chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Error: Expired Product Administered-
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Dizziness / Lightheadedness-Medium, Systemic: Flushed / Sweating-Severe.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Myalgia
Clinical narrative: Steadily increasing muscular pain starting in the area of where I got the shot (left shoulder) and extending into the neck and torso area.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram, Endoscopy, Gastric disorder, Loss of employment
Clinical narrative: I experienced itching over 100% of my body. PCP suggested Benadryl and report to UC if symptom did not resolve. I reported to UC who prescribed Prendisone. After the Predisone was used the itching stopped and the gastric issues started. It is now 7 months later and I'm still struggling with the aftermath. I need help!
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Ultrasound scan
Clinical narrative: I experienced itching over 100% of my body. PCP suggested Benadryl and report to UC if symptom did not resolve. I reported to UC who prescribed Prendisone. After the Predisone was used the itching stopped and the gastric issues started. It is now 7 months later and I'm still struggling with the aftermath. I need help!
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Tinnitus
Clinical narrative: Constant Tinnitus in left ear and hearing loss
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Magnetic resonance imaging, Trigger finger, X-ray
Clinical narrative: Since the second dose have had repeated inflammation on entire right side of body. Have also developed trigger finger in ring finger on right hand.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Blood test, Chills
Clinical narrative: Acute appendicitis occurred.  I developed abdominal pain and fever on 3May2022. Uncontrolled chills and fever dominated the night. By morning most abdominal pain was gone but fever remained around 100-101. Went to Family Dr office on 6May2022 @ 1345 to determine if it may be appendicitis. After an exam was sent to local hospital for a CT. CT confirmed appendicitis and I was rushed to ER/OR for a laparoscopic appendectomy that night.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Pyrexia
Clinical narrative: Acute appendicitis occurred.  I developed abdominal pain and fever on 3May2022. Uncontrolled chills and fever dominated the night. By morning most abdominal pain was gone but fever remained around 100-101. Went to Family Dr office on 6May2022 @ 1345 to determine if it may be appendicitis. After an exam was sent to local hospital for a CT. CT confirmed appendicitis and I was rushed to ER/OR for a laparoscopic appendectomy that night.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram, Electrocardiogram ambulatory, Injection site pain, Musculoskeletal pain
Clinical narrative: Stabbing Chest Pain (Ice Pick like) in my heart, Over all Chest Pain - had to put a warm compress on my chest for many days. Severe heart palpitations that were painful. Pain in left shoulder and shoulder blade. All of this occurred off and on for about 6 months.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Stabbing Chest Pain (Ice Pick like) in my heart, Over all Chest Pain - had to put a warm compress on my chest for many days. Severe heart palpitations that were painful. Pain in left shoulder and shoulder blade. All of this occurred off and on for about 6 months.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Injection site pain, Injection site swelling
Clinical narrative: Injection site swelling and pain, muscle aches, fever, chills, sweats, congestion, runny nose, headache
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Injection site swelling and pain, muscle aches, fever, chills, sweats, congestion, runny nose, headache
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram abnormal
Clinical narrative: Atrial Febrillation
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives on forearms, took Benadryl to relieve itching
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pain, Injection site pruritus, Rash, Skin lesion, Varicella
Clinical narrative: Breakthrough chickenpox rash/lesions. Extreme itching and pain at injection site.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody increased, Arthritis, Blood test abnormal
Clinical narrative: after Booster shot, experiencing increased levels of ANA, arthritis in fingers and toe joints.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Pain, redness, swelling at injection site. Tiredness, fever, chills, stabbing headache in eyes and head, nausea, very weak muscles, fatigue, cold extremities (both hands and feet). Took Advil for headache and to get fever down.  Headache better on 5/6/22. Fever broke on 5/7/22. still fatigued and weak.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Muscular weakness, Nausea, Peripheral coldness, Pyrexia
Clinical narrative: Pain, redness, swelling at injection site. Tiredness, fever, chills, stabbing headache in eyes and head, nausea, very weak muscles, fatigue, cold extremities (both hands and feet). Took Advil for headache and to get fever down.  Headache better on 5/6/22. Fever broke on 5/7/22. still fatigued and weak.
