chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, Dizziness, Pyrexia, Vomiting
Clinical narrative: VOMITING; FEVER; DIZZINESS; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not 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 08-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced dizziness. On an unspecified date, the subject experienced vomiting, and fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 102.3 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness on APR-2021, and the outcome of fever and vomiting was not reported. This report was non-serious.
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Pain in extremity
Clinical narrative: LIGHT HEADED/DIZZY; SORE ARM; HEADACHE; This spontaneous report received from a patient concerned a patient of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, and expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported.  On 11-APR-2021, the subject experienced light headed/dizzy. On 11-APR-2021, the subject experienced sore arm. On 11-APR-2021, the subject experienced headache.  On 13-APR-2021, treatment medications included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from light headed/dizzy, headache, and sore arm. This report was non-serious.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling
Clinical narrative: full body itch; Injection site itchy; Injection site redness/swelling and itchy; Injection site redness/swelling and itchy; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of PRURITUS (full body itch) in a 44-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     Concurrent medical conditions included Drug allergy and Allergy to vaccine (Moderna vaccine).    On 29-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Jan-2021, the patient experienced VACCINATION SITE PRURITUS (Injection site itchy), VACCINATION SITE ERYTHEMA (Injection site redness/swelling and itchy) and VACCINATION SITE SWELLING (Injection site redness/swelling and itchy). On 13-Jan-2021 at 2:00 PM, the patient experienced PRURITUS (full body itch) (seriousness criterion hospitalization). The patient was hospitalized from 13-Jan-2021 to 14-Jan-2021 due to PRURITUS. On 14-Jan-2021, PRURITUS (full body itch) had resolved. At the time of the report, VACCINATION SITE PRURITUS (Injection site itchy), VACCINATION SITE ERYTHEMA (Injection site redness/swelling and itchy) and VACCINATION SITE SWELLING (Injection site redness/swelling and itchy) had resolved.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered PRURITUS (full body itch) to be possibly related. No further causality assessments were provided for VACCINATION SITE PRURITUS (Injection site itchy), VACCINATION SITE ERYTHEMA (Injection site redness/swelling and itchy) and VACCINATION SITE SWELLING (Injection site redness/swelling and itchy).    The patient took Diphenhydramine orally for a week for injection site redness, swelling and itch. The patient was administered epinephrine and methylprednisolone in ER (interpreted as Emergency room) in hospital. The doctor instructed the patient to avoid taking the second dose of vaccine.  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.  Concomitant product use was not provided.   Most recent FOLLOW-UP information incorporated above includes: On 26-Mar-2021: Follow-up included patient details, vaccine information and treatment details of the reported events.; Reporter'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.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Oropharyngeal pain, Thyroiditis, Ultrasound scan, Vertigo
Clinical narrative: Had spinning in the head followed by pain in the throat. The pain in throat gradually got severe. Now my Doctor found me to have thyroditis.  Two weeks after vaccination had a mammogram done and they said the lymphnodes were swollen
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Bundle branch block right, Chest X-ray, Chest pain, Computerised tomogram, Electrocardiogram
Clinical narrative: patient presented to ER with left sided chest pain. Chest x-ray and chest CT performed. Chest CT showed linear embolism in lingular branch of left pulmonary artery. EKG showed right bundle branch block which was different than last EKG in 2019. Patient treated with Eliquis 10mg BID x 7 days, then 5mg BID x 3 months.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Metabolic function test, Pulmonary embolism, Troponin
Clinical narrative: patient presented to ER with left sided chest pain. Chest x-ray and chest CT performed. Chest CT showed linear embolism in lingular branch of left pulmonary artery. EKG showed right bundle branch block which was different than last EKG in 2019. Patient treated with Eliquis 10mg BID x 7 days, then 5mg BID x 3 months.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain in extremity, Paraesthesia, Rash
