chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Onset fever, then confusion, followed by stiff muscles at the 24hr mark. Confusion, brain fog, joint stiffness and severe arm pain continue through the 36 hour mark. By hour 72, most side effects have subsided, brain fog, confusion and extreme fatigue persist until day 5.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Obsessive-compulsive disorder
Clinical narrative: He became very confused about time, went into the bathroom to brush his teeth 2 days after his 1st Pfizer shot and would not stop brushing his teeth for 30 hours. His parents tried to get him to stop several times. He only stopped because his parents finally called 911 to have someone help remove him from the bathroom. His gums were bleeding and he was limping a bit from standing at the sink brushing his teeth for so long. He was taken to the ER, his vitals looked good overall but he was dehydrated. Hospital could not explain why he did that, what was happening inside his brain. He could also not explain why he did that when asked. Very upsetting for his parents and siblings who felt they had no control over stopping him. It was mentioned he might need a neurological specialist. He improved once home. Seems he got very confused about time, did not understand how long he had been brushing his teeth and could not be reasoned with. He mentioned in the car on the way home from the ER with his dad that he still needed to brush his teeth once home. This scared his dad and his dad took him to go eat a meal outside of the home and that seemed to break up the time loop in patient's head. When they returned home patient no longer tried to brush his teeth for a long period of time.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity, Pyrexia
Clinical narrative: fever, arm sore, chills, headache
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass
Clinical narrative: large mass  2in x 2in in L axillae on the side his injection was given.  no pain or redness, just fullness
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia, Taste disorder
Clinical narrative: Altered taste and smell of cinnamon. Sunscreen smells of sulfur.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: Syncopal episode resulting in 911 response. Pt became lightheaded then lost consciousness for approximately 30 seconds. Pt did not fall and no trauma was sustained. She was taken to a private recovery area where she was placed in trendellenburg?s. Vitals signs monitored every 5 minutes. Upon EMS arrival, pt was assessed with findings unremarkable. Pt refused transport by EMS and was released from the clinic after she displayed no symptoms for 10 minutes.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Rash
Clinical narrative: Rash on arm two days after receiving Moderna vaccine, headache, fever
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I had pain in my arm.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate decreased
Clinical narrative: Heart rate reduced to 30
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient's father gave the date of birth which made her 12 years old and eligible to get the vaccine.  When processing the vaccine to the insurance it was discovered that the patient is only 11 years old.  Patient's father stills confirms that she is 12 years old but has yet to bring us her birth certificate so we can confirm.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: not enough diluent was withdrawn  to reconstitute the pfizer vaccine as a result patient received higher concentration of the vaccine than the normal dose no unusual side effects were reported
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial test, Blood test, Chest X-ray, Fatigue, Hepatic enzyme increased
Clinical narrative: 03/17/2021 Night of the vaccination fatigue for the week and aching, fever of 102. developed the following week and lasted two weeks, taste was off, was able to control the fever with Tylenol but if she went too long with out Tylenol the fever returned. In person visit for  blood, chest ex-ray to check for pneumonia, urine and stole test and while blood count enzyme's and liver enzymes was up, function up. Went in once a week for three weeks for three weeks for blood test. Was tested for bacteria infection in stomach.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test increased, Pain, Pyrexia, Red blood cell enzymes abnormal, Stool analysis
Clinical narrative: 03/17/2021 Night of the vaccination fatigue for the week and aching, fever of 102. developed the following week and lasted two weeks, taste was off, was able to control the fever with Tylenol but if she went too long with out Tylenol the fever returned. In person visit for  blood, chest ex-ray to check for pneumonia, urine and stole test and while blood count enzyme's and liver enzymes was up, function up. Went in once a week for three weeks for three weeks for blood test. Was tested for bacteria infection in stomach.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder, Urine analysis
