chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines  Pfizer 3/1/2 Lot# EN6207;  Pfizer 4/1/21 Lot# ER8737;  Pfizer 11/1/21 Lot# FD0809;  Pfizer 5/19/22 Lot# FK9893
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  HYPOTENSION
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 2/24/21NO LOT #;  Moderna 3/24/21 Lot# NO LOT#;  Moderna 11/10/21 Lot# 034F21A; THIS IS THE INFORMATION AS LISTED IN THE LOCAL STATE DATABASE
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines  Pfizer 10/12/21 Lot# FF2587;  Pfizer 5/9/22 Lot# FJ4989;  Pfizer 10/7/22 Lot# GJ2524
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines PFizer 11/2/21 Lot# 32830BD;  Pfizer 11/23/21 Lot# FH8030
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Hypoxia, Respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 1/18/21 Lot# 02BL20A;  Moderna 2/15/21 Lot# 028L20A
Age: 54.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Productive cough, Sputum discoloured, Urticaria
Clinical narrative: Patient received Tdap and shingrix vaccines on 4/7/23. She reported on 4/10/23 she developed hives on her back and bilateral arms later on 4/7/23 as well as cough productive of green sputum. She was advised to take benadryl as needed and follow up in office on 4/11/23. She followed up for an appointment on 4/11/23 and also reported hives on her legs. Cough thought to be unrelated to vaccines. She was prescribed methylprednisolone 4mg dose pack and famotidine. She was advised to continue her usual levocetirizine and montelukast taken for allergies. She followed up on 4/13/23 and noted improvement in symptoms. Reached out to patient today and she reports resolution of hives.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Paranasal sinus hypