chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriogram coronary abnormal, Arteriospasm coronary, Chest pain, Feeling abnormal, Myocardial infarction
Clinical narrative: I took my 2nd Covid dose in April 2021 and then a series of 2 shingles vaccines, the 2nd one being in October of 2021. 3 days after my shingles vaccine I started having a lot of heart palpitations and chest pains, which eventually right around Halloween it turned into a heart attack. I did an Angiogram and they didn't find any blockages but the Doctor found microvascular spasms and they don't know why I rapidly had an onset of that. I started having a lot of heart palpitations too, and they put me on 6 or 7 different medications. I am going to see a specialist tomorrow (04/06/22) for the palpitations, but the symptoms are ongoing and I have to take nitroglycerin everyday, and it's been a wild ride. I was hospitalized for a couple of days because of it and it's just ongoing issues. It's my belief that it's a combination of the Covid vaccine and Shingrix vaccines that it may have had an interaction with each other (Covid booster was in December). I was hospitalized for a couple of days because of it and it's just ongoing issues. I've had brain fog as well. There were no blockages and I was completely wide open and Doctor's can't understand why I had a heart attack. (Shingrix Vaccines: 1st Dose 08/13/2021 Shingrix Zoster Lot #9727R; 2nd Dose Shingrix Zoster 10/08/2021 Lot #7CX2C.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: I took my 2nd Covid dose in April 2021 and then a series of 2 shingles vaccines, the 2nd one being in October of 2021. 3 days after my shingles vaccine I started having a lot of heart palpitations and chest pains, which eventually right around Halloween it turned into a heart attack. I did an Angiogram and they didn't find any blockages but the Doctor found microvascular spasms and they don't know why I rapidly had an onset of that. I started having a lot of heart palpitations too, and they put me on 6 or 7 different medications. I am going to see a specialist tomorrow (04/06/22) for the palpitations, but the symptoms are ongoing and I have to take nitroglycerin everyday, and it's been a wild ride. I was hospitalized for a couple of days because of it and it's just ongoing issues. It's my belief that it's a combination of the Covid vaccine and Shingrix vaccines that it may have had an interaction with each other (Covid booster was in December). I was hospitalized for a couple of days because of it and it's just ongoing issues. I've had brain fog as well. There were no blockages and I was completely wide open and Doctor's can't understand why I had a heart attack. (Shingrix Vaccines: 1st Dose 08/13/2021 Shingrix Zoster Lot #9727R; 2nd Dose Shingrix Zoster 10/08/2021 Lot #7CX2C.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Information unavailable.  Patient died at home.  Covid 19 listed as a cause of death on death certificate.
Age: 71.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Chest pain, Erythema, Hypoaesthesia, Injection site discharge, Joint swelling
Clinical narrative: after vaccine administration pt complained of chest pains--medical attention refused by patient, left store/clinic. Next day 4/1 pt states had pus from injection site and chest pain--took nitroglycerin and put neopsporin on injection site. Then on 4/4/22  patient states had red line down arm, pain and numbness in thumb, Patient squeezed thumb, thumbnail came off and puss came out of site as well. Patient then cleaned out wound on thumb  with rubbing alcohol, saline and neosporin and took an old antibiotic had at home (Amoxicillin 500mg). Contacted pfizer, pharmacy and MD. Patient self  administered neopsporin to site, rubbing alcohol, flushed with saline. Also took old rx for nitroglycerin  SL 0.4mg for chest pain and amox 500mg ..1 tab every 6 hours for 4 doses. Admits to taking 1 tylenol 650mg tab when thumb was hurting. as of 4/5/2022 patient arm/thumb feeling better. Does complain of swelling in feet and ankles. no further chest pains.  advised to contact/see md
Age: 71.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Nail bed infection, Onychomadesis, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: after vaccine administration pt complained of chest pains--medical attention refused by patient, left store/clinic. Next day 4/1 pt states had pus from injection site and chest pain--took nitroglycerin and put neopsporin on injection site. Then on 4/4/22  patient states had red line down arm, pain and numbness in thumb, Patient squeezed thumb, thumbnail came off and puss came out of site as well. Patient then cleaned out wound on thumb  with rubbing alcohol, saline and neosporin and took an old antibiotic had at home (Amoxicillin 500mg). Contacted pfizer, pharmacy and MD. Patient self  administered neopsporin to site, rubbing alcohol, flushed with saline. Also took old rx for nitroglycerin  SL 0.4mg for chest pain and amox 500mg ..1 tab every 6 hours for 4 doses. Admits to taking 1 tylenol 650mg tab when thumb was hurting. as of 4/5/2022 patient arm/thumb feeling better. Does complain of swelling in feet and ankles. no further chest pains.  advised to contact/see md
Age: 71.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Chest pain, Dyspnoea, Erythema, Onycholysis, Pain in extremity
Clinical narrative: after vaccine administration pt complained of chest pains--medical attention refused by patient, left store/clinic. Next day 4/1 pt states had pus from injection site and chest pain--took nitroglycerin and put neopsporin on injection site. Then on 4/4/22  patient states had red line down arm, pain and numbness in thumb, Patient squeezed thumb, thumbnail came off and puss came out of site as well. Patient then cleaned out wound on thumb  with rubbing alcohol, saline and neosporin and took an old antibiotic had at home (Amoxicillin 500mg). Contacted pfizer, pharmacy and MD. Patient self  administered neopsporin to site, rubbing alcohol, flushed with saline. Also took old rx for nitroglycerin  SL 0.4mg for chest pain and amox 500mg ..1 tab every 6 hours for 4 doses. Admits to taking 1 tylenol 650mg tab when thumb was hurting. as of 4/5/2022 patient arm/thumb feeling better. Does complain of swelling in feet and ankles. no further chest pains.  advised to contact/see md