Clinical narrative: 03/17/2021 Night of the vaccination fatigue for the week and aching, fever of 102. developed the following week and lasted two weeks, taste was off, was able to control the fever with Tylenol but if she went too long with out Tylenol the fever returned. In person visit for  blood, chest ex-ray to check for pneumonia, urine and stole test and while blood count enzyme's and liver enzymes was up, function up. Went in once a week for three weeks for three weeks for blood test. Was tested for bacteria infection in stomach.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dehydration, Feeling abnormal, Feeling cold, Inflammation, Influenza like illness
Clinical narrative: About 4 pm that afternoon I felt like I had the flu, I got really cold. At 6pm I had a 103 fever. I was completely immobile for 3 days. I started having low-grade fever and severe leg pain for about a week, Went to ER for dehydration. Ruled out blood clots. We back to ER a week later, couldn't find anything wrong. About a month later I still feel off,  Dr. diagnosed me with spinal cord inflammation,
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Mobility decreased, Pain in extremity, Pyrexia, Spinal pain
Clinical narrative: About 4 pm that afternoon I felt like I had the flu, I got really cold. At 6pm I had a 103 fever. I was completely immobile for 3 days. I started having low-grade fever and severe leg pain for about a week, Went to ER for dehydration. Ruled out blood clots. We back to ER a week later, couldn't find anything wrong. About a month later I still feel off,  Dr. diagnosed me with spinal cord inflammation,
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood pressure measurement, Blood test, Body temperature, Chest X-ray
Clinical narrative: About 4 pm that afternoon I felt like I had the flu, I got really cold. At 6pm I had a 103 fever. I was completely immobile for 3 days. I started having low-grade fever and severe leg pain for about a week, Went to ER for dehydration. Ruled out blood clots. We back to ER a week later, couldn't find anything wrong. About a month later I still feel off,  Dr. diagnosed me with spinal cord inflammation,
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram head, Electrocardiogram, Eye movement disorder, Fatigue
Clinical narrative: About 4 pm that afternoon I felt like I had the flu, I got really cold. At 6pm I had a 103 fever. I was completely immobile for 3 days. I started having low-grade fever and severe leg pain for about a week, Went to ER for dehydration. Ruled out blood clots. We back to ER a week later, couldn't find anything wrong. About a month later I still feel off,  Dr. diagnosed me with spinal cord inflammation,
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling cold, Functional gastrointestinal disorder, Heart rate, Heart rate increased, Hyperhidrosis
Clinical narrative: About 4 pm that afternoon I felt like I had the flu, I got really cold. At 6pm I had a 103 fever. I was completely immobile for 3 days. I started having low-grade fever and severe leg pain for about a week, Went to ER for dehydration. Ruled out blood clots. We back to ER a week later, couldn't find anything wrong. About a month later I still feel off,  Dr. diagnosed me with spinal cord inflammation,
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging spinal, Mobility decreased, Nausea
Clinical narrative: About 4 pm that afternoon I felt like I had the flu, I got really cold. At 6pm I had a 103 fever. I was completely immobile for 3 days. I started having low-grade fever and severe leg pain for about a week, Went to ER for dehydration. Ruled out blood clots. We back to ER a week later, couldn't find anything wrong. About a month later I still feel off,  Dr. diagnosed me with spinal cord inflammation,
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ocular discomfort, Pain in extremity, Paraesthesia, Physical examination, Pyrexia
Clinical narrative: About 4 pm that afternoon I felt like I had the flu, I got really cold. At 6pm I had a 103 fever. I was completely immobile for 3 days. I started having low-grade fever and severe leg pain for about a week, Went to ER for dehydration. Ruled out blood clots. We back to ER a week later, couldn't find anything wrong. About a month later I still feel off,  Dr. diagnosed me with spinal cord inflammation,
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor, Ultrasound scan, Vomiting
Clinical narrative: About 4 pm that afternoon I felt like I had the flu, I got really cold. At 6pm I had a 103 fever. I was completely immobile for 3 days. I started having low-grade fever and severe leg pain for about a week, Went to ER for dehydration. Ruled out blood clots. We back to ER a week later, couldn't find anything wrong. About a month later I still feel off,  Dr. diagnosed me with spinal cord inflammation,
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine administered to recipient under age 18 years old
