chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Surgery, Urinary tract infection, Wound infection
Clinical narrative: She had DVT - blood clot in her left leg.  I took her to the doctor - on  March 30th.  It went up to her lung - her right lung.  THey put her on blood clot thinner. Kept her in the Hospital for a few days. She could no longer take arthritis medicine (with the blood thinner) and she could no longer walk without it. We didn't know at the hospital that she couldn't walk and had shortness of breath. It's been an ongoing since April. She had physical therapy and they were trying to help her learn how to walk again. She fell  in April - first time was April 5, I think , May, June  - multiple times - it's all on her medical record. She went to a  skilled Rehab nursing center in June for it. She had a break two weeks ago  and had surgery and it got infected. She's had four UTI's since month of June also - put her back in a rehab facility because she couldn't walk. At rehab center - Operation on hip on the 31st and infection on the wound - bacteria in blood and another UTI and pneumonia in her blood.  10 days in hospital at different times.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Migraine, Myalgia, Nausea, Pyrexia
Clinical narrative: Migraine, fever, muscle pain, dizziness, nausea
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis
Clinical narrative: Elbow bursitis in left arm
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Myalgia, Product storage error
Clinical narrative: given beyond use date of 25 hours after punctured time (recommended 12), has muscle soreness and dizziness within 6 hours of having vaccine
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: Client reported dizziness to RN and EMT. The client ambulated and sat down in the anti-gravity chair. RN placed the anti-gravity chair in a semi-fowler's position. Vitals obtained at 3:20 PM were as follows: BP 111/73, HR 72, O2 99%. The client reported a history of anxiety and depression. The client stated that she was feeling anxious. The client denied any signs and symptoms of anaphylaxis. The client stated that she had an "anxiety attack" this morning. The client also reported a history of an allergy to Penicillin that resulted in hives and a history of "throat closing" after consuming shrimp. RN responded at 3:24 PM. The client stated that her usual coping mechanisms include an ice pack and breathing exercises. RN provided the client with an cool pack, which the client placed behind her neck. The client stated that her dizziness was improving. Repeat vitals obtained at 3:28 PM were as follows: BP 109/75, HR 71, and O2 98%. The client stated that her blood pressure is usually "lower." The clients stated her dizziness was getting better. The client stated that her current symptoms do not feel similar to her previous allergy symptoms. RN noted the client talking on the phone. The client asked if she could leave the vaccination site. The client stated her brother was here to pick her up. RN recommended the client stay for 30 minutes after she started feeling symptoms. RN educated the client regarding signs and symptoms of anaphylaxis and when to seek EMS. The client voiced understanding of this education. RN and RN adjusted the anti-gravity chair to a high-fowler's position. The client stood up from the anti-gravity chair without assistance. The client denied any current dizziness. The client ambulated unassisted with a steady gait. The client was accompanied by RN out of the vaccination site and RN observed the client entering a vehicle.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: I started to have muscle aches. I got tested two days later. I had a sore throat, coughing a runny nose and fatigue. My blood oxygen was very low, it was in the low 80s. I felt so bad and I isolated for 10 days. The cough was dry and constant and the only thing that helped was cough syrup. I was prescribed an inhaler, and antibiotics. I still have the cough after six weeks and I still have trouble catching my breath. My worst symptoms lasted for 7 days and I still felt very tired when I returned to work.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Oxygen saturation decreased, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I started to have muscle aches. I got tested two days later. I had a sore throat, coughing a runny nose and fatigue. My blood oxygen was very low, it was in the low 80s. I felt so bad and I isolated for 10 days. The cough was dry and constant and the only thing that helped was cough syrup. I was prescribed an inhaler, and antibiotics. I still have the cough after six weeks and I still have trouble catching my breath. My worst symptoms lasted for 7 days and I still felt very tired when I returned to work.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema, Sensitive skin, Skin warm, Swelling
Clinical narrative: Swelling in and under the armpit the size of a baseball , swelling behind the shoulder blade the size of a marvel . Swelling is red and hot and sensitive but can not feel lymph node swelling goes from very part of lower armpit into pectoral region the size of a baseball
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Lymphadenopathy, Off label use
Clinical narrative: Swelling in and under the armpit the size of a baseball , swelling behind the shoulder blade the size of a marvel . Swelling is red and hot and sensitive but can not feel lymph node swelling goes from very part of lower armpit into pectoral region the size of a baseball
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Erythema, Fatigue
Clinical narrative: 09/14/2021 facial redness and swelling, itching rash, chills, body aches, cough took  OTC Benadryl  09/15/2021 03:30AM shortness of breath took pro air rescue inhaler   09/15/2021 05:00AM severe Left sided pain from head to  forehead to chin numbness and tingling   09/15/2021 08:00AM chills, fatigue, cough, general Malaise, body aches   09/06/2021 09:30AM numbness and tingling to bilateral upper and lower extremities
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Malaise, Pain, Paraesthesia
Clinical narrative: 09/14/2021 facial redness and swelling, itching rash, chills, body aches, cough took  OTC Benadryl  09/15/2021 03:30AM shortness of breath took pro air rescue inhaler   09/15/2021 05:00AM severe Left sided pain from head to  forehead to chin numbness and tingling   09/15/2021 08:00AM chills, fatigue, cough, general Malaise, body aches   09/06/2021 09:30AM numbness and tingling to bilateral upper and lower extremities
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Swelling face
Clinical narrative: 09/14/2021 facial redness and swelling, itching rash, chills, body aches, cough took  OTC Benadryl  09/15/2021 03:30AM shortness of breath took pro air rescue inhaler   09/15/2021 05:00AM severe Left sided pain from head to  forehead to chin numbness and tingling   09/15/2021 08:00AM chills, fatigue, cough, general Malaise, body aches   09/06/2021 09:30AM numbness and tingling to bilateral upper and lower extremities
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Blood culture, Blood fibrinogen, C-reactive protein, Coagulation test, Full blood count
Clinical narrative: Immune Thrombocytopenia Purpura diagnosed on 9/14/21 in pediatric office.  Referred to Medical Center for lab tests.  All WNL with exception of platelets at 4000.  Was seen by pediatric hematologist, Dr. on 9/16/21, confirming diagnosis of ITP.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Immune thrombocytopenia, Metabolic function test, Procalcitonin, SARS-CoV-2 test, Urine analysis
Clinical narrative: Immune Thrombocytopenia Purpura diagnosed on 9/14/21 in pediatric office.  Referred to Medical Center for lab tests.  All WNL with exception of platelets at 4000.  Was seen by pediatric hematologist, Dr. on 9/16/21, confirming diagnosis of ITP.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Bilirubin conjugated increased, Blood albumin decreased, Blood bilirubin increased, Blood creatinine increased
Clinical narrative: right neck pain, fatigue, anorexia, then emesis, fever, red eyes, rash, diarrhea, tachycardia, hypotensive, cervical lymphadenopathy IVIG, pulse steroids, anakinra
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture negative, Blood fibrinogen increased, Blood glucose normal, Blood sodium normal, Blood urea normal
Clinical narrative: right neck pain, fatigue, anorexia, then emesis, fever, red eyes, rash, diarrhea, tachycardia, hypotensive, cervical lymphadenopathy IVIG, pulse steroids, anakinra
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: right neck pain, fatigue, anorexia, then emesis, fever, red eyes, rash, diarrhea, tachycardia, hypotensive, cervical lymphadenopathy IVIG, pulse steroids, anakinra
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hypotension, Immature granulocyte count increased, Immunoglobulin therapy, International normalised ratio increased
Clinical narrative: right neck pain, fatigue, anorexia, then emesis, fever, red eyes, rash, diarrhea, tachycardia, hypotensive, cervical lymphadenopathy IVIG, pulse steroids, anakinra
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Lumbar puncture normal, Lymphadenopathy, Lymphopenia, Neck pain
Clinical narrative: right neck pain, fatigue, anorexia, then emesis, fever, red eyes, rash, diarrhea, tachycardia, hypotensive, cervical lymphadenopathy IVIG, pulse steroids, anakinra
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count increased, Ocular hyperaemia, Procalcitonin increased, Prothrombin time prolonged, Pyrexia
Clinical narrative: right neck pain, fatigue, anorexia, then emesis, fever, red eyes, rash, diarrhea, tachycardia, hypotensive, cervical lymphadenopathy IVIG, pulse steroids, anakinra
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Red blood cell sedimentation rate increased, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Serum ferritin increased
Clinical narrative: right neck pain, fatigue, anorexia, then emesis, fever, red eyes, rash, diarrhea, tachycardia, hypotensive, cervical lymphadenopathy IVIG, pulse steroids, anakinra
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Sterile pyuria, Tachycardia, Troponin increased, Vomiting, White blood cell count increased
Clinical narrative: right neck pain, fatigue, anorexia, then emesis, fever, red eyes, rash, diarrhea, tachycardia, hypotensive, cervical lymphadenopathy IVIG, pulse steroids, anakinra
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Fatigue, Feeling abnormal, Hepatic enzyme increased
Clinical narrative: Elevated liver enzymes, speech disturbance, muscle weakness lower extremities, brain fog, fatigue.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Speech disorder
Clinical narrative: Elevated liver enzymes, speech disturbance, muscle weakness lower extremities, brain fog, fatigue.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose, Culture urine, Dizziness, Electrocardiogram, Electroencephalogram
Clinical narrative: After the second shot very tired and and sore that afternoon and evening. The next day she went to work at 9am even though she woke up with a slight headache and didnt feel very well. She thought it was pass. It didnt pass and her headache worsened. She excused herself to the back and was found with her eyes rolled back and unable to full wake. When she awakened she was in extreme body pain and was taken by ambulance to the ER. Since then she has been to the 3 times, has had several episodes of seizures, and has seen a cardiologist and neurologist which all have determine this is a side effect from the vaccine. She still sees the neurologist and has been prescribed Levetiracetam 500mg x6 tablets per day. Before the vaccine she has never passed our, complained about this type of head pain or had seizures.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eye movement disorder, Fatigue, Full blood count, Headache, Laboratory test abnormal
Clinical narrative: After the second shot very tired and and sore that afternoon and evening. The next day she went to work at 9am even though she woke up with a slight headache and didnt feel very well. She thought it was pass. It didnt pass and her headache worsened. She excused herself to the back and was found with her eyes rolled back and unable to full wake. When she awakened she was in extreme body pain and was taken by ambulance to the ER. Since then she has been to the 3 times, has had several episodes of seizures, and has seen a cardiologist and neurologist which all have determine this is a side effect from the vaccine. She still sees the neurologist and has been prescribed Levetiracetam 500mg x6 tablets per day. Before the vaccine she has never passed our, complained about this type of head pain or had seizures.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Pain, Urine analysis