Age: 26.0
Sex: M
Vaccine: UNK
Symptoms: Angina pectoris
Clinical narrative: Heart pain since taking vaccine.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, C-reactive protein normal, Dizziness, Dyspnoea, Electrocardiogram normal
Clinical narrative: Patient developed bilateral knee and ankle arthralgias, fever to 102.6, left arm myalgias, light-headedness, transient shortness of breath and headache less than 12 hours after receiving 3rd vaccine dose.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Headache, Metabolic function test normal, Myalgia, Pyrexia
Clinical narrative: Patient developed bilateral knee and ankle arthralgias, fever to 102.6, left arm myalgias, light-headedness, transient shortness of breath and headache less than 12 hours after receiving 3rd vaccine dose.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus rhythm, Troponin normal
Clinical narrative: Patient developed bilateral knee and ankle arthralgias, fever to 102.6, left arm myalgias, light-headedness, transient shortness of breath and headache less than 12 hours after receiving 3rd vaccine dose.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse drug reaction, Fatigue, Injection site pain, Product preparation error
Clinical narrative: UNFORTUNATELY PATIENT WAS GIVEN UNDILUTED PEDIATRIC COVID VACCINE, 0.2ML DOSE. HIS SIDE EFFECTS ON 5/7 WERE TIREDNESS AND SORE ARM AT INJECTION SITE. MOM REPORTS THAT HE IS BOUNCING AROUND TODAY ENERGY-WISE. SHE APPLIED ICE TO ARM AT 7AM AND PATIENT SAYS HIS ARM IS FEELING BETTER.  MOM GAVE TYLENOL PREVENTATIVELY PRIOR TO COMING IN FOR THE VACCINE AND 1 MORE TYLENOL DOSE AT 7AM ON SUNDAY 5/8. ( I SPOKE WITH HER 5/8 AT 11:45AM).
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Fatigue, Headache, Respiratory tract congestion
Clinical narrative: Symptom onset was 04/30/2022,. Symptoms were cough, congestion, fatigue and headache.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: UNFORTUNATELY, THE PATIENT RECEIVED UNDILUTED PEDIATRIC COVID 19 VACCINE, 0.2ML DOSE
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin abnormal, Lichen planus, Rash
Clinical narrative: I developed a bad rash the day after my second Covid-19 booster. It got worse and I went to a dermatologist and was diagnosed with Lichen Planus. This is a CHRONIC skin disease!
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine was administered after beyond use date
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine was given after beyond use date
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered after Beyond Use Date
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine was given after beyond use date
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eye haemorrhage, Eye inflammation, Oedema, Pain
Clinical narrative: Nearly immediate return of rash to chest as after dose 2 with new rash covering the entirety of both shins. Generalized pitting edema. All onset w/in 10 days of the vaccine. Treated with nystatin cream per physician recommendation w/ no improvement. Intermittent inflammation to eyes causing broken blood vessels and pain. Sought treatment from dermatology in April 2022 and was informed the rashes were likely aggravated psoriasis d/t the vaccine triggering my auto-immunity. Treated w/ clobetasol w/ much improvement. Skin is still scaly. Saw ophthalmology also in April and started anti-histamine drops (Zaditor) w/ temporary relief (4-6 hours) of eye inflammation. Saw rheumatology for regular f/u visit in April and was advised to start increased dose of cosentyx for new severe psoriasis outbreak.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Psoriasis, Rash, Skin exfoliation
Clinical narrative: Nearly immediate return of rash to chest as after dose 2 with new rash covering the entirety of both shins. Generalized pitting edema. All onset w/in 10 days of the vaccine. Treated with nystatin cream per physician recommendation w/ no improvement. Intermittent inflammation to eyes causing broken blood vessels and pain. Sought treatment from dermatology in April 2022 and was informed the rashes were likely aggravated psoriasis d/t the vaccine triggering my auto-immunity. Treated w/ clobetasol w/ much improvement. Skin is still scaly. Saw ophthalmology also in April and started anti-histamine drops (Zaditor) w/ temporary relief (4-6 hours) of eye inflammation. Saw rheumatology for regular f/u visit in April and was advised to start increased dose of cosentyx for new severe psoriasis outbreak.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Fatigue, Headache, Impaired work ability, Lip injury
Clinical narrative: 102 fever for 2 days. Missed work on 5/5 and 5/6 due to severe aches and pain to the point she could barely move. Severe headache, fatigue and could not get comfortable. On 5/8 she woke up with with swollen, itchy lips and noticed a break in the skin of the lips on the left corner.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Lip pruritus, Lip swelling, Mobility decreased, Pain, Pyrexia
Clinical narrative: 102 fever for 2 days. Missed work on 5/5 and 5/6 due to severe aches and pain to the point she could barely move. Severe headache, fatigue and could not get comfortable. On 5/8 she woke up with with swollen, itchy lips and noticed a break in the skin of the lips on the left corner.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: VACCINE GIVEN IN ERROR. PATIENT IS ONLY 34 AND IS NOT IMMUNOCOMPROMISED BUT WAS GIVEN THE 2ND BOOSTER BY MISTAKE. PATIENT WAS INFORMED OF THIS MISTAKE AND IS AWARE OF IT. CONSULTED TO KEEP AN EYE OUT FOR ANY SIDE EFFECTS AND TO CONTACT US WITH ANY QUESTIONS.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Chills, Electrocardiogram normal, Flushing, Hyperhidrosis
