Patient was found to be hypoxic and he required high-flow oxygen. Patient was also found to be COVID-19 positive. According to the patient he was diagnosed with COVID-19 last year. He also to the vaccine this year. He took the 2nd dose back in March of 2021. When I interviewed the patient. Patient had a hard time recalling events and answering the questions directly. He said something about having some fluids buildup for which he had water pills. Patient appeared to be very poor historian about his current condition. He just said that it started 2 days ago to get really worse. He reports generalized weakness and generalized fatigue with generalized pain. He also reported low-grade fever. Nothing made symptoms worsen nothing made his symptoms better.  Patient died on 8/14/2021, cause of death under review."
	"1578678-1"	"1578678-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient was found to be hypoxic and he required high-flow oxygen. Patient was also found to be COVID-19 positive. According to the patient he was diagnosed with COVID-19 last year. He also to the vaccine this year. He took the 2nd dose back in March of 2021. When I interviewed the patient. Patient had a hard time recalling events and answering the questions directly. He said something about having some fluids buildup for which he had water pills. Patient appeared to be very poor historian about his current condition. He just said that it started 2 days ago to get really worse. He reports generalized weakness and generalized fatigue with generalized pain. He also reported low-grade fever. Nothing made symptoms worsen nothing made his symptoms better.  Patient died on 8/14/2021, cause of death under review."
	"1578678-1"	"1578678-1"	"MEMORY IMPAIRMENT"	"10027175"	"65-79 years"	"65-79"	"Patient was found to be hypoxic and he required high-flow oxygen. Patient was also found to be COVID-19 positive. According to the patient he was diagnosed with COVID-19 last year. He also to the vaccine this year. He took the 2nd dose back in March of 2021. When I interviewed the patient. Patient had a hard time recalling events and answering the questions directly. He said something about having some fluids buildup for which he had water pills. Patient appeared to be very poor historian about his current condition. He just said that it started 2 days ago to get really worse. He reports generalized weakness and generalized fatigue with generalized pain. He also reported low-grade fever. Nothing made symptoms worsen nothing made his symptoms better.  Patient died on 8/14/2021, cause of death under review."
	"1578678-1"	"1578678-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"Patient was found to be hypoxic and he required high-flow oxygen. Patient was also found to be COVID-19 positive. According to the patient he was diagnosed with COVID-19 last year. He also to the vaccine this year. He took the 2nd dose back in March of 2021. When I interviewed the patient. Patient had a hard time recalling events and answering the questions directly. He said something about having some fluids buildup for which he had water pills. Patient appeared to be very poor historian about his current condition. He just said that it started 2 days ago to get really worse. He reports generalized weakness and generalized fatigue with generalized pain. He also reported low-grade fever. Nothing made symptoms worsen nothing made his symptoms better.  Patient died on 8/14/2021, cause of death under review."
	"1578678-1"	"1578678-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Patient was found to be hypoxic and he required high-flow oxygen. Patient was also found to be COVID-19 positive. According to the patient he was diagnosed with COVID-19 last year. He also to the vaccine this year. He took the 2nd dose back in March of 2021. When I interviewed the patient. Patient had a hard time recalling events and answering the questions directly. He said something about having some fluids buildup for which he had water pills. Patient appeared to be very poor historian about his current condition. He just said that it started 2 days ago to get really worse. He reports generalized weakness and generalized fatigue with generalized pain. He also reported low-grade fever. Nothing made symptoms worsen nothing made his symptoms better.  Patient died on 8/14/2021, cause of death under review."
	"1591262-1"	"1591262-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1623388-1"	"1623388-1"	"ANTICOAGULANT THERAPY"	"10053468"	"65-79 years"	"65-79"	"Pt.'s daughter states that after her Mother received the 2nd dose of Moderna 03/04/2021, started experiencing symptoms 03/05/2021 with nausea, vomiting, and severe headache. ER visit 03/07/2021 noted internal bleeding (treated with coils) 03/15/2021 discharged. Blood clot located *heparin treated. No resolve, made comfortable and passed away 03/18/2021 03:00pm. Blood Clot blocking blood flow to bowels. No noted Autopsy, Cause of Death listed (Organ Failure)"
	"1623388-1"	"1623388-1"	"BLOOD TEST"	"10061726"	"65-79 years"	"65-79"	"Pt.'s daughter states that after her Mother received the 2nd dose of Moderna 03/04/2021, started experiencing symptoms 03/05/2021 with nausea, vomiting, and severe headache. ER visit 03/07/2021 noted internal bleeding (treated with coils) 03/15/2021 discharged. Blood clot located *heparin treated. No resolve, made comfortable and passed away 03/18/2021 03:00pm. Blood Clot blocking blood flow to bowels. No noted Autopsy, Cause of Death listed (Organ Failure)"
	"1623388-1"	"1623388-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt.'s daughter states that after her Mother received the 2nd dose of Moderna 03/04/2021, started experiencing symptoms 03/05/2021 with nausea, vomiting, and severe headache. ER visit 03/07/2021 noted internal bleeding (treated with coils) 03/15/2021 discharged. Blood clot located *heparin treated. No resolve, made comfortable and passed away 03/18/2021 03:00pm. Blood Clot blocking blood flow to bowels. No noted Autopsy, Cause of Death listed (Organ Failure)"
	"1623388-1"	"1623388-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Pt.'s daughter states that after her Mother received the 2nd dose of Moderna 03/04/2021, started experiencing symptoms 03/05/2021 with nausea, vomiting, and severe headache. ER visit 03/07/2021 noted internal bleeding (treated with coils) 03/15/2021 discharged. Blood clot located *heparin treated. No resolve, made comfortable and passed away 03/18/2021 03:00pm. Blood Clot blocking blood flow to bowels. No noted Autopsy, Cause of Death listed (Organ Failure)"
	"1623388-1"	"1623388-1"	"INTERNAL HAEMORRHAGE"	"10075192"	"65-79 years"	"65-79"	"Pt.'s daughter states that after her Mother received the 2nd dose of Moderna 03/04/2021, started experiencing symptoms 03/05/2021 with nausea, vomiting, and severe headache. ER visit 03/07/2021 noted internal bleeding (treated with coils) 03/15/2021 discharged. Blood clot located *heparin treated. No resolve, made comfortable and passed away 03/18/2021 03:00pm. Blood Clot blocking blood flow to bowels. No noted Autopsy, Cause of Death listed (Organ Failure)"
	"1623388-1"	"1623388-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Pt.'s daughter states that after her Mother received the 2nd dose of Moderna 03/04/2021, started experiencing symptoms 03/05/2021 with nausea, vomiting, and severe headache. ER visit 03/07/2021 noted internal bleeding (treated with coils) 03/15/2021 discharged. Blood clot located *heparin treated. No resolve, made comfortable and passed away 03/18/2021 03:00pm. Blood Clot blocking blood flow to bowels. No noted Autopsy, Cause of Death listed (Organ Failure)"
	"1623388-1"	"1623388-1"	"ORGAN FAILURE"	"10053159"	"65-79 years"	"65-79"	"Pt.'s daughter states that after her Mother received the 2nd dose of Moderna 03/04/2021, started experiencing symptoms 03/05/2021 with nausea, vomiting, and severe headache. ER visit 03/07/2021 noted internal bleeding (treated with coils) 03/15/2021 discharged. Blood clot located *heparin treated. No resolve, made comfortable and passed away 03/18/2021 03:00pm. Blood Clot blocking blood flow to bowels. No noted Autopsy, Cause of Death listed (Organ Failure)"
	"1623388-1"	"1623388-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"Pt.'s daughter states that after her Mother received the 2nd dose of Moderna 03/04/2021, started experiencing symptoms 03/05/2021 with nausea, vomiting, and severe headache. ER visit 03/07/2021 noted internal bleeding (treated with coils) 03/15/2021 discharged. Blood clot located *heparin treated. No resolve, made comfortable and passed away 03/18/2021 03:00pm. Blood Clot blocking blood flow to bowels. No noted Autopsy, Cause of Death listed (Organ Failure)"
	"1623388-1"	"1623388-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Pt.'s daughter states that after her Mother received the 2nd dose of Moderna 03/04/2021, started experiencing symptoms 03/05/2021 with nausea, vomiting, and severe headache. ER visit 03/07/2021 noted internal bleeding (treated with coils) 03/15/2021 discharged. Blood clot located *heparin treated. No resolve, made comfortable and passed away 03/18/2021 03:00pm. Blood Clot blocking blood flow to bowels. No noted Autopsy, Cause of Death listed (Organ Failure)"
	"1623471-1"	"1623471-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"ANGIOGRAM PULMONARY ABNORMAL"	"10002441"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"ARTERIOSCLEROSIS CORONARY ARTERY"	"10003211"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"ATELECTASIS"	"10003598"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"ATYPICAL PNEUMONIA"	"10003757"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"CARDIOMEGALY"	"10007632"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"CHEST TUBE INSERTION"	"10050522"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"FLUID OVERLOAD"	"10016803"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"GOITRE"	"10018498"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"INTERSTITIAL LUNG DISEASE"	"10022611"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"LUNG CONSOLIDATION"	"10025080"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"LUNG INFILTRATION"	"10025102"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"PERICARDIAL EFFUSION"	"10034474"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"PLEURAL EFFUSION"	"10035598"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"PNEUMOMEDIASTINUM"	"10050184"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"PNEUMOTHORAX"	"10035759"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"PULMONARY CONGESTION"	"10037368"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"PULMONARY OEDEMA"	"10037423"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"SCAN WITH CONTRAST ABNORMAL"	"10062152"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"SUBCUTANEOUS EMPHYSEMA"	"10042344"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"THROMBOPHLEBITIS SUPERFICIAL"	"10043595"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"THYROID CALCIFICATION"	"10078379"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"ULTRASOUND DOPPLER ABNORMAL"	"10045413"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623471-1"	"1623471-1"	"VASCULAR CALCIFICATION"	"10051753"	"65-79 years"	"65-79"	"Acute respiratory failure secondary to COVID-19 infection"
	"1623782-1"	"1623782-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"ANGIOGRAM PULMONARY NORMAL"	"10002442"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"ATELECTASIS"	"10003598"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"HYPONATRAEMIA"	"10021036"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"PLEURAL EFFUSION"	"10035598"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"PNEUMONIA VIRAL"	"10035737"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"SCAN WITH CONTRAST NORMAL"	"10062153"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1623782-1"	"1623782-1"	"ULTRASOUND DOPPLER ABNORMAL"	"10045413"	"65-79 years"	"65-79"	"Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia"
	"1632595-1"	"1632595-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient was initially admitted to the medical COVID floor.  He was initiated on remdesivir and dexamethasone.  He was transferred to the ICU on 8/17/2021 due to worsening respiratory status and need for noninvasive ventilatory support.  Due to his worsening renal function, remdesivir was discontinued as it is known to potentially contribute to worsening renal function.  He was initiated on CRRT on 8/18/2021.  Patient's respiratory status continued to worsen and he was intubated on 8/21/2021.  Unfortunately, over the next several days, patient's condition worsened overall.  He was unable to be weaned from high ventilatory support needs.  CRRT was optimized to insure diuresis to try to optimize ventilator conditions.  Unfortunately, on the morning of 8/25/2021, the patient did suffer a sudden cardiac arrest.  CPR and ACLS interventions were initiated without success.  Nursing staff was in contact with the patient's family via telephone during the cardiac arrest and resuscitation.  They did advise that they did not want to continue ongoing resuscitative efforts and further efforts were terminated.  Unfortunately, patient did pass on the morning of 8/25/2021 at 0150 hr"
	"1632595-1"	"1632595-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was initially admitted to the medical COVID floor.  He was initiated on remdesivir and dexamethasone.  He was transferred to the ICU on 8/17/2021 due to worsening respiratory status and need for noninvasive ventilatory support.  Due to his worsening renal function, remdesivir was discontinued as it is known to potentially contribute to worsening renal function.  He was initiated on CRRT on 8/18/2021.  Patient's respiratory status continued to worsen and he was intubated on 8/21/2021.  Unfortunately, over the next several days, patient's condition worsened overall.  He was unable to be weaned from high ventilatory support needs.  CRRT was optimized to insure diuresis to try to optimize ventilator conditions.  Unfortunately, on the morning of 8/25/2021, the patient did suffer a sudden cardiac arrest.  CPR and ACLS interventions were initiated without success.  Nursing staff was in contact with the patient's family via telephone during the cardiac arrest and resuscitation.  They did advise that they did not want to continue ongoing resuscitative efforts and further efforts were terminated.  Unfortunately, patient did pass on the morning of 8/25/2021 at 0150 hr"
	"1632595-1"	"1632595-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient was initially admitted to the medical COVID floor.  He was initiated on remdesivir and dexamethasone.  He was transferred to the ICU on 8/17/2021 due to worsening respiratory status and need for noninvasive ventilatory support.  Due to his worsening renal function, remdesivir was discontinued as it is known to potentially contribute to worsening renal function.  He was initiated on CRRT on 8/18/2021.  Patient's respiratory status continued to worsen and he was intubated on 8/21/2021.  Unfortunately, over the next several days, patient's condition worsened overall.  He was unable to be weaned from high ventilatory support needs.  CRRT was optimized to insure diuresis to try to optimize ventilator conditions.  Unfortunately, on the morning of 8/25/2021, the patient did suffer a sudden cardiac arrest.  CPR and ACLS interventions were initiated without success.  Nursing staff was in contact with the patient's family via telephone during the cardiac arrest and resuscitation.  They did advise that they did not want to continue ongoing resuscitative efforts and further efforts were terminated.  Unfortunately, patient did pass on the morning of 8/25/2021 at 0150 hr"
	"1632595-1"	"1632595-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Patient was initially admitted to the medical COVID floor.  He was initiated on remdesivir and dexamethasone.  He was transferred to the ICU on 8/17/2021 due to worsening respiratory status and need for noninvasive ventilatory support.  Due to his worsening renal function, remdesivir was discontinued as it is known to potentially contribute to worsening renal function.  He was initiated on CRRT on 8/18/2021.  Patient's respiratory status continued to worsen and he was intubated on 8/21/2021.  Unfortunately, over the next several days, patient's condition worsened overall.  He was unable to be weaned from high ventilatory support needs.  CRRT was optimized to insure diuresis to try to optimize ventilator conditions.  Unfortunately, on the morning of 8/25/2021, the patient did suffer a sudden cardiac arrest.  CPR and ACLS interventions were initiated without success.  Nursing staff was in contact with the patient's family via telephone during the cardiac arrest and resuscitation.  They did advise that they did not want to continue ongoing resuscitative efforts and further efforts were terminated.  Unfortunately, patient did pass on the morning of 8/25/2021 at 0150 hr"
	"1632595-1"	"1632595-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient was initially admitted to the medical COVID floor.  He was initiated on remdesivir and dexamethasone.  He was transferred to the ICU on 8/17/2021 due to worsening respiratory status and need for noninvasive ventilatory support.  Due to his worsening renal function, remdesivir was discontinued as it is known to potentially contribute to worsening renal function.  He was initiated on CRRT on 8/18/2021.  Patient's respiratory status continued to worsen and he was intubated on 8/21/2021.  Unfortunately, over the next several days, patient's condition worsened overall.  He was unable to be weaned from high ventilatory support needs.  CRRT was optimized to insure diuresis to try to optimize ventilator conditions.  Unfortunately, on the morning of 8/25/2021, the patient did suffer a sudden cardiac arrest.  CPR and ACLS interventions were initiated without success.  Nursing staff was in contact with the patient's family via telephone during the cardiac arrest and resuscitation.  They did advise that they did not want to continue ongoing resuscitative efforts and further efforts were terminated.  Unfortunately, patient did pass on the morning of 8/25/2021 at 0150 hr"
	"1632595-1"	"1632595-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Patient was initially admitted to the medical COVID floor.  He was initiated on remdesivir and dexamethasone.  He was transferred to the ICU on 8/17/2021 due to worsening respiratory status and need for noninvasive ventilatory support.  Due to his worsening renal function, remdesivir was discontinued as it is known to potentially contribute to worsening renal function.  He was initiated on CRRT on 8/18/2021.  Patient's respiratory status continued to worsen and he was intubated on 8/21/2021.  Unfortunately, over the next several days, patient's condition worsened overall.  He was unable to be weaned from high ventilatory support needs.  CRRT was optimized to insure diuresis to try to optimize ventilator conditions.  Unfortunately, on the morning of 8/25/2021, the patient did suffer a sudden cardiac arrest.  CPR and ACLS interventions were initiated without success.  Nursing staff was in contact with the patient's family via telephone during the cardiac arrest and resuscitation.  They did advise that they did not want to continue ongoing resuscitative efforts and further efforts were terminated.  Unfortunately, patient did pass on the morning of 8/25/2021 at 0150 hr"
	"1632595-1"	"1632595-1"	"RENAL IMPAIRMENT"	"10062237"	"65-79 years"	"65-79"	"Patient was initially admitted to the medical COVID floor.  He was initiated on remdesivir and dexamethasone.  He was transferred to the ICU on 8/17/2021 due to worsening respiratory status and need for noninvasive ventilatory support.  Due to his worsening renal function, remdesivir was discontinued as it is known to potentially contribute to worsening renal function.  He was initiated on CRRT on 8/18/2021.  Patient's respiratory status continued to worsen and he was intubated on 8/21/2021.  Unfortunately, over the next several days, patient's condition worsened overall.  He was unable to be weaned from high ventilatory support needs.  CRRT was optimized to insure diuresis to try to optimize ventilator conditions.  Unfortunately, on the morning of 8/25/2021, the patient did suffer a sudden cardiac arrest.  CPR and ACLS interventions were initiated without success.  Nursing staff was in contact with the patient's family via telephone during the cardiac arrest and resuscitation.  They did advise that they did not want to continue ongoing resuscitative efforts and further efforts were terminated.  Unfortunately, patient did pass on the morning of 8/25/2021 at 0150 hr"
	"1632595-1"	"1632595-1"	"RESPIRATION ABNORMAL"	"10038647"	"65-79 years"	"65-79"	"Patient was initially admitted to the medical COVID floor.  He was initiated on remdesivir and dexamethasone.  He was transferred to the ICU on 8/17/2021 due to worsening respiratory status and need for noninvasive ventilatory support.  Due to his worsening renal function, remdesivir was discontinued as it is known to potentially contribute to worsening renal function.  He was initiated on CRRT on 8/18/2021.  Patient's respiratory status continued to worsen and he was intubated on 8/21/2021.  Unfortunately, over the next several days, patient's condition worsened overall.  He was unable to be weaned from high ventilatory support needs.  CRRT was optimized to insure diuresis to try to optimize ventilator conditions.  Unfortunately, on the morning of 8/25/2021, the patient did suffer a sudden cardiac arrest.  CPR and ACLS interventions were initiated without success.  Nursing staff was in contact with the patient's family via telephone during the cardiac arrest and resuscitation.  They did advise that they did not want to continue ongoing resuscitative efforts and further efforts were terminated.  Unfortunately, patient did pass on the morning of 8/25/2021 at 0150 hr"
	"1632595-1"	"1632595-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Patient was initially admitted to the medical COVID floor.  He was initiated on remdesivir and dexamethasone.  He was transferred to the ICU on 8/17/2021 due to worsening respiratory status and need for noninvasive ventilatory support.  Due to his worsening renal function, remdesivir was discontinued as it is known to potentially contribute to worsening renal function.  He was initiated on CRRT on 8/18/2021.  Patient's respiratory status continued to worsen and he was intubated on 8/21/2021.  Unfortunately, over the next several days, patient's condition worsened overall.  He was unable to be weaned from high ventilatory support needs.  CRRT was optimized to insure diuresis to try to optimize ventilator conditions.  Unfortunately, on the morning of 8/25/2021, the patient did suffer a sudden cardiac arrest.  CPR and ACLS interventions were initiated without success.  Nursing staff was in contact with the patient's family via telephone during the cardiac arrest and resuscitation.  They did advise that they did not want to continue ongoing resuscitative efforts and further efforts were terminated.  Unfortunately, patient did pass on the morning of 8/25/2021 at 0150 hr"
	"1636675-1"	"1636675-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was admitted to Medical Center on 8/11/21 in respiratory distress. Patient expired on 8/24/21 vaccine dates were 1st dose Pfizer vaccine on 7/14/21 2nd dose 8/4/21."
	"1636675-1"	"1636675-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"Patient was admitted to Medical Center on 8/11/21 in respiratory distress. Patient expired on 8/24/21 vaccine dates were 1st dose Pfizer vaccine on 7/14/21 2nd dose 8/4/21."
	"1636955-1"	"1636955-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization, On supplemental O2, Remdesivir, Decadron, Death"
	"1637039-1"	"1637039-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"ACUTE RESPIRATORY FAILURE WITH HYPOXIA, COVID-19 Hospitalization and Death"
	"1637039-1"	"1637039-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"ACUTE RESPIRATORY FAILURE WITH HYPOXIA, COVID-19 Hospitalization and Death"
	"1637039-1"	"1637039-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"ACUTE RESPIRATORY FAILURE WITH HYPOXIA, COVID-19 Hospitalization and Death"
	"1641484-1"	"1641484-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Became symptomatic on 8/8/21 feverish, chills, runny nose, headache, fatigue, cough, vomiting, and tested positive for COVID-19 on 8/10/21. Died on 8/17/21 due to upper respiratory infection d/t COVID-19, HTN, hyperlipidemia, T2D, obesity, per death certificate."
	"1641484-1"	"1641484-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Became symptomatic on 8/8/21 feverish, chills, runny nose, headache, fatigue, cough, vomiting, and tested positive for COVID-19 on 8/10/21. Died on 8/17/21 due to upper respiratory infection d/t COVID-19, HTN, hyperlipidemia, T2D, obesity, per death certificate."
	"1641484-1"	"1641484-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Became symptomatic on 8/8/21 feverish, chills, runny nose, headache, fatigue, cough, vomiting, and tested positive for COVID-19 on 8/10/21. Died on 8/17/21 due to upper respiratory infection d/t COVID-19, HTN, hyperlipidemia, T2D, obesity, per death certificate."
	"1641484-1"	"1641484-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Became symptomatic on 8/8/21 feverish, chills, runny nose, headache, fatigue, cough, vomiting, and tested positive for COVID-19 on 8/10/21. Died on 8/17/21 due to upper respiratory infection d/t COVID-19, HTN, hyperlipidemia, T2D, obesity, per death certificate."
	"1641484-1"	"1641484-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Became symptomatic on 8/8/21 feverish, chills, runny nose, headache, fatigue, cough, vomiting, and tested positive for COVID-19 on 8/10/21. Died on 8/17/21 due to upper respiratory infection d/t COVID-19, HTN, hyperlipidemia, T2D, obesity, per death certificate."
	"1641484-1"	"1641484-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Became symptomatic on 8/8/21 feverish, chills, runny nose, headache, fatigue, cough, vomiting, and tested positive for COVID-19 on 8/10/21. Died on 8/17/21 due to upper respiratory infection d/t COVID-19, HTN, hyperlipidemia, T2D, obesity, per death certificate."
	"1641484-1"	"1641484-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Became symptomatic on 8/8/21 feverish, chills, runny nose, headache, fatigue, cough, vomiting, and tested positive for COVID-19 on 8/10/21. Died on 8/17/21 due to upper respiratory infection d/t COVID-19, HTN, hyperlipidemia, T2D, obesity, per death certificate."
	"1641484-1"	"1641484-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"Became symptomatic on 8/8/21 feverish, chills, runny nose, headache, fatigue, cough, vomiting, and tested positive for COVID-19 on 8/10/21. Died on 8/17/21 due to upper respiratory infection d/t COVID-19, HTN, hyperlipidemia, T2D, obesity, per death certificate."
	"1641484-1"	"1641484-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Became symptomatic on 8/8/21 feverish, chills, runny nose, headache, fatigue, cough, vomiting, and tested positive for COVID-19 on 8/10/21. Died on 8/17/21 due to upper respiratory infection d/t COVID-19, HTN, hyperlipidemia, T2D, obesity, per death certificate."
	"1641484-1"	"1641484-1"	"UPPER RESPIRATORY TRACT INFECTION"	"10046306"	"65-79 years"	"65-79"	"Became symptomatic on 8/8/21 feverish, chills, runny nose, headache, fatigue, cough, vomiting, and tested positive for COVID-19 on 8/10/21. Died on 8/17/21 due to upper respiratory infection d/t COVID-19, HTN, hyperlipidemia, T2D, obesity, per death certificate."
	"1641484-1"	"1641484-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Became symptomatic on 8/8/21 feverish, chills, runny nose, headache, fatigue, cough, vomiting, and tested positive for COVID-19 on 8/10/21. Died on 8/17/21 due to upper respiratory infection d/t COVID-19, HTN, hyperlipidemia, T2D, obesity, per death certificate."
	"1641573-1"	"1641573-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"COVID infection. Specimen collected on 7/21/2021. Patient died on 8/21/2021."
	"1641573-1"	"1641573-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"COVID infection. Specimen collected on 7/21/2021. Patient died on 8/21/2021."
	"1642678-1"	"1642678-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Veteran Died on 8/23/2021"
	"1642678-1"	"1642678-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Veteran Died on 8/23/2021"
	"1655888-1"	"1655888-1"	"CHEST X-RAY"	"10008498"	"65-79 years"	"65-79"	"Patient was admitted to Medical Center 8-29-21. Previously diagnosed with right upper lobe pneumonia and was started on Levaquin. Was tested for COVID with admission, test result is positive. 8-30 patient compensated quickly and did pass away.  Pt was vaccinated with the Moderna Vaccine 02-03-2021 and 03-03-2021."
	"1655888-1"	"1655888-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient was admitted to Medical Center 8-29-21. Previously diagnosed with right upper lobe pneumonia and was started on Levaquin. Was tested for COVID with admission, test result is positive. 8-30 patient compensated quickly and did pass away.  Pt was vaccinated with the Moderna Vaccine 02-03-2021 and 03-03-2021."
	"1655888-1"	"1655888-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was admitted to Medical Center 8-29-21. Previously diagnosed with right upper lobe pneumonia and was started on Levaquin. Was tested for COVID with admission, test result is positive. 8-30 patient compensated quickly and did pass away.  Pt was vaccinated with the Moderna Vaccine 02-03-2021 and 03-03-2021."
	"1655888-1"	"1655888-1"	"ELECTROCARDIOGRAM"	"10014362"	"65-79 years"	"65-79"	"Patient was admitted to Medical Center 8-29-21. Previously diagnosed with right upper lobe pneumonia and was started on Levaquin. Was tested for COVID with admission, test result is positive. 8-30 patient compensated quickly and did pass away.  Pt was vaccinated with the Moderna Vaccine 02-03-2021 and 03-03-2021."
	"1655888-1"	"1655888-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"Patient was admitted to Medical Center 8-29-21. Previously diagnosed with right upper lobe pneumonia and was started on Levaquin. Was tested for COVID with admission, test result is positive. 8-30 patient compensated quickly and did pass away.  Pt was vaccinated with the Moderna Vaccine 02-03-2021 and 03-03-2021."
	"1655888-1"	"1655888-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Patient was admitted to Medical Center 8-29-21. Previously diagnosed with right upper lobe pneumonia and was started on Levaquin. Was tested for COVID with admission, test result is positive. 8-30 patient compensated quickly and did pass away.  Pt was vaccinated with the Moderna Vaccine 02-03-2021 and 03-03-2021."
	"1655888-1"	"1655888-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient was admitted to Medical Center 8-29-21. Previously diagnosed with right upper lobe pneumonia and was started on Levaquin. Was tested for COVID with admission, test result is positive. 8-30 patient compensated quickly and did pass away.  Pt was vaccinated with the Moderna Vaccine 02-03-2021 and 03-03-2021."
	"1657248-1"	"1657248-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"Received second dose of Moderna on 2/19/21. On 2/20/20 my father said he felt fatigue and nauseated but thought that was normal side effects. On 2/21/21 @ 0100, my father suffered a massive stroke. He passed away on 3/27/21."
	"1657248-1"	"1657248-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Received second dose of Moderna on 2/19/21. On 2/20/20 my father said he felt fatigue and nauseated but thought that was normal side effects. On 2/21/21 @ 0100, my father suffered a massive stroke. He passed away on 3/27/21."
	"1657248-1"	"1657248-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Received second dose of Moderna on 2/19/21. On 2/20/20 my father said he felt fatigue and nauseated but thought that was normal side effects. On 2/21/21 @ 0100, my father suffered a massive stroke. He passed away on 3/27/21."
	"1657248-1"	"1657248-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Received second dose of Moderna on 2/19/21. On 2/20/20 my father said he felt fatigue and nauseated but thought that was normal side effects. On 2/21/21 @ 0100, my father suffered a massive stroke. He passed away on 3/27/21."
	"1658663-1"	"1658663-1"	"ANGIOGRAM ABNORMAL"	"10060956"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"BILEVEL POSITIVE AIRWAY PRESSURE"	"10064530"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"RESPIRATORY RATE DECREASED"	"10038710"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1658663-1"	"1658663-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"fully vaccinated 75-year-old male with past medical history significant for HTN, HLD, obesity, tobacco use, and prior DVTs admitted to Hospital on 07/27/2021 for shortness of breath. Patient was seen at urgent care on 07/25/2021 and found to be COVID-19 positive. CT angiogram performed to assess for pulmonary embolism. Imaging was equivocal but demonstrated bilateral patchy ground-glass opacities suggestive of bilateral pneumonia. Patient was administered and completed azithromycin, ceftriaxone, dexamethasone. Initially on 6L of oxygen by nasal cannula on admission. During his admission, patient's respiratory status worsened and he was placed on humidified high-flow nasal cannula at 60 L and 100% O2. Despite being on high-flow nasal cannula patient desaturated to the 70s and a rapid response was called. Patient was placed on BiPAP with some improvement in his respiratory status and was admitted to the hospital on 08/01/2021. On 8/7, his respiratory status progressively worsened and he was sedated and intubated. On 8/8, code status was changed to DNR. He developed progressively worsening renal failure and increased vasopressor requirements to maintain his blood pressure. 08/01 Rapid response called for patient desaturating in the 70s while on 60L. Transferred to Hospital. 8/07 Intubated and sedated due to worsening respiratory failure. 08/08 Worsening hypoxemia, renal failure, Code status changed to DNR. 08/10 Family elects palliative extubation, withdrawal of care with comfort measures. On 8/10/21 following adequate time to say their goodbyes. Palliative extubation performed by RT at 1823 with Nurse and family at bedside. Loss of palpable pulses appreciated by Nurse."
	"1659294-1"	"1659294-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"Patient tested positive for Covid-19 on July 10, 2021. Patient was complaining of being confused, had a fever, muscle aches, and headache. Patient also complained about nausea and abdominal pain. Patient was admitted to Medical Center on 07/24/2021 for confusion, SOB, nausea, and abdominal pain. Patient expired before they could be moved from ED to ICU."
	"1659294-1"	"1659294-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"Patient tested positive for Covid-19 on July 10, 2021. Patient was complaining of being confused, had a fever, muscle aches, and headache. Patient also complained about nausea and abdominal pain. Patient was admitted to Medical Center on 07/24/2021 for confusion, SOB, nausea, and abdominal pain. Patient expired before they could be moved from ED to ICU."
	"1659294-1"	"1659294-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient tested positive for Covid-19 on July 10, 2021. Patient was complaining of being confused, had a fever, muscle aches, and headache. Patient also complained about nausea and abdominal pain. Patient was admitted to Medical Center on 07/24/2021 for confusion, SOB, nausea, and abdominal pain. Patient expired before they could be moved from ED to ICU."
	"1659294-1"	"1659294-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient tested positive for Covid-19 on July 10, 2021. Patient was complaining of being confused, had a fever, muscle aches, and headache. Patient also complained about nausea and abdominal pain. Patient was admitted to Medical Center on 07/24/2021 for confusion, SOB, nausea, and abdominal pain. Patient expired before they could be moved from ED to ICU."
	"1659294-1"	"1659294-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient tested positive for Covid-19 on July 10, 2021. Patient was complaining of being confused, had a fever, muscle aches, and headache. Patient also complained about nausea and abdominal pain. Patient was admitted to Medical Center on 07/24/2021 for confusion, SOB, nausea, and abdominal pain. Patient expired before they could be moved from ED to ICU."
	"1659294-1"	"1659294-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Patient tested positive for Covid-19 on July 10, 2021. Patient was complaining of being confused, had a fever, muscle aches, and headache. Patient also complained about nausea and abdominal pain. Patient was admitted to Medical Center on 07/24/2021 for confusion, SOB, nausea, and abdominal pain. Patient expired before they could be moved from ED to ICU."
	"1659294-1"	"1659294-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"Patient tested positive for Covid-19 on July 10, 2021. Patient was complaining of being confused, had a fever, muscle aches, and headache. Patient also complained about nausea and abdominal pain. Patient was admitted to Medical Center on 07/24/2021 for confusion, SOB, nausea, and abdominal pain. Patient expired before they could be moved from ED to ICU."
	"1659294-1"	"1659294-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Patient tested positive for Covid-19 on July 10, 2021. Patient was complaining of being confused, had a fever, muscle aches, and headache. Patient also complained about nausea and abdominal pain. Patient was admitted to Medical Center on 07/24/2021 for confusion, SOB, nausea, and abdominal pain. Patient expired before they could be moved from ED to ICU."
	"1659294-1"	"1659294-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Patient tested positive for Covid-19 on July 10, 2021. Patient was complaining of being confused, had a fever, muscle aches, and headache. Patient also complained about nausea and abdominal pain. Patient was admitted to Medical Center on 07/24/2021 for confusion, SOB, nausea, and abdominal pain. Patient expired before they could be moved from ED to ICU."
	"1659294-1"	"1659294-1"	"RESPIRATORY VIRAL PANEL"	"10075165"	"65-79 years"	"65-79"	"Patient tested positive for Covid-19 on July 10, 2021. Patient was complaining of being confused, had a fever, muscle aches, and headache. Patient also complained about nausea and abdominal pain. Patient was admitted to Medical Center on 07/24/2021 for confusion, SOB, nausea, and abdominal pain. Patient expired before they could be moved from ED to ICU."
	"1659951-1"	"1659951-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1662858-1"	"1662858-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT BELIEVED TO HAVE HAD A STROKE PER DAUGHTER AND PASSED AWAY"
	"1666193-1"	"1666193-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	""Patient was fully vaccinated. Hospitalized and died due to COVID-19. She presented to the ER ""acute onset shortness of breath with apparent hypoxia at home 45% on room air."" The reason for admission was ""Respiratory failure with hypoxia."" Both of these statements were due respiratory distress from Covid-19.""
	"1666193-1"	"1666193-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Patient was fully vaccinated. Hospitalized and died due to COVID-19. She presented to the ER ""acute onset shortness of breath with apparent hypoxia at home 45% on room air."" The reason for admission was ""Respiratory failure with hypoxia."" Both of these statements were due respiratory distress from Covid-19.""
	"1666193-1"	"1666193-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""Patient was fully vaccinated. Hospitalized and died due to COVID-19. She presented to the ER ""acute onset shortness of breath with apparent hypoxia at home 45% on room air."" The reason for admission was ""Respiratory failure with hypoxia."" Both of these statements were due respiratory distress from Covid-19.""
	"1666193-1"	"1666193-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	""Patient was fully vaccinated. Hospitalized and died due to COVID-19. She presented to the ER ""acute onset shortness of breath with apparent hypoxia at home 45% on room air."" The reason for admission was ""Respiratory failure with hypoxia."" Both of these statements were due respiratory distress from Covid-19.""
	"1666193-1"	"1666193-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	""Patient was fully vaccinated. Hospitalized and died due to COVID-19. She presented to the ER ""acute onset shortness of breath with apparent hypoxia at home 45% on room air."" The reason for admission was ""Respiratory failure with hypoxia."" Both of these statements were due respiratory distress from Covid-19.""
	"1666421-1"	"1666421-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"Pt was sent to the hospital from care facility on 08/04/2021 d/t weakness. Pt expired on 08/04/2021 @ hospital."
	"1666421-1"	"1666421-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt was sent to the hospital from care facility on 08/04/2021 d/t weakness. Pt expired on 08/04/2021 @ hospital."
	"1666421-1"	"1666421-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt was sent to the hospital from care facility on 08/04/2021 d/t weakness. Pt expired on 08/04/2021 @ hospital."
	"1666421-1"	"1666421-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Pt was sent to the hospital from care facility on 08/04/2021 d/t weakness. Pt expired on 08/04/2021 @ hospital."
	"1666952-1"	"1666952-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Vaccinated individual expired on 08/21/2021"
	"1666966-1"	"1666966-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient expired on 08/20/2021.  1st dose 02/09/2021     2nd dose 03/06/2021"
	"1666966-1"	"1666966-1"	"INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION"	"10081572"	"65-79 years"	"65-79"	"Patient expired on 08/20/2021.  1st dose 02/09/2021     2nd dose 03/06/2021"
	"1667100-1"	"1667100-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient expired on 09/01/2021"
	"1679065-1"	"1679065-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt. contracted COVID-19."
	"1683127-1"	"1683127-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Admitted in the hospital on 08/09/2021. Date of death 09/02/2021"
	"1684866-1"	"1684866-1"	"GUILLAIN-BARRE SYNDROME"	"10018767"	"65-79 years"	"65-79"	"It was noted that he had weakness in his legs and some weakness in his arms and a diagnosis of Guillain-Barre."
	"1684866-1"	"1684866-1"	"MUSCULAR WEAKNESS"	"10028372"	"65-79 years"	"65-79"	"It was noted that he had weakness in his legs and some weakness in his arms and a diagnosis of Guillain-Barre."
	"1685315-1"	"1685315-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"CARDIOVERSION"	"10007661"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"GASTROINTESTINAL TUBE INSERTION"	"10053050"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685315-1"	"1685315-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Patient admitted to COVID floor on 8/25/21 for acute hypoxic respiratory failure secondary to bilateral pneumonia COVID-19. She was initiated on dexamethasone and remdesivir. Pulmonology consulted 8/31 for worsening hypoxemia, on heated high-flow nasal cannula and alternating with noninvasive positive pressure ventilation. On 09/02 patient was transferred to the COVID19 ICU for worsening respiratory status. Patient requested multiple times to delay intubation and maintain on AVAPS. She did have a feeding tube placed and was receiving tube feeds. She essentially became dependent on noninvasive ventilation unable to wean. She did attempt self proning with some improvement in her oxygenation. This morning, patient's oxygen saturations dropped to 60s with increased work of breathing despite noninvasive ventilation and self proning. Discussed with patient again and she was agreeable to being intubated and family agreed. Patient sedated and intubated, unfortunately shortly after intubation patient had a PEA arrest and Code Blue called. See previous note for details. Ultimately, after multiple rounds of CPR, epinephrine, defibrillations without persistent return of spontaneous circulation and approx 35 minutes resuscitation efforts, all resuscitation efforts stopped and time of death called at 08:07am."
