chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Insomnia, Myalgia, Night sweats
Clinical narrative: Headache Tiredness Insomnia Fever Night sweats  Muscle aches
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache Tiredness Insomnia Fever Night sweats  Muscle aches
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Feeling cold, Headache, Myalgia
Clinical narrative: Symptoms began Saturday afternoon:  fatigue, nausea, headache, chills, muscles ache. Diarrhea began on Sunday around 3pm
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Symptoms began Saturday afternoon:  fatigue, nausea, headache, chills, muscles ache. Diarrhea began on Sunday around 3pm
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus significant increase ringing in both ears.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: 21 weeks pregnant with singleton 3rd pregnancy Estimated delivery date 7/18/21  9 days after injection, injection site began to itch, slightly swell, and redden, similar to a bug bite.  The affected area is about the size of a nickel.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Dyspnoea, Pain, Pyrexia
Clinical narrative: Presented to urgent care on 3/20/21 with shortness of breath, fever, chills and body aches. Was referred to ED due to O2 sat of 86%.  Was started on supplemental oxygen in ED and admitted to hospital.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented to urgent care on 3/20/21 with shortness of breath, fever, chills and body aches. Was referred to ED due to O2 sat of 86%.  Was started on supplemental oxygen in ED and admitted to hospital.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: After first dose of Moderna COVID 19 I noticed a slight ringing in both ears but did not connect it to the vaccine at that time. After receiving the second dose the ringing became more pronounced after about 6 hrs later from vaccine time. It is still happening.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Pain in extremity, Skin warm, Thrombosis
Clinical narrative: Patient stopped at the health department on 3/18/21 and spoke with the secretary stating that he had a blood clot on 2/26/21  after receiving the covid vaccine. She took his information and RN followed up with him on 3/19/21. Patient states he had a blood clot in his left leg a few years ago and on the 26th he experienced the same pain as with his original blood clot. He said it was 10/10 pain in his left leg from just above the knee to right above the ankle around the whole leg. He states it felt warm. He did not speak with his doctor or seek any medical attention. He states he "suffered through it" and it went away after a couple days.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Pain
Clinical narrative: Dull arm pain, similar to carpal tunnel feeling, pain when lifting arm Redness at injection site, spread in uneven pattern, warm to the touch, itchy, no visible bumps on top of skin but red area raised slightly. Red area spread over 3 days
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Dull arm pain, similar to carpal tunnel feeling, pain when lifting arm Redness at injection site, spread in uneven pattern, warm to the touch, itchy, no visible bumps on top of skin but red area raised slightly. Red area spread over 3 days
Age: 41.0
Sex: U
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: No reacton at time of shot. Next day had hives/rash across body, torso arms and back. Still have same symptoms 48hr later
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Rhinorrhoea, Skin discomfort
Clinical narrative: Runny nose and prickly skin like hives were going to occur. I took an eighth of 25 mg Atarax and Clariton D.  Again at night. The site was itchy. I used Benadryl cream and massage, which was affective.  At no time did I feel sick or unable to go through my normal, retired life. Today is Monday. I am fine.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node in left armpit
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Eye disorder
Clinical narrative: Eye twitching beginning about 12 hours after vaccination
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Injection site bruising, Injection site erythema
Clinical narrative: Sore and slightly swollen arm near injection site-3 days ( felt bruised and lessened each day) Warm and red by injection site- ongoing but lessening each day. Burning itchy feeling around injection site- ongoing  Chills and achy body ( 1.5 days) Fatigue ( 2 days) Slight Cough  - ongoing
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Sore and slightly swollen arm near injection site-3 days ( felt bruised and lessened each day) Warm and red by injection site- ongoing but lessening each day. Burning itchy feeling around injection site- ongoing  Chills and achy body ( 1.5 days) Fatigue ( 2 days) Slight Cough  - ongoing
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Pt. c/o chest pain. Vitals 132/80, RR 17, spO2 97%, HR 92. Patient examined, felt a lot better. Will follow up with primary care doctor.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: 9:50 am c/o being slightly lightheaded and anxious.  B/P 127/86, HR 91, O2 Sat 98%. 9:55 am stated "starting to feel better." 10:10 am requesting to leave observation area.  stated "felt better", denies any complications w/ health or pregnancy.  Advised if any symptoms return, pull over and call 911.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate decreased, Heart rate increased, Tachycardia
Clinical narrative: Tachycardia 120-150 bpm for at least 10 hours
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate, Tachycardia
Clinical narrative: Tachycardia 120-150 bpm for at least 10 hours
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Eye infection, Eye swelling, Hordeolum
Clinical narrative: With both doses, eyes became swollen.  Saw primary care provider and was prescribed eye drops and oral antibiotics which cleared the infection.  PCP stated the "eye infection and stye" was caused by the vaccine.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Feeling abnormal, Incoherent, Muscular weakness, Pain
Clinical narrative: about an hr or so after inj.....severe hand/arm tremors  followed by complete incoherence,,, muscles like jelly, no use of anything. this total out  of it occurence lasted about 12 hrs followed by days of weakness, achy, sleepiness, off and on foggy.  general blah feeling
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Somnolence, Tremor
Clinical narrative: about an hr or so after inj.....severe hand/arm tremors  followed by complete incoherence,,, muscles like jelly, no use of anything. this total out  of it occurence lasted about 12 hrs followed by days of weakness, achy, sleepiness, off and on foggy.  general blah feeling
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Autoimmune disorder, Disorientation, Dysstasia, Gait disturbance, Tremor
Clinical narrative: about an hr or so after inj.....severe hand/arm tremors  followed by complete incoherence,,, muscles like jelly, no use of anything. this total out  of it occurence lasted about 12 hrs followed by days of weakness, achy, sleepiness, off and on foggy.  general blah feeling
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: about an hr or so after inj.....severe hand/arm tremors  followed by complete incoherence,,, muscles like jelly, no use of anything. this total out  of it occurence lasted about 12 hrs followed by days of weakness, achy, sleepiness, off and on foggy.  general blah feeling
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash in dorsum of hand - given benadryl 25mg
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Dyspnoea
Clinical narrative: Burning sensation started in my left chest area through to the back of the left shoulder blade. Then a light of tightness and hard to breath in the middle of my chest near my throat. then a later that day into the next day burning sensation in the very middle of my chest.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: About 9 days after vaccination, developed a red, itchy, hot area on arm near injenction site.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Deviation from recommended use before 6 hours after vial was punctured.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Decreased nasolabial fold, Facial paralysis, Lacrimation increased
Clinical narrative: Developed increased left eye lacrimation the morning of 3/13. Then received Moderna vaccine at 11:30 AM. Then developed facial droop, loss of nasolabial fold, increased lacrimation of left side. Was evaluated on 3/18/2021 with diagnosis of Bell palsy.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever of 100* muscle aches and headache , nausea
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Chills, fever, headache, fatigue, nausea
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Body temperature, Chills, Fatigue, Pyrexia
Clinical narrative: Fatigue, chills, fever up to 101.2, stomach ache
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Palpitations
Clinical narrative: Flushing, palpitations
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Blood pressure increased, Hyperhidrosis, Peripheral coldness, Pharyngeal swelling
Clinical narrative: Anaphylactic reaction (throat swelling), sweaty, cold skin, elevated blood pressure (211/137 mmHg) gradual onset within 15 minutes of vaccine administration.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Most of dosage spilled out of the needle. Per DOH guidelines, full dose was re-administered
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Dysuria, Headache, Injection site pain, Injection site swelling, Pain
Clinical narrative: low grade fever 98.5, achey all over, pain urinating, headache, swolen@ injection site with pain