Clinical narrative: After the second shot very tired and and sore that afternoon and evening. The next day she went to work at 9am even though she woke up with a slight headache and didnt feel very well. She thought it was pass. It didnt pass and her headache worsened. She excused herself to the back and was found with her eyes rolled back and unable to full wake. When she awakened she was in extreme body pain and was taken by ambulance to the ER. Since then she has been to the 3 times, has had several episodes of seizures, and has seen a cardiologist and neurologist which all have determine this is a side effect from the vaccine. She still sees the neurologist and has been prescribed Levetiracetam 500mg x6 tablets per day. Before the vaccine she has never passed our, complained about this type of head pain or had seizures.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Peripheral coldness, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: On June 26th (11 days after 2nd COVID shot) my left arm became cold & numb from the elbow down.  Went to ER.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Headache, Influenza, Pain
Clinical narrative: Flu symptom, achy, 101 fever, headaches, all night first night stabbing pains in gut and legs, fatigue
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Flu symptom, achy, 101 fever, headaches, all night first night stabbing pains in gut and legs, fatigue
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Pain in extremity, Paraesthesia
Clinical narrative: Facial tingling that has continued .Left arm join pain and elevate blood pressure.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure
Clinical narrative: EMS called patient had clinic tonic seizure lasting 30 seconds patient reports no seizure history. After seizure patient was alert and oriented x 4 Non labored breathing skin warm and dry.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Extra dose administered, Groin pain, Muscle spasms, Peripheral swelling
Clinical narrative: A week and a half after receiving the Pfizer Booster shot, she began experiencing pain in her groin area, swelling of the right leg, and cramping in the leg. Ultrasound and CT scan done at the hospital on 9/8/21 showed a large blood clot in the groin area as well as 2 smaller clots in each lung.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary thrombosis, Thrombosis, Ultrasound scan abnormal
Clinical narrative: A week and a half after receiving the Pfizer Booster shot, she began experiencing pain in her groin area, swelling of the right leg, and cramping in the leg. Ultrasound and CT scan done at the hospital on 9/8/21 showed a large blood clot in the groin area as well as 2 smaller clots in each lung.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Blood gases, Blood pH normal, COVID-19
Clinical narrative: Presented to the ER on 8/31/21 complaints of shortness of breath apparently was recently is treated with Levaquin for a lung infection along with steroids which he completed approximately week ago.  He also does complain of some fevers, intermittent cough, body aches, malaise, lack of act diet.  No nausea vomiting abdominal pain.  Patient does use 2 L of oxygen at night.  He has received both doses of the moderna vaccine.   Evaluation in the ED did reveal a temperature of 97.3 pulse 90 BP was 156/73, in the ED was noted to be desaturating into the high 80s therefore was placed on 2 L of oxygen currently saturating in the high 90s.  His workup was essentially unremarkable apart from COVID being positive influenza negative procalcitonin negative ABG did reveal a pH of 7.417 PO2 was 63.1 pCO2 40.9 white count 6.53 chest x-ray did reveal left pneumonectomy otherwise no other acute infiltrates. He was found to be mildly hypoxemic in the ED.  Was placed on 2 L of oxygen.  Currently comfortable.  Will be admitted as an inpatient, expected length of stay likely greater than 2 midnights. Will start antibiotic therapy, Decadron, remdesivir.  Found to have elevated D-dimer, CTA chest did not reveal any pulmonary embolism.  Patient was found to have DVT in his left tibial venous distribution.  Started on Eliquis. Patient gradually started to feel better and it started requiring baselines oxygen and was discharged home.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray normal, Cough, Deep vein thrombosis, Dyspnoea
Clinical narrative: Presented to the ER on 8/31/21 complaints of shortness of breath apparently was recently is treated with Levaquin for a lung infection along with steroids which he completed approximately week ago.  He also does complain of some fevers, intermittent cough, body aches, malaise, lack of act diet.  No nausea vomiting abdominal pain.  Patient does use 2 L of oxygen at night.  He has received both doses of the moderna vaccine.   Evaluation in the ED did reveal a temperature of 97.3 pulse 90 BP was 156/73, in the ED was noted to be desaturating into the high 80s therefore was placed on 2 L of oxygen currently saturating in the high 90s.  His workup was essentially unremarkable apart from COVID being positive influenza negative procalcitonin negative ABG did reveal a pH of 7.417 PO2 was 63.1 pCO2 40.9 white count 6.53 chest x-ray did reveal left pneumonectomy otherwise no other acute infiltrates. He was found to be mildly hypoxemic in the ED.  Was placed on 2 L of oxygen.  Currently comfortable.  Will be admitted as an inpatient, expected length of stay likely greater than 2 midnights. Will start antibiotic therapy, Decadron, remdesivir.  Found to have elevated D-dimer, CTA chest did not reveal any pulmonary embolism.  Patient was found to have DVT in his left tibial venous distribution.  Started on Eliquis. Patient gradually started to feel better and it started requiring baselines oxygen and was discharged home.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer increased, Hypoxia, Influenza virus test negative, Malaise, Malnutrition
Clinical narrative: Presented to the ER on 8/31/21 complaints of shortness of breath apparently was recently is treated with Levaquin for a lung infection along with steroids which he completed approximately week ago.  He also does complain of some fevers, intermittent cough, body aches, malaise, lack of act diet.  No nausea vomiting abdominal pain.  Patient does use 2 L of oxygen at night.  He has received both doses of the moderna vaccine.   Evaluation in the ED did reveal a temperature of 97.3 pulse 90 BP was 156/73, in the ED was noted to be desaturating into the high 80s therefore was placed on 2 L of oxygen currently saturating in the high 90s.  His workup was essentially unremarkable apart from COVID being positive influenza negative procalcitonin negative ABG did reveal a pH of 7.417 PO2 was 63.1 pCO2 40.9 white count 6.53 chest x-ray did reveal left pneumonectomy otherwise no other acute infiltrates. He was found to be mildly hypoxemic in the ED.  Was placed on 2 L of oxygen.  Currently comfortable.  Will be admitted as an inpatient, expected length of stay likely greater than 2 midnights. Will start antibiotic therapy, Decadron, remdesivir.  Found to have elevated D-dimer, CTA chest did not reveal any pulmonary embolism.  Patient was found to have DVT in his left tibial venous distribution.  Started on Eliquis. Patient gradually started to feel better and it started requiring baselines oxygen and was discharged home.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, PCO2 normal, PO2 decreased, Pain, Pneumonia
Clinical narrative: Presented to the ER on 8/31/21 complaints of shortness of breath apparently was recently is treated with Levaquin for a lung infection along with steroids which he completed approximately week ago.  He also does complain of some fevers, intermittent cough, body aches, malaise, lack of act diet.  No nausea vomiting abdominal pain.  Patient does use 2 L of oxygen at night.  He has received both doses of the moderna vaccine.   Evaluation in the ED did reveal a temperature of 97.3 pulse 90 BP was 156/73, in the ED was noted to be desaturating into the high 80s therefore was placed on 2 L of oxygen currently saturating in the high 90s.  His workup was essentially unremarkable apart from COVID being positive influenza negative procalcitonin negative ABG did reveal a pH of 7.417 PO2 was 63.1 pCO2 40.9 white count 6.53 chest x-ray did reveal left pneumonectomy otherwise no other acute infiltrates. He was found to be mildly hypoxemic in the ED.  Was placed on 2 L of oxygen.  Currently comfortable.  Will be admitted as an inpatient, expected length of stay likely greater than 2 midnights. Will start antibiotic therapy, Decadron, remdesivir.  Found to have elevated D-dimer, CTA chest did not reveal any pulmonary embolism.  Patient was found to have DVT in his left tibial venous distribution.  Started on Eliquis. Patient gradually started to feel better and it started requiring baselines oxygen and was discharged home.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin, Pyrexia, SARS-CoV-2 test positive, Ultrasound Doppler abnormal, White blood cell count normal
Clinical narrative: Presented to the ER on 8/31/21 complaints of shortness of breath apparently was recently is treated with Levaquin for a lung infection along with steroids which he completed approximately week ago.  He also does complain of some fevers, intermittent cough, body aches, malaise, lack of act diet.  No nausea vomiting abdominal pain.  Patient does use 2 L of oxygen at night.  He has received both doses of the moderna vaccine.   Evaluation in the ED did reveal a temperature of 97.3 pulse 90 BP was 156/73, in the ED was noted to be desaturating into the high 80s therefore was placed on 2 L of oxygen currently saturating in the high 90s.  His workup was essentially unremarkable apart from COVID being positive influenza negative procalcitonin negative ABG did reveal a pH of 7.417 PO2 was 63.1 pCO2 40.9 white count 6.53 chest x-ray did reveal left pneumonectomy otherwise no other acute infiltrates. He was found to be mildly hypoxemic in the ED.  Was placed on 2 L of oxygen.  Currently comfortable.  Will be admitted as an inpatient, expected length of stay likely greater than 2 midnights. Will start antibiotic therapy, Decadron, remdesivir.  Found to have elevated D-dimer, CTA chest did not reveal any pulmonary embolism.  Patient was found to have DVT in his left tibial venous distribution.  Started on Eliquis. Patient gradually started to feel better and it started requiring baselines oxygen and was discharged home.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Vaccine breakthrough infection
Clinical narrative: breakthrough Covid felt sick 8/20, tested on 8/21 and got results on 8/23.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: patient experienced one swollen finger and back pain 2 weeks post vaccination. patient consulted with family physician who cannot rule out if these were covid-19 vaccination related.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, White blood cell count increased
Clinical narrative: Shingles
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypersensitivity, Lymphadenopathy, Pruritus, Swelling, Urticaria
Clinical narrative: Got the Pfizer shot August 24th following day woke up at 6 a.m. 25th of August with severe allergic reaction to Pfizer lymph nodes extremely swollen hives all over my body and swells all over my body extremely itchy. Call my doctor to see what I could take through my insurance they advised me to go to the emergency room then I was prescribed  Prednisone 20 mg tablet,Loratadine 10mg Claritin,Famotidine 20 mg Pepcid. Then send home and to schedule an appointment with my doctor that itching continue with swells for 8 days was seen by Dr. doctor sent me to get blood results at a lab and was prescribed omeprazole 40mg.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness unilateral, Sudden hearing loss
Clinical narrative: Sudden and almost complete hearing loss in the right ear. Currently being treated with direct injections of steroids to the ear.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: An administration variance was identified regarding his dose.   Initial vial puncture occurred on 02Sept2021 at 12:30 PM and dose was administered to the patient on 03Sept2021 at 8:40 AM.  The vial was continuously refrigerated and did not ever reach room temperature at any time prior to or after puncture.   The patient has not experienced any local or systemic event since administration of his dose.  It has been determined, after communication with Moderna Medical Information, that this variance is unlikely to affect the efficacy of vaccine response.  No additional doses are recommended at this time.
