chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Motor dysfunction, Muscle disorder, Pain, Visual impairment
Clinical narrative: My left eye started drooping to the point where I could not see out of my left eye anymore. It was hard to eat and drink or do anything without assistance. My autoimmune disease targets my motor skills and muscles system. The pain associated with the disease is throughout my body and to the point where I can't even eat or drink without taking my medicine. I went to urgent care on July 3rd and I had to get a blood panel to check for anything out of the ordinary. I didn't get the results back until August 24th confirming that I do have an auto immune disease. No one in my family has any form of an auto immune disease and this occurred after receiving my 2nd dose of the vaccine. Missing work every 3 months to get infusions for the disaese.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Initial insomnia, Insomnia, Sleep disorder
Clinical narrative: Sleeplessness.  Since getting my shot, I have had trouble falling asleep and staying asleep for two days. I only drink 2 cups of coffee in the morning and no caffeine after 5 PM in the evening (cup of tea). I usually have no trouble falling asleep though prior to Moderna vaccine, I do have a habitat of waking up around 3 AM, but after going to bathroom, I fall back to sleep until 6 AM.  However, these past few days I have had difficulty falling asleep and then tossed and turned waking up frequently each of the last two nights.    While my reaction is not a serious medical issue, I felt I should report my experience with the Moderna bi-valiant vaccine. My previous 3 vaccines were all Pfizer.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient expired.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary pain, Injection site pain, Pain
Clinical narrative: I had extreme pain in my upper left arm at the injection site and into my underarm. It hurt to move it and it hurt to just let it hang. After a week, I saw a doctor.  I was given a prescription for pain which helped ease the pain. I was also given a topical get for the pain, but it didn't really help.  The doctor thought it was rotator cuff injury, and I was referred to Physical Therapy. The therapist said it was not an injury to rotator cuff but did think the issue was in my neck. For now, I am being treated for symptoms.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Chills, Dizziness, Dyspnoea, Dysstasia
Clinical narrative: Extreme chills, unable to stand up ,difficulty breathing, , dizzy, extreme weakness in arms and legs, felt like wet noodles, intense pain in joints and muscles, couldn?t function.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Loss of personal independence in daily activities, Muscular weakness, Myalgia
Clinical narrative: Extreme chills, unable to stand up ,difficulty breathing, , dizzy, extreme weakness in arms and legs, felt like wet noodles, intense pain in joints and muscles, couldn?t function.
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Activated partial thromboplastin time, Angiotensin converting enzyme, Antineutrophil cytoplasmic antibody, Antinuclear antibody, Asthenia
Clinical narrative: According to hospital neurologist on 10/28: He tells me that he received his flu shot 7 days ago yesterday in (actual day determined to be 10/18/22).  He received it from his primary care physician.  3 days ago he was in his normal state was even able to play an 18 hole round of golf.  He went to bed the night before last at 10 PM in his normal state.  He woke up yesterday morning with extreme paresthesias in his feet and eventually in his hands bilaterally as well.  He went to bed at 10 PM last night and woke up at 3 this morning.  When he attempted to stand up to walk to the restroom his legs did not hold him and he fell to the floor.  He currently continues to have severe paresthesias of his feet and hands and he feels as if they have worked proximally as well.  He tells me he feels as if his feet are in concrete blocks.  He was able to lift his cell phone earlier this morning but currently he is unable to even lift his cell phone with his upper extremities. He had cognitive/speech deficits, dysarthria, developed quadriplegia and VII nerve palsy, diplopia,   He was diagnosed with Guillain-Barré syndrome secondary to flu vaccine. Treatments ongoing, but include Gabapentin, IVIG, plasmapheresis. IVIG not effective. Patient has completed 3 of 5 PLEX sessions. Patient is more awake and alert now.
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Blood gases, Blood thyroid stimulating hormone, CSF glucose, CSF protein, CSF test
Clinical narrative: According to hospital neurologist on 10/28: He tells me that he received his flu shot 7 days ago yesterday in (actual day determined to be 10/18/22).  He received it from his primary care physician.  3 days ago he was in his normal state was even able to play an 18 hole round of golf.  He went to bed the night before last at 10 PM in his normal state.  He woke up yesterday morning with extreme paresthesias in his feet and eventually in his hands bilaterally as well.  He went to bed at 10 PM last night and woke up at 3 this morning.  When he attempted to stand up to walk to the restroom his legs did not hold him and he fell to the floor.  He currently continues to have severe paresthesias of his feet and hands and he feels as if they have worked proximally as well.  He tells me he feels as if his feet are in concrete blocks.  He was able to lift his cell phone earlier this morning but currently he is unable to even lift his cell phone with his upper extremities. He had cognitive/speech deficits, dysarthria, developed quadriplegia and VII nerve palsy, diplopia,   He was diagnosed with Guillain-Barré syndrome secondary to flu vaccine. Treatments ongoing, but include Gabapentin, IVIG, plasmapheresis. IVIG not effective. Patient has completed 3 of 5 PLEX sessions. Patient is more awake and alert now.
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Cognitive disorder, Complement factor C3, Complement factor C4, Cytomegalovirus test, Differential white blood cell count
Clinical narrative: According to hospital neurologist on 10/28: He tells me that he received his flu shot 7 days ago yesterday in (actual day determined to be 10/18/22).  He received it from his primary care physician.  3 days ago he was in his normal state was even able to play an 18 hole round of golf.  He went to bed the night before last at 10 PM in his normal state.  He woke up yesterday morning with extreme paresthesias in his feet and eventually in his hands bilaterally as well.  He went to bed at 10 PM last night and woke up at 3 this morning.  When he attempted to stand up to walk to the restroom his legs did not hold him and he fell to the floor.  He currently continues to have severe paresthesias of his feet and hands and he feels as if they have worked proximally as well.  He tells me he feels as if his feet are in concrete blocks.  He was able to lift his cell phone earlier this morning but currently he is unable to even lift his cell phone with his upper extremities. He had cognitive/speech deficits, dysarthria, developed quadriplegia and VII nerve palsy, diplopia,   He was diagnosed with Guillain-Barré syndrome secondary to flu vaccine. Treatments ongoing, but include Gabapentin, IVIG, plasmapheresis. IVIG not effective. Patient has completed 3 of 5 PLEX sessions. Patient is more awake and alert now.
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Diplopia, Discomfort, Dysarthria, Dysstasia, Electrophoresis protein
Clinical narrative: According to hospital neurologist on 10/28: He tells me that he received his flu shot 7 days ago yesterday in (actual day determined to be 10/18/22).  He received it from his primary care physician.  3 days ago he was in his normal state was even able to play an 18 hole round of golf.  He went to bed the night before last at 10 PM in his normal state.  He woke up yesterday morning with extreme paresthesias in his feet and eventually in his hands bilaterally as well.  He went to bed at 10 PM last night and woke up at 3 this morning.  When he attempted to stand up to walk to the restroom his legs did not hold him and he fell to the floor.  He currently continues to have severe paresthesias of his feet and hands and he feels as if they have worked proximally as well.  He tells me he feels as if his feet are in concrete blocks.  He was able to lift his cell phone earlier this morning but currently he is unable to even lift his cell phone with his upper extremities. He had cognitive/speech deficits, dysarthria, developed quadriplegia and VII nerve palsy, diplopia,   He was diagnosed with Guillain-Barré syndrome secondary to flu vaccine. Treatments ongoing, but include Gabapentin, IVIG, plasmapheresis. IVIG not effective. Patient has completed 3 of 5 PLEX sessions. Patient is more awake and alert now.
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Enterovirus test, Epstein-Barr virus test, Facial paralysis, Fall, Full blood count
Clinical narrative: According to hospital neurologist on 10/28: He tells me that he received his flu shot 7 days ago yesterday in (actual day determined to be 10/18/22).  He received it from his primary care physician.  3 days ago he was in his normal state was even able to play an 18 hole round of golf.  He went to bed the night before last at 10 PM in his normal state.  He woke up yesterday morning with extreme paresthesias in his feet and eventually in his hands bilaterally as well.  He went to bed at 10 PM last night and woke up at 3 this morning.  When he attempted to stand up to walk to the restroom his legs did not hold him and he fell to the floor.  He currently continues to have severe paresthesias of his feet and hands and he feels as if they have worked proximally as well.  He tells me he feels as if his feet are in concrete blocks.  He was able to lift his cell phone earlier this morning but currently he is unable to even lift his cell phone with his upper extremities. He had cognitive/speech deficits, dysarthria, developed quadriplegia and VII nerve palsy, diplopia,   He was diagnosed with Guillain-Barré syndrome secondary to flu vaccine. Treatments ongoing, but include Gabapentin, IVIG, plasmapheresis. IVIG not effective. Patient has completed 3 of 5 PLEX sessions. Patient is more awake and alert now.
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Guillain-Barre syndrome, Immunoglobulin therapy, International normalised ratio, Laboratory test, Metabolic function test
Clinical narrative: According to hospital neurologist on 10/28: He tells me that he received his flu shot 7 days ago yesterday in (actual day determined to be 10/18/22).  He received it from his primary care physician.  3 days ago he was in his normal state was even able to play an 18 hole round of golf.  He went to bed the night before last at 10 PM in his normal state.  He woke up yesterday morning with extreme paresthesias in his feet and eventually in his hands bilaterally as well.  He went to bed at 10 PM last night and woke up at 3 this morning.  When he attempted to stand up to walk to the restroom his legs did not hold him and he fell to the floor.  He currently continues to have severe paresthesias of his feet and hands and he feels as if they have worked proximally as well.  He tells me he feels as if his feet are in concrete blocks.  He was able to lift his cell phone earlier this morning but currently he is unable to even lift his cell phone with his upper extremities. He had cognitive/speech deficits, dysarthria, developed quadriplegia and VII nerve palsy, diplopia,   He was diagnosed with Guillain-Barré syndrome secondary to flu vaccine. Treatments ongoing, but include Gabapentin, IVIG, plasmapheresis. IVIG not effective. Patient has completed 3 of 5 PLEX sessions. Patient is more awake and alert now.