Clinical narrative: 5 min after the shot was administered, I broke out into a rash  on my face neck and chest, was put on pulse oximeter to monitor O2 levels  and was given oxygen. Left hospital drive through site 1 hour later. Saturday 4/10  around 9 pm  started to feel tingling and slight pain on right side of the back of my arm and woke up with a Shingles about 10inches long.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Menstruation began a full week early (I have very regular cycles) 3 weeks from shot, on the day of my 2nd dose.  The cycle after that was longer by several days,  and now I have begun Menstruation again only 2 weeks after my last cycle.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Mixed series, received moderna for first vaccination
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Horrible headache and body aches; fever; nausea; chills Has lasted two days so far
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: 2 days after vaccine got shingles on my abdomen.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Malaise, Pain, Tremor
Clinical narrative: Aching, severe chills & shaking, very cold. I had Covid & recovered then I cared for my Mother with Covid.  I think my body made sufficient antibodies.  I didn?t feel well after my first Covid Vaccine, but it didn?t compare to these reactions with my  second vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: difficulty in breathing
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: First two days after shot- arm was very sore with slight headache and fatigue. On 3rd day- burning sensation with pain. On 4th day-  large red rash - with continued pain. Arm was ?hot? to touch and itchy. This continued on the 5th day. On 6th day - went to Emergency room. This continued
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Skin warm
Clinical narrative: First two days after shot- arm was very sore with slight headache and fatigue. On 3rd day- burning sensation with pain. On 4th day-  large red rash - with continued pain. Arm was ?hot? to touch and itchy. This continued on the 5th day. On 6th day - went to Emergency room. This continued
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Computerised tomogram, Laboratory test, Magnetic resonance imaging
Clinical narrative: Acute intracerebral hemorrhage
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Cardiac stress test, Catheterisation cardiac, Heart rate increased, X-ray
Clinical narrative: heart pain and elevated heart rate
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Eye contusion, Eye swelling, Influenza like illness, Oedema
Clinical narrative: approximately 12 hours post vaccine patient experienced swelling of her left eye in conjunction with flu-like symptoms. This eye swelling has persisted and is still present today (04/16/2021). It has not affected her vision, and she reports there has been no drainage. She describes the swelling and discoloration as if she "has a black eye" although she denies any incident that would have caused an injury to the affected eye.  She also reports that the edema has been shifting and changing color.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Pyrexia
Clinical narrative: Chills, Feverish, tired, injection site pain, headache.  Excedrin helped a lot and resting.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Hyperhidrosis, Muscular weakness, Myalgia
Clinical narrative: Immediate onset with pre-syncope. Persistent profound fatigue, diaphoresis, nausea, foggy, weak legs, muscle aches. Improving after 8 days.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Presyncope
Clinical narrative: Immediate onset with pre-syncope. Persistent profound fatigue, diaphoresis, nausea, foggy, weak legs, muscle aches. Improving after 8 days.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Ear discomfort, Hypoacusis, Impaired work ability, Nasopharyngitis, Tinnitus
Clinical narrative: Woke up next morning, 04/09, after receiving 2nd dose of Pfizer vaccine. Started as feeling like a head cold. Some chills etc. by the time I went to work right side hearing was severely affected with what sounded like phase shifter in my head. No relief through weekend, too dangerous to work due to my job in a busy kitchen. Saw my Dr. on Tuesday 04/13. Treated as an ear infection. 3 day steroid with nasal spray. No relief. By now the ringing, whooshing, roaring and chirping in my right side are extremely disorienting! Started antibiotics on 04/15 with wait and see effectiveness.  Today is 04/16 at 10:15am. To date no relief of symptoms.
Age: 23.0
Sex: M
Vaccine: CHOL
Symptoms: Loss of consciousness, Unresponsive to stimuli, Vital signs measurement
Clinical narrative: slumping in chair; briefly unresponsive to question; moved to stretcher; rapid response called; vital taken; EMS arrived; w/o symptoms at 10:40am and discharged by physician; pt left stable @10:40am
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Headache
Clinical narrative: Patient received Johnson & Johnson (J&J) Janssen COVID 19 vaccination on 3/31/21. Follow up telephone call was done to patient to assess for warning signs of blood clots. Patient reports new onset of shortness of breath 3 days after receiving the J&J COVID 19 vaccination and severe headaches. Patient denies any other symptoms of abdominal pain, leg pain or swelling, backache, petechiae, or new or easy bruising. Patient was given the following recommendations to seek medical care at the nearest emergency department. Patient states he is going to make a medical appointment with his primary care doctor at a local clinic in the town he lives in. Patient was advised due to the symptoms he is experiencing that he should seek medical attention for the symptoms he is having due to the warning signs of a type of blood clot that is occurring in the J&J COVID 19 vaccination.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: Body aches, chills, tiredness
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: Pain in upper arm, heat, and rash at injection site one week after shot.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: After patient received this vaccine dose, it was discovered that the vial had been stored outside of the recommended temperature range calling into question its efficacy  After conferring with immunization experts it was determined that this dose needs to be repeated.  Patient was contacted by the person completing this form and made aware of this information.  The patient plans to repeat dose on 4/20/2021.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Bone pain, Laboratory test, Pruritus, Pyrexia
Clinical narrative: 7 hours of iching Bone pain Arms legs pain Light fever
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Lethargy
Clinical narrative: Headache, body aches, low grade fever, fatigue, flu-like symptoms. Started with a headache and lethargic feeling day of shot. By 13 hours later, fever and chill with worsening headache woke me up.  Feel like I'm fighting the flu.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Headache, body aches, low grade fever, fatigue, flu-like symptoms. Started with a headache and lethargic feeling day of shot. By 13 hours later, fever and chill with worsening headache woke me up.  Feel like I'm fighting the flu.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Headache
Clinical narrative: Injection site pain  Fever Chills Tiredness/weakness Body aches muscle/joint pain Nausea Feeling unwell Headache Tingling fingertips
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Malaise, Myalgia, Nausea, Pain
Clinical narrative: Injection site pain  Fever Chills Tiredness/weakness Body aches muscle/joint pain Nausea Feeling unwell Headache Tingling fingertips
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Injection site pain  Fever Chills Tiredness/weakness Body aches muscle/joint pain Nausea Feeling unwell Headache Tingling fingertips
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypersomnia, Pain
Clinical narrative: Extreme fatigue. I felt like I had been hit by a truck. Slept all day.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: Itchy, red circle around injection site and hard lump at site.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient had a fever after the dose was given. Onsite EMS was called vitals BP 110/60 99% O2 HR 86. Patient refused evaluation or care without transport, released agianst medical advise.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: uncontrollable shaking for 30 minutes on the day of the vaccine, has happened 1-2 times since
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Lightheaded.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dyspnoea, Gastritis, Loss of consciousness
Clinical narrative: 1st dose  Severe stomach pain,, stomach swelling, shortness of breathe and passing out. It too approximately three week for the pain in my stomach to go away
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Computerised tomogram head abnormal, Headache, Hypertension, Musculoskeletal stiffness
Clinical narrative: a 46-year-old male with no known past medical history who initially presented complaining of headache and neck stiffness with onset the morning of 04/03/2021.  The patient states that his headache was initially gradual in onset and eventually decreased in severity on 4/5 however, on 04/06 after a day at the beach the patient developed a severe headache with rapid onset that he described as the worst headache in his life.  He did try to medicate himself at home with 600-800 mg of ibuprofen every 6 hr with minimal decrease in his headache pain.  As result he presented to  urgent care for initial evaluation who sent him to the emergency department for possible brain bleed.  On arrival to the emergency department the patient had a head CT which showed trace subarachnoid hemorrhage in the basilar cisterns likely due to ruptured cerebral aneurysm.  He was transferred to  for continued workup of the subarachnoid hemorrhage with CTA and possible IR intervention.  At time my evaluation patient was resting comfortably in the bed.  He continued to complain of severe headache and neck stiffness.  He additionally notes that light and loud sounds make his headache worse.  He denied any focal weakness, paresthesia's, numbness, speech difficulty, visual changes, or any other concerning neuro symptoms.  Patient was hypertensive during my evaluation despite being on a Cardene drip.  Patient's mother was at bedside and was able to assist with history.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Ruptured cerebral aneurysm, Subarachnoid haemorrhage
