chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain
Clinical narrative: SEVERE PAIN; DEBILIATING CHRONIC BACK PAIN; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported.  On an unspecified date, the subject experienced severe pain, and debiliating chronic back pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the severe pain and debiliating chronic back pain was not reported. This report was non-serious. This case, from the same reporter is linked to 20210627096.
Sex: U
Vaccine: COVID19
Symptoms: Chest pain, Headache, Vision blurred
Clinical narrative: PERSISTENT RANDOM QUICK SHARP PAIN IN CHEST; BLURRED VISION; HEADACHE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 12-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced persistent random quick sharp pain in chest, blurred vision, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from persistent random quick sharp pain in chest, headache, and blurred vision. This report was non-serious.; Sender's Comments: V0: Medical assessment comments not required as per standard procedure as the case is assessed non serious.
Sex: U
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Malaise, Pyrexia
Clinical narrative: FELT LIKE CRAP THE NEXT DAY; CHILLS; ALL JOINTS HURT; FEVER; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case No concomitant medications were reported.  On an unspecified date, the subject experienced felt bad the next day, chills, all joints hurt, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome  felt bad the next day, chills, all joints hurt and fever was not reported. This report was non-serious.
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: BODY ACHES; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not provided and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced body aches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of body aches was not reported. This report was non-serious.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in jaw
Clinical narrative: JAW PAIN; This spontaneous report received from a patient concerned a 55 year old male. The patient's weight was 201 pounds, and height was 194 centimeters. The patient's concurrent conditions included alcoholic, and non smoker, and other pre-existing medical conditions included patient had no known allergies and no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, expiry: 05-AUG-2021) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported.  On MAY-2021, the subject experienced jaw pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from jaw pain. This report was non-serious. This case, from the same reporter is linked to 20210626627.
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: DEATH; This spontaneous report received from a consumer via a company representative concerned an adult male. Additional live follow up was received on 14-JUN-2021.  The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) one total dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported.  On an unspecified date, the patient was died. The cause of death was not reported. It was unknown whether the autopsy was done or not. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. This report was serious (Death).; Sender's Comments: V0: 20210629311- covid-19 vaccine ad26.cov2.s-death. This event(s) is considered unassessable. The event(s) has an unknown/unclear temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).; Reported Cause(s) of Death: UNKNOWN CAUSE OF DEATH
Sex: U
Vaccine: COVID19
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: POOR QUALITY VACCINE ADMINISTERED; INCORRECT STORAGE OF PRODUCT (VIAL WAS PUNCTURED AT 07:51, AND DOSE WAS GIVEN AT 14:50); This spontaneous report received from a health care professional concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A expiry: 05-AUG-2021) dose was not reported, administered on 11-JUN-2021 14:50 for prophylactic vaccination. No concomitant medications were reported. On 11-JUN-2021, the subject experienced poor quality vaccine administered. On 11-JUN-2021, the subject experienced incorrect storage of product (vial was punctured at 07:51, and dose was given at 14:50). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the poor quality vaccine administered and incorrect storage of product (vial was punctured at 07:51, and dose was given at 14:50) was not reported. This report was non-serious.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Migraine, Pain in extremity
Clinical narrative: Upon waking up the next day after the vaccine I  experienced out of the ordinary fatigue and arm soreness. This progressed into a rather severe migraine. As of today, 06/16/2021 at 6:30am I woke up with dizziness and lightheadedness which is again out of the ordinary for me and I believe is attributed to the vaccine.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sciatica
Clinical narrative: sciatic, left leg pain
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Oropharyngeal pain, Productive cough
Clinical narrative: Headache Muscle Pain Sore throat Fatigue Phlegm  Tylenol 1000 mg 3 times daily
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchial hyperreactivity, Cough, Oropharyngeal pain, Rhinorrhoea, Wheezing