	"1685364-1"	"1685364-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Fever, cough"
	"1685364-1"	"1685364-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Fever, cough"
	"1685364-1"	"1685364-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Fever, cough"
	"1685364-1"	"1685364-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Fever, cough"
	"1685561-1"	"1685561-1"	"ANTICOAGULANT THERAPY"	"10053468"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"DISEASE RISK FACTOR"	"10078950"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"SARS-COV-2 ANTIBODY TEST POSITIVE"	"10084491"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685561-1"	"1685561-1"	"THERAPEUTIC RESPONSE DECREASED"	"10043414"	"65-79 years"	"65-79"	"Presented to the ED with chief complain of fever, myalgia and noted low oxygen saturation. He was possibly exposed to the coronavirus at his bar during a hosted festival from 8/6-8/8 where one attendant called to inform him he tested positive to the coronavirus. His symptoms started with fever, myalgia, chills about 1-2 weeks prior to his admit on 8/24/21, In the ED, he was desaturating to the 50s and placed on a HFNC. His code status is DNR/DNI. He has received remdesivir, decadron, 2 doses of barticinib and therapeutic anticoagulation for being at high thrombotic risk from the coronavirus infection.  Patient was managed in the ICU from the time of admission. On the night of 9/5/21 patient became hypotensive and not responding adequately to IV fluids. Patient was found to have asystole at 3:06 AM on 9/6/21. Pronounced dead at 3:06 AM."
	"1685644-1"	"1685644-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"He received the vaccine on 2/13/21 by 2/15/21 he was not feeling himself didn?t really eat by 2/17/21 he couldn?t walk by 2/19/21 he was admitted to hospice and by 2/22/21 he passed away"
	"1685644-1"	"1685644-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"He received the vaccine on 2/13/21 by 2/15/21 he was not feeling himself didn?t really eat by 2/17/21 he couldn?t walk by 2/19/21 he was admitted to hospice and by 2/22/21 he passed away"
	"1685644-1"	"1685644-1"	"FEELING ABNORMAL"	"10016322"	"65-79 years"	"65-79"	"He received the vaccine on 2/13/21 by 2/15/21 he was not feeling himself didn?t really eat by 2/17/21 he couldn?t walk by 2/19/21 he was admitted to hospice and by 2/22/21 he passed away"
	"1685644-1"	"1685644-1"	"GAIT INABILITY"	"10017581"	"65-79 years"	"65-79"	"He received the vaccine on 2/13/21 by 2/15/21 he was not feeling himself didn?t really eat by 2/17/21 he couldn?t walk by 2/19/21 he was admitted to hospice and by 2/22/21 he passed away"
	"1689053-1"	"1689053-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"COVID DIAGNOSIS 8/18/2021; HOSPITALIZED 8/24/2021 WITH COVID PNEUMONIA; ACUTE RESPIRATORY FAILURE."
	"1689053-1"	"1689053-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"COVID DIAGNOSIS 8/18/2021; HOSPITALIZED 8/24/2021 WITH COVID PNEUMONIA; ACUTE RESPIRATORY FAILURE."
	"1689053-1"	"1689053-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"COVID DIAGNOSIS 8/18/2021; HOSPITALIZED 8/24/2021 WITH COVID PNEUMONIA; ACUTE RESPIRATORY FAILURE."
	"1689321-1"	"1689321-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospital states pt was admitted 8/16 -8/24 for treatment of Covid and Flu B+, patient was discharged to Nursing Home. Pt was readmitted 8/30 ? 9/4 for encephalopathy and hyperglycemia. Patient expired 9/4/21. No ventilators either hospitalization.  Patient was fully vaccinated."
	"1689321-1"	"1689321-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospital states pt was admitted 8/16 -8/24 for treatment of Covid and Flu B+, patient was discharged to Nursing Home. Pt was readmitted 8/30 ? 9/4 for encephalopathy and hyperglycemia. Patient expired 9/4/21. No ventilators either hospitalization.  Patient was fully vaccinated."
	"1689321-1"	"1689321-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"Hospital states pt was admitted 8/16 -8/24 for treatment of Covid and Flu B+, patient was discharged to Nursing Home. Pt was readmitted 8/30 ? 9/4 for encephalopathy and hyperglycemia. Patient expired 9/4/21. No ventilators either hospitalization.  Patient was fully vaccinated."
	"1689321-1"	"1689321-1"	"HYPERGLYCAEMIA"	"10020635"	"65-79 years"	"65-79"	"Hospital states pt was admitted 8/16 -8/24 for treatment of Covid and Flu B+, patient was discharged to Nursing Home. Pt was readmitted 8/30 ? 9/4 for encephalopathy and hyperglycemia. Patient expired 9/4/21. No ventilators either hospitalization.  Patient was fully vaccinated."
	"1689321-1"	"1689321-1"	"INFLUENZA"	"10022000"	"65-79 years"	"65-79"	"Hospital states pt was admitted 8/16 -8/24 for treatment of Covid and Flu B+, patient was discharged to Nursing Home. Pt was readmitted 8/30 ? 9/4 for encephalopathy and hyperglycemia. Patient expired 9/4/21. No ventilators either hospitalization.  Patient was fully vaccinated."
	"1689321-1"	"1689321-1"	"INFLUENZA B VIRUS TEST POSITIVE"	"10070208"	"65-79 years"	"65-79"	"Hospital states pt was admitted 8/16 -8/24 for treatment of Covid and Flu B+, patient was discharged to Nursing Home. Pt was readmitted 8/30 ? 9/4 for encephalopathy and hyperglycemia. Patient expired 9/4/21. No ventilators either hospitalization.  Patient was fully vaccinated."
	"1689360-1"	"1689360-1"	"CARDIAC DISORDER"	"10061024"	"65-79 years"	"65-79"	"Patient tested positive for COVID-19 on 8/23/2021 and was hospitalized. The patient had been having a cough for over a week. He states that he feels tired and fatigue and is worse when he ambulates.  The patient was hospitalized for about 8 days until he expired on 9/1/2021 due to cardiac disturbances."
	"1689360-1"	"1689360-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Patient tested positive for COVID-19 on 8/23/2021 and was hospitalized. The patient had been having a cough for over a week. He states that he feels tired and fatigue and is worse when he ambulates.  The patient was hospitalized for about 8 days until he expired on 9/1/2021 due to cardiac disturbances."
	"1689360-1"	"1689360-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient tested positive for COVID-19 on 8/23/2021 and was hospitalized. The patient had been having a cough for over a week. He states that he feels tired and fatigue and is worse when he ambulates.  The patient was hospitalized for about 8 days until he expired on 9/1/2021 due to cardiac disturbances."
	"1689360-1"	"1689360-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient tested positive for COVID-19 on 8/23/2021 and was hospitalized. The patient had been having a cough for over a week. He states that he feels tired and fatigue and is worse when he ambulates.  The patient was hospitalized for about 8 days until he expired on 9/1/2021 due to cardiac disturbances."
	"1689360-1"	"1689360-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Patient tested positive for COVID-19 on 8/23/2021 and was hospitalized. The patient had been having a cough for over a week. He states that he feels tired and fatigue and is worse when he ambulates.  The patient was hospitalized for about 8 days until he expired on 9/1/2021 due to cardiac disturbances."
	"1689360-1"	"1689360-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient tested positive for COVID-19 on 8/23/2021 and was hospitalized. The patient had been having a cough for over a week. He states that he feels tired and fatigue and is worse when he ambulates.  The patient was hospitalized for about 8 days until he expired on 9/1/2021 due to cardiac disturbances."
	"1689538-1"	"1689538-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"developed symptoms on 08/04/2021 and was admitted to the ICU on 08/09/2021 Patient expired on 8/24/2021"
	"1689538-1"	"1689538-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"developed symptoms on 08/04/2021 and was admitted to the ICU on 08/09/2021 Patient expired on 8/24/2021"
	"1689538-1"	"1689538-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"developed symptoms on 08/04/2021 and was admitted to the ICU on 08/09/2021 Patient expired on 8/24/2021"
	"1689572-1"	"1689572-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was admitted from ED due to 1 day history of shortness of breath and altered mental status. Pt was intubated upon arrival to ED and later admitted to ICU. Pt had a hx of COPD, CKD3, hypertension, obesity, and was a former smoker. Pt was admitted to Hospital on 08/06/2021 and expired on 08/19/2021. Patient was fully vaccinated."
	"1689572-1"	"1689572-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient was admitted from ED due to 1 day history of shortness of breath and altered mental status. Pt was intubated upon arrival to ED and later admitted to ICU. Pt had a hx of COPD, CKD3, hypertension, obesity, and was a former smoker. Pt was admitted to Hospital on 08/06/2021 and expired on 08/19/2021. Patient was fully vaccinated."
	"1689572-1"	"1689572-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient was admitted from ED due to 1 day history of shortness of breath and altered mental status. Pt was intubated upon arrival to ED and later admitted to ICU. Pt had a hx of COPD, CKD3, hypertension, obesity, and was a former smoker. Pt was admitted to Hospital on 08/06/2021 and expired on 08/19/2021. Patient was fully vaccinated."
	"1689572-1"	"1689572-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient was admitted from ED due to 1 day history of shortness of breath and altered mental status. Pt was intubated upon arrival to ED and later admitted to ICU. Pt had a hx of COPD, CKD3, hypertension, obesity, and was a former smoker. Pt was admitted to Hospital on 08/06/2021 and expired on 08/19/2021. Patient was fully vaccinated."
	"1689572-1"	"1689572-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"Patient was admitted from ED due to 1 day history of shortness of breath and altered mental status. Pt was intubated upon arrival to ED and later admitted to ICU. Pt had a hx of COPD, CKD3, hypertension, obesity, and was a former smoker. Pt was admitted to Hospital on 08/06/2021 and expired on 08/19/2021. Patient was fully vaccinated."
	"1694105-1"	"1694105-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 09/02/2021"
	"1694228-1"	"1694228-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Tested positive for COVID-19 on 8/14/21 via PCR;  Admitted to hospital on 8/16/21;"
	"1694228-1"	"1694228-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Tested positive for COVID-19 on 8/14/21 via PCR;  Admitted to hospital on 8/16/21;"
	"1694248-1"	"1694248-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Tested positive for COVID-19 on 9/5/21 via PCR;  Admitted to hospital on 9/5/21;  Died on 9/10/21."
	"1694248-1"	"1694248-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Tested positive for COVID-19 on 9/5/21 via PCR;  Admitted to hospital on 9/5/21;  Died on 9/10/21."
	"1694248-1"	"1694248-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Tested positive for COVID-19 on 9/5/21 via PCR;  Admitted to hospital on 9/5/21;  Died on 9/10/21."
	"1694414-1"	"1694414-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt succumbed to COVID-19 virus on 9/12/2021 after being diagnosed on 8/28/21."
	"1694414-1"	"1694414-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt succumbed to COVID-19 virus on 9/12/2021 after being diagnosed on 8/28/21."
	"1694414-1"	"1694414-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Pt succumbed to COVID-19 virus on 9/12/2021 after being diagnosed on 8/28/21."
	"1694644-1"	"1694644-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"NASAL CONGESTION"	"10028735"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"OROPHARYNGEAL PAIN"	"10068319"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1694644-1"	"1694644-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 7/19/2021:  Fever >100.4, Chills,  Muscle or body aches,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT."
	"1695753-1"	"1695753-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Admitted with severe COVID19 on 9/10/2021 and subsequently declined and deceased on 9/11/2021"
	"1695753-1"	"1695753-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Admitted with severe COVID19 on 9/10/2021 and subsequently declined and deceased on 9/11/2021"
	"1695753-1"	"1695753-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Admitted with severe COVID19 on 9/10/2021 and subsequently declined and deceased on 9/11/2021"
	"1696049-1"	"1696049-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"symptomatic as of 07/30/2021 with cough and diarrhea - reports COPD, chronic anemia, ischemic cardiomyopathy, and hypertension - admitted to hospital on 07/24/2021, discharged 07/30/2021 - returned to nursing home and placed on COVID unit to isolate - fully vaccinated, Pfizer, 01/12/2021, 02/02/2021 - other positive residents and staff at facility - expired under hospice care on 08/05/2021"
	"1696049-1"	"1696049-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"symptomatic as of 07/30/2021 with cough and diarrhea - reports COPD, chronic anemia, ischemic cardiomyopathy, and hypertension - admitted to hospital on 07/24/2021, discharged 07/30/2021 - returned to nursing home and placed on COVID unit to isolate - fully vaccinated, Pfizer, 01/12/2021, 02/02/2021 - other positive residents and staff at facility - expired under hospice care on 08/05/2021"
	"1696049-1"	"1696049-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"symptomatic as of 07/30/2021 with cough and diarrhea - reports COPD, chronic anemia, ischemic cardiomyopathy, and hypertension - admitted to hospital on 07/24/2021, discharged 07/30/2021 - returned to nursing home and placed on COVID unit to isolate - fully vaccinated, Pfizer, 01/12/2021, 02/02/2021 - other positive residents and staff at facility - expired under hospice care on 08/05/2021"
	"1696049-1"	"1696049-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"65-79 years"	"65-79"	"symptomatic as of 07/30/2021 with cough and diarrhea - reports COPD, chronic anemia, ischemic cardiomyopathy, and hypertension - admitted to hospital on 07/24/2021, discharged 07/30/2021 - returned to nursing home and placed on COVID unit to isolate - fully vaccinated, Pfizer, 01/12/2021, 02/02/2021 - other positive residents and staff at facility - expired under hospice care on 08/05/2021"
	"1696049-1"	"1696049-1"	"PATIENT ISOLATION"	"10053315"	"65-79 years"	"65-79"	"symptomatic as of 07/30/2021 with cough and diarrhea - reports COPD, chronic anemia, ischemic cardiomyopathy, and hypertension - admitted to hospital on 07/24/2021, discharged 07/30/2021 - returned to nursing home and placed on COVID unit to isolate - fully vaccinated, Pfizer, 01/12/2021, 02/02/2021 - other positive residents and staff at facility - expired under hospice care on 08/05/2021"
	"1696195-1"	"1696195-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PT EXPIRED ON 09/09/2021"
	"1696347-1"	"1696347-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient is fully vaccinated and died due to COVID related causes. According to patient's wife,  he presented to hospital with sinus problem runny nose and  congestion headache two days before the 8/21 and on 08/21/21 he became Lethargic and had a unsteady Gait prior to testing. Believe contracted Covid from church.  Patient died nine days later."
	"1696347-1"	"1696347-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient is fully vaccinated and died due to COVID related causes. According to patient's wife,  he presented to hospital with sinus problem runny nose and  congestion headache two days before the 8/21 and on 08/21/21 he became Lethargic and had a unsteady Gait prior to testing. Believe contracted Covid from church.  Patient died nine days later."
	"1696347-1"	"1696347-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"65-79 years"	"65-79"	"Patient is fully vaccinated and died due to COVID related causes. According to patient's wife,  he presented to hospital with sinus problem runny nose and  congestion headache two days before the 8/21 and on 08/21/21 he became Lethargic and had a unsteady Gait prior to testing. Believe contracted Covid from church.  Patient died nine days later."
	"1696347-1"	"1696347-1"	"GAIT DISTURBANCE"	"10017577"	"65-79 years"	"65-79"	"Patient is fully vaccinated and died due to COVID related causes. According to patient's wife,  he presented to hospital with sinus problem runny nose and  congestion headache two days before the 8/21 and on 08/21/21 he became Lethargic and had a unsteady Gait prior to testing. Believe contracted Covid from church.  Patient died nine days later."
	"1696347-1"	"1696347-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Patient is fully vaccinated and died due to COVID related causes. According to patient's wife,  he presented to hospital with sinus problem runny nose and  congestion headache two days before the 8/21 and on 08/21/21 he became Lethargic and had a unsteady Gait prior to testing. Believe contracted Covid from church.  Patient died nine days later."
	"1696347-1"	"1696347-1"	"LETHARGY"	"10024264"	"65-79 years"	"65-79"	"Patient is fully vaccinated and died due to COVID related causes. According to patient's wife,  he presented to hospital with sinus problem runny nose and  congestion headache two days before the 8/21 and on 08/21/21 he became Lethargic and had a unsteady Gait prior to testing. Believe contracted Covid from church.  Patient died nine days later."
	"1696347-1"	"1696347-1"	"RESPIRATORY TRACT CONGESTION"	"10052251"	"65-79 years"	"65-79"	"Patient is fully vaccinated and died due to COVID related causes. According to patient's wife,  he presented to hospital with sinus problem runny nose and  congestion headache two days before the 8/21 and on 08/21/21 he became Lethargic and had a unsteady Gait prior to testing. Believe contracted Covid from church.  Patient died nine days later."
	"1696347-1"	"1696347-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"Patient is fully vaccinated and died due to COVID related causes. According to patient's wife,  he presented to hospital with sinus problem runny nose and  congestion headache two days before the 8/21 and on 08/21/21 he became Lethargic and had a unsteady Gait prior to testing. Believe contracted Covid from church.  Patient died nine days later."
	"1696347-1"	"1696347-1"	"SINUS DISORDER"	"10062244"	"65-79 years"	"65-79"	"Patient is fully vaccinated and died due to COVID related causes. According to patient's wife,  he presented to hospital with sinus problem runny nose and  congestion headache two days before the 8/21 and on 08/21/21 he became Lethargic and had a unsteady Gait prior to testing. Believe contracted Covid from church.  Patient died nine days later."
	"1696376-1"	"1696376-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of Covid related causes. The patient had shortness of breath, cough, and pneumonia. She was admitted to hospital where she passed away."
	"1696376-1"	"1696376-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of Covid related causes. The patient had shortness of breath, cough, and pneumonia. She was admitted to hospital where she passed away."
	"1696376-1"	"1696376-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of Covid related causes. The patient had shortness of breath, cough, and pneumonia. She was admitted to hospital where she passed away."
	"1696376-1"	"1696376-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of Covid related causes. The patient had shortness of breath, cough, and pneumonia. She was admitted to hospital where she passed away."
	"1696376-1"	"1696376-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of Covid related causes. The patient had shortness of breath, cough, and pneumonia. She was admitted to hospital where she passed away."
	"1696788-1"	"1696788-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt presented to the Medical Center on 9/2 in respirator Distress  pt placed on bipap,  later intubated pt expired on 9/10/21 @ 1432"
	"1696788-1"	"1696788-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt presented to the Medical Center on 9/2 in respirator Distress  pt placed on bipap,  later intubated pt expired on 9/10/21 @ 1432"
	"1696788-1"	"1696788-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt presented to the Medical Center on 9/2 in respirator Distress  pt placed on bipap,  later intubated pt expired on 9/10/21 @ 1432"
	"1696788-1"	"1696788-1"	"RESPIRATORY DISTRESS"	"10038687"	"65-79 years"	"65-79"	"pt presented to the Medical Center on 9/2 in respirator Distress  pt placed on bipap,  later intubated pt expired on 9/10/21 @ 1432"
	"1696895-1"	"1696895-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of covid related causes. According to patient's wife, patient was in critical care at the hospital and also had cancer. Patient's wife says they haven't went anywhere except for their oncology visit on 8/2. Patient died 13 days later after admitted to hospital."
	"1696895-1"	"1696895-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of covid related causes. According to patient's wife, patient was in critical care at the hospital and also had cancer. Patient's wife says they haven't went anywhere except for their oncology visit on 8/2. Patient died 13 days later after admitted to hospital."
	"1696910-1"	"1696910-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696910-1"	"1696910-1"	"BLOOD GLUCOSE NORMAL"	"10005558"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696910-1"	"1696910-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696910-1"	"1696910-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696910-1"	"1696910-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696910-1"	"1696910-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696910-1"	"1696910-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696910-1"	"1696910-1"	"LETHARGY"	"10024264"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696910-1"	"1696910-1"	"METABOLIC ENCEPHALOPATHY"	"10062190"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696910-1"	"1696910-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696910-1"	"1696910-1"	"ULTRASOUND SCAN NORMAL"	"10061607"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696910-1"	"1696910-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"Came to ER for confusion and possible low blood sugar on 7/29/21. Blood sugar 124 on arrival. Patient was lethargic and tested positive for COVID. Stable vitals temperature 99.7¦ 0 blood pressure 137/64 below pulse of 93 and 98% on room air. Also found to have acute metabolic encephaloprathy likely secondary to UTI and COVID19. Placed on ceftriaxone for UTI . During her stay she developed acute hypoxic respiratory failure, requiring opti-flow 90% and 60L. Likely from COVID pneumonia. Placed on dexamethasone and remdesivir. Required precedex for BP. Patient went comfort and passed away on 8/25/2021"
	"1696937-1"	"1696937-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient hospitalized due to COVID-19. Patient is fully vaccinated. Placed on BiPAP in hospital and moved to ICU. Patient died due to COVID-19."
	"1696937-1"	"1696937-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient hospitalized due to COVID-19. Patient is fully vaccinated. Placed on BiPAP in hospital and moved to ICU. Patient died due to COVID-19."
	"1696937-1"	"1696937-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient hospitalized due to COVID-19. Patient is fully vaccinated. Placed on BiPAP in hospital and moved to ICU. Patient died due to COVID-19."
	"1696937-1"	"1696937-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"Patient hospitalized due to COVID-19. Patient is fully vaccinated. Placed on BiPAP in hospital and moved to ICU. Patient died due to COVID-19."
	"1700221-1"	"1700221-1"	"CELLULITIS"	"10007882"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700221-1"	"1700221-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700221-1"	"1700221-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700221-1"	"1700221-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700221-1"	"1700221-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700221-1"	"1700221-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700221-1"	"1700221-1"	"DYSPNOEA EXERTIONAL"	"10013971"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700221-1"	"1700221-1"	"HYPERHIDROSIS"	"10020642"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700221-1"	"1700221-1"	"RESPIRATORY SYMPTOM"	"10075535"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700221-1"	"1700221-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700221-1"	"1700221-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700221-1"	"1700221-1"	"URINARY TRACT INFECTION"	"10046571"	"65-79 years"	"65-79"	"Patient presented with symptoms of of URI, shortness of breath, dyspnea on exertion, diaphoresis, chills, and worsening cough. On arrival to ED, O2 sat noted to be 88%, rapid COVID test was positive, and patient was admitted for COVID-19 infection. Patient became fully vaccinated on 03/01/2021 (Moderna). On 08/14/2021, patient passed away due to COVID 19, Cellulitis, Septic Shock, and UTI"
	"1700395-1"	"1700395-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospitalization and death due to COVID-19"
	"1700395-1"	"1700395-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization and death due to COVID-19"
	"1700415-1"	"1700415-1"	"BLOOD TEST"	"10061726"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"COMPUTERISED TOMOGRAM"	"10010234"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"CREUTZFELDT-JAKOB DISEASE"	"10011384"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"DIPLOPIA"	"10013036"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"ELECTROENCEPHALOGRAM"	"10014407"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"GAIT DISTURBANCE"	"10017577"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"GAIT INABILITY"	"10017581"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"INSOMNIA"	"10022437"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"LUMBAR PUNCTURE ABNORMAL"	"10025000"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"MAGNETIC RESONANCE IMAGING"	"10078223"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"MEMORY IMPAIRMENT"	"10027175"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"RESTLESS LEGS SYNDROME"	"10058920"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"SEIZURE"	"10039906"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700415-1"	"1700415-1"	"SPEECH DISORDER"	"10041466"	"65-79 years"	"65-79"	"DEVELOPED RESTLESS LEG SYNDROME, INSOMNIA, DOUBLE VISION, DIZZINESS WITHIN 3 WEEKS OF LAST SHOT. DIAGNOSED WITH A STROKE ON 05/24/21. WITHIN 24 HOURS OF DISCHARGE, SHE COULD NOT WALK PROPERLY AND HAD TO USE A CANE. RE ENTERED THE HOSPITAL ON 06/7/21 TO REHAB CONTINUED TO DECLINE WITH ADVANCED SYMPTOMS OF GAIT DIFFICULTY, MEMORY AND SPEECH PROBLEMS AND STILL INSOMNIA, ULTIMATELY BEGAN TO HAVE SEIZURES AND WAS INTUBATED AND SEDATED ON 06/21/21. TRANSFERRED TO HOSPITAL 9TH FLOOR NEUROLOGICAL ICU ON 06/25/21 AND BEGAN PROCESS OF DIAGNOSIS WITH A LUMBAR PUNCTURE. RECEIVED THE CJD DIAGNOSIS ON 07/14/21 AND SHE PASSED AWAY ON 07/17/21. MY MOTHER WAS COMPLETELY HEALTHY, WENT TO THE DOCTOR EVERY 6 MONTHS WITH GREAT CHECK UPS , WORKED OUT EVERY DAY, AND LOVED LIFE."
	"1700738-1"	"1700738-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1700765-1"	"1700765-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 on 7/24/2021, succumbed to POST COVID INTERSTITIAL LUNG DISEASE"
	"1700765-1"	"1700765-1"	"INTERSTITIAL LUNG DISEASE"	"10022611"	"65-79 years"	"65-79"	"Pt diagnosed with COVID-19 on 7/24/2021, succumbed to POST COVID INTERSTITIAL LUNG DISEASE"
	"1703894-1"	"1703894-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"CASE DEVELOPED COVID19 AND DIED"
	"1703894-1"	"1703894-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"CASE DEVELOPED COVID19 AND DIED"
	"1704505-1"	"1704505-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient died 8/27/2021 at the Hospital with diagnosis of Pnuemonia caused by SARS-CoV-2"
	"1704505-1"	"1704505-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died 8/27/2021 at the Hospital with diagnosis of Pnuemonia caused by SARS-CoV-2"
	"1704600-1"	"1704600-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of covid related causes."
	"1708239-1"	"1708239-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"CULTURE NEGATIVE"	"10061448"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"HYPERKALAEMIA"	"10020646"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"HYPOPHAGIA"	"10063743"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708239-1"	"1708239-1"	"SKIN DISORDER"	"10040831"	"65-79 years"	"65-79"	"Patient was admitted to Hospital for acute hypoxic respiratory failure secondary to COVID-19 infection and acute kidney injury on 09/05/2021.  Patient was started on dexamethasone he was also anticoagulated with heparin given AKI.  Acute kidney injury suspected to be prerenal secondary to poor oral intake in the setting of COVID-19 infection patient was also taking several medications at home such as Lasix and lisinopril.    Patient required of supplemental oxygenation and fell heated high-flow nasal cannula to refractory hypoxemia then required noninvasive positive pressure ventilation.  He continued to become more hypoxic and MRT was called 9/7/21 for hypoxia with oxygen saturation in the 70s and change in mental status.  Decision was made to intubate the patient.  At this time patient was transferred out of the ICU on mechanical ventilation.  He continued to have worsening acute kidney injury and hyperkalemia which point nephrology was consulted and decision was made to start CRRT.      Concern for superimposed bacterial infection and patient's antibiotics were escalated to cefepime and vancomycin, no growth on cultures. Patient also required norepinephrine intermittently throughout the admission for hypotension.  Patient continued to remain hypoxic despite mechanical ventilation requiring paralytics, proning and was also on nitric oxide.  Nitric oxide was stopped and protein was also stop later of the admission due to skin breakdown.  Fluid removal per CRRT given concerns for volume overload.     Family decided to withdraw care transition to comfort measures only. Patient passed shortly after with family at bedside.  Time of death 1435 September 15, 2020"
	"1708241-1"	"1708241-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PUI is at Ave. PUI was fully vaccinated however wife indicated why she was out of town he was exposed by someone and upon her return he was found non-responsive. He currently is in critical condition on a ventilator and currently experiencing kidney failure. Prognosis is not good. Patient died."
	"1708241-1"	"1708241-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"65-79 years"	"65-79"	"PUI is at Ave. PUI was fully vaccinated however wife indicated why she was out of town he was exposed by someone and upon her return he was found non-responsive. He currently is in critical condition on a ventilator and currently experiencing kidney failure. Prognosis is not good. Patient died."
	"1708241-1"	"1708241-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"PUI is at Ave. PUI was fully vaccinated however wife indicated why she was out of town he was exposed by someone and upon her return he was found non-responsive. He currently is in critical condition on a ventilator and currently experiencing kidney failure. Prognosis is not good. Patient died."
	"1708241-1"	"1708241-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"PUI is at Ave. PUI was fully vaccinated however wife indicated why she was out of town he was exposed by someone and upon her return he was found non-responsive. He currently is in critical condition on a ventilator and currently experiencing kidney failure. Prognosis is not good. Patient died."
	"1708241-1"	"1708241-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"PUI is at Ave. PUI was fully vaccinated however wife indicated why she was out of town he was exposed by someone and upon her return he was found non-responsive. He currently is in critical condition on a ventilator and currently experiencing kidney failure. Prognosis is not good. Patient died."
	"1709844-1"	"1709844-1"	"ARTHRALGIA"	"10003239"	"65-79 years"	"65-79"	"My father went to thr hospital for knee pain and was admitted to the ER same day saying he had COVID. He spent 4 days in ER and was then transferred to local ICU.  After a couple days he was released from ICU into a room in the hospital. At somepoint here, he was sedated by hospital staff because they said he was taking tubes out of his body and stuff. He never came too after be sedated, and was moved back to the ICU. Another few days passed with no one havimg a clue what was going on and finally MRI was conducted  MRIs by the doctor revealed 'numerous strokes in his brain.' He died on August 26, 2021"
	"1709844-1"	"1709844-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"My father went to thr hospital for knee pain and was admitted to the ER same day saying he had COVID. He spent 4 days in ER and was then transferred to local ICU.  After a couple days he was released from ICU into a room in the hospital. At somepoint here, he was sedated by hospital staff because they said he was taking tubes out of his body and stuff. He never came too after be sedated, and was moved back to the ICU. Another few days passed with no one havimg a clue what was going on and finally MRI was conducted  MRIs by the doctor revealed 'numerous strokes in his brain.' He died on August 26, 2021"
	"1709844-1"	"1709844-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"My father went to thr hospital for knee pain and was admitted to the ER same day saying he had COVID. He spent 4 days in ER and was then transferred to local ICU.  After a couple days he was released from ICU into a room in the hospital. At somepoint here, he was sedated by hospital staff because they said he was taking tubes out of his body and stuff. He never came too after be sedated, and was moved back to the ICU. Another few days passed with no one havimg a clue what was going on and finally MRI was conducted  MRIs by the doctor revealed 'numerous strokes in his brain.' He died on August 26, 2021"
	"1709844-1"	"1709844-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"My father went to thr hospital for knee pain and was admitted to the ER same day saying he had COVID. He spent 4 days in ER and was then transferred to local ICU.  After a couple days he was released from ICU into a room in the hospital. At somepoint here, he was sedated by hospital staff because they said he was taking tubes out of his body and stuff. He never came too after be sedated, and was moved back to the ICU. Another few days passed with no one havimg a clue what was going on and finally MRI was conducted  MRIs by the doctor revealed 'numerous strokes in his brain.' He died on August 26, 2021"
	"1709844-1"	"1709844-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"My father went to thr hospital for knee pain and was admitted to the ER same day saying he had COVID. He spent 4 days in ER and was then transferred to local ICU.  After a couple days he was released from ICU into a room in the hospital. At somepoint here, he was sedated by hospital staff because they said he was taking tubes out of his body and stuff. He never came too after be sedated, and was moved back to the ICU. Another few days passed with no one havimg a clue what was going on and finally MRI was conducted  MRIs by the doctor revealed 'numerous strokes in his brain.' He died on August 26, 2021"
	"1709844-1"	"1709844-1"	"INTENTIONAL REMOVAL OF DRUG DELIVERY SYSTEM BY PATIENT"	"10081134"	"65-79 years"	"65-79"	"My father went to thr hospital for knee pain and was admitted to the ER same day saying he had COVID. He spent 4 days in ER and was then transferred to local ICU.  After a couple days he was released from ICU into a room in the hospital. At somepoint here, he was sedated by hospital staff because they said he was taking tubes out of his body and stuff. He never came too after be sedated, and was moved back to the ICU. Another few days passed with no one havimg a clue what was going on and finally MRI was conducted  MRIs by the doctor revealed 'numerous strokes in his brain.' He died on August 26, 2021"
	"1709844-1"	"1709844-1"	"MAGNETIC RESONANCE IMAGING HEAD ABNORMAL"	"10085256"	"65-79 years"	"65-79"	"My father went to thr hospital for knee pain and was admitted to the ER same day saying he had COVID. He spent 4 days in ER and was then transferred to local ICU.  After a couple days he was released from ICU into a room in the hospital. At somepoint here, he was sedated by hospital staff because they said he was taking tubes out of his body and stuff. He never came too after be sedated, and was moved back to the ICU. Another few days passed with no one havimg a clue what was going on and finally MRI was conducted  MRIs by the doctor revealed 'numerous strokes in his brain.' He died on August 26, 2021"
	"1713220-1"	"1713220-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Found dead in restroom about four hours after administration of vaccine. Patient has been rapidly declining w/ Metastatic lung CA."
	"1714965-1"	"1714965-1"	"COMPLETED SUICIDE"	"10010144"	"65-79 years"	"65-79"	"A few days after the first covid vaccine patient started to experience left ear fullness and slight tinnitus. This lasted for approximatley 2-3 weeks. He was told he may have  fluid in his ears and was treated with OTC medications for allergies, reported by patient to myself. After his second vaccine he developed tinnitus in the left ear. He went see his physician and they were unsure what the corelation was but he was then treated for stress and placed on Wellburtrin. After this trail and the tinnitus not getting anybetter, he stopped taking his Wellburtrin and began seeing a serious of ENT/ Audiologist - all could not determine the cause of tinnitus (they rule out MRI/neck/HL etc.). After a month of seeing ENTs/ PT he reported to me for severe tinnitus. He was wearing a HA at this time and we used sound enrichment and counseling to help cope with the onset of tinnitus. However, even after working with him for 7 months, referring to specialist along the way, attending counseling, PT, TMJ, etc. He ended his life by suicide due to the tinnitus on 8/16/21."
	"1714965-1"	"1714965-1"	"EAR DISCOMFORT"	"10052137"	"65-79 years"	"65-79"	"A few days after the first covid vaccine patient started to experience left ear fullness and slight tinnitus. This lasted for approximatley 2-3 weeks. He was told he may have  fluid in his ears and was treated with OTC medications for allergies, reported by patient to myself. After his second vaccine he developed tinnitus in the left ear. He went see his physician and they were unsure what the corelation was but he was then treated for stress and placed on Wellburtrin. After this trail and the tinnitus not getting anybetter, he stopped taking his Wellburtrin and began seeing a serious of ENT/ Audiologist - all could not determine the cause of tinnitus (they rule out MRI/neck/HL etc.). After a month of seeing ENTs/ PT he reported to me for severe tinnitus. He was wearing a HA at this time and we used sound enrichment and counseling to help cope with the onset of tinnitus. However, even after working with him for 7 months, referring to specialist along the way, attending counseling, PT, TMJ, etc. He ended his life by suicide due to the tinnitus on 8/16/21."
	"1714965-1"	"1714965-1"	"STRESS"	"10042209"	"65-79 years"	"65-79"	"A few days after the first covid vaccine patient started to experience left ear fullness and slight tinnitus. This lasted for approximatley 2-3 weeks. He was told he may have  fluid in his ears and was treated with OTC medications for allergies, reported by patient to myself. After his second vaccine he developed tinnitus in the left ear. He went see his physician and they were unsure what the corelation was but he was then treated for stress and placed on Wellburtrin. After this trail and the tinnitus not getting anybetter, he stopped taking his Wellburtrin and began seeing a serious of ENT/ Audiologist - all could not determine the cause of tinnitus (they rule out MRI/neck/HL etc.). After a month of seeing ENTs/ PT he reported to me for severe tinnitus. He was wearing a HA at this time and we used sound enrichment and counseling to help cope with the onset of tinnitus. However, even after working with him for 7 months, referring to specialist along the way, attending counseling, PT, TMJ, etc. He ended his life by suicide due to the tinnitus on 8/16/21."
	"1714965-1"	"1714965-1"	"TINNITUS"	"10043882"	"65-79 years"	"65-79"	"A few days after the first covid vaccine patient started to experience left ear fullness and slight tinnitus. This lasted for approximatley 2-3 weeks. He was told he may have  fluid in his ears and was treated with OTC medications for allergies, reported by patient to myself. After his second vaccine he developed tinnitus in the left ear. He went see his physician and they were unsure what the corelation was but he was then treated for stress and placed on Wellburtrin. After this trail and the tinnitus not getting anybetter, he stopped taking his Wellburtrin and began seeing a serious of ENT/ Audiologist - all could not determine the cause of tinnitus (they rule out MRI/neck/HL etc.). After a month of seeing ENTs/ PT he reported to me for severe tinnitus. He was wearing a HA at this time and we used sound enrichment and counseling to help cope with the onset of tinnitus. However, even after working with him for 7 months, referring to specialist along the way, attending counseling, PT, TMJ, etc. He ended his life by suicide due to the tinnitus on 8/16/21."
