chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram, Palpitations, Paraesthesia, Tachycardia
Clinical narrative: at 9 pm after getting  J and J covid vaccine, started getting a fast heart rate aound 130bpm, some shortness of breath and tingling. seen by me in urgent care next day, EKG with juntional tachycardia, sent to ED
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Electrocardiogram, Full blood count normal, Palpitations, Tachycardia
Clinical narrative: at 9 pm after getting  J and J covid vaccine, started getting a fast heart rate aound 130bpm, some shortness of breath and tingling. seen by me in urgent care next day, EKG with juntional tachycardia, sent to ED
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin
Clinical narrative: at 9 pm after getting  J and J covid vaccine, started getting a fast heart rate aound 130bpm, some shortness of breath and tingling. seen by me in urgent care next day, EKG with juntional tachycardia, sent to ED
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram, Palpitations, Paraesthesia, Tachycardia
Clinical narrative: Patient reports receiving vaccination at 13:00.  At 21:00 she reported feeling heart racing and feeling dizzy and light headed.  Went to Urgent care and found to have heart rate 130s-140s.  Referred to ER. In ER EKG showed Junctional Tachycardia. She has no previous cardiac history.    Did not respond to vagal maneuvers.  Gave 1L normal saline and 5mg of metoprolol with return to sinus rhythm with HR of 70.  Monitored for any return to arrhythmia.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Electrocardiogram, Full blood count normal, Palpitations, Tachycardia
Clinical narrative: Patient reports receiving vaccination at 13:00.  At 21:00 she reported feeling heart racing and feeling dizzy and light headed.  Went to Urgent care and found to have heart rate 130s-140s.  Referred to ER. In ER EKG showed Junctional Tachycardia. She has no previous cardiac history.    Did not respond to vagal maneuvers.  Gave 1L normal saline and 5mg of metoprolol with return to sinus rhythm with HR of 70.  Monitored for any return to arrhythmia.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin
Clinical narrative: Patient reports receiving vaccination at 13:00.  At 21:00 she reported feeling heart racing and feeling dizzy and light headed.  Went to Urgent care and found to have heart rate 130s-140s.  Referred to ER. In ER EKG showed Junctional Tachycardia. She has no previous cardiac history.    Did not respond to vagal maneuvers.  Gave 1L normal saline and 5mg of metoprolol with return to sinus rhythm with HR of 70.  Monitored for any return to arrhythmia.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Oropharyngeal discomfort
Clinical narrative: Patient provided information regarding history of asthma, previous allergic reations to animal, perfume, dust, pollen. Also, reported anxiety when she see needle or syringe. When staff asked patient whether she is comfortable to complete her vaccination, patient replied that as long as she do not see the procedure she will be fine. After vaccine administration patient reported discomfort in her throat. Dr. and EMT team were notified. Patient's vital signs were BP 116/72 HR 103 O2 98% RR 18. Patient was monitored for forty minutes, no medications were administered. Patient left in stable condition (vita signs BP 121/70, HR 95, O2 99% RR 18). No hospitalization required.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: PATIENT  COMPLAINED OF TERRIBLE SORENESS IN ALL OF HER JOINTS
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Could feel that I went into AFIB about 10 minutes after shot administration.  Nearly 5 hours later at time of submitting this report I am still in AFIB.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Pain in extremity, Pruritus, Urticaria, Wound
Clinical narrative: Hives/welps/open wounds about 30 mins after shot. Still today have hives that itch on neck and face with blistering welps (4/8/21). Covid arm very painful still today.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Myalgia, Nausea
Clinical narrative: Fever and chills, night sweats, and myalgias / arthralgias following both Moderna vaccines (within weeks) and lasting more than a week each time. Also nausea, diarrhea, and one episode of vomiting.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Pyrexia, Vomiting
Clinical narrative: Fever and chills, night sweats, and myalgias / arthralgias following both Moderna vaccines (within weeks) and lasting more than a week each time. Also nausea, diarrhea, and one episode of vomiting.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Dizziness, Headache
Clinical narrative: Headaches,Back Pain, Chills down my body, Dizziness
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Tongue disorder
Clinical narrative: bump on tip of tongue.  unsure of it was there before.  no numb, no tingle, no angioedema, no sob, no stridor. no acute distress.  declined further assistance and ER.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Impaired work ability, Loss of personal independence in daily activities, Myalgia
Clinical narrative: Fever (1.5 to 3.5 degrees fever) for at least 24 hours following the 2nd dose of vaccine, muscular body aches, joints aching, headache, inability to work or conduct normal activities
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever (1.5 to 3.5 degrees fever) for at least 24 hours following the 2nd dose of vaccine, muscular body aches, joints aching, headache, inability to work or conduct normal activities
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Cough, Haemoptysis, Respiratory tract congestion, X-ray
Clinical narrative: 103.5 temp for first 4 days. Coughing and chest congestion. Blood with coughing. Urgent Care administered XRay, and listened to lungs, was told unusual sounds coming from bottom of left lung. Temp stayed 102-102.5 even after taking 600 mg ibuprofen for every 6 hours. It has been almost 2 weeks, temp is now 99.4-100.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pyrexia, Vomiting