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Feeling cold, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient said she feels very dizzy and she felt really cold and  had tremor  little later.  Her condition of shaking got worse over period of time and she complained about shortness of breath and she was gasping for air . I asked her if she had or experienced the allergic reaction in the past and she got the prescription EPIPEN from md but didn't have it with her. I injected EpiPen 0.3mg IM.  After5-10 minutes later, she complained about numbness on her extremities and tingling sensation on her finger and she still experiencing tremors.  We had to call the ambulance and they arrived within 5-7 minutes.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Patient said she feels very dizzy and she felt really cold and  had tremor  little later.  Her condition of shaking got worse over period of time and she complained about shortness of breath and she was gasping for air . I asked her if she had or experienced the allergic reaction in the past and she got the prescription EPIPEN from md but didn't have it with her. I injected EpiPen 0.3mg IM.  After5-10 minutes later, she complained about numbness on her extremities and tingling sensation on her finger and she still experiencing tremors.  We had to call the ambulance and they arrived within 5-7 minutes.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oral mucosal blistering, Pyrexia
Clinical narrative: Headaches, fever and mouth blisters.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test abnormal, Computerised tomogram abnormal, Deep vein thrombosis, Pulmonary embolism
Clinical narrative: Deep Vain Thrombosis left leg. Pulmonary embolism. Treatment  - Blood thinners.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: Deep Vain Thrombosis left leg. Pulmonary embolism. Treatment  - Blood thinners.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Burning sensation, Chest X-ray normal, Confusional state, Heart rate increased
Clinical narrative: Three minutes following receiving the vaccination I experienced rapid heart beat, confusion, burning in lungs, blood pressure increase.  Wheeled down to emergency room. Given anti nausea medication, exrays on heart and lungs, saline IV, heart monitored
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Headache, Musculoskeletal stiffness, Pain, Peripheral swelling
Clinical narrative: Pt developed aches, pain and headache and felt feverish day after receiving 2nd dose of Moderna vaccine.  Continued on Sunday and on Monday developed leg stiffness and swelling.  Patient presented to the ER with extensive lower leg DVT.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Pt developed aches, pain and headache and felt feverish day after receiving 2nd dose of Moderna vaccine.  Continued on Sunday and on Monday developed leg stiffness and swelling.  Patient presented to the ER with extensive lower leg DVT.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site warmth, Malaise
Clinical narrative: Injection site redness, warmth, pain Puffy eye lids bilaterally Fatigue Malaise
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Periorbital swelling
Clinical narrative: Injection site redness, warmth, pain Puffy eye lids bilaterally Fatigue Malaise
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Cough, Erythema, Feeling abnormal, Heart rate increased
Clinical narrative: Strange feeling to head.  Tingling running down right arm and eventually down to feet.  Tightness in throat.  Red chest and red face.  Elevated blood pressure 170/100.  elevated heart rate.  Tingling in head in first 10 minutes.  Began running down arm and then on into leg within 30 minutes.  tightening in throat and dry cough within 15 minutes.  Given 25 mg Benadryl within 10 minutes of onset of symptoms.  Given sprite and peanut butter crackers which did nothing.  Benadryl began to help.  Given another 12.5 mg 15 minutes after initial dose.  Pulse Oximeter good oxygen level 97-98 after benadryl.  Ambulance was called and I refused.  I was told to go to ER.  My husband is a registered respiratory therapist and said he would watch me and not leave me alone.  He said he would take me if symptoms got worse.  Called my dr.  Was told to take Benadryl around the clock for 48 hours.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Throat tightness
Clinical narrative: Strange feeling to head.  Tingling running down right arm and eventually down to feet.  Tightness in throat.  Red chest and red face.  Elevated blood pressure 170/100.  elevated heart rate.  Tingling in head in first 10 minutes.  Began running down arm and then on into leg within 30 minutes.  tightening in throat and dry cough within 15 minutes.  Given 25 mg Benadryl within 10 minutes of onset of symptoms.  Given sprite and peanut butter crackers which did nothing.  Benadryl began to help.  Given another 12.5 mg 15 minutes after initial dose.  Pulse Oximeter good oxygen level 97-98 after benadryl.  Ambulance was called and I refused.  I was told to go to ER.  My husband is a registered respiratory therapist and said he would watch me and not leave me alone.  He said he would take me if symptoms got worse.  Called my dr.  Was told to take Benadryl around the clock for 48 hours.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Insomnia, Malaise, Nausea
Clinical narrative: I experienced worst headache I can imagine, worst pain, could not sleep, the pain was so bad after receiving my Janssen vaccine. The aches in my body was so intense, could not tell you if it was localized. The worse nausea as well and felt sick to my stomach and could not keep anything down. I called Dr told me to start taking Ibuprofen and my pain started to subside slowly.  My symptoms lasted over 24 hours and then my symptoms slowly started to improve after taking the Ibuprofen.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vomiting
