chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: FLU4
Symptoms: Bell's palsy, Cerebrovascular accident, Magnetic resonance imaging head abnormal
Clinical narrative: bells palsy; stroked out; Initial information was received on 27-Oct-2021 regarding an unsolicited valid serious case from a non-healthcare professional via Global Media Information (GMI) (under reference: 00830629).  This case involves a 61 years old male patient who experienced bell's palsy, stroked out (cerebrovascular accident) when received vaccine INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT].  Patient reported he had two Pfizer vaccines and multiple vaccines and never had an issue.  The patient's medical history, past medical treatment, concomitant medication and family history were not provided.  On an unknown date, the patient received a 0.5 ml dose of suspect INFLUENZA QUADRIVAL A-B VACCINE (total, lot number: U7328DA and expiry date: 30-JUN-2022) via an unknown route in the left deltoid for prophylactic vaccination.  On an unknown date the patient developed a serious bell's palsy, stroked out (cerebrovascular accident) (one day) following the administration of INFLUENZA QUADRIVAL A-B VACCINE. These events were assessed as medically significant.  Patient having the effects on the left side of his face.  Patient who on Sunday had vaccine and Monday awoke with stroked out symptoms diagnosed as bell's Palsy. Confirmed by Magnetic resonance imaging (MRI). He asks if there is any information regarding how long it will last.  He reported he received a dose of FLUZONE QIV from a single-dose vials (SDV) earlier this week and woke up the next morning with adverse effects. The effects were still lingering and has multiple doctor appointments. He was looking for any medical guidance that could possibly help.  Relevant laboratory test results included: (MRI) Magnetic resonance imaging - On an unknown date: Positive  It was not reported if the patient received a corrective treatment for the events.  At time of reporting, the outcome was unknown for the events.  He reported good physical health and he worked as a pipe fitter for air conditioning units in large building.; Sender's Comments: This case concerns a 61 years old male patient who experienced bell's palsy, stroked out (cerebrovascular accident) (one day) after vaccination with FLUZONE QUADRIVALENT. The time to onset is compatible. Past vaccination included Pfizer vaccines and multiple vaccines. Laboratory test included Magnetic resonance imaging positive. There is no further information regarding patient's medical condition at the time of vaccination and ruling out other alternate etiologies were not reported. Based upon the reported information, the role of the suspect individual vaccine cannot be assessed.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Blood glucose increased, Dizziness, Dyspnoea, Fatigue
Clinical narrative: 25min - achy tingling L arm/hand sensitive skin @ L collar bone day 1 - body aches very tired day 2  -  body aches very tired sensitive skin @ L collar bone 99.6F fever (101.2 @ collar bone) shortness of breath, increased blood sugar day 3 - extremely tired lump @  L collar bone, sensitive L arm pit, body aches reduced, increased blood sugar day 4 - Very Dizzy, increased blood sugar, joints tight
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Joint stiffness, Mass, Pain, Pain in extremity, Paraesthesia
Clinical narrative: 25min - achy tingling L arm/hand sensitive skin @ L collar bone day 1 - body aches very tired day 2  -  body aches very tired sensitive skin @ L collar bone 99.6F fever (101.2 @ collar bone) shortness of breath, increased blood sugar day 3 - extremely tired lump @  L collar bone, sensitive L arm pit, body aches reduced, increased blood sugar day 4 - Very Dizzy, increased blood sugar, joints tight
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sensitive skin
Clinical narrative: 25min - achy tingling L arm/hand sensitive skin @ L collar bone day 1 - body aches very tired day 2  -  body aches very tired sensitive skin @ L collar bone 99.6F fever (101.2 @ collar bone) shortness of breath, increased blood sugar day 3 - extremely tired lump @  L collar bone, sensitive L arm pit, body aches reduced, increased blood sugar day 4 - Very Dizzy, increased blood sugar, joints tight
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Blood test, Computerised tomogram head, Disturbance in attention, Dizziness
Clinical narrative: Extreme headaches (progressive from 1st dose) Dizzy/haze/foggy feeling Loss of Memory/difficult focus & remembering simple things that I did before
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Laboratory test, Vision blurred
Clinical narrative: Extreme headaches (progressive from 1st dose) Dizzy/haze/foggy feeling Loss of Memory/difficult focus & remembering simple things that I did before
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Headache, Injection site erythema, Neck pain, Pain in extremity
Clinical narrative: One day post 2nd Moderna Vaccine administration, patient reports her right arm (same as injection) began hurting and was reddened at vaccine site. Later in the day she experienced pain in armpit and up the right side of neck causing her to have a head ache.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal X-ray, Abdominal pain, Activated partial thromboplastin time shortened, Alanine aminotransferase increased, Anion gap
Clinical narrative: abdominal pain , treated for a UTI ~2 weeks ago and finished her antibiotic course,
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Aspartate aminotransferase normal, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin increased
Clinical narrative: abdominal pain , treated for a UTI ~2 weeks ago and finished her antibiotic course,
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride decreased, Blood creatinine increased, Blood glucose normal, Blood lactate dehydrogenase increased
Clinical narrative: abdominal pain , treated for a UTI ~2 weeks ago and finished her antibiotic course,
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood phosphorus normal, Blood potassium normal, Blood sodium decreased, Blood urea increased
Clinical narrative: abdominal pain , treated for a UTI ~2 weeks ago and finished her antibiotic course,
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Computerised tomogram abdomen, Differential white blood cell count, Eosinophil percentage decreased, Full blood count
Clinical narrative: abdominal pain , treated for a UTI ~2 weeks ago and finished her antibiotic course,
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Haematocrit normal, Haemoglobin normal, International normalised ratio normal, Lipase normal
Clinical narrative: abdominal pain , treated for a UTI ~2 weeks ago and finished her antibiotic course,
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: abdominal pain , treated for a UTI ~2 weeks ago and finished her antibiotic course,
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Monocyte count increased, Monocyte percentage, Neutrophil count increased, Neutrophil percentage increased
Clinical narrative: abdominal pain , treated for a UTI ~2 weeks ago and finished her antibiotic course,
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Protein total, Prothrombin time normal, Red blood cell count normal, Red cell distribution width increased
Clinical narrative: abdominal pain , treated for a UTI ~2 weeks ago and finished her antibiotic course,
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast, Troponin I normal, Urinary tract infection, White blood cell count increased
Clinical narrative: abdominal pain , treated for a UTI ~2 weeks ago and finished her antibiotic course,
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Headache, Hyperaesthesia teeth, Injection site induration
Clinical narrative: Second Pfizer shot- 3/31/2021 Booster Pfizer- 10/30/2021  With both my second shot in March and the booster I received this past Saturday 10/30/2021, I experienced flu-like headache, body aches and joint pain 18 hours after the shot. At 36 hours after each shot (nearly exactly), I experienced an unusual painful sensitivity in all of my teeth, which was like the pressure and sensitivity felt from a terrible sinus infection. I do not have a sinus infection now. With both the second shot and this booster I had/have ?Covid arm?  characterized by a big hard lump at the injection site and a big round itchy hot circle around the injection site at least 4-5 inches in diameter. It appeared 48 hours after the vaccine and persists today? now 4 days post-booster.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pruritus, Injection site warmth, Pain, Toothache
Clinical narrative: Second Pfizer shot- 3/31/2021 Booster Pfizer- 10/30/2021  With both my second shot in March and the booster I received this past Saturday 10/30/2021, I experienced flu-like headache, body aches and joint pain 18 hours after the shot. At 36 hours after each shot (nearly exactly), I experienced an unusual painful sensitivity in all of my teeth, which was like the pressure and sensitivity felt from a terrible sinus infection. I do not have a sinus infection now. With both the second shot and this booster I had/have ?Covid arm?  characterized by a big hard lump at the injection site and a big round itchy hot circle around the injection site at least 4-5 inches in diameter. It appeared 48 hours after the vaccine and persists today? now 4 days post-booster.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Second Pfizer shot- 3/31/2021 Booster Pfizer- 10/30/2021  With both my second shot in March and the booster I received this past Saturday 10/30/2021, I experienced flu-like headache, body aches and joint pain 18 hours after the shot. At 36 hours after each shot (nearly exactly), I experienced an unusual painful sensitivity in all of my teeth, which was like the pressure and sensitivity felt from a terrible sinus infection. I do not have a sinus infection now. With both the second shot and this booster I had/have ?Covid arm?  characterized by a big hard lump at the injection site and a big round itchy hot circle around the injection site at least 4-5 inches in diameter. It appeared 48 hours after the vaccine and persists today? now 4 days post-booster.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Hypotension, Vomiting
Clinical narrative: Systemic: Hypotension-Mild, Systemic: Vomiting-Medium, Additional Details: Patient received vaccination within 10 minutes, she felt lightheaded and fell to the ground. She did not fiant, but did vomit.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test abnormal, Computerised tomogram abnormal, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: tachycardia up to 190 bpm, shortness of breath, hypoxia, fever, sweat, weakness.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hyperhidrosis, Hypoxia, Lymphadenopathy, Pyrexia
Clinical narrative: tachycardia up to 190 bpm, shortness of breath, hypoxia, fever, sweat, weakness.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus tachycardia, Tachycardia
Clinical narrative: tachycardia up to 190 bpm, shortness of breath, hypoxia, fever, sweat, weakness.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Ear discomfort, Fatigue, Feeling abnormal