Clinical narrative: Severe nausea and vomiting for 12 hours. Extreme fatigue that lasted 24 hours. High fever (over 100) that's lasted about 36 hours.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Fever, chills, nausea, worst headache I have ever had, body aches, fatigue
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, nausea, worst headache I have ever had, body aches, fatigue
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Injection site discolouration, Injection site rash, Rash, Rash erythematous
Clinical narrative: April 8, 2021 (9 days after 1st dose of Moderna Covid-19 vaccine), I saw a large, red rash/discoloration at the site of my vaccine injections. Discoloration is oval in shape, longer vertically than horizontally, and around 3 inches by 2 inches. The rash/discoloration is hard to the touch, slightly painful, but does not itch or hurt in any signicant way.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chills, Dizziness, Feeling abnormal, Nausea
Clinical narrative: Patient stated he was feeling "heavy", dizzy, nauseated and feeling chills prior to fainting. Once he was attended to, he was evaluated and taken to the local SEARHC ER. He was released a few hours later when his symptoms resolved. This patient had worked over two weeks straight with Herring as a seafood processor with little sleep and exhaustion.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient stated he was feeling "heavy", dizzy, nauseated and feeling chills prior to fainting. Once he was attended to, he was evaluated and taken to the local SEARHC ER. He was released a few hours later when his symptoms resolved. This patient had worked over two weeks straight with Herring as a seafood processor with little sleep and exhaustion.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Fatigue, Pain
Clinical narrative: Dizziness, fatigue, light-headedness, aches, dull pains throughout body, and difficulty composing thoughts
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Pharyngeal swelling
Clinical narrative: Complained of throat swelling and discomfort. Benadryl 50 mg given IM. Placed on 2L of O2. Symptoms improved with Benadryl. Patient transported via ambulance to Medical Center.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Red, itchy bumps on palms like hand foot and mouth, but no fever.  Then some around toes and on feet.  Woke up next morning with pox on both thighs, but no itching there.  Rash has spread to backs of hands, further up feet.  Thighs still don't itch.  Bumps on hands and feet are painful now.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Thrombosis
Clinical narrative: Massive nose bleed with a huge blood clot to follow.  Went to urgent care but it had stopped by then so they sent me home and told me if it happened again to go to ER.  I haven?t had a nosebleed in years so it was scary to get it the day after my vaccine.  The nose bleed lasted about 10 minutes and was very strong once the clot came through it slowed down and then stopped and did not return again.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus (ringing in left ear)
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Angiogram cerebral, Balance disorder, Cerebrovascular accident, Computerised tomogram head
Clinical narrative: After receiving the first Moderna vaccination in my Left arm, I started feeling pain in the area of the vaccination site on the evening of 03/22/21. As time progressed I started to realize I was losing all motion in my arm and weakness on my entire left side of my body, but assumed this was a side-effect of the vaccination .  I was not concerned until my wife alarmed me in the morning when she looked at me and noticed the left side of my face drooped and had that I had difficulty standing, no balance, little use of my left leg and no use of my left arm and hand.  At that point, 7:00am 03/23/21, my wife drove me to the ER.  I was admitted and an inpatient for 15 days including PT/OT/ST therapies at the hospital for Stroke.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Facial paralysis, Hemiparesis, Hemiplegia, Injected limb mobility decreased
Clinical narrative: After receiving the first Moderna vaccination in my Left arm, I started feeling pain in the area of the vaccination site on the evening of 03/22/21. As time progressed I started to realize I was losing all motion in my arm and weakness on my entire left side of my body, but assumed this was a side-effect of the vaccination .  I was not concerned until my wife alarmed me in the morning when she looked at me and noticed the left side of my face drooped and had that I had difficulty standing, no balance, little use of my left leg and no use of my left arm and hand.  At that point, 7:00am 03/23/21, my wife drove me to the ER.  I was admitted and an inpatient for 15 days including PT/OT/ST therapies at the hospital for Stroke.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Magnetic resonance imaging head, Monoplegia, Scan with contrast
Clinical narrative: After receiving the first Moderna vaccination in my Left arm, I started feeling pain in the area of the vaccination site on the evening of 03/22/21. As time progressed I started to realize I was losing all motion in my arm and weakness on my entire left side of my body, but assumed this was a side-effect of the vaccination .  I was not concerned until my wife alarmed me in the morning when she looked at me and noticed the left side of my face drooped and had that I had difficulty standing, no balance, little use of my left leg and no use of my left arm and hand.  At that point, 7:00am 03/23/21, my wife drove me to the ER.  I was admitted and an inpatient for 15 days including PT/OT/ST therapies at the hospital for Stroke.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue
Clinical narrative: Diarrhea, start 4/6/2021 at 10pm stop: 04/07/2021 at 12AM Fatigue start: 04/07/2021 at 09AM; stop: 04/07/2021 at 2PM
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Tremor, Vaccine positive rechallenge
Clinical narrative: I began to have tremors throughout my whole body after getting the vaccine both times, the first time it lasted for probably about 2-3 weeks. At one point it got so bad that I visited the ER but got no results.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Memory impairment
Clinical narrative: Brain fog, forgetfulness
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Hyperhidrosis
Clinical narrative: Fever, chills, sweating, fatigue, headache -48 hrs  Muscle aches, fatigue, brain fog - still happening since
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, sweating, fatigue, headache -48 hrs  Muscle aches, fatigue, brain fog - still happening since
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Injection site pain
Clinical narrative: Sleeplessness, severe headache and body aches, pain at the site of injection, fatigue/lethargy, muscle soreness, sweats/chills
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Lethargy, Myalgia, Pain
Clinical narrative: Sleeplessness, severe headache and body aches, pain at the site of injection, fatigue/lethargy, muscle soreness, sweats/chills
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lip swelling, Myalgia
Clinical narrative: Swollen lip, intense muscle and joint pain
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pruritus, Flushing, Pruritus
Clinical narrative: Itching, skin, scalp, ears, flushed skin
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Chest pain, Electrocardiogram, Presyncope
Clinical narrative: Pt had a syncopal or near syncopal episode after vaccine, which he stated was normal after any  needle.  But this time he had chest pain with the syncopal episode which he stated has never happened.  Pt was assessed by ems cew and transport via ambulance
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dehydration, Feeling abnormal, Headache, Hypoaesthesia
Clinical narrative: Janssen COVID-19 Vaccine EUA - headache- lasted for 10 hours; comes and goes still. *Taking Tylenol - nausea- lasted for 1-2 hours (no vomiting) -racing heartbeat- lasted 15-20 minutes around 3pm -Numbness, tingling, "feeling of freezing" finger tips and toes- lasted for 1-2 hours - Body chills- still on-going - feeling dehydrated- on-going still. *Drinking Liquid IV and lots of Water - 102 temperature at 9:30pm on 4/7- lasted for 1 hour. *Took Tylenol -Feeling of vertigo/cloudy head- happens occasionally
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Paraesthesia, Peripheral coldness, Vertigo
Clinical narrative: Janssen COVID-19 Vaccine EUA - headache- lasted for 10 hours; comes and goes still. *Taking Tylenol - nausea- lasted for 1-2 hours (no vomiting) -racing heartbeat- lasted 15-20 minutes around 3pm -Numbness, tingling, "feeling of freezing" finger tips and toes- lasted for 1-2 hours - Body chills- still on-going - feeling dehydrated- on-going still. *Drinking Liquid IV and lots of Water - 102 temperature at 9:30pm on 4/7- lasted for 1 hour. *Took Tylenol -Feeling of vertigo/cloudy head- happens occasionally
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient will turn 18 in june 2021 but was given the moderna vaccine
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Nausea, Retching, Salivary hypersecretion
Clinical narrative: About 4-6 minutes after receiving the vaccine my mouth got watery, after another minute I started to dry heeve for about 5 minutes.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Discomfort, Headache, Influenza like illness, Injection site bruising
Clinical narrative: Muscle aches, fever to 103 degrees, flu like symptoms, headache, chills, night sweats, pain at injection site with bruising,  redness,itching, raised swelling right upper arm, tightness and warmth at redness,unable to raise arm to shoulder height without discomfort at  arm; some soreness at axillary lymph nodes bilateral arms
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Muscle aches, fever to 103 degrees, flu like symptoms, headache, chills, night sweats, pain at injection site with bruising,  redness,itching, raised swelling right upper arm, tightness and warmth at redness,unable to raise arm to shoulder height without discomfort at  arm; some soreness at axillary lymph nodes bilateral arms
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Mobility decreased, Myalgia, Night sweats, Pyrexia
Clinical narrative: Muscle aches, fever to 103 degrees, flu like symptoms, headache, chills, night sweats, pain at injection site with bruising,  redness,itching, raised swelling right upper arm, tightness and warmth at redness,unable to raise arm to shoulder height without discomfort at  arm; some soreness at axillary lymph nodes bilateral arms
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Skin tightness
Clinical narrative: Muscle aches, fever to 103 degrees, flu like symptoms, headache, chills, night sweats, pain at injection site with bruising,  redness,itching, raised swelling right upper arm, tightness and warmth at redness,unable to raise arm to shoulder height without discomfort at  arm; some soreness at axillary lymph nodes bilateral arms
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Lethargy, Myalgia, Pain
Clinical narrative: Low grade fever, body aches, lethargy, chills and chest cough.   Fever and chills are gone, but cough and muscle ache below and around right shoulder blade still persist.  Some lethargy also continues.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Low grade fever, body aches, lethargy, chills and chest cough.   Fever and chills are gone, but cough and muscle ache below and around right shoulder blade still persist.  Some lethargy also continues.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Burning sensation, Chills, Cough, Dizziness