Clinical narrative: Cough Sore throat congestion runny nose Reactive airway disease/wheezing with paroxysmal cough  Begin prednisone 20 mg 3 for 3 days 2 for 3 days 1 for 3 days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Dyspnoea, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Pt became unresponsive to verbal stimulus and sternal rub within 5 minutes of vaccination. Person immediately called 911 (witness in line at the pharmacy) while (another patient in the pharmacy; a nurse) assisted the RPh and a technician in laying the patient on the floor and elevating her feet, providing ice packs for syncope symptoms, and damp towels for sweating. Patient became responsive prior to EMS arriving and transfer of care initiated upon EMS arrival.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Pt became unresponsive to verbal stimulus and sternal rub within 5 minutes of vaccination. Person immediately called 911 (witness in line at the pharmacy) while (another patient in the pharmacy; a nurse) assisted the RPh and a technician in laying the patient on the floor and elevating her feet, providing ice packs for syncope symptoms, and damp towels for sweating. Patient became responsive prior to EMS arriving and transfer of care initiated upon EMS arrival.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Pt became unresponsive to verbal stimulus and sternal rub within 5 minutes of vaccination. Person immediately called 911 (witness in line at the pharmacy) while (another patient in the pharmacy; a nurse) assisted the RPh and a technician in laying the patient on the floor and elevating her feet, providing ice packs for syncope symptoms, and damp towels for sweating. Patient became responsive prior to EMS arriving and transfer of care initiated upon EMS arrival.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, Cough, Nasal congestion, SARS-CoV-2 test
Clinical narrative: Acute bronchitis cough  Nasal Congestion  -     predniSONE (DELTASONE) 20 mg tablet; Take 2 tablets (40 mg total) by mouth daily  for 5 days -     azithromycin (ZITHROMAX) 250 mg tablet; Take 2 tabs (500 mg) by mouth today, than 1 daily for 4 days. -     amoxicillin-pot clavulanate (AUGMENTIN) 875-125 mg per tablet; Take 1 tablet by mouth 2 (two) times a day  for 10 days
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Early
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Additional Details: patient fainted 10 minutes after vaccine adminstration. patient was placed in a prone position and legs elevated. patient regained consciousness after 5 seconds, and was observed for another 30 minutes.
Age: 18.0
Sex: F
Vaccine: DT, HEP, HEPA, HPV9
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Small hard bump appeared 6-15. Today, 6-16, it is bigger and harder. Feels kinda like a pregnancy bump but in my arm. Feels warmer than other skin around it. I believe this came from the HPV vaccine, because I think my tetanus shot was higher up on my arm than the bump is, and I know the HPV shot was lower than tetanus.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: Cough Fever Sore throat headaches myalgias Postnasal drip
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Upper-airway cough syndrome
Clinical narrative: Cough Fever Sore throat headaches myalgias Postnasal drip
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient got up from observation to ask for a glass of water. On the way back to his seat, he fainted into the aisle and fell to the floor. Upon hitting the floor he immediately woke up and was profusively sweating. The patient was taken out by the EMT after 911 was called. Patient said he felt fine and back to normal after waking up and that he has fainted due to vaccines before.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Injection site pain, X-ray
Clinical narrative: Serious Left arm pain
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Pain
Clinical narrative: Chills, Headache, Body Ache, beginning about 12 hours after vaccination and lasting 6 hours.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Myalgia, Nausea, Pyrexia
Clinical narrative: Chills, fever, muscle aches, nausea, SLIGHT cough
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Injection site pain, Nausea, Syncope, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Mild, Additional Details: patient has history of passing out because he gets nervous according to mom
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Mild, Additional Details: patient has history of passing out because he gets nervous according to mom
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Systemic: BRUISING ON LIMBS (NOT AT INJECTION SITE)-Mild
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Pain at Injection Site
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Injection site erythema, Syncope, Unresponsive to stimuli
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: Patient passed out 3 minutes after receiving vaccine, came to after about 1 minute. EMS called and evaluated patient, patient refused to go to hospital.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Fever of 102, headache.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebellar infarction, Cerebrovascular accident, Computerised tomogram abnormal, Computerised tomogram head, Magnetic resonance imaging head abnormal
Clinical narrative: Acute stroke CT and MRI. MRI showed acute infarction in left cerebellar and occipital lobe started on aspirin 81 mg and crestor 40 mg for management.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 antibody test, SARS-CoV-2 test