Age: 71.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Paronychia, Product complaint, Skin odour abnormal, Vaccination site pustule
Clinical narrative: after vaccine administration pt complained of chest pains--medical attention refused by patient, left store/clinic. Next day 4/1 pt states had pus from injection site and chest pain--took nitroglycerin and put neopsporin on injection site. Then on 4/4/22  patient states had red line down arm, pain and numbness in thumb, Patient squeezed thumb, thumbnail came off and puss came out of site as well. Patient then cleaned out wound on thumb  with rubbing alcohol, saline and neosporin and took an old antibiotic had at home (Amoxicillin 500mg). Contacted pfizer, pharmacy and MD. Patient self  administered neopsporin to site, rubbing alcohol, flushed with saline. Also took old rx for nitroglycerin  SL 0.4mg for chest pain and amox 500mg ..1 tab every 6 hours for 4 doses. Admits to taking 1 tylenol 650mg tab when thumb was hurting. as of 4/5/2022 patient arm/thumb feeling better. Does complain of swelling in feet and ankles. no further chest pains.  advised to contact/see md
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, Pneumonia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred.   The individual was vaccinated with the Pfizer product on 01/28/2021, 02/17/2021, and 09/28/2021. The first doses were administered at the facility specified above. The third dose was administered at the Clinic. It is not known if the individual had a specific symptom onset, but tested positive for COVID-19 on 01/28/2022. They were also admitted to hospital on 01/28/2022. They experienced complications of pneumonia and respiratory failure. They were transitioned to comfort care only and died on 02/05/2022.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred.   The individual was vaccinated with the Pfizer product on 01/28/2021, 02/17/2021, and 09/28/2021. The first doses were administered at the facility specified above. The third dose was administered at the Clinic. It is not known if the individual had a specific symptom onset, but tested positive for COVID-19 on 01/28/2022. They were also admitted to hospital on 01/28/2022. They experienced complications of pneumonia and respiratory failure. They were transitioned to comfort care only and died on 02/05/2022.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria
Clinical narrative: chronic spontaneous urticaria  still ongoing- Zyrtec helps with symptoms
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Intermenstrual bleeding, Lymphadenopathy, Menstrual disorder, Ultrasound scan
Clinical narrative: Extremely swollen lymph nodes along left side of neck  Abnormal Period, missed one completely and then spotted for a month.
Age: 56.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Cerumen removal, Tinnitus
Clinical narrative: Started hearing ringing in ears that would come and go from October through December. Since the beginning of the year the ringing (Tinnitus) has been a constant high pitch ring
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Colorectal cancer, Ileostomy, Laparoscopic surgery, Proctectomy
Clinical narrative: Colorectal cancer - Procedures: laparoscopic assisted low anterior resection with diverting loop ileostomy. Recovery in hospital. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Postoperative care
Clinical narrative: Colorectal cancer - Procedures: laparoscopic assisted low anterior resection with diverting loop ileostomy. Recovery in hospital. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Gastritis
Clinical narrative: I started to have abdominal pain that I think is my Crohn's acting up after being in remission for years. Inflammation throughout my entire gut.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Death, Endotracheal intubation, General physical health deterioration, Positive airway pressure therapy
Clinical narrative: pt admitted to hospital with possible ileus; pt had a positive test for COVID, asymptomatic at the time; through the course of her hospitalization, her condition worsened; a rapid response was called; intubated; family then informed medical team pt was DNR, wanted no ventilator or aggressive care; placed on BiPAP; family then requested pt to be taken off BiPAP and she passed away in the hospital
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt admitted to hospital with possible ileus; pt had a positive test for COVID, asymptomatic at the time; through the course of her hospitalization, her condition worsened; a rapid response was called; intubated; family then informed medical team pt was DNR, wanted no ventilator or aggressive care; placed on BiPAP; family then requested pt to be taken off BiPAP and she passed away in the hospital
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Magnetic resonance imaging head abnormal, Meningioma, Seizure
Clinical narrative: Seizure - The patient was evaluated with a CT scan with a possible parafalcine mass.  MRI of the brain showed that there is slowly increasing size meningioma.  Neurology was consulted and advised about loading dose of Keppra followed by maintenance.  The patient was covered with medication no more seizures in the hospital.  She was back to her baseline. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 14 year old child was given moderna vaccine instead of pfizer.  No known problems.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Information unavailable.  Patient diet at home.  Covid 19 listed as a cause of death on death certificate.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Very loud tinnitus !