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Muscular weakness, Paraesthesia, Plasmapheresis, Quadriplegia, Sleep disorder
Clinical narrative: According to hospital neurologist on 10/28: He tells me that he received his flu shot 7 days ago yesterday in (actual day determined to be 10/18/22).  He received it from his primary care physician.  3 days ago he was in his normal state was even able to play an 18 hole round of golf.  He went to bed the night before last at 10 PM in his normal state.  He woke up yesterday morning with extreme paresthesias in his feet and eventually in his hands bilaterally as well.  He went to bed at 10 PM last night and woke up at 3 this morning.  When he attempted to stand up to walk to the restroom his legs did not hold him and he fell to the floor.  He currently continues to have severe paresthesias of his feet and hands and he feels as if they have worked proximally as well.  He tells me he feels as if his feet are in concrete blocks.  He was able to lift his cell phone earlier this morning but currently he is unable to even lift his cell phone with his upper extremities. He had cognitive/speech deficits, dysarthria, developed quadriplegia and VII nerve palsy, diplopia,   He was diagnosed with Guillain-Barré syndrome secondary to flu vaccine. Treatments ongoing, but include Gabapentin, IVIG, plasmapheresis. IVIG not effective. Patient has completed 3 of 5 PLEX sessions. Patient is more awake and alert now.
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Speech disorder, Varicella virus test
Clinical narrative: According to hospital neurologist on 10/28: He tells me that he received his flu shot 7 days ago yesterday in (actual day determined to be 10/18/22).  He received it from his primary care physician.  3 days ago he was in his normal state was even able to play an 18 hole round of golf.  He went to bed the night before last at 10 PM in his normal state.  He woke up yesterday morning with extreme paresthesias in his feet and eventually in his hands bilaterally as well.  He went to bed at 10 PM last night and woke up at 3 this morning.  When he attempted to stand up to walk to the restroom his legs did not hold him and he fell to the floor.  He currently continues to have severe paresthesias of his feet and hands and he feels as if they have worked proximally as well.  He tells me he feels as if his feet are in concrete blocks.  He was able to lift his cell phone earlier this morning but currently he is unable to even lift his cell phone with his upper extremities. He had cognitive/speech deficits, dysarthria, developed quadriplegia and VII nerve palsy, diplopia,   He was diagnosed with Guillain-Barré syndrome secondary to flu vaccine. Treatments ongoing, but include Gabapentin, IVIG, plasmapheresis. IVIG not effective. Patient has completed 3 of 5 PLEX sessions. Patient is more awake and alert now.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Antibody test positive, Autonomic nervous system imbalance, COVID-19, Coordination abnormal
Clinical narrative: Timeline illness 11/5/21: 3rd Moderna shot. Fevers, headaches, lethargy  12/26/21 Covid: significant neuro s/s. HA, uncoordinated, memory loss Neuro symptoms began (unclear if post vaccine or post Covid as timeline was similar ) right foot numb. Fingers numb. Progressed to R leg below the knee. Mobility issues. Started wearing sneaking only. Difficulty suturing. Slight tremor hands with procedures 2/2022 Neuro. Neg mri. Neg vsp, ssep. 5/2022 Flu; unstable pneumonia, syncope.  High dose steroids, abx 5/23/22 hospitalized for the week. Inappropriate sinus tachycardia: 120 rest, 170 standing. Microvascular clots in hand/fingers Left>right Autonomic symptoms Rashes Dx: POTS dysautonomia, long Covid  Meds: cardizem 120 ER 6/3/22: neuro Dr. Started on midodrine 2.5mg am/lunch 6/2022 heme. Labs, abdominal Sono. No monoclonal gammopathy. No thrombotic risk noted. Testing: Emg arms, Autonomic testing (abnl) Confirmed dystautonomia Emg neg for large fiber neuropathy 6/2022 difficulty walking. Profound muscle weakness. No stairs. Exhaustion. Autonomic s/s. Difficulty using hands. Lost fine motor skills. R leg worse. 7/2022 started driving again. PT bid x 3 mos. R leg weaker. 1/2022-9/2022Progression of neuropathy in glove/sock fashion. Right leg more significant. Loss of temperature sensation hands. Up to thighs. Arms to shoulder, left armpit, chest wall 8/2022 anti mag  antibody+. HCF (a cidp-like disorder)  Early sjogrens positive Gait analysis abnl  Increasing weakness R leg since PT d/c'd Variable mobility issues. Tremors worse when fatigue Autonomic symptoms Fatigue variable
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram normal, Fatigue, Fine motor skill dysfunction, Gait disturbance, Headache