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: low grade fever 98.5, achey all over, pain urinating, headache, swolen@ injection site with pain
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Rash on arm at site of injection
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Decreased appetite, Fatigue, Feeding disorder
Clinical narrative: Flu Like symptoms. Severe fatigue for full 24 hour period. Had nausea when trying to eat. I could not eat for over 24 hours. I had fever as high as 101.3F. Also, had chills. Symptoms better after 24 hours with loss of appetite still present. Temperature at 98.0F as of 3-22-21.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Nausea, Pyrexia
Clinical narrative: Flu Like symptoms. Severe fatigue for full 24 hour period. Had nausea when trying to eat. I could not eat for over 24 hours. I had fever as high as 101.3F. Also, had chills. Symptoms better after 24 hours with loss of appetite still present. Temperature at 98.0F as of 3-22-21.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Dizziness, Panic attack, Syncope
Clinical narrative: Terrible panic attacks,depression,faint,lightheaded
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Violent chills began just after midnight on 3/22 (my whole body was shaking and teeth were chattering uncontrollably). Noted fever of 101.5 at 1:30 am with extreme fatigue/weakness, headache. As of 8:30 am, still had fever, 101.7. I took Tylenol at 8:30 am and as of 9:27 am, my temperature is 100.7
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Violent chills began just after midnight on 3/22 (my whole body was shaking and teeth were chattering uncontrollably). Noted fever of 101.5 at 1:30 am with extreme fatigue/weakness, headache. As of 8:30 am, still had fever, 101.7. I took Tylenol at 8:30 am and as of 9:27 am, my temperature is 100.7
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Nausea
Clinical narrative: Patient c/o nausea, Vital signs BP 140/81, RR 16, HR 99, spO2 97%. Patient felt anxiety after 2nd dose of vaccine. Physical exam unremarkable. Patient felt better and able to go home.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Headache, Pain in extremity
Clinical narrative: pain in arm,  mild bruising, headache.  Headache got worse on Wednesday , it is getting better today. Patient has been taking Tylenol PM patient no longer has headaches, feeling much better. Taking Tylenol PM as needed.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia
Clinical narrative: fever, arthralgia, myalgia, headache
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Facial rash 02/24/21 a.m., increased severity x2 days; notified allergist 02/26/21; as per MD - Benadryl and Allegra PO BID; No improvement; MD office visit 03/02/2021 -  Prednisone 60 mg PO day 1, 40 mg PO daily x4 days, 20 mg PO x2 days; rash cleared 03/04/21.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever 101.5 Headache Chills
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles in the C3-C5 dermatome
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Herpes zoster, Lymphadenopathy
Clinical narrative: Shingles in the C3-C5 dermatome
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Neck pain, Oropharyngeal pain, Pain, Pain in jaw
Clinical narrative: Shingles in the C3-C5 dermatome
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain of skin, Paraesthesia, Rash, Skin warm, Vomiting
Clinical narrative: Shingles in the C3-C5 dermatome
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Lymph node pain, Lymphadenopathy, Neck pain, Pain in jaw
Clinical narrative: Shingles in the C3-C5 dermatome
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Paraesthesia, Rash erythematous
Clinical narrative: Shingles in the C3-C5 dermatome
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: 3/18: Upon receiving the injection, nerve tingles began in my left arm, wrist and hand. My jaw and neck became very sore and two small bumps appeared on the back of my neck. The bumps became very sore and my lymph nodes began to swell. All symptoms were on the left side of my body, which is the side I received the injection.  3/19: The two bumps multiplied and I had them behind my ear, in my hairline, on the back and front of my neck, trailing to my shoulder and a patch on my back. The bumps were painful and hot. I vomited 4 times that day, ran a 100 temp for a short period of time, had chills, body aches, very swollen lymph node, mild headache, and a very stiff, sore neck. All of this occurred on the left side of my body.  3/20: The bumps continued to increase in size, pain and number. The swollen glands, sore and stiff neck persisted. I was very tired and felt nausea at times.  3/21: I woke with an extremely sore and stiff neck, sore throat and new patches of bumps. I sought medical treatment and was diagnosed with Shingles. I was 100% healthy prior to the shot. I've never had Shingles before. I am now on medication to treat the outbreak.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Fatigue, Headache, Herpes zoster, Lymphadenopathy
Clinical narrative: 3/18: Upon receiving the injection, nerve tingles began in my left arm, wrist and hand. My jaw and neck became very sore and two small bumps appeared on the back of my neck. The bumps became very sore and my lymph nodes began to swell. All symptoms were on the left side of my body, which is the side I received the injection.  3/19: The two bumps multiplied and I had them behind my ear, in my hairline, on the back and front of my neck, trailing to my shoulder and a patch on my back. The bumps were painful and hot. I vomited 4 times that day, ran a 100 temp for a short period of time, had chills, body aches, very swollen lymph node, mild headache, and a very stiff, sore neck. All of this occurred on the left side of my body.  3/20: The bumps continued to increase in size, pain and number. The swollen glands, sore and stiff neck persisted. I was very tired and felt nausea at times.  3/21: I woke with an extremely sore and stiff neck, sore throat and new patches of bumps. I sought medical treatment and was diagnosed with Shingles. I was 100% healthy prior to the shot. I've never had Shingles before. I am now on medication to treat the outbreak.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Musculoskeletal stiffness, Neck pain, Oropharyngeal pain, Pain, Pain in jaw
Clinical narrative: 3/18: Upon receiving the injection, nerve tingles began in my left arm, wrist and hand. My jaw and neck became very sore and two small bumps appeared on the back of my neck. The bumps became very sore and my lymph nodes began to swell. All symptoms were on the left side of my body, which is the side I received the injection.  3/19: The two bumps multiplied and I had them behind my ear, in my hairline, on the back and front of my neck, trailing to my shoulder and a patch on my back. The bumps were painful and hot. I vomited 4 times that day, ran a 100 temp for a short period of time, had chills, body aches, very swollen lymph node, mild headache, and a very stiff, sore neck. All of this occurred on the left side of my body.  3/20: The bumps continued to increase in size, pain and number. The swollen glands, sore and stiff neck persisted. I was very tired and felt nausea at times.  3/21: I woke with an extremely sore and stiff neck, sore throat and new patches of bumps. I sought medical treatment and was diagnosed with Shingles. I was 100% healthy prior to the shot. I've never had Shingles before. I am now on medication to treat the outbreak.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain of skin, Paraesthesia, Rash, Skin warm, Vomiting
Clinical narrative: 3/18: Upon receiving the injection, nerve tingles began in my left arm, wrist and hand. My jaw and neck became very sore and two small bumps appeared on the back of my neck. The bumps became very sore and my lymph nodes began to swell. All symptoms were on the left side of my body, which is the side I received the injection.  3/19: The two bumps multiplied and I had them behind my ear, in my hairline, on the back and front of my neck, trailing to my shoulder and a patch on my back. The bumps were painful and hot. I vomited 4 times that day, ran a 100 temp for a short period of time, had chills, body aches, very swollen lymph node, mild headache, and a very stiff, sore neck. All of this occurred on the left side of my body.  3/20: The bumps continued to increase in size, pain and number. The swollen glands, sore and stiff neck persisted. I was very tired and felt nausea at times.  3/21: I woke with an extremely sore and stiff neck, sore throat and new patches of bumps. I sought medical treatment and was diagnosed with Shingles. I was 100% healthy prior to the shot. I've never had Shingles before. I am now on medication to treat the outbreak.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Lymph node pain, Lymphadenopathy, Neck pain, Pain in jaw
Clinical narrative: 3/18: Upon receiving the injection, nerve tingles began in my left arm, wrist and hand. My jaw and neck became very sore and two small bumps appeared on the back of my neck. The bumps became very sore and my lymph nodes began to swell. All symptoms were on the left side of my body, which is the side I received the injection.  3/19: The two bumps multiplied and I had them behind my ear, in my hairline, on the back and front of my neck, trailing to my shoulder and a patch on my back. The bumps were painful and hot. I vomited 4 times that day, ran a 100 temp for a short period of time, had chills, body aches, very swollen lymph node, mild headache, and a very stiff, sore neck. All of this occurred on the left side of my body.  3/20: The bumps continued to increase in size, pain and number. The swollen glands, sore and stiff neck persisted. I was very tired and felt nausea at times.  3/21: I woke with an extremely sore and stiff neck, sore throat and new patches of bumps. I sought medical treatment and was diagnosed with Shingles. I was 100% healthy prior to the shot. I've never had Shingles before. I am now on medication to treat the outbreak.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Paraesthesia, Rash erythematous