Clinical narrative: asymptomatic
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Feeling hot, Hyperhidrosis, Nausea, Pain
Clinical narrative: Nausea, clamminess, hot and sweaty, body aches
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Syncope, Tremor
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Additional Details: EMTs arrived, patient was already conscious on the floor with feet up, cleared to return home by EMT after checking vitals.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Additional Details: EMTs arrived, patient was already conscious on the floor with feet up, cleared to return home by EMT after checking vitals.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Vaccination error
Clinical narrative: THE NURSE GRABBED AN UNLABELED SYRING THINKING AND DOCUMENTING IT AS MODERNA. IT WAS INFACT JANSSEN. I NOTIFIED PATIENT AND SENDING HIM AN NEW UPDATED VACCINATION CARD
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Product preparation error
Clinical narrative: administered undiluted dose.  as of 24 hours-sore arm, fatigue.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None noted
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide normal, Chest pain, Electrocardiogram ST segment elevation, Troponin
Clinical narrative: An episode of 7/10 substernal chest pain that lasted for 1.5-2 hours. It was not worse with deep breath or changes in position and was relieved with 2 tablets of ibuprofen (400mg). Denies recent fever, cough, or congestion.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: undiluted dose administered
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product reconstitution quality issue
Clinical narrative: Error: Incorrect Reconstitution
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia, Pain, Pyrexia
Clinical narrative: 24 hour post vaccination, fever, body aches, chills, muscle pain, joint pain. Knee pain severe. Knee pain requires 2 months of Physical therapy to resolve. Fever chilla and other body aches subsided after 48 houra.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: At 9 pm on June 14th, 8 hours after vaccine, patient began getting extremely itchy hives all over stomach, left arm, right arm, neck, breasts, and back.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Electrocardiogram normal, Inflammation
Clinical narrative: Woke up the morning after his 2nd vaccine with severe chest pain so bad that we rushed him to the ER. The Dr didn't seem that interested in knowing that he had just had his 2nd vaccine. She ordered x-rays that showed his lungs were normal, Did an EKG that was normal. His blood pressure was 159/110 however they didn't think that was a worry (I did.) They provide him Tordall for inflammation and sent him home for the day. I don't believe Dr took it very serious.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: HE RECEIVED MODERNA VACCINE 1/21/2021. FOR HIS SECOND DOSE HE WENT TO AN OFFSITE WE WERE HOSTING. THE VACCINATING NURSE GRABBED A SYRINGE THAT SHE THOUGHT WAS MODERNA.AFTERWORD IT WAS REALIZED IT WAS JANSSEN VACCINE.  I NOTIFED HIM AND SENT HIM AN UPDATED CDC VACCINATION CARD. HE UNDERSTANDS THE SERIES IS COMPLETE
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Joint swelling, Lymphadenopathy
Clinical narrative: Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Additional Details: PATIENT'S MOM CAME TO THE PHARMACY AND REPORTED THAT PATIENT WOKE UP THE NEXT DAY WITH A SWELLING PAINFUL LEFF ANGKLE. PATIENT EVEN CAN NOT WALK. NO PAIN OR BRUISING AT THE INJECTION SITE
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Headache, Pyrexia
Clinical narrative: Headache, weakness, dizzy, and fever continued for a 48 hour time span
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Pain in extremity, Peripheral swelling, Ultrasound Doppler abnormal
Clinical narrative: left leg pain and swelling developed on 5/26/2021, did not seek treatment until 6/9/2021 as not resolving. Evaluated in ER 6/9/21, identified on ultrasound left popliteal and calf deep vein thrombosis. Started on anticoagulation therapy, Eliquis 10mg BID, ongoing treatment, reduced to  5mg BID after 7 days and will continue to monitor renal function.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Systemic: Body Aches Generalized-Medium, Additional Details: Had pain like sensation in both legs
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Felt little numbness and tingling down the left hand/same side of injection
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac stress test, Chest pain, Echocardiogram, Electrocardiogram abnormal
Clinical narrative: Atrial Fibrillation that developed 18 days after the first vaccine dose. Felt change in HR, some chest pain.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate abnormal
Clinical narrative: Atrial Fibrillation that developed 18 days after the first vaccine dose. Felt change in HR, some chest pain.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Dyskinesia, Ear pain, Facial pain, Facial paralysis