Age: 28.0
Sex: F
Vaccine: CHOL
Symptoms: Vaccination error
Clinical narrative: Vaccine error not adverse event. Pt answered screening question for previous dose as a "NO" and upon entry into our EHR, Pt had had a Moderna vaccine in April 2021. Pt did not recall Moderna vaccine injection history during initial screening questions.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ataxia, Blood test, Disturbance in attention, Feeling abnormal, Headache
Clinical narrative: Pain in arm the following day, lasted 1 day. Current issues come and go: Recurring headache, trouble concentrating, brain in a haze,  fatigue. My physician is doing current bloodwork to rule out other possible issues.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pain in arm the following day, lasted 1 day. Current issues come and go: Recurring headache, trouble concentrating, brain in a haze,  fatigue. My physician is doing current bloodwork to rule out other possible issues.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Condition aggravated, Fatigue, Feeling abnormal, Mental impairment
Clinical narrative: Extreme fatigue, brain fog, difficulty thinking, and increased anxiety since vaccination that continues >12 weeks.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Dyspnoea, Oxygen saturation decreased, Pneumonia
Clinical narrative: 2/12:High fever and shortness of breath.  Low oxygen. Went to emergency room.  Discharged from ER with meds for pneumonia 2/27: Extreme SOB, respiratory distress.  Went by ambulance to hospital.   Admitted for 3 days at hospital
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory distress, X-ray
Clinical narrative: 2/12:High fever and shortness of breath.  Low oxygen. Went to emergency room.  Discharged from ER with meds for pneumonia 2/27: Extreme SOB, respiratory distress.  Went by ambulance to hospital.   Admitted for 3 days at hospital
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Hyperhidrosis, Pallor, Panic attack
Clinical narrative: Patient was pale, white, clammy, sweaty after getting vaccinated. We called 911 and after evaluating him they said he had a severe panic attack
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Dizziness, Fatigue, Feeling cold, Headache
Clinical narrative: Dizziness, fatigue, prolonged fatigue after. Agitation. Headache. Muscle ache. Feeling like blood was running cold, feeling faint. Lasting 4+ days.  Fatigue is still continuing, a week later.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Dizziness, fatigue, prolonged fatigue after. Agitation. Headache. Muscle ache. Feeling like blood was running cold, feeling faint. Lasting 4+ days.  Fatigue is still continuing, a week later.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Headache, Herpes zoster, Ophthalmological examination, Rash
Clinical narrative: Facial shingles. Started Sep 2 with rash on forehead and sensitive skin on left side of forehead and around left eye and upper cheek and scalp. Difficulty sleeping. Diagnosed at Urgent Care as shingles on Sep 5. Blistering started around same time. Prescribed Valacyclovir1000mg x 3 times daily for 7 days. And lidocaine cream 5% for pain. Saw opthamologist on Sep 8 to check for any damage to cornea. No issue noted. Blisters crusted over by Sep 13/14. Currenly sensitive scalp and left cheek and periodic headackes. Still difficulty in sleeping.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Skin sensitisation, Sleep disorder
Clinical narrative: Facial shingles. Started Sep 2 with rash on forehead and sensitive skin on left side of forehead and around left eye and upper cheek and scalp. Difficulty sleeping. Diagnosed at Urgent Care as shingles on Sep 5. Blistering started around same time. Prescribed Valacyclovir1000mg x 3 times daily for 7 days. And lidocaine cream 5% for pain. Saw opthamologist on Sep 8 to check for any damage to cornea. No issue noted. Blisters crusted over by Sep 13/14. Currenly sensitive scalp and left cheek and periodic headackes. Still difficulty in sleeping.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Angiogram cerebral, Blood test abnormal, Fatigue, Laboratory test
Clinical narrative: Symptoms: pulsitile tinnitus, severe fatigue, near syncopal episodes, abnormal bloodwork.   Primary care physician ordered numerous diagnostic?s and referred me to hematology oncology specialist. Repeat bloodwork still abnormal with no differential diagnosis yet.  Repeat bloodwork in four weeks to watch for changes.  Symptoms still persist.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope, Tinnitus, Ultrasound abdomen
Clinical narrative: Symptoms: pulsitile tinnitus, severe fatigue, near syncopal episodes, abnormal bloodwork.   Primary care physician ordered numerous diagnostic?s and referred me to hematology oncology specialist. Repeat bloodwork still abnormal with no differential diagnosis yet.  Repeat bloodwork in four weeks to watch for changes.  Symptoms still persist.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest discomfort, Dyspnoea, Erythema, Extrasystoles
Clinical narrative: Face went numb for three hours. Throat became numb after two. Redness in face. Fast heart beat. Gullness in chest that is still current. Heart skips more than it ever did. Slight pain or sting in chest since I took the vaccine three weeks ago. Feels like I can't get a full breath. Forgetfulness.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypoaesthesia, Memory impairment, Pharyngeal hypoaesthesia