Clinical narrative: 3/18: Upon receiving the injection, nerve tingles began in my left arm, wrist and hand. My jaw and neck became very sore and two small bumps appeared on the back of my neck. The bumps became very sore and my lymph nodes began to swell. All symptoms were on the left side of my body, which is the side I received the injection.  3/19: The two bumps multiplied and I had them behind my ear, in my hairline, on the back and front of my neck, trailing to my shoulder and a patch on my back. The bumps were painful and hot. I vomited 4 times that day, ran a 100 temp for a short period of time, had chills, body aches, very swollen lymph node, mild headache, and a very stiff, sore neck. All of this occurred on the left side of my body.  3/20: The bumps continued to increase in size, pain and number. The swollen glands, sore and stiff neck persisted. I was very tired and felt nausea at times.  3/21: I woke with an extremely sore and stiff neck, sore throat and new patches of bumps. I sought medical treatment and was diagnosed with Shingles. I was 100% healthy prior to the shot. I've never had Shingles before. I am now on medication to treat the outbreak.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Agonal respiration, Angiogram pulmonary abnormal, Areflexia, Blood lactic acid increased, Cardiac arrest
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Complication associated with device, Corneal reflex decreased, Cyanosis, Death, Device malfunction
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Disseminated intravascular coagulation, Dyspnoea, Fatigue, Intensive care, Loss of consciousness
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung assist device therapy, Malaise, Metabolic acidosis, Mobility decreased, Presyncope
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary embolism, Pulseless electrical activity, Pupillary reflex impaired, Pyrexia, Respiratory acidosis
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Resuscitation, Therapy cessation, Thrombectomy, Unresponsive to stimuli, Vena cava thrombosis
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac arrest, Death, Dizziness, Dyspnoea, Hypotension
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 test negative, Syncope
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Agonal respiration, Alanine aminotransferase increased, Anaemia, Anion gap, Areflexia
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aspartate aminotransferase increased, Blood chloride normal, Blood creatinine increased, Blood gases abnormal, Blood potassium normal
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood sodium decreased, Blood urea normal, Brain natriuretic peptide increased, Carbon dioxide decreased, Cardiac arrest
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Coagulopathy, Continuous haemodiafiltration, Death, Dizziness
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Endotracheal intubation, Full blood count, Haematocrit decreased
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haematoma, Haemoglobin decreased, Lactic acidosis, Livedo reticularis, Lower gastrointestinal haemorrhage
Clinical narrative: Patient's received 2nd dose of Moderna vaccine Friday 3/12.  Her husband reported she had not unexpected fatigue,  malaise, and fever for 1 day but better after that.  On Monday she began complaining of shortness of breath.  This progressively worsened and she started having presyncopal episodes.  On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly.  He decided to call EMS.  By the time she presented to our hospital she was cyanotic and agonal breathing.  On moving her from EMS stretcher to ED bed she had PEA cardiac arrest.  She underwent mechanical device CPR with only brief (<1 min) ROSC x1.  She at some point did have a shockable rhythm.  Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR.  Peripheral VA ECMO was placed after about 1.5 hours.  Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well.  At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24.  She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli.  Mechanical thrombectomy was attempted with some result.  She was transferred to the SICU with increasing pressor requirement, and DIC.  Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis.  Family decided to withdraw care and she passed away.