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Flatulence, Gastrointestinal tube insertion, Gastrointestinal tube removal, Small intestinal obstruction
Clinical narrative: Small bowel obstruction - She had an NG placed and had resolution of her symptoms.  By the second day after admission she was starting to pass flatus and had stool the day prior to discharge.  She had her NG tube removed the afternoon prior to discharge and was able to tolerate oral intake and felt ready to return home. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Endometrial thickening, Postmenopausal haemorrhage, Ultrasound scan, Uterine leiomyoma
Clinical narrative: 5 years after menses stopped I started bleeding/spotting  in Nov. of 21.  There is NO history of this in my family.  I also have a thickened endometrium of 14mm -and at least one fibroid.  Going in for more tests in a couple of weeks.  Again there is no history of this in my family.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Clear cell endometrial carcinoma, Fatigue, Hysterectomy, Metastases to abdominal cavity
Clinical narrative: 5 years after menses stopped I started bleeding/spotting  in Nov. of 21.  There is NO history of this in my family.  I also have a thickened endometrium of 14mm -and at least one fibroid.  Going in for more tests in a couple of weeks.  Again there is no history of this in my family.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Metastases to peritoneum, Metastatic lymphoma, Neoplasm malignant, Pain, Postmenopausal haemorrhage
Clinical narrative: 5 years after menses stopped I started bleeding/spotting  in Nov. of 21.  There is NO history of this in my family.  I also have a thickened endometrium of 14mm -and at least one fibroid.  Going in for more tests in a couple of weeks.  Again there is no history of this in my family.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ultrasound scan
Clinical narrative: 5 years after menses stopped I started bleeding/spotting  in Nov. of 21.  There is NO history of this in my family.  I also have a thickened endometrium of 14mm -and at least one fibroid.  Going in for more tests in a couple of weeks.  Again there is no history of this in my family.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Antibody test, COVID-19, SARS-CoV-2 test, Vaccination failure
Clinical narrative: 5 years after menses stopped I started bleeding/spotting  in Nov. of 21.  There is NO history of this in my family.  I also have a thickened endometrium of 14mm -and at least one fibroid.  Going in for more tests in a couple of weeks.  Again there is no history of this in my family.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash macular
Clinical narrative: Five weeks after my booster I broke out in Shingles on the right side upper chest area of my body. Then had some slight spotting on my upper back. Three days later on 01/25/2022 I went back to the same Clinic where I got the booster and I was diagnosed with Shingles. I was given Valtrex 1000mg twice a day for 1 week.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy, Normal labour
Clinical narrative: Patient hospitalized for spontaneous labor within 6 weeks of receiving covid vaccination. Patient had a 7 lb 14.3 oz baby boy, apgar scores 9 and 10. Postpartum course was uncomplicated.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain in extremity, Retinal detachment, Retinal operation, Scan
Clinical narrative: It started with the soreness in my arm, then I started to get a headache like two to three hours after taking the vaccine, and then with the headaches I started to get floaters, like black dots in front of my eyes, and in my right eye the floaters never went away. I have been going to see continuous eye doctors, and the floater in my right eye kept getting bigger and bigger. I developed Retinal detachment in my right eye. This has been ongoing from the second dose of the vaccine and into the 3rd dose as well, I started the new year off getting Retinal Detachment surgery. The floaters are now gone, they all went away.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound eye, Visual impairment, Vitreous floaters
Clinical narrative: It started with the soreness in my arm, then I started to get a headache like two to three hours after taking the vaccine, and then with the headaches I started to get floaters, like black dots in front of my eyes, and in my right eye the floaters never went away. I have been going to see continuous eye doctors, and the floater in my right eye kept getting bigger and bigger. I developed Retinal detachment in my right eye. This has been ongoing from the second dose of the vaccine and into the 3rd dose as well, I started the new year off getting Retinal Detachment surgery. The floaters are now gone, they all went away.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Information not available.  Patient died at home.  Covid 19 listed as cause of death on death certificate.