	"1714994-1"	"1714994-1"	"CHEST PAIN"	"10008479"	"65-79 years"	"65-79"	"Fever, cough, shortness of breath, difficulty breathing, Chest pain, fatigue. Death: 8/14/2021"
	"1714994-1"	"1714994-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Fever, cough, shortness of breath, difficulty breathing, Chest pain, fatigue. Death: 8/14/2021"
	"1714994-1"	"1714994-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Fever, cough, shortness of breath, difficulty breathing, Chest pain, fatigue. Death: 8/14/2021"
	"1714994-1"	"1714994-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Fever, cough, shortness of breath, difficulty breathing, Chest pain, fatigue. Death: 8/14/2021"
	"1714994-1"	"1714994-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Fever, cough, shortness of breath, difficulty breathing, Chest pain, fatigue. Death: 8/14/2021"
	"1714994-1"	"1714994-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Fever, cough, shortness of breath, difficulty breathing, Chest pain, fatigue. Death: 8/14/2021"
	"1715501-1"	"1715501-1"	"BRONCHOSCOPY ABNORMAL"	"10006480"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"C-REACTIVE PROTEIN INCREASED"	"10006825"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"CATHETER PLACEMENT"	"10052915"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"DIALYSIS"	"10061105"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"EXTUBATION"	"10015894"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"HAEMOFILTRATION"	"10053090"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"HAEMOPTYSIS"	"10018964"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"LUNG DISORDER"	"10025082"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"LUNG INFILTRATION"	"10025102"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"LYMPHADENOPATHY"	"10025197"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"NEOPLASM MALIGNANT"	"10028997"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"PLEURAL EFFUSION"	"10035598"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"PULMONARY ALVEOLAR HAEMORRHAGE"	"10037313"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"PULMONARY MASS"	"10056342"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"PULMONARY OEDEMA"	"10037423"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"PULMONARY THROMBOSIS"	"10037437"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"PULSE ABNORMAL"	"10037466"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"RENAL IMPAIRMENT"	"10062237"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"RENAL TUBULAR NECROSIS"	"10038540"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"RIB FRACTURE"	"10039117"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"RIGHT VENTRICULAR SYSTOLIC PRESSURE INCREASED"	"10060236"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"TACHYPNOEA"	"10043089"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"TRANSFUSION"	"10066152"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"TROPONIN INCREASED"	"10058267"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715501-1"	"1715501-1"	"VENTRICULAR FIBRILLATION"	"10047290"	"65-79 years"	"65-79"	"This is a 76yo male with a PMHx significant for chronic diastolic heart failure, CKDIII, cirrhosis of the liver, hepatocellular carcinoma, and HTN admitted on 9/4/2021 with increasing shortness of breath. He was tested positive for COVID and received the monoclonal antibodies on 9/2. His shortness of breath continued to worsen. He was admitted to Hospital and was originally requiring 10L nasal cannula. His troponin was mildly elevated with a maximum of 0.21. He received ceftriaxone and azithromcyin. His d-dimer was elevated and he was started on enoxaparin BID because CTA could not be obtained to rule out PE because of his renal function. He was transferred here to the medical unit. Cardiology, Vascular surgery and Nephrology were consulted. ECHO was obtained and showed no right heart strain, normal EF and increased right systolic pressure. Vascular surgery advised no thrombolysis therapy and to continue treatment dose enoxaparin. Cardiology felt his troponin elevation was due to supply demand mismatch and not ischemia. He was kept on dexamethasone but increased to BID dosing, ceftriaxone and azithromycin. Due to a CRP >4, he was started on baricitinib, renally dosed. In the early morning of 9/6 his Optiflow cannula came out while he was sleeping. The nurse found him saturating in the 50s and pulse was thready. Rapid response was called and then he went into PEA and vfib. ACLS protocol was followed and patient received 2 rounds of epinephrine. He was not defibrillated because he came out Vfib prior to shocking. ROSC was achieved in 9 minutes. He was intubated and moved to the ICU. He was following commands and opening his eyes after the incident. Pulmonary/CCM was consulted. His hemoglobin dropped to 6.3 so was transfused 1 unit. Heme + stool, so PPI BID ordered. Baricitinib discontinued due to worsening renal function. He was extubated on 9/8 to high-flow nasal cannula. Unfortunately, he did not do well overnight with tachypnea and was re-intubated. His kidney function continued to worsen due to ATN from his cardiac arrest. Trialysis catheter was placed, and dialysis was initiated 9/10. Patient with hemoptysis 9/13. He underwent bronchoscopy, which revealed proximal clot but no active bleeding, and no active bleeding or endobronchial lesions in either lung. Patient started on high-dose steroids for alveolar hemorrhage. Pathology shows atypical cells suggestive of malignancy. CT chest performed shows extensive bilateral infiltration verses edema with consolidative airspace disease in bilateral lung bases, large bilateral pleural effusions, large subcarinal lymph nodes, left 1-7 rib fractures with right 4-6th rib fractures. Repeat bronchoscopy performed 9/17, showing some evidence of nodularity. No biopsies done due to risk of bleeding, washings were performed. CRRT started 9/17. Patient was not showing sign of improvement. Family presented to bedside to discuss goals of care. They ultimately chose to proceed with withdrawal of care and transition to comfort measures."
	"1715588-1"	"1715588-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	""Patient is a  78 y.o. female with a history of HTN, DMII, anxiety and depression presenting with worsening shortness of breath over the past 1 week. Pt went to PCP on 9/13 and was ordered curb-side rapid COVID test, and was notified the following day that it was positive. Pt underwent Regeneron infusion on 9/15. When symptoms worsened pt came to ED for further evaluation and treatment.   Patient was admitted to the COVID-19 cool floor.  Patient was placed on AV APS for acute hypoxic respiratory failure.  It appears her mask was dislodged, oxygen saturations to dropped patient went into PEA cardiac arrest.  ROSC obtained patient was transferred to the ICU where she was coded again.  Once again, ROSC regained.  Patient was placed on an epinephrine followed by norepinephrine and vasopressin.  hydrocortisone followed by hydrocortisone every 8 hr.  Family was at bedside they were notified of patient's poor prognosis.  They asked patient remains a full code.   Once again patient coded, asystole.  ACLS protocols were started, family was updated in a asked patient""s status to DNR patient expired soon after. time of death240hr""
	"1715588-1"	"1715588-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	""Patient is a  78 y.o. female with a history of HTN, DMII, anxiety and depression presenting with worsening shortness of breath over the past 1 week. Pt went to PCP on 9/13 and was ordered curb-side rapid COVID test, and was notified the following day that it was positive. Pt underwent Regeneron infusion on 9/15. When symptoms worsened pt came to ED for further evaluation and treatment.   Patient was admitted to the COVID-19 cool floor.  Patient was placed on AV APS for acute hypoxic respiratory failure.  It appears her mask was dislodged, oxygen saturations to dropped patient went into PEA cardiac arrest.  ROSC obtained patient was transferred to the ICU where she was coded again.  Once again, ROSC regained.  Patient was placed on an epinephrine followed by norepinephrine and vasopressin.  hydrocortisone followed by hydrocortisone every 8 hr.  Family was at bedside they were notified of patient's poor prognosis.  They asked patient remains a full code.   Once again patient coded, asystole.  ACLS protocols were started, family was updated in a asked patient""s status to DNR patient expired soon after. time of death240hr""
	"1715588-1"	"1715588-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	""Patient is a  78 y.o. female with a history of HTN, DMII, anxiety and depression presenting with worsening shortness of breath over the past 1 week. Pt went to PCP on 9/13 and was ordered curb-side rapid COVID test, and was notified the following day that it was positive. Pt underwent Regeneron infusion on 9/15. When symptoms worsened pt came to ED for further evaluation and treatment.   Patient was admitted to the COVID-19 cool floor.  Patient was placed on AV APS for acute hypoxic respiratory failure.  It appears her mask was dislodged, oxygen saturations to dropped patient went into PEA cardiac arrest.  ROSC obtained patient was transferred to the ICU where she was coded again.  Once again, ROSC regained.  Patient was placed on an epinephrine followed by norepinephrine and vasopressin.  hydrocortisone followed by hydrocortisone every 8 hr.  Family was at bedside they were notified of patient's poor prognosis.  They asked patient remains a full code.   Once again patient coded, asystole.  ACLS protocols were started, family was updated in a asked patient""s status to DNR patient expired soon after. time of death240hr""
	"1715588-1"	"1715588-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Patient is a  78 y.o. female with a history of HTN, DMII, anxiety and depression presenting with worsening shortness of breath over the past 1 week. Pt went to PCP on 9/13 and was ordered curb-side rapid COVID test, and was notified the following day that it was positive. Pt underwent Regeneron infusion on 9/15. When symptoms worsened pt came to ED for further evaluation and treatment.   Patient was admitted to the COVID-19 cool floor.  Patient was placed on AV APS for acute hypoxic respiratory failure.  It appears her mask was dislodged, oxygen saturations to dropped patient went into PEA cardiac arrest.  ROSC obtained patient was transferred to the ICU where she was coded again.  Once again, ROSC regained.  Patient was placed on an epinephrine followed by norepinephrine and vasopressin.  hydrocortisone followed by hydrocortisone every 8 hr.  Family was at bedside they were notified of patient's poor prognosis.  They asked patient remains a full code.   Once again patient coded, asystole.  ACLS protocols were started, family was updated in a asked patient""s status to DNR patient expired soon after. time of death240hr""
	"1715588-1"	"1715588-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""Patient is a  78 y.o. female with a history of HTN, DMII, anxiety and depression presenting with worsening shortness of breath over the past 1 week. Pt went to PCP on 9/13 and was ordered curb-side rapid COVID test, and was notified the following day that it was positive. Pt underwent Regeneron infusion on 9/15. When symptoms worsened pt came to ED for further evaluation and treatment.   Patient was admitted to the COVID-19 cool floor.  Patient was placed on AV APS for acute hypoxic respiratory failure.  It appears her mask was dislodged, oxygen saturations to dropped patient went into PEA cardiac arrest.  ROSC obtained patient was transferred to the ICU where she was coded again.  Once again, ROSC regained.  Patient was placed on an epinephrine followed by norepinephrine and vasopressin.  hydrocortisone followed by hydrocortisone every 8 hr.  Family was at bedside they were notified of patient's poor prognosis.  They asked patient remains a full code.   Once again patient coded, asystole.  ACLS protocols were started, family was updated in a asked patient""s status to DNR patient expired soon after. time of death240hr""
	"1715588-1"	"1715588-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	""Patient is a  78 y.o. female with a history of HTN, DMII, anxiety and depression presenting with worsening shortness of breath over the past 1 week. Pt went to PCP on 9/13 and was ordered curb-side rapid COVID test, and was notified the following day that it was positive. Pt underwent Regeneron infusion on 9/15. When symptoms worsened pt came to ED for further evaluation and treatment.   Patient was admitted to the COVID-19 cool floor.  Patient was placed on AV APS for acute hypoxic respiratory failure.  It appears her mask was dislodged, oxygen saturations to dropped patient went into PEA cardiac arrest.  ROSC obtained patient was transferred to the ICU where she was coded again.  Once again, ROSC regained.  Patient was placed on an epinephrine followed by norepinephrine and vasopressin.  hydrocortisone followed by hydrocortisone every 8 hr.  Family was at bedside they were notified of patient's poor prognosis.  They asked patient remains a full code.   Once again patient coded, asystole.  ACLS protocols were started, family was updated in a asked patient""s status to DNR patient expired soon after. time of death240hr""
	"1715588-1"	"1715588-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	""Patient is a  78 y.o. female with a history of HTN, DMII, anxiety and depression presenting with worsening shortness of breath over the past 1 week. Pt went to PCP on 9/13 and was ordered curb-side rapid COVID test, and was notified the following day that it was positive. Pt underwent Regeneron infusion on 9/15. When symptoms worsened pt came to ED for further evaluation and treatment.   Patient was admitted to the COVID-19 cool floor.  Patient was placed on AV APS for acute hypoxic respiratory failure.  It appears her mask was dislodged, oxygen saturations to dropped patient went into PEA cardiac arrest.  ROSC obtained patient was transferred to the ICU where she was coded again.  Once again, ROSC regained.  Patient was placed on an epinephrine followed by norepinephrine and vasopressin.  hydrocortisone followed by hydrocortisone every 8 hr.  Family was at bedside they were notified of patient's poor prognosis.  They asked patient remains a full code.   Once again patient coded, asystole.  ACLS protocols were started, family was updated in a asked patient""s status to DNR patient expired soon after. time of death240hr""
	"1715588-1"	"1715588-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	""Patient is a  78 y.o. female with a history of HTN, DMII, anxiety and depression presenting with worsening shortness of breath over the past 1 week. Pt went to PCP on 9/13 and was ordered curb-side rapid COVID test, and was notified the following day that it was positive. Pt underwent Regeneron infusion on 9/15. When symptoms worsened pt came to ED for further evaluation and treatment.   Patient was admitted to the COVID-19 cool floor.  Patient was placed on AV APS for acute hypoxic respiratory failure.  It appears her mask was dislodged, oxygen saturations to dropped patient went into PEA cardiac arrest.  ROSC obtained patient was transferred to the ICU where she was coded again.  Once again, ROSC regained.  Patient was placed on an epinephrine followed by norepinephrine and vasopressin.  hydrocortisone followed by hydrocortisone every 8 hr.  Family was at bedside they were notified of patient's poor prognosis.  They asked patient remains a full code.   Once again patient coded, asystole.  ACLS protocols were started, family was updated in a asked patient""s status to DNR patient expired soon after. time of death240hr""
	"1715588-1"	"1715588-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	""Patient is a  78 y.o. female with a history of HTN, DMII, anxiety and depression presenting with worsening shortness of breath over the past 1 week. Pt went to PCP on 9/13 and was ordered curb-side rapid COVID test, and was notified the following day that it was positive. Pt underwent Regeneron infusion on 9/15. When symptoms worsened pt came to ED for further evaluation and treatment.   Patient was admitted to the COVID-19 cool floor.  Patient was placed on AV APS for acute hypoxic respiratory failure.  It appears her mask was dislodged, oxygen saturations to dropped patient went into PEA cardiac arrest.  ROSC obtained patient was transferred to the ICU where she was coded again.  Once again, ROSC regained.  Patient was placed on an epinephrine followed by norepinephrine and vasopressin.  hydrocortisone followed by hydrocortisone every 8 hr.  Family was at bedside they were notified of patient's poor prognosis.  They asked patient remains a full code.   Once again patient coded, asystole.  ACLS protocols were started, family was updated in a asked patient""s status to DNR patient expired soon after. time of death240hr""
	"1715588-1"	"1715588-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	""Patient is a  78 y.o. female with a history of HTN, DMII, anxiety and depression presenting with worsening shortness of breath over the past 1 week. Pt went to PCP on 9/13 and was ordered curb-side rapid COVID test, and was notified the following day that it was positive. Pt underwent Regeneron infusion on 9/15. When symptoms worsened pt came to ED for further evaluation and treatment.   Patient was admitted to the COVID-19 cool floor.  Patient was placed on AV APS for acute hypoxic respiratory failure.  It appears her mask was dislodged, oxygen saturations to dropped patient went into PEA cardiac arrest.  ROSC obtained patient was transferred to the ICU where she was coded again.  Once again, ROSC regained.  Patient was placed on an epinephrine followed by norepinephrine and vasopressin.  hydrocortisone followed by hydrocortisone every 8 hr.  Family was at bedside they were notified of patient's poor prognosis.  They asked patient remains a full code.   Once again patient coded, asystole.  ACLS protocols were started, family was updated in a asked patient""s status to DNR patient expired soon after. time of death240hr""
	"1719634-1"	"1719634-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 09/06/2021"
	"1719659-1"	"1719659-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 09/19/2021"
	"1720339-1"	"1720339-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"myocarditis ... died April 24th 2021 - one month after 2nd dose."
	"1720339-1"	"1720339-1"	"MYOCARDITIS"	"10028606"	"65-79 years"	"65-79"	"myocarditis ... died April 24th 2021 - one month after 2nd dose."
	"1722668-1"	"1722668-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Patient was in the Hospital from 8-23-21 to 9-8-21. Patient expired on 9-8-21. symptoms: shortness of breath, muscle aches, hypoxia, runny nose, cough, and acute hypoxemic respiratory failure."
	"1722668-1"	"1722668-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Patient was in the Hospital from 8-23-21 to 9-8-21. Patient expired on 9-8-21. symptoms: shortness of breath, muscle aches, hypoxia, runny nose, cough, and acute hypoxemic respiratory failure."
	"1722668-1"	"1722668-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient was in the Hospital from 8-23-21 to 9-8-21. Patient expired on 9-8-21. symptoms: shortness of breath, muscle aches, hypoxia, runny nose, cough, and acute hypoxemic respiratory failure."
	"1722668-1"	"1722668-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was in the Hospital from 8-23-21 to 9-8-21. Patient expired on 9-8-21. symptoms: shortness of breath, muscle aches, hypoxia, runny nose, cough, and acute hypoxemic respiratory failure."
	"1722668-1"	"1722668-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient was in the Hospital from 8-23-21 to 9-8-21. Patient expired on 9-8-21. symptoms: shortness of breath, muscle aches, hypoxia, runny nose, cough, and acute hypoxemic respiratory failure."
	"1722668-1"	"1722668-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient was in the Hospital from 8-23-21 to 9-8-21. Patient expired on 9-8-21. symptoms: shortness of breath, muscle aches, hypoxia, runny nose, cough, and acute hypoxemic respiratory failure."
	"1722668-1"	"1722668-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"Patient was in the Hospital from 8-23-21 to 9-8-21. Patient expired on 9-8-21. symptoms: shortness of breath, muscle aches, hypoxia, runny nose, cough, and acute hypoxemic respiratory failure."
	"1722668-1"	"1722668-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"Patient was in the Hospital from 8-23-21 to 9-8-21. Patient expired on 9-8-21. symptoms: shortness of breath, muscle aches, hypoxia, runny nose, cough, and acute hypoxemic respiratory failure."
	"1722668-1"	"1722668-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient was in the Hospital from 8-23-21 to 9-8-21. Patient expired on 9-8-21. symptoms: shortness of breath, muscle aches, hypoxia, runny nose, cough, and acute hypoxemic respiratory failure."
	"1722700-1"	"1722700-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died"
	"1722700-1"	"1722700-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died"
	"1722700-1"	"1722700-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died"
	"1722700-1"	"1722700-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died"
	"1722700-1"	"1722700-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died"
	"1722700-1"	"1722700-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died"
	"1722700-1"	"1722700-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died"
	"1722700-1"	"1722700-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died"
	"1722700-1"	"1722700-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died"
	"1722700-1"	"1722700-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died"
	"1722700-1"	"1722700-1"	"WHEEZING"	"10047924"	"65-79 years"	"65-79"	"Symptoms: runny nose, fatigue, shortness of breath, wheezing, n/v diarrhea. Developed pneumonia. Hospitalized and died"
	"1722728-1"	"1722728-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Symptoms started on 8-22-21. 101 fever, runny nose, fatigue, cough, and shortness of breath. Was hospitalized on 8-28-21 with pneumonia due to COVID 19 virus and acute respiratory failure with hypoxia. Expired on 9-2-21."
	"1722728-1"	"1722728-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Symptoms started on 8-22-21. 101 fever, runny nose, fatigue, cough, and shortness of breath. Was hospitalized on 8-28-21 with pneumonia due to COVID 19 virus and acute respiratory failure with hypoxia. Expired on 9-2-21."
	"1722728-1"	"1722728-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Symptoms started on 8-22-21. 101 fever, runny nose, fatigue, cough, and shortness of breath. Was hospitalized on 8-28-21 with pneumonia due to COVID 19 virus and acute respiratory failure with hypoxia. Expired on 9-2-21."
	"1722728-1"	"1722728-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Symptoms started on 8-22-21. 101 fever, runny nose, fatigue, cough, and shortness of breath. Was hospitalized on 8-28-21 with pneumonia due to COVID 19 virus and acute respiratory failure with hypoxia. Expired on 9-2-21."
	"1722728-1"	"1722728-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Symptoms started on 8-22-21. 101 fever, runny nose, fatigue, cough, and shortness of breath. Was hospitalized on 8-28-21 with pneumonia due to COVID 19 virus and acute respiratory failure with hypoxia. Expired on 9-2-21."
	"1722728-1"	"1722728-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Symptoms started on 8-22-21. 101 fever, runny nose, fatigue, cough, and shortness of breath. Was hospitalized on 8-28-21 with pneumonia due to COVID 19 virus and acute respiratory failure with hypoxia. Expired on 9-2-21."
	"1722728-1"	"1722728-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Symptoms started on 8-22-21. 101 fever, runny nose, fatigue, cough, and shortness of breath. Was hospitalized on 8-28-21 with pneumonia due to COVID 19 virus and acute respiratory failure with hypoxia. Expired on 9-2-21."
	"1722728-1"	"1722728-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"Symptoms started on 8-22-21. 101 fever, runny nose, fatigue, cough, and shortness of breath. Was hospitalized on 8-28-21 with pneumonia due to COVID 19 virus and acute respiratory failure with hypoxia. Expired on 9-2-21."
	"1722728-1"	"1722728-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Symptoms started on 8-22-21. 101 fever, runny nose, fatigue, cough, and shortness of breath. Was hospitalized on 8-28-21 with pneumonia due to COVID 19 virus and acute respiratory failure with hypoxia. Expired on 9-2-21."
	"1722775-1"	"1722775-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospitalized on 9-13-21 for COVID"
	"1722775-1"	"1722775-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Hospitalized on 9-13-21 for COVID"
	"1726482-1"	"1726482-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and hospitalized and eventually died due to Covid related causes."
	"1726482-1"	"1726482-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and hospitalized and eventually died due to Covid related causes."
	"1726639-1"	"1726639-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization due to shortness of breath and death"
	"1726639-1"	"1726639-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Hospitalization due to shortness of breath and death"
	"1726842-1"	"1726842-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Resident found unresponsive without a pulse at approx. 0730am on 9/22/21, CPR initiated, spouse chose to discontinue CPR, resident expired."
	"1726842-1"	"1726842-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"Resident found unresponsive without a pulse at approx. 0730am on 9/22/21, CPR initiated, spouse chose to discontinue CPR, resident expired."
	"1726842-1"	"1726842-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Resident found unresponsive without a pulse at approx. 0730am on 9/22/21, CPR initiated, spouse chose to discontinue CPR, resident expired."
	"1726842-1"	"1726842-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Resident found unresponsive without a pulse at approx. 0730am on 9/22/21, CPR initiated, spouse chose to discontinue CPR, resident expired."
	"1731246-1"	"1731246-1"	"ARTERIOSCLEROSIS CORONARY ARTERY"	"10003211"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with Symptom onset  7/19/21; c/o cough, congestion, malaise. Death 8/3/2021. From vital records: HEART FAILURE UNSPECIFIED, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: NURSING HOME-LONG TERM CARE FACILITY,, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: HOMEMAKER, OWN HOME"
	"1731246-1"	"1731246-1"	"CARDIAC FAILURE"	"10007554"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with Symptom onset  7/19/21; c/o cough, congestion, malaise. Death 8/3/2021. From vital records: HEART FAILURE UNSPECIFIED, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: NURSING HOME-LONG TERM CARE FACILITY,, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: HOMEMAKER, OWN HOME"
	"1731246-1"	"1731246-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with Symptom onset  7/19/21; c/o cough, congestion, malaise. Death 8/3/2021. From vital records: HEART FAILURE UNSPECIFIED, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: NURSING HOME-LONG TERM CARE FACILITY,, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: HOMEMAKER, OWN HOME"
	"1731246-1"	"1731246-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with Symptom onset  7/19/21; c/o cough, congestion, malaise. Death 8/3/2021. From vital records: HEART FAILURE UNSPECIFIED, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: NURSING HOME-LONG TERM CARE FACILITY,, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: HOMEMAKER, OWN HOME"
	"1731246-1"	"1731246-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with Symptom onset  7/19/21; c/o cough, congestion, malaise. Death 8/3/2021. From vital records: HEART FAILURE UNSPECIFIED, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: NURSING HOME-LONG TERM CARE FACILITY,, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: HOMEMAKER, OWN HOME"
	"1731246-1"	"1731246-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with Symptom onset  7/19/21; c/o cough, congestion, malaise. Death 8/3/2021. From vital records: HEART FAILURE UNSPECIFIED, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: NURSING HOME-LONG TERM CARE FACILITY,, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: HOMEMAKER, OWN HOME"
	"1731246-1"	"1731246-1"	"RESPIRATORY TRACT CONGESTION"	"10052251"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with Symptom onset  7/19/21; c/o cough, congestion, malaise. Death 8/3/2021. From vital records: HEART FAILURE UNSPECIFIED, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: NURSING HOME-LONG TERM CARE FACILITY,, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: HOMEMAKER, OWN HOME"
	"1731246-1"	"1731246-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with Symptom onset  7/19/21; c/o cough, congestion, malaise. Death 8/3/2021. From vital records: HEART FAILURE UNSPECIFIED, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: NURSING HOME-LONG TERM CARE FACILITY,, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: HOMEMAKER, OWN HOME"
	"1731246-1"	"1731246-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with Symptom onset  7/19/21; c/o cough, congestion, malaise. Death 8/3/2021. From vital records: HEART FAILURE UNSPECIFIED, ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: NURSING HOME-LONG TERM CARE FACILITY,, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: HOMEMAKER, OWN HOME"
	"1731261-1"	"1731261-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"PRESENTED TO ED WITH DYSPNEA, TESTED COVID19 POSITIVE. DEVELOPED ACUTE RESP FAILURE AND DIED 9/11/21"
	"1731261-1"	"1731261-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"PRESENTED TO ED WITH DYSPNEA, TESTED COVID19 POSITIVE. DEVELOPED ACUTE RESP FAILURE AND DIED 9/11/21"
	"1731261-1"	"1731261-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PRESENTED TO ED WITH DYSPNEA, TESTED COVID19 POSITIVE. DEVELOPED ACUTE RESP FAILURE AND DIED 9/11/21"
	"1731261-1"	"1731261-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"PRESENTED TO ED WITH DYSPNEA, TESTED COVID19 POSITIVE. DEVELOPED ACUTE RESP FAILURE AND DIED 9/11/21"
	"1731261-1"	"1731261-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"PRESENTED TO ED WITH DYSPNEA, TESTED COVID19 POSITIVE. DEVELOPED ACUTE RESP FAILURE AND DIED 9/11/21"
	"1736661-1"	"1736661-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient brought in by EMS admitted from the ED with difficulty breathing, altered mental status and severe hypoxemia. Pt intubated in ED and found to have bilateral basilar infiltrates - testing + for COVID 19 on PCR. Pt treated for COVID 19 from 9/6-9/13 when his medical team and family agreed that comfort care was the best option. Patient pass on 9/22."
	"1736661-1"	"1736661-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient brought in by EMS admitted from the ED with difficulty breathing, altered mental status and severe hypoxemia. Pt intubated in ED and found to have bilateral basilar infiltrates - testing + for COVID 19 on PCR. Pt treated for COVID 19 from 9/6-9/13 when his medical team and family agreed that comfort care was the best option. Patient pass on 9/22."
	"1736661-1"	"1736661-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient brought in by EMS admitted from the ED with difficulty breathing, altered mental status and severe hypoxemia. Pt intubated in ED and found to have bilateral basilar infiltrates - testing + for COVID 19 on PCR. Pt treated for COVID 19 from 9/6-9/13 when his medical team and family agreed that comfort care was the best option. Patient pass on 9/22."
	"1736661-1"	"1736661-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient brought in by EMS admitted from the ED with difficulty breathing, altered mental status and severe hypoxemia. Pt intubated in ED and found to have bilateral basilar infiltrates - testing + for COVID 19 on PCR. Pt treated for COVID 19 from 9/6-9/13 when his medical team and family agreed that comfort care was the best option. Patient pass on 9/22."
	"1736661-1"	"1736661-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient brought in by EMS admitted from the ED with difficulty breathing, altered mental status and severe hypoxemia. Pt intubated in ED and found to have bilateral basilar infiltrates - testing + for COVID 19 on PCR. Pt treated for COVID 19 from 9/6-9/13 when his medical team and family agreed that comfort care was the best option. Patient pass on 9/22."
	"1736661-1"	"1736661-1"	"LUNG INFILTRATION"	"10025102"	"65-79 years"	"65-79"	"Patient brought in by EMS admitted from the ED with difficulty breathing, altered mental status and severe hypoxemia. Pt intubated in ED and found to have bilateral basilar infiltrates - testing + for COVID 19 on PCR. Pt treated for COVID 19 from 9/6-9/13 when his medical team and family agreed that comfort care was the best option. Patient pass on 9/22."
	"1736661-1"	"1736661-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"Patient brought in by EMS admitted from the ED with difficulty breathing, altered mental status and severe hypoxemia. Pt intubated in ED and found to have bilateral basilar infiltrates - testing + for COVID 19 on PCR. Pt treated for COVID 19 from 9/6-9/13 when his medical team and family agreed that comfort care was the best option. Patient pass on 9/22."
	"1736661-1"	"1736661-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient brought in by EMS admitted from the ED with difficulty breathing, altered mental status and severe hypoxemia. Pt intubated in ED and found to have bilateral basilar infiltrates - testing + for COVID 19 on PCR. Pt treated for COVID 19 from 9/6-9/13 when his medical team and family agreed that comfort care was the best option. Patient pass on 9/22."
	"1736676-1"	"1736676-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736676-1"	"1736676-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736676-1"	"1736676-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736676-1"	"1736676-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736676-1"	"1736676-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736676-1"	"1736676-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736676-1"	"1736676-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736676-1"	"1736676-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736676-1"	"1736676-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736676-1"	"1736676-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736676-1"	"1736676-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736676-1"	"1736676-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/16/2021: Fever, Shortness of breath/difficulty breathing, Nausea/Vomiting, Cough. Hospitalized 8/16/2021 to 9/2/2021. Death 9/2/2021. From Vital Records = SEPTIC SHOCK, COVID-19 PNEUMONIA, Per vital records, Codes include: Not yet coded ; Other Significant Conditions include: None listed. Place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by: HCP, PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: ."
	"1736783-1"	"1736783-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/9/2021-8/15/2021. Death 8/15/2021. From Vital Records COD = CARDIOPULMONARY ARREST, ACUTE RESPIRATORY FAILURE, ACUTE CARDIAC FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: RETAIL SALES, SALES"
	"1736783-1"	"1736783-1"	"CARDIAC FAILURE ACUTE"	"10007556"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/9/2021-8/15/2021. Death 8/15/2021. From Vital Records COD = CARDIOPULMONARY ARREST, ACUTE RESPIRATORY FAILURE, ACUTE CARDIAC FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: RETAIL SALES, SALES"
	"1736783-1"	"1736783-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/9/2021-8/15/2021. Death 8/15/2021. From Vital Records COD = CARDIOPULMONARY ARREST, ACUTE RESPIRATORY FAILURE, ACUTE CARDIAC FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: RETAIL SALES, SALES"
	"1736783-1"	"1736783-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/9/2021-8/15/2021. Death 8/15/2021. From Vital Records COD = CARDIOPULMONARY ARREST, ACUTE RESPIRATORY FAILURE, ACUTE CARDIAC FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: RETAIL SALES, SALES"
	"1736783-1"	"1736783-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/9/2021-8/15/2021. Death 8/15/2021. From Vital Records COD = CARDIOPULMONARY ARREST, ACUTE RESPIRATORY FAILURE, ACUTE CARDIAC FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: RETAIL SALES, SALES"
	"1736783-1"	"1736783-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/9/2021-8/15/2021. Death 8/15/2021. From Vital Records COD = CARDIOPULMONARY ARREST, ACUTE RESPIRATORY FAILURE, ACUTE CARDIAC FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: RETAIL SALES, SALES"
	"1736783-1"	"1736783-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/9/2021-8/15/2021. Death 8/15/2021. From Vital Records COD = CARDIOPULMONARY ARREST, ACUTE RESPIRATORY FAILURE, ACUTE CARDIAC FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, MEDICAL CENTER; certified by PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: RETAIL SALES, SALES"
	"1737285-1"	"1737285-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"PATIENT DEVELOPED COVID19 INFECTION FOLLOWED BY SUBSEQUENT HOSPITALIZATION AND DEATH"
	"1737285-1"	"1737285-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT DEVELOPED COVID19 INFECTION FOLLOWED BY SUBSEQUENT HOSPITALIZATION AND DEATH"
	"1738603-1"	"1738603-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Vaccine administration was uneventful. Patient and son confirmed that patient was cleared for vaccine and that she was well during and after the observation period. No signs of distress and no abnormality of breathing."
	"1742990-1"	"1742990-1"	"CEREBROVASCULAR ACCIDENT"	"10008190"	"65-79 years"	"65-79"	"Illness, Blood clots, Strokes, Cancer Diagnosis, Death"
	"1742990-1"	"1742990-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Illness, Blood clots, Strokes, Cancer Diagnosis, Death"
	"1742990-1"	"1742990-1"	"ILLNESS"	"10080284"	"65-79 years"	"65-79"	"Illness, Blood clots, Strokes, Cancer Diagnosis, Death"
	"1742990-1"	"1742990-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"Illness, Blood clots, Strokes, Cancer Diagnosis, Death"
	"1742990-1"	"1742990-1"	"NEOPLASM MALIGNANT"	"10028997"	"65-79 years"	"65-79"	"Illness, Blood clots, Strokes, Cancer Diagnosis, Death"
	"1742990-1"	"1742990-1"	"SCAN ABNORMAL"	"10061499"	"65-79 years"	"65-79"	"Illness, Blood clots, Strokes, Cancer Diagnosis, Death"
	"1742990-1"	"1742990-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"Illness, Blood clots, Strokes, Cancer Diagnosis, Death"
	"1744676-1"	"1744676-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"ARTHRALGIA"	"10003239"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"BLOOD PRESSURE DECREASED"	"10005734"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"COMPUTERISED TOMOGRAM ABNORMAL"	"10010235"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"FEELING ABNORMAL"	"10016322"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"FLANK PAIN"	"10016750"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"GAIT INABILITY"	"10017581"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"INTERNAL HAEMORRHAGE"	"10075192"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"PNEUMONITIS"	"10035742"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"PULMONARY OEDEMA"	"10037423"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"RESPIRATORY DISORDER"	"10038683"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1744676-1"	"1744676-1"	"TRANSFUSION"	"10066152"	"65-79 years"	"65-79"	""See continuation page o Jan 2018 Mom was diagnosed with stage 4 lung/brain/lymph node cancer o Feb 25th: Mom was brought to ER for a respiratory issue.  Full set of tests were done, nothing was found and she was sent home.  ER was happy she was going to see her primary the next day for follow up. o Feb 27th:  Mom woke up feeling ok, by afternoon she was too weak to walk and brought back to the ER.  Lungs shown with pneumonia and inflammation.  Mom was admitted to ICU that evening. o Feb 28th:  Mom seemed ok in ICU, but oxygen demands increased. o Mar 1st:  Mom was placed on bi-pap o Mar 2nd:  Mom was placed on vent o March 8th:  Mom fought back and was able to come off vent o March 12th:  Due to lack of rooms in ICU (from my understanding), Mom was moved to medical  o March 13th:  Mom expressed pain behind knee (maybe referred pain due to bleeding noted on the 14th) o March 14th:  Mom had severe side pain, blood work indicated potential internal bleed.  Hours later a CT scan was done and confirmed bleeding.  Plan was to give her plasma and maybe other drugs to hopefully stop the bleed (that doesn't make complete sense to me, but I'm not a doctor).  Mom said she ""Felt like she was dying"".  The nurse said that given Mom's condition, it would be best that someone spend the night with her.  I relieved my sister around 8:30 that night.  Mom was receiving plasma and whole blood.  I asked the nurse if her blood pressure and pulse were monitored at the nurses station, she said no but she would come in every hour to check (note additional checks were done every 15 minutes  when a blood transfusion was started).  Mom's door was closed due to 4 other psych patients on the floor making a lot of noise, so I was the only one to hear alarms.  Mom was too weak and couldn't press the nurse button when her side pain increased after 10 pm.  I pushed the button for her, a couple minutes later a nurse came on the intercom wondering what Mom needed, and  what felt like 10 minutes later a nurse arrived.  Around 11:15 pain meds were administered but didn't have any impact initially.  I questioned whether Mom should be in the ICU given the internal bleed, pain, and number of units of blood/plasma she was receiving (in my mind she was critical enough not to be on a medical floor where there is a high patient to nurse count and no continuous monitoring of vitals).   o March 15th The on call doctor came in around 12:30 am, I think, after pain meds started to settle Mom.  His first words, which I felt were said in a stern way, were ""I hear you want your Mom moved to ICU"".  I expressed my concerns and that I was just trying to do what was best for Mom.  His voice softened and he said there is nothing more that ICU can do.  My impression was that he stated they would give more blood and if vitals drop, then move her to ICU.  Nurse came back in after the doctor left (note I felt the nurse did a great job that night) and said the doctor wanted her to discuss with me re-evaluating whether Mom should be a full code... It is very confusing since I felt the doctor was saying she was stable enough to stay on the medical floor, but then have the full code reconsidered at 1:00 in the morning by family...  I was in full tears after she left, didn't sleep, and said a few rosaries.  At 3:30 am Mom was moved to ICU.  By 6 or 7 am Mom had received 5 units of blood and 5 units of plasmas, which I believe is as much as the body can hold...   Around 7:15 am there was a clear indication on the monitor that Mom's blood pressure was dropping linearly over last hour.  Her breathing over night was 18 and normal, but increased to over 20 was very labored.  Her heart rate went from 90s to 114.  I walked over to ICU nurse with tears and there is a scary trend happening, do I need to call family in.  She stated that ""Mom is in the right place and no need to call family"".  But took no action to correct decline.  Her only action was to get zophrane (or similar drug) since Mom was nauseous.  It wasn't until after the doctor came in after 8:15 am that the decision was made to transport.  At that point family was allowed to come in 1 by 1.  It was also the same time that the snow storm started and Mom had to go by ambulance, which by time coordinating wass complete didn't happen until 11 am.  Mom was given blood pressure medication which helped initially, but by time Mom reached it we were told her blood pressure was 37/19.  It feels if action was taken over night, Mom could have been flown and the blood pressure might not have dropped that far.  Mom's procedure was successful to stop bleeding. o March 16th:  We were told that given the amount of fluid Mom's lungs were starting to fill with fluid again and given low blood pressure on arrival, her kidneys were shutting down.   o March 17th:  Mom was placed on hospice o March 18th:  Mom was brought home o March 26th:  Mom went peacefully to heaven""
	"1745253-1"	"1745253-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospice patient.  Died due to COVID-19. Was fully vaccinated."
	"1745253-1"	"1745253-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospice patient.  Died due to COVID-19. Was fully vaccinated."
	"1745292-1"	"1745292-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt. contracted COVID several months after receiving vaccine."
	"1753262-1"	"1753262-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"COVID infection. Specimen collected on 8/16/21. Patient died on 9/4/21."
	"1753262-1"	"1753262-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"COVID infection. Specimen collected on 8/16/21. Patient died on 9/4/21."
	"1753307-1"	"1753307-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"COVID infection. Specimen collected on 8/24/21 (per ED notes). Patient died on 09/13/21."
	"1753307-1"	"1753307-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"COVID infection. Specimen collected on 8/24/21 (per ED notes). Patient died on 09/13/21."
	"1753307-1"	"1753307-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"COVID infection. Specimen collected on 8/24/21 (per ED notes). Patient died on 09/13/21."
	"1753621-1"	"1753621-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization and death. Symptoms unknown"
	"1753662-1"	"1753662-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"RESIDENT CONTRACTED COVID-19 VIRUS AFTER BEING FULLY VACCINATED ON 9/24/21. RESIDENT PASSED FROM COVID-19 ON 9/28/21."
	"1753662-1"	"1753662-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"RESIDENT CONTRACTED COVID-19 VIRUS AFTER BEING FULLY VACCINATED ON 9/24/21. RESIDENT PASSED FROM COVID-19 ON 9/28/21."
	"1756641-1"	"1756641-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PT EXPIRED ON 09/22/2021"
	"1756674-1"	"1756674-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 09/26/2021"
	"1756876-1"	"1756876-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Received covid vaccine at another (unknown) location prior to admission to facility. experienced multiple falls with significant fractures (prior to facility admission), which put her in the hospital, then needing rehab. transferred to this facility, facility sent to the hospital r/t medical concerns on 09/05/2021, returned to the facility on 09/10/2021, tested positive for covid 19 on 09/17/2021.  was treated per facility APRN and MD, however, despite efforts, expired on 09/23/2021. Death is under investigation with health department for cause."