Clinical narrative: Timeline illness 11/5/21: 3rd Moderna shot. Fevers, headaches, lethargy  12/26/21 Covid: significant neuro s/s. HA, uncoordinated, memory loss Neuro symptoms began (unclear if post vaccine or post Covid as timeline was similar ) right foot numb. Fingers numb. Progressed to R leg below the knee. Mobility issues. Started wearing sneaking only. Difficulty suturing. Slight tremor hands with procedures 2/2022 Neuro. Neg mri. Neg vsp, ssep. 5/2022 Flu; unstable pneumonia, syncope.  High dose steroids, abx 5/23/22 hospitalized for the week. Inappropriate sinus tachycardia: 120 rest, 170 standing. Microvascular clots in hand/fingers Left>right Autonomic symptoms Rashes Dx: POTS dysautonomia, long Covid  Meds: cardizem 120 ER 6/3/22: neuro Dr. Started on midodrine 2.5mg am/lunch 6/2022 heme. Labs, abdominal Sono. No monoclonal gammopathy. No thrombotic risk noted. Testing: Emg arms, Autonomic testing (abnl) Confirmed dystautonomia Emg neg for large fiber neuropathy 6/2022 difficulty walking. Profound muscle weakness. No stairs. Exhaustion. Autonomic s/s. Difficulty using hands. Lost fine motor skills. R leg worse. 7/2022 started driving again. PT bid x 3 mos. R leg weaker. 1/2022-9/2022Progression of neuropathy in glove/sock fashion. Right leg more significant. Loss of temperature sensation hands. Up to thighs. Arms to shoulder, left armpit, chest wall 8/2022 anti mag  antibody+. HCF (a cidp-like disorder)  Early sjogrens positive Gait analysis abnl  Increasing weakness R leg since PT d/c'd Variable mobility issues. Tremors worse when fatigue Autonomic symptoms Fatigue variable
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Influenza, Laboratory test abnormal, Lethargy, Magnetic resonance imaging normal
Clinical narrative: Timeline illness 11/5/21: 3rd Moderna shot. Fevers, headaches, lethargy  12/26/21 Covid: significant neuro s/s. HA, uncoordinated, memory loss Neuro symptoms began (unclear if post vaccine or post Covid as timeline was similar ) right foot numb. Fingers numb. Progressed to R leg below the knee. Mobility issues. Started wearing sneaking only. Difficulty suturing. Slight tremor hands with procedures 2/2022 Neuro. Neg mri. Neg vsp, ssep. 5/2022 Flu; unstable pneumonia, syncope.  High dose steroids, abx 5/23/22 hospitalized for the week. Inappropriate sinus tachycardia: 120 rest, 170 standing. Microvascular clots in hand/fingers Left>right Autonomic symptoms Rashes Dx: POTS dysautonomia, long Covid  Meds: cardizem 120 ER 6/3/22: neuro Dr. Started on midodrine 2.5mg am/lunch 6/2022 heme. Labs, abdominal Sono. No monoclonal gammopathy. No thrombotic risk noted. Testing: Emg arms, Autonomic testing (abnl) Confirmed dystautonomia Emg neg for large fiber neuropathy 6/2022 difficulty walking. Profound muscle weakness. No stairs. Exhaustion. Autonomic s/s. Difficulty using hands. Lost fine motor skills. R leg worse. 7/2022 started driving again. PT bid x 3 mos. R leg weaker. 1/2022-9/2022Progression of neuropathy in glove/sock fashion. Right leg more significant. Loss of temperature sensation hands. Up to thighs. Arms to shoulder, left armpit, chest wall 8/2022 anti mag  antibody+. HCF (a cidp-like disorder)  Early sjogrens positive Gait analysis abnl  Increasing weakness R leg since PT d/c'd Variable mobility issues. Tremors worse when fatigue Autonomic symptoms Fatigue variable
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness, Neurological symptom, Neuropathy peripheral, Peripheral vein thrombosis
Clinical narrative: Timeline illness 11/5/21: 3rd Moderna shot. Fevers, headaches, lethargy  12/26/21 Covid: significant neuro s/s. HA, uncoordinated, memory loss Neuro symptoms began (unclear if post vaccine or post Covid as timeline was similar ) right foot numb. Fingers numb. Progressed to R leg below the knee. Mobility issues. Started wearing sneaking only. Difficulty suturing. Slight tremor hands with procedures 2/2022 Neuro. Neg mri. Neg vsp, ssep. 5/2022 Flu; unstable pneumonia, syncope.  High dose steroids, abx 5/23/22 hospitalized for the week. Inappropriate sinus tachycardia: 120 rest, 170 standing. Microvascular clots in hand/fingers Left>right Autonomic symptoms Rashes Dx: POTS dysautonomia, long Covid  Meds: cardizem 120 ER 6/3/22: neuro Dr. Started on midodrine 2.5mg am/lunch 6/2022 heme. Labs, abdominal Sono. No monoclonal gammopathy. No thrombotic risk noted. Testing: Emg arms, Autonomic testing (abnl) Confirmed dystautonomia Emg neg for large fiber neuropathy 6/2022 difficulty walking. Profound muscle weakness. No stairs. Exhaustion. Autonomic s/s. Difficulty using hands. Lost fine motor skills. R leg worse. 7/2022 started driving again. PT bid x 3 mos. R leg weaker. 1/2022-9/2022Progression of neuropathy in glove/sock fashion. Right leg more significant. Loss of temperature sensation hands. Up to thighs. Arms to shoulder, left armpit, chest wall 8/2022 anti mag  antibody+. HCF (a cidp-like disorder)  Early sjogrens positive Gait analysis abnl  Increasing weakness R leg since PT d/c'd Variable mobility issues. Tremors worse when fatigue Autonomic symptoms Fatigue variable
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Post-acute COVID-19 syndrome, Postural orthostatic tachycardia syndrome, Pyrexia, Rash