Age: 75.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Biopsy skin, Rash, Rash erythematous, Rash pruritic
Clinical narrative: On about 3/30/22, Itchy rash, red bumps,  on body, back, chest, arms, legs.  Went to Dermatologist and got Rx on 2/5/22 for Methylprednisolone, 4 mg dspk, qty 21,d ays    6:  Day 1: 6 , Day 2: 5, Day 3: 4.  Day 4: 3,  Day 5:  2.   Day 6:  1. TRIAMCINOLONE 0.1% CREAM  2X A DAY. Rash went away after a day.   Rash reappeared on 3/10/22 and got Rx: PREDNISONE 10 MG TAB   4/day for 4 days, 3/day for 4 days, 2/day for 4 days, 1/day for 4 days, ½ a day for 4 days  (Rash)   3/10-3/29/22.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Movement disorder, X-ray
Clinical narrative: Received injection at work in one of the clinic, this was the second dose and the next morning I could not move my right arm shoulder was completely locked.  I could only raise my arm to less than a 30 degree angle
Age: 55.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Acute kidney injury, Blood culture negative, Culture urine negative, Hyperkalaemia, Pyrexia
Clinical narrative: ED visit for febrile illness; treated and released. 3 Days later admitted for AKI; suspected to be due to ATN vs immunotherapy mediated. Hyperkalemial. Was started on empiric Vanco and Zosyn > discontinued 2 days later after blood and urine cultures came back negative. Was seen by ID on 11/4 > recommendation was to stop antibiotics and monitor. Was also seen by oncology on 11/7 > fever thought to be either neoplastic fever versus Abraxane induced fever. Other hospital problems treated. ED visits and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Renal tubular necrosis
Clinical narrative: ED visit for febrile illness; treated and released. 3 Days later admitted for AKI; suspected to be due to ATN vs immunotherapy mediated. Hyperkalemial. Was started on empiric Vanco and Zosyn > discontinued 2 days later after blood and urine cultures came back negative. Was seen by ID on 11/4 > recommendation was to stop antibiotics and monitor. Was also seen by oncology on 11/7 > fever thought to be either neoplastic fever versus Abraxane induced fever. Other hospital problems treated. ED visits and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Chest pain, Cough, Dyspnoea
Clinical narrative: Patient received Covid vaccine.  Patient came to ED with chest pain/pressure.  She also has shortness of breath, cough, nausea, and vomiting.  Patient was admitted with Covid infection with hypoxemia.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Nausea, Vomiting
Clinical narrative: Patient received Covid vaccine.  Patient came to ED with chest pain/pressure.  She also has shortness of breath, cough, nausea, and vomiting.  Patient was admitted with Covid infection with hypoxemia.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus......at first loud, improving some in the last few months
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Information not available.  Patient died at home.  Covid 19 listed as a cause of death on death certificate.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Menstruation irregular, SARS-CoV-2 test positive
Clinical narrative: I had COVID and very irregular menstrual cycle.
Age: 51.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, Cough, Dyspnoea, Feeling abnormal, Joint swelling
Clinical narrative: I started getting symptoms of shortness of breath. I tested on the March 15th which was negative and again on March 16th which was positive. On March 17th, I also had a PCR test that was positive. I had fever, and developed swelling in knees and ankles with general aches and pains. I quarantines for 10 days and went back to work and felt bad again. I went back to the doctor due to cough and was put on prednisone, albuterol, amoxicillin. I still have symptoms now.
Age: 51.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pain, Pyrexia, Quarantine, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of shortness of breath. I tested on the March 15th which was negative and again on March 16th which was positive. On March 17th, I also had a PCR test that was positive. I had fever, and developed swelling in knees and ankles with general aches and pains. I quarantines for 10 days and went back to work and felt bad again. I went back to the doctor due to cough and was put on prednisone, albuterol, amoxicillin. I still have symptoms now.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain
Clinical narrative: Day after the vaccination, patient experienced ongoing chest pain and back pain, which she didn't experience before following the first 2  Pfizers.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I had visited my son and his family, they have two young kiddos who attend daycare. The kids had been sick a week before we saw them but they had been sick but my son who was sick the same way the grandkids were tested for COVID and it was negative. After a day of skiing my wife and I started having a cough and runny nose. The next day my son tested positive for COVID and my son and one grandchild was also positive. Upon returning home we tested and we tested negative. The only symptoms we had were the cough and runny nose. On the 20th about 5 days later I did have a sore throat, but day six my symptoms did improve. I was still positive 11 days after the initial exposure and on day 16 the 25th I tested negative.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I had visited my son and his family, they have two young kiddos who attend daycare. The kids had been sick a week before we saw them but they had been sick but my son who was sick the same way the grandkids were tested for COVID and it was negative. After a day of skiing my wife and I started having a cough and runny nose. The next day my son tested positive for COVID and my son and one grandchild was also positive. Upon returning home we tested and we tested negative. The only symptoms we had were the cough and runny nose. On the 20th about 5 days later I did have a sore throat, but day six my symptoms did improve. I was still positive 11 days after the initial exposure and on day 16 the 25th I tested negative.