Clinical narrative: PT WAS GIVEN VACCINE, WITHIN MINUTES PT PASSED OUT AND GOT VERY FLUSHED. I WAS CALLED OUT, HE OPENED HIS EYES AND STARTED TO SHIVER, BUT DID NOT WANT TO SPEAK. I RAN TO CALL 911, GET GLOVES, AND GET AN EPI PEN. WHEN I GOT BACK TO THE PT HE LOOKED BETTER BUT WAS VERY SWEATY. NO SIGNS OF ALLERGIC REACTION. A COUPLE MINUTES LATER, EMS ARRIVED. ALL PARAMETERS WERE WITHIN LIMITS. 20 MINUTES LATER PT FELT FINE.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: PT WAS GIVEN VACCINE, WITHIN MINUTES PT PASSED OUT AND GOT VERY FLUSHED. I WAS CALLED OUT, HE OPENED HIS EYES AND STARTED TO SHIVER, BUT DID NOT WANT TO SPEAK. I RAN TO CALL 911, GET GLOVES, AND GET AN EPI PEN. WHEN I GOT BACK TO THE PT HE LOOKED BETTER BUT WAS VERY SWEATY. NO SIGNS OF ALLERGIC REACTION. A COUPLE MINUTES LATER, EMS ARRIVED. ALL PARAMETERS WERE WITHIN LIMITS. 20 MINUTES LATER PT FELT FINE.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 2nd booster given when not eligible (age <50)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Cardiac discomfort, Feeling abnormal, Insomnia
Clinical narrative: My heart is uncomfortable. It hurts a little bit and feels like drinking a lot very strong black coffee without any food. ?I didnt drink any after vaccine?I could not sleep for the whole night
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Biliary colic, Inflammation, Ultrasound abdomen
Clinical narrative: Pain in the back and abdomen centralizing in the area of the Gall Bladder. Patient has no history of Gall Bladder stones or inflammation. Currently undergoing scans and tests to assess state of Gall Bladder. As of the date of submission a major flair occurred April 8th, care was sought April 11th when pain became too much, tordol shot was provided in office with a steroid pack and motrin provided to reduce pain and inflammation. Awaiting second ultrasound of the area and results of both scans.
Age: 72.0
Sex: F
Vaccine: COVID19, PNC20, TDAP
Symptoms: Extra dose administered, Injection site pain
Clinical narrative: Patient was given Prevnar-20 vaccine outside of CDC guidelines. Patient had completed series of Pneumonia vaccinations with PPSV23 in 2013 and PCV13 in 2015. Patient only had soreness at the injection site for 1-2 days. There were no major/severe side effects observed per patient. Patient was notified upon the discovery of the error.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Pt. states developed hives on right arm, no hives reported on any other location of the body
Age: 64.0
Sex: M
Vaccine: PNC20, TDAP
Symptoms: Atrophy, Hypotonia, Injection site pain, Myalgia, Pain in extremity
Clinical narrative: Patient reports that he had typical myalgia following administration for "a few days." He then stated that about a week later he developed a constant "hurt or soreness" in that right arm that is worse when he has not moved his arm for a period of time. He states that he feels like he is losing muscle tone/experiencing atrophy in that right arm and that the pain extends from the deltoid muscle down toward the elbow.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Nausea, Pain
Clinical narrative: body aches, chills, nausea, vomiting/dry heaving, mild diarreha, fatigue
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Retching, Vomiting
Clinical narrative: body aches, chills, nausea, vomiting/dry heaving, mild diarreha, fatigue
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood catecholamines increased, Blood homocysteine increased, Blood urea increased, Computerised tomogram abdomen
Clinical narrative: The night of my vaccine, I had severe back pain in the kidney area to the point I could barely move. It subsided over the next day. Since then however, I have developed swollen and red calves & facial flushing. The psoriasis I was experiencing prior to the Covid vaccines has exponentially increased and the medications I've been prescribed to treat it do not work. I've developed ringing in my ears and my vision has worsened. Of note too, is that upon receiving my flu vaccine on 10/02/21, I developed within a week 2 welts on my neck. I still have 1 that is just now decreasing in size. I had labs run recently and I have developed high homocysteine, high catecholamine (high norepinephrine and elevated BUN.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Flushing, Mobility decreased, Norepinephrine increased, Peripheral swelling
Clinical narrative: The night of my vaccine, I had severe back pain in the kidney area to the point I could barely move. It subsided over the next day. Since then however, I have developed swollen and red calves & facial flushing. The psoriasis I was experiencing prior to the Covid vaccines has exponentially increased and the medications I've been prescribed to treat it do not work. I've developed ringing in my ears and my vision has worsened. Of note too, is that upon receiving my flu vaccine on 10/02/21, I developed within a week 2 welts on my neck. I still have 1 that is just now decreasing in size. I had labs run recently and I have developed high homocysteine, high catecholamine (high norepinephrine and elevated BUN.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Psoriasis, Renal pain, Tinnitus, Urticaria, Visual impairment
Clinical narrative: The night of my vaccine, I had severe back pain in the kidney area to the point I could barely move. It subsided over the next day. Since then however, I have developed swollen and red calves & facial flushing. The psoriasis I was experiencing prior to the Covid vaccines has exponentially increased and the medications I've been prescribed to treat it do not work. I've developed ringing in my ears and my vision has worsened. Of note too, is that upon receiving my flu vaccine on 10/02/21, I developed within a week 2 welts on my neck. I still have 1 that is just now decreasing in size. I had labs run recently and I have developed high homocysteine, high catecholamine (high norepinephrine and elevated BUN.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: My son started complaining about all of a sudden, getting incredibly fast heartbeat in winter/early spring (unsure first time he mentioned it) and that it had been happening for a while. The first time he told me, I used my sports watch/tracker to take his heartbeat/blood pressure and it was over 100 beats per minute. His heart beat was visible from his chest, thumping away and we couldn't get it to stop so had him lie down and do deep breathing and it eventually went away. It has happened a few times. We told our pediatrician when we were there in person for a well-child appointment; she advised an EKG but I made 5 phone calls -- and no pediatric EKG place will call me back to set up an appointment. Will keep trying.  We don't KNOW that this was related to the vaccine, but he never had random fast heartbeat issues before getting vaccinated.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Headache, Hyperhidrosis, Musculoskeletal stiffness, Rash