Clinical narrative: a 46-year-old male with no known past medical history who initially presented complaining of headache and neck stiffness with onset the morning of 04/03/2021.  The patient states that his headache was initially gradual in onset and eventually decreased in severity on 4/5 however, on 04/06 after a day at the beach the patient developed a severe headache with rapid onset that he described as the worst headache in his life.  He did try to medicate himself at home with 600-800 mg of ibuprofen every 6 hr with minimal decrease in his headache pain.  As result he presented to  urgent care for initial evaluation who sent him to the emergency department for possible brain bleed.  On arrival to the emergency department the patient had a head CT which showed trace subarachnoid hemorrhage in the basilar cisterns likely due to ruptured cerebral aneurysm.  He was transferred to  for continued workup of the subarachnoid hemorrhage with CTA and possible IR intervention.  At time my evaluation patient was resting comfortably in the bed.  He continued to complain of severe headache and neck stiffness.  He additionally notes that light and loud sounds make his headache worse.  He denied any focal weakness, paresthesia's, numbness, speech difficulty, visual changes, or any other concerning neuro symptoms.  Patient was hypertensive during my evaluation despite being on a Cardene drip.  Patient's mother was at bedside and was able to assist with history.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal X-ray, COVID-19, Cerebral atrophy, Chest X-ray abnormal, Computerised tomogram abdomen abnormal
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head abnormal, Computerised tomogram pelvis abnormal, Encephalomalacia, Endotracheal intubation, Gastrointestinal necrosis
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Lung infiltration, Magnetic resonance imaging, Mechanical ventilation, Mental status changes
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic acidosis, Platelet count normal, Pneumatosis intestinalis, Pneumobilia, Portal venous gas
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Renal failure, SARS-CoV-2 test positive, Shock
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal hernia, Acute kidney injury, Adrenal adenoma, Anticoagulant therapy, Arteriosclerosis
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atelectasis, Blood creatinine increased, Blood lactic acid increased, Blood potassium normal, Blood sodium increased
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood urea increased, COVID-19, Carbon dioxide increased, Cholelithiasis, Computerised tomogram abdomen abnormal
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram pelvis abnormal, Confusional state, Death, Fibrin D dimer increased, Flatulence
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin decreased, Intestinal dilatation, Intestinal ischaemia, Intra-abdominal fluid collection, Large intestine perforation
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Mechanical ventilation, Metabolic acidosis, Platelet count normal, Pleural effusion
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumatosis intestinalis, Portal venous gas, Respiratory failure, Sepsis, Shock
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urinary system X-ray, White blood cell count increased
Clinical narrative: colonic necrosis  62 yo woman history of prior L occipital CVA and DVT on Xarelto presented to Hospital on April 6 with mental status changes.  Patient was noted to be in severe metabolic acidosis, renal failure and shock.  Chest x-ray showed interstitial infiltrates and she tested positive for SARS-CoV2.  She required intubation and mechanical ventilation. CT brain showed encephalomalacia and atrophy, no new changes. She was transferred on April 8. She was given IV bicarb for persistent metabolic acidosis. Initially she was only treated with steroids, then antibiotics were added for fever and persistent hypotension.   She started to spike fevers up to 40.  Abdominal CXR ordered prior to MRI,  showed possible pneumatosis.  A follow up CT April 13 abdomen/pelvis was done which shows colonic pneumatosis, with air in the SMV, portal vein, air in the liver. No thrombocytopenia; platelets on April 13 were 310k, as low as 260 on April 8.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal X-ray, COVID-19, Cerebral atrophy, Chest X-ray abnormal, Computerised tomogram abdomen abnormal
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head abnormal, Computerised tomogram pelvis abnormal, Encephalomalacia, Endotracheal intubation, Gastrointestinal necrosis
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Lung infiltration, Magnetic resonance imaging, Mechanical ventilation, Mental status changes
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic acidosis, Platelet count normal, Pneumatosis intestinalis, Pneumobilia, Portal venous gas
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Renal failure, SARS-CoV-2 test positive, Shock
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal hernia, Acute kidney injury, Adrenal adenoma, Anticoagulant therapy, Arteriosclerosis
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atelectasis, Blood creatinine increased, Blood lactic acid increased, Blood potassium normal, Blood sodium increased
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood urea increased, COVID-19, Carbon dioxide increased, Cholelithiasis, Computerised tomogram abdomen abnormal
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram pelvis abnormal, Confusional state, Death, Fibrin D dimer increased, Flatulence
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin decreased, Intestinal dilatation, Intestinal ischaemia, Intra-abdominal fluid collection, Large intestine perforation
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Mechanical ventilation, Metabolic acidosis, Platelet count normal, Pleural effusion
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumatosis intestinalis, Portal venous gas, Respiratory failure, Sepsis, Shock
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urinary system X-ray, White blood cell count increased
Clinical narrative: Patient presented to Hospital with confusion and sepsis on 4/6.  She was diagnosed with COVID 19 on 4/6.  She was transferred to Medical center on 4/8.  She had respiratory failure requiring mechanical ventilation, metabolic acidosis, shock, and acute kidney injury.  She initially improved with treatment, but was unable to be extubated.  She worsened rather quickly on 4/12 - 4/13.  She was diagnosed with global colonic ischemia with perforation.  She died of her illness on 4/13.  She was anticoagulated with rivaroxiban 20 mg daily prior to and throughout the hospitalization.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain
Clinical narrative: Sharp, sporadic pains throughout body/joints. Began 6 days after injection and have persisted.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Lethargy, Pain, Pain of skin
Clinical narrative: By 8 PM of the night of the shot on 4/13 I was very lethargic and was starting to run a fever, by the next morning 4/14 I had woken with chills, covered with two blankets and my skin was hurting, I had issues with holding my head up and every bone in my body ached terribly, by noon I guess the fever broke and I was in a puddle of sweat that required me to change all my sheets and take multiple showers and change my clothes multiple times as well.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: By 8 PM of the night of the shot on 4/13 I was very lethargic and was starting to run a fever, by the next morning 4/14 I had woken with chills, covered with two blankets and my skin was hurting, I had issues with holding my head up and every bone in my body ached terribly, by noon I guess the fever broke and I was in a puddle of sweat that required me to change all my sheets and take multiple showers and change my clothes multiple times as well.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort
Clinical narrative: 205/94, HR 70, Resp. 70, Chest discomfort, anxious, anxiety. Pt. complain of chest discomfort after receiving second dose of vaccine.  Emergency personnel. Pt. was transferred to Hospital for further evaluation.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Patient received vaccine and proceeded to observation area. While patient was sitting she had a brief episode of syncope but quickly regained consciousness. Patient was place on the floor to lay down and given juice. She stated that she felt much better almost right away. We observed her for 20-30 minutes until the patient felt well enough to leave on her own.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Lymphadenitis
Clinical narrative: Axillary lymphadenitis tender (Swell at armpit) seen on my left hand, where I received my second shot (Pfizer).  Consulted my primary care doctor around 10;30 am today and he prescribed antibiotic.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fatigue, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19 result by PCR, weakness, fatigue, altered mental status.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Headache, Seizure, White blood cell count increased
Clinical narrative: Severe headache with seizures
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Poor quality sleep, Sensitive skin, Tinnitus
Clinical narrative: Restless sleep first night, slight arm soreness. Beginning the next morning, skin hypersensitivity, particularly arms and legs. Took two tablets 500mg Advil, this relieved the issue. Most notable reaction has been tinnitus, noticed some time that morning. Consistent background 'buzz' which has not abated. Annoying.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient hospitalized within 6 weeks of receiving COVID vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Limb discomfort, Neuralgia, Paraesthesia
Clinical narrative: Dead arm. Tingly.  Sore nerves. Numbing.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site hypersensitivity, Pruritus, Swelling
Clinical narrative: Mild allergic reaction at injection site. Redness, slight swelling, itchiness area size of baseball in circumference. Noticed  7 days after injection and continuing. Itchiness and swelling responded to ibuprofen
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Erythema, Paraesthesia, Pruritus
Clinical narrative: Began to have itching , redness and tingling all over my body on April 9th, 2021 at 2:35 pm.  Took 25 mg of Benedryl to help with symtpoms on 4/9/21 at 4:00pm then again at on 4/10/21 at 12:00 am then again on 4/10/21 at 1:30 pm  this did not help so I then took Zyrtec 10 mg on 4/11/21 at 10:00 am and this did not help.  I then started taking a steroid Prednisone on April 12th at 11:30 pm 40mg, April 13th at 11:30pm 30mg, April 14th at 11:30 pm 20 mg and April 15th at 11:30 pm 10 mg.  Today is April 16th and I am still feeling symptoms and am looking to make an appointment with an allergist, nuerologist and /or infectious disease dr.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Eye inflammation, Feeling cold, Feeling hot, Neck pain, Sleep disorder
Clinical narrative: Extreme soreness and discomfort at base of skull, sinus cavity?s below eyes felt inflamed and dried, unable to sleep or get comfortable, alternated between feeling chills and feeling overheated, vomiting
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Extreme soreness and discomfort at base of skull, sinus cavity?s below eyes felt inflamed and dried, unable to sleep or get comfortable, alternated between feeling chills and feeling overheated, vomiting
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen supraclavicular lymph nodes on left side