Age: 79.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Asthenia, Bacteriuria, Lymphocytic leukaemia, Pancytopenia, Plasma cell myeloma
Clinical narrative: Patient with multimyeloma, B-cell lymphocytic leukemia, with pancytopenia requiring frequent transfusions admitted with weakness above baseline. Patient was found to have moderate bacturia on urinalysis and was treated with Rocephin.  In addition, patient had severe thrombocytopenia with a platelet count of 6000.  She was given 1 unit of platelets.  She was started on prednisone 20 mg twice daily with improvement in her platelets. Discharged to nursing home. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Platelet count decreased, Platelet transfusion, Thrombocytopenia, Transfusion, Urine analysis abnormal
Clinical narrative: Patient with multimyeloma, B-cell lymphocytic leukemia, with pancytopenia requiring frequent transfusions admitted with weakness above baseline. Patient was found to have moderate bacturia on urinalysis and was treated with Rocephin.  In addition, patient had severe thrombocytopenia with a platelet count of 6000.  She was given 1 unit of platelets.  She was started on prednisone 20 mg twice daily with improvement in her platelets. Discharged to nursing home. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 34.0
Sex: U
Vaccine: COVID19
Symptoms: Endoscopy abnormal, Foreign body in gastrointestinal tract
Clinical narrative: ED visit within 6 weeks of COVID vaccination, endoscopy for foreign body in esophagus.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Mobility decreased, Oropharyngeal pain
Clinical narrative: On January 5th 2022 I began having a sore throat and runny nose. On January 6th I began to run a fever and had body aches and chills, I also tested positive with COVID 19 on a home test. My fever was about 101F for about 3-4 days. The body aches and chills left when the fever did. I stayed in bed for about a week and a half with great fatigue. I did not seek medical care, just my primary care physician over text. I took Mucinex DM. I took Tylenol and drank a lot of fluids. I fully recovered after about 4 weeks.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On January 5th 2022 I began having a sore throat and runny nose. On January 6th I began to run a fever and had body aches and chills, I also tested positive with COVID 19 on a home test. My fever was about 101F for about 3-4 days. The body aches and chills left when the fever did. I stayed in bed for about a week and a half with great fatigue. I did not seek medical care, just my primary care physician over text. I took Mucinex DM. I took Tylenol and drank a lot of fluids. I fully recovered after about 4 weeks.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Death, Exposure to SARS-CoV-2, Pneumonia
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred.   The individual was vaccinated with the Janssen product on 07/20/2021. They tested positive for COVID-19 on 11/18/2021 after having a household contact who had also had COVID-19. They also presented to emergency department on 11/18/2021 and were admitted to hospital 11/18/2021. They experienced complications of pneumonia and cardiac arrest. They died on 11/26/2021.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 after which death occurred.   The individual was vaccinated with the Janssen product on 07/20/2021. They tested positive for COVID-19 on 11/18/2021 after having a household contact who had also had COVID-19. They also presented to emergency department on 11/18/2021 and were admitted to hospital 11/18/2021. They experienced complications of pneumonia and cardiac arrest. They died on 11/26/2021.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Constipation
Clinical narrative: I have been having constipation since early June. I have not been able to use the bathroom very much at all. This has been going on for about 10 months so far. I had a change made in my Synthroid dosage about 6 weeks after the second dose. I'm not sure if that had anything to do with the constipation, but I just want to mention it.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Information not available.  Patient died at home.  Covid 19 listed as cause of death on death certificate.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral infarction, Cerebrovascular accident, Magnetic resonance imaging head abnormal
Clinical narrative: Cerebrovascular accident -MRI showed multifocal areas of infarct involving the left cerebral hemisphere. Suggesting an embolic phenomenon, will need 30 days holter monitor on  discharge. Other hospital problems treated and discharges to home. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bradycardia, COVID-19, Cardiac arrest, Death
Clinical narrative: pt admitted to hosp with acute encephalopathy and generalized weakness; positive for COVID; given steroids, remdesivir, O2 supplementation; DNR; pt suffered a bradycardic arrest and passed away in the hospital
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Encephalopathy, SARS-CoV-2 test positive
Clinical narrative: pt admitted to hosp with acute encephalopathy and generalized weakness; positive for COVID; given steroids, remdesivir, O2 supplementation; DNR; pt suffered a bradycardic arrest and passed away in the hospital
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 3/26/21 and 4/23/21. Brought to ED 3/15/22 by EMS after being found to be unresponsive at home. EMS noted to be in VFib arrest placed on Lucas device. Shocked x5, amiodarone bolus of 300 mg followed by 150 mg, magnesium 2 gram, epi x4 given in field and intubated. Converted from VFib to PEA and finally NSR in ED. EKG shows LBBB, cath. lab activated, no HX of CAD. Cath lab showed clean coronaries. Admitted to ICU for STEMI, acute respiratory failure 2/2 cardiac arrest. Initial Covid test 3/15/22 neg. In ED, Labs shows K 2.8, Mg 4.1 after 2 gr infusion, ALk phos 154, AST 542, ALT 469, troponin 0.253, lac acid 7.2, ABG pH 7.21, PCo2 47,Po2 212 on the vent.  UA clear, CXR shows airspace opacities throughout upper lobes and increased interstitial markings bilateral consistent with pulmonary edema vs multifocal pneumonia. Repeat Covid test 3/18/22 positive. Steroids changed from hydrocortisone to solumedrol. Course c/b cardiogenic shock and heart failure. Head CT 3/27/22 global encephalopathy noted, suspected anoxic injury. Palliative care and hospice care followed. Expired on 03/31/2022. Treated with doxycycline and Zosyn.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Blood lactic acid, Blood magnesium increased, Blood pH decreased, Blood potassium decreased
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 3/26/21 and 4/23/21. Brought to ED 3/15/22 by EMS after being found to be unresponsive at home. EMS noted to be in VFib arrest placed on Lucas device. Shocked x5, amiodarone bolus of 300 mg followed by 150 mg, magnesium 2 gram, epi x4 given in field and intubated. Converted from VFib to PEA and finally NSR in ED. EKG shows LBBB, cath. lab activated, no HX of CAD. Cath lab showed clean coronaries. Admitted to ICU for STEMI, acute respiratory failure 2/2 cardiac arrest. Initial Covid test 3/15/22 neg. In ED, Labs shows K 2.8, Mg 4.1 after 2 gr infusion, ALk phos 154, AST 542, ALT 469, troponin 0.253, lac acid 7.2, ABG pH 7.21, PCo2 47,Po2 212 on the vent.  UA clear, CXR shows airspace opacities throughout upper lobes and increased interstitial markings bilateral consistent with pulmonary edema vs multifocal pneumonia. Repeat Covid test 3/18/22 positive. Steroids changed from hydrocortisone to solumedrol. Course c/b cardiogenic shock and heart failure. Head CT 3/27/22 global encephalopathy noted, suspected anoxic injury. Palliative care and hospice care followed. Expired on 03/31/2022. Treated with doxycycline and Zosyn.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Brain injury, Bundle branch block left, COVID-19, Cardiac arrest, Cardiac failure
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 3/26/21 and 4/23/21. Brought to ED 3/15/22 by EMS after being found to be unresponsive at home. EMS noted to be in VFib arrest placed on Lucas device. Shocked x5, amiodarone bolus of 300 mg followed by 150 mg, magnesium 2 gram, epi x4 given in field and intubated. Converted from VFib to PEA and finally NSR in ED. EKG shows LBBB, cath. lab activated, no HX of CAD. Cath lab showed clean coronaries. Admitted to ICU for STEMI, acute respiratory failure 2/2 cardiac arrest. Initial Covid test 3/15/22 neg. In ED, Labs shows K 2.8, Mg 4.1 after 2 gr infusion, ALk phos 154, AST 542, ALT 469, troponin 0.253, lac acid 7.2, ABG pH 7.21, PCo2 47,Po2 212 on the vent.  UA clear, CXR shows airspace opacities throughout upper lobes and increased interstitial markings bilateral consistent with pulmonary edema vs multifocal pneumonia. Repeat Covid test 3/18/22 positive. Steroids changed from hydrocortisone to solumedrol. Course c/b cardiogenic shock and heart failure. Head CT 3/27/22 global encephalopathy noted, suspected anoxic injury. Palliative care and hospice care followed. Expired on 03/31/2022. Treated with doxycycline and Zosyn.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiogenic shock, Cardioversion, Catheterisation cardiac normal, Chest X-ray abnormal, Computerised tomogram head abnormal
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 3/26/21 and 4/23/21. Brought to ED 3/15/22 by EMS after being found to be unresponsive at home. EMS noted to be in VFib arrest placed on Lucas device. Shocked x5, amiodarone bolus of 300 mg followed by 150 mg, magnesium 2 gram, epi x4 given in field and intubated. Converted from VFib to PEA and finally NSR in ED. EKG shows LBBB, cath. lab activated, no HX of CAD. Cath lab showed clean coronaries. Admitted to ICU for STEMI, acute respiratory failure 2/2 cardiac arrest. Initial Covid test 3/15/22 neg. In ED, Labs shows K 2.8, Mg 4.1 after 2 gr infusion, ALk phos 154, AST 542, ALT 469, troponin 0.253, lac acid 7.2, ABG pH 7.21, PCo2 47,Po2 212 on the vent.  UA clear, CXR shows airspace opacities throughout upper lobes and increased interstitial markings bilateral consistent with pulmonary edema vs multifocal pneumonia. Repeat Covid test 3/18/22 positive. Steroids changed from hydrocortisone to solumedrol. Course c/b cardiogenic shock and heart failure. Head CT 3/27/22 global encephalopathy noted, suspected anoxic injury. Palliative care and hospice care followed. Expired on 03/31/2022. Treated with doxycycline and Zosyn.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Electrocardiogram abnormal, Encephalopathy, Endotracheal intubation, Intensive care
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 3/26/21 and 4/23/21. Brought to ED 3/15/22 by EMS after being found to be unresponsive at home. EMS noted to be in VFib arrest placed on Lucas device. Shocked x5, amiodarone bolus of 300 mg followed by 150 mg, magnesium 2 gram, epi x4 given in field and intubated. Converted from VFib to PEA and finally NSR in ED. EKG shows LBBB, cath. lab activated, no HX of CAD. Cath lab showed clean coronaries. Admitted to ICU for STEMI, acute respiratory failure 2/2 cardiac arrest. Initial Covid test 3/15/22 neg. In ED, Labs shows K 2.8, Mg 4.1 after 2 gr infusion, ALk phos 154, AST 542, ALT 469, troponin 0.253, lac acid 7.2, ABG pH 7.21, PCo2 47,Po2 212 on the vent.  UA clear, CXR shows airspace opacities throughout upper lobes and increased interstitial markings bilateral consistent with pulmonary edema vs multifocal pneumonia. Repeat Covid test 3/18/22 positive. Steroids changed from hydrocortisone to solumedrol. Course c/b cardiogenic shock and heart failure. Head CT 3/27/22 global encephalopathy noted, suspected anoxic injury. Palliative care and hospice care followed. Expired on 03/31/2022. Treated with doxycycline and Zosyn.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Mechanical ventilation, PCO2 decreased, PO2 increased, Pneumonia