	"1756876-1"	"1756876-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Received covid vaccine at another (unknown) location prior to admission to facility. experienced multiple falls with significant fractures (prior to facility admission), which put her in the hospital, then needing rehab. transferred to this facility, facility sent to the hospital r/t medical concerns on 09/05/2021, returned to the facility on 09/10/2021, tested positive for covid 19 on 09/17/2021.  was treated per facility APRN and MD, however, despite efforts, expired on 09/23/2021. Death is under investigation with health department for cause."
	"1756876-1"	"1756876-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Received covid vaccine at another (unknown) location prior to admission to facility. experienced multiple falls with significant fractures (prior to facility admission), which put her in the hospital, then needing rehab. transferred to this facility, facility sent to the hospital r/t medical concerns on 09/05/2021, returned to the facility on 09/10/2021, tested positive for covid 19 on 09/17/2021.  was treated per facility APRN and MD, however, despite efforts, expired on 09/23/2021. Death is under investigation with health department for cause."
	"1756876-1"	"1756876-1"	"FRACTURE"	"10017076"	"65-79 years"	"65-79"	"Received covid vaccine at another (unknown) location prior to admission to facility. experienced multiple falls with significant fractures (prior to facility admission), which put her in the hospital, then needing rehab. transferred to this facility, facility sent to the hospital r/t medical concerns on 09/05/2021, returned to the facility on 09/10/2021, tested positive for covid 19 on 09/17/2021.  was treated per facility APRN and MD, however, despite efforts, expired on 09/23/2021. Death is under investigation with health department for cause."
	"1756876-1"	"1756876-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Received covid vaccine at another (unknown) location prior to admission to facility. experienced multiple falls with significant fractures (prior to facility admission), which put her in the hospital, then needing rehab. transferred to this facility, facility sent to the hospital r/t medical concerns on 09/05/2021, returned to the facility on 09/10/2021, tested positive for covid 19 on 09/17/2021.  was treated per facility APRN and MD, however, despite efforts, expired on 09/23/2021. Death is under investigation with health department for cause."
	"1757766-1"	"1757766-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"CHEST TUBE INSERTION"	"10050522"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"COMPUTERISED TOMOGRAM THORAX"	"10053875"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"EXTUBATION"	"10015894"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"INFECTION"	"10021789"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"PNEUMOTHORAX"	"10035759"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"PUPIL FIXED"	"10037515"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"RENAL CYST"	"10038423"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"SCAN WITH CONTRAST ABNORMAL"	"10062152"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1757766-1"	"1757766-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"Pt is a 68 yoM vaccinated for COVID and hx of HTN, HLD, gout who presents with worsening shortness of breath found to have acute hypoxic respiratory failure 2/2 COVID pneumonia, given rapid worsening started on dexamethasone, remdesevir and barcitinib. He was also found to have a LLE DVT and given worsening oxygenation, possible PE. Pulm, Nephrology were consulted. He eventually needed to be intubated and then developed a pneumothorax requiring a chest tube. He then developed septic shock from superimposed HAP, completed therapy for it and meanwhile went into ARF, initially stable on diuretics, but eventually required HD. Had initial decline in neurologic status with nonresponsive R. Pupil, but unable to perform head imaging d/t clinical instability.  Following another clinical decline on 9/26 where he was found to have another pneumothorax along with worsening s/s of infection. His family decided to make him comfort care at this point and plan to transition with terminal extubation and transfer to hospice scatterbed. He was terminally extubated and TOD was 9/28/21 0202."
	"1758997-1"	"1758997-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death."
	"1759576-1"	"1759576-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Death 7/26/2021. From Vital Records COD = ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 INFECTION. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: OBESITY UNKNOWN BUT SIGNIFICANT CARDIAC HISTORY.  place of death: HOSPITAL-INPATIENT, HEALTH SYSTEM; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: CERTIFIED NURSE ASSISTANT, NURSE ASSISTANT"
	"1759576-1"	"1759576-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Death 7/26/2021. From Vital Records COD = ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 INFECTION. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: OBESITY UNKNOWN BUT SIGNIFICANT CARDIAC HISTORY.  place of death: HOSPITAL-INPATIENT, HEALTH SYSTEM; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: CERTIFIED NURSE ASSISTANT, NURSE ASSISTANT"
	"1759576-1"	"1759576-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Death 7/26/2021. From Vital Records COD = ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 INFECTION. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: OBESITY UNKNOWN BUT SIGNIFICANT CARDIAC HISTORY.  place of death: HOSPITAL-INPATIENT, HEALTH SYSTEM; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: CERTIFIED NURSE ASSISTANT, NURSE ASSISTANT"
	"1759576-1"	"1759576-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Death 7/26/2021. From Vital Records COD = ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 INFECTION. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: OBESITY UNKNOWN BUT SIGNIFICANT CARDIAC HISTORY.  place of death: HOSPITAL-INPATIENT, HEALTH SYSTEM; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: CERTIFIED NURSE ASSISTANT, NURSE ASSISTANT"
	"1759576-1"	"1759576-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Death 7/26/2021. From Vital Records COD = ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 INFECTION. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: OBESITY UNKNOWN BUT SIGNIFICANT CARDIAC HISTORY.  place of death: HOSPITAL-INPATIENT, HEALTH SYSTEM; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: CERTIFIED NURSE ASSISTANT, NURSE ASSISTANT"
	"1759662-1"	"1759662-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Death 8/19/21. From Vital Records COD = CARDIOPULMONARY ARREST, COVID 19, END STAGE RENAL FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT,  HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: COMANPY"
	"1759662-1"	"1759662-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Death 8/19/21. From Vital Records COD = CARDIOPULMONARY ARREST, COVID 19, END STAGE RENAL FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT,  HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: COMANPY"
	"1759662-1"	"1759662-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Death 8/19/21. From Vital Records COD = CARDIOPULMONARY ARREST, COVID 19, END STAGE RENAL FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT,  HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: COMANPY"
	"1759662-1"	"1759662-1"	"END STAGE RENAL DISEASE"	"10077512"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Death 8/19/21. From Vital Records COD = CARDIOPULMONARY ARREST, COVID 19, END STAGE RENAL FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT,  HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: COMANPY"
	"1759662-1"	"1759662-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Death 8/19/21. From Vital Records COD = CARDIOPULMONARY ARREST, COVID 19, END STAGE RENAL FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT,  HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: COMANPY"
	"1759662-1"	"1759662-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Death 8/19/21. From Vital Records COD = CARDIOPULMONARY ARREST, COVID 19, END STAGE RENAL FAILURE. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT,  HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: COMANPY"
	"1759710-1"	"1759710-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/10/2021. Death 8/20/2021. From Vital Records COD = SEVERE HYPERKALEMIA, ACUTE RENAL FAILURE, ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 PNEUMONIA. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1759710-1"	"1759710-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/10/2021. Death 8/20/2021. From Vital Records COD = SEVERE HYPERKALEMIA, ACUTE RENAL FAILURE, ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 PNEUMONIA. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1759710-1"	"1759710-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/10/2021. Death 8/20/2021. From Vital Records COD = SEVERE HYPERKALEMIA, ACUTE RENAL FAILURE, ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 PNEUMONIA. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1759710-1"	"1759710-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/10/2021. Death 8/20/2021. From Vital Records COD = SEVERE HYPERKALEMIA, ACUTE RENAL FAILURE, ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 PNEUMONIA. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1759710-1"	"1759710-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/10/2021. Death 8/20/2021. From Vital Records COD = SEVERE HYPERKALEMIA, ACUTE RENAL FAILURE, ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 PNEUMONIA. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1759710-1"	"1759710-1"	"HYPERKALAEMIA"	"10020646"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/10/2021. Death 8/20/2021. From Vital Records COD = SEVERE HYPERKALEMIA, ACUTE RENAL FAILURE, ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 PNEUMONIA. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1759710-1"	"1759710-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/10/2021. Death 8/20/2021. From Vital Records COD = SEVERE HYPERKALEMIA, ACUTE RENAL FAILURE, ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 PNEUMONIA. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1759710-1"	"1759710-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/10/2021. Death 8/20/2021. From Vital Records COD = SEVERE HYPERKALEMIA, ACUTE RENAL FAILURE, ACUTE HYPOXIC RESPIRATORY FAILURE, COVID 19 PNEUMONIA. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT, HOSPITAL; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1760262-1"	"1760262-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"HAEMATOCHEZIA"	"10018836"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"OROPHARYNGEAL PAIN"	"10068319"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"RESPIRATORY TRACT CONGESTION"	"10052251"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1760262-1"	"1760262-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"9/18/2021 tested positive for COVID-19 via PCR; developed pneumonia, fever, chills, myalgia, sore throat, headache, cough, dyspnea, abdominal pain, congestion, bloody stool, weakness;"
	"1761871-1"	"1761871-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"pt admitted on 9/2 syncopy  and sob,  pt placed on cpap in er condition continued to worse, pt intubated  pt went into septic shock and expired on 9/12/21"
	"1761871-1"	"1761871-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"pt admitted on 9/2 syncopy  and sob,  pt placed on cpap in er condition continued to worse, pt intubated  pt went into septic shock and expired on 9/12/21"
	"1761871-1"	"1761871-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"pt admitted on 9/2 syncopy  and sob,  pt placed on cpap in er condition continued to worse, pt intubated  pt went into septic shock and expired on 9/12/21"
	"1761871-1"	"1761871-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"pt admitted on 9/2 syncopy  and sob,  pt placed on cpap in er condition continued to worse, pt intubated  pt went into septic shock and expired on 9/12/21"
	"1761871-1"	"1761871-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"pt admitted on 9/2 syncopy  and sob,  pt placed on cpap in er condition continued to worse, pt intubated  pt went into septic shock and expired on 9/12/21"
	"1761871-1"	"1761871-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"pt admitted on 9/2 syncopy  and sob,  pt placed on cpap in er condition continued to worse, pt intubated  pt went into septic shock and expired on 9/12/21"
	"1761871-1"	"1761871-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"pt admitted on 9/2 syncopy  and sob,  pt placed on cpap in er condition continued to worse, pt intubated  pt went into septic shock and expired on 9/12/21"
	"1761871-1"	"1761871-1"	"SYNCOPE"	"10042772"	"65-79 years"	"65-79"	"pt admitted on 9/2 syncopy  and sob,  pt placed on cpap in er condition continued to worse, pt intubated  pt went into septic shock and expired on 9/12/21"
	"1761992-1"	"1761992-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"COVID breakthrough and death related to illness."
	"1761992-1"	"1761992-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"COVID breakthrough and death related to illness."
	"1761992-1"	"1761992-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"COVID breakthrough and death related to illness."
	"1762030-1"	"1762030-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Illness and death related to COVID."
	"1762030-1"	"1762030-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Illness and death related to COVID."
	"1762030-1"	"1762030-1"	"ILLNESS"	"10080284"	"65-79 years"	"65-79"	"Illness and death related to COVID."
	"1762046-1"	"1762046-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"COVID illness and death."
	"1762046-1"	"1762046-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"COVID illness and death."
	"1763088-1"	"1763088-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient is fully vaccinated and later hospitalized and died a day later"
	"1763101-1"	"1763101-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of Covid related causes."
	"1763101-1"	"1763101-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of Covid related causes."
	"1763701-1"	"1763701-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes. Patient believes was exposed from husband"
	"1763701-1"	"1763701-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes. Patient believes was exposed from husband"
	"1763701-1"	"1763701-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes. Patient believes was exposed from husband"
	"1763702-1"	"1763702-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1763702-1"	"1763702-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1764619-1"	"1764619-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospitalized 3/24/2021 to 4/7/2021. Death 4/7/2021. From Records COD = SEPTIC SHOCK, COVID - 19. place of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occupation: HOMEMAKER, NONE"
	"1764619-1"	"1764619-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalized 3/24/2021 to 4/7/2021. Death 4/7/2021. From Records COD = SEPTIC SHOCK, COVID - 19. place of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occupation: HOMEMAKER, NONE"
	"1764619-1"	"1764619-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Hospitalized 3/24/2021 to 4/7/2021. Death 4/7/2021. From Records COD = SEPTIC SHOCK, COVID - 19. place of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occupation: HOMEMAKER, NONE"
	"1764619-1"	"1764619-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"Hospitalized 3/24/2021 to 4/7/2021. Death 4/7/2021. From Records COD = SEPTIC SHOCK, COVID - 19. place of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occupation: HOMEMAKER, NONE"
	"1764836-1"	"1764836-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"BECAME SYMPTOMATIC AND TESTED COVID POSITIVE 8/13/21. DIED 9/7/21"
	"1764836-1"	"1764836-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"BECAME SYMPTOMATIC AND TESTED COVID POSITIVE 8/13/21. DIED 9/7/21"
	"1764836-1"	"1764836-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"BECAME SYMPTOMATIC AND TESTED COVID POSITIVE 8/13/21. DIED 9/7/21"
	"1764836-1"	"1764836-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"BECAME SYMPTOMATIC AND TESTED COVID POSITIVE 8/13/21. DIED 9/7/21"
	"1764846-1"	"1764846-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"BIOPSY LUNG"	"10004794"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"LUNG NEOPLASM MALIGNANT"	"10058467"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"NASAL CONGESTION"	"10028735"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"OROPHARYNGEAL PAIN"	"10068319"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764846-1"	"1764846-1"	"TACHYPNOEA"	"10043089"	"65-79 years"	"65-79"	"Fever, Runny Nose/Congestion, Sore Throat, Cough  recent diagnosis of lung cancer on the left side.  He had a left lung biopsy yesterday.  Last night he developed shortness of breath.  He is very dyspneic.  He normally is on oxygen from 2-4 L. On 4 L he was in the mid 70s on EMS arrival.  They placed him on oxygen but his oxygen status was still low and he was tachypneic.  He was placed on CPAP with improvement.  He also received steroid, Solu-Medrol as well as breathing treatments.  No chest pain.  No abdominal pain.  No nausea vomiting.  No fever.  patient reports having his 2nd dose of COVID vaccine 2 weeks ago  In ER, patient was noted to be in AFib with RVR.  The per patient and wife was at bedside, he does not have any history of atrial fibrillation. Death on 3/31/2021"
	"1764856-1"	"1764856-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt died after contracting COVID-19 in early August 2021."
	"1764856-1"	"1764856-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt died after contracting COVID-19 in early August 2021."
	"1767140-1"	"1767140-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and hospitalized. Died about 20 days later due to Covid related causes"
	"1767140-1"	"1767140-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and hospitalized. Died about 20 days later due to Covid related causes"
	"1767987-1"	"1767987-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Breakthrough  COVID-19 case with symptom onset 8/22/2021: Shortness of breath/difficulty breathing. Hospitalized 8/25/2021-9/7/2021. Death 9/7/2021. Acute respiratory failure due to Covid-19"
	"1767987-1"	"1767987-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough  COVID-19 case with symptom onset 8/22/2021: Shortness of breath/difficulty breathing. Hospitalized 8/25/2021-9/7/2021. Death 9/7/2021. Acute respiratory failure due to Covid-19"
	"1767987-1"	"1767987-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough  COVID-19 case with symptom onset 8/22/2021: Shortness of breath/difficulty breathing. Hospitalized 8/25/2021-9/7/2021. Death 9/7/2021. Acute respiratory failure due to Covid-19"
	"1767987-1"	"1767987-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Breakthrough  COVID-19 case with symptom onset 8/22/2021: Shortness of breath/difficulty breathing. Hospitalized 8/25/2021-9/7/2021. Death 9/7/2021. Acute respiratory failure due to Covid-19"
	"1767987-1"	"1767987-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough  COVID-19 case with symptom onset 8/22/2021: Shortness of breath/difficulty breathing. Hospitalized 8/25/2021-9/7/2021. Death 9/7/2021. Acute respiratory failure due to Covid-19"
	"1767987-1"	"1767987-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough  COVID-19 case with symptom onset 8/22/2021: Shortness of breath/difficulty breathing. Hospitalized 8/25/2021-9/7/2021. Death 9/7/2021. Acute respiratory failure due to Covid-19"
	"1768064-1"	"1768064-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/23/2021. Death 8/26/2021."
	"1768064-1"	"1768064-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/23/2021. Death 8/26/2021."
	"1768064-1"	"1768064-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/23/2021. Death 8/26/2021."
	"1768064-1"	"1768064-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/23/2021. Death 8/26/2021."
	"1768110-1"	"1768110-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Developed COVID and had to be put on a ventilator. Symptoms were: runny nose, headache, shortness of breath, nausea, vomiting, diarrhea, and congestion."
	"1768110-1"	"1768110-1"	"DIARRHOEA"	"10012735"	"65-79 years"	"65-79"	"Developed COVID and had to be put on a ventilator. Symptoms were: runny nose, headache, shortness of breath, nausea, vomiting, diarrhea, and congestion."
	"1768110-1"	"1768110-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Developed COVID and had to be put on a ventilator. Symptoms were: runny nose, headache, shortness of breath, nausea, vomiting, diarrhea, and congestion."
	"1768110-1"	"1768110-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"Developed COVID and had to be put on a ventilator. Symptoms were: runny nose, headache, shortness of breath, nausea, vomiting, diarrhea, and congestion."
	"1768110-1"	"1768110-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Developed COVID and had to be put on a ventilator. Symptoms were: runny nose, headache, shortness of breath, nausea, vomiting, diarrhea, and congestion."
	"1768110-1"	"1768110-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	"Developed COVID and had to be put on a ventilator. Symptoms were: runny nose, headache, shortness of breath, nausea, vomiting, diarrhea, and congestion."
	"1768110-1"	"1768110-1"	"RESPIRATORY TRACT CONGESTION"	"10052251"	"65-79 years"	"65-79"	"Developed COVID and had to be put on a ventilator. Symptoms were: runny nose, headache, shortness of breath, nausea, vomiting, diarrhea, and congestion."
	"1768110-1"	"1768110-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"Developed COVID and had to be put on a ventilator. Symptoms were: runny nose, headache, shortness of breath, nausea, vomiting, diarrhea, and congestion."
	"1768110-1"	"1768110-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Developed COVID and had to be put on a ventilator. Symptoms were: runny nose, headache, shortness of breath, nausea, vomiting, diarrhea, and congestion."
	"1768110-1"	"1768110-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Developed COVID and had to be put on a ventilator. Symptoms were: runny nose, headache, shortness of breath, nausea, vomiting, diarrhea, and congestion."
	"1768160-1"	"1768160-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Aches, Runny Nose/Congestion, Cough Death due to COVID-19 complications"
	"1768160-1"	"1768160-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Aches, Runny Nose/Congestion, Cough Death due to COVID-19 complications"
	"1768160-1"	"1768160-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Aches, Runny Nose/Congestion, Cough Death due to COVID-19 complications"
	"1768160-1"	"1768160-1"	"PAIN"	"10033371"	"65-79 years"	"65-79"	"Aches, Runny Nose/Congestion, Cough Death due to COVID-19 complications"
	"1768160-1"	"1768160-1"	"RESPIRATORY TRACT CONGESTION"	"10052251"	"65-79 years"	"65-79"	"Aches, Runny Nose/Congestion, Cough Death due to COVID-19 complications"
	"1768160-1"	"1768160-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	"Aches, Runny Nose/Congestion, Cough Death due to COVID-19 complications"
	"1768179-1"	"1768179-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalized 8/27/2021 for unknown duration. Death 9/19/2021. From Vital Records = COVID-19. Per vital records, Not yet coded ; Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT, certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: MECHANIC, SALES"
	"1768179-1"	"1768179-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalized 8/27/2021 for unknown duration. Death 9/19/2021. From Vital Records = COVID-19. Per vital records, Not yet coded ; Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT, certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: MECHANIC, SALES"
	"1768179-1"	"1768179-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalized 8/27/2021 for unknown duration. Death 9/19/2021. From Vital Records = COVID-19. Per vital records, Not yet coded ; Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT, certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: MECHANIC, SALES"
	"1768179-1"	"1768179-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalized 8/27/2021 for unknown duration. Death 9/19/2021. From Vital Records = COVID-19. Per vital records, Not yet coded ; Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT, certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: MECHANIC, SALES"
	"1768179-1"	"1768179-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Shortness of breath/difficulty breathing. Hospitalized 8/27/2021 for unknown duration. Death 9/19/2021. From Vital Records = COVID-19. Per vital records, Not yet coded ; Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT, certified by: PRONOUNCING AND CERTIFYING PHYSICIAN; occ/ind: MECHANIC, SALES"
	"1768259-1"	"1768259-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom onset date: altered mental status. Hospitalized 8/24/2021-8/25/2021. Death 8/25/2021. Per medical records, patient presented to ER with altered mental status. Patient was emergently intubated and was admitted to ICU. Patient's previous medical history and symptoms were unable to be obtained due to patient's clinical condition. Per patient's husband, she was recently released from hospital and had recently had COVID-19. Patient expired on 08/25/2021. Vital records data not available yet."
	"1768259-1"	"1768259-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom onset date: altered mental status. Hospitalized 8/24/2021-8/25/2021. Death 8/25/2021. Per medical records, patient presented to ER with altered mental status. Patient was emergently intubated and was admitted to ICU. Patient's previous medical history and symptoms were unable to be obtained due to patient's clinical condition. Per patient's husband, she was recently released from hospital and had recently had COVID-19. Patient expired on 08/25/2021. Vital records data not available yet."
	"1768259-1"	"1768259-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom onset date: altered mental status. Hospitalized 8/24/2021-8/25/2021. Death 8/25/2021. Per medical records, patient presented to ER with altered mental status. Patient was emergently intubated and was admitted to ICU. Patient's previous medical history and symptoms were unable to be obtained due to patient's clinical condition. Per patient's husband, she was recently released from hospital and had recently had COVID-19. Patient expired on 08/25/2021. Vital records data not available yet."
	"1768259-1"	"1768259-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom onset date: altered mental status. Hospitalized 8/24/2021-8/25/2021. Death 8/25/2021. Per medical records, patient presented to ER with altered mental status. Patient was emergently intubated and was admitted to ICU. Patient's previous medical history and symptoms were unable to be obtained due to patient's clinical condition. Per patient's husband, she was recently released from hospital and had recently had COVID-19. Patient expired on 08/25/2021. Vital records data not available yet."
	"1768259-1"	"1768259-1"	"MENTAL STATUS CHANGES"	"10048294"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom onset date: altered mental status. Hospitalized 8/24/2021-8/25/2021. Death 8/25/2021. Per medical records, patient presented to ER with altered mental status. Patient was emergently intubated and was admitted to ICU. Patient's previous medical history and symptoms were unable to be obtained due to patient's clinical condition. Per patient's husband, she was recently released from hospital and had recently had COVID-19. Patient expired on 08/25/2021. Vital records data not available yet."
	"1768259-1"	"1768259-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom onset date: altered mental status. Hospitalized 8/24/2021-8/25/2021. Death 8/25/2021. Per medical records, patient presented to ER with altered mental status. Patient was emergently intubated and was admitted to ICU. Patient's previous medical history and symptoms were unable to be obtained due to patient's clinical condition. Per patient's husband, she was recently released from hospital and had recently had COVID-19. Patient expired on 08/25/2021. Vital records data not available yet."
	"1768259-1"	"1768259-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom onset date: altered mental status. Hospitalized 8/24/2021-8/25/2021. Death 8/25/2021. Per medical records, patient presented to ER with altered mental status. Patient was emergently intubated and was admitted to ICU. Patient's previous medical history and symptoms were unable to be obtained due to patient's clinical condition. Per patient's husband, she was recently released from hospital and had recently had COVID-19. Patient expired on 08/25/2021. Vital records data not available yet."
	"1768522-1"	"1768522-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"HYPOXIC RESPIRATORY FAILURE COVID-19, SEPSIS COVID-19, PNEUMONIA COVID-19"
	"1768522-1"	"1768522-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"HYPOXIC RESPIRATORY FAILURE COVID-19, SEPSIS COVID-19, PNEUMONIA COVID-19"
	"1768522-1"	"1768522-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"HYPOXIC RESPIRATORY FAILURE COVID-19, SEPSIS COVID-19, PNEUMONIA COVID-19"
	"1768522-1"	"1768522-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"HYPOXIC RESPIRATORY FAILURE COVID-19, SEPSIS COVID-19, PNEUMONIA COVID-19"
	"1768718-1"	"1768718-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalization and Death"
	"1771747-1"	"1771747-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"NA"
	"1771747-1"	"1771747-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"NA"
	"1771748-1"	"1771748-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/25/2021-8/29/2021. Death 8/29/2021. From Vital Records COD = RESPIRATORY FAILURE, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT; certified, PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1771748-1"	"1771748-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/25/2021-8/29/2021. Death 8/29/2021. From Vital Records COD = RESPIRATORY FAILURE, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT; certified, PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1771748-1"	"1771748-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/25/2021-8/29/2021. Death 8/29/2021. From Vital Records COD = RESPIRATORY FAILURE, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT; certified, PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1771748-1"	"1771748-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/25/2021-8/29/2021. Death 8/29/2021. From Vital Records COD = RESPIRATORY FAILURE, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT; certified, PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1771748-1"	"1771748-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/25/2021-8/29/2021. Death 8/29/2021. From Vital Records COD = RESPIRATORY FAILURE, COVID-19. Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: None listed. place of death: HOSPITAL-INPATIENT; certified, PRONOUNCING AND CERTIFYING PHYSICIAN."
	"1771763-1"	"1771763-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Fever, Cough. Hospitalized 8/20/2021. Death 8/27/2021. From Records COD = CARDIORESPIRATORY ARREST, COVID-19 VIRAL PNEUMONIA. Per records, Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: COOK, FOOD"
	"1771763-1"	"1771763-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Fever, Cough. Hospitalized 8/20/2021. Death 8/27/2021. From Records COD = CARDIORESPIRATORY ARREST, COVID-19 VIRAL PNEUMONIA. Per records, Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: COOK, FOOD"
	"1771763-1"	"1771763-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Fever, Cough. Hospitalized 8/20/2021. Death 8/27/2021. From Records COD = CARDIORESPIRATORY ARREST, COVID-19 VIRAL PNEUMONIA. Per records, Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: COOK, FOOD"
	"1771763-1"	"1771763-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Fever, Cough. Hospitalized 8/20/2021. Death 8/27/2021. From Records COD = CARDIORESPIRATORY ARREST, COVID-19 VIRAL PNEUMONIA. Per records, Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: COOK, FOOD"
	"1771763-1"	"1771763-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Fever, Cough. Hospitalized 8/20/2021. Death 8/27/2021. From Records COD = CARDIORESPIRATORY ARREST, COVID-19 VIRAL PNEUMONIA. Per records, Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: COOK, FOOD"
	"1771763-1"	"1771763-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Fever, Cough. Hospitalized 8/20/2021. Death 8/27/2021. From Records COD = CARDIORESPIRATORY ARREST, COVID-19 VIRAL PNEUMONIA. Per records, Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: COOK, FOOD"
	"1771763-1"	"1771763-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Fever, Cough. Hospitalized 8/20/2021. Death 8/27/2021. From Records COD = CARDIORESPIRATORY ARREST, COVID-19 VIRAL PNEUMONIA. Per records, Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: COOK, FOOD"
	"1771763-1"	"1771763-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with symptom onset 8/24/2021: Fever, Cough. Hospitalized 8/20/2021. Death 8/27/2021. From Records COD = CARDIORESPIRATORY ARREST, COVID-19 VIRAL PNEUMONIA. Per records, Other Significant Conditions include: None listed. lace of death: HOSPITAL-INPATIENT; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: COOK, FOOD"
	"1771765-1"	"1771765-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"CARDIAC FAILURE CONGESTIVE"	"10007559"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"CARDIOMEGALY"	"10007632"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"CHRONIC KIDNEY DISEASE"	"10064848"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"DIALYSIS"	"10061105"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"HYPERLIPIDAEMIA"	"10062060"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"HYPERTENSION"	"10020772"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"HYPERVOLAEMIA"	"10020919"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"PULMONARY OEDEMA"	"10037423"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771765-1"	"1771765-1"	"TYPE 2 DIABETES MELLITUS"	"10067585"	"65-79 years"	"65-79"	"Patient tested positive for C19 on 09/12/2021. Pt was admitted to the hospital on 09/12/2021 and required intubation and immediate dialysis. Patient had an admitting diagnosis of acute hypoxemic respiratory failure: secondary to volume overload and C19 infection; C19 infection with Hypoxia, suspected pneumonia, acute on chronic kidney disease stage IV; pulmonary edema/volume overload due to congestive heart failure vs. worsening renal failure; acute on chronic congestive heart failure; cardiomegaly; hypertension; hyperlipidemia; diabetes type 2; atrial fibrillation in a controlled rate. Patient was intubated for 13 days before passing away."
	"1771861-1"	"1771861-1"	"ACTIVATED PARTIAL THROMBOPLASTIN TIME SHORTENED"	"10000637"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"ASCITES"	"10003445"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"BLOOD CULTURE NEGATIVE"	"10005486"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"BLOOD FIBRINOGEN DECREASED"	"10005520"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"CHRONIC HEPATITIS C"	"10008912"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"CULTURE URINE NEGATIVE"	"10011639"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"DECREASED APPETITE"	"10061428"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"EJECTION FRACTION DECREASED"	"10050528"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"HEPATIC CIRRHOSIS"	"10019641"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"HEPATITIS C VIRUS TEST POSITIVE"	"10070218"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"INTERNATIONAL NORMALISED RATIO INCREASED"	"10022595"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"PLATELET COUNT DECREASED"	"10035528"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"PLATELET TRANSFUSION"	"10035543"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"PLEURAL EFFUSION"	"10035598"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"PROTHROMBIN TIME PROLONGED"	"10037063"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771861-1"	"1771861-1"	"WHITE BLOOD CELL COUNT DECREASED"	"10047942"	"65-79 years"	"65-79"	"Chart review showed he received 2 Moderna COVID-19 mRNA vaccines on 7/20/21 and 8/17/21. Wife called PCP on 8/19/21 to report that he had developed loss of appetite and fatigue and appeared ill. PCP recommended ED eval, but pt did not go until 9/29.  At that time he was found to have profound thrombocytopenia with platelets of 18000 and wbc 2700.  Previous CBC on 7/21/21 showed wbc 6200 and platelets 150,000.  INR initially 1.7 (9/29) then increased to 2.8 (10/3).  PT 18 -- >27, PTT 45-- >62, Fibrinogen 110 then decreased to <80 mg/dl. Blood and urine cultures did not show any growth.  CT C/A/P showed airspace opacities LLL/RUL/RLL and moderate right pleural effusion, hepatic cirrhosis, large ascites, NORMAL spleen. He was started on broad spectrum abx.  ALso started on high dose dexamethasone per hem/onc for possible ITP.  He received multiple platelet transfusions. He had chronic hep C, mRNA load 1209 mIU/mL. He developed hypotension refractory to IVF and had to be transferred to the ICU on 10/3/21 and subsequently passed on 10/4/21."
	"1771931-1"	"1771931-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/26/2021-8/31/2021. Death 8/31/2021. Vital Records data not available yet."
	"1771931-1"	"1771931-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/26/2021-8/31/2021. Death 8/31/2021. Vital Records data not available yet."
	"1771931-1"	"1771931-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/26/2021-8/31/2021. Death 8/31/2021. Vital Records data not available yet."
	"1771931-1"	"1771931-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/26/2021-8/31/2021. Death 8/31/2021. Vital Records data not available yet."
	"1772014-1"	"1772014-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021."
	"1772014-1"	"1772014-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021."
	"1772014-1"	"1772014-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021."
	"1772014-1"	"1772014-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021."
	"1772014-1"	"1772014-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021."
	"1772014-1"	"1772014-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021."
	"1772014-1"	"1772014-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021."
	"1772014-1"	"1772014-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021."
	"1772014-1"	"1772014-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021."
	"1772180-1"	"1772180-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/25/2021-9/16/2021. Death 9/16/2021. Vital records data not available yet."
	"1772180-1"	"1772180-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/25/2021-9/16/2021. Death 9/16/2021. Vital records data not available yet."
	"1772180-1"	"1772180-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/25/2021-9/16/2021. Death 9/16/2021. Vital records data not available yet."
	"1772180-1"	"1772180-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough COVID-19 case with unknown symptom status. Hospitalized 8/25/2021-9/16/2021. Death 9/16/2021. Vital records data not available yet."
	"1774923-1"	"1774923-1"	"ACUTE KIDNEY INJURY"	"10069339"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"ANGIOGRAM PULMONARY NORMAL"	"10002442"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"ANTICOAGULANT THERAPY"	"10053468"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"DIALYSIS"	"10061105"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"ELECTROLYTE IMBALANCE"	"10014418"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"LIVEDO RETICULARIS"	"10024648"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"PERIPHERAL COLDNESS"	"10034568"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"PERIPHERAL ISCHAEMIA"	"10034576"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"PLATELET COUNT DECREASED"	"10035528"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"PNEUMONIA BACTERIAL"	"10060946"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"THROMBOCYTOPENIA"	"10043554"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1774923-1"	"1774923-1"	"THROMBOSIS"	"10043607"	"65-79 years"	"65-79"	"Patient was admitted due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Additionally was found to have bacterial pneumonia started on cefepime and Zithromax.  He was started on remsedivir along with Decadron.  CTA was negative for pulmonary embolism.  A few days into hospitalization the patient developed acute kidney injury nephrology was consulted felt it was likely secondary to thrombus.  The patient also developed bilateral foot ischemia surgery is consulted and recommended continuation of anticoagulation.  Surgery is consulted for line placement as the patient's renal failure progressed to needing dialysis with electrolyte abnormality and the patient's warfarin was reversed.  The following day the patient developed severe thrombocytopenia with platelet count and in the 30s thus further anticoagulation was held and hematology was consulted.  The patient's lower extremity ischemia progressed and his extremities were cold mottled from the knee down.  Multiple conversations were had with the patient and family and yesterday they decided given his overall poor prognosis and worsening condition the patient his family decided to cease aggressive care efforts and requested comfort measures.  The patient passed away today with family at bedside."
	"1775475-1"	"1775475-1"	"BREATH SOUNDS ABNORMAL"	"10064780"	"65-79 years"	"65-79"	"Signee called to resident''s room. Upon entering room resident noted lying on his left side. Skin noted to be warm to touch. Eyes open and fixed. Absent movement of chest noted. Heart and lungs sounds auscultated and noted to be absent. Absent vital signs. Resident assessed by signee. Time of death- 1:52pm. Call placed to Dr. New order received to release body to funeral home of choice. Call placed to on-call guardianship office. Call placed to resident''s son. No answer and signee un-able to leave message due to mailbox being full. Number for resident''s daughter-in-law listed but not a working number. No funeral home is listed with facility or guardianship office. Will continue to keep calling resident''s son. Awaiting returned call."
	"1775475-1"	"1775475-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Signee called to resident''s room. Upon entering room resident noted lying on his left side. Skin noted to be warm to touch. Eyes open and fixed. Absent movement of chest noted. Heart and lungs sounds auscultated and noted to be absent. Absent vital signs. Resident assessed by signee. Time of death- 1:52pm. Call placed to Dr. New order received to release body to funeral home of choice. Call placed to on-call guardianship office. Call placed to resident''s son. No answer and signee un-able to leave message due to mailbox being full. Number for resident''s daughter-in-law listed but not a working number. No funeral home is listed with facility or guardianship office. Will continue to keep calling resident''s son. Awaiting returned call."
	"1775475-1"	"1775475-1"	"HEART SOUNDS ABNORMAL"	"10019311"	"65-79 years"	"65-79"	"Signee called to resident''s room. Upon entering room resident noted lying on his left side. Skin noted to be warm to touch. Eyes open and fixed. Absent movement of chest noted. Heart and lungs sounds auscultated and noted to be absent. Absent vital signs. Resident assessed by signee. Time of death- 1:52pm. Call placed to Dr. New order received to release body to funeral home of choice. Call placed to on-call guardianship office. Call placed to resident''s son. No answer and signee un-able to leave message due to mailbox being full. Number for resident''s daughter-in-law listed but not a working number. No funeral home is listed with facility or guardianship office. Will continue to keep calling resident''s son. Awaiting returned call."
	"1775475-1"	"1775475-1"	"PUPIL FIXED"	"10037515"	"65-79 years"	"65-79"	"Signee called to resident''s room. Upon entering room resident noted lying on his left side. Skin noted to be warm to touch. Eyes open and fixed. Absent movement of chest noted. Heart and lungs sounds auscultated and noted to be absent. Absent vital signs. Resident assessed by signee. Time of death- 1:52pm. Call placed to Dr. New order received to release body to funeral home of choice. Call placed to on-call guardianship office. Call placed to resident''s son. No answer and signee un-able to leave message due to mailbox being full. Number for resident''s daughter-in-law listed but not a working number. No funeral home is listed with facility or guardianship office. Will continue to keep calling resident''s son. Awaiting returned call."
	"1775475-1"	"1775475-1"	"SKIN WARM"	"10040952"	"65-79 years"	"65-79"	"Signee called to resident''s room. Upon entering room resident noted lying on his left side. Skin noted to be warm to touch. Eyes open and fixed. Absent movement of chest noted. Heart and lungs sounds auscultated and noted to be absent. Absent vital signs. Resident assessed by signee. Time of death- 1:52pm. Call placed to Dr. New order received to release body to funeral home of choice. Call placed to on-call guardianship office. Call placed to resident''s son. No answer and signee un-able to leave message due to mailbox being full. Number for resident''s daughter-in-law listed but not a working number. No funeral home is listed with facility or guardianship office. Will continue to keep calling resident''s son. Awaiting returned call."
	"1776391-1"	"1776391-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"DEVELOPED SYMPTOMS AND TESTING POSITVE FOR COVID19 10/4/21"
	"1776391-1"	"1776391-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"DEVELOPED SYMPTOMS AND TESTING POSITVE FOR COVID19 10/4/21"
	"1776391-1"	"1776391-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"DEVELOPED SYMPTOMS AND TESTING POSITVE FOR COVID19 10/4/21"
	"1776894-1"	"1776894-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"I received a call from patient's daughter who was upset he received the COVID booster on  Monday October 4, 2021 and died of a MI on October 6, 2021.   I am not sure where he received the booster or where he received it."
	"1778769-1"	"1778769-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient Contracted COVID-19  Patient Died from COVID-19 on 10/09/2021"
	"1778769-1"	"1778769-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient Contracted COVID-19  Patient Died from COVID-19 on 10/09/2021"
	"1778769-1"	"1778769-1"	"SARS-COV-2 TEST"	"10084354"	"65-79 years"	"65-79"	"Patient Contracted COVID-19  Patient Died from COVID-19 on 10/09/2021"
	"1779294-1"	"1779294-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"BREAKTHROUGH INFECTION"
	"1779294-1"	"1779294-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"BREAKTHROUGH INFECTION"
	"1779294-1"	"1779294-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"BREAKTHROUGH INFECTION"
	"1782231-1"	"1782231-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient was hospitalized. Patient died due to COVID-19. Patient was fully vaccinated."