Clinical narrative: 10/29 Felt a little sick but worse as the day went on with: body aches, chills, pain at injection site, fatigue, lack of appetite, flushed cheeks, same feelings on 10/30.  10/31 she developed a cold sore and sores in mouth, ears felt clogged/pressure.  11/1 Still had severe body aches on the injection side.  11/2 feeling better but still out of it.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Injection site pain, Malaise, Oral herpes, Pain
Clinical narrative: 10/29 Felt a little sick but worse as the day went on with: body aches, chills, pain at injection site, fatigue, lack of appetite, flushed cheeks, same feelings on 10/30.  10/31 she developed a cold sore and sores in mouth, ears felt clogged/pressure.  11/1 Still had severe body aches on the injection side.  11/2 feeling better but still out of it.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Stomatitis
Clinical narrative: 10/29 Felt a little sick but worse as the day went on with: body aches, chills, pain at injection site, fatigue, lack of appetite, flushed cheeks, same feelings on 10/30.  10/31 she developed a cold sore and sores in mouth, ears felt clogged/pressure.  11/1 Still had severe body aches on the injection side.  11/2 feeling better but still out of it.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: Injection soreness and swelling, body aches, chills and fever up to 102
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Muscle rigidity, Mydriasis, Seizure, Syncope
Clinical narrative: Systemic: Fainting/Unresponsive-Medium, Systemic: Seizure-Medium, Systemic: Vomiting-Mild, Additional Details: Approximately 5 minutes after 0.5mL Moderna was given, patient's pupils fully dilated and arm muscles rigid. She came to but did not know where she was. EMS called; patient declined to be taken to hospital.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Vomiting
Clinical narrative: Systemic: Fainting/Unresponsive-Medium, Systemic: Seizure-Medium, Systemic: Vomiting-Mild, Additional Details: Approximately 5 minutes after 0.5mL Moderna was given, patient's pupils fully dilated and arm muscles rigid. She came to but did not know where she was. EMS called; patient declined to be taken to hospital.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Impaired work ability, Insomnia, Pain
Clinical narrative: Arm soreness within an hour, followed by body aches, low grade fever, dizziness. Had pre-syncopal episode around 5pm, aborted by laying down abruptly. Left work early. Had significant body aches and chills overnight, and no sleep at all. Left work early, called in sick the next day. Medicated with acetaminophen 1000mg every 6 hours.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Presyncope, Pyrexia
Clinical narrative: Arm soreness within an hour, followed by body aches, low grade fever, dizziness. Had pre-syncopal episode around 5pm, aborted by laying down abruptly. Left work early. Had significant body aches and chills overnight, and no sleep at all. Left work early, called in sick the next day. Medicated with acetaminophen 1000mg every 6 hours.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Arthralgia, Asthenia, Chills, Diarrhoea
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Systemic: Joint Pain-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: miscarriage
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Exposure during pregnancy, Fatigue, Headache, Injection site pain
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Systemic: Joint Pain-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: miscarriage
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Lethargy, Nausea, Pain, Pyrexia
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Systemic: Joint Pain-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: miscarriage
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Systemic: Joint Pain-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: miscarriage
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Illness
Clinical narrative: Systemic: mom only said pt got sick and nothing in detail.-Mild, Additional Details: mom was nondescriptive about pt.'s status /condition
Age: 41.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Fatigue, Injection site pruritus, Injection site urticaria, Pain
Clinical narrative: Half dollar sized hive with itching at site of Covid 19 booster injection. Fatigue and mild body aches.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Lymphadenopathy
Clinical narrative: Patient developed swollen lymph nodes and redness in the axilla beginning on 10/31/2021 after vaccination. She received a half-dose booster shot. She says it started as redness at the injection site and spread down her arm and into her breast area on the side she received her vaccine on. It was not painful. She says it is improving but not completely resolved yet.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenitis
Clinical narrative: Headache, right axillary lymphadenopathy
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Disturbance in attention, Dizziness, Headache, Thinking abnormal
Clinical narrative: I experienced headache, confusion, slightly blurred vision, dizziness, decreased ability to concentrate, and generally unclear thinking.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: I experienced headache, confusion, slightly blurred vision, dizziness, decreased ability to concentrate, and generally unclear thinking.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation
Clinical narrative: Received third party report that this person was intubated 48 hours post injection
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper storage (temperature).
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain of skin
Clinical narrative: Headache, hypersensitivity of skin (aching to touch), nausea (mild, intermittent)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Borrelia test negative, Colonoscopy, Condition aggravated, Crohn's disease
Clinical narrative: profound effusion in the left knee that was determined to be secondary to a Crohn's flare. unsure if the vaccination resulted in the Crohn's flare or if it was already "brewing", however, the knee effusion started within roughly 12 -18 hours of the vaccination and progressively worsened over the next week. Medical care was sought 1 week after vaccination. 70mL of synovial fluid was drained from the left knee. Effusion was submitted for analysis and a profound elevated white count was found. The fluid cultured negative for infection and lyme testing was negative. Patient responded to a high dose tapering course of steroids. The Crohn's flare was confirmed to be the cause on October 11 via colonoscopy and biopsies.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Culture negative, Drainage, Joint effusion, White blood cell count increased
Clinical narrative: profound effusion in the left knee that was determined to be secondary to a Crohn's flare. unsure if the vaccination resulted in the Crohn's flare or if it was already "brewing", however, the knee effusion started within roughly 12 -18 hours of the vaccination and progressively worsened over the next week. Medical care was sought 1 week after vaccination. 70mL of synovial fluid was drained from the left knee. Effusion was submitted for analysis and a profound elevated white count was found. The fluid cultured negative for infection and lyme testing was negative. Patient responded to a high dose tapering course of steroids. The Crohn's flare was confirmed to be the cause on October 11 via colonoscopy and biopsies.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site pain, Syncope, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT FELT DIZZY, PHARMACIST KEPT PATIENT UNDER OBSERVATION INSIDE THE IMMUNIZATION ROOM. SHE RECOVERED QUICKLY, DRANK SOME WATER AND STAYED IN THE AREA FOR ABOUT 30 MINUTES WITH A FAMILY MEMBER.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: High pitched but low in volume continuous sound in left ear.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration, Urticaria
Clinical narrative: PATIENT CALL 11/01/2021 REPORTING GENERALIZED URTICARIA WHICH STARTS AFTER RECEIVING THE VACCINE AND AT THIS TIME WAS NOT RESOLVED; PATIENT ALSO RECEIVE INFLUENZA VACCINE BUT HE PREOVIOUSLY RECEIVED THIS VACCINE WITHOUT ANY REACTION
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Headache, lightheaded/feeling faint. No treatment. 1 day
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: Systemic: Chest Tightness / Heaviness / Pain-Mild
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatinine increased, Breath sounds abnormal
Clinical narrative: Provider history and physical 10/20/21: "PT is a 16 y.o. male patient without a significant past medical history who presents with shock in the setting of fevers, vomiting, and diarrhea.    Symptoms began on 10/17 with fever, body aches and headaches. Fevers have continued daily since that time, T 100-103F and managed at home with Advil. Vomiting and diarrhea onset on 10/18, with 2 episodes of vomiting per day over the past 3 days and "continuous" watery, non-bloody diarrhea. PO intake has been minimal due to the vomiting. He has not had any abdominal pain despite his symptoms. Headaches onset on 10/18 and are described as generalized and worse with movement. No neck stiffness or altered mental status. Mom noticed bilateral conjunctival injection on 10/18, which she attributed to dry heaving. He has not had any rashes. Denies any nasal congestion or rhinorrhea, however, does note preceding symptoms of nasal congestion on 10/4 that resolved by the 11th. Patient has had intermittent fatigue and general feeling of unwellness over the past several weeks but no other symptoms until 10/17.   Patient was seen by PCP on 10/18 because of lethargy and intermittent fever, report of negative COVID-19 test on 10/18, recommended symptomatic management. He attends school and wears a mask (although no other classmates do) - known COVID-19+ contact on 10/15. No known COVID-19+ contacts 1-3 months prior to presentation. Patient was vaccinated against COVID-19 in 4/2021. Most recent travel includes various states all over summer 2021. Pt has not had any hematuria, dysuria, respiratory distress, peripheral edema, or known sick contacts with the exception of the aforementioned close COVID contact.    On the day of presentation mom noticed that PT had cracked lips and tacky mucous membranes, which prompted presentation to an OSH ED.   In the ED, vital signs included BP 90/52, HR 112, RR 20, SpO2 99% in RA, T 37.9C. Exam notable for cool distal extremities with delayed capillary refill and conjunctival injection. He was given a total of 3L of NS for fluid resuscitation and given cefepime and vancomycin for empiric antibiotic coverage. Due to persistent hypotension (as low as 80s/60s) despite fluids CHW was consulted and he was transported to the CHW PICU for further management. "
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Capillary disorder, Chapped lips, Chest X-ray abnormal, Conjunctival hyperaemia, Conjunctivitis
Clinical narrative: Provider history and physical 10/20/21: "PT is a 16 y.o. male patient without a significant past medical history who presents with shock in the setting of fevers, vomiting, and diarrhea.    Symptoms began on 10/17 with fever, body aches and headaches. Fevers have continued daily since that time, T 100-103F and managed at home with Advil. Vomiting and diarrhea onset on 10/18, with 2 episodes of vomiting per day over the past 3 days and "continuous" watery, non-bloody diarrhea. PO intake has been minimal due to the vomiting. He has not had any abdominal pain despite his symptoms. Headaches onset on 10/18 and are described as generalized and worse with movement. No neck stiffness or altered mental status. Mom noticed bilateral conjunctival injection on 10/18, which she attributed to dry heaving. He has not had any rashes. Denies any nasal congestion or rhinorrhea, however, does note preceding symptoms of nasal congestion on 10/4 that resolved by the 11th. Patient has had intermittent fatigue and general feeling of unwellness over the past several weeks but no other symptoms until 10/17.   Patient was seen by PCP on 10/18 because of lethargy and intermittent fever, report of negative COVID-19 test on 10/18, recommended symptomatic management. He attends school and wears a mask (although no other classmates do) - known COVID-19+ contact on 10/15. No known COVID-19+ contacts 1-3 months prior to presentation. Patient was vaccinated against COVID-19 in 4/2021. Most recent travel includes various states all over summer 2021. Pt has not had any hematuria, dysuria, respiratory distress, peripheral edema, or known sick contacts with the exception of the aforementioned close COVID contact.    On the day of presentation mom noticed that PT had cracked lips and tacky mucous membranes, which prompted presentation to an OSH ED.   In the ED, vital signs included BP 90/52, HR 112, RR 20, SpO2 99% in RA, T 37.9C. Exam notable for cool distal extremities with delayed capillary refill and conjunctival injection. He was given a total of 3L of NS for fluid resuscitation and given cefepime and vancomycin for empiric antibiotic coverage. Due to persistent hypotension (as low as 80s/60s) despite fluids CHW was consulted and he was transported to the CHW PICU for further management. "
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery disease, Diarrhoea, Disseminated intravascular coagulation, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Provider history and physical 10/20/21: "PT is a 16 y.o. male patient without a significant past medical history who presents with shock in the setting of fevers, vomiting, and diarrhea.    Symptoms began on 10/17 with fever, body aches and headaches. Fevers have continued daily since that time, T 100-103F and managed at home with Advil. Vomiting and diarrhea onset on 10/18, with 2 episodes of vomiting per day over the past 3 days and "continuous" watery, non-bloody diarrhea. PO intake has been minimal due to the vomiting. He has not had any abdominal pain despite his symptoms. Headaches onset on 10/18 and are described as generalized and worse with movement. No neck stiffness or altered mental status. Mom noticed bilateral conjunctival injection on 10/18, which she attributed to dry heaving. He has not had any rashes. Denies any nasal congestion or rhinorrhea, however, does note preceding symptoms of nasal congestion on 10/4 that resolved by the 11th. Patient has had intermittent fatigue and general feeling of unwellness over the past several weeks but no other symptoms until 10/17.   Patient was seen by PCP on 10/18 because of lethargy and intermittent fever, report of negative COVID-19 test on 10/18, recommended symptomatic management. He attends school and wears a mask (although no other classmates do) - known COVID-19+ contact on 10/15. No known COVID-19+ contacts 1-3 months prior to presentation. Patient was vaccinated against COVID-19 in 4/2021. Most recent travel includes various states all over summer 2021. Pt has not had any hematuria, dysuria, respiratory distress, peripheral edema, or known sick contacts with the exception of the aforementioned close COVID contact.    On the day of presentation mom noticed that PT had cracked lips and tacky mucous membranes, which prompted presentation to an OSH ED.   In the ED, vital signs included BP 90/52, HR 112, RR 20, SpO2 99% in RA, T 37.9C. Exam notable for cool distal extremities with delayed capillary refill and conjunctival injection. He was given a total of 3L of NS for fluid resuscitation and given cefepime and vancomycin for empiric antibiotic coverage. Due to persistent hypotension (as low as 80s/60s) despite fluids CHW was consulted and he was transported to the CHW PICU for further management. "
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction normal, Erythema, Exposure to SARS-CoV-2, Fatigue, Fluid replacement
Clinical narrative: Provider history and physical 10/20/21: "PT is a 16 y.o. male patient without a significant past medical history who presents with shock in the setting of fevers, vomiting, and diarrhea.    Symptoms began on 10/17 with fever, body aches and headaches. Fevers have continued daily since that time, T 100-103F and managed at home with Advil. Vomiting and diarrhea onset on 10/18, with 2 episodes of vomiting per day over the past 3 days and "continuous" watery, non-bloody diarrhea. PO intake has been minimal due to the vomiting. He has not had any abdominal pain despite his symptoms. Headaches onset on 10/18 and are described as generalized and worse with movement. No neck stiffness or altered mental status. Mom noticed bilateral conjunctival injection on 10/18, which she attributed to dry heaving. He has not had any rashes. Denies any nasal congestion or rhinorrhea, however, does note preceding symptoms of nasal congestion on 10/4 that resolved by the 11th. Patient has had intermittent fatigue and general feeling of unwellness over the past several weeks but no other symptoms until 10/17.   Patient was seen by PCP on 10/18 because of lethargy and intermittent fever, report of negative COVID-19 test on 10/18, recommended symptomatic management. He attends school and wears a mask (although no other classmates do) - known COVID-19+ contact on 10/15. No known COVID-19+ contacts 1-3 months prior to presentation. Patient was vaccinated against COVID-19 in 4/2021. Most recent travel includes various states all over summer 2021. Pt has not had any hematuria, dysuria, respiratory distress, peripheral edema, or known sick contacts with the exception of the aforementioned close COVID contact.    On the day of presentation mom noticed that PT had cracked lips and tacky mucous membranes, which prompted presentation to an OSH ED.   In the ED, vital signs included BP 90/52, HR 112, RR 20, SpO2 99% in RA, T 37.9C. Exam notable for cool distal extremities with delayed capillary refill and conjunctival injection. He was given a total of 3L of NS for fluid resuscitation and given cefepime and vancomycin for empiric antibiotic coverage. Due to persistent hypotension (as low as 80s/60s) despite fluids CHW was consulted and he was transported to the CHW PICU for further management. "
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoperfusion, Hypophagia, Hypotension, Immunoglobulin therapy
Clinical narrative: Provider history and physical 10/20/21: "PT is a 16 y.o. male patient without a significant past medical history who presents with shock in the setting of fevers, vomiting, and diarrhea.    Symptoms began on 10/17 with fever, body aches and headaches. Fevers have continued daily since that time, T 100-103F and managed at home with Advil. Vomiting and diarrhea onset on 10/18, with 2 episodes of vomiting per day over the past 3 days and "continuous" watery, non-bloody diarrhea. PO intake has been minimal due to the vomiting. He has not had any abdominal pain despite his symptoms. Headaches onset on 10/18 and are described as generalized and worse with movement. No neck stiffness or altered mental status. Mom noticed bilateral conjunctival injection on 10/18, which she attributed to dry heaving. He has not had any rashes. Denies any nasal congestion or rhinorrhea, however, does note preceding symptoms of nasal congestion on 10/4 that resolved by the 11th. Patient has had intermittent fatigue and general feeling of unwellness over the past several weeks but no other symptoms until 10/17.   Patient was seen by PCP on 10/18 because of lethargy and intermittent fever, report of negative COVID-19 test on 10/18, recommended symptomatic management. He attends school and wears a mask (although no other classmates do) - known COVID-19+ contact on 10/15. No known COVID-19+ contacts 1-3 months prior to presentation. Patient was vaccinated against COVID-19 in 4/2021. Most recent travel includes various states all over summer 2021. Pt has not had any hematuria, dysuria, respiratory distress, peripheral edema, or known sick contacts with the exception of the aforementioned close COVID contact.    On the day of presentation mom noticed that PT had cracked lips and tacky mucous membranes, which prompted presentation to an OSH ED.   In the ED, vital signs included BP 90/52, HR 112, RR 20, SpO2 99% in RA, T 37.9C. Exam notable for cool distal extremities with delayed capillary refill and conjunctival injection. He was given a total of 3L of NS for fluid resuscitation and given cefepime and vancomycin for empiric antibiotic coverage. Due to persistent hypotension (as low as 80s/60s) despite fluids CHW was consulted and he was transported to the CHW PICU for further management. "
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Laboratory test normal, Left ventricular dysfunction, Lethargy, Malaise
Clinical narrative: Provider history and physical 10/20/21: "PT is a 16 y.o. male patient without a significant past medical history who presents with shock in the setting of fevers, vomiting, and diarrhea.    Symptoms began on 10/17 with fever, body aches and headaches. Fevers have continued daily since that time, T 100-103F and managed at home with Advil. Vomiting and diarrhea onset on 10/18, with 2 episodes of vomiting per day over the past 3 days and "continuous" watery, non-bloody diarrhea. PO intake has been minimal due to the vomiting. He has not had any abdominal pain despite his symptoms. Headaches onset on 10/18 and are described as generalized and worse with movement. No neck stiffness or altered mental status. Mom noticed bilateral conjunctival injection on 10/18, which she attributed to dry heaving. He has not had any rashes. Denies any nasal congestion or rhinorrhea, however, does note preceding symptoms of nasal congestion on 10/4 that resolved by the 11th. Patient has had intermittent fatigue and general feeling of unwellness over the past several weeks but no other symptoms until 10/17.   Patient was seen by PCP on 10/18 because of lethargy and intermittent fever, report of negative COVID-19 test on 10/18, recommended symptomatic management. He attends school and wears a mask (although no other classmates do) - known COVID-19+ contact on 10/15. No known COVID-19+ contacts 1-3 months prior to presentation. Patient was vaccinated against COVID-19 in 4/2021. Most recent travel includes various states all over summer 2021. Pt has not had any hematuria, dysuria, respiratory distress, peripheral edema, or known sick contacts with the exception of the aforementioned close COVID contact.    On the day of presentation mom noticed that PT had cracked lips and tacky mucous membranes, which prompted presentation to an OSH ED.   In the ED, vital signs included BP 90/52, HR 112, RR 20, SpO2 99% in RA, T 37.9C. Exam notable for cool distal extremities with delayed capillary refill and conjunctival injection. He was given a total of 3L of NS for fluid resuscitation and given cefepime and vancomycin for empiric antibiotic coverage. Due to persistent hypotension (as low as 80s/60s) despite fluids CHW was consulted and he was transported to the CHW PICU for further management. "
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Mitral valve incompetence, Mucosal disorder, N-terminal prohormone brain natriuretic peptide increased, Nasal congestion, Occult blood
Clinical narrative: Provider history and physical 10/20/21: "PT is a 16 y.o. male patient without a significant past medical history who presents with shock in the setting of fevers, vomiting, and diarrhea.    Symptoms began on 10/17 with fever, body aches and headaches. Fevers have continued daily since that time, T 100-103F and managed at home with Advil. Vomiting and diarrhea onset on 10/18, with 2 episodes of vomiting per day over the past 3 days and "continuous" watery, non-bloody diarrhea. PO intake has been minimal due to the vomiting. He has not had any abdominal pain despite his symptoms. Headaches onset on 10/18 and are described as generalized and worse with movement. No neck stiffness or altered mental status. Mom noticed bilateral conjunctival injection on 10/18, which she attributed to dry heaving. He has not had any rashes. Denies any nasal congestion or rhinorrhea, however, does note preceding symptoms of nasal congestion on 10/4 that resolved by the 11th. Patient has had intermittent fatigue and general feeling of unwellness over the past several weeks but no other symptoms until 10/17.   Patient was seen by PCP on 10/18 because of lethargy and intermittent fever, report of negative COVID-19 test on 10/18, recommended symptomatic management. He attends school and wears a mask (although no other classmates do) - known COVID-19+ contact on 10/15. No known COVID-19+ contacts 1-3 months prior to presentation. Patient was vaccinated against COVID-19 in 4/2021. Most recent travel includes various states all over summer 2021. Pt has not had any hematuria, dysuria, respiratory distress, peripheral edema, or known sick contacts with the exception of the aforementioned close COVID contact.    On the day of presentation mom noticed that PT had cracked lips and tacky mucous membranes, which prompted presentation to an OSH ED.   In the ED, vital signs included BP 90/52, HR 112, RR 20, SpO2 99% in RA, T 37.9C. Exam notable for cool distal extremities with delayed capillary refill and conjunctival injection. He was given a total of 3L of NS for fluid resuscitation and given cefepime and vancomycin for empiric antibiotic coverage. Due to persistent hypotension (as low as 80s/60s) despite fluids CHW was consulted and he was transported to the CHW PICU for further management. "
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Occult blood positive, Oxygen saturation decreased, Pain, Peripheral coldness, Pleural effusion
Clinical narrative: Provider history and physical 10/20/21: "PT is a 16 y.o. male patient without a significant past medical history who presents with shock in the setting of fevers, vomiting, and diarrhea.    Symptoms began on 10/17 with fever, body aches and headaches. Fevers have continued daily since that time, T 100-103F and managed at home with Advil. Vomiting and diarrhea onset on 10/18, with 2 episodes of vomiting per day over the past 3 days and "continuous" watery, non-bloody diarrhea. PO intake has been minimal due to the vomiting. He has not had any abdominal pain despite his symptoms. Headaches onset on 10/18 and are described as generalized and worse with movement. No neck stiffness or altered mental status. Mom noticed bilateral conjunctival injection on 10/18, which she attributed to dry heaving. He has not had any rashes. Denies any nasal congestion or rhinorrhea, however, does note preceding symptoms of nasal congestion on 10/4 that resolved by the 11th. Patient has had intermittent fatigue and general feeling of unwellness over the past several weeks but no other symptoms until 10/17.   Patient was seen by PCP on 10/18 because of lethargy and intermittent fever, report of negative COVID-19 test on 10/18, recommended symptomatic management. He attends school and wears a mask (although no other classmates do) - known COVID-19+ contact on 10/15. No known COVID-19+ contacts 1-3 months prior to presentation. Patient was vaccinated against COVID-19 in 4/2021. Most recent travel includes various states all over summer 2021. Pt has not had any hematuria, dysuria, respiratory distress, peripheral edema, or known sick contacts with the exception of the aforementioned close COVID contact.    On the day of presentation mom noticed that PT had cracked lips and tacky mucous membranes, which prompted presentation to an OSH ED.   In the ED, vital signs included BP 90/52, HR 112, RR 20, SpO2 99% in RA, T 37.9C. Exam notable for cool distal extremities with delayed capillary refill and conjunctival injection. He was given a total of 3L of NS for fluid resuscitation and given cefepime and vancomycin for empiric antibiotic coverage. Due to persistent hypotension (as low as 80s/60s) despite fluids CHW was consulted and he was transported to the CHW PICU for further management. "