Clinical narrative: Timeline illness 11/5/21: 3rd Moderna shot. Fevers, headaches, lethargy  12/26/21 Covid: significant neuro s/s. HA, uncoordinated, memory loss Neuro symptoms began (unclear if post vaccine or post Covid as timeline was similar ) right foot numb. Fingers numb. Progressed to R leg below the knee. Mobility issues. Started wearing sneaking only. Difficulty suturing. Slight tremor hands with procedures 2/2022 Neuro. Neg mri. Neg vsp, ssep. 5/2022 Flu; unstable pneumonia, syncope.  High dose steroids, abx 5/23/22 hospitalized for the week. Inappropriate sinus tachycardia: 120 rest, 170 standing. Microvascular clots in hand/fingers Left>right Autonomic symptoms Rashes Dx: POTS dysautonomia, long Covid  Meds: cardizem 120 ER 6/3/22: neuro Dr. Started on midodrine 2.5mg am/lunch 6/2022 heme. Labs, abdominal Sono. No monoclonal gammopathy. No thrombotic risk noted. Testing: Emg arms, Autonomic testing (abnl) Confirmed dystautonomia Emg neg for large fiber neuropathy 6/2022 difficulty walking. Profound muscle weakness. No stairs. Exhaustion. Autonomic s/s. Difficulty using hands. Lost fine motor skills. R leg worse. 7/2022 started driving again. PT bid x 3 mos. R leg weaker. 1/2022-9/2022Progression of neuropathy in glove/sock fashion. Right leg more significant. Loss of temperature sensation hands. Up to thighs. Arms to shoulder, left armpit, chest wall 8/2022 anti mag  antibody+. HCF (a cidp-like disorder)  Early sjogrens positive Gait analysis abnl  Increasing weakness R leg since PT d/c'd Variable mobility issues. Tremors worse when fatigue Autonomic symptoms Fatigue variable
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory loss, Sinus tachycardia, Sjogren's syndrome, Suture related complication, Syncope
Clinical narrative: Timeline illness 11/5/21: 3rd Moderna shot. Fevers, headaches, lethargy  12/26/21 Covid: significant neuro s/s. HA, uncoordinated, memory loss Neuro symptoms began (unclear if post vaccine or post Covid as timeline was similar ) right foot numb. Fingers numb. Progressed to R leg below the knee. Mobility issues. Started wearing sneaking only. Difficulty suturing. Slight tremor hands with procedures 2/2022 Neuro. Neg mri. Neg vsp, ssep. 5/2022 Flu; unstable pneumonia, syncope.  High dose steroids, abx 5/23/22 hospitalized for the week. Inappropriate sinus tachycardia: 120 rest, 170 standing. Microvascular clots in hand/fingers Left>right Autonomic symptoms Rashes Dx: POTS dysautonomia, long Covid  Meds: cardizem 120 ER 6/3/22: neuro Dr. Started on midodrine 2.5mg am/lunch 6/2022 heme. Labs, abdominal Sono. No monoclonal gammopathy. No thrombotic risk noted. Testing: Emg arms, Autonomic testing (abnl) Confirmed dystautonomia Emg neg for large fiber neuropathy 6/2022 difficulty walking. Profound muscle weakness. No stairs. Exhaustion. Autonomic s/s. Difficulty using hands. Lost fine motor skills. R leg worse. 7/2022 started driving again. PT bid x 3 mos. R leg weaker. 1/2022-9/2022Progression of neuropathy in glove/sock fashion. Right leg more significant. Loss of temperature sensation hands. Up to thighs. Arms to shoulder, left armpit, chest wall 8/2022 anti mag  antibody+. HCF (a cidp-like disorder)  Early sjogrens positive Gait analysis abnl  Increasing weakness R leg since PT d/c'd Variable mobility issues. Tremors worse when fatigue Autonomic symptoms Fatigue variable
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Ultrasound scan
Clinical narrative: Timeline illness 11/5/21: 3rd Moderna shot. Fevers, headaches, lethargy  12/26/21 Covid: significant neuro s/s. HA, uncoordinated, memory loss Neuro symptoms began (unclear if post vaccine or post Covid as timeline was similar ) right foot numb. Fingers numb. Progressed to R leg below the knee. Mobility issues. Started wearing sneaking only. Difficulty suturing. Slight tremor hands with procedures 2/2022 Neuro. Neg mri. Neg vsp, ssep. 5/2022 Flu; unstable pneumonia, syncope.  High dose steroids, abx 5/23/22 hospitalized for the week. Inappropriate sinus tachycardia: 120 rest, 170 standing. Microvascular clots in hand/fingers Left>right Autonomic symptoms Rashes Dx: POTS dysautonomia, long Covid  Meds: cardizem 120 ER 6/3/22: neuro Dr. Started on midodrine 2.5mg am/lunch 6/2022 heme. Labs, abdominal Sono. No monoclonal gammopathy. No thrombotic risk noted. Testing: Emg arms, Autonomic testing (abnl) Confirmed dystautonomia Emg neg for large fiber neuropathy 6/2022 difficulty walking. Profound muscle weakness. No stairs. Exhaustion. Autonomic s/s. Difficulty using hands. Lost fine motor skills. R leg worse. 7/2022 started driving again. PT bid x 3 mos. R leg weaker. 1/2022-9/2022Progression of neuropathy in glove/sock fashion. Right leg more significant. Loss of temperature sensation hands. Up to thighs. Arms to shoulder, left armpit, chest wall 8/2022 anti mag  antibody+. HCF (a cidp-like disorder)  Early sjogrens positive Gait analysis abnl  Increasing weakness R leg since PT d/c'd Variable mobility issues. Tremors worse when fatigue Autonomic symptoms Fatigue variable
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperaesthesia, Nasopharyngitis, Oropharyngeal pain, Pain
Clinical narrative: Very light scratchy throat progressed into severe head cold sinus congestion, sinus headache sore throat and fatigue, body aches skin was sore to the touch, Paxlovid left metallic taste in mouth for 5 days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Sinus congestion, Sinus headache, Throat irritation
Clinical narrative: Very light scratchy throat progressed into severe head cold sinus congestion, sinus headache sore throat and fatigue, body aches skin was sore to the touch, Paxlovid left metallic taste in mouth for 5 days.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 Moderna 1/22/21  029L20A dose 2 Moderna 2/19/21  023M20A