Clinical narrative: About two weeks after getting my first shot, besides the typical pain at the injection site ( felt like a decent punch to the arm for about 1 week), I had the sensation of having an abscessed tooth. I?ve had an abscessed tooth before and the sensation was the same. Both sides of my jaw were very sore, hard to open my mouth,  pain radiating up my jaw and into my ears on both sides of my face. The next day my face muscles ?dropped? like they became too relaxed and it seemed to me exactly like my abscessed tooth from the past. I had started to take some antibiotics that I have on hand in preparation for a visit to the oral surgeon. Three days of this and the pain and my muscle issue disappeared. I should note that I lost my taste throughout the three days that this happened. Everything is normal since, just wanted to bring this up and report this strange reaction.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pain in jaw, Sensory disturbance
Clinical narrative: About two weeks after getting my first shot, besides the typical pain at the injection site ( felt like a decent punch to the arm for about 1 week), I had the sensation of having an abscessed tooth. I?ve had an abscessed tooth before and the sensation was the same. Both sides of my jaw were very sore, hard to open my mouth,  pain radiating up my jaw and into my ears on both sides of my face. The next day my face muscles ?dropped? like they became too relaxed and it seemed to me exactly like my abscessed tooth from the past. I had started to take some antibiotics that I have on hand in preparation for a visit to the oral surgeon. Three days of this and the pain and my muscle issue disappeared. I should note that I lost my taste throughout the three days that this happened. Everything is normal since, just wanted to bring this up and report this strange reaction.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Systemic: Nausea-Severe, Additional Details: PATIENT PRESENTED TO EMERGENCY DEPARTMENT DUE TO SEVERE NAUSEA STARTING APPROXIMATELY 2 DAYS POST VACCINATION. PT STATES SHE WAS TOLD BY ED PROVIDER THAT VACCINE RESPONSE WAS MORE ROBUST DUE TO PREVIOUS COVID INFECTION. IT IS UNKNOWN IF THIS EVENT WAS ALREADY REPORTED TO VAERS BY THE ED PROVIDER. RPH ENCOURAGED PATIENT TO REGISTER AND REPORT VIA VSAFE.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: itching skin and hives
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Nausea, Rash, Rash pruritic
Clinical narrative: I have a small cluster of bumps with a some kind of fluid in them at the injection site that begin itching about 3 days ago. Two days ago I noticed that I have additional small clusters of bumps on my left shoulder and these cluster are spreading down on the left side of my back and they continue to itch.  This begin to happen 12 days after my 2nd Moderna shot.  I am continuing to check my body to see if these clusters will spread even further.  I have also been nauseated early in the morning for about a week.  I am reporting these symptoms because the nausea, small cluster of liquid filled bumps and itching  is getting progressively slow and I am not sure if it is related to the Moderna Vaccination: but I never had these symptoms before.  Also, there have been no new foods eaten, or any life-stly changes and I have continued to always wear a mask whenever I leave my home.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Cough, Diarrhoea, Fatigue, Nasal congestion
Clinical narrative: Cough Fatigue Congestion or runny nose Diarrhea Rash Sore throat Loss of taste  Push fluids Claritin Rest benzonatate (TESSALON) 200 mg capsule
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Rash, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Cough Fatigue Congestion or runny nose Diarrhea Rash Sore throat Loss of taste  Push fluids Claritin Rest benzonatate (TESSALON) 200 mg capsule
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis
Clinical narrative: Pt has known arthritis. Had a bad Arthritis Flare in both knees 5-7 days after second vaccine, Has not subsided. Has recieved cortisone shot in right knee as a results and will require an MRI in the left knee.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: lightheaded, dizzy, neusea B/P: 118/62 , RESPIRATION: 20, PULSE: 85
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo.  Treated with Meclizine and decongestant.  Then had vestibular therapy, three sessions.  The vertigo has resolved.
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary mass, Condition aggravated, Lymph node pain, Lymphadenopathy
Clinical narrative: Lump and swelling of lymph nodes under left armpit, with tenderness.  Small lump noticed the size of a marble and seems to have gotten bigger particularly after the second dose of the vaccine that was received on June 14th. still has swelling and tenderness in that area.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Injection site pain, Seizure
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Seizure-Medium, Additional Details: 5-10 minutes after vaccination, patient felt faint. When pharmacist walked over, patient had an absent stare, was unresponsive to questioning, and mild convulsions. Unresponsiveness lasted 30 seconds to a minute. Patient also lost control of urinary tract and relieved himself.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test, Seizure
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Seizure-Medium, Additional Details: 5-10 minutes after vaccination, patient felt faint. When pharmacist walked over, patient had an absent stare, was unresponsive to questioning, and mild convulsions. Unresponsiveness lasted 30 seconds to a minute. Patient also lost control of urinary tract and relieved himself.