Clinical narrative: Face went numb for three hours. Throat became numb after two. Redness in face. Fast heart beat. Gullness in chest that is still current. Heart skips more than it ever did. Slight pain or sting in chest since I took the vaccine three weeks ago. Feels like I can't get a full breath. Forgetfulness.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Rash, Rash pruritic, Rheumatoid arthritis, Swelling
Clinical narrative: RASH: On 2/20 (after dose 1) I had a small itchy bump and pale rash about 4? below the injection site.   It lasted 2 days and faded.  (Also, the site of my tdap vaccine on the opposite arm a month earlier was now red and itchy).  The same injection site rash returned 4? below the site on 3/12 after dose 2.  It was tender and itchy.  It lasted a few days and faded, but returned about 2 weeks later and faded over a week.    RA FLARES: Rheumatoid Arthritis symptoms flared mildly after first dose of the vaccine, but got progressively worse beginning 1 day after the 2nd dose.  Systemic flares of swelling, pain, and inflammation in multiple joints, including: both elbows, both knees, multiple fingers, both wrists, right side jaw, and left toes.   Symptoms increased in severity as time progressed, causing difficulty with daily activities and intense pain up to level 8-10.     After using a medrol dose pack to try and reduce flares, pain returned when the pack was complete.  5mg/ day of Prednisone was added but removed after 1 week due to not feeling well.  At that point it  was determined that my current treatment was no longer working and the Enbrel was dropped from my regimen and replaced with Xeljanz XR.  10mg daily Prednisone was added back in to bridge the 6-8 week timeframe of waiting for the new treatment to kick in.  As of the current date, the prednisone is being tapered off as flare symptoms have all but disappeared with the effectiveness of the  Xeljanz.     **NOTE: my Rheumatoid Arthritis was not completely controlled at time of the vaccine and there had already been discussion between my doctor and me regarding possible treatment change.  To receive each dose of the  vaccine I had to stop taking both the methotrexate and Enbrel each week of the shot.  We believe that the combined lack of meds with the disease activity made my immune system go hyperactive when it woke up to create Covid antibodies, which also caused my immune system to attack me.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive after vaccination
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Pyrexia, Urinary tract infection, Vomiting
Clinical narrative: admitted 9/13/2021 for fever, SOB, cough, vomiting and Urinary TRact INfection
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness, Pallor
Clinical narrative: Pt became unconscious a few minutes after receiving the vaccine then regained consciousness right after he fell off the chair. He did n Pt appeared to become pale for a little bit.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Cardiac flutter, Palpitations
Clinical narrative: Heart pain periodically, definitely fluttering, palpitations-felt like I was going to have a heart attack. Cannot sustain running as usual.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT ASKED FOR 1ST MODERNA, WHICH WAS ADMINISTERED. IT WAS LATER FOUND THE PATIENT HAS ALREADY BEEN VACCINATED, WITH 1 PFIZER VACCINE IN MAY 2021.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Dyspnoea, Extra dose administered, Pyrexia, X-ray
Clinical narrative: 8/19-High fever shortness of breath
Age: 0.25
Sex: M
Vaccine: DTAPIPV, HEP, HIBV, RV5
Symptoms: Autism spectrum disorder, Eye disorder
Clinical narrative: Right eye turned in.  Child stopped progressing on all fronts.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dizziness, Hypersensitivity, Immediate post-injection reaction, Lip swelling
Clinical narrative: 230 pm  vaccine given ..Allergic reaction.  I immediately had burning, then I got dizzy, my teeth started hurting, nausea, I took a Benadryl within 5 minutes, then I felt like my throat was swelling, I took a second dose of Benadryl.  My lips started swelling.  Benadryl started easing things down about 30 minutes later.  My mouth is still burning.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oral discomfort, Pharyngeal swelling, Toothache
Clinical narrative: 230 pm  vaccine given ..Allergic reaction.  I immediately had burning, then I got dizzy, my teeth started hurting, nausea, I took a Benadryl within 5 minutes, then I felt like my throat was swelling, I took a second dose of Benadryl.  My lips started swelling.  Benadryl started easing things down about 30 minutes later.  My mouth is still burning.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Inappropriate schedule of product administration, Pain
Clinical narrative: Chest pain- Squeezing/tightness feeling in left side of chest. Mild to moderate pain, occurring with activity and rest
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, COVID-19, Laboratory test, SARS-CoV-2 test positive
Clinical narrative: COVID (+) presenting to ED for treatment
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID only 10 days after 1st dose
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Guillain-Barre syndrome, Headache, Laboratory test abnormal, Neck pain