Clinical narrative: Patient received first booster (3rd dose) of COVID vaccine on 5/6/2022. She calls the pharmacy on 5/8/22 to report adverse reactions, presumably due to the vaccination received on 5/6/22. Patient states no new drugs/food changes. Patient reports rash that goes from neck down to sternum of front, and rash that localizes around spinal area. She also states being sweaty and having a headache the last couple days. She also said she noticed a little stiff neck yesterday (5/7), but that went away on its own. She took tylenol the last 2 days to help with the headache. She denies any fever/chills, pain, or tingling sensation. Patient states the rash is a little itchy.  I advised patient to take diphenhydramine 50mg and to monitor for any fever, pain, or tingling sensation, spreading of rash, or difficulty breathing and to head to ER if they occur. Upon follow up with patient 1 hour after initial call on 5/8/22, she now reports slight chest heaviness and feels like throat is getting tight.  I advised she head to ER immediately.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Throat tightness
Clinical narrative: Patient received first booster (3rd dose) of COVID vaccine on 5/6/2022. She calls the pharmacy on 5/8/22 to report adverse reactions, presumably due to the vaccination received on 5/6/22. Patient states no new drugs/food changes. Patient reports rash that goes from neck down to sternum of front, and rash that localizes around spinal area. She also states being sweaty and having a headache the last couple days. She also said she noticed a little stiff neck yesterday (5/7), but that went away on its own. She took tylenol the last 2 days to help with the headache. She denies any fever/chills, pain, or tingling sensation. Patient states the rash is a little itchy.  I advised patient to take diphenhydramine 50mg and to monitor for any fever, pain, or tingling sensation, spreading of rash, or difficulty breathing and to head to ER if they occur. Upon follow up with patient 1 hour after initial call on 5/8/22, she now reports slight chest heaviness and feels like throat is getting tight.  I advised she head to ER immediately.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash starting in hair then spread elsewhere.  Constant dermatographism.  Still  today having to take antihistamines to keep it under control.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Vomiting
Clinical narrative: At 3:30 pm following vaccine she began vomiting and developed muscle spasms in legs and toes.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node left armpit
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Loss of consciousness, Myalgia, Syncope
Clinical narrative: Patient fainted this morning after receiving pfizer booster yesterday. She said she fell and hit her head and doesn't know how long she was unconscious. I asked her how she is feeling now, if she is having any symptoms of concussion, syncope etc, she just reports muscle soreness. I encouraged her to seek medical attention and not drive herself to her provider. She had not had anything to eat this morning so I encouraged her to eat something and keep drinking fluids.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Chest X-ray normal, Costochondritis, Musculoskeletal chest pain
Clinical narrative: Rib pain consistent with costochondritis starting the day of vaccination, and continuing for a week. Treated with OTC Alleve (naproxen sodium) without complications
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody, Blood thyroid stimulating hormone normal, C-reactive protein normal, Complement factor C3, Complement factor C4
Clinical narrative: Developed Raynaud's phenomenon in my left hand, triggered by exposure to cold.  Not present prior and no family history of similar.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count normal, Electrophoresis protein normal, Full blood count normal, Immunology test, Metabolic function test
Clinical narrative: Developed Raynaud's phenomenon in my left hand, triggered by exposure to cold.  Not present prior and no family history of similar.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Raynaud's phenomenon, Red blood cell sedimentation rate normal, Thyroxine free normal, Urine analysis normal, Urine protein/creatinine ratio normal
Clinical narrative: Developed Raynaud's phenomenon in my left hand, triggered by exposure to cold.  Not present prior and no family history of similar.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Injection site rash, Migraine
Clinical narrative: Migraine, numbness in right arm, joint pain, severe rash at injection site
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Severe Atrial Fibriliation, ER visit, Treatment - 15 mg Diltiazem Bolus, 40mg IV Lasix. Outcome: Returned to normal rhythm after approx~ 12 hours
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test normal, Antinuclear antibody, Arthralgia, Biopsy skin abnormal, Burning sensation