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Injection site nodule, Injection site pain, Joint range of motion decreased, X-ray limb
Clinical narrative: When I awoke on 02.26.2021 a large knot had developed at the injection site and very sore.  Didn?t think much of it because I had read this could last up to a month. A few days later I started having trouble with the range of motion of my left shoulder and arm and progressively got worse so made an appointment with my GP who administered a steroid shot in my rear and prescribed Etodolac which did not produce any positive results.  Did physical therapy which also did not provide any relief.  Made an appointment with an orthopedic Dr but I didn?t feel he was looking out for my best interest so I am researching other doctors at this time.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Breast enlargement, Breast tenderness
Clinical narrative: 9 days s/p 2nd vaccine, in the arm that received the vaccine, noted the left breast was twice the size of the right breast. No redness, tenderness, not nipple discharge. The left axcilla soft, nontender, no palpable lymph nodes noted. 10 days s/p 2nd vaccine, left breast, still enlarged, then tender to palpation. Injection site is fine. No fevers, chills, nor sweats. Warm compressed applied to left axcilla, keeping left arm in motion, continuing to try to support the left breast.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Rash erythematous, Rash pruritic
Clinical narrative: Metallic taste in mouth,within a few minutes of 2nd vaccine (only lasted few hours), and with itchy pale red rash on chest for 24hrs,
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient was extremly nervous and concered about recieving a vaccination. Per patient it was the first time he was recieving a vaccination and was scared of the needle. Patient felt slight dizziness after the vaccination. Provided the patient with water and monitored patient until dizzines was resolved. Called patietn before end of shift (5:45pm), patient indicated that he was at work, slightly tired, with no  dizzines.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Troponin increased
Clinical narrative: Myocarditis/elevated troponin
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram normal, Hyperhidrosis, Magnetic resonance imaging heart
Clinical narrative: Myocarditis/elevated troponin
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Pain in extremity, Pyrexia, Troponin increased, Vomiting
Clinical narrative: Myocarditis/elevated troponin
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Anaphylaxis shock became dizzy weak and throat started closing up had to be given an epi-pen rescue was called decided not to take her to the hospital pediatrician decided not to let her have a second shot too risky
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Decreased appetite, Electrocardiogram, Full blood count, Headache
Clinical narrative: chest tightness, nausea, decreased appetite, headache and general malaise
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test, Malaise, Metabolic function test, Nausea, Troponin
Clinical narrative: chest tightness, nausea, decreased appetite, headache and general malaise
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal distension, Abdominal pain upper, Blood test normal, Colonoscopy normal
Clinical narrative: the day after my second dose of pfizer I felt tired, no other side effects until 7:30pm the night after the second dose I started to experience EXTREME stomach pain, all over my mid section- extreme bloating and a heavy feeling to my mid section it lasted for about 3 hours.. the next 4 days this occurred once a day-no particular time or reason of anything I ate can justify what was happening to me. on the 5th day I ended up in the ER because the pain was unbearable and I began to vomit from the severe pain. It occured 2 more times after my ER visit but not as severely as the ER visit day. I have not experienced any other pain like this for about 3 weeks now. I never had any other symptoms of fever, chills, body aches -NOTHING - just severe pain in my mid section and there was no one spot the pain was occuring it was everywhere in my stomach(it was worse than child labor)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Endoscopy normal, Fatigue, Ultrasound abdomen normal, Ultrasound ovary
Clinical narrative: the day after my second dose of pfizer I felt tired, no other side effects until 7:30pm the night after the second dose I started to experience EXTREME stomach pain, all over my mid section- extreme bloating and a heavy feeling to my mid section it lasted for about 3 hours.. the next 4 days this occurred once a day-no particular time or reason of anything I ate can justify what was happening to me. on the 5th day I ended up in the ER because the pain was unbearable and I began to vomit from the severe pain. It occured 2 more times after my ER visit but not as severely as the ER visit day. I have not experienced any other pain like this for about 3 weeks now. I never had any other symptoms of fever, chills, body aches -NOTHING - just severe pain in my mid section and there was no one spot the pain was occuring it was everywhere in my stomach(it was worse than child labor)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: the day after my second dose of pfizer I felt tired, no other side effects until 7:30pm the night after the second dose I started to experience EXTREME stomach pain, all over my mid section- extreme bloating and a heavy feeling to my mid section it lasted for about 3 hours.. the next 4 days this occurred once a day-no particular time or reason of anything I ate can justify what was happening to me. on the 5th day I ended up in the ER because the pain was unbearable and I began to vomit from the severe pain. It occured 2 more times after my ER visit but not as severely as the ER visit day. I have not experienced any other pain like this for about 3 weeks now. I never had any other symptoms of fever, chills, body aches -NOTHING - just severe pain in my mid section and there was no one spot the pain was occuring it was everywhere in my stomach(it was worse than child labor)
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blindness transient, Dizziness, Fatigue, Flushing
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: pt has history of panic attacks like once a month-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium, Additional Details: pt statesm has a history of these panic like attacks like once a month- this episode happened few minutes after giving vaccine - pt had rininging in ears and temp vision lost and lethargic hadnt eaten since noon and was out in sun - vitals was normal called 911 emt checked her out vitals norma- episode lasted about 15 min- gave pt something sweet to drink - seem like her blood sugar was low or she had panic attack but she is following up w pcp in morning - advsied call 911 if happens again-
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Lethargy, Panic attack, Tinnitus, Visual impairment
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: pt has history of panic attacks like once a month-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium, Additional Details: pt statesm has a history of these panic like attacks like once a month- this episode happened few minutes after giving vaccine - pt had rininging in ears and temp vision lost and lethargic hadnt eaten since noon and was out in sun - vitals was normal called 911 emt checked her out vitals norma- episode lasted about 15 min- gave pt something sweet to drink - seem like her blood sugar was low or she had panic attack but she is following up w pcp in morning - advsied call 911 if happens again-
Age: 9.0
Sex: F
Vaccine: HPV9
Symptoms: Swelling, Vomiting
Clinical narrative: LOCALIZED SWELLING VOMITING
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: ON HER CONSENT FORM SHE SAID SHE RECEIVED THE 1ST DOSE ON 5/28/21. SHE RECEIVED HER 2ND DOSE EARLY.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Catheterisation cardiac, Chest pain, Computerised tomogram thorax, Echocardiogram
Clinical narrative: Received 2nd dose 2/18/2021 had fever that day, the next day, on the 20th it started at about 5:00pm then at about 6:00 pm I had severe left chest pains that soon went to the left shoulder. Emergency services was called and I was first taken to nearby hospital and they transferred me to a different Hospital. I had pericardial effusion was put on Lasix and Potassium. Tests done was a heart MRI, heart cathertization, lung CT scan, echocardiogram, EKG. Arteries were open and not clogged, it was determined that I did not have a heart attack. I've never had high blood pressure or any other heart related conditions. I was released after 5 days feeling well
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Magnetic resonance imaging heart, Pain, Pericardial effusion, Pyrexia
Clinical narrative: Received 2nd dose 2/18/2021 had fever that day, the next day, on the 20th it started at about 5:00pm then at about 6:00 pm I had severe left chest pains that soon went to the left shoulder. Emergency services was called and I was first taken to nearby hospital and they transferred me to a different Hospital. I had pericardial effusion was put on Lasix and Potassium. Tests done was a heart MRI, heart cathertization, lung CT scan, echocardiogram, EKG. Arteries were open and not clogged, it was determined that I did not have a heart attack. I've never had high blood pressure or any other heart related conditions. I was released after 5 days feeling well
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Chest X-ray, Dizziness, Dyspnoea
Clinical narrative: After being fully vaccinated I contracted the COVID virus with in two months. My symptoms was fatigue, nausea, shortness of breathe, and light headedness.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea, SARS-CoV-2 test positive
Clinical narrative: After being fully vaccinated I contracted the COVID virus with in two months. My symptoms was fatigue, nausea, shortness of breathe, and light headedness.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Antineutrophil cytoplasmic antibody, Antinuclear antibody, Bacterial test positive, Blood creatinine increased
Clinical narrative: 6/7 - patient received 2nd  dose of Pfizer vaccine.  6/8 - patient developed tactile fevers (for 2-3 days), diarrhea (4-5 days of non-bloody diarrhea) 6/9 - developed chest pain and tightness and mild cough  6/12 - few episodes of NBNB emesis, cough with blood tinged sputum  6/13 - presented to urgent care, referred to hospital and admitted to floor.  Patient found to have tachycardia and hypertension.  CXR with pleural effusion, renal US with medical renal disease.  Worsening renal function and concern for hyper coagulable state with worsening D-Dimer and possible pulmonary embolus but unable to obtain contrast images due to renal failure.    6/15 - transferred to ICU for heparin drip for worsening D-dimer.  Nephrology, rheumatology and infectious disease consulted.  Continued chest pain, cough with hemoptysis.  Remains afebrile and otherwise hemodynamically stable.  Started on ceftriaxone empirically.  Concern for MIS-C, vaccine related adverse event vs autoimmune vasculitis.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, Blood culture negative, Blood fibrinogen increased, Blood sodium decreased, Blood urea increased
Clinical narrative: 6/7 - patient received 2nd  dose of Pfizer vaccine.  6/8 - patient developed tactile fevers (for 2-3 days), diarrhea (4-5 days of non-bloody diarrhea) 6/9 - developed chest pain and tightness and mild cough  6/12 - few episodes of NBNB emesis, cough with blood tinged sputum  6/13 - presented to urgent care, referred to hospital and admitted to floor.  Patient found to have tachycardia and hypertension.  CXR with pleural effusion, renal US with medical renal disease.  Worsening renal function and concern for hyper coagulable state with worsening D-Dimer and possible pulmonary embolus but unable to obtain contrast images due to renal failure.    6/15 - transferred to ICU for heparin drip for worsening D-dimer.  Nephrology, rheumatology and infectious disease consulted.  Continued chest pain, cough with hemoptysis.  Remains afebrile and otherwise hemodynamically stable.  Started on ceftriaxone empirically.  Concern for MIS-C, vaccine related adverse event vs autoimmune vasculitis.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein, Chest X-ray abnormal, Chest discomfort, Chest pain, Complement factor C3
Clinical narrative: 6/7 - patient received 2nd  dose of Pfizer vaccine.  6/8 - patient developed tactile fevers (for 2-3 days), diarrhea (4-5 days of non-bloody diarrhea) 6/9 - developed chest pain and tightness and mild cough  6/12 - few episodes of NBNB emesis, cough with blood tinged sputum  6/13 - presented to urgent care, referred to hospital and admitted to floor.  Patient found to have tachycardia and hypertension.  CXR with pleural effusion, renal US with medical renal disease.  Worsening renal function and concern for hyper coagulable state with worsening D-Dimer and possible pulmonary embolus but unable to obtain contrast images due to renal failure.    6/15 - transferred to ICU for heparin drip for worsening D-dimer.  Nephrology, rheumatology and infectious disease consulted.  Continued chest pain, cough with hemoptysis.  Remains afebrile and otherwise hemodynamically stable.  Started on ceftriaxone empirically.  Concern for MIS-C, vaccine related adverse event vs autoimmune vasculitis.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Complement factor C4, Computerised tomogram thorax abnormal, Cough, Diarrhoea, Echocardiogram abnormal
Clinical narrative: 6/7 - patient received 2nd  dose of Pfizer vaccine.  6/8 - patient developed tactile fevers (for 2-3 days), diarrhea (4-5 days of non-bloody diarrhea) 6/9 - developed chest pain and tightness and mild cough  6/12 - few episodes of NBNB emesis, cough with blood tinged sputum  6/13 - presented to urgent care, referred to hospital and admitted to floor.  Patient found to have tachycardia and hypertension.  CXR with pleural effusion, renal US with medical renal disease.  Worsening renal function and concern for hyper coagulable state with worsening D-Dimer and possible pulmonary embolus but unable to obtain contrast images due to renal failure.    6/15 - transferred to ICU for heparin drip for worsening D-dimer.  Nephrology, rheumatology and infectious disease consulted.  Continued chest pain, cough with hemoptysis.  Remains afebrile and otherwise hemodynamically stable.  Started on ceftriaxone empirically.  Concern for MIS-C, vaccine related adverse event vs autoimmune vasculitis.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Fibrin D dimer decreased, Fungal test, HIV test, Haemoptysis