Clinical narrative: Extremely lethargic, sore throat, chills, achiness, nausea, dizziness, congestion, runny nose, burning sensation in lungs, coughing, asthma attack, swollen lymph node under arm with injection
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Lymphadenopathy, Nasal congestion, Nausea, Oropharyngeal pain
Clinical narrative: Extremely lethargic, sore throat, chills, achiness, nausea, dizziness, congestion, runny nose, burning sensation in lungs, coughing, asthma attack, swollen lymph node under arm with injection
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea
Clinical narrative: Extremely lethargic, sore throat, chills, achiness, nausea, dizziness, congestion, runny nose, burning sensation in lungs, coughing, asthma attack, swollen lymph node under arm with injection
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: About 5 minutes after receiving vaccine, patient experienced diffuse hives on upper torso (chest & back) and bilateral upper arms (more pronounced on injection site arm).  Patient did not have any signs of increased work of breathing, swelling, or respiratory distress.  MD was called to assess patient.  Per MD, 50mg Benadryl PO was administered.  About 30 minutes after Benadryl was given, hives had improved and patient also verbalized that she felt better.  In total, patient was monitored for close to an hour after Benadryl was given.  Vitals were stable, and patient was cleared by MD to leave.  Patient was instructed not to drive home, so her mother picked her up.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Injection site; pain, redness, swelling, rash, itching, rash intensified over three days after vaccine.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: redness, swelling, 10/10pain, tenderness to injection site
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Full blood count, Headache, Influenza virus test
Clinical narrative: Headache, nausea, vomiting, diarrhea, fatigue
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Platelet count increased, Protein total, SARS-CoV-2 test, Vomiting
Clinical narrative: Headache, nausea, vomiting, diarrhea, fatigue
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Erythema, Fatigue, Feeling hot, Lymphadenopathy
Clinical narrative: Approximately 9 days after injection in left arm, started experiencing symptoms in right armpit consistent with swollen lymph nodes including: intermittent sharp stinging pain similar to ingrown hair or inflamed hair follicle, as well redness and dull pain upon palpation. Over several days, swelling has increased significantly and pain has increased a little as well. Today, 14 days after injection in left arm, starting to experience onset of lymph node swelling in left armpit as well. Additionally, starting 9 days after injection, concomitant with lymph node swelling, I believe I have felt slightly fatigued and have felt 1 degree warmer than usual, though not actually feverish. I confirmed a temperature of 98.9F today around 5:45PM, whereas my normal temperature is about 97.7F when measured by the same method.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site rash, Pyrexia, Rash erythematous, Rash papular
Clinical narrative: Palm size red, swollen rash over injection site appeared the the day following vaccination (4/7), still present (same size ) at 52 hours (4/8)  Low grade (99.7) fever the following day (4/7), no fever on 4/8  Fatigue  on day following (4/7), but much improved on second day post shot  (4/8)
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction, Chest X-ray, Electrocardiogram, Intensive care, Laboratory test
Clinical narrative: anaphylaxis with stridor and diffuse wheezes. No rash, GI symptoms. Received epinephrine, bronchodilators, IV steroids, histamine blockers, epinephrine drip. ICU admission
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Stridor, Tryptase, Wheezing
Clinical narrative: anaphylaxis with stridor and diffuse wheezes. No rash, GI symptoms. Received epinephrine, bronchodilators, IV steroids, histamine blockers, epinephrine drip. ICU admission
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Paraesthesia
Clinical narrative: anaphylaxis with stridor and diffuse wheezes. No rash, GI symptoms. Received epinephrine, bronchodilators, IV steroids, histamine blockers, epinephrine drip. ICU admission
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction, Anti Kell antibody test positive, Arthralgia, Asthenia, Back pain
Clinical narrative: anaphylaxis with stridor and diffuse wheezes. No rash, GI symptoms. Received epinephrine, bronchodilators, IV steroids, histamine blockers, epinephrine drip. ICU admission
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood grouping, Body temperature, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: anaphylaxis with stridor and diffuse wheezes. No rash, GI symptoms. Received epinephrine, bronchodilators, IV steroids, histamine blockers, epinephrine drip. ICU admission
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Epistaxis, Fatigue, Headache, Movement disorder, Nausea
Clinical narrative: anaphylaxis with stridor and diffuse wheezes. No rash, GI symptoms. Received epinephrine, bronchodilators, IV steroids, histamine blockers, epinephrine drip. ICU admission
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neck pain, Pain in extremity, Sleep disorder, Visual impairment
Clinical narrative: anaphylaxis with stridor and diffuse wheezes. No rash, GI symptoms. Received epinephrine, bronchodilators, IV steroids, histamine blockers, epinephrine drip. ICU admission
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: The patient was supposed to receive A second dose Pfizer Covid-19   vaccine ,and accidently was given the Moderna vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Dizziness, Syncope