	"1782231-1"	"1782231-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was hospitalized. Patient died due to COVID-19. Patient was fully vaccinated."
	"1782569-1"	"1782569-1"	"COMPUTERISED TOMOGRAM"	"10010234"	"65-79 years"	"65-79"	"On September 2nd of 2021 patient died."
	"1782569-1"	"1782569-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"On September 2nd of 2021 patient died."
	"1782569-1"	"1782569-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"On September 2nd of 2021 patient died."
	"1782569-1"	"1782569-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"On September 2nd of 2021 patient died."
	"1783008-1"	"1783008-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient died due to COVID-19. Patient was fully vaccinated."
	"1783008-1"	"1783008-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died due to COVID-19. Patient was fully vaccinated."
	"1783028-1"	"1783028-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1783028-1"	"1783028-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1783798-1"	"1783798-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1783798-1"	"1783798-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1783814-1"	"1783814-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and hospitalized. Later died due to Covid related causes"
	"1783814-1"	"1783814-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and hospitalized. Later died due to Covid related causes"
	"1783819-1"	"1783819-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1783819-1"	"1783819-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1783820-1"	"1783820-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes."
	"1783820-1"	"1783820-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes."
	"1784824-1"	"1784824-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient died due to COVID-19. Patient was fully vaccinated."
	"1784824-1"	"1784824-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient died due to COVID-19. Patient was fully vaccinated."
	"1784918-1"	"1784918-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of Covid related causes"
	"1784918-1"	"1784918-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died of Covid related causes"
	"1784983-1"	"1784983-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospitalized twice: 8/23-9/7 and 9/20-9/28. Patient died due to COVID-19. Patient was fully vaccinated."
	"1784983-1"	"1784983-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospitalized twice: 8/23-9/7 and 9/20-9/28. Patient died due to COVID-19. Patient was fully vaccinated."
	"1785065-1"	"1785065-1"	"ABDOMINAL PAIN UPPER"	"10000087"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"AGITATION"	"10001497"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"BACTERIAL INFECTION"	"10060945"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"BLOOD SODIUM DECREASED"	"10005802"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"BRAIN NATRIURETIC PEPTIDE NORMAL"	"10053409"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"CHEST X-RAY NORMAL"	"10008500"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"CONSTIPATION"	"10010774"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"FULL BLOOD COUNT ABNORMAL"	"10017412"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"LEUKOCYTOSIS"	"10024378"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"LIFE SUPPORT"	"10024447"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"LIPASE NORMAL"	"10024575"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"NAUSEA"	"10028813"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"POLYURIA"	"10036142"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"SUPERINFECTION"	"10042566"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"TROPONIN NORMAL"	"10071322"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785065-1"	"1785065-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	""From H&P: ""Patient is a  72 y.o. male who presented to the emergency department due to shortness of breath.  According the patient symptoms started after he was diagnosed with Covid 19 on 9/29.  Reports initially was mild shortness of breath but progressed to severe thus presented to the emergency department for evaluation.  The patient reports symptoms were associated with mild epigastric pain and nausea.  Reports constipation.  Denies chest pain, fever, chills, hemoptysis, lower extremity edema, orthopnea.  Evaluation emergency department included chest x-ray which was negative.  CBC revealed mild leukocytosis with white count 12.7.  Sodium is 131. Lipase was normal.  BNP was normal in trop was negative.  With ambulation the patient required 2 L nasal cannula thus admission was requested.  Upon evaluation patient continues report shortness of breath.  He continues to deny pertinent negatives outlined above.  Does not appear to be in acute distress.""   Hospital Course: The patient was admitted to Hospital COVID-19 medical unit for hypoxic respiratory failure secondary to COVID-19 viral pneumonia on 10/04/2021.  He reportedly received the Jansen vaccine, single dose March 2021. Upon admission he was started on dexamethasone, Remdesivir and therapeutic Lovenox.  Patient was diuresed as needed throughout hospital stay and pulmonary was consulted.  Unfortunately the patient continued to have increased oxygen requirements and worsening respiratory distress requiring heated high-flow nasal cannula and was transferred to the ICU on 10/12/2021 and placed on AVAPS.  Patient was started on a Precedex drip for agitation also started on broad-spectrum antibiotics as superimposed bacterial infection cannot be ruled out.    Morning of 10/13/2021 code blue was called, CPR was started immediately and patient was intubated. Several rounds of ACLS were performed and patient was also given bicarb, calcium and dextrose. Unfortunately patient remained asystole or PEA and the code was eventually called. Time of death 0640 October 13th, 2021.    Disposition: Deceased""
	"1785167-1"	"1785167-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Was admitted 9/28/2021 to 10/1/2021 received 3 doses of Remdesivir. Pt was readmitted 10/6/2021 where he progressively worsened, pt was in ICU. Pt then put into hospice care and passed away 10/12/2021 at 1949"
	"1785167-1"	"1785167-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Was admitted 9/28/2021 to 10/1/2021 received 3 doses of Remdesivir. Pt was readmitted 10/6/2021 where he progressively worsened, pt was in ICU. Pt then put into hospice care and passed away 10/12/2021 at 1949"
	"1785167-1"	"1785167-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Was admitted 9/28/2021 to 10/1/2021 received 3 doses of Remdesivir. Pt was readmitted 10/6/2021 where he progressively worsened, pt was in ICU. Pt then put into hospice care and passed away 10/12/2021 at 1949"
	"1785182-1"	"1785182-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt died after testing positive for COVID-19 on 9/2/2021"
	"1785182-1"	"1785182-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt died after testing positive for COVID-19 on 9/2/2021"
	"1785182-1"	"1785182-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Pt died after testing positive for COVID-19 on 9/2/2021"
	"1785200-1"	"1785200-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"BECAME SYMPTOMATIC. EXPERIENCED RESPIRATORY FAILURE AND COVID19 PNEUMONIA. DIED 9/17"
	"1785200-1"	"1785200-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"BECAME SYMPTOMATIC. EXPERIENCED RESPIRATORY FAILURE AND COVID19 PNEUMONIA. DIED 9/17"
	"1785200-1"	"1785200-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"BECAME SYMPTOMATIC. EXPERIENCED RESPIRATORY FAILURE AND COVID19 PNEUMONIA. DIED 9/17"
	"1785200-1"	"1785200-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"BECAME SYMPTOMATIC. EXPERIENCED RESPIRATORY FAILURE AND COVID19 PNEUMONIA. DIED 9/17"
	"1785212-1"	"1785212-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient was hospitalized. Patient died due to COVID-19. Patient was fully vaccinated."
	"1785212-1"	"1785212-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was hospitalized. Patient died due to COVID-19. Patient was fully vaccinated."
	"1785213-1"	"1785213-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt died after being diagnosed with COVID-19 on Sep 29, 2021"
	"1785213-1"	"1785213-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt died after being diagnosed with COVID-19 on Sep 29, 2021"
	"1786697-1"	"1786697-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1786697-1"	"1786697-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1787045-1"	"1787045-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1787045-1"	"1787045-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient fully vaccinated and died due to Covid related causes"
	"1787943-1"	"1787943-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"DIAGNOSED WITH COVID 10/3/2021; CARDIAC ARREST AND DIED 10/6/2021 FROM COVID COMPLICATIONS"
	"1787943-1"	"1787943-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"DIAGNOSED WITH COVID 10/3/2021; CARDIAC ARREST AND DIED 10/6/2021 FROM COVID COMPLICATIONS"
	"1787943-1"	"1787943-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DIAGNOSED WITH COVID 10/3/2021; CARDIAC ARREST AND DIED 10/6/2021 FROM COVID COMPLICATIONS"
	"1793925-1"	"1793925-1"	"COMMUNICATION DISORDER"	"10061046"	"65-79 years"	"65-79"	"Confused and not able to communicate, never clear thinking again"
	"1793925-1"	"1793925-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"Confused and not able to communicate, never clear thinking again"
	"1793925-1"	"1793925-1"	"MENTAL IMPAIRMENT"	"10027374"	"65-79 years"	"65-79"	"Confused and not able to communicate, never clear thinking again"
	"1794887-1"	"1794887-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 10/06/2021"
	"1795535-1"	"1795535-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt admitted to Hospital with COVID symptoms. She was placed on the medical covid floor requiring supplemental oxygen. She did receive IV steroids. Remdesivir contraindicated d/t poor renal function. Pt did continue to decline with increasing oxygen requirements. She was eventually transferred to ICU for close monitoring, precedex infusion and BIPAP. Pt did began to tire and did require incubation, Pt continue to Decline. She required vaspressor support and throughout the night required maximum doses of three different medications. Family arrived to discuss goal of care. They did decide to transition to comfort measures. Pt passed with family at bedside TOD 1427 on 10/17/2021"
	"1795535-1"	"1795535-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Pt admitted to Hospital with COVID symptoms. She was placed on the medical covid floor requiring supplemental oxygen. She did receive IV steroids. Remdesivir contraindicated d/t poor renal function. Pt did continue to decline with increasing oxygen requirements. She was eventually transferred to ICU for close monitoring, precedex infusion and BIPAP. Pt did began to tire and did require incubation, Pt continue to Decline. She required vaspressor support and throughout the night required maximum doses of three different medications. Family arrived to discuss goal of care. They did decide to transition to comfort measures. Pt passed with family at bedside TOD 1427 on 10/17/2021"
	"1795535-1"	"1795535-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Pt admitted to Hospital with COVID symptoms. She was placed on the medical covid floor requiring supplemental oxygen. She did receive IV steroids. Remdesivir contraindicated d/t poor renal function. Pt did continue to decline with increasing oxygen requirements. She was eventually transferred to ICU for close monitoring, precedex infusion and BIPAP. Pt did began to tire and did require incubation, Pt continue to Decline. She required vaspressor support and throughout the night required maximum doses of three different medications. Family arrived to discuss goal of care. They did decide to transition to comfort measures. Pt passed with family at bedside TOD 1427 on 10/17/2021"
	"1795535-1"	"1795535-1"	"INFUSION"	"10060345"	"65-79 years"	"65-79"	"Pt admitted to Hospital with COVID symptoms. She was placed on the medical covid floor requiring supplemental oxygen. She did receive IV steroids. Remdesivir contraindicated d/t poor renal function. Pt did continue to decline with increasing oxygen requirements. She was eventually transferred to ICU for close monitoring, precedex infusion and BIPAP. Pt did began to tire and did require incubation, Pt continue to Decline. She required vaspressor support and throughout the night required maximum doses of three different medications. Family arrived to discuss goal of care. They did decide to transition to comfort measures. Pt passed with family at bedside TOD 1427 on 10/17/2021"
	"1795535-1"	"1795535-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Pt admitted to Hospital with COVID symptoms. She was placed on the medical covid floor requiring supplemental oxygen. She did receive IV steroids. Remdesivir contraindicated d/t poor renal function. Pt did continue to decline with increasing oxygen requirements. She was eventually transferred to ICU for close monitoring, precedex infusion and BIPAP. Pt did began to tire and did require incubation, Pt continue to Decline. She required vaspressor support and throughout the night required maximum doses of three different medications. Family arrived to discuss goal of care. They did decide to transition to comfort measures. Pt passed with family at bedside TOD 1427 on 10/17/2021"
	"1795535-1"	"1795535-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Pt admitted to Hospital with COVID symptoms. She was placed on the medical covid floor requiring supplemental oxygen. She did receive IV steroids. Remdesivir contraindicated d/t poor renal function. Pt did continue to decline with increasing oxygen requirements. She was eventually transferred to ICU for close monitoring, precedex infusion and BIPAP. Pt did began to tire and did require incubation, Pt continue to Decline. She required vaspressor support and throughout the night required maximum doses of three different medications. Family arrived to discuss goal of care. They did decide to transition to comfort measures. Pt passed with family at bedside TOD 1427 on 10/17/2021"
	"1795535-1"	"1795535-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"Pt admitted to Hospital with COVID symptoms. She was placed on the medical covid floor requiring supplemental oxygen. She did receive IV steroids. Remdesivir contraindicated d/t poor renal function. Pt did continue to decline with increasing oxygen requirements. She was eventually transferred to ICU for close monitoring, precedex infusion and BIPAP. Pt did began to tire and did require incubation, Pt continue to Decline. She required vaspressor support and throughout the night required maximum doses of three different medications. Family arrived to discuss goal of care. They did decide to transition to comfort measures. Pt passed with family at bedside TOD 1427 on 10/17/2021"
	"1795535-1"	"1795535-1"	"RENAL IMPAIRMENT"	"10062237"	"65-79 years"	"65-79"	"Pt admitted to Hospital with COVID symptoms. She was placed on the medical covid floor requiring supplemental oxygen. She did receive IV steroids. Remdesivir contraindicated d/t poor renal function. Pt did continue to decline with increasing oxygen requirements. She was eventually transferred to ICU for close monitoring, precedex infusion and BIPAP. Pt did began to tire and did require incubation, Pt continue to Decline. She required vaspressor support and throughout the night required maximum doses of three different medications. Family arrived to discuss goal of care. They did decide to transition to comfort measures. Pt passed with family at bedside TOD 1427 on 10/17/2021"
	"1797314-1"	"1797314-1"	"OXYGEN SATURATION"	"10033316"	"65-79 years"	"65-79"	"Death Cause-Loss of Oxygen; This is a spontaneous report from a contactable consumer. A 74-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and Expiration Date: not reported) via an unspecified route of administration on 08Oct2021 (at the age of 74 years old) as dose 3 (booster), single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Prior to vaccination the patient was not diagnosed with COVID-19. The patient previously received the first dose and second dose of BNT162B2 (lot numbers were not reported), via an unspecified route of administration on an unspecified date as dose 1, single and dose 2, single for COVID-19 immunisation. The patient did not receive any other vaccines in 4 weeks and it was unknown if the patient had other medications was received in 2 weeks. The patient experienced loss of oxygen as death cause on 11Oct2021. No treatment was received for the adverse events. Since vaccination, the patient has not been tested for COVID-19. Event resulted in life threatening illness (immediate risk of death from the event). The patient died on 11Oct2021. An autopsy was not performed.    No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Reported Cause(s) of Death: Death Cause-Loss of Oxygen"
	"1797314-1"	"1797314-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Death Cause-Loss of Oxygen; This is a spontaneous report from a contactable consumer. A 74-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and Expiration Date: not reported) via an unspecified route of administration on 08Oct2021 (at the age of 74 years old) as dose 3 (booster), single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Prior to vaccination the patient was not diagnosed with COVID-19. The patient previously received the first dose and second dose of BNT162B2 (lot numbers were not reported), via an unspecified route of administration on an unspecified date as dose 1, single and dose 2, single for COVID-19 immunisation. The patient did not receive any other vaccines in 4 weeks and it was unknown if the patient had other medications was received in 2 weeks. The patient experienced loss of oxygen as death cause on 11Oct2021. No treatment was received for the adverse events. Since vaccination, the patient has not been tested for COVID-19. Event resulted in life threatening illness (immediate risk of death from the event). The patient died on 11Oct2021. An autopsy was not performed.    No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Reported Cause(s) of Death: Death Cause-Loss of Oxygen"
	"1797685-1"	"1797685-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Moderna on 1/12 and 2/8. Positive on 10/9"
	"1797685-1"	"1797685-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Moderna on 1/12 and 2/8. Positive on 10/9"
	"1797919-1"	"1797919-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient death."
	"1797919-1"	"1797919-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient death."
	"1797919-1"	"1797919-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient death."
	"1797927-1"	"1797927-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient lived in a nursing home. The following was reported to our on-call MD.  Nurse from home called to report Pt is lethargic.  BP this morning 139/57, HR60.  BP now 86/42.  O2 sats RA 85-86%; O2 @ 1.5L applied and sats went up to 95%, temp 99.4.  Pt had covid booster on 10/12/2021.     At around 1:40pm, nurse found him very lethargy, can't lift his arms but responding and able to talk. He was hypotensive and hypoxia with low grade fever. He is DNR/DNI/DNH. Ambulance was called, while trying to get hold of HCP. At ~2:25pm, Patient passed away."
	"1797927-1"	"1797927-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Patient lived in a nursing home. The following was reported to our on-call MD.  Nurse from home called to report Pt is lethargic.  BP this morning 139/57, HR60.  BP now 86/42.  O2 sats RA 85-86%; O2 @ 1.5L applied and sats went up to 95%, temp 99.4.  Pt had covid booster on 10/12/2021.     At around 1:40pm, nurse found him very lethargy, can't lift his arms but responding and able to talk. He was hypotensive and hypoxia with low grade fever. He is DNR/DNI/DNH. Ambulance was called, while trying to get hold of HCP. At ~2:25pm, Patient passed away."
	"1797927-1"	"1797927-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient lived in a nursing home. The following was reported to our on-call MD.  Nurse from home called to report Pt is lethargic.  BP this morning 139/57, HR60.  BP now 86/42.  O2 sats RA 85-86%; O2 @ 1.5L applied and sats went up to 95%, temp 99.4.  Pt had covid booster on 10/12/2021.     At around 1:40pm, nurse found him very lethargy, can't lift his arms but responding and able to talk. He was hypotensive and hypoxia with low grade fever. He is DNR/DNI/DNH. Ambulance was called, while trying to get hold of HCP. At ~2:25pm, Patient passed away."
	"1797927-1"	"1797927-1"	"LETHARGY"	"10024264"	"65-79 years"	"65-79"	"Patient lived in a nursing home. The following was reported to our on-call MD.  Nurse from home called to report Pt is lethargic.  BP this morning 139/57, HR60.  BP now 86/42.  O2 sats RA 85-86%; O2 @ 1.5L applied and sats went up to 95%, temp 99.4.  Pt had covid booster on 10/12/2021.     At around 1:40pm, nurse found him very lethargy, can't lift his arms but responding and able to talk. He was hypotensive and hypoxia with low grade fever. He is DNR/DNI/DNH. Ambulance was called, while trying to get hold of HCP. At ~2:25pm, Patient passed away."
	"1797927-1"	"1797927-1"	"MUSCULAR WEAKNESS"	"10028372"	"65-79 years"	"65-79"	"Patient lived in a nursing home. The following was reported to our on-call MD.  Nurse from home called to report Pt is lethargic.  BP this morning 139/57, HR60.  BP now 86/42.  O2 sats RA 85-86%; O2 @ 1.5L applied and sats went up to 95%, temp 99.4.  Pt had covid booster on 10/12/2021.     At around 1:40pm, nurse found him very lethargy, can't lift his arms but responding and able to talk. He was hypotensive and hypoxia with low grade fever. He is DNR/DNI/DNH. Ambulance was called, while trying to get hold of HCP. At ~2:25pm, Patient passed away."
	"1797927-1"	"1797927-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Patient lived in a nursing home. The following was reported to our on-call MD.  Nurse from home called to report Pt is lethargic.  BP this morning 139/57, HR60.  BP now 86/42.  O2 sats RA 85-86%; O2 @ 1.5L applied and sats went up to 95%, temp 99.4.  Pt had covid booster on 10/12/2021.     At around 1:40pm, nurse found him very lethargy, can't lift his arms but responding and able to talk. He was hypotensive and hypoxia with low grade fever. He is DNR/DNI/DNH. Ambulance was called, while trying to get hold of HCP. At ~2:25pm, Patient passed away."
	"1798201-1"	"1798201-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 10/19/2021."
	"1801178-1"	"1801178-1"	"BLOOD GASES"	"10005537"	"65-79 years"	"65-79"	"PT DECEASED ON 10/06/2021-HAD VACCINE ON 3/10/21.  PT DIAGNOSED WITH BILATERAL COVID PNEUMONIA-WAS DEPENDENT ON BIPAP.  WAS MADE DNR, AND COMFORT MEASURES"
	"1801178-1"	"1801178-1"	"CHEST X-RAY"	"10008498"	"65-79 years"	"65-79"	"PT DECEASED ON 10/06/2021-HAD VACCINE ON 3/10/21.  PT DIAGNOSED WITH BILATERAL COVID PNEUMONIA-WAS DEPENDENT ON BIPAP.  WAS MADE DNR, AND COMFORT MEASURES"
	"1801178-1"	"1801178-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"PT DECEASED ON 10/06/2021-HAD VACCINE ON 3/10/21.  PT DIAGNOSED WITH BILATERAL COVID PNEUMONIA-WAS DEPENDENT ON BIPAP.  WAS MADE DNR, AND COMFORT MEASURES"
	"1801178-1"	"1801178-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"PT DECEASED ON 10/06/2021-HAD VACCINE ON 3/10/21.  PT DIAGNOSED WITH BILATERAL COVID PNEUMONIA-WAS DEPENDENT ON BIPAP.  WAS MADE DNR, AND COMFORT MEASURES"
	"1801178-1"	"1801178-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PT DECEASED ON 10/06/2021-HAD VACCINE ON 3/10/21.  PT DIAGNOSED WITH BILATERAL COVID PNEUMONIA-WAS DEPENDENT ON BIPAP.  WAS MADE DNR, AND COMFORT MEASURES"
	"1801178-1"	"1801178-1"	"FULL BLOOD COUNT"	"10017411"	"65-79 years"	"65-79"	"PT DECEASED ON 10/06/2021-HAD VACCINE ON 3/10/21.  PT DIAGNOSED WITH BILATERAL COVID PNEUMONIA-WAS DEPENDENT ON BIPAP.  WAS MADE DNR, AND COMFORT MEASURES"
	"1801178-1"	"1801178-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"PT DECEASED ON 10/06/2021-HAD VACCINE ON 3/10/21.  PT DIAGNOSED WITH BILATERAL COVID PNEUMONIA-WAS DEPENDENT ON BIPAP.  WAS MADE DNR, AND COMFORT MEASURES"
	"1801178-1"	"1801178-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"PT DECEASED ON 10/06/2021-HAD VACCINE ON 3/10/21.  PT DIAGNOSED WITH BILATERAL COVID PNEUMONIA-WAS DEPENDENT ON BIPAP.  WAS MADE DNR, AND COMFORT MEASURES"
	"1801206-1"	"1801206-1"	"BRAIN NATRIURETIC PEPTIDE"	"10053406"	"65-79 years"	"65-79"	"PT DEVELOPED COVID PNEUMONIA  WITH RESPIRATORY FAILURE"
	"1801206-1"	"1801206-1"	"CHEST X-RAY"	"10008498"	"65-79 years"	"65-79"	"PT DEVELOPED COVID PNEUMONIA  WITH RESPIRATORY FAILURE"
	"1801206-1"	"1801206-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"PT DEVELOPED COVID PNEUMONIA  WITH RESPIRATORY FAILURE"
	"1801206-1"	"1801206-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"PT DEVELOPED COVID PNEUMONIA  WITH RESPIRATORY FAILURE"
	"1801206-1"	"1801206-1"	"FULL BLOOD COUNT"	"10017411"	"65-79 years"	"65-79"	"PT DEVELOPED COVID PNEUMONIA  WITH RESPIRATORY FAILURE"
	"1801206-1"	"1801206-1"	"METABOLIC FUNCTION TEST"	"10062191"	"65-79 years"	"65-79"	"PT DEVELOPED COVID PNEUMONIA  WITH RESPIRATORY FAILURE"
	"1801206-1"	"1801206-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"PT DEVELOPED COVID PNEUMONIA  WITH RESPIRATORY FAILURE"
	"1801359-1"	"1801359-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient breakthrough infection and deceased."
	"1801359-1"	"1801359-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient breakthrough infection and deceased."
	"1801359-1"	"1801359-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Patient breakthrough infection and deceased."
	"1801421-1"	"1801421-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1801421-1"	"1801421-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1801421-1"	"1801421-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1801421-1"	"1801421-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1801611-1"	"1801611-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired while infected with virus."
	"1801611-1"	"1801611-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired while infected with virus."
	"1801611-1"	"1801611-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired while infected with virus."
	"1801611-1"	"1801611-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired while infected with virus."
	"1801645-1"	"1801645-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired while infected"
	"1801645-1"	"1801645-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired while infected"
	"1801645-1"	"1801645-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired while infected"
	"1801664-1"	"1801664-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1801664-1"	"1801664-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1804286-1"	"1804286-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Had breakthrough infection and passed away."
	"1804286-1"	"1804286-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Had breakthrough infection and passed away."
	"1804286-1"	"1804286-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"Had breakthrough infection and passed away."
	"1804286-1"	"1804286-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Had breakthrough infection and passed away."
	"1804572-1"	"1804572-1"	"ASCITES"	"10003445"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"BACTERAEMIA"	"10003997"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"END STAGE RENAL DISEASE"	"10077512"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"SMALL INTESTINAL OBSTRUCTION"	"10041101"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804572-1"	"1804572-1"	"SPONTANEOUS BACTERIAL PERITONITIS"	"10061135"	"65-79 years"	"65-79"	"78M w progressive met. gastric ca. w. peritoneal carcinomatosis (s/p J-Tube for TF 3/20) on hospice, CKD (s/p kidney tx 2017, on Tac/Pred), initially p/w SBO, ccb worsening ascites (para x2, 9/13, 9/15), COVID, GPC bacteremia/?SBP, transferred for HRF likely 2/2 PNA   Patient with new dry cough overnight 9/12-9/13. Vitals stable on room air. COVID +. CT 15. ID consulted. S/p casirivimab/imdevimab on 9/13. Patient started on Remdesevir on 9/13 (completed 5 day course on 9/17). Given new hypoxia necessitating 2L NC, patient started on Decadron on 9/14 with plan for 10 day course.   PMHx: DMII and HTN78 y.o.male with metastatic gastric cancer originally admitted with SBO and then prolonged hospitalization complicated respiratory failure, bacteremia, COVID 19 (treated with remsdesivir/decadron), and ESRD. Given multiple co morbidities, metastatic disease, and frailty, family decided to transition to CMO."
	"1804641-1"	"1804641-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Had breakthrough infection and passed away."
	"1804641-1"	"1804641-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Had breakthrough infection and passed away."
	"1804641-1"	"1804641-1"	"LABORATORY TEST"	"10059938"	"65-79 years"	"65-79"	"Had breakthrough infection and passed away."
	"1804641-1"	"1804641-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Had breakthrough infection and passed away."
	"1804653-1"	"1804653-1"	"CHILLS"	"10008531"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"MEAN ARTERIAL PRESSURE DECREASED"	"10026983"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"RESPIRATORY DISORDER"	"10038683"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804653-1"	"1804653-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient is a 66 year-old obese Caucasian male patient, with known medical history as stated below, presenting to the emergency department via air transport as a transfer for evaluation and treatment for progressive symptomatic COVID-19 disease.  He was noted to be hypoxic at 86% on RA at the OSH with easy recovery with application of O2 BNC.  His primary concern is that of a substantial and irritating cough.    Constitutional: Positive for chills and fatigue.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.    Over the course of his admission, he had worsening respiratory status requiring higher levels of O2 in order to maintain goal saturations. He was admitted to the ICU on 9/12/21 because of his worsening respiratory status which required intubation.    After he was intubated, he continued to decline and required pressors to maintain his saturations. Family was called at this time to discuss goals of care and asked to come in given his worsening status. He was on maximum vent settings with persistent hypoxia and was unable to maintain MAP goal despite being on 3 pressors. He was made a DNR at this time and after family arrived, it was decided to pursue comfort care only and extubate.   Patient deceased"
	"1804673-1"	"1804673-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"ANTICOAGULANT THERAPY"	"10053468"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"ASPIRATION"	"10003504"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"CULTURE POSITIVE"	"10061449"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"ENDOTRACHEAL INTUBATION COMPLICATION"	"10063349"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"HEPATIC FUNCTION ABNORMAL"	"10019670"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"LARYNGEAL OEDEMA"	"10023845"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"LUNG INFILTRATION"	"10025102"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"MECHANICAL VENTILATION COMPLICATION"	"10066821"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"MYCOBACTERIUM TUBERCULOSIS COMPLEX TEST NEGATIVE"	"10070471"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"OEDEMA"	"10030095"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"PARALYSIS"	"10033799"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"PLEURITIC PAIN"	"10035623"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"PYURIA"	"10037686"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"RENAL IMPAIRMENT"	"10062237"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"STAPHYLOCOCCAL INFECTION"	"10058080"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"STRIDOR"	"10042241"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804673-1"	"1804673-1"	"TRACHEAL ASPIRATE CULTURE"	"10084653"	"65-79 years"	"65-79"	"Hospital Course:  =========== Admission HPI =========== Patient first presented to the Hospital 8/25 for low blood pressures and lightheadedness for several days. He had exposure to non-vaccinated friends visiting the week prior and reports he and his wife developed a cough afterwards. Of note he received the COVID vaccine x2 in Feb/March.    In the ED, he tested positive for COVID 8/25, CXR at the time with patchy R sided infiltrate. He was admitted to medicine floor. COVID treatment initially deferred as he was doing well without asx, initiated 8/26 with remdesivir and dexamethasone. Was not a tocilizumab candidate given that he was too far out. Convalescent plasma considered but not available. He was also treated for potential superimposed CAP given patchy airspace opacity on CXR in RLL with Ctx and azithro (8/26 - 8/29). Patient also had asx pyuria, felt to be adequately covered by CTX.    Patient then began to have desats with increasing O2 requirement, eventually requiring ICU transfer 8/29 for HFNC. Patient endorsing pleuritic chest pain thus treated empirically for PE with heparin gtt, unable to transfer safely to CT-PE, though recent 8/28 CT-PE negative. LENIs negative for DVT. On 8/31 decision was made to intubate given worsening respiratory status.In the setting of intubation, patient was hypotensive with systolics down to 60s. He was started on levophed and antibiotics broadened to cefepime due to concern for shock. He was transferred to main campus.    On arrival to the ICU, patient was intubated and sedated.   ========================= MICU Hospital Course (8/31 - 10/6/2021) ========================= #Acute Hypoxemic Respiratory Failure 2/2 COVID-19 #ARDS Patient presented initially with hypotension and lightheadedness to Hospital, found to be COVID+ (PCR date 8/26) for which he has been initiated on a 5 day course of remdesivir and 10 day course of decadron. Then developed progressive O2 requirement, intubated for acute hypoxemic respiratory failure. Patient with bilateral opacities on CXR, clear injury within 1 week (COVID infection and ARDS). P/F ratio 135 at admission, consistent with moderate risk. He treated empirically for PNA with vanc (9/2 - 9/7) +cefepime (8/29 - 9/4) and broad infectious workup sent. Tracheal aspirate ultimately grew coag negative staff thus continued on vanc empirically and d/ced cefepime, ultimately repeat tracheal aspirate negative for growth thus vanc discontinued 9/7. For treatment of COVID, he ultimately was treated with additional 5 days of remdesivir (8/26-8/30, 9/1-9/5), complete 10 days of dexamethasone (8/26 - 9/4) and baricitinib 4mg (total 14 days).  After multiple days of improved P:F ratio and tolerating pressure control then subsequently pressure support the patient was extubated on 9/13. At the time of extubation he was following commands and had positive cuff leak. However, shortly after extubation he was noted to have quite severe stridor that didn't resolve with racemic epinephrine or dexamethasone. He was ultimately re-intubated within the hour by anesthesia who noted edema/swelling of the glottic structures. Upon re-intubation he immediately tolerated SBT again and was ultimately extubated on 9/16 to high flow, which he tolerated with some subjective dyspnea. Unfortunately in the setting of likely aspiration event (rapid increase in O2 requirement, fever, HDUS) patient was re-intubated for a third time on 9/18 and treated with broad spectrum abx, paralysis, and proning  with resolution of fevers and improved oxygenation. Given hx of immigration and rising covid cycle threshold (clearing virus effectively) w/ continued lung pathology ID recommended empiric treatment for strongiloides w/ ivermectin x2 doses + TB PCR which was ultimately negative.  Unfortunately, despite initially improving, he continued to struggle when sedation or paralysis were weaned down producing vent dyssynchrony. Additionally, despite broad spectrum antibiosis he developed a worsening pressor requirement and third spacing resulting in broad edema with intravascular dryness. Liver and kidney function continued to deteriorate, and after long discussion with the family, the decision was made to transition to comfort care. HE was extubated on 10/6 and passed away peacefully at 2:46 PM."
	"1804677-1"	"1804677-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Had breakthrough infection and deceased."
	"1804677-1"	"1804677-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Had breakthrough infection and deceased."
	"1804677-1"	"1804677-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Had breakthrough infection and deceased."
	"1804677-1"	"1804677-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Had breakthrough infection and deceased."
	"1807590-1"	"1807590-1"	"ASPERGILLUS INFECTION"	"10074171"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"ATRIAL FIBRILLATION"	"10003658"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"BRONCHIAL SECRETION RETENTION"	"10066820"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"BRONCHOSCOPY"	"10006479"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"CHEST DISCOMFORT"	"10008469"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"COMPUTERISED TOMOGRAM THORAX NORMAL"	"10057801"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"DIZZINESS"	"10013573"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"HYPERHIDROSIS"	"10020642"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"RESPIRATORY TRACT CONGESTION"	"10052251"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1807590-1"	"1807590-1"	"TRACHEOSTOMY"	"10044320"	"65-79 years"	"65-79"	"Patient is a 68 y.o. female with PMHX of COPD, afib on eliquis, DM2, HTN, HLD, chronic anemia, HFpEF, OSA presented to ED on 8/5 with complaints of worsening SOA x4 days with associated fever, cough, dizziness.  Constitutional: Positive for diaphoresis, fatigue and fever.  HENT: Positive for congestion.   Respiratory: Positive for cough, chest tightness and shortness of breath.    Hospital Course: Upon admission, patient required escalating oxygen requirements and was admitted to the ICU. She was intubated on 9/8 due to worsening hypoxia. She was treated with 10 days of IV dex and an empiric course of antibiotics with 2 days of Vanc and 7 days of Cefepime. CT PE was obtained which showed no PE. Her course was complicated by mucus plugging on 9/10 requiring bronchoscopy. She was found to have aspergillus at that time and started on voriconazole for a 6week course. She was unable to be weaned from the vent and tracheostomy was performed on 9/27 by ENT.   She also experienced Afib RVR during her hospitalization which required beta-blockade, diltiazem gtt, and amiodarone.   On 10/1, she underwent bronchoscopy for BAL sample as concern for new VAP. That night, her O2 saturations decreased to the mid 80s sustaining. She also became hypotensive, requiring vasopressors.  Patient is DNR/DNI and passed away on 10/02"
	"1808100-1"	"1808100-1"	"ACIDOSIS"	"10000486"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"ACUTE RESPIRATORY DISTRESS SYNDROME"	"10001052"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"BLOOD CULTURE NEGATIVE"	"10005486"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"BLOOD LACTIC ACID INCREASED"	"10005635"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"CHOLELITHIASIS"	"10008629"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"ENTERAL NUTRITION"	"10052591"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"EXTUBATION"	"10015894"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"HYPERGLYCAEMIA"	"10020635"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"LUNG CONSOLIDATION"	"10025080"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"MEAN ARTERIAL PRESSURE DECREASED"	"10026983"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"PARALYSIS"	"10033799"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"POLYURIA"	"10036142"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"PRONE POSITION"	"10074744"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"RHINITIS"	"10039083"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"RHINORRHOEA"	"10039101"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"TACHYPNOEA"	"10043089"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"THROAT IRRITATION"	"10043521"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"ULTRASOUND BILIARY TRACT ABNORMAL"	"10057851"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"UPPER-AIRWAY COUGH SYNDROME"	"10070488"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"URINE OUTPUT DECREASED"	"10059895"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808100-1"	"1808100-1"	"VENTRICULAR DYSSYNCHRONY"	"10071186"	"65-79 years"	"65-79"	""Brief Summary/Assessment: 80M with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, admitted for COVID-19 pneumonia, s/p intubation on 9/11/21 now s/p remdes, dex, and Baricitinib; paralysis stopped 9/21, reparalyzed 9/22 with new consolidations c/f aspiration PNA.          Hospital Course               Hospital Course:  Updated as of 9/24   ============== HPI ============== Patient is a 80 y.o. male with a history of NSVT, type 2 diabetes mellitus, gout, BPH, HLD, HTN, GERD, who presented as a transfer from MGH with hypoxia in the setting of COVID-19 infection.    The patient states that he had attended a party/""feast,"" where he believes is the event at which he contracted COVID-19. On 8/27, he called his ambulatory practice at MGH, where he noted rhinorrhea, rhinitis, post-nasal drip, and cough. He has a history of rhinosinusitus (followed by Dr.), treated with nasal lavage and ipratropium spray TID, though he only uses it once a day or less. He had received 2 doses of Pfizer vaccination earlier this year. Given his history, vaccination status, and otherwise non-concerning symptoms, he was advised to restart the nasal lavage and ipratropium sprays. He was seen on 8/31 and noted to have a cough over the last few months and a tickle in his throat. A CXR was ordered, which showed no evidence of PNA or pulmonary edema.     On 9/2, he presented to urgent care for worsening symptoms and was started on doxycycline 100mg BID for 7 days and given medication for cough. A COVID test was obtained. The patient tested positive for COVID and was found to be hypoxic to 70% on RA. EMS placed him on 10L NC with improvement to 80%. He was transferred to ICU on HFNC.   CT surgery Course Course was notable for increased O2 requirement, FiO2 increased to 80% on HFNC (60-70L), with SpO2 >85%. Desaturation to the 70%s when coughing. He was tachypneic over the past 3-4 days, with RR in the 50s. He occasionally felt that he was tiring out. FiO2 was weaned from 80% to 70%, with goal O2 of 85-88%. He was continued on remdesivir (planned 5-day course), dexamethasone 6mg daily (planned 10-day course), baricitinib 4mg daily (planned 14-day course).   ========== MICU COURSE (09/11 - 9/24 ) ========== (By problem)   # COVID-19 c/b PNA+severe ARDS, with possible superinfection/sepsis When PT was admitted to the medical facility, he was on HFNC of 60L/min and FiO2 80%. He was working hard to breathe, with more frequent desaturations and longer recovery times despite being maxed on HFNC. He was started on and completed a 5-day course of cefepime and doxycycline for possible bacterial superinfection. After a lengthy discussion with the patient (and daughter + son on the phone), he was intubated. He was paralyzed, proned, and began Veletri with improvement in his oxygenation. He was diuresed generally with net goal even. He was unparalyzed after 2 days and stopped proning given only mild improvement in oxygenation upon proning. He developed a pressor requirement originally thought to be due to sedation; however, early sepsis also on the differential due to ongoing pressor needs. Despite trying to avoid paralysis, he developed worsening oxygenation with vent dyssynchrony, and so he was re-paralyzed and re-proned on 9/17. Oxygenation and pressor requirements continued to worsen despite AC/VC settings of 420/30/12/90%, with PaO2 in the 50s. The patient was started on cefepime (switched to ceftazidime), vancomycin, and fluconazole (switched to micafungin). Blood cultures were negative. RUQUS showed a contracted gallbladder with stones. He was able to wean down on the RR, FiO2, and pressor requirements, so he was un-paralyzed on 9/21. Restarted paralysis 9/23 after oxygen requirements increased, patient's MAP started to drop to the 50s, and fever spiked on 9/22 c/f septic shock. Patient was broadened to meropenem on 9/22.  CXR 9/23 showed worsening lower lobe haziness and consolidation c/f aspiration pneumonia with residual volumes in stomach of up to 1.8 L (likely cause of pneumonia).  Patient's condition continued to decline with renal failure likely in setting of septic shock with decreased/minimal urine output. Patient was started on CVVH on 9/23 and continued to worsen on 9/24 with increased acidosis (likely metabolic) in setting of sepsis. He was given a dose of vancomycin on 9/24. Lactate continued to increase rapidly at a peak of 7.1 on 9/24. At that time, the medical team contacted the family to provide further insight into the poor clinical trajectory at which time, the HCP made the decision to change the patient's code status to DNR/OK to intubate and later to comfort measures as nothing more medically could be done. The patient was extubated and passed peacefully with family surrounding him.    # Nutrition # Hyperglycemia He was started on tube feeds with insulin to manage hyperglycemia (in the setting of a 10-day course of dexamethasone). Tube feeds were then stopped on 9/22 evening as team was concerned that patient was aspirating. Patient was started on D5 on 9/24 to provide some nutrition.    # Goals of Care Several conversations took place with the patient (prior to intubation) and family (once oxygenation status worsened despite near-maximized ventilation/oxygenation with re-paralysis, re-proning). The family ultimately decided to change the person's code status to DNR/OK to intubate and ultimately to comfort care.""