Clinical narrative: 6/7 - patient received 2nd  dose of Pfizer vaccine.  6/8 - patient developed tactile fevers (for 2-3 days), diarrhea (4-5 days of non-bloody diarrhea) 6/9 - developed chest pain and tightness and mild cough  6/12 - few episodes of NBNB emesis, cough with blood tinged sputum  6/13 - presented to urgent care, referred to hospital and admitted to floor.  Patient found to have tachycardia and hypertension.  CXR with pleural effusion, renal US with medical renal disease.  Worsening renal function and concern for hyper coagulable state with worsening D-Dimer and possible pulmonary embolus but unable to obtain contrast images due to renal failure.    6/15 - transferred to ICU for heparin drip for worsening D-dimer.  Nephrology, rheumatology and infectious disease consulted.  Continued chest pain, cough with hemoptysis.  Remains afebrile and otherwise hemodynamically stable.  Started on ceftriaxone empirically.  Concern for MIS-C, vaccine related adverse event vs autoimmune vasculitis.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Intensive care, Interleukin level, Lung opacity, Mycobacterium tuberculosis complex test
Clinical narrative: 6/7 - patient received 2nd  dose of Pfizer vaccine.  6/8 - patient developed tactile fevers (for 2-3 days), diarrhea (4-5 days of non-bloody diarrhea) 6/9 - developed chest pain and tightness and mild cough  6/12 - few episodes of NBNB emesis, cough with blood tinged sputum  6/13 - presented to urgent care, referred to hospital and admitted to floor.  Patient found to have tachycardia and hypertension.  CXR with pleural effusion, renal US with medical renal disease.  Worsening renal function and concern for hyper coagulable state with worsening D-Dimer and possible pulmonary embolus but unable to obtain contrast images due to renal failure.    6/15 - transferred to ICU for heparin drip for worsening D-dimer.  Nephrology, rheumatology and infectious disease consulted.  Continued chest pain, cough with hemoptysis.  Remains afebrile and otherwise hemodynamically stable.  Started on ceftriaxone empirically.  Concern for MIS-C, vaccine related adverse event vs autoimmune vasculitis.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Nephropathy, Pericardial effusion, Pleural effusion, Pneumonia, Procalcitonin
Clinical narrative: 6/7 - patient received 2nd  dose of Pfizer vaccine.  6/8 - patient developed tactile fevers (for 2-3 days), diarrhea (4-5 days of non-bloody diarrhea) 6/9 - developed chest pain and tightness and mild cough  6/12 - few episodes of NBNB emesis, cough with blood tinged sputum  6/13 - presented to urgent care, referred to hospital and admitted to floor.  Patient found to have tachycardia and hypertension.  CXR with pleural effusion, renal US with medical renal disease.  Worsening renal function and concern for hyper coagulable state with worsening D-Dimer and possible pulmonary embolus but unable to obtain contrast images due to renal failure.    6/15 - transferred to ICU for heparin drip for worsening D-dimer.  Nephrology, rheumatology and infectious disease consulted.  Continued chest pain, cough with hemoptysis.  Remains afebrile and otherwise hemodynamically stable.  Started on ceftriaxone empirically.  Concern for MIS-C, vaccine related adverse event vs autoimmune vasculitis.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Protein urine present, Red blood cells urine positive, Renal failure, Respiratory viral panel, SARS-CoV-2 antibody test positive
Clinical narrative: 6/7 - patient received 2nd  dose of Pfizer vaccine.  6/8 - patient developed tactile fevers (for 2-3 days), diarrhea (4-5 days of non-bloody diarrhea) 6/9 - developed chest pain and tightness and mild cough  6/12 - few episodes of NBNB emesis, cough with blood tinged sputum  6/13 - presented to urgent care, referred to hospital and admitted to floor.  Patient found to have tachycardia and hypertension.  CXR with pleural effusion, renal US with medical renal disease.  Worsening renal function and concern for hyper coagulable state with worsening D-Dimer and possible pulmonary embolus but unable to obtain contrast images due to renal failure.    6/15 - transferred to ICU for heparin drip for worsening D-dimer.  Nephrology, rheumatology and infectious disease consulted.  Continued chest pain, cough with hemoptysis.  Remains afebrile and otherwise hemodynamically stable.  Started on ceftriaxone empirically.  Concern for MIS-C, vaccine related adverse event vs autoimmune vasculitis.