Clinical narrative: I experienced worst headache I can imagine, worst pain, could not sleep, the pain was so bad after receiving my Janssen vaccine. The aches in my body was so intense, could not tell you if it was localized. The worse nausea as well and felt sick to my stomach and could not keep anything down. I called Dr told me to start taking Ibuprofen and my pain started to subside slowly.  My symptoms lasted over 24 hours and then my symptoms slowly started to improve after taking the Ibuprofen.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Headache, Paralysis, Pyrexia, Swelling
Clinical narrative: Are swelling and paralysis, fever, disorientation, headaches,
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Amphetamines negative, Amylase normal, Analgesic drug level, Analgesic drug level therapeutic
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anion gap, Antidepressant drug level, Aspartate aminotransferase normal, Bacterial test, Barbiturates negative
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basophil count decreased, Basophil percentage, Bilirubin urine, Blood albumin normal, Blood alcohol normal
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bicarbonate normal, Blood bilirubin decreased, Blood calcium normal, Blood chloride normal
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase normal, Blood creatinine normal, Blood glucose normal, Blood lactic acid decreased, Blood magnesium normal
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood osmolarity decreased, Blood pH normal, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone decreased
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood urea decreased, Blood urine, Chromaturia, Computerised tomogram head normal, Conversion disorder
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Crystal urine absent, Drug screen, Emotional distress, Eosinophil count normal, Eosinophil percentage
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fear of injection, Fungal test negative, Glucose urine, Haematocrit normal, Haemoglobin normal
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Human chorionic gonadotropin negative, Immature granulocyte count, Laboratory test, Lipase normal, Lymphocyte count normal
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume abnormal, Mean platelet volume normal
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Monocyte count normal, Monocyte percentage, Neutrophil count normal, Neutrophil percentage, Nitrite urine
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count normal, Protein total normal, Protein urine absent, Psychogenic movement disorder, Red blood cell count normal
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cells urine negative, Red cell distribution width normal, Specific gravity body fluid normal, Speech disorder, Stress
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Tremor, Urinary sediment present, Urine abnormality, Urine ketone body
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine leukocyte esterase, Urobilinogen urine, White blood cell count normal, White blood cells urine negative, pH urine
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Analgesic drug level, Antiphospholipid antibodies, Blood creatine phosphokinase, Blood lactic acid, Blood thyroid stimulating hormone
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head normal, Disturbance in attention, Dizziness, Drug screen, Dysphemia
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electroencephalogram normal, Full blood count, Human chorionic gonadotropin negative, Malaise, Metabolic function test
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Staring, Tremor, Urine analysis normal
Clinical narrative: Patient is a 15 yo female with a history of anxiety, recent ankle sprain, and no other known medical history who presents to ED today after she developed persistent shaking movements after her COVID 19 vaccination today. Medical work up has been thorough and has resulted negatively, including blood work, UDS, CT Head. She has remained slightly tachycardic, though she has also been moving continuously for several hours. Her physical exam is notable for several indicators of psychogenic origin, including demonstrating variability in tremor frequency (head, legs and arms vacillating it variable rates over time), distractability from motor tasks (head or arms stop shaking when asked to focus on moving her legs, for example). Her speech has also been affected, but this is also variable and she is at times using only 1 word sentences and other times responding more completely. Certainly she may have suffered a psychological stress today as she is fearful of needles and has a history of vasovagal response and her mother notes recent overwhelm with school performance, though this is not unusual for her. If medical work up continues to be negative, it may be reasonable to conclude she is suffering a conversion disorder  "FINAL DIAGNOSIS: Conversion reaction after a Covid 19 vaccine. Patient To be transferred via ground ambulance."