Clinical narrative: Lightheadedness, dizziness, loss of hearing, then laid down before I fainted.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Chills
Clinical narrative: Had chills and every bone in my body hurt. Sent to bed at 10pm and woke up at 1pm the next day .Took another Tylenol and went back to bed until 9 pm. I ate and went back to bed until the next morning. Started to better in the morning.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm for 24 hours - took advil
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush
Clinical narrative: Headache and hot flash
Age: 38.0
Sex: M
Vaccine: UNK
Symptoms: Blood glucose, Dizziness, Electrocardiogram, Hypoacusis, Syncope
Clinical narrative: 38 y/o M with no PMHx syncopized 1 minute after receiving the vaccine. The episode lasted around 10 seconds and when he came to, he was able to offer a subjective. He states that before synopizing, he started to feel lightheaded and dizzy, stating that he was experiencing some blurry vision and muffled hearing. Denies HA, trauma, numbness, tingling or parasthesias, chest pain, chest tightness or heaviness, dyspnea, SOB, n/v or abd pain. Patient was immediately assessed by medics and PA on site.  Vitals @ 1706: HR: 48 bpm, BP: 109/60; RR: 18 -- EKG performed 3 lead : irregular rhythm, brady and prolonged QT -- > repeat @1711: HR: 56 bpm; BP: 104/70; RR: 16 put on 4 L O2 NC @ 1705 IVF through Left AC @ 1714
Age: 38.0
Sex: M
Vaccine: UNK
Symptoms: Vision blurred
Clinical narrative: 38 y/o M with no PMHx syncopized 1 minute after receiving the vaccine. The episode lasted around 10 seconds and when he came to, he was able to offer a subjective. He states that before synopizing, he started to feel lightheaded and dizzy, stating that he was experiencing some blurry vision and muffled hearing. Denies HA, trauma, numbness, tingling or parasthesias, chest pain, chest tightness or heaviness, dyspnea, SOB, n/v or abd pain. Patient was immediately assessed by medics and PA on site.  Vitals @ 1706: HR: 48 bpm, BP: 109/60; RR: 18 -- EKG performed 3 lead : irregular rhythm, brady and prolonged QT -- > repeat @1711: HR: 56 bpm; BP: 104/70; RR: 16 put on 4 L O2 NC @ 1705 IVF through Left AC @ 1714
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Headache, Pain, Pyrexia
Clinical narrative: Fever, Body aches, Headache, Tightness/pain in chest... Especially whole laying down.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Arthralgia, Blood test abnormal, Hypersensitivity, Joint swelling
Clinical narrative: About 9 days after receiving my second dose of the Moderna vaccine, I woke up with my right ankle hurting. It was swollen and tender to touch. I tried NSAIDS, ice, and elevation initially. It was not getting better, so I went to see a physician on Friday (started on Monday). I was given an antibiotic and prescription NSAID that did not seem to help. I had red spots that looked like a rash with heat coming from the area (right lateral ankle). The swelling worsened and pain continued. I was initially treated for an infection, but then symptoms began on my left leg (medial ankle). Hypersensivity was present in both ankles/legs with weakness noted. I went to see my family doctor a week after symptoms started. Antibiotics and NSAIDs were stopped and I was placed on predisone. Prednisone helped fairly quickly but the swelling and some pain continues. Redness and heat from the areas is decreasing.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Neutrophil count increased, Rash macular, Skin warm, Tenderness
Clinical narrative: About 9 days after receiving my second dose of the Moderna vaccine, I woke up with my right ankle hurting. It was swollen and tender to touch. I tried NSAIDS, ice, and elevation initially. It was not getting better, so I went to see a physician on Friday (started on Monday). I was given an antibiotic and prescription NSAID that did not seem to help. I had red spots that looked like a rash with heat coming from the area (right lateral ankle). The swelling worsened and pain continued. I was initially treated for an infection, but then symptoms began on my left leg (medial ankle). Hypersensivity was present in both ankles/legs with weakness noted. I went to see my family doctor a week after symptoms started. Antibiotics and NSAIDs were stopped and I was placed on predisone. Prednisone helped fairly quickly but the swelling and some pain continues. Redness and heat from the areas is decreasing.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased, X-ray limb normal
Clinical narrative: About 9 days after receiving my second dose of the Moderna vaccine, I woke up with my right ankle hurting. It was swollen and tender to touch. I tried NSAIDS, ice, and elevation initially. It was not getting better, so I went to see a physician on Friday (started on Monday). I was given an antibiotic and prescription NSAID that did not seem to help. I had red spots that looked like a rash with heat coming from the area (right lateral ankle). The swelling worsened and pain continued. I was initially treated for an infection, but then symptoms began on my left leg (medial ankle). Hypersensivity was present in both ankles/legs with weakness noted. I went to see my family doctor a week after symptoms started. Antibiotics and NSAIDs were stopped and I was placed on predisone. Prednisone helped fairly quickly but the swelling and some pain continues. Redness and heat from the areas is decreasing.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Skin warm, Yellow skin
Clinical narrative: Red and yellow rash on arm roughly two inches in diameter, hot to touch
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Eye pain, Ocular discomfort, Vision blurred