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, Pyrexia, Rash, Respiratory viral panel, Retching
Clinical narrative: Provider history and physical 10/20/21: "PT is a 16 y.o. male patient without a significant past medical history who presents with shock in the setting of fevers, vomiting, and diarrhea.    Symptoms began on 10/17 with fever, body aches and headaches. Fevers have continued daily since that time, T 100-103F and managed at home with Advil. Vomiting and diarrhea onset on 10/18, with 2 episodes of vomiting per day over the past 3 days and "continuous" watery, non-bloody diarrhea. PO intake has been minimal due to the vomiting. He has not had any abdominal pain despite his symptoms. Headaches onset on 10/18 and are described as generalized and worse with movement. No neck stiffness or altered mental status. Mom noticed bilateral conjunctival injection on 10/18, which she attributed to dry heaving. He has not had any rashes. Denies any nasal congestion or rhinorrhea, however, does note preceding symptoms of nasal congestion on 10/4 that resolved by the 11th. Patient has had intermittent fatigue and general feeling of unwellness over the past several weeks but no other symptoms until 10/17.   Patient was seen by PCP on 10/18 because of lethargy and intermittent fever, report of negative COVID-19 test on 10/18, recommended symptomatic management. He attends school and wears a mask (although no other classmates do) - known COVID-19+ contact on 10/15. No known COVID-19+ contacts 1-3 months prior to presentation. Patient was vaccinated against COVID-19 in 4/2021. Most recent travel includes various states all over summer 2021. Pt has not had any hematuria, dysuria, respiratory distress, peripheral edema, or known sick contacts with the exception of the aforementioned close COVID contact.    On the day of presentation mom noticed that PT had cracked lips and tacky mucous membranes, which prompted presentation to an OSH ED.   In the ED, vital signs included BP 90/52, HR 112, RR 20, SpO2 99% in RA, T 37.9C. Exam notable for cool distal extremities with delayed capillary refill and conjunctival injection. He was given a total of 3L of NS for fluid resuscitation and given cefepime and vancomycin for empiric antibiotic coverage. Due to persistent hypotension (as low as 80s/60s) despite fluids CHW was consulted and he was transported to the CHW PICU for further management. "
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Shock, Tachycardia, Troponin increased
Clinical narrative: Provider history and physical 10/20/21: "PT is a 16 y.o. male patient without a significant past medical history who presents with shock in the setting of fevers, vomiting, and diarrhea.    Symptoms began on 10/17 with fever, body aches and headaches. Fevers have continued daily since that time, T 100-103F and managed at home with Advil. Vomiting and diarrhea onset on 10/18, with 2 episodes of vomiting per day over the past 3 days and "continuous" watery, non-bloody diarrhea. PO intake has been minimal due to the vomiting. He has not had any abdominal pain despite his symptoms. Headaches onset on 10/18 and are described as generalized and worse with movement. No neck stiffness or altered mental status. Mom noticed bilateral conjunctival injection on 10/18, which she attributed to dry heaving. He has not had any rashes. Denies any nasal congestion or rhinorrhea, however, does note preceding symptoms of nasal congestion on 10/4 that resolved by the 11th. Patient has had intermittent fatigue and general feeling of unwellness over the past several weeks but no other symptoms until 10/17.   Patient was seen by PCP on 10/18 because of lethargy and intermittent fever, report of negative COVID-19 test on 10/18, recommended symptomatic management. He attends school and wears a mask (although no other classmates do) - known COVID-19+ contact on 10/15. No known COVID-19+ contacts 1-3 months prior to presentation. Patient was vaccinated against COVID-19 in 4/2021. Most recent travel includes various states all over summer 2021. Pt has not had any hematuria, dysuria, respiratory distress, peripheral edema, or known sick contacts with the exception of the aforementioned close COVID contact.    On the day of presentation mom noticed that PT had cracked lips and tacky mucous membranes, which prompted presentation to an OSH ED.   In the ED, vital signs included BP 90/52, HR 112, RR 20, SpO2 99% in RA, T 37.9C. Exam notable for cool distal extremities with delayed capillary refill and conjunctival injection. He was given a total of 3L of NS for fluid resuscitation and given cefepime and vancomycin for empiric antibiotic coverage. Due to persistent hypotension (as low as 80s/60s) despite fluids CHW was consulted and he was transported to the CHW PICU for further management. "