Clinical narrative: Non-length small nerve peripheral neuropathy through skin biopsy.  No other symptoms such as muscle weakness, dizziness, brain fog, unsteadiness.  Primary symptoms include extreme burning in toes in the evening, numbness on left forearm, and occasional sharp pain on outside right hip.  Treated with IVIG back to back for 2 days for 2 months, Duloxetine.  Neither has worked.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Glycosylated haemoglobin, Hepatitis C test negative, Hypoaesthesia, Immunoglobulin therapy
Clinical narrative: Non-length small nerve peripheral neuropathy through skin biopsy.  No other symptoms such as muscle weakness, dizziness, brain fog, unsteadiness.  Primary symptoms include extreme burning in toes in the evening, numbness on left forearm, and occasional sharp pain on outside right hip.  Treated with IVIG back to back for 2 days for 2 months, Duloxetine.  Neither has worked.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test normal, Neuropathy peripheral, Red blood cell sedimentation rate normal, Thyroid function test normal, Vitamin B12 normal
Clinical narrative: Non-length small nerve peripheral neuropathy through skin biopsy.  No other symptoms such as muscle weakness, dizziness, brain fog, unsteadiness.  Primary symptoms include extreme burning in toes in the evening, numbness on left forearm, and occasional sharp pain on outside right hip.  Treated with IVIG back to back for 2 days for 2 months, Duloxetine.  Neither has worked.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Contusion, Haemorrhage, Injection site pain, Neck pain
Clinical narrative: Instant and extreme pain at site, pain up shoulder and into the neck, bleeding, large bruise, pain for a week at injection site
Age: 59.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Pain in extremity
Clinical narrative: After giving the patient her Boostrix and Shingrix she got a little dizzy.  I sat her down outside the IMZ room and gave her some water. She started to sweat a little and was feeling a little hot. I gave her a cup of water and started to fan her while sitting with her for 15 mins.  She felt better and I told her to call if anything changes.  I checked in with her later in the evening and the next day and she was fine.  She just said her arm was a little sore.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt was given 0.25ml Moderna for 2ng dose instead of 0.5ml
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Guillain-Barre syndrome, Hypoaesthesia, Paralysis
Clinical narrative: Unable to feel hands and feet, couldn't walk, essentially became paralyzed.  In hospital for 3 1/2 wees.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a third booster of Moderna by mistake 2 months after the second booster
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemorrhagic stroke
Clinical narrative: Hemorrhagic stroke in the pons on 2/21/22
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Dizziness, Echocardiogram, Presyncope, Syncope
Clinical narrative: Light-headed and dizzy, feeling like I would pass out.  Within an hour of getting the vaccine call 911 after pulling over in my vehicle.  Next day, still having the same symptoms visited ER. Symptoms occur many times a day and I am concerned for my long-term health.  Diagnosed as "Vasovagal Syncope" by cardiologist.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tilt table test
Clinical narrative: Light-headed and dizzy, feeling like I would pass out.  Within an hour of getting the vaccine call 911 after pulling over in my vehicle.  Next day, still having the same symptoms visited ER. Symptoms occur many times a day and I am concerned for my long-term health.  Diagnosed as "Vasovagal Syncope" by cardiologist.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Canalith repositioning procedure, Heart rate increased, Vertigo, Vertigo positional
Clinical narrative: On the day following my Covid Booster shot I awoke to a significant loss of balance and occasional vertigo that was diagnosed as Benign Paraoxymal Positional Vertigo. There vertigo episodes were treated and cured using the Modified Eply Maneuver. Loss of balance has persisted over the past 6 months. Recently referred to Vestibular therapy and balance exercises have helped some.   I also had several months of higher resting heart rate, the same as I reported after my first two Covid shots
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram abnormal, Cardiac stress test abnormal, Catheterisation cardiac abnormal, Chest pain, Coronary arterial stent insertion
Clinical narrative: 4/24/22 - chest pain under stress and ay high altitude 4/28/22 - "flunked" stress test ordered by cardiologist 5/2 /22 - Cath study/angiogram.  80% occlusion of LAD  found.  Stent inserted. Feeling fine now.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery occlusion
Clinical narrative: 4/24/22 - chest pain under stress and ay high altitude 4/28/22 - "flunked" stress test ordered by cardiologist 5/2 /22 - Cath study/angiogram.  80% occlusion of LAD  found.  Stent inserted. Feeling fine now.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Started with chills; then teeth chatteing; then headache; then muscle aches; fever
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling
Clinical narrative: One week after his Moderna  booster  shot, he told us that he felt like he was "out of himself after the vaccine".  people  around him thought he was not being reasonable.  He had injection site pain, redness, and swollen.  The injection site reaction has been  improved, but still not completely go away.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Pain
Clinical narrative: Fever Chills Body aches Headache Fatigue Diarrhea
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever Chills Body aches Headache Fatigue Diarrhea
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Pruritus, Rash
Clinical narrative: Rash and itching started on left arm but not at injection shot, a few days after the shot. The rash and itching spread over the entire arm & up towards my neck. This lasted for approx 1 month!
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache
Clinical narrative: Woke less than 12 hrs later to a wicked headache. Headache lasted 7 days.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness, Ear pain, Tinnitus
Clinical narrative: Intense ear ache in both ears beginning an hour after injection.   Consistent ringing in both ears beginning afternoon of following day as the ear ache subsided. Ringing in ears has persisted ever since and has not gone away. It does vary in intensity between background noise and severe.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Bladder pain, Discomfort, Hypertonic bladder, Interchange of vaccine products, Micturition urgency
Clinical narrative: Shortly after my first covid vaccine, I developed serious symptoms of overactive bladder, including constant urgency, pressure and pain in the bladder and urethra. I had the two vaccines a month apart and had severe bladder symptoms from a few days after the first vaccine through the fall, in August or September. The symptoms gradually declined to almost normal by November. When i had a flareup of the bladder symptoms again after my first booster (3rd vaccine) in early December 2021, I wondered if it may be related. In this case, the symptoms only However, I am a strong supporter of vaccination and assumed it was a coincidence. As i am over 60 and was going to travel to visit my ailing parents, i obtained a 2nd booster the first of May 2022. The next day, my bladder symptoms returned. Again, not nearly as significant as the first occurrence, but still moderately significant (pressure, pain, urgency, nausea) for several days, gradually declining, although still not returned to normal as of the date of this report.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Nausea, Ultrasound scan, Urethral pain, Urine analysis
Clinical narrative: Shortly after my first covid vaccine, I developed serious symptoms of overactive bladder, including constant urgency, pressure and pain in the bladder and urethra. I had the two vaccines a month apart and had severe bladder symptoms from a few days after the first vaccine through the fall, in August or September. The symptoms gradually declined to almost normal by November. When i had a flareup of the bladder symptoms again after my first booster (3rd vaccine) in early December 2021, I wondered if it may be related. In this case, the symptoms only However, I am a strong supporter of vaccination and assumed it was a coincidence. As i am over 60 and was going to travel to visit my ailing parents, i obtained a 2nd booster the first of May 2022. The next day, my bladder symptoms returned. Again, not nearly as significant as the first occurrence, but still moderately significant (pressure, pain, urgency, nausea) for several days, gradually declining, although still not returned to normal as of the date of this report.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Myalgia
Clinical narrative: Sore throat headache muscle aches extreme fatigue chills sweats
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: Sore throat headache muscle aches extreme fatigue chills sweats
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Liver disorder, Liver function test increased
Clinical narrative: Vaccination resulted in hospitalization in subsequent days after vaccination. Per hospital report, pt LFTs rose significantly after the vaccination resulting in hospitalization.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Facial pain, Headache, Pain in extremity, Pain in jaw
Clinical narrative: Headache and facial pain began after 20 minutes, ongoing at 3 weeks (responded minimally to tylenol and no response to advil).  Pain in jaw, spine, and hands began next day, fading at 3 weeks.  Rash on shoulder and upper arm from bra strap to elbow began at 2 weeks, lasted 1 week (with allegra and topic clobetesol).  Symptoms lessened at 3 weeks but not yet resolved.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Spinal pain
Clinical narrative: Headache and facial pain began after 20 minutes, ongoing at 3 weeks (responded minimally to tylenol and no response to advil).  Pain in jaw, spine, and hands began next day, fading at 3 weeks.  Rash on shoulder and upper arm from bra strap to elbow began at 2 weeks, lasted 1 week (with allegra and topic clobetesol).  Symptoms lessened at 3 weeks but not yet resolved.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Foot operation, Inflammation, Injected limb mobility decreased, Pain, Tendonitis
Clinical narrative: Tendonitis affecting multiple limbs and joints.  Tendonitis developed less than 2 months after the vaccine, in joints previously unaffected by psoriatic arthritis.  It began in my left elbow, and spread bilaterally to both ankles, both knees, and my left arm and left ring finger.  It has also resulted in increased inflammation in toes on both feet.  Pain and inflammation did not respond to traditional treatments and only responded to steroid medications, including cortisone injections.  The condition has reduced the usefulness of my left arm, has created mobility challenges, and I have had several significant foot surgeries to address the symptoms surgically.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: reddish spot on lower part of my right leg size of a  quarter( first  started to itch and then it turn a reddish colorno
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Strong Tinnitus (ringing in ears)
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Ephelides, Petechiae, Rash macular, Skin discolouration, Swelling