	"1808215-1"	"1808215-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"METABOLIC DISORDER"	"10058097"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"SPUTUM DISCOLOURED"	"10041807"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1808215-1"	"1808215-1"	"TROPONIN INCREASED"	"10058267"	"65-79 years"	"65-79"	"Patient presented to ED on 9/13/21 with progressive cough, SOB and fatigue with a positive covid 19 test as well as yellow tinged sputum concerning for a superimposed bacterial infection. Patient additionally had uptrending troponins prompting question of decreased cardiac function and cardiogenic shock in setting of CAD and increased metabolic demand. Patient's respiratory status and overall condition progressively worsened and the family made the decision to transition to CMO only. Patient passed away on 9/26/21."
	"1813870-1"	"1813870-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Unresponsive, CPR started 911 called"
	"1813870-1"	"1813870-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"Unresponsive, CPR started 911 called"
	"1821184-1"	"1821184-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pt died after testing positive for COVID-19 on 10/4/2021"
	"1821184-1"	"1821184-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt died after testing positive for COVID-19 on 10/4/2021"
	"1821184-1"	"1821184-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Pt died after testing positive for COVID-19 on 10/4/2021"
	"1821342-1"	"1821342-1"	"ABDOMINAL INFECTION"	"10056519"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"BLOOD CULTURE"	"10005485"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"BLOOD GASES NORMAL"	"10005540"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"BLOOD PRESSURE SYSTOLIC INCREASED"	"10005760"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"COMPUTERISED TOMOGRAM ABDOMEN ABNORMAL"	"10057798"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"ENTERITIS"	"10014866"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"FULL BLOOD COUNT NORMAL"	"10017414"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"GASTROINTESTINAL DISORDER"	"10017944"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"INFLAMMATION"	"10061218"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"INTERNATIONAL NORMALISED RATIO NORMAL"	"10022596"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"LUNG DISORDER"	"10025082"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"METABOLIC FUNCTION TEST NORMAL"	"10062192"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"PROTHROMBIN TIME NORMAL"	"10037062"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"TROPONIN NORMAL"	"10071322"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1821342-1"	"1821342-1"	"URINE ANALYSIS NORMAL"	"10061578"	"65-79 years"	"65-79"	"Pfizer Dose 1 2/5/21 (lot not listed in system) Pfizer Dose 2 2/26/21 (lot not listed in system) COVID Positive 9/2/21  9/2/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA  He presented with SOB, non productive cough and fever . he also endorses abdominal pain and being fatigued  He denies sick/ COVID contacts but says wife also has similar complaints 3 days after his illness started  He is COVID vaccinated  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation.  The appendix is not visualized, indeterminate for appendicitis. However patient states his appendix has been removed  CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable . Blood cultures sent in the ER  He received tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER  9/17/21: Patient is a 77 yo male with medical history of CAD , Parkinson disease, Prediabetes, HLD, OSA who presented with SOB, non productive cough and fever.  He is COVID vaccinated.  In the ER vitals remarkable for fever and elevated SBP 140- 170 with RR 30s and requiring 2 L supplemental oxygen.  CXR showed mild bilateral airspace disease in the lower lobes, may represent atelectasis or infectious infiltrates.  CT abdomen done showed mesenteric stranding in right lower quadrant and a trace amount of free fluid, suggesting adjacent infection or inflammation. CBC, CMP were wnl, VBG was wnl, trop negative , UA unremarkable , PT/INR unremarkable.  COVID PCR returned POSITIVE.  He received Tylenol 650, Duoneb, 2g IV Ceftriaxone, 2.7 L LR , 4 mg IV Zofran in the ER.  Pt was subsequently admitted to the hospitalist service for further evaluation and management.  Pt was started on Dexamethasone and Remdesivir.  Ceftriaxone was continued. Pt with increasing O2 needs ultimately requiring 100% OptiFlow.  Pulmonology was consulted at that time.  Pt was started on Actemra.  Pt also developed enteritis during admission was was treated with a 7 day course of Flagyl. Pt with fluctuating O2 needs.  Pt did not desire intubation. Ultimately pt and family decided on comfort cares and home hospice.   9/20/21: Patient deceased."
	"1825704-1"	"1825704-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"They had a breakthrough infection and deceased."
	"1825704-1"	"1825704-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"They had a breakthrough infection and deceased."
	"1825704-1"	"1825704-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"They had a breakthrough infection and deceased."
	"1825704-1"	"1825704-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"They had a breakthrough infection and deceased."
	"1827568-1"	"1827568-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Passed away in the sleep; This is a spontaneous report received from a non-contactable consumer. A 67-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/lot number and expiration date were not reported), via an unspecified route of administration in the right arm on 02Oct2021 05:00PM (at the age of 66-years-old) as dose 3 (booster), single for COVID-19 immunisation at a pharmacy or drug store. The patient's medical history included diabetes mellitus from an unknown date and unknown if ongoing. Concomitant medication included insulin taken for an unspecified indication, start and stop dates were not reported. The patient was previously vaccinated with BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) on an unspecified date in Feb2021 (at the age of 66-years-old; Batch/lot number and expiration date were not reported) as dose 2, single and on an unspecified date in Jan2021 (at the age of 66-years-old; Batch/lot number and expiration date were not reported) as dose 1, single, both via an unspecified route of administration in the right arm and for COVID-19 immunisation. No other vaccine in was administered in four weeks. The patient had no COVID prior vaccination and was not tested for COVID post vaccination. The patient has no known allergies. On 07Oct2021 09:00AM, 4 days later after the booster shot, the patient passed away in the sleep. It was unknown if treatment was received for the event. The outcome of the event was fatal. The patient died on 07Oct2021.  An autopsy was not performed.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Reported Cause(s) of Death: Passed away in the sleep"
	"1828998-1"	"1828998-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient tested positive for COVID"
	"1828998-1"	"1828998-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient tested positive for COVID"
	"1829098-1"	"1829098-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient passed away on 10/27/2021 from a heart attack."
	"1829098-1"	"1829098-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Patient passed away on 10/27/2021 from a heart attack."
	"1829189-1"	"1829189-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient hospitalized after testing positive for COVID."
	"1829189-1"	"1829189-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient hospitalized after testing positive for COVID."
	"1832044-1"	"1832044-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"65-79 years"	"65-79"	"Found unconsious, vomiting in bed following a very normal day CT scan revealed catastrophic cerebral hemhorrage on both sides of the brain  Intubated at hospital, withdrew care from ventilator the next day due to unrecoverable diagnosis Booster vaccine given 9 days prior to incident.  Died 10/27/2021"
	"1832044-1"	"1832044-1"	"COMPUTERISED TOMOGRAM ABNORMAL"	"10010235"	"65-79 years"	"65-79"	"Found unconsious, vomiting in bed following a very normal day CT scan revealed catastrophic cerebral hemhorrage on both sides of the brain  Intubated at hospital, withdrew care from ventilator the next day due to unrecoverable diagnosis Booster vaccine given 9 days prior to incident.  Died 10/27/2021"
	"1832044-1"	"1832044-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Found unconsious, vomiting in bed following a very normal day CT scan revealed catastrophic cerebral hemhorrage on both sides of the brain  Intubated at hospital, withdrew care from ventilator the next day due to unrecoverable diagnosis Booster vaccine given 9 days prior to incident.  Died 10/27/2021"
	"1832044-1"	"1832044-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Found unconsious, vomiting in bed following a very normal day CT scan revealed catastrophic cerebral hemhorrage on both sides of the brain  Intubated at hospital, withdrew care from ventilator the next day due to unrecoverable diagnosis Booster vaccine given 9 days prior to incident.  Died 10/27/2021"
	"1832044-1"	"1832044-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"65-79 years"	"65-79"	"Found unconsious, vomiting in bed following a very normal day CT scan revealed catastrophic cerebral hemhorrage on both sides of the brain  Intubated at hospital, withdrew care from ventilator the next day due to unrecoverable diagnosis Booster vaccine given 9 days prior to incident.  Died 10/27/2021"
	"1832044-1"	"1832044-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Found unconsious, vomiting in bed following a very normal day CT scan revealed catastrophic cerebral hemhorrage on both sides of the brain  Intubated at hospital, withdrew care from ventilator the next day due to unrecoverable diagnosis Booster vaccine given 9 days prior to incident.  Died 10/27/2021"
	"1832044-1"	"1832044-1"	"VOMITING"	"10047700"	"65-79 years"	"65-79"	"Found unconsious, vomiting in bed following a very normal day CT scan revealed catastrophic cerebral hemhorrage on both sides of the brain  Intubated at hospital, withdrew care from ventilator the next day due to unrecoverable diagnosis Booster vaccine given 9 days prior to incident.  Died 10/27/2021"
	"1837087-1"	"1837087-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Patient was in a skilled facility.  The patient presented to Community Hospital on 9/24/2021 with Sepsis likely related to a sacral ulcer.  The patient was complaining of a cough and was diagnosed with left lower lobe pneumonia.  The patient then developed septic shock requiring vasopressors.  The patient was transferred to another Hospital in for a higher level of care.  While the patient was at facility they underwent a debridement of a sacral wound.  There was a concern for possible diverting colostomy, but Surgery felt with underlying rheumatoid arthritis, multiple abdominal surgeries and overall poor fuctional status the patient was not a candidate for diversion.  The patient was admitted to Select Specialty Hospital on 10/07/2021 to continue wound care.  The patient had declined while at Select Specialty Hospital. The patient was to be discharged to Hospice on 11/01/2021, the patient expired on 11/01/2021 at Select Specialty Hospital."
	"1837087-1"	"1837087-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was in a skilled facility.  The patient presented to Community Hospital on 9/24/2021 with Sepsis likely related to a sacral ulcer.  The patient was complaining of a cough and was diagnosed with left lower lobe pneumonia.  The patient then developed septic shock requiring vasopressors.  The patient was transferred to another Hospital in for a higher level of care.  While the patient was at facility they underwent a debridement of a sacral wound.  There was a concern for possible diverting colostomy, but Surgery felt with underlying rheumatoid arthritis, multiple abdominal surgeries and overall poor fuctional status the patient was not a candidate for diversion.  The patient was admitted to Select Specialty Hospital on 10/07/2021 to continue wound care.  The patient had declined while at Select Specialty Hospital. The patient was to be discharged to Hospice on 11/01/2021, the patient expired on 11/01/2021 at Select Specialty Hospital."
	"1837087-1"	"1837087-1"	"DEBRIDEMENT"	"10067806"	"65-79 years"	"65-79"	"Patient was in a skilled facility.  The patient presented to Community Hospital on 9/24/2021 with Sepsis likely related to a sacral ulcer.  The patient was complaining of a cough and was diagnosed with left lower lobe pneumonia.  The patient then developed septic shock requiring vasopressors.  The patient was transferred to another Hospital in for a higher level of care.  While the patient was at facility they underwent a debridement of a sacral wound.  There was a concern for possible diverting colostomy, but Surgery felt with underlying rheumatoid arthritis, multiple abdominal surgeries and overall poor fuctional status the patient was not a candidate for diversion.  The patient was admitted to Select Specialty Hospital on 10/07/2021 to continue wound care.  The patient had declined while at Select Specialty Hospital. The patient was to be discharged to Hospice on 11/01/2021, the patient expired on 11/01/2021 at Select Specialty Hospital."
	"1837087-1"	"1837087-1"	"DECUBITUS ULCER"	"10011985"	"65-79 years"	"65-79"	"Patient was in a skilled facility.  The patient presented to Community Hospital on 9/24/2021 with Sepsis likely related to a sacral ulcer.  The patient was complaining of a cough and was diagnosed with left lower lobe pneumonia.  The patient then developed septic shock requiring vasopressors.  The patient was transferred to another Hospital in for a higher level of care.  While the patient was at facility they underwent a debridement of a sacral wound.  There was a concern for possible diverting colostomy, but Surgery felt with underlying rheumatoid arthritis, multiple abdominal surgeries and overall poor fuctional status the patient was not a candidate for diversion.  The patient was admitted to Select Specialty Hospital on 10/07/2021 to continue wound care.  The patient had declined while at Select Specialty Hospital. The patient was to be discharged to Hospice on 11/01/2021, the patient expired on 11/01/2021 at Select Specialty Hospital."
	"1837087-1"	"1837087-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Patient was in a skilled facility.  The patient presented to Community Hospital on 9/24/2021 with Sepsis likely related to a sacral ulcer.  The patient was complaining of a cough and was diagnosed with left lower lobe pneumonia.  The patient then developed septic shock requiring vasopressors.  The patient was transferred to another Hospital in for a higher level of care.  While the patient was at facility they underwent a debridement of a sacral wound.  There was a concern for possible diverting colostomy, but Surgery felt with underlying rheumatoid arthritis, multiple abdominal surgeries and overall poor fuctional status the patient was not a candidate for diversion.  The patient was admitted to Select Specialty Hospital on 10/07/2021 to continue wound care.  The patient had declined while at Select Specialty Hospital. The patient was to be discharged to Hospice on 11/01/2021, the patient expired on 11/01/2021 at Select Specialty Hospital."
	"1837087-1"	"1837087-1"	"SEPSIS"	"10040047"	"65-79 years"	"65-79"	"Patient was in a skilled facility.  The patient presented to Community Hospital on 9/24/2021 with Sepsis likely related to a sacral ulcer.  The patient was complaining of a cough and was diagnosed with left lower lobe pneumonia.  The patient then developed septic shock requiring vasopressors.  The patient was transferred to another Hospital in for a higher level of care.  While the patient was at facility they underwent a debridement of a sacral wound.  There was a concern for possible diverting colostomy, but Surgery felt with underlying rheumatoid arthritis, multiple abdominal surgeries and overall poor fuctional status the patient was not a candidate for diversion.  The patient was admitted to Select Specialty Hospital on 10/07/2021 to continue wound care.  The patient had declined while at Select Specialty Hospital. The patient was to be discharged to Hospice on 11/01/2021, the patient expired on 11/01/2021 at Select Specialty Hospital."
	"1837087-1"	"1837087-1"	"SEPTIC SHOCK"	"10040070"	"65-79 years"	"65-79"	"Patient was in a skilled facility.  The patient presented to Community Hospital on 9/24/2021 with Sepsis likely related to a sacral ulcer.  The patient was complaining of a cough and was diagnosed with left lower lobe pneumonia.  The patient then developed septic shock requiring vasopressors.  The patient was transferred to another Hospital in for a higher level of care.  While the patient was at facility they underwent a debridement of a sacral wound.  There was a concern for possible diverting colostomy, but Surgery felt with underlying rheumatoid arthritis, multiple abdominal surgeries and overall poor fuctional status the patient was not a candidate for diversion.  The patient was admitted to Select Specialty Hospital on 10/07/2021 to continue wound care.  The patient had declined while at Select Specialty Hospital. The patient was to be discharged to Hospice on 11/01/2021, the patient expired on 11/01/2021 at Select Specialty Hospital."
	"1837210-1"	"1837210-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 09/22/2021.  TESTED POSITIVE FOR COVID ON 08/31/2021."
	"1837210-1"	"1837210-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 09/22/2021.  TESTED POSITIVE FOR COVID ON 08/31/2021."
	"1837210-1"	"1837210-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 09/22/2021.  TESTED POSITIVE FOR COVID ON 08/31/2021."
	"1840106-1"	"1840106-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"PT died after testing  positive for COVID-19 on 10/3/2021"
	"1840106-1"	"1840106-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PT died after testing  positive for COVID-19 on 10/3/2021"
	"1840106-1"	"1840106-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"PT died after testing  positive for COVID-19 on 10/3/2021"
	"1843222-1"	"1843222-1"	"AMNESIA"	"10001949"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"BALANCE DISORDER"	"10049848"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"BLOOD TEST ABNORMAL"	"10061016"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"FEELING ABNORMAL"	"10016322"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"FIBRIN D DIMER INCREASED"	"10016581"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"GLIOBLASTOMA"	"10018336"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"MAGNETIC RESONANCE IMAGING HEAD ABNORMAL"	"10085256"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"PROCEDURAL COMPLICATION"	"10057765"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1843222-1"	"1843222-1"	"TUMOUR EXCISION"	"10061392"	"65-79 years"	"65-79"	"After the two dosis of Moderna, the patient didn't experience any symptoms. On September 3, 2021, the patient got a third complete dose of Moderna. After this third dose, the patient started feeling extreme fatigue, headaches, and fever.  A week passed by and he wasn't feeling any better, on the contrary, he developed more symptoms like loss of memory and imbalance.  He went to the doctor and had blood tests including a D-dimer test which came high and an MRI which revealed a High-rate Glioblastoma. He later died due to complications of the tumor removal."
	"1846057-1"	"1846057-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient passed away of a heart attack on 7-15-2021 Unsure if this was related but he had several EKG that were clear. But I thought I should let you know"
	"1846057-1"	"1846057-1"	"ELECTROCARDIOGRAM NORMAL"	"10014373"	"65-79 years"	"65-79"	"Patient passed away of a heart attack on 7-15-2021 Unsure if this was related but he had several EKG that were clear. But I thought I should let you know"
	"1846057-1"	"1846057-1"	"MYOCARDIAL INFARCTION"	"10028596"	"65-79 years"	"65-79"	"Patient passed away of a heart attack on 7-15-2021 Unsure if this was related but he had several EKG that were clear. But I thought I should let you know"
	"1846283-1"	"1846283-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Individual had a breakthrough infection and expired"
	"1846283-1"	"1846283-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Individual had a breakthrough infection and expired"
	"1846283-1"	"1846283-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Individual had a breakthrough infection and expired"
	"1846283-1"	"1846283-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Individual had a breakthrough infection and expired"
	"1846354-1"	"1846354-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"DEVELOPED COVID19 OCTOBER 2021, WITH FEVER AND SHORTNESS OF BREATH."
	"1846354-1"	"1846354-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"DEVELOPED COVID19 OCTOBER 2021, WITH FEVER AND SHORTNESS OF BREATH."
	"1846354-1"	"1846354-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"DEVELOPED COVID19 OCTOBER 2021, WITH FEVER AND SHORTNESS OF BREATH."
	"1846354-1"	"1846354-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"DEVELOPED COVID19 OCTOBER 2021, WITH FEVER AND SHORTNESS OF BREATH."
	"1846570-1"	"1846570-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Breakthrough infection and then expired."
	"1846570-1"	"1846570-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Breakthrough infection and then expired."
	"1846570-1"	"1846570-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Breakthrough infection and then expired."
	"1846570-1"	"1846570-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Breakthrough infection and then expired."
	"1846810-1"	"1846810-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Hospitalized on 10/20/21. Released on 10/22/21. Readmitted on 10/26/21. Patient had pneumonia, cough, shortness  of breath, and difficulty in breathing."
	"1846810-1"	"1846810-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Hospitalized on 10/20/21. Released on 10/22/21. Readmitted on 10/26/21. Patient had pneumonia, cough, shortness  of breath, and difficulty in breathing."
	"1846810-1"	"1846810-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Hospitalized on 10/20/21. Released on 10/22/21. Readmitted on 10/26/21. Patient had pneumonia, cough, shortness  of breath, and difficulty in breathing."
	"1846810-1"	"1846810-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	"Hospitalized on 10/20/21. Released on 10/22/21. Readmitted on 10/26/21. Patient had pneumonia, cough, shortness  of breath, and difficulty in breathing."
	"1846810-1"	"1846810-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Hospitalized on 10/20/21. Released on 10/22/21. Readmitted on 10/26/21. Patient had pneumonia, cough, shortness  of breath, and difficulty in breathing."
	"1847178-1"	"1847178-1"	"ACUTE MYOCARDIAL INFARCTION"	"10000891"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"BLOOD GASES"	"10005537"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"BRAIN NATRIURETIC PEPTIDE INCREASED"	"10053405"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"CARDIOMYOPATHY"	"10007636"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"EJECTION FRACTION DECREASED"	"10050528"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"ELECTROCARDIOGRAM ABNORMAL"	"10014363"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"EXPOSURE TO SARS-COV-2"	"10084456"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"EXTUBATION"	"10015894"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"HYPERCAPNIA"	"10020591"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"HYPOKINESIA"	"10021021"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"LUNG DISORDER"	"10025082"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"RESPIRATORY TRACT HAEMORRHAGE"	"10038727"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"RESPIRATORY TRACT INFLAMMATION"	"10068956"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1847178-1"	"1847178-1"	"TROPONIN INCREASED"	"10058267"	"65-79 years"	"65-79"	"Brief Summary/Assessment: Patient is 74 y.o. female w/ PMH of traumatic SDH (c/b seizures on trileptal), HFpEF (EF 70%) DM, HTN, pAfib (low burden on device interrogation, off a/c since 12/2020, considering Watchman procedure) , SSS s/p pacemaker, CVA (2011 c/b residual L hemifield loss and L-sided weakness), R pontine stroke (2021 c/b fecal incontinence), CKD (bl Cr 2.4), GERD, hx of GIB (11/2020 w non-bleeding gastric ulcers, hemorrhoids) who was BIBA for acute SOB, and known COVID exposure, found to be COVID+ s/p intubation for mixed respiratory failure.  Hospital Course:  #COVID Pneumonia #Mixed Respiratory Failure In the ED, ABG 7.29/56/58, most consistent with a mixed hypercarbic and hypoxic respiratory failure. This is likely the setting of a COVID-19 pneumonia and possible aspiration pneumonia. Chest x-ray on 10 9 with evidence of predominantly right-sided lung disease. There is also likely some contribution of CHF, bedside echo done by cardiology with evidence of diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP. Less likely PE, given there are explanations for hypoxia, and LENIs w/o evidence of lower extremity clots. Extubated 10/12/21, now with difficulty with upper airway (swelling and some bleeding), made CMO.      #Stress Induced Cardiomyopathy  #NSTEMI Type 2 Prior echo with normal ejection fraction in July estimated around 70%. Cardiology consulted in the ED, bedside echo in the ED showing diffuse hypokinesis and reduced ejection fraction estimated at 40% and with elevated JVP on exam and  BNP 8,138.  Most likely stress-induced cardiomyopathy, EF likely reduced but would not estimate 40% given physical exam findings. Troponins peaked,85 -- > 114, 160, 204, 479 --- > 454, 452, 462, 354, 282. EKG changes inclusion initial TWI w/ resolution of TWI's, but with possible ST segment elevation in V2. STD in V4-V6 as well as 1, avL, V1-V2. Most likely type 2 NSTEMI in the setting of elevated BP's, thus meeting criteria for hypertensive urgency."
	"1849727-1"	"1849727-1"	"ABDOMINAL DISCOMFORT"	"10000059"	"65-79 years"	"65-79"	"Pt was 75 y.o female with history of lewy body dementia and CLL who presented at local HCF with cough and shortness of breath. Pt was confused with her dementia at baseline and did not know where she was. Daughter stated she started having a cough with shortness of breath. She states she had a chest x-ray  done per her primary provider and was started on Augmentin. This caused some GI upset and was thus stopped.  Pt had some worsening shortness of breath and her oxygen saturation dropped down to the 70s. She was therefore transferred to here from the first HCF to be  evaluated in the ER. She was fully vaccinated against Covid-19 and had both her shot at the beginning  of this year.   Pt passed at 1913 on 10/13/2021 with family at side. breathing ceased and no apical pulse noted"
	"1849727-1"	"1849727-1"	"CHEST X-RAY"	"10008498"	"65-79 years"	"65-79"	"Pt was 75 y.o female with history of lewy body dementia and CLL who presented at local HCF with cough and shortness of breath. Pt was confused with her dementia at baseline and did not know where she was. Daughter stated she started having a cough with shortness of breath. She states she had a chest x-ray  done per her primary provider and was started on Augmentin. This caused some GI upset and was thus stopped.  Pt had some worsening shortness of breath and her oxygen saturation dropped down to the 70s. She was therefore transferred to here from the first HCF to be  evaluated in the ER. She was fully vaccinated against Covid-19 and had both her shot at the beginning  of this year.   Pt passed at 1913 on 10/13/2021 with family at side. breathing ceased and no apical pulse noted"
	"1849727-1"	"1849727-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Pt was 75 y.o female with history of lewy body dementia and CLL who presented at local HCF with cough and shortness of breath. Pt was confused with her dementia at baseline and did not know where she was. Daughter stated she started having a cough with shortness of breath. She states she had a chest x-ray  done per her primary provider and was started on Augmentin. This caused some GI upset and was thus stopped.  Pt had some worsening shortness of breath and her oxygen saturation dropped down to the 70s. She was therefore transferred to here from the first HCF to be  evaluated in the ER. She was fully vaccinated against Covid-19 and had both her shot at the beginning  of this year.   Pt passed at 1913 on 10/13/2021 with family at side. breathing ceased and no apical pulse noted"
	"1849727-1"	"1849727-1"	"CONFUSIONAL STATE"	"10010305"	"65-79 years"	"65-79"	"Pt was 75 y.o female with history of lewy body dementia and CLL who presented at local HCF with cough and shortness of breath. Pt was confused with her dementia at baseline and did not know where she was. Daughter stated she started having a cough with shortness of breath. She states she had a chest x-ray  done per her primary provider and was started on Augmentin. This caused some GI upset and was thus stopped.  Pt had some worsening shortness of breath and her oxygen saturation dropped down to the 70s. She was therefore transferred to here from the first HCF to be  evaluated in the ER. She was fully vaccinated against Covid-19 and had both her shot at the beginning  of this year.   Pt passed at 1913 on 10/13/2021 with family at side. breathing ceased and no apical pulse noted"
	"1849727-1"	"1849727-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Pt was 75 y.o female with history of lewy body dementia and CLL who presented at local HCF with cough and shortness of breath. Pt was confused with her dementia at baseline and did not know where she was. Daughter stated she started having a cough with shortness of breath. She states she had a chest x-ray  done per her primary provider and was started on Augmentin. This caused some GI upset and was thus stopped.  Pt had some worsening shortness of breath and her oxygen saturation dropped down to the 70s. She was therefore transferred to here from the first HCF to be  evaluated in the ER. She was fully vaccinated against Covid-19 and had both her shot at the beginning  of this year.   Pt passed at 1913 on 10/13/2021 with family at side. breathing ceased and no apical pulse noted"
	"1849727-1"	"1849727-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt was 75 y.o female with history of lewy body dementia and CLL who presented at local HCF with cough and shortness of breath. Pt was confused with her dementia at baseline and did not know where she was. Daughter stated she started having a cough with shortness of breath. She states she had a chest x-ray  done per her primary provider and was started on Augmentin. This caused some GI upset and was thus stopped.  Pt had some worsening shortness of breath and her oxygen saturation dropped down to the 70s. She was therefore transferred to here from the first HCF to be  evaluated in the ER. She was fully vaccinated against Covid-19 and had both her shot at the beginning  of this year.   Pt passed at 1913 on 10/13/2021 with family at side. breathing ceased and no apical pulse noted"
	"1849727-1"	"1849727-1"	"DEMENTIA"	"10012267"	"65-79 years"	"65-79"	"Pt was 75 y.o female with history of lewy body dementia and CLL who presented at local HCF with cough and shortness of breath. Pt was confused with her dementia at baseline and did not know where she was. Daughter stated she started having a cough with shortness of breath. She states she had a chest x-ray  done per her primary provider and was started on Augmentin. This caused some GI upset and was thus stopped.  Pt had some worsening shortness of breath and her oxygen saturation dropped down to the 70s. She was therefore transferred to here from the first HCF to be  evaluated in the ER. She was fully vaccinated against Covid-19 and had both her shot at the beginning  of this year.   Pt passed at 1913 on 10/13/2021 with family at side. breathing ceased and no apical pulse noted"
	"1849727-1"	"1849727-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Pt was 75 y.o female with history of lewy body dementia and CLL who presented at local HCF with cough and shortness of breath. Pt was confused with her dementia at baseline and did not know where she was. Daughter stated she started having a cough with shortness of breath. She states she had a chest x-ray  done per her primary provider and was started on Augmentin. This caused some GI upset and was thus stopped.  Pt had some worsening shortness of breath and her oxygen saturation dropped down to the 70s. She was therefore transferred to here from the first HCF to be  evaluated in the ER. She was fully vaccinated against Covid-19 and had both her shot at the beginning  of this year.   Pt passed at 1913 on 10/13/2021 with family at side. breathing ceased and no apical pulse noted"
	"1849727-1"	"1849727-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Pt was 75 y.o female with history of lewy body dementia and CLL who presented at local HCF with cough and shortness of breath. Pt was confused with her dementia at baseline and did not know where she was. Daughter stated she started having a cough with shortness of breath. She states she had a chest x-ray  done per her primary provider and was started on Augmentin. This caused some GI upset and was thus stopped.  Pt had some worsening shortness of breath and her oxygen saturation dropped down to the 70s. She was therefore transferred to here from the first HCF to be  evaluated in the ER. She was fully vaccinated against Covid-19 and had both her shot at the beginning  of this year.   Pt passed at 1913 on 10/13/2021 with family at side. breathing ceased and no apical pulse noted"
	"1849727-1"	"1849727-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"Pt was 75 y.o female with history of lewy body dementia and CLL who presented at local HCF with cough and shortness of breath. Pt was confused with her dementia at baseline and did not know where she was. Daughter stated she started having a cough with shortness of breath. She states she had a chest x-ray  done per her primary provider and was started on Augmentin. This caused some GI upset and was thus stopped.  Pt had some worsening shortness of breath and her oxygen saturation dropped down to the 70s. She was therefore transferred to here from the first HCF to be  evaluated in the ER. She was fully vaccinated against Covid-19 and had both her shot at the beginning  of this year.   Pt passed at 1913 on 10/13/2021 with family at side. breathing ceased and no apical pulse noted"
	"1849727-1"	"1849727-1"	"RESPIRATORY ARREST"	"10038669"	"65-79 years"	"65-79"	"Pt was 75 y.o female with history of lewy body dementia and CLL who presented at local HCF with cough and shortness of breath. Pt was confused with her dementia at baseline and did not know where she was. Daughter stated she started having a cough with shortness of breath. She states she had a chest x-ray  done per her primary provider and was started on Augmentin. This caused some GI upset and was thus stopped.  Pt had some worsening shortness of breath and her oxygen saturation dropped down to the 70s. She was therefore transferred to here from the first HCF to be  evaluated in the ER. She was fully vaccinated against Covid-19 and had both her shot at the beginning  of this year.   Pt passed at 1913 on 10/13/2021 with family at side. breathing ceased and no apical pulse noted"
	"1849869-1"	"1849869-1"	"ACINETOBACTER BACTERAEMIA"	"10064965"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"ANTICOAGULANT THERAPY"	"10053468"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"AXILLARY VEIN THROMBOSIS"	"10003880"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"BLOOD CULTURE NEGATIVE"	"10005486"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"CIRCULATORY COLLAPSE"	"10009192"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"COGNITIVE DISORDER"	"10057668"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"COMPUTERISED TOMOGRAM THORAX ABNORMAL"	"10057799"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"DEEP VEIN THROMBOSIS"	"10051055"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"ELECTROENCEPHALOGRAM ABNORMAL"	"10014408"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"ENCEPHALOPATHY"	"10014625"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"GOITRE"	"10018498"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"JUGULAR VEIN THROMBOSIS"	"10023237"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"MAGNETIC RESONANCE IMAGING HEAD NORMAL"	"10085257"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"NEUROLOGICAL EXAMINATION"	"10050318"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"PULMONARY ARTERY DILATATION"	"10058491"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"SCAN WITH CONTRAST ABNORMAL"	"10062152"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849869-1"	"1849869-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"76 y.o female with h/o COPD on 2 L home oxygen, type 2 diabetes, hypertension, having been found unresponsive at HCF. With GCS 3 patient intubated, and mechanically ventilated at a local HCF. Diagnosed with COVID-19 and acinetobacter bacteremia. Right upper extremity with occlusive DVT in right brachial and basilic vein with nonocclusive thrombus in right axillary vein, initiated anticoagulation. Previous CT revealed no PE, However,  did show dilated pulmonary arteries. Repeat CT chest with contrast 09/14 revealed small amount of thrombus in left jugular and extensive chronic findings including goiter and marked enlargement of left pulmonary artery prior to previous.  Pt was transferred to another HCF for vascular surgery evaluation, advised nonsurgical, continuing anticoagulation. Pt persistently, off sedation, demonstrated no significant improvement with cognition/neurologic status. MRI brain 9/13 revealed no acute intracranial abnormally. EEG resulted abnormal with severe generalized slowing, consistent with severe encephalopathy, concern for possible epileptiform discharge prompted Neurology evaluation, provided Keppra. Pt was provided broad-spectrum antibiotics with cefepime and doxycycline, negative repeat blood cultures prompted discontinuation of antibiotics after 5 days of therapy. HCF provided counsel with family members regarding goals of care, ultimately, decision made to transition to comfort measure on the afternoon on 09/18/2021.  Pt succumbed to illness, suffered cardiopulmonary collapse as result of acute respiratory failure with hypoxemia secondary COVID-19 viral pneumonia at 1;45am on 09/29/2021"
	"1849876-1"	"1849876-1"	"ACIDOSIS"	"10000486"	"65-79 years"	"65-79"	"Pt was initially admitted to the medical COVID floor where he was initiated on Dexamethasone and Remdesivir therapies. His hypoxemia continued to worsen and he required initiation of noninvasive positive pressure ventilation and was eventually transferred to the ICU on 10/28/2021 for ongoing care and management in the setting of refractory hypoxemia. His ICU course was initially complicated by delirium. His condition continued to worsen and was intubated on 10/30/2021 in the setting of impending respiratory/cardiac arrest. He began to experience increasing  hypotension as well and required initiation of vasopressors. Given the history of heart failure with reduced ejection fraction, cardiologist was consulted and Pt was additionally placed on Dobutamine. He had worsening acidemia despite optimization of ventilator settings and required initiation on renal replacement therapy on 11/02/2021. Unfortunately, he continued to decompensate and on the evening of 11/04/2021, the patient did suffer of a cardiac arrest. Unfortunately Pt did succumb to his critical illness on the evening of 11/04/2021."
	"1849876-1"	"1849876-1"	"CARDIAC ARREST"	"10007515"	"65-79 years"	"65-79"	"Pt was initially admitted to the medical COVID floor where he was initiated on Dexamethasone and Remdesivir therapies. His hypoxemia continued to worsen and he required initiation of noninvasive positive pressure ventilation and was eventually transferred to the ICU on 10/28/2021 for ongoing care and management in the setting of refractory hypoxemia. His ICU course was initially complicated by delirium. His condition continued to worsen and was intubated on 10/30/2021 in the setting of impending respiratory/cardiac arrest. He began to experience increasing  hypotension as well and required initiation of vasopressors. Given the history of heart failure with reduced ejection fraction, cardiologist was consulted and Pt was additionally placed on Dobutamine. He had worsening acidemia despite optimization of ventilator settings and required initiation on renal replacement therapy on 11/02/2021. Unfortunately, he continued to decompensate and on the evening of 11/04/2021, the patient did suffer of a cardiac arrest. Unfortunately Pt did succumb to his critical illness on the evening of 11/04/2021."
	"1849876-1"	"1849876-1"	"DELIRIUM"	"10012218"	"65-79 years"	"65-79"	"Pt was initially admitted to the medical COVID floor where he was initiated on Dexamethasone and Remdesivir therapies. His hypoxemia continued to worsen and he required initiation of noninvasive positive pressure ventilation and was eventually transferred to the ICU on 10/28/2021 for ongoing care and management in the setting of refractory hypoxemia. His ICU course was initially complicated by delirium. His condition continued to worsen and was intubated on 10/30/2021 in the setting of impending respiratory/cardiac arrest. He began to experience increasing  hypotension as well and required initiation of vasopressors. Given the history of heart failure with reduced ejection fraction, cardiologist was consulted and Pt was additionally placed on Dobutamine. He had worsening acidemia despite optimization of ventilator settings and required initiation on renal replacement therapy on 11/02/2021. Unfortunately, he continued to decompensate and on the evening of 11/04/2021, the patient did suffer of a cardiac arrest. Unfortunately Pt did succumb to his critical illness on the evening of 11/04/2021."
	"1849876-1"	"1849876-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Pt was initially admitted to the medical COVID floor where he was initiated on Dexamethasone and Remdesivir therapies. His hypoxemia continued to worsen and he required initiation of noninvasive positive pressure ventilation and was eventually transferred to the ICU on 10/28/2021 for ongoing care and management in the setting of refractory hypoxemia. His ICU course was initially complicated by delirium. His condition continued to worsen and was intubated on 10/30/2021 in the setting of impending respiratory/cardiac arrest. He began to experience increasing  hypotension as well and required initiation of vasopressors. Given the history of heart failure with reduced ejection fraction, cardiologist was consulted and Pt was additionally placed on Dobutamine. He had worsening acidemia despite optimization of ventilator settings and required initiation on renal replacement therapy on 11/02/2021. Unfortunately, he continued to decompensate and on the evening of 11/04/2021, the patient did suffer of a cardiac arrest. Unfortunately Pt did succumb to his critical illness on the evening of 11/04/2021."