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test abnormal, Ear pain, Labyrinthitis, Protein urine present, Urine analysis abnormal
Clinical narrative: A week after receiving my COVID-19 vaccine and 3 days after y yearly flu shot I woke up with an earache. Went in to doctor on 10/31/2022 and found out that I had an inner ear infection in both ears. Prescribed augmentin. After about 5 days on antibiotics I began to see improvement in my ears. Ears are much better but still not 100%.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vitamin D decreased
Clinical narrative: A week after receiving my COVID-19 vaccine and 3 days after y yearly flu shot I woke up with an earache. Went in to doctor on 10/31/2022 and found out that I had an inner ear infection in both ears. Prescribed augmentin. After about 5 days on antibiotics I began to see improvement in my ears. Ears are much better but still not 100%.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood test normal, Chest X-ray normal, Dizziness, Echocardiogram abnormal
Clinical narrative: I started with palpitations which I had constantly for 3 days. They started spontaneously. I went to the ER on August 26, 2022 and went thru 10 hours of testing. They sent me home with a halter monitor for 2 days and I made an appointment for August 29, 2022. He was unable to find anything on his EKG. I continued to have the palpitations for another 3 weeks straight. The halter monitors only showed some heart pvc's I was set up with dopplers and halter monitor. I was sent to an electrophysiologist who has had me to wear a halter monitor for a month. After my cardiomyopathy my heart has begun to break down so it could have been that. I am still having PVC;s and the dizziness associated with it and I do not know why it happened. I definitely developed poor balance and my memory has gotten worse all of a sudden.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Electrocardiogram normal, Memory impairment, Palpitations, Testicular disorder
Clinical narrative: I started with palpitations which I had constantly for 3 days. They started spontaneously. I went to the ER on August 26, 2022 and went thru 10 hours of testing. They sent me home with a halter monitor for 2 days and I made an appointment for August 29, 2022. He was unable to find anything on his EKG. I continued to have the palpitations for another 3 weeks straight. The halter monitors only showed some heart pvc's I was set up with dopplers and halter monitor. I was sent to an electrophysiologist who has had me to wear a halter monitor for a month. After my cardiomyopathy my heart has begun to break down so it could have been that. I am still having PVC;s and the dizziness associated with it and I do not know why it happened. I definitely developed poor balance and my memory has gotten worse all of a sudden.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler, Ventricular extrasystoles
Clinical narrative: I started with palpitations which I had constantly for 3 days. They started spontaneously. I went to the ER on August 26, 2022 and went thru 10 hours of testing. They sent me home with a halter monitor for 2 days and I made an appointment for August 29, 2022. He was unable to find anything on his EKG. I continued to have the palpitations for another 3 weeks straight. The halter monitors only showed some heart pvc's I was set up with dopplers and halter monitor. I was sent to an electrophysiologist who has had me to wear a halter monitor for a month. After my cardiomyopathy my heart has begun to break down so it could have been that. I am still having PVC;s and the dizziness associated with it and I do not know why it happened. I definitely developed poor balance and my memory has gotten worse all of a sudden.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered one dose of Pfizer Bivalent and should have received Pfizer Initial Monovalent
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with booster
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 3/24/21  Pfizer ER8733 dose 2 4/22/21  Pfizer EW0169 dose 3 11/30/2021  Pfizer FD0809
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Rash, SARS-CoV-2 test positive
Clinical narrative: 09/09/22 presents to EC ED for "rash". PMHx of "paroxysmal afib on Xarelto and aspirin and hypothyroidism"
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Dysphagia, Fatigue, Hot flush, Lymphadenopathy
Clinical narrative: pt states within 45minutes of receiving vaccine, she started to get "severe" throat pain, swollen lymph nodes on the left side of her neck, trouble swallowing due to throat pain. Pt went home and over the next two days continued to experience extreme fatigue, weakness, hot and cold flashes, headache, body aches.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Oropharyngeal pain, Pain
Clinical narrative: pt states within 45minutes of receiving vaccine, she started to get "severe" throat pain, swollen lymph nodes on the left side of her neck, trouble swallowing due to throat pain. Pt went home and over the next two days continued to experience extreme fatigue, weakness, hot and cold flashes, headache, body aches.