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 3/26/21 and 4/23/21. Brought to ED 3/15/22 by EMS after being found to be unresponsive at home. EMS noted to be in VFib arrest placed on Lucas device. Shocked x5, amiodarone bolus of 300 mg followed by 150 mg, magnesium 2 gram, epi x4 given in field and intubated. Converted from VFib to PEA and finally NSR in ED. EKG shows LBBB, cath. lab activated, no HX of CAD. Cath lab showed clean coronaries. Admitted to ICU for STEMI, acute respiratory failure 2/2 cardiac arrest. Initial Covid test 3/15/22 neg. In ED, Labs shows K 2.8, Mg 4.1 after 2 gr infusion, ALk phos 154, AST 542, ALT 469, troponin 0.253, lac acid 7.2, ABG pH 7.21, PCo2 47,Po2 212 on the vent.  UA clear, CXR shows airspace opacities throughout upper lobes and increased interstitial markings bilateral consistent with pulmonary edema vs multifocal pneumonia. Repeat Covid test 3/18/22 positive. Steroids changed from hydrocortisone to solumedrol. Course c/b cardiogenic shock and heart failure. Head CT 3/27/22 global encephalopathy noted, suspected anoxic injury. Palliative care and hospice care followed. Expired on 03/31/2022. Treated with doxycycline and Zosyn.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary oedema, Pulseless electrical activity, SARS-CoV-2 test positive, Troponin, Unresponsive to stimuli
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 3/26/21 and 4/23/21. Brought to ED 3/15/22 by EMS after being found to be unresponsive at home. EMS noted to be in VFib arrest placed on Lucas device. Shocked x5, amiodarone bolus of 300 mg followed by 150 mg, magnesium 2 gram, epi x4 given in field and intubated. Converted from VFib to PEA and finally NSR in ED. EKG shows LBBB, cath. lab activated, no HX of CAD. Cath lab showed clean coronaries. Admitted to ICU for STEMI, acute respiratory failure 2/2 cardiac arrest. Initial Covid test 3/15/22 neg. In ED, Labs shows K 2.8, Mg 4.1 after 2 gr infusion, ALk phos 154, AST 542, ALT 469, troponin 0.253, lac acid 7.2, ABG pH 7.21, PCo2 47,Po2 212 on the vent.  UA clear, CXR shows airspace opacities throughout upper lobes and increased interstitial markings bilateral consistent with pulmonary edema vs multifocal pneumonia. Repeat Covid test 3/18/22 positive. Steroids changed from hydrocortisone to solumedrol. Course c/b cardiogenic shock and heart failure. Head CT 3/27/22 global encephalopathy noted, suspected anoxic injury. Palliative care and hospice care followed. Expired on 03/31/2022. Treated with doxycycline and Zosyn.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal, Ventricular fibrillation
Clinical narrative: Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 3/26/21 and 4/23/21. Brought to ED 3/15/22 by EMS after being found to be unresponsive at home. EMS noted to be in VFib arrest placed on Lucas device. Shocked x5, amiodarone bolus of 300 mg followed by 150 mg, magnesium 2 gram, epi x4 given in field and intubated. Converted from VFib to PEA and finally NSR in ED. EKG shows LBBB, cath. lab activated, no HX of CAD. Cath lab showed clean coronaries. Admitted to ICU for STEMI, acute respiratory failure 2/2 cardiac arrest. Initial Covid test 3/15/22 neg. In ED, Labs shows K 2.8, Mg 4.1 after 2 gr infusion, ALk phos 154, AST 542, ALT 469, troponin 0.253, lac acid 7.2, ABG pH 7.21, PCo2 47,Po2 212 on the vent.  UA clear, CXR shows airspace opacities throughout upper lobes and increased interstitial markings bilateral consistent with pulmonary edema vs multifocal pneumonia. Repeat Covid test 3/18/22 positive. Steroids changed from hydrocortisone to solumedrol. Course c/b cardiogenic shock and heart failure. Head CT 3/27/22 global encephalopathy noted, suspected anoxic injury. Palliative care and hospice care followed. Expired on 03/31/2022. Treated with doxycycline and Zosyn.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Muscular weakness, Pain in extremity
Clinical narrative: Onset of pain in bilateral biceps. Unable to abduct more than 10 degrees without severe pain in both arms. Severe pain and limited range of motion lasted several hours, but I have continued to have the same pain, though less severe, in both upper arms, with some decrease in strength of upper extremities.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Condition aggravated, Contraception, Heavy menstrual bleeding, Interchange of vaccine products
Clinical narrative: After each dose of vaccine my menstrual cycle would start early (within 3 days of the shot) then it would last longer and be heavier. Subsequent menstrual cycles (in between doses) would last longer. After the booster shot I experienced menstrual bleeding for 6 weeks and a healthcare provider put me on to hormonal birth control to control the bleeding.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Menstruation irregular, Oligomenorrhoea, Pregnancy test, Ultrasound scan
Clinical narrative: After each dose of vaccine my menstrual cycle would start early (within 3 days of the shot) then it would last longer and be heavier. Subsequent menstrual cycles (in between doses) would last longer. After the booster shot I experienced menstrual bleeding for 6 weeks and a healthcare provider put me on to hormonal birth control to control the bleeding.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: The pt was given Moderna as a booster instead of  Pfizer which she requested. Pt reported no adverse reaction to the vaccination and none were observed. Pt was observed for 30 mins after receiving shot.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The child was at 10 years old when the adult Pfizer COVID vaccine was administered for this patient.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Hip arthroplasty
Clinical narrative: Hospitalization within 6 weeks of COVID vaccination for right total hip arthroplasty.