	"1849876-1"	"1849876-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Pt was initially admitted to the medical COVID floor where he was initiated on Dexamethasone and Remdesivir therapies. His hypoxemia continued to worsen and he required initiation of noninvasive positive pressure ventilation and was eventually transferred to the ICU on 10/28/2021 for ongoing care and management in the setting of refractory hypoxemia. His ICU course was initially complicated by delirium. His condition continued to worsen and was intubated on 10/30/2021 in the setting of impending respiratory/cardiac arrest. He began to experience increasing  hypotension as well and required initiation of vasopressors. Given the history of heart failure with reduced ejection fraction, cardiologist was consulted and Pt was additionally placed on Dobutamine. He had worsening acidemia despite optimization of ventilator settings and required initiation on renal replacement therapy on 11/02/2021. Unfortunately, he continued to decompensate and on the evening of 11/04/2021, the patient did suffer of a cardiac arrest. Unfortunately Pt did succumb to his critical illness on the evening of 11/04/2021."
	"1849876-1"	"1849876-1"	"HYPOTENSION"	"10021097"	"65-79 years"	"65-79"	"Pt was initially admitted to the medical COVID floor where he was initiated on Dexamethasone and Remdesivir therapies. His hypoxemia continued to worsen and he required initiation of noninvasive positive pressure ventilation and was eventually transferred to the ICU on 10/28/2021 for ongoing care and management in the setting of refractory hypoxemia. His ICU course was initially complicated by delirium. His condition continued to worsen and was intubated on 10/30/2021 in the setting of impending respiratory/cardiac arrest. He began to experience increasing  hypotension as well and required initiation of vasopressors. Given the history of heart failure with reduced ejection fraction, cardiologist was consulted and Pt was additionally placed on Dobutamine. He had worsening acidemia despite optimization of ventilator settings and required initiation on renal replacement therapy on 11/02/2021. Unfortunately, he continued to decompensate and on the evening of 11/04/2021, the patient did suffer of a cardiac arrest. Unfortunately Pt did succumb to his critical illness on the evening of 11/04/2021."
	"1849876-1"	"1849876-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Pt was initially admitted to the medical COVID floor where he was initiated on Dexamethasone and Remdesivir therapies. His hypoxemia continued to worsen and he required initiation of noninvasive positive pressure ventilation and was eventually transferred to the ICU on 10/28/2021 for ongoing care and management in the setting of refractory hypoxemia. His ICU course was initially complicated by delirium. His condition continued to worsen and was intubated on 10/30/2021 in the setting of impending respiratory/cardiac arrest. He began to experience increasing  hypotension as well and required initiation of vasopressors. Given the history of heart failure with reduced ejection fraction, cardiologist was consulted and Pt was additionally placed on Dobutamine. He had worsening acidemia despite optimization of ventilator settings and required initiation on renal replacement therapy on 11/02/2021. Unfortunately, he continued to decompensate and on the evening of 11/04/2021, the patient did suffer of a cardiac arrest. Unfortunately Pt did succumb to his critical illness on the evening of 11/04/2021."
	"1849876-1"	"1849876-1"	"ILLNESS"	"10080284"	"65-79 years"	"65-79"	"Pt was initially admitted to the medical COVID floor where he was initiated on Dexamethasone and Remdesivir therapies. His hypoxemia continued to worsen and he required initiation of noninvasive positive pressure ventilation and was eventually transferred to the ICU on 10/28/2021 for ongoing care and management in the setting of refractory hypoxemia. His ICU course was initially complicated by delirium. His condition continued to worsen and was intubated on 10/30/2021 in the setting of impending respiratory/cardiac arrest. He began to experience increasing  hypotension as well and required initiation of vasopressors. Given the history of heart failure with reduced ejection fraction, cardiologist was consulted and Pt was additionally placed on Dobutamine. He had worsening acidemia despite optimization of ventilator settings and required initiation on renal replacement therapy on 11/02/2021. Unfortunately, he continued to decompensate and on the evening of 11/04/2021, the patient did suffer of a cardiac arrest. Unfortunately Pt did succumb to his critical illness on the evening of 11/04/2021."
	"1849876-1"	"1849876-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Pt was initially admitted to the medical COVID floor where he was initiated on Dexamethasone and Remdesivir therapies. His hypoxemia continued to worsen and he required initiation of noninvasive positive pressure ventilation and was eventually transferred to the ICU on 10/28/2021 for ongoing care and management in the setting of refractory hypoxemia. His ICU course was initially complicated by delirium. His condition continued to worsen and was intubated on 10/30/2021 in the setting of impending respiratory/cardiac arrest. He began to experience increasing  hypotension as well and required initiation of vasopressors. Given the history of heart failure with reduced ejection fraction, cardiologist was consulted and Pt was additionally placed on Dobutamine. He had worsening acidemia despite optimization of ventilator settings and required initiation on renal replacement therapy on 11/02/2021. Unfortunately, he continued to decompensate and on the evening of 11/04/2021, the patient did suffer of a cardiac arrest. Unfortunately Pt did succumb to his critical illness on the evening of 11/04/2021."
	"1849876-1"	"1849876-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Pt was initially admitted to the medical COVID floor where he was initiated on Dexamethasone and Remdesivir therapies. His hypoxemia continued to worsen and he required initiation of noninvasive positive pressure ventilation and was eventually transferred to the ICU on 10/28/2021 for ongoing care and management in the setting of refractory hypoxemia. His ICU course was initially complicated by delirium. His condition continued to worsen and was intubated on 10/30/2021 in the setting of impending respiratory/cardiac arrest. He began to experience increasing  hypotension as well and required initiation of vasopressors. Given the history of heart failure with reduced ejection fraction, cardiologist was consulted and Pt was additionally placed on Dobutamine. He had worsening acidemia despite optimization of ventilator settings and required initiation on renal replacement therapy on 11/02/2021. Unfortunately, he continued to decompensate and on the evening of 11/04/2021, the patient did suffer of a cardiac arrest. Unfortunately Pt did succumb to his critical illness on the evening of 11/04/2021."
	"1850145-1"	"1850145-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Death"
	"1850525-1"	"1850525-1"	"ASPERGILLUS TEST POSITIVE"	"10070448"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"ATELECTASIS"	"10003598"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"DYSPNOEA EXERTIONAL"	"10013971"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"HAEMODIALYSIS"	"10018875"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"MYALGIA"	"10028411"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"OXYGEN SATURATION DECREASED"	"10033318"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"PYREXIA"	"10037660"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1850525-1"	"1850525-1"	"SPUTUM CULTURE POSITIVE"	"10051612"	"65-79 years"	"65-79"	"Patient tested positive for covid on 9/17and has been symptomatic for 2 weeks with dry cough, myalgias, subjective fevers, fatigue and dyspnea on exertion. Patient was transferred to the ED on 9/24/21 from the infusion center when noted to have O2 sat in the 80s requiring 2-4L NC.  Patient was initiated on dexamethasone and remdesivir, however, his oxygen requirements have been escalating from NC to HFNC so he was transferred to the MICU. Patient foudn to have sputum culture positive for aspergillus and was started on posaconazole per ID/ Additional treatment with reeneron was provided. Patient developed renal failure and was started on CVVHD. Acute desaturation event on 10/24 requiring re-paralysis. In the setting of inability to continue with CVVHD and severe refractory respiratory failure, he was made CMO. Patient passed on 11/2/21."
	"1851033-1"	"1851033-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"PT PASSED FROM COMPLICATIONS RELATED TO COVID"
	"1851033-1"	"1851033-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PT PASSED FROM COMPLICATIONS RELATED TO COVID"
	"1853848-1"	"1853848-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient was tested for COVID 19 for preprocedural colonoscopy. Patient was positive and initially had no symptoms. Patient became symptomatic and presented to the hospital where he was hospitalized. Patient passed away from complications on 10/24/2021."
	"1853848-1"	"1853848-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was tested for COVID 19 for preprocedural colonoscopy. Patient was positive and initially had no symptoms. Patient became symptomatic and presented to the hospital where he was hospitalized. Patient passed away from complications on 10/24/2021."
	"1853848-1"	"1853848-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	"Patient was tested for COVID 19 for preprocedural colonoscopy. Patient was positive and initially had no symptoms. Patient became symptomatic and presented to the hospital where he was hospitalized. Patient passed away from complications on 10/24/2021."
	"1853848-1"	"1853848-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient was tested for COVID 19 for preprocedural colonoscopy. Patient was positive and initially had no symptoms. Patient became symptomatic and presented to the hospital where he was hospitalized. Patient passed away from complications on 10/24/2021."
	"1853967-1"	"1853967-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 09/28/2021; PREVIOUSLY COVID POSITIVE 11/30/2020."
	"1853967-1"	"1853967-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 09/28/2021; PREVIOUSLY COVID POSITIVE 11/30/2020."
	"1853967-1"	"1853967-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"PATIENT EXPIRED ON 09/28/2021; PREVIOUSLY COVID POSITIVE 11/30/2020."
	"1854431-1"	"1854431-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"RESIDENT BECAME TACHYPNEA, SHALLOW BREATHING AND NON-RESPONSIVE PROUNCED DECEASED PER RN AS ORDERED PER MD"
	"1854431-1"	"1854431-1"	"HYPOPNOEA"	"10021079"	"65-79 years"	"65-79"	"RESIDENT BECAME TACHYPNEA, SHALLOW BREATHING AND NON-RESPONSIVE PROUNCED DECEASED PER RN AS ORDERED PER MD"
	"1854431-1"	"1854431-1"	"TACHYPNOEA"	"10043089"	"65-79 years"	"65-79"	"RESIDENT BECAME TACHYPNEA, SHALLOW BREATHING AND NON-RESPONSIVE PROUNCED DECEASED PER RN AS ORDERED PER MD"
	"1854431-1"	"1854431-1"	"UNRESPONSIVE TO STIMULI"	"10045555"	"65-79 years"	"65-79"	"RESIDENT BECAME TACHYPNEA, SHALLOW BREATHING AND NON-RESPONSIVE PROUNCED DECEASED PER RN AS ORDERED PER MD"
	"1854591-1"	"1854591-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"HX OF COVID AFTER VACCINATION; PATIENT EXPIRED ON 11/03/2021"
	"1854591-1"	"1854591-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"HX OF COVID AFTER VACCINATION; PATIENT EXPIRED ON 11/03/2021"
	"1857441-1"	"1857441-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"DX WITH COVID ON 05/03/2021; PATIENT EXPIRED ON 05/26/2021"
	"1857441-1"	"1857441-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DX WITH COVID ON 05/03/2021; PATIENT EXPIRED ON 05/26/2021"
	"1857465-1"	"1857465-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"DX WITH COVID 07/27/2021; VACCINATED WITH PRIMARY SERIES; PATIENT EXPIRED ON 08/05/2021"
	"1857465-1"	"1857465-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DX WITH COVID 07/27/2021; VACCINATED WITH PRIMARY SERIES; PATIENT EXPIRED ON 08/05/2021"
	"1857473-1"	"1857473-1"	"ANXIETY"	"10002855"	"65-79 years"	"65-79"	"Pt initially admitted to the covid medical floor with respiratory failure. She was on nasal cannula which rapidly progressed to high flow cannula. Pt was struggling with anxiety which did contribute to her increasing oxygen requirements and repetitive hypoxic events. Decision was made to transfer her to the ICU on 11/2/2021 given that she was unable to come off NIV.  Once on ventilator, Pt required maximum ventilator settings and eventually even nitric oxide. Despite all interventions, Pt rapidly deteriorated on 11/9/2021. Husband and grandson arrived to bedside. Pt went into PEA, CPR was performed. She was able to regain a pulse for a few minutes then again went pulseless. CPR was performed until husband requested all efforts to be terminated. Pt was pronounced deceased @ 1135 on 11/9/2021"
	"1857473-1"	"1857473-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt initially admitted to the covid medical floor with respiratory failure. She was on nasal cannula which rapidly progressed to high flow cannula. Pt was struggling with anxiety which did contribute to her increasing oxygen requirements and repetitive hypoxic events. Decision was made to transfer her to the ICU on 11/2/2021 given that she was unable to come off NIV.  Once on ventilator, Pt required maximum ventilator settings and eventually even nitric oxide. Despite all interventions, Pt rapidly deteriorated on 11/9/2021. Husband and grandson arrived to bedside. Pt went into PEA, CPR was performed. She was able to regain a pulse for a few minutes then again went pulseless. CPR was performed until husband requested all efforts to be terminated. Pt was pronounced deceased @ 1135 on 11/9/2021"
	"1857473-1"	"1857473-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Pt initially admitted to the covid medical floor with respiratory failure. She was on nasal cannula which rapidly progressed to high flow cannula. Pt was struggling with anxiety which did contribute to her increasing oxygen requirements and repetitive hypoxic events. Decision was made to transfer her to the ICU on 11/2/2021 given that she was unable to come off NIV.  Once on ventilator, Pt required maximum ventilator settings and eventually even nitric oxide. Despite all interventions, Pt rapidly deteriorated on 11/9/2021. Husband and grandson arrived to bedside. Pt went into PEA, CPR was performed. She was able to regain a pulse for a few minutes then again went pulseless. CPR was performed until husband requested all efforts to be terminated. Pt was pronounced deceased @ 1135 on 11/9/2021"
	"1857473-1"	"1857473-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Pt initially admitted to the covid medical floor with respiratory failure. She was on nasal cannula which rapidly progressed to high flow cannula. Pt was struggling with anxiety which did contribute to her increasing oxygen requirements and repetitive hypoxic events. Decision was made to transfer her to the ICU on 11/2/2021 given that she was unable to come off NIV.  Once on ventilator, Pt required maximum ventilator settings and eventually even nitric oxide. Despite all interventions, Pt rapidly deteriorated on 11/9/2021. Husband and grandson arrived to bedside. Pt went into PEA, CPR was performed. She was able to regain a pulse for a few minutes then again went pulseless. CPR was performed until husband requested all efforts to be terminated. Pt was pronounced deceased @ 1135 on 11/9/2021"
	"1857473-1"	"1857473-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"Pt initially admitted to the covid medical floor with respiratory failure. She was on nasal cannula which rapidly progressed to high flow cannula. Pt was struggling with anxiety which did contribute to her increasing oxygen requirements and repetitive hypoxic events. Decision was made to transfer her to the ICU on 11/2/2021 given that she was unable to come off NIV.  Once on ventilator, Pt required maximum ventilator settings and eventually even nitric oxide. Despite all interventions, Pt rapidly deteriorated on 11/9/2021. Husband and grandson arrived to bedside. Pt went into PEA, CPR was performed. She was able to regain a pulse for a few minutes then again went pulseless. CPR was performed until husband requested all efforts to be terminated. Pt was pronounced deceased @ 1135 on 11/9/2021"
	"1857473-1"	"1857473-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"Pt initially admitted to the covid medical floor with respiratory failure. She was on nasal cannula which rapidly progressed to high flow cannula. Pt was struggling with anxiety which did contribute to her increasing oxygen requirements and repetitive hypoxic events. Decision was made to transfer her to the ICU on 11/2/2021 given that she was unable to come off NIV.  Once on ventilator, Pt required maximum ventilator settings and eventually even nitric oxide. Despite all interventions, Pt rapidly deteriorated on 11/9/2021. Husband and grandson arrived to bedside. Pt went into PEA, CPR was performed. She was able to regain a pulse for a few minutes then again went pulseless. CPR was performed until husband requested all efforts to be terminated. Pt was pronounced deceased @ 1135 on 11/9/2021"
	"1857473-1"	"1857473-1"	"PULSELESS ELECTRICAL ACTIVITY"	"10058151"	"65-79 years"	"65-79"	"Pt initially admitted to the covid medical floor with respiratory failure. She was on nasal cannula which rapidly progressed to high flow cannula. Pt was struggling with anxiety which did contribute to her increasing oxygen requirements and repetitive hypoxic events. Decision was made to transfer her to the ICU on 11/2/2021 given that she was unable to come off NIV.  Once on ventilator, Pt required maximum ventilator settings and eventually even nitric oxide. Despite all interventions, Pt rapidly deteriorated on 11/9/2021. Husband and grandson arrived to bedside. Pt went into PEA, CPR was performed. She was able to regain a pulse for a few minutes then again went pulseless. CPR was performed until husband requested all efforts to be terminated. Pt was pronounced deceased @ 1135 on 11/9/2021"
	"1857473-1"	"1857473-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Pt initially admitted to the covid medical floor with respiratory failure. She was on nasal cannula which rapidly progressed to high flow cannula. Pt was struggling with anxiety which did contribute to her increasing oxygen requirements and repetitive hypoxic events. Decision was made to transfer her to the ICU on 11/2/2021 given that she was unable to come off NIV.  Once on ventilator, Pt required maximum ventilator settings and eventually even nitric oxide. Despite all interventions, Pt rapidly deteriorated on 11/9/2021. Husband and grandson arrived to bedside. Pt went into PEA, CPR was performed. She was able to regain a pulse for a few minutes then again went pulseless. CPR was performed until husband requested all efforts to be terminated. Pt was pronounced deceased @ 1135 on 11/9/2021"
	"1857473-1"	"1857473-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"Pt initially admitted to the covid medical floor with respiratory failure. She was on nasal cannula which rapidly progressed to high flow cannula. Pt was struggling with anxiety which did contribute to her increasing oxygen requirements and repetitive hypoxic events. Decision was made to transfer her to the ICU on 11/2/2021 given that she was unable to come off NIV.  Once on ventilator, Pt required maximum ventilator settings and eventually even nitric oxide. Despite all interventions, Pt rapidly deteriorated on 11/9/2021. Husband and grandson arrived to bedside. Pt went into PEA, CPR was performed. She was able to regain a pulse for a few minutes then again went pulseless. CPR was performed until husband requested all efforts to be terminated. Pt was pronounced deceased @ 1135 on 11/9/2021"
	"1857612-1"	"1857612-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"DX WITH COVID ON 10/15/2021; FULLY VACCINATED; PATIENT EXPIRED ON 11/06/2021"
	"1857612-1"	"1857612-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DX WITH COVID ON 10/15/2021; FULLY VACCINATED; PATIENT EXPIRED ON 11/06/2021"
	"1857710-1"	"1857710-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"DX WITH COVID ON 10/26/2020; FULLY VACCINATED, LAST VACCINE RECIEVED ON 02/01/2021; PATIENT EXPIRED ON 03/15/2021; COVID 19 INDICATED ON DEATH CERTIFICATE."
	"1857710-1"	"1857710-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"DX WITH COVID ON 10/26/2020; FULLY VACCINATED, LAST VACCINE RECIEVED ON 02/01/2021; PATIENT EXPIRED ON 03/15/2021; COVID 19 INDICATED ON DEATH CERTIFICATE."
	"1858245-1"	"1858245-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"Admitted 10/10/2021 with cough, sob, and hypoxia; Patient expired 11/09/2021;  past medical history significant for Anemia, Aortic dissection, Diverticulitis, Hemolytic anemia on chronic prednisone pta, HTN, and Hyperlipidemia who was admitted to the hospital on October 10, 2021 with complications from COVID 19 infection.  She was started on standard treatment with dexamethasone; remdesivir was held due to elevated LFTs; intubated 10/19 no ecmo no dialysis"
	"1858245-1"	"1858245-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Admitted 10/10/2021 with cough, sob, and hypoxia; Patient expired 11/09/2021;  past medical history significant for Anemia, Aortic dissection, Diverticulitis, Hemolytic anemia on chronic prednisone pta, HTN, and Hyperlipidemia who was admitted to the hospital on October 10, 2021 with complications from COVID 19 infection.  She was started on standard treatment with dexamethasone; remdesivir was held due to elevated LFTs; intubated 10/19 no ecmo no dialysis"
	"1858245-1"	"1858245-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Admitted 10/10/2021 with cough, sob, and hypoxia; Patient expired 11/09/2021;  past medical history significant for Anemia, Aortic dissection, Diverticulitis, Hemolytic anemia on chronic prednisone pta, HTN, and Hyperlipidemia who was admitted to the hospital on October 10, 2021 with complications from COVID 19 infection.  She was started on standard treatment with dexamethasone; remdesivir was held due to elevated LFTs; intubated 10/19 no ecmo no dialysis"
	"1858245-1"	"1858245-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Admitted 10/10/2021 with cough, sob, and hypoxia; Patient expired 11/09/2021;  past medical history significant for Anemia, Aortic dissection, Diverticulitis, Hemolytic anemia on chronic prednisone pta, HTN, and Hyperlipidemia who was admitted to the hospital on October 10, 2021 with complications from COVID 19 infection.  She was started on standard treatment with dexamethasone; remdesivir was held due to elevated LFTs; intubated 10/19 no ecmo no dialysis"
	"1858245-1"	"1858245-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"Admitted 10/10/2021 with cough, sob, and hypoxia; Patient expired 11/09/2021;  past medical history significant for Anemia, Aortic dissection, Diverticulitis, Hemolytic anemia on chronic prednisone pta, HTN, and Hyperlipidemia who was admitted to the hospital on October 10, 2021 with complications from COVID 19 infection.  She was started on standard treatment with dexamethasone; remdesivir was held due to elevated LFTs; intubated 10/19 no ecmo no dialysis"
	"1858245-1"	"1858245-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Admitted 10/10/2021 with cough, sob, and hypoxia; Patient expired 11/09/2021;  past medical history significant for Anemia, Aortic dissection, Diverticulitis, Hemolytic anemia on chronic prednisone pta, HTN, and Hyperlipidemia who was admitted to the hospital on October 10, 2021 with complications from COVID 19 infection.  She was started on standard treatment with dexamethasone; remdesivir was held due to elevated LFTs; intubated 10/19 no ecmo no dialysis"
	"1858245-1"	"1858245-1"	"LIVER FUNCTION TEST INCREASED"	"10077692"	"65-79 years"	"65-79"	"Admitted 10/10/2021 with cough, sob, and hypoxia; Patient expired 11/09/2021;  past medical history significant for Anemia, Aortic dissection, Diverticulitis, Hemolytic anemia on chronic prednisone pta, HTN, and Hyperlipidemia who was admitted to the hospital on October 10, 2021 with complications from COVID 19 infection.  She was started on standard treatment with dexamethasone; remdesivir was held due to elevated LFTs; intubated 10/19 no ecmo no dialysis"
	"1861298-1"	"1861298-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient expired 11/3/2021"
	"1861455-1"	"1861455-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired."
	"1861455-1"	"1861455-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired."
	"1861455-1"	"1861455-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired."
	"1861455-1"	"1861455-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired."
	"1864738-1"	"1864738-1"	"BREAST CANCER FEMALE"	"10057654"	"65-79 years"	"65-79"	"Patient presented to the emergency department for complaints of worsening shortness of breath. Patient received the COVID vaccine 3 days into her hospitalization. Patient diagnosed with metastatic breast cancer, and passed away 18 days after presentation to the ED."
	"1864738-1"	"1864738-1"	"BREAST CANCER METASTATIC"	"10055113"	"65-79 years"	"65-79"	"Patient presented to the emergency department for complaints of worsening shortness of breath. Patient received the COVID vaccine 3 days into her hospitalization. Patient diagnosed with metastatic breast cancer, and passed away 18 days after presentation to the ED."
	"1864738-1"	"1864738-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient presented to the emergency department for complaints of worsening shortness of breath. Patient received the COVID vaccine 3 days into her hospitalization. Patient diagnosed with metastatic breast cancer, and passed away 18 days after presentation to the ED."
	"1864738-1"	"1864738-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	"Patient presented to the emergency department for complaints of worsening shortness of breath. Patient received the COVID vaccine 3 days into her hospitalization. Patient diagnosed with metastatic breast cancer, and passed away 18 days after presentation to the ED."
	"1865638-1"	"1865638-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1865638-1"	"1865638-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1865638-1"	"1865638-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1865638-1"	"1865638-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1865681-1"	"1865681-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1865681-1"	"1865681-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1865681-1"	"1865681-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1865681-1"	"1865681-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Patient had breakthrough infection and expired."
	"1868193-1"	"1868193-1"	"ASTHENIA"	"10003549"	"65-79 years"	"65-79"	""Adverse event started w/ c/o headache and extreme progressive weakness. Treated at Hospital Center briefly. Diagnosis Low platelets 28k, cerebral hemorrhage, and pneumonia. Transferred Hospital . Received multiple platelet transfusions (5 I believe), and treated w/ IV ABT. Pneumonia ""resolved"" only to return within a week. During hospital stay patient experienced fluid overload, kidney failure, and heart valve failure of replaced heart valve. Lengthy hospital stay ultimately ended with transfer to hospice and death.""
	"1868193-1"	"1868193-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"65-79 years"	"65-79"	""Adverse event started w/ c/o headache and extreme progressive weakness. Treated at Hospital Center briefly. Diagnosis Low platelets 28k, cerebral hemorrhage, and pneumonia. Transferred Hospital . Received multiple platelet transfusions (5 I believe), and treated w/ IV ABT. Pneumonia ""resolved"" only to return within a week. During hospital stay patient experienced fluid overload, kidney failure, and heart valve failure of replaced heart valve. Lengthy hospital stay ultimately ended with transfer to hospice and death.""
	"1868193-1"	"1868193-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Adverse event started w/ c/o headache and extreme progressive weakness. Treated at Hospital Center briefly. Diagnosis Low platelets 28k, cerebral hemorrhage, and pneumonia. Transferred Hospital . Received multiple platelet transfusions (5 I believe), and treated w/ IV ABT. Pneumonia ""resolved"" only to return within a week. During hospital stay patient experienced fluid overload, kidney failure, and heart valve failure of replaced heart valve. Lengthy hospital stay ultimately ended with transfer to hospice and death.""
	"1868193-1"	"1868193-1"	"HEADACHE"	"10019211"	"65-79 years"	"65-79"	""Adverse event started w/ c/o headache and extreme progressive weakness. Treated at Hospital Center briefly. Diagnosis Low platelets 28k, cerebral hemorrhage, and pneumonia. Transferred Hospital . Received multiple platelet transfusions (5 I believe), and treated w/ IV ABT. Pneumonia ""resolved"" only to return within a week. During hospital stay patient experienced fluid overload, kidney failure, and heart valve failure of replaced heart valve. Lengthy hospital stay ultimately ended with transfer to hospice and death.""
	"1868193-1"	"1868193-1"	"HEART VALVE INCOMPETENCE"	"10067660"	"65-79 years"	"65-79"	""Adverse event started w/ c/o headache and extreme progressive weakness. Treated at Hospital Center briefly. Diagnosis Low platelets 28k, cerebral hemorrhage, and pneumonia. Transferred Hospital . Received multiple platelet transfusions (5 I believe), and treated w/ IV ABT. Pneumonia ""resolved"" only to return within a week. During hospital stay patient experienced fluid overload, kidney failure, and heart valve failure of replaced heart valve. Lengthy hospital stay ultimately ended with transfer to hospice and death.""
	"1868193-1"	"1868193-1"	"HYPERVOLAEMIA"	"10020919"	"65-79 years"	"65-79"	""Adverse event started w/ c/o headache and extreme progressive weakness. Treated at Hospital Center briefly. Diagnosis Low platelets 28k, cerebral hemorrhage, and pneumonia. Transferred Hospital . Received multiple platelet transfusions (5 I believe), and treated w/ IV ABT. Pneumonia ""resolved"" only to return within a week. During hospital stay patient experienced fluid overload, kidney failure, and heart valve failure of replaced heart valve. Lengthy hospital stay ultimately ended with transfer to hospice and death.""
	"1868193-1"	"1868193-1"	"PLATELET COUNT DECREASED"	"10035528"	"65-79 years"	"65-79"	""Adverse event started w/ c/o headache and extreme progressive weakness. Treated at Hospital Center briefly. Diagnosis Low platelets 28k, cerebral hemorrhage, and pneumonia. Transferred Hospital . Received multiple platelet transfusions (5 I believe), and treated w/ IV ABT. Pneumonia ""resolved"" only to return within a week. During hospital stay patient experienced fluid overload, kidney failure, and heart valve failure of replaced heart valve. Lengthy hospital stay ultimately ended with transfer to hospice and death.""
	"1868193-1"	"1868193-1"	"PLATELET TRANSFUSION"	"10035543"	"65-79 years"	"65-79"	""Adverse event started w/ c/o headache and extreme progressive weakness. Treated at Hospital Center briefly. Diagnosis Low platelets 28k, cerebral hemorrhage, and pneumonia. Transferred Hospital . Received multiple platelet transfusions (5 I believe), and treated w/ IV ABT. Pneumonia ""resolved"" only to return within a week. During hospital stay patient experienced fluid overload, kidney failure, and heart valve failure of replaced heart valve. Lengthy hospital stay ultimately ended with transfer to hospice and death.""
	"1868193-1"	"1868193-1"	"PNEUMONIA"	"10035664"	"65-79 years"	"65-79"	""Adverse event started w/ c/o headache and extreme progressive weakness. Treated at Hospital Center briefly. Diagnosis Low platelets 28k, cerebral hemorrhage, and pneumonia. Transferred Hospital . Received multiple platelet transfusions (5 I believe), and treated w/ IV ABT. Pneumonia ""resolved"" only to return within a week. During hospital stay patient experienced fluid overload, kidney failure, and heart valve failure of replaced heart valve. Lengthy hospital stay ultimately ended with transfer to hospice and death.""
	"1868193-1"	"1868193-1"	"RENAL FAILURE"	"10038435"	"65-79 years"	"65-79"	""Adverse event started w/ c/o headache and extreme progressive weakness. Treated at Hospital Center briefly. Diagnosis Low platelets 28k, cerebral hemorrhage, and pneumonia. Transferred Hospital . Received multiple platelet transfusions (5 I believe), and treated w/ IV ABT. Pneumonia ""resolved"" only to return within a week. During hospital stay patient experienced fluid overload, kidney failure, and heart valve failure of replaced heart valve. Lengthy hospital stay ultimately ended with transfer to hospice and death.""
	"1868506-1"	"1868506-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"While on a golf trip with his friends, the victim died shortly after going to bed. Showing no symptoms prior, or complaining of any discomfort."
	"1869598-1"	"1869598-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient was a 65yr old Male, received 1st dose of Pfizer 01/25/2021. Tested positive for Covid on 03-04-2021. Passed away on 03/21/2021"
	"1869598-1"	"1869598-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was a 65yr old Male, received 1st dose of Pfizer 01/25/2021. Tested positive for Covid on 03-04-2021. Passed away on 03/21/2021"
	"1869598-1"	"1869598-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient was a 65yr old Male, received 1st dose of Pfizer 01/25/2021. Tested positive for Covid on 03-04-2021. Passed away on 03/21/2021"
	"1869644-1"	"1869644-1"	"ASYMPTOMATIC COVID-19"	"10084459"	"65-79 years"	"65-79"	"Not LTCF. PCR(+) 05/10/2021. Noted to be asymptomatic for Covid in May 2021. Died at home. Last hospital encounter 5/1/21 notes: dx of malignant neoplasm of esophagus, dehydration, malnutrition, hyperosmolality and hypernatremia. C/M: HTN, current smoker, immunosuppressive condition. Fully Vaccinated (Pfizer): 02/27/2021 & 03/28/2021."
	"1869644-1"	"1869644-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Not LTCF. PCR(+) 05/10/2021. Noted to be asymptomatic for Covid in May 2021. Died at home. Last hospital encounter 5/1/21 notes: dx of malignant neoplasm of esophagus, dehydration, malnutrition, hyperosmolality and hypernatremia. C/M: HTN, current smoker, immunosuppressive condition. Fully Vaccinated (Pfizer): 02/27/2021 & 03/28/2021."
	"1869644-1"	"1869644-1"	"DEHYDRATION"	"10012174"	"65-79 years"	"65-79"	"Not LTCF. PCR(+) 05/10/2021. Noted to be asymptomatic for Covid in May 2021. Died at home. Last hospital encounter 5/1/21 notes: dx of malignant neoplasm of esophagus, dehydration, malnutrition, hyperosmolality and hypernatremia. C/M: HTN, current smoker, immunosuppressive condition. Fully Vaccinated (Pfizer): 02/27/2021 & 03/28/2021."
	"1869644-1"	"1869644-1"	"HYPERNATRAEMIA"	"10020679"	"65-79 years"	"65-79"	"Not LTCF. PCR(+) 05/10/2021. Noted to be asymptomatic for Covid in May 2021. Died at home. Last hospital encounter 5/1/21 notes: dx of malignant neoplasm of esophagus, dehydration, malnutrition, hyperosmolality and hypernatremia. C/M: HTN, current smoker, immunosuppressive condition. Fully Vaccinated (Pfizer): 02/27/2021 & 03/28/2021."
	"1869644-1"	"1869644-1"	"HYPEROSMOLAR STATE"	"10020697"	"65-79 years"	"65-79"	"Not LTCF. PCR(+) 05/10/2021. Noted to be asymptomatic for Covid in May 2021. Died at home. Last hospital encounter 5/1/21 notes: dx of malignant neoplasm of esophagus, dehydration, malnutrition, hyperosmolality and hypernatremia. C/M: HTN, current smoker, immunosuppressive condition. Fully Vaccinated (Pfizer): 02/27/2021 & 03/28/2021."
	"1869644-1"	"1869644-1"	"MALNUTRITION"	"10061273"	"65-79 years"	"65-79"	"Not LTCF. PCR(+) 05/10/2021. Noted to be asymptomatic for Covid in May 2021. Died at home. Last hospital encounter 5/1/21 notes: dx of malignant neoplasm of esophagus, dehydration, malnutrition, hyperosmolality and hypernatremia. C/M: HTN, current smoker, immunosuppressive condition. Fully Vaccinated (Pfizer): 02/27/2021 & 03/28/2021."
	"1869644-1"	"1869644-1"	"OESOPHAGEAL CARCINOMA"	"10030155"	"65-79 years"	"65-79"	"Not LTCF. PCR(+) 05/10/2021. Noted to be asymptomatic for Covid in May 2021. Died at home. Last hospital encounter 5/1/21 notes: dx of malignant neoplasm of esophagus, dehydration, malnutrition, hyperosmolality and hypernatremia. C/M: HTN, current smoker, immunosuppressive condition. Fully Vaccinated (Pfizer): 02/27/2021 & 03/28/2021."
	"1869644-1"	"1869644-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Not LTCF. PCR(+) 05/10/2021. Noted to be asymptomatic for Covid in May 2021. Died at home. Last hospital encounter 5/1/21 notes: dx of malignant neoplasm of esophagus, dehydration, malnutrition, hyperosmolality and hypernatremia. C/M: HTN, current smoker, immunosuppressive condition. Fully Vaccinated (Pfizer): 02/27/2021 & 03/28/2021."
	"1870049-1"	"1870049-1"	"ACUTE RESPIRATORY FAILURE"	"10001053"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"CARDIOMEGALY"	"10007632"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"HAEMODIALYSIS"	"10018875"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"LUNG INFILTRATION"	"10025102"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"MECHANICAL VENTILATION"	"10067221"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"PULMONARY ALVEOLAR HAEMORRHAGE"	"10037313"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"RENAL IMPAIRMENT"	"10062237"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1870049-1"	"1870049-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"was admitted for acute hypoxemic respiratory failure secondary to COVID 19 pneumonia , intubated 10/25/21 , not on anticoagulation due to alveolar hemorrhage, HD initiated by nephrology due to worsening renal funciton. ID , nephrology and  pulmonary medicine evaluating , patient was on Cefepime and vancomycin . In course of hospital stay also received  Doxycycline ,  Vancomycin , Remdesivir, Decadron . Clinically , respiratory status did not improve and patient remained on mechanical ventilator . Family decided for comfort care only , patient was extubated and expired 11/08/21 at 8:56 pm."
	"1872901-1"	"1872901-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"N/A"
	"1876609-1"	"1876609-1"	"CEREBRAL HAEMORRHAGE"	"10008111"	"65-79 years"	"65-79"	"Brain bleed resulting in death"
	"1876609-1"	"1876609-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	"Brain bleed resulting in death"
	"1876609-1"	"1876609-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Brain bleed resulting in death"
	"1876675-1"	"1876675-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Unsure of reason for death"
	"1876748-1"	"1876748-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt death. Unsure of cause of death"
	"1876761-1"	"1876761-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient deceased. Unsure of cause of death"
	"1876785-1"	"1876785-1"	"BLOOD CREATININE INCREASED"	"10005483"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"BLOOD UREA INCREASED"	"10005851"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"CARDIOMEGALY"	"10007632"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"COUGH"	"10011224"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"GLOMERULAR FILTRATION RATE DECREASED"	"10018358"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"HAEMODIALYSIS"	"10018875"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"HAEMOGLOBIN DECREASED"	"10018884"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"HYPERVOLAEMIA"	"10020919"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"LUNG OPACITY"	"10081792"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"SARS-COV-2 TEST NEGATIVE"	"10084273"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876785-1"	"1876785-1"	"WHITE BLOOD CELL COUNT INCREASED"	"10047943"	"65-79 years"	"65-79"	"HOSPITAL COURSE: The patient was a 77 yr/o-year-old male  with a history of  CKD, COPD and OSA who presented to hospital 10/20/21 with cough, fatigue, and overall decline. Labs showed WBC 11.3; Hg 7.1; BUN/Cr 71/5.03, eGFR 11; COVID negative. Chest xray showed cardiomegaly and multifocal airspace disease bilaterally. He was treated for volume overload and was initiated on hemodialysis. His hospital course was further complicated by acute cardiopulmonary arrest requiring ACLS with ROSC after 6 minutes. He was intubated as part of post-arrest care. He was extubated 10/28/21 but failed to improve. His family ultimately opted for comfort-focused care. He was transferred to the Inpatient Care Center for continued care.   Upon admission to the Hospital the pt had a PPS of 10% and prognosis judged to be limited to hours to days.  Parenteral medications including fentanyl were ordered for comfort.  The interdisciplinary team provided ongoing pt and family support.  The pt continued to decline and died on 11/1/21 @ 12:33."