Clinical narrative: Second dose was on 4/5/2021.  Had blurriness in eyes.   Eyes have bothered me some each day and today they were burning and sore to touch.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Pallor, Tonic clonic movements
Clinical narrative: The patient had symptoms of light-headedness, diaphoresis, and was pale approximately 8 minutes after administration.  No signs or symptoms of anaphylaxis were identified so the patient was observed and monitored.  The patient then became unconscious for approximately 10-15 seconds with small jerking movements identified during this time. 911 was called and the patient was monitored until EMS arrived.  Epinephrine was prepared and ready during this whole time but was not administered because the patient didn't show symptoms of anaphylaxis (trouble breathing or talking, trouble swallowing, hives, flushing etc).  The  time from vaccine administration to EMS arrival was approximately 20-25 minutes.   The patient was able to talk and communicate clearly the entire time except during the brief unconscious period.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Fibrin D dimer increased, Lymphadenopathy, Muscle spasms, Pulmonary embolism
Clinical narrative: Back spasm found Blood Clots in lungs sudden on set 10 days after 2nd dose.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Migraine, Pyrexia
Clinical narrative: 12 hours after vaccine, I had severe chills. severe headache, and fever of 101. Chills lasted four hours. Headache lasted 24 hours. Fever of 99 remained for three days. Diarrhea started after 36 hours and lasted three days. 72 hours after vaccine, I had a migraine headache.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was under the age of 16 ,  and was given pfizer vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Peripheral swelling
Clinical narrative: Persistent injection site pain and arm swelling for up to 5 weeks
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: The injection site was swollen, solid and warm to the touch for over two weeks. In addition to that, I had ?Covid Arm?? about a week after the shot, which last about a week.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Seizure like phenomena
Clinical narrative: Pt was walking towards waiting area.  Pt was falling to floor with nurse breaking her fall.  Pt placed on backside with head lifted.  Family at side.  Pt started displaying seziure activity.  Placed on left side with head guarded.  EMS was notified at this time.  V/s obtained with b/p 168/98 HR 80 98% O2.  Pt agreed to leave with EMS at this time. A/Ox3.  Left with family at her side.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Headache, Heart rate increased, Hyperhidrosis
Clinical narrative: headache, achy, shivering tremors for 4 hours, crippling pain, elevated heart rate, chest pain, sweats,
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tremor
Clinical narrative: headache, achy, shivering tremors for 4 hours, crippling pain, elevated heart rate, chest pain, sweats,
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Nausea, Vomiting
Clinical narrative: gi discomfort, nausea, vomiting, diarrhea
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Tenderness
Clinical narrative: center of chest (in between breast) sore and tender to touch.  taking (2) advil 200 mg tablets twice daily
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Bone lesion, X-ray
Clinical narrative: I have a 18mm lesion to the Humerus near the vaccine injection site
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia
Clinical narrative: nerve pain all over body for a week now
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Headache, Pain, Pyrexia, Toothache
Clinical narrative: Fever Body aches  Sore teeth  Metallic taste  Headache
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia
Clinical narrative: patient has tingling in her throat. had her stay in the pharmacy for 30 minutes. She took some Benadryl over the counter.  She felt better and went home. Called the patient again 1 hour later and she has no symptoms. Told her to go to the ER is she experiences any other symptoms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Moderna COVID-19 Vaccine EUA Sore left arm,  swollen lump at injection site.  Arm is still moveable with little or no pain, just the lump is sore.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium normal, Fatigue, Full blood count, Haematemesis, Headache
Clinical narrative: Vaccination appointment was at 1:30 pm on Monday, April 5. I received the shot at around 2:00pm in my left arm. It hurt going in, but quickly dissipated as I moved my arm. I felt fine for the rest of the day. I felt normal the following morning (April 6), but started to feel tired in the early afternoon. I took a nap around 3:00-4:30pm, and woke up feeling slightly hungry. I went to bed around 11:00pm. I woke up the next day (April 7) with a headache. I called in sick to work and stayed in bed as my headache grew worse and nausea began to appear. I threw up for the first time at 11:00am, then again around 11:30am. I emptied my bowels in between these bouts of vomiting, and my stomach was very obviously empty after the second bout. I took a nap from 12:00-2:00pm, after which I threw up at 2:30pm and then again at 3:00pm and again at 3:30pm. I took another nap from 4:00-5:00pm, then threw up again around 5:30pm. I threw up a seventh time around 6:00pm and saw  a couple flecks of blood in my vomit. Each bout was sudden in onset and violent but quick. I think I burst some of the blood vessels in my throat, because it was sore. I called a friend to take me to the ER, and threw up once or twice more while waiting. On the way to the ER, I threw up for the last time. The ER gave me Toradol, Zofran, and two bags of IV fluids. This improved all my symptoms. The next morning, April 8, I felt much better until 12:00pm, when I laid down for a nap and couldn't get out of bed until 4:30. My headache had returned so I took Advil, then ate some rice. I felt better from 6:00pm onwards.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hunger, Impaired work ability, Lipase normal, Metabolic function test, Nausea