Age: 11.0
Sex: M
Vaccine: UNK
Symptoms: Chest pain, Electrocardiogram
Clinical narrative: Pt had influenza vaccine at peds office and shortly after developed chest pain
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Chest X-ray normal, Condition aggravated, Cyanosis, Death
Clinical narrative: Decedent had been suffering compromised respiratory health in June and July, with COVID symptoms but negative tests and chest X-rays. The decedent's PCP gave a clean bill of health last month, and the decedent decided to receive a second Pfizer COVID booster and flu shot from pharmacy yesterday afternoon. No ill effects during the day, and the decedent had a beer with dinner and got ready for bed at approximately 2200hrs. Soon the decedent was having increasing shortness of breath, and became cyanotic and unresponsive. 911 was called, and EMS responded, performing CPR and ACLS. Decedent was transported to ED pulseless and in cardiac arrest. 4 rounds of Epi were given, but ROSC not achieved.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Malaise, Pulse absent, Resuscitation, SARS-CoV-2 test negative
Clinical narrative: Decedent had been suffering compromised respiratory health in June and July, with COVID symptoms but negative tests and chest X-rays. The decedent's PCP gave a clean bill of health last month, and the decedent decided to receive a second Pfizer COVID booster and flu shot from pharmacy yesterday afternoon. No ill effects during the day, and the decedent had a beer with dinner and got ready for bed at approximately 2200hrs. Soon the decedent was having increasing shortness of breath, and became cyanotic and unresponsive. 911 was called, and EMS responded, performing CPR and ACLS. Decedent was transported to ED pulseless and in cardiac arrest. 4 rounds of Epi were given, but ROSC not achieved.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Decedent had been suffering compromised respiratory health in June and July, with COVID symptoms but negative tests and chest X-rays. The decedent's PCP gave a clean bill of health last month, and the decedent decided to receive a second Pfizer COVID booster and flu shot from pharmacy yesterday afternoon. No ill effects during the day, and the decedent had a beer with dinner and got ready for bed at approximately 2200hrs. Soon the decedent was having increasing shortness of breath, and became cyanotic and unresponsive. 911 was called, and EMS responded, performing CPR and ACLS. Decedent was transported to ED pulseless and in cardiac arrest. 4 rounds of Epi were given, but ROSC not achieved.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Client  received Pfizer monovalent vaccine (FT1511) instead of bivalent vaccine.   Had already completed 2 doses of primary series.  No adverse effects.  Mother notified later that day.  Mom aware to return in greater than 2 months for booster.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Left lower leg DVT
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia
Clinical narrative: temporary numbness in left arm and face about 30 minutes after receiving vaccine. Lasted about 5 minutes and went away.
Age: 64.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: 2nd booster
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Catheterisation cardiac, SARS-CoV-2 test positive
Clinical narrative: 09/09/22 presents to Cardiology for "cardiac cath". PMHx of "HTN HLD"
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Loss of personal independence in daily activities, Mechanical urticaria, Pruritus, Rash
Clinical narrative: 10 days post shot, I got spontaneous awful intense hives and rashes that would move around my body. I had slash marks, itchiness, and irritation intensely for 3 days. Took antihistamines with no relief. Tried Benadryl, Centirizine, Allegra. Allegra helped a little bit, but the symptoms continued for months. It was debilitating and it certainly interfered with daily life. I've never had hives before previously, and no other factors in my life changed. The hives subsided a bit more after 5 months although the rashes never FULLY went away. Another intense flare up 10 days after my second Moderna booster. Dermatographism/skin writing is also present with the hives and rashes.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin disorder, Skin irritation, Urticaria
Clinical narrative: 10 days post shot, I got spontaneous awful intense hives and rashes that would move around my body. I had slash marks, itchiness, and irritation intensely for 3 days. Took antihistamines with no relief. Tried Benadryl, Centirizine, Allegra. Allegra helped a little bit, but the symptoms continued for months. It was debilitating and it certainly interfered with daily life. I've never had hives before previously, and no other factors in my life changed. The hives subsided a bit more after 5 months although the rashes never FULLY went away. Another intense flare up 10 days after my second Moderna booster. Dermatographism/skin writing is also present with the hives and rashes.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site reaction, Local reaction, No reaction on previous exposure to drug, Urticaria
Clinical narrative: Several hours after vaccine administered, patient developed local reaction at site and diffuse hives.  Was given dose of Benadryl at home and hives resolved.  No other symptoms developed and had no residual hives the following day. Of note, patient has received Quadrivalent Influenza vaccine several times in past (2021, 2017, 2016) without any reaction.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Decreased appetite, Dehydration, Diarrhoea, Fatigue
Clinical narrative: Influenza Afluria PFS NDC 33332-0016-02 CPT/HCPCS 90686 Vax received early afternoon Tues 11/1/22. Wed afternoon 11/2/22 fatigue and lethargy. evening diarrhea and nausea. late evening same plus vomiting. both continued overnight, with the addition of chills and low-grade fever.  Thurs all day 11/3/22 diarrhea, anorexia, extreme fatigue, chills, low grade fever. afternoon through overnight extreme headache (suspect dehydration). Fri all day 11/4/22 anorexia, extreme fatigue. headache resolved by evening (was able to retain fluid intake). Sat all day 11/4/22 mild fatigue, mild headache Suna 11/5/22 all symptoms resolved
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Lethargy, Nausea, Pyrexia, Vomiting
Clinical narrative: Influenza Afluria PFS NDC 33332-0016-02 CPT/HCPCS 90686 Vax received early afternoon Tues 11/1/22. Wed afternoon 11/2/22 fatigue and lethargy. evening diarrhea and nausea. late evening same plus vomiting. both continued overnight, with the addition of chills and low-grade fever.  Thurs all day 11/3/22 diarrhea, anorexia, extreme fatigue, chills, low grade fever. afternoon through overnight extreme headache (suspect dehydration). Fri all day 11/4/22 anorexia, extreme fatigue. headache resolved by evening (was able to retain fluid intake). Sat all day 11/4/22 mild fatigue, mild headache Suna 11/5/22 all symptoms resolved
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: 09/09/22 presents to EC ED for "fall". PMHx of "CAD, paroxysmal Afib, OA, and osteoporosis"
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 Pfizer 1/16/21  EL3249 dose 2 Pfizer 2/6/21  EL9265
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt was given a Pfizer orange cap Bivalent Booster for ages 5-11 as a primary dose instead of the regular Pfizer orange cap for ages 5-11 for first dose.     The vaccine was diluted correctly.   The MD on for the day was notified. The patent waited for the 20 min required after vaccination.   No adverse reaction was noted. Provider cleared pt.