	"1876814-1"	"1876814-1"	"ANGIOGRAM"	"10061637"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"ANGIOPLASTY"	"10002475"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"ANTICOAGULANT THERAPY"	"10053468"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"ARTERIOSCLEROSIS"	"10003210"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"ATELECTASIS"	"10003598"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"BLADDER CATHETERISATION"	"10005028"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"CARDIO-RESPIRATORY ARREST"	"10007617"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"COMPUTERISED TOMOGRAM ABDOMEN"	"10053876"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"COMPUTERISED TOMOGRAM ABDOMEN ABNORMAL"	"10057798"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"CORONARY ARTERY DISEASE"	"10011078"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"ECHOCARDIOGRAM ABNORMAL"	"10061593"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"FALL"	"10016173"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"GENERAL PHYSICAL HEALTH DETERIORATION"	"10049438"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"ILIAC ARTERY OCCLUSION"	"10064601"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"LEFT VENTRICULAR HYPERTROPHY"	"10049773"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"MASS"	"10026865"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"PAIN IN EXTREMITY"	"10033425"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"PERIPHERAL ARTERY BYPASS"	"10072561"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"PERIPHERAL ARTERY OCCLUSION"	"10057525"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"PERIPHERAL ARTERY STENOSIS"	"10072563"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"PERIPHERAL COLDNESS"	"10034568"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"PERIPHERAL ENDARTERECTOMY"	"10072560"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"RIGHT VENTRICULAR EJECTION FRACTION DECREASED"	"10075337"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"SKIN DISCOLOURATION"	"10040829"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"ULTRASOUND KIDNEY ABNORMAL"	"10045422"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876814-1"	"1876814-1"	"URINARY RETENTION"	"10046555"	"65-79 years"	"65-79"	"Hospital Course:  Patient with significant past medical history of diabetes 83 spastic paraplegia neuropathy hypertension CAD presented to Hospital with severe worsening pain of the right foot. Patient apparently 3 weeks back due to her neuropathy and spastic paraplegia tripped and fell.  She normally uses a walker which got caught in a rug and she fell down.  She had some difficulty getting up but otherwise did not feel bad for a few days about a week back she started having some pain in the right foot then she noticed some coldness and discoloration of the right foot last 2 days she has been having unbearable pain in the right foot.  She presented to the ER where CT angiogram of the abdomen showed  1. Occlusion of the right external iliac artery just distal to the inferior hypogastric origin with reconstitution at the level of the knee. There is distal occlusion of the right posterior tibial artery as well.   2.  High-grade atherosclerotic stenosis of the proximal left femoral artery with segmental distal femoral artery occlusion associated with reconstitution of the distal popliteal artery above-the-knee. There is also diminished three-vessel runoff  involving primarily posterior tibial artery.   3. 4.5 cm region of consolidation at the left lung base, potentially pneumonia, rounded atelectasis or a peripheral mass, not fully imaged. When clinically feasible a standard CT scan of the chest would be of benefit. Patient is now admitted to the hospital for further treatment with IV heparin and vascular surgery has already evaluated patient and plans for surgery today.  We will start patient on IV Rocephin for possible pneumonia.  Patient was started on IV heparin.  2D echo was done which showed left ventricular hypertrophy dilated right ventricle ejection fraction 34%.  On 10/12/2021 she underwent right iliofemoral endarterectomy right profunda femoral endarterectomy and patch angioplasty right lower extremity angiogram with runoff right femoral renal to below-knee popliteal arterial bypass with graft.  Patient was treated with IV Rocephin and Zithromax for possible pneumonia.  Patient had urinary retention and bump in the creatinine nephrology for the patient and a Foley catheter was placed she received bolus of normal saline and renal ultrasound was done.  Patient's condition got worse.  Patient coded and was transferred over to ICU on 10/14/2021.  Patient was made DNR.  Patient had multiple codes and expired around 16 00."
	"1876829-1"	"1876829-1"	"ABDOMINAL DISTENSION"	"10000060"	"65-79 years"	"65-79"	""Patient is a 68 yr/o male with a history of small cell lung cancer with bone and liver mets, seizure disorder, COPD, who presents to the emergency department complaining of abdominal pain, bloating, acute on chronic back pain, constipation. Wife at bedside supplements most of the history. Patient is a poor historian. He is in palliative care being followed by Dr and on palliative chemo. They deny fever or vomiting. Indicates his last bowel movement was on Saturday, continue treatment for C. difficile. He indicates generalized fatigue and feeling of unwellness. In triage he was noted to ""which she was dead "". He has not here for SI denies SI now. He mearly indicates that he is miserable in his state of health. Symptoms started Saturday and have been constant. Symptoms are worsened by nothing and made better by nothing. Pt denies tobacco, alcohol or drug use.""
	"1876829-1"	"1876829-1"	"ABDOMINAL PAIN"	"10000081"	"65-79 years"	"65-79"	""Patient is a 68 yr/o male with a history of small cell lung cancer with bone and liver mets, seizure disorder, COPD, who presents to the emergency department complaining of abdominal pain, bloating, acute on chronic back pain, constipation. Wife at bedside supplements most of the history. Patient is a poor historian. He is in palliative care being followed by Dr and on palliative chemo. They deny fever or vomiting. Indicates his last bowel movement was on Saturday, continue treatment for C. difficile. He indicates generalized fatigue and feeling of unwellness. In triage he was noted to ""which she was dead "". He has not here for SI denies SI now. He mearly indicates that he is miserable in his state of health. Symptoms started Saturday and have been constant. Symptoms are worsened by nothing and made better by nothing. Pt denies tobacco, alcohol or drug use.""
	"1876829-1"	"1876829-1"	"BACK PAIN"	"10003988"	"65-79 years"	"65-79"	""Patient is a 68 yr/o male with a history of small cell lung cancer with bone and liver mets, seizure disorder, COPD, who presents to the emergency department complaining of abdominal pain, bloating, acute on chronic back pain, constipation. Wife at bedside supplements most of the history. Patient is a poor historian. He is in palliative care being followed by Dr and on palliative chemo. They deny fever or vomiting. Indicates his last bowel movement was on Saturday, continue treatment for C. difficile. He indicates generalized fatigue and feeling of unwellness. In triage he was noted to ""which she was dead "". He has not here for SI denies SI now. He mearly indicates that he is miserable in his state of health. Symptoms started Saturday and have been constant. Symptoms are worsened by nothing and made better by nothing. Pt denies tobacco, alcohol or drug use.""
	"1876829-1"	"1876829-1"	"CHEMOTHERAPY"	"10061758"	"65-79 years"	"65-79"	""Patient is a 68 yr/o male with a history of small cell lung cancer with bone and liver mets, seizure disorder, COPD, who presents to the emergency department complaining of abdominal pain, bloating, acute on chronic back pain, constipation. Wife at bedside supplements most of the history. Patient is a poor historian. He is in palliative care being followed by Dr and on palliative chemo. They deny fever or vomiting. Indicates his last bowel movement was on Saturday, continue treatment for C. difficile. He indicates generalized fatigue and feeling of unwellness. In triage he was noted to ""which she was dead "". He has not here for SI denies SI now. He mearly indicates that he is miserable in his state of health. Symptoms started Saturday and have been constant. Symptoms are worsened by nothing and made better by nothing. Pt denies tobacco, alcohol or drug use.""
	"1876829-1"	"1876829-1"	"CLOSTRIDIUM DIFFICILE COLITIS"	"10009657"	"65-79 years"	"65-79"	""Patient is a 68 yr/o male with a history of small cell lung cancer with bone and liver mets, seizure disorder, COPD, who presents to the emergency department complaining of abdominal pain, bloating, acute on chronic back pain, constipation. Wife at bedside supplements most of the history. Patient is a poor historian. He is in palliative care being followed by Dr and on palliative chemo. They deny fever or vomiting. Indicates his last bowel movement was on Saturday, continue treatment for C. difficile. He indicates generalized fatigue and feeling of unwellness. In triage he was noted to ""which she was dead "". He has not here for SI denies SI now. He mearly indicates that he is miserable in his state of health. Symptoms started Saturday and have been constant. Symptoms are worsened by nothing and made better by nothing. Pt denies tobacco, alcohol or drug use.""
	"1876829-1"	"1876829-1"	"CONDITION AGGRAVATED"	"10010264"	"65-79 years"	"65-79"	""Patient is a 68 yr/o male with a history of small cell lung cancer with bone and liver mets, seizure disorder, COPD, who presents to the emergency department complaining of abdominal pain, bloating, acute on chronic back pain, constipation. Wife at bedside supplements most of the history. Patient is a poor historian. He is in palliative care being followed by Dr and on palliative chemo. They deny fever or vomiting. Indicates his last bowel movement was on Saturday, continue treatment for C. difficile. He indicates generalized fatigue and feeling of unwellness. In triage he was noted to ""which she was dead "". He has not here for SI denies SI now. He mearly indicates that he is miserable in his state of health. Symptoms started Saturday and have been constant. Symptoms are worsened by nothing and made better by nothing. Pt denies tobacco, alcohol or drug use.""
	"1876829-1"	"1876829-1"	"CONSTIPATION"	"10010774"	"65-79 years"	"65-79"	""Patient is a 68 yr/o male with a history of small cell lung cancer with bone and liver mets, seizure disorder, COPD, who presents to the emergency department complaining of abdominal pain, bloating, acute on chronic back pain, constipation. Wife at bedside supplements most of the history. Patient is a poor historian. He is in palliative care being followed by Dr and on palliative chemo. They deny fever or vomiting. Indicates his last bowel movement was on Saturday, continue treatment for C. difficile. He indicates generalized fatigue and feeling of unwellness. In triage he was noted to ""which she was dead "". He has not here for SI denies SI now. He mearly indicates that he is miserable in his state of health. Symptoms started Saturday and have been constant. Symptoms are worsened by nothing and made better by nothing. Pt denies tobacco, alcohol or drug use.""
	"1876829-1"	"1876829-1"	"FATIGUE"	"10016256"	"65-79 years"	"65-79"	""Patient is a 68 yr/o male with a history of small cell lung cancer with bone and liver mets, seizure disorder, COPD, who presents to the emergency department complaining of abdominal pain, bloating, acute on chronic back pain, constipation. Wife at bedside supplements most of the history. Patient is a poor historian. He is in palliative care being followed by Dr and on palliative chemo. They deny fever or vomiting. Indicates his last bowel movement was on Saturday, continue treatment for C. difficile. He indicates generalized fatigue and feeling of unwellness. In triage he was noted to ""which she was dead "". He has not here for SI denies SI now. He mearly indicates that he is miserable in his state of health. Symptoms started Saturday and have been constant. Symptoms are worsened by nothing and made better by nothing. Pt denies tobacco, alcohol or drug use.""
	"1876829-1"	"1876829-1"	"FEELING ABNORMAL"	"10016322"	"65-79 years"	"65-79"	""Patient is a 68 yr/o male with a history of small cell lung cancer with bone and liver mets, seizure disorder, COPD, who presents to the emergency department complaining of abdominal pain, bloating, acute on chronic back pain, constipation. Wife at bedside supplements most of the history. Patient is a poor historian. He is in palliative care being followed by Dr and on palliative chemo. They deny fever or vomiting. Indicates his last bowel movement was on Saturday, continue treatment for C. difficile. He indicates generalized fatigue and feeling of unwellness. In triage he was noted to ""which she was dead "". He has not here for SI denies SI now. He mearly indicates that he is miserable in his state of health. Symptoms started Saturday and have been constant. Symptoms are worsened by nothing and made better by nothing. Pt denies tobacco, alcohol or drug use.""
	"1876829-1"	"1876829-1"	"MALAISE"	"10025482"	"65-79 years"	"65-79"	""Patient is a 68 yr/o male with a history of small cell lung cancer with bone and liver mets, seizure disorder, COPD, who presents to the emergency department complaining of abdominal pain, bloating, acute on chronic back pain, constipation. Wife at bedside supplements most of the history. Patient is a poor historian. He is in palliative care being followed by Dr and on palliative chemo. They deny fever or vomiting. Indicates his last bowel movement was on Saturday, continue treatment for C. difficile. He indicates generalized fatigue and feeling of unwellness. In triage he was noted to ""which she was dead "". He has not here for SI denies SI now. He mearly indicates that he is miserable in his state of health. Symptoms started Saturday and have been constant. Symptoms are worsened by nothing and made better by nothing. Pt denies tobacco, alcohol or drug use.""
	"1877325-1"	"1877325-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired."
	"1877325-1"	"1877325-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired."
	"1877325-1"	"1877325-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired."
	"1877325-1"	"1877325-1"	"VACCINE BREAKTHROUGH INFECTION"	"10067923"	"65-79 years"	"65-79"	"Patient had a breakthrough infection and expired."
	"1881210-1"	"1881210-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient death 9/30/2021"
	"1881210-1"	"1881210-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient death 9/30/2021"
	"1881210-1"	"1881210-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient death 9/30/2021"
	"1881335-1"	"1881335-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient death 10/10/2021"
	"1881335-1"	"1881335-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient death 10/10/2021"
	"1881335-1"	"1881335-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient death 10/10/2021"
	"1888822-1"	"1888822-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient expired"
	"1893708-1"	"1893708-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Pt deceased. Unsure of reason for death"
	"1894536-1"	"1894536-1"	"ARRHYTHMIA"	"10003119"	"65-79 years"	"65-79"	"# Sudden Cardiac Death - The afternoon/evening of 11/20. patient was found to be without a pulse  - ACLS performed with intubation, did obtain ROSC   - While prepping to transfer to ICU, patient had recurrent loss pulse and ACLS resume   - Event felt likely related to an arrhythmia due to her severely low ejection fraction   - Family was contacted, requested that CPR be discontinued  Time of Death: 1904"
	"1894536-1"	"1894536-1"	"EJECTION FRACTION DECREASED"	"10050528"	"65-79 years"	"65-79"	"# Sudden Cardiac Death - The afternoon/evening of 11/20. patient was found to be without a pulse  - ACLS performed with intubation, did obtain ROSC   - While prepping to transfer to ICU, patient had recurrent loss pulse and ACLS resume   - Event felt likely related to an arrhythmia due to her severely low ejection fraction   - Family was contacted, requested that CPR be discontinued  Time of Death: 1904"
	"1894536-1"	"1894536-1"	"ENDOTRACHEAL INTUBATION"	"10067450"	"65-79 years"	"65-79"	"# Sudden Cardiac Death - The afternoon/evening of 11/20. patient was found to be without a pulse  - ACLS performed with intubation, did obtain ROSC   - While prepping to transfer to ICU, patient had recurrent loss pulse and ACLS resume   - Event felt likely related to an arrhythmia due to her severely low ejection fraction   - Family was contacted, requested that CPR be discontinued  Time of Death: 1904"
	"1894536-1"	"1894536-1"	"LIFE SUPPORT"	"10024447"	"65-79 years"	"65-79"	"# Sudden Cardiac Death - The afternoon/evening of 11/20. patient was found to be without a pulse  - ACLS performed with intubation, did obtain ROSC   - While prepping to transfer to ICU, patient had recurrent loss pulse and ACLS resume   - Event felt likely related to an arrhythmia due to her severely low ejection fraction   - Family was contacted, requested that CPR be discontinued  Time of Death: 1904"
	"1894536-1"	"1894536-1"	"PULSE ABSENT"	"10037469"	"65-79 years"	"65-79"	"# Sudden Cardiac Death - The afternoon/evening of 11/20. patient was found to be without a pulse  - ACLS performed with intubation, did obtain ROSC   - While prepping to transfer to ICU, patient had recurrent loss pulse and ACLS resume   - Event felt likely related to an arrhythmia due to her severely low ejection fraction   - Family was contacted, requested that CPR be discontinued  Time of Death: 1904"
	"1894536-1"	"1894536-1"	"RESUSCITATION"	"10038749"	"65-79 years"	"65-79"	"# Sudden Cardiac Death - The afternoon/evening of 11/20. patient was found to be without a pulse  - ACLS performed with intubation, did obtain ROSC   - While prepping to transfer to ICU, patient had recurrent loss pulse and ACLS resume   - Event felt likely related to an arrhythmia due to her severely low ejection fraction   - Family was contacted, requested that CPR be discontinued  Time of Death: 1904"
	"1894536-1"	"1894536-1"	"SUDDEN CARDIAC DEATH"	"10049418"	"65-79 years"	"65-79"	"# Sudden Cardiac Death - The afternoon/evening of 11/20. patient was found to be without a pulse  - ACLS performed with intubation, did obtain ROSC   - While prepping to transfer to ICU, patient had recurrent loss pulse and ACLS resume   - Event felt likely related to an arrhythmia due to her severely low ejection fraction   - Family was contacted, requested that CPR be discontinued  Time of Death: 1904"
	"1897686-1"	"1897686-1"	"CHEST X-RAY ABNORMAL"	"10008499"	"65-79 years"	"65-79"	"Patient tested positive for COVID on 11/8/2021 Developed severe respiratory syndrome 2ndary to COVID pneumonia required up to 50L heated high flow oxygen due to respiratory failure Received remdesivir, dexamethasone Was in the ICU. Patient's wishes were to be DNR. Patient placed on comfort care and subsequently died on 11/22/2021"
	"1897686-1"	"1897686-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient tested positive for COVID on 11/8/2021 Developed severe respiratory syndrome 2ndary to COVID pneumonia required up to 50L heated high flow oxygen due to respiratory failure Received remdesivir, dexamethasone Was in the ICU. Patient's wishes were to be DNR. Patient placed on comfort care and subsequently died on 11/22/2021"
	"1897686-1"	"1897686-1"	"COVID-19 PNEUMONIA"	"10084380"	"65-79 years"	"65-79"	"Patient tested positive for COVID on 11/8/2021 Developed severe respiratory syndrome 2ndary to COVID pneumonia required up to 50L heated high flow oxygen due to respiratory failure Received remdesivir, dexamethasone Was in the ICU. Patient's wishes were to be DNR. Patient placed on comfort care and subsequently died on 11/22/2021"
	"1897686-1"	"1897686-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient tested positive for COVID on 11/8/2021 Developed severe respiratory syndrome 2ndary to COVID pneumonia required up to 50L heated high flow oxygen due to respiratory failure Received remdesivir, dexamethasone Was in the ICU. Patient's wishes were to be DNR. Patient placed on comfort care and subsequently died on 11/22/2021"
	"1897686-1"	"1897686-1"	"HYPOXIA"	"10021143"	"65-79 years"	"65-79"	"Patient tested positive for COVID on 11/8/2021 Developed severe respiratory syndrome 2ndary to COVID pneumonia required up to 50L heated high flow oxygen due to respiratory failure Received remdesivir, dexamethasone Was in the ICU. Patient's wishes were to be DNR. Patient placed on comfort care and subsequently died on 11/22/2021"
	"1897686-1"	"1897686-1"	"INTENSIVE CARE"	"10022519"	"65-79 years"	"65-79"	"Patient tested positive for COVID on 11/8/2021 Developed severe respiratory syndrome 2ndary to COVID pneumonia required up to 50L heated high flow oxygen due to respiratory failure Received remdesivir, dexamethasone Was in the ICU. Patient's wishes were to be DNR. Patient placed on comfort care and subsequently died on 11/22/2021"
	"1897686-1"	"1897686-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Patient tested positive for COVID on 11/8/2021 Developed severe respiratory syndrome 2ndary to COVID pneumonia required up to 50L heated high flow oxygen due to respiratory failure Received remdesivir, dexamethasone Was in the ICU. Patient's wishes were to be DNR. Patient placed on comfort care and subsequently died on 11/22/2021"
	"1897686-1"	"1897686-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient tested positive for COVID on 11/8/2021 Developed severe respiratory syndrome 2ndary to COVID pneumonia required up to 50L heated high flow oxygen due to respiratory failure Received remdesivir, dexamethasone Was in the ICU. Patient's wishes were to be DNR. Patient placed on comfort care and subsequently died on 11/22/2021"
	"1903577-1"	"1903577-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	""Passed away/ Doctors couldn't revive him; passed out; gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working; He was sweating/chest was wet; looked a little ashy; his legs went limb and relaxed; ""His eyes were, like, not right""; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Passed away/ Doctors couldn't revive him), LOSS OF CONSCIOUSNESS (passed out), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working), HYPERHIDROSIS (He was sweating/chest was wet), SKIN DISCOLOURATION (looked a little ashy), LIMB DISCOMFORT (his legs went limb and relaxed) and EYE DISORDER (""His eyes were, like, not right"") in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C21A, 039*K20A and 038K20A) for COVID-19 vaccination.     The patient's past medical history included Heart disease, unspecified and Heart valve replacement (three years ago he had a heart valve replacement surgery, but he had been fine since.) in 2018. Concurrent medical conditions included Diabetes (had diabetes (but under control).), Blood pressure high (had high blood pressure (but under control).) and Overweight.   On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Nov-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criteria death and medically significant), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working) (seriousness criterion death), HYPERHIDROSIS (He was sweating/chest was wet) (seriousness criterion death), SKIN DISCOLOURATION (looked a little ashy) (seriousness criterion death), LIMB DISCOMFORT (his legs went limb and relaxed) (seriousness criterion death) and EYE DISORDER (""His eyes were, like, not right"") (seriousness criterion death). The patient died on 15-Nov-2021. The cause of death was not reported. An autopsy was performed, but no results were provided.            Patient was sitting on the couch, gasping for air, and told reporter  to hurry and call 911 since he couldn't breathe.The ambulance people tried to revive him, they put him on the floor, and they took his pulse. They asked for his medications and took him into the ambulance.  When they arrived at the hospital, it took a while for any doctor to come and talk to her, so she thought they could revive him and was expecting some damage, like slow speech or paralysis. But when the doctor came in, he told her that they couldn't revive him, and he had passed. When she got in to see him, he had a tube on his mouth and his body temperature was fine, but he wasn't there anymore.  No concomitant medication information were given. No treatment information were given.  Company comment: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Sender's Comments: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death""
	"1903577-1"	"1903577-1"	"DYSPNOEA"	"10013968"	"65-79 years"	"65-79"	""Passed away/ Doctors couldn't revive him; passed out; gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working; He was sweating/chest was wet; looked a little ashy; his legs went limb and relaxed; ""His eyes were, like, not right""; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Passed away/ Doctors couldn't revive him), LOSS OF CONSCIOUSNESS (passed out), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working), HYPERHIDROSIS (He was sweating/chest was wet), SKIN DISCOLOURATION (looked a little ashy), LIMB DISCOMFORT (his legs went limb and relaxed) and EYE DISORDER (""His eyes were, like, not right"") in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C21A, 039*K20A and 038K20A) for COVID-19 vaccination.     The patient's past medical history included Heart disease, unspecified and Heart valve replacement (three years ago he had a heart valve replacement surgery, but he had been fine since.) in 2018. Concurrent medical conditions included Diabetes (had diabetes (but under control).), Blood pressure high (had high blood pressure (but under control).) and Overweight.   On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Nov-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criteria death and medically significant), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working) (seriousness criterion death), HYPERHIDROSIS (He was sweating/chest was wet) (seriousness criterion death), SKIN DISCOLOURATION (looked a little ashy) (seriousness criterion death), LIMB DISCOMFORT (his legs went limb and relaxed) (seriousness criterion death) and EYE DISORDER (""His eyes were, like, not right"") (seriousness criterion death). The patient died on 15-Nov-2021. The cause of death was not reported. An autopsy was performed, but no results were provided.            Patient was sitting on the couch, gasping for air, and told reporter  to hurry and call 911 since he couldn't breathe.The ambulance people tried to revive him, they put him on the floor, and they took his pulse. They asked for his medications and took him into the ambulance.  When they arrived at the hospital, it took a while for any doctor to come and talk to her, so she thought they could revive him and was expecting some damage, like slow speech or paralysis. But when the doctor came in, he told her that they couldn't revive him, and he had passed. When she got in to see him, he had a tube on his mouth and his body temperature was fine, but he wasn't there anymore.  No concomitant medication information were given. No treatment information were given.  Company comment: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Sender's Comments: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death""
	"1903577-1"	"1903577-1"	"EYE DISORDER"	"10015916"	"65-79 years"	"65-79"	""Passed away/ Doctors couldn't revive him; passed out; gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working; He was sweating/chest was wet; looked a little ashy; his legs went limb and relaxed; ""His eyes were, like, not right""; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Passed away/ Doctors couldn't revive him), LOSS OF CONSCIOUSNESS (passed out), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working), HYPERHIDROSIS (He was sweating/chest was wet), SKIN DISCOLOURATION (looked a little ashy), LIMB DISCOMFORT (his legs went limb and relaxed) and EYE DISORDER (""His eyes were, like, not right"") in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C21A, 039*K20A and 038K20A) for COVID-19 vaccination.     The patient's past medical history included Heart disease, unspecified and Heart valve replacement (three years ago he had a heart valve replacement surgery, but he had been fine since.) in 2018. Concurrent medical conditions included Diabetes (had diabetes (but under control).), Blood pressure high (had high blood pressure (but under control).) and Overweight.   On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Nov-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criteria death and medically significant), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working) (seriousness criterion death), HYPERHIDROSIS (He was sweating/chest was wet) (seriousness criterion death), SKIN DISCOLOURATION (looked a little ashy) (seriousness criterion death), LIMB DISCOMFORT (his legs went limb and relaxed) (seriousness criterion death) and EYE DISORDER (""His eyes were, like, not right"") (seriousness criterion death). The patient died on 15-Nov-2021. The cause of death was not reported. An autopsy was performed, but no results were provided.            Patient was sitting on the couch, gasping for air, and told reporter  to hurry and call 911 since he couldn't breathe.The ambulance people tried to revive him, they put him on the floor, and they took his pulse. They asked for his medications and took him into the ambulance.  When they arrived at the hospital, it took a while for any doctor to come and talk to her, so she thought they could revive him and was expecting some damage, like slow speech or paralysis. But when the doctor came in, he told her that they couldn't revive him, and he had passed. When she got in to see him, he had a tube on his mouth and his body temperature was fine, but he wasn't there anymore.  No concomitant medication information were given. No treatment information were given.  Company comment: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Sender's Comments: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death""
	"1903577-1"	"1903577-1"	"HYPERHIDROSIS"	"10020642"	"65-79 years"	"65-79"	""Passed away/ Doctors couldn't revive him; passed out; gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working; He was sweating/chest was wet; looked a little ashy; his legs went limb and relaxed; ""His eyes were, like, not right""; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Passed away/ Doctors couldn't revive him), LOSS OF CONSCIOUSNESS (passed out), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working), HYPERHIDROSIS (He was sweating/chest was wet), SKIN DISCOLOURATION (looked a little ashy), LIMB DISCOMFORT (his legs went limb and relaxed) and EYE DISORDER (""His eyes were, like, not right"") in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C21A, 039*K20A and 038K20A) for COVID-19 vaccination.     The patient's past medical history included Heart disease, unspecified and Heart valve replacement (three years ago he had a heart valve replacement surgery, but he had been fine since.) in 2018. Concurrent medical conditions included Diabetes (had diabetes (but under control).), Blood pressure high (had high blood pressure (but under control).) and Overweight.   On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Nov-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criteria death and medically significant), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working) (seriousness criterion death), HYPERHIDROSIS (He was sweating/chest was wet) (seriousness criterion death), SKIN DISCOLOURATION (looked a little ashy) (seriousness criterion death), LIMB DISCOMFORT (his legs went limb and relaxed) (seriousness criterion death) and EYE DISORDER (""His eyes were, like, not right"") (seriousness criterion death). The patient died on 15-Nov-2021. The cause of death was not reported. An autopsy was performed, but no results were provided.            Patient was sitting on the couch, gasping for air, and told reporter  to hurry and call 911 since he couldn't breathe.The ambulance people tried to revive him, they put him on the floor, and they took his pulse. They asked for his medications and took him into the ambulance.  When they arrived at the hospital, it took a while for any doctor to come and talk to her, so she thought they could revive him and was expecting some damage, like slow speech or paralysis. But when the doctor came in, he told her that they couldn't revive him, and he had passed. When she got in to see him, he had a tube on his mouth and his body temperature was fine, but he wasn't there anymore.  No concomitant medication information were given. No treatment information were given.  Company comment: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Sender's Comments: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death""
	"1903577-1"	"1903577-1"	"LIMB DISCOMFORT"	"10061224"	"65-79 years"	"65-79"	""Passed away/ Doctors couldn't revive him; passed out; gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working; He was sweating/chest was wet; looked a little ashy; his legs went limb and relaxed; ""His eyes were, like, not right""; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Passed away/ Doctors couldn't revive him), LOSS OF CONSCIOUSNESS (passed out), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working), HYPERHIDROSIS (He was sweating/chest was wet), SKIN DISCOLOURATION (looked a little ashy), LIMB DISCOMFORT (his legs went limb and relaxed) and EYE DISORDER (""His eyes were, like, not right"") in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C21A, 039*K20A and 038K20A) for COVID-19 vaccination.     The patient's past medical history included Heart disease, unspecified and Heart valve replacement (three years ago he had a heart valve replacement surgery, but he had been fine since.) in 2018. Concurrent medical conditions included Diabetes (had diabetes (but under control).), Blood pressure high (had high blood pressure (but under control).) and Overweight.   On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Nov-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criteria death and medically significant), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working) (seriousness criterion death), HYPERHIDROSIS (He was sweating/chest was wet) (seriousness criterion death), SKIN DISCOLOURATION (looked a little ashy) (seriousness criterion death), LIMB DISCOMFORT (his legs went limb and relaxed) (seriousness criterion death) and EYE DISORDER (""His eyes were, like, not right"") (seriousness criterion death). The patient died on 15-Nov-2021. The cause of death was not reported. An autopsy was performed, but no results were provided.            Patient was sitting on the couch, gasping for air, and told reporter  to hurry and call 911 since he couldn't breathe.The ambulance people tried to revive him, they put him on the floor, and they took his pulse. They asked for his medications and took him into the ambulance.  When they arrived at the hospital, it took a while for any doctor to come and talk to her, so she thought they could revive him and was expecting some damage, like slow speech or paralysis. But when the doctor came in, he told her that they couldn't revive him, and he had passed. When she got in to see him, he had a tube on his mouth and his body temperature was fine, but he wasn't there anymore.  No concomitant medication information were given. No treatment information were given.  Company comment: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Sender's Comments: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death""
	"1903577-1"	"1903577-1"	"LOSS OF CONSCIOUSNESS"	"10024855"	"65-79 years"	"65-79"	""Passed away/ Doctors couldn't revive him; passed out; gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working; He was sweating/chest was wet; looked a little ashy; his legs went limb and relaxed; ""His eyes were, like, not right""; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Passed away/ Doctors couldn't revive him), LOSS OF CONSCIOUSNESS (passed out), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working), HYPERHIDROSIS (He was sweating/chest was wet), SKIN DISCOLOURATION (looked a little ashy), LIMB DISCOMFORT (his legs went limb and relaxed) and EYE DISORDER (""His eyes were, like, not right"") in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C21A, 039*K20A and 038K20A) for COVID-19 vaccination.     The patient's past medical history included Heart disease, unspecified and Heart valve replacement (three years ago he had a heart valve replacement surgery, but he had been fine since.) in 2018. Concurrent medical conditions included Diabetes (had diabetes (but under control).), Blood pressure high (had high blood pressure (but under control).) and Overweight.   On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Nov-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criteria death and medically significant), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working) (seriousness criterion death), HYPERHIDROSIS (He was sweating/chest was wet) (seriousness criterion death), SKIN DISCOLOURATION (looked a little ashy) (seriousness criterion death), LIMB DISCOMFORT (his legs went limb and relaxed) (seriousness criterion death) and EYE DISORDER (""His eyes were, like, not right"") (seriousness criterion death). The patient died on 15-Nov-2021. The cause of death was not reported. An autopsy was performed, but no results were provided.            Patient was sitting on the couch, gasping for air, and told reporter  to hurry and call 911 since he couldn't breathe.The ambulance people tried to revive him, they put him on the floor, and they took his pulse. They asked for his medications and took him into the ambulance.  When they arrived at the hospital, it took a while for any doctor to come and talk to her, so she thought they could revive him and was expecting some damage, like slow speech or paralysis. But when the doctor came in, he told her that they couldn't revive him, and he had passed. When she got in to see him, he had a tube on his mouth and his body temperature was fine, but he wasn't there anymore.  No concomitant medication information were given. No treatment information were given.  Company comment: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Sender's Comments: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death""
	"1903577-1"	"1903577-1"	"SKIN DISCOLOURATION"	"10040829"	"65-79 years"	"65-79"	""Passed away/ Doctors couldn't revive him; passed out; gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working; He was sweating/chest was wet; looked a little ashy; his legs went limb and relaxed; ""His eyes were, like, not right""; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Passed away/ Doctors couldn't revive him), LOSS OF CONSCIOUSNESS (passed out), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working), HYPERHIDROSIS (He was sweating/chest was wet), SKIN DISCOLOURATION (looked a little ashy), LIMB DISCOMFORT (his legs went limb and relaxed) and EYE DISORDER (""His eyes were, like, not right"") in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C21A, 039*K20A and 038K20A) for COVID-19 vaccination.     The patient's past medical history included Heart disease, unspecified and Heart valve replacement (three years ago he had a heart valve replacement surgery, but he had been fine since.) in 2018. Concurrent medical conditions included Diabetes (had diabetes (but under control).), Blood pressure high (had high blood pressure (but under control).) and Overweight.   On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Nov-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criteria death and medically significant), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working) (seriousness criterion death), HYPERHIDROSIS (He was sweating/chest was wet) (seriousness criterion death), SKIN DISCOLOURATION (looked a little ashy) (seriousness criterion death), LIMB DISCOMFORT (his legs went limb and relaxed) (seriousness criterion death) and EYE DISORDER (""His eyes were, like, not right"") (seriousness criterion death). The patient died on 15-Nov-2021. The cause of death was not reported. An autopsy was performed, but no results were provided.            Patient was sitting on the couch, gasping for air, and told reporter  to hurry and call 911 since he couldn't breathe.The ambulance people tried to revive him, they put him on the floor, and they took his pulse. They asked for his medications and took him into the ambulance.  When they arrived at the hospital, it took a while for any doctor to come and talk to her, so she thought they could revive him and was expecting some damage, like slow speech or paralysis. But when the doctor came in, he told her that they couldn't revive him, and he had passed. When she got in to see him, he had a tube on his mouth and his body temperature was fine, but he wasn't there anymore.  No concomitant medication information were given. No treatment information were given.  Company comment: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Sender's Comments: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death""
	"1904459-1"	"1904459-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"death on 11/28/2021"
	"1909805-1"	"1909805-1"	"CLOSTRIDIUM DIFFICILE INFECTION"	"10054236"	"65-79 years"	"65-79"	"Brief Summary/Assessment: 68M PMH myopathy (bed bound, most c/w colchicine-induced myopathy, started 8/2021), HFpEF, HTN, CKD, AF (rivarox), DM, bipolar, gout, OSA (CPAP), sacral ulcer with chronic OM, p/w hypercarbic respiratory failure which resolved with BiPAP. Course c/b Cdiff and nosocomial COVID infection. Patient died"
	"1909805-1"	"1909805-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Brief Summary/Assessment: 68M PMH myopathy (bed bound, most c/w colchicine-induced myopathy, started 8/2021), HFpEF, HTN, CKD, AF (rivarox), DM, bipolar, gout, OSA (CPAP), sacral ulcer with chronic OM, p/w hypercarbic respiratory failure which resolved with BiPAP. Course c/b Cdiff and nosocomial COVID infection. Patient died"
	"1909805-1"	"1909805-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Brief Summary/Assessment: 68M PMH myopathy (bed bound, most c/w colchicine-induced myopathy, started 8/2021), HFpEF, HTN, CKD, AF (rivarox), DM, bipolar, gout, OSA (CPAP), sacral ulcer with chronic OM, p/w hypercarbic respiratory failure which resolved with BiPAP. Course c/b Cdiff and nosocomial COVID infection. Patient died"
	"1909805-1"	"1909805-1"	"HYPERCAPNIA"	"10020591"	"65-79 years"	"65-79"	"Brief Summary/Assessment: 68M PMH myopathy (bed bound, most c/w colchicine-induced myopathy, started 8/2021), HFpEF, HTN, CKD, AF (rivarox), DM, bipolar, gout, OSA (CPAP), sacral ulcer with chronic OM, p/w hypercarbic respiratory failure which resolved with BiPAP. Course c/b Cdiff and nosocomial COVID infection. Patient died"
	"1909805-1"	"1909805-1"	"MYOPATHY"	"10028641"	"65-79 years"	"65-79"	"Brief Summary/Assessment: 68M PMH myopathy (bed bound, most c/w colchicine-induced myopathy, started 8/2021), HFpEF, HTN, CKD, AF (rivarox), DM, bipolar, gout, OSA (CPAP), sacral ulcer with chronic OM, p/w hypercarbic respiratory failure which resolved with BiPAP. Course c/b Cdiff and nosocomial COVID infection. Patient died"
	"1909805-1"	"1909805-1"	"POSITIVE AIRWAY PRESSURE THERAPY"	"10086397"	"65-79 years"	"65-79"	"Brief Summary/Assessment: 68M PMH myopathy (bed bound, most c/w colchicine-induced myopathy, started 8/2021), HFpEF, HTN, CKD, AF (rivarox), DM, bipolar, gout, OSA (CPAP), sacral ulcer with chronic OM, p/w hypercarbic respiratory failure which resolved with BiPAP. Course c/b Cdiff and nosocomial COVID infection. Patient died"
	"1909805-1"	"1909805-1"	"RESPIRATORY FAILURE"	"10038695"	"65-79 years"	"65-79"	"Brief Summary/Assessment: 68M PMH myopathy (bed bound, most c/w colchicine-induced myopathy, started 8/2021), HFpEF, HTN, CKD, AF (rivarox), DM, bipolar, gout, OSA (CPAP), sacral ulcer with chronic OM, p/w hypercarbic respiratory failure which resolved with BiPAP. Course c/b Cdiff and nosocomial COVID infection. Patient died"
	"1909938-1"	"1909938-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Unforeseen death on 11/25/2021"
	"1912870-1"	"1912870-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient tested positive for COVID 19 on 8/27/2021. Patient hospitalized 11/26/2021 and expired 11/29/2021."
	"1912870-1"	"1912870-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient tested positive for COVID 19 on 8/27/2021. Patient hospitalized 11/26/2021 and expired 11/29/2021."
	"1912870-1"	"1912870-1"	"SARS-COV-2 TEST POSITIVE"	"10084271"	"65-79 years"	"65-79"	"Patient tested positive for COVID 19 on 8/27/2021. Patient hospitalized 11/26/2021 and expired 11/29/2021."
	"1913317-1"	"1913317-1"	"COVID-19"	"10084268"	"65-79 years"	"65-79"	"Patient was dx with COVID-19, was hospitalized and exipred."
	"1913317-1"	"1913317-1"	"DEATH"	"10011906"	"65-79 years"	"65-79"	"Patient was dx with COVID-19, was hospitalized and exipred."
"---"
"Dataset: The Vaccine Adverse Event Reporting System (VAERS)"
"Query Parameters:"
"Title: 211214 CDC covid VAERS report - all reports.txt"
"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: Georgia; Hawaii; Idaho; Illinois; Indiana; Iowa; Kansas; Kentucky; Louisiana; Maine; Maryland; Massachusetts"
"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 4:21:53 PM"
"---"
"Suggested Citation: Accessed at http://wonder.cdc.gov/vaers.html on Dec 14, 2021 4:21:53 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 590 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>"