Clinical narrative: PER PATIENT SHE WAS DIAGNOSED WITH GUILLAIN-BARRE SYNDROME. SHE HAD PAIN IN THE NECK, HEAD, BACK AND LEGS AND SHE WENT TO THE EMERGENCY ON 1/29/21. SHE WAS SENT BACK WITH THE MEDICATION. BUT THAT DIDN'T HELP SO SHE WENT AGAIN AND AFTER HER 3RD VISIT SHE GOT ADMITTED, AND TESTS WERE PERFORMED AND FINALLY A NEUROLOGIST DIAGNOSED HER WITH GUILLAIN-BARRE SYNDROME. sHE WAS HOSPITALISED FOR 2 WEEKS AND THEN PLACED IN REHAB AND PHYSIOTHERAPY. SHE IS FEELING OKAY NOW AND FINALLY DECIDED TO LET US KNOW ABOUT THIS. SHE THINKS VACCINE CAUSED HER ALL THE PAIN.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: PER PATIENT SHE WAS DIAGNOSED WITH GUILLAIN-BARRE SYNDROME. SHE HAD PAIN IN THE NECK, HEAD, BACK AND LEGS AND SHE WENT TO THE EMERGENCY ON 1/29/21. SHE WAS SENT BACK WITH THE MEDICATION. BUT THAT DIDN'T HELP SO SHE WENT AGAIN AND AFTER HER 3RD VISIT SHE GOT ADMITTED, AND TESTS WERE PERFORMED AND FINALLY A NEUROLOGIST DIAGNOSED HER WITH GUILLAIN-BARRE SYNDROME. sHE WAS HOSPITALISED FOR 2 WEEKS AND THEN PLACED IN REHAB AND PHYSIOTHERAPY. SHE IS FEELING OKAY NOW AND FINALLY DECIDED TO LET US KNOW ABOUT THIS. SHE THINKS VACCINE CAUSED HER ALL THE PAIN.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: On 09/15/2021, patient showed up in the mobile clinic reporting adverse reaction from first dose of Pfizer, she was advised by her primary care provider to get Janssen for the second dose. Date of last dosage was not verified correctly as the patient claimed she lost her vaccination card and reluctant to give more information. The leadership team found out that the interchanged vaccination was administered less than the minimum interval of 28 days, System shows she received Pfizer on 08/31/21.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Heart rate decreased, Oxygen saturation decreased
Clinical narrative: Bradycardia. Heart rate went down to the 50s. Normally I?m in the 80-90s.  Also, O2 sat went down to 93-94%.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Diarrhoea, Oropharyngeal pain
Clinical narrative: Diarrhea, coughing, sore throat, chest stiffness and pressure
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Lymphadenopathy
Clinical narrative: Really dizzy Fatigue,joint and hip pain. lymph nods right side of neck as well as both jaws and ears
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Catheterisation cardiac abnormal, Chest pain, Echocardiogram, Impaired work ability, Injection site erythema
Clinical narrative: Red swelling after the first dose in the upper left  High fever after the second dose from 9:00 pm (approximately 5 hours after vaccination) on 7/5/21 till 12:30 pm on 7/7/21 Chest pains at 12:30 pm on 7/7/21. Went to the ER at 1:30 pm. Diagnosed with a heart attack with heart attack symptoms at 1:40 pm Many tests occurred, some being a Hospital Echo and X-Ray The procedure that occurred is the Cardia Catheterization Procedures  Diagnosed with myocarditis Hospitalized for three days and two nights Medication: Colchicine (colchicine 0.6mg oral capsule)/ 1 cap by mouth/ once daily for one month Ibuprofen (ibuprofen 600mg oral tablet)/ 1 tab by mouth/ three times daily for one month PredniSONE (predniSONE 10mg oral tablet)/40mg PO daily x3 days/30 mg PO daily x3 days/20mg PO daily x3/10mg PO daily x3 days No physical activities or work for one month after discharge 2 months later, chest pains occur sometimes
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling, Laboratory test, Myocardial infarction, Myocarditis, Pyrexia
Clinical narrative: Red swelling after the first dose in the upper left  High fever after the second dose from 9:00 pm (approximately 5 hours after vaccination) on 7/5/21 till 12:30 pm on 7/7/21 Chest pains at 12:30 pm on 7/7/21. Went to the ER at 1:30 pm. Diagnosed with a heart attack with heart attack symptoms at 1:40 pm Many tests occurred, some being a Hospital Echo and X-Ray The procedure that occurred is the Cardia Catheterization Procedures  Diagnosed with myocarditis Hospitalized for three days and two nights Medication: Colchicine (colchicine 0.6mg oral capsule)/ 1 cap by mouth/ once daily for one month Ibuprofen (ibuprofen 600mg oral tablet)/ 1 tab by mouth/ three times daily for one month PredniSONE (predniSONE 10mg oral tablet)/40mg PO daily x3 days/30 mg PO daily x3 days/20mg PO daily x3/10mg PO daily x3 days No physical activities or work for one month after discharge 2 months later, chest pains occur sometimes
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: Red swelling after the first dose in the upper left  High fever after the second dose from 9:00 pm (approximately 5 hours after vaccination) on 7/5/21 till 12:30 pm on 7/7/21 Chest pains at 12:30 pm on 7/7/21. Went to the ER at 1:30 pm. Diagnosed with a heart attack with heart attack symptoms at 1:40 pm Many tests occurred, some being a Hospital Echo and X-Ray The procedure that occurred is the Cardia Catheterization Procedures  Diagnosed with myocarditis Hospitalized for three days and two nights Medication: Colchicine (colchicine 0.6mg oral capsule)/ 1 cap by mouth/ once daily for one month Ibuprofen (ibuprofen 600mg oral tablet)/ 1 tab by mouth/ three times daily for one month PredniSONE (predniSONE 10mg oral tablet)/40mg PO daily x3 days/30 mg PO daily x3 days/20mg PO daily x3/10mg PO daily x3 days No physical activities or work for one month after discharge 2 months later, chest pains occur sometimes