Age: 5.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Underdose
Clinical narrative: None; dose given was for younger age group than recommended based on patient's age
Age: 6.0
Sex: M
Vaccine: HPV9, MNQ, TDAP, UNK
Symptoms: Wrong patient received product, Wrong product administered
Clinical narrative: I went to get immunzation pt from waiting room and when called mom responded.  When brought to exam room it was noted that 2 patients with similar names were both ready to be seen.  I had asked mom is this is correct patient and she said yes. Mom was very sleepy during the visit as she had just worked night shift.  She kept falling asleep during the visit and one point daughter had to wake her up.  I then realized I had wrong patient in my room and had given him the wrong immunizations.  Mom was very understanding and knew that there was confusion over the names/patients.  Pt received tdap, meningococcal, HPV, and MMR.  The first 3 were not supposed to be given at this time. Mom was informed of this and still very understanding. Was present and I also had informed her what happened. They had spoken with mom and explained everything.  Appointment was made for child to return on 12-1-22 for dtap and varicella vaccines.  I also contacted his school nurse so that they would not put him out of school.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired. Pfizer stated that if it was given before 10/19/22 It was ok, patient does not need to be re vaccinated.  No treatment needed. Patient is fine.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Device connection issue
Clinical narrative: Patient presented for a covid booster. Vaccine being administered in left deltoid and needle and syringe separated. Unknown amount administered. Consulted with MD and order received to repeat half dose.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiac failure, Dyspnoea
Clinical narrative: Patient developed severe shortness of breath.   Patient went to the ER and was admitted.   Diagnosis - heart failure
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Dizziness, Influenza like illness, Meniere's disease, Paraesthesia
Clinical narrative: only flu like symptoms right after vaccine.  A year later I have been having veritgo and lightheadness problems. Diagnosis is Meniere's Syndrome.  I also have tingling in both hands.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: only flu like symptoms right after vaccine.  A year later I have been having veritgo and lightheadness problems. Diagnosis is Meniere's Syndrome.  I also have tingling in both hands.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash pruritic, Temperature intolerance, Urticaria
Clinical narrative: Began breaking out in hives and itchy rashes all over my body. They seemed to be made worse by heat. These rashes would come and go and get better with the help of antihistamines.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient developed COVID-19 after three doses of COVID vaccination.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Brachial plexus injury, COVID-19, Dysgeusia, Fatigue, Feeling abnormal
Clinical narrative: After taking the 3rd dose, I felt hung over. I had a headache and was tired. Also, my Brachial Plexus worsened. My fingers would bend in different directions and caused my shoulder & fingers to cramp. I also later contracted COVID-19. I was quite surprised when I received the result. I didn't have symptoms because I was testing regularly previously because I would visit my mother frequently. I was prescribed a five day course of PAXLOVID. I believe the medication I took made me fatigued for a couple of weeks and everything tasted like burning metal. But I'm not exactly sure if the medication or the COVID-19 diagnosis caused those issues.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Movement disorder, Muscle spasms, SARS-CoV-2 test positive
Clinical narrative: After taking the 3rd dose, I felt hung over. I had a headache and was tired. Also, my Brachial Plexus worsened. My fingers would bend in different directions and caused my shoulder & fingers to cramp. I also later contracted COVID-19. I was quite surprised when I received the result. I didn't have symptoms because I was testing regularly previously because I would visit my mother frequently. I was prescribed a five day course of PAXLOVID. I believe the medication I took made me fatigued for a couple of weeks and everything tasted like burning metal. But I'm not exactly sure if the medication or the COVID-19 diagnosis caused those issues.
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 0.17
Sex: F
Vaccine: RV1
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Vomiting, diarrhea, lowgrade fever 24 hrs after dosing
Age: 47.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Patient received a red rash below injection site.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was given Pfizer 5-11 vaccination Lot #FT1551 when patient was actually supposed to get the Pfizer bivalent that day, as she completed her primary series in 2021.
Age: 33.0
Sex: F
Vaccine: FLUR4
Symptoms: Arthralgia, Discomfort, Injection site pain, Joint range of motion decreased, Musculoskeletal pain
Clinical narrative: Left shoulder pain, varying in intensity. Loss of rage of motion, discomfort while sitting/sleeping. Shooting pain when arm is lifted. Pain and discomfort runs to elbow and left shoulder blade.  After 3 days I lost range of motion in my neck for approximately 48 hours