Age: 66.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure, Cardiomyopathy, Condition aggravated, Death
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 3/02/21 and 6/21/21. Prior admission 2/11-24/22 for Covid. Presented to ED 3/17/22, admitted w/heart failure exacerbation and hypoxia, tested Covid+. Mental status deteriorated c/b severe cardiomyopathy deemed unable to respond to rescue treatment. Course c/b superimpose PNA, kidney and liver failure. Made DNR and transitioned to comfort care. Expired on 4/1/22. Treated with steroids, Zosyn, cefepime.
Age: 66.0
Sex: U
Vaccine: COVID19
Symptoms: Hepatic failure, Hypoxia, Inappropriate schedule of product administration, Mental impairment, Pneumonia
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 3/02/21 and 6/21/21. Prior admission 2/11-24/22 for Covid. Presented to ED 3/17/22, admitted w/heart failure exacerbation and hypoxia, tested Covid+. Mental status deteriorated c/b severe cardiomyopathy deemed unable to respond to rescue treatment. Course c/b superimpose PNA, kidney and liver failure. Made DNR and transitioned to comfort care. Expired on 4/1/22. Treated with steroids, Zosyn, cefepime.
Age: 66.0
Sex: U
Vaccine: COVID19
Symptoms: Renal failure, SARS-CoV-2 test positive, Superinfection
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 3/02/21 and 6/21/21. Prior admission 2/11-24/22 for Covid. Presented to ED 3/17/22, admitted w/heart failure exacerbation and hypoxia, tested Covid+. Mental status deteriorated c/b severe cardiomyopathy deemed unable to respond to rescue treatment. Course c/b superimpose PNA, kidney and liver failure. Made DNR and transitioned to comfort care. Expired on 4/1/22. Treated with steroids, Zosyn, cefepime.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Acute respiratory distress syndrome, Blood loss anaemia, Brain injury
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 5/22/21 and 6/19/21.Covid + 3/06/22. Admitted after recent hospitalization for ARDS w/chronic resp failure, presented from LTACH after cardiac arrest w/ROSC achieved after 7 minutes of CPR. In ED, found to have significant GI bleed w/acute blood loss anemia, hypovolemic/hemorrhagic shock w/multiorgan failure (speculated cardiac arrest was also due to this) requiring pressors. Also was found to have resp failure, 2/2 multifocal PNA. Dx'd with ESBL K.pneumoniae on 3/17/22 and acute on chronic HFmrEF. Transfused and admitted to ICU for ventilatory and pressor support. EGD by GI team showed copious amounts of hematin/blood clot in stomach but no identifiable bleeding source; H/H was trended every 6 hours, administered blood products prn. Found to have acute renal failure requiring dialysis and electrolyte management by nephrology. Cardiology team suspected his cardiac arrest, type 2 MI, acute on chronic heart failure as sequelae from hypovolemic shock 2/2 GI bleed. Although patient medically stabilized over the next few days, his lack of mentation  was demonstrative of anoxic brain injury. EEG findings were consistent with generalized moderate-severe cerebral dysfunction. Transitioned to DNAR/COT. Expired on 3/29/22. Treated with meropenem and vancomycin.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac arrest, Cardiac failure, Cerebral disorder, Chronic respiratory failure
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 5/22/21 and 6/19/21.Covid + 3/06/22. Admitted after recent hospitalization for ARDS w/chronic resp failure, presented from LTACH after cardiac arrest w/ROSC achieved after 7 minutes of CPR. In ED, found to have significant GI bleed w/acute blood loss anemia, hypovolemic/hemorrhagic shock w/multiorgan failure (speculated cardiac arrest was also due to this) requiring pressors. Also was found to have resp failure, 2/2 multifocal PNA. Dx'd with ESBL K.pneumoniae on 3/17/22 and acute on chronic HFmrEF. Transfused and admitted to ICU for ventilatory and pressor support. EGD by GI team showed copious amounts of hematin/blood clot in stomach but no identifiable bleeding source; H/H was trended every 6 hours, administered blood products prn. Found to have acute renal failure requiring dialysis and electrolyte management by nephrology. Cardiology team suspected his cardiac arrest, type 2 MI, acute on chronic heart failure as sequelae from hypovolemic shock 2/2 GI bleed. Although patient medically stabilized over the next few days, his lack of mentation  was demonstrative of anoxic brain injury. EEG findings were consistent with generalized moderate-severe cerebral dysfunction. Transitioned to DNAR/COT. Expired on 3/29/22. Treated with meropenem and vancomycin.