Clinical narrative: When the patient woke up the morning after injection, small red petechial spots were noted on both lower legs. The number of spots increased slightly over the next 1 week. Also, the color changed from red to brownish and the spots went from flat to bumpy. Over the subsequent weeks, the spots appear to be gradually resolving to the point now at which they appear similar to freckles. No treatment was given. No other vaccines given within 1 month before this one.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Feeling abnormal, Memory impairment, Menstrual disorder, Menstruation irregular
Clinical narrative: Headaches/Migraines daily. Every day since the shot was given. I have brain fog and am very forgetful since the vaccine.   Abnormal bleeding during menstruation, irregular cycles. Sometimes I don't get my period.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, New daily persistent headache, Ultrasound scan
Clinical narrative: Headaches/Migraines daily. Every day since the shot was given. I have brain fog and am very forgetful since the vaccine.   Abnormal bleeding during menstruation, irregular cycles. Sometimes I don't get my period.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Blood testosterone, Erectile dysfunction, Full blood count, Oestradiol
Clinical narrative: From the moment I received the third dose of the Pfizer vaccine, I have suffered from severe erectile dysfunction that prevents me from having sexual intercourse as smoothly as I have ever had before. My erections before the third dose were every day and at different times, especially in the morning and at night. Now and by doctor's prescription I must take Tadalafil but these pills give me back pain, leg pain and heartburn, because of that I don't take them anymore.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Prostatic specific antigen, Sex hormone binding globulin, Urine analysis, White blood cell count
Clinical narrative: From the moment I received the third dose of the Pfizer vaccine, I have suffered from severe erectile dysfunction that prevents me from having sexual intercourse as smoothly as I have ever had before. My erections before the third dose were every day and at different times, especially in the morning and at night. Now and by doctor's prescription I must take Tadalafil but these pills give me back pain, leg pain and heartburn, because of that I don't take them anymore.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, Immunisation, SARS-CoV-2 test
Clinical narrative: Flareups of pre-existing rheumatoid arthritis, increased knee pain resulting in difficulty walking
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, Cardioversion, Echocardiogram, Electrocardiogram
Clinical narrative: Flareups of pre-existing rheumatoid arthritis, increased knee pain resulting in difficulty walking
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Blood test, Condition aggravated, Gait disturbance, Rheumatoid arthritis
Clinical narrative: Flareups of pre-existing rheumatoid arthritis, increased knee pain resulting in difficulty walking
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alopecia, Arthralgia, Bacterial infection, Biopsy skin, Blister
Clinical narrative: SCALP IRRITATION, THEN MOVED TO NECK, BACK & CHEST (WITH BLISTERS), SEVERE GROWING INTO WHAT LOOKED LIKE BURNS ON FACE, ARMS, LEGS
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Emotional distress, Fatigue, Gait disturbance, Impaired work ability
Clinical narrative: SCALP IRRITATION, THEN MOVED TO NECK, BACK & CHEST (WITH BLISTERS), SEVERE GROWING INTO WHAT LOOKED LIKE BURNS ON FACE, ARMS, LEGS
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Infection, Inflammation, Insomnia, Movement disorder, Myalgia
Clinical narrative: SCALP IRRITATION, THEN MOVED TO NECK, BACK & CHEST (WITH BLISTERS), SEVERE GROWING INTO WHAT LOOKED LIKE BURNS ON FACE, ARMS, LEGS
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain of skin, Rash, Sexual dysfunction, Skin irritation, Sleep disorder
Clinical narrative: SCALP IRRITATION, THEN MOVED TO NECK, BACK & CHEST (WITH BLISTERS), SEVERE GROWING INTO WHAT LOOKED LIKE BURNS ON FACE, ARMS, LEGS
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Stress
Clinical narrative: SCALP IRRITATION, THEN MOVED TO NECK, BACK & CHEST (WITH BLISTERS), SEVERE GROWING INTO WHAT LOOKED LIKE BURNS ON FACE, ARMS, LEGS
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blister, Chest discomfort, Musculoskeletal discomfort, Pemphigus, Skin discolouration
Clinical narrative: SCALP IRRITATION, THEN MOVED TO NECK, BACK & CHEST (WITH BLISTERS), SEVERE GROWING INTO WHAT LOOKED LIKE BURNS ON FACE, ARMS, LEGS
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Skin irritation
Clinical narrative: SCALP IRRITATION, THEN MOVED TO NECK, BACK & CHEST (WITH BLISTERS), SEVERE GROWING INTO WHAT LOOKED LIKE BURNS ON FACE, ARMS, LEGS
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Toxic epidermal necrolysis
Clinical narrative: SCALP IRRITATION, THEN MOVED TO NECK, BACK & CHEST (WITH BLISTERS), SEVERE GROWING INTO WHAT LOOKED LIKE BURNS ON FACE, ARMS, LEGS
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Hyperhidrosis, Hypopnoea, Hyporesponsive to stimuli
Clinical narrative: Patient received a COVID 2nd booster and ~40 minutes later began to cough, became unresponsive, and was barely breathing in his cart. EMS was called and patient was transported to Medical Center ED where we was intubated. Prior to ED arrival, he was noted to be diaphoretic and having involuntary movements, suggestive of decorticate posturing. CTA did not show PE, CVA or significant dissection flap in the aortic arch, but did show renal infarct. Left leg below the knee was also found to be cold, dusky, pulseless and ultrasound showed intraluminal thrombus with associated near complete occlusion of the external iliac artery, extends through and includes posterior tibial, peroneal, anterior tibial arteries. Emergent embolectomy and fasciotomy was performed followed by heparin drip. Pt was transferred to the ICU, where he was acidotic and in shock, started on bicarb and vasopressors. Worsening labs noted along with anuria and no bowel sounds, right pupil fixed and dilated, EKG with later ST depressions and RBBB, increased troponins. CTA was repeated, showing type A dissection extending up to the carotids and down to renals ? not amenable to surgery and patient transitioned to CMO.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Skin discolouration, Unresponsive to stimuli
Clinical narrative: Patient received a COVID 2nd booster and ~40 minutes later began to cough, became unresponsive, and was barely breathing in his cart. EMS was called and patient was transported to Medical Center ED where we was intubated. Prior to ED arrival, he was noted to be diaphoretic and having involuntary movements, suggestive of decorticate posturing. CTA did not show PE, CVA or significant dissection flap in the aortic arch, but did show renal infarct. Left leg below the knee was also found to be cold, dusky, pulseless and ultrasound showed intraluminal thrombus with associated near complete occlusion of the external iliac artery, extends through and includes posterior tibial, peroneal, anterior tibial arteries. Emergent embolectomy and fasciotomy was performed followed by heparin drip. Pt was transferred to the ICU, where he was acidotic and in shock, started on bicarb and vasopressors. Worsening labs noted along with anuria and no bowel sounds, right pupil fixed and dilated, EKG with later ST depressions and RBBB, increased troponins. CTA was repeated, showing type A dissection extending up to the carotids and down to renals ? not amenable to surgery and patient transitioned to CMO.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acidosis, Ammonia increased, Angiogram pulmonary abnormal, Anticoagulant therapy, Anuria
Clinical narrative: Patient received a COVID 2nd booster and ~40 minutes later began to cough, became unresponsive, and was barely breathing in his cart. EMS was called and patient was transported to Medical Center ED where we was intubated. Prior to ED arrival, he was noted to be diaphoretic and having involuntary movements, suggestive of decorticate posturing. CTA did not show PE, CVA or significant dissection flap in the aortic arch, but did show renal infarct. Left leg below the knee was also found to be cold, dusky, pulseless and ultrasound showed intraluminal thrombus with associated near complete occlusion of the external iliac artery, extends through and includes posterior tibial, peroneal, anterior tibial arteries. Emergent embolectomy and fasciotomy was performed followed by heparin drip. Pt was transferred to the ICU, where he was acidotic and in shock, started on bicarb and vasopressors. Worsening labs noted along with anuria and no bowel sounds, right pupil fixed and dilated, EKG with later ST depressions and RBBB, increased troponins. CTA was repeated, showing type A dissection extending up to the carotids and down to renals ? not amenable to surgery and patient transitioned to CMO.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aortic dissection, Blood gases, Blood lactic acid increased, Brain natriuretic peptide increased, Bundle branch block right
Clinical narrative: Patient received a COVID 2nd booster and ~40 minutes later began to cough, became unresponsive, and was barely breathing in his cart. EMS was called and patient was transported to Medical Center ED where we was intubated. Prior to ED arrival, he was noted to be diaphoretic and having involuntary movements, suggestive of decorticate posturing. CTA did not show PE, CVA or significant dissection flap in the aortic arch, but did show renal infarct. Left leg below the knee was also found to be cold, dusky, pulseless and ultrasound showed intraluminal thrombus with associated near complete occlusion of the external iliac artery, extends through and includes posterior tibial, peroneal, anterior tibial arteries. Emergent embolectomy and fasciotomy was performed followed by heparin drip. Pt was transferred to the ICU, where he was acidotic and in shock, started on bicarb and vasopressors. Worsening labs noted along with anuria and no bowel sounds, right pupil fixed and dilated, EKG with later ST depressions and RBBB, increased troponins. CTA was repeated, showing type A dissection extending up to the carotids and down to renals ? not amenable to surgery and patient transitioned to CMO.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head normal, Coronary artery thrombosis, Cough, Decorticate posture, Dyskinesia
Clinical narrative: Patient received a COVID 2nd booster and ~40 minutes later began to cough, became unresponsive, and was barely breathing in his cart. EMS was called and patient was transported to Medical Center ED where we was intubated. Prior to ED arrival, he was noted to be diaphoretic and having involuntary movements, suggestive of decorticate posturing. CTA did not show PE, CVA or significant dissection flap in the aortic arch, but did show renal infarct. Left leg below the knee was also found to be cold, dusky, pulseless and ultrasound showed intraluminal thrombus with associated near complete occlusion of the external iliac artery, extends through and includes posterior tibial, peroneal, anterior tibial arteries. Emergent embolectomy and fasciotomy was performed followed by heparin drip. Pt was transferred to the ICU, where he was acidotic and in shock, started on bicarb and vasopressors. Worsening labs noted along with anuria and no bowel sounds, right pupil fixed and dilated, EKG with later ST depressions and RBBB, increased troponins. CTA was repeated, showing type A dissection extending up to the carotids and down to renals ? not amenable to surgery and patient transitioned to CMO.