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Balance disorder, Blood potassium
Clinical narrative: Immediate lightheaded, dizzy and within 12 hours sore arm and fatigue. Within 24 hours severe back pain and severe fatigue interfering with daily activities, inability to work at job. Over the course of  5 days severe side and back pain radiating to lower back up through shoulder on left side wrapping to chest and stomach . After 10 days developed spinal pain, nerve and poking sensations, numbness and tingling in legs and ankles, stiff neck, loss of balance and coordination, dizziness, vertigo and insomnia. Visited ER and urgent care facilities.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Coordination abnormal, Dizziness, Fatigue, Full blood count
Clinical narrative: Immediate lightheaded, dizzy and within 12 hours sore arm and fatigue. Within 24 hours severe back pain and severe fatigue interfering with daily activities, inability to work at job. Over the course of  5 days severe side and back pain radiating to lower back up through shoulder on left side wrapping to chest and stomach . After 10 days developed spinal pain, nerve and poking sensations, numbness and tingling in legs and ankles, stiff neck, loss of balance and coordination, dizziness, vertigo and insomnia. Visited ER and urgent care facilities.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit, Hypoaesthesia, Immediate post-injection reaction, Impaired work ability, Insomnia
Clinical narrative: Immediate lightheaded, dizzy and within 12 hours sore arm and fatigue. Within 24 hours severe back pain and severe fatigue interfering with daily activities, inability to work at job. Over the course of  5 days severe side and back pain radiating to lower back up through shoulder on left side wrapping to chest and stomach . After 10 days developed spinal pain, nerve and poking sensations, numbness and tingling in legs and ankles, stiff neck, loss of balance and coordination, dizziness, vertigo and insomnia. Visited ER and urgent care facilities.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Musculoskeletal stiffness, Neuralgia, Pain, Pain in extremity
Clinical narrative: Immediate lightheaded, dizzy and within 12 hours sore arm and fatigue. Within 24 hours severe back pain and severe fatigue interfering with daily activities, inability to work at job. Over the course of  5 days severe side and back pain radiating to lower back up through shoulder on left side wrapping to chest and stomach . After 10 days developed spinal pain, nerve and poking sensations, numbness and tingling in legs and ankles, stiff neck, loss of balance and coordination, dizziness, vertigo and insomnia. Visited ER and urgent care facilities.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Red blood cell abnormality, Spinal pain, Urine analysis abnormal, Vertigo
Clinical narrative: Immediate lightheaded, dizzy and within 12 hours sore arm and fatigue. Within 24 hours severe back pain and severe fatigue interfering with daily activities, inability to work at job. Over the course of  5 days severe side and back pain radiating to lower back up through shoulder on left side wrapping to chest and stomach . After 10 days developed spinal pain, nerve and poking sensations, numbness and tingling in legs and ankles, stiff neck, loss of balance and coordination, dizziness, vertigo and insomnia. Visited ER and urgent care facilities.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: PATIENT WAS ONLY 16 AT TIME OF VACCINATION, AND HAD NO LEGAL GUARDIAN OR PARENT PRESENT TO SIGN THE VACCINE ADMINISTRATION RECORD. PATIENT SIGNED IT HIMSELF.
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Blood creatinine normal, Constipation, Culture urine, Cystogram
Clinical narrative: constipation, nocturnal enuresis, low grade VUR and voiding dysfunction.     Patient had GI managing her constipation and underwent pelvic floor therapy for the voiding dysfunction.  She was on Bactrim prophylaxis for the VUR.  In 2017 Mom still felt that patient was not voiding often and her fluid intake was low.  She only had NE once in 4 months and BMs were okay without Miralax.  VUR was only grade I bilaterally but also with a spinning top urethra (more likely to be due to voiding habits and very likely to resolve with improved habits). We hoped to repeat the VCUG in a few years once voiding was improved.  In 2018 she was doing well.  No enuresis day or night and no UTIs. She still required voiding reminders but was going about 5-6 times a day.  She was on Bactrim once a day and just stopped that. She only had BMs about 2 times a week, Miralax was only every other day and she plugged the toilet often.  She asked her to keep doing timed voiding and increase the Miralax.  She also ordered another US in 6 months and VCUG if she were to have UTIs (or in the future if no UTIs).   She was then lost to follow up.    .  The family was traveling this summer and walking many miles every day and she was complaining of fatigue and abdominal pain.  Her constipation had returned (appendicitis ruled out) and she also was diagnosed with a UTI in mid-August that did not resolve after a course of Keflex.  No fevers, just feeling poorly and abdominal pain. Even after the course of Keflex she developed dysuria and was then started on Bactrim BID for 7 days (developed hives on the back of her legs after the 5th day so she stopped them).