Clinical narrative: Vaccination appointment was at 1:30 pm on Monday, April 5. I received the shot at around 2:00pm in my left arm. It hurt going in, but quickly dissipated as I moved my arm. I felt fine for the rest of the day. I felt normal the following morning (April 6), but started to feel tired in the early afternoon. I took a nap around 3:00-4:30pm, and woke up feeling slightly hungry. I went to bed around 11:00pm. I woke up the next day (April 7) with a headache. I called in sick to work and stayed in bed as my headache grew worse and nausea began to appear. I threw up for the first time at 11:00am, then again around 11:30am. I emptied my bowels in between these bouts of vomiting, and my stomach was very obviously empty after the second bout. I took a nap from 12:00-2:00pm, after which I threw up at 2:30pm and then again at 3:00pm and again at 3:30pm. I took another nap from 4:00-5:00pm, then threw up again around 5:30pm. I threw up a seventh time around 6:00pm and saw  a couple flecks of blood in my vomit. Each bout was sudden in onset and violent but quick. I think I burst some of the blood vessels in my throat, because it was sore. I called a friend to take me to the ER, and threw up once or twice more while waiting. On the way to the ER, I threw up for the last time. The ER gave me Toradol, Zofran, and two bags of IV fluids. This improved all my symptoms. The next morning, April 8, I felt much better until 12:00pm, when I laid down for a nap and couldn't get out of bed until 4:30. My headache had returned so I took Advil, then ate some rice. I felt better from 6:00pm onwards.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity, Vomiting
Clinical narrative: Vaccination appointment was at 1:30 pm on Monday, April 5. I received the shot at around 2:00pm in my left arm. It hurt going in, but quickly dissipated as I moved my arm. I felt fine for the rest of the day. I felt normal the following morning (April 6), but started to feel tired in the early afternoon. I took a nap around 3:00-4:30pm, and woke up feeling slightly hungry. I went to bed around 11:00pm. I woke up the next day (April 7) with a headache. I called in sick to work and stayed in bed as my headache grew worse and nausea began to appear. I threw up for the first time at 11:00am, then again around 11:30am. I emptied my bowels in between these bouts of vomiting, and my stomach was very obviously empty after the second bout. I took a nap from 12:00-2:00pm, after which I threw up at 2:30pm and then again at 3:00pm and again at 3:30pm. I took another nap from 4:00-5:00pm, then threw up again around 5:30pm. I threw up a seventh time around 6:00pm and saw  a couple flecks of blood in my vomit. Each bout was sudden in onset and violent but quick. I think I burst some of the blood vessels in my throat, because it was sore. I called a friend to take me to the ER, and threw up once or twice more while waiting. On the way to the ER, I threw up for the last time. The ER gave me Toradol, Zofran, and two bags of IV fluids. This improved all my symptoms. The next morning, April 8, I felt much better until 12:00pm, when I laid down for a nap and couldn't get out of bed until 4:30. My headache had returned so I took Advil, then ate some rice. I felt better from 6:00pm onwards.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Chills
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Dizziness, Dysarthria, Hyperhidrosis, Hypotension
Clinical narrative: She began to feel dizzy. She became pale , diaphoretic,  hypotensive, and bradycardic. Patient responsive with slurred speech. Patient placed on 2 L of O2. Symptoms began to improve and vitals stable after 5 min. Patient evaluated by EMS and she declined to go to ER fro evaluation as symptoms resolved. Vasovagual response
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Presyncope
Clinical narrative: She began to feel dizzy. She became pale , diaphoretic,  hypotensive, and bradycardic. Patient responsive with slurred speech. Patient placed on 2 L of O2. Symptoms began to improve and vitals stable after 5 min. Patient evaluated by EMS and she declined to go to ER fro evaluation as symptoms resolved. Vasovagual response
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: constant migraine lasting more than 3 days
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Feeling abnormal, Headache, Mental impairment
Clinical narrative: My mind is foggy, my body feels numb, I am extremely exhausted, I cant concentrate, forgetting more than usual, headache, body aches, week no energy.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: My mind is foggy, my body feels numb, I am extremely exhausted, I cant concentrate, forgetting more than usual, headache, body aches, week no energy.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: numbness surrounding mouth similar to when she gets B12 injections.  No SBO, trouble swallow, etc.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Fatigue, Headache, Pyrexia
Clinical narrative: Fever, tired, headache, face burning
Age: 46.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Fatigue, Headache, Muscular weakness, Nausea
Clinical narrative: Immediate  pain in arm, later that evening around midnight had uncontrollable chills and heart racing throughout night, around 5/6 am had incredible body pains and weakness where I felt my legs could not support my weight, severe nausea, fatigue, headache, and low grade fever that lasted all day until about 10pm. It was one of the worst days of my life. Very intense pain all day. The next day my legs still feel weak though better, nausea persisted, as did arm pain. I took Tylenol every 4 hours.
Age: 46.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pain in extremity, Palpitations, Pyrexia
Clinical narrative: Immediate  pain in arm, later that evening around midnight had uncontrollable chills and heart racing throughout night, around 5/6 am had incredible body pains and weakness where I felt my legs could not support my weight, severe nausea, fatigue, headache, and low grade fever that lasted all day until about 10pm. It was one of the worst days of my life. Very intense pain all day. The next day my legs still feel weak though better, nausea persisted, as did arm pain. I took Tylenol every 4 hours.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass, Injection site rash
Clinical narrative: hard lump followed by rash which expanded to a 3 inch wide area ultimately almost reaching bend of arm at elbow.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Injection site was red, warm, large lump, very itchy and tender on Day 2.  I took Tylenol.  Day 3 the same.  Day 4 today, lessening of the symptoms
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site urticaria
Clinical narrative: Pain and large red and purple (about 3.5 inches by 4.5 inches) mark at or near injection site. Large hive covering the outer red exterior 2 weeks after vaccine.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: I started to develop symptoms of Bells Palsy within an hour of getting my moderna shot
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia oral
Clinical narrative: Tingling of the tongue and nose, slight numbness of the nose
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Throat clearing
Clinical narrative: right sided facial swelling, throat clearing;   1st vaccine - facial swelling 9 hrs after vaccine;  resolved with zyrtec.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: HIVES/URICARIA ALL OVER BODY,
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Acute kidney injury, Alanine aminotransferase increased, Alpha 1 foetoprotein
Clinical narrative: Pt admitted on 4/5/2021 c/o roughly 4 weeks  of  just general dyspepsia and feeling like she had acid reflux.  She reports that then progressed to some nausea and then vomiting and then some generalized right upper quadrant midepigastric abdominal pain.  She also noticed that her skin was becoming yellow.  She reports no changes in any of her medications recently she had her second COVID-19 vaccination on 2/14 and blood work on 2/ 8  consisting of liver enzymes/CMP was normal. she arrived severely jaundiced with severe transaminitis, hyperbilirubinemia and acute renal failure. ERCP revealed no gross obstruction and free flowing bile and sphincterotomy was done with no improvement in her blood work. she remains hospitalized and is being transferred for HLOC due to worsening condition REVIEW OF SYSTEMS:
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Analgesic drug level, Aspartate aminotransferase increased, Biliary dilatation, Biopsy, Bladder neck operation
Clinical narrative: Pt admitted on 4/5/2021 c/o roughly 4 weeks  of  just general dyspepsia and feeling like she had acid reflux.  She reports that then progressed to some nausea and then vomiting and then some generalized right upper quadrant midepigastric abdominal pain.  She also noticed that her skin was becoming yellow.  She reports no changes in any of her medications recently she had her second COVID-19 vaccination on 2/14 and blood work on 2/ 8  consisting of liver enzymes/CMP was normal. she arrived severely jaundiced with severe transaminitis, hyperbilirubinemia and acute renal failure. ERCP revealed no gross obstruction and free flowing bile and sphincterotomy was done with no improvement in her blood work. she remains hospitalized and is being transferred for HLOC due to worsening condition REVIEW OF SYSTEMS:
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin, Blood phosphorus increased, Computerised tomogram abdomen, Condition aggravated, Dyspepsia
Clinical narrative: Pt admitted on 4/5/2021 c/o roughly 4 weeks  of  just general dyspepsia and feeling like she had acid reflux.  She reports that then progressed to some nausea and then vomiting and then some generalized right upper quadrant midepigastric abdominal pain.  She also noticed that her skin was becoming yellow.  She reports no changes in any of her medications recently she had her second COVID-19 vaccination on 2/14 and blood work on 2/ 8  consisting of liver enzymes/CMP was normal. she arrived severely jaundiced with severe transaminitis, hyperbilirubinemia and acute renal failure. ERCP revealed no gross obstruction and free flowing bile and sphincterotomy was done with no improvement in her blood work. she remains hospitalized and is being transferred for HLOC due to worsening condition REVIEW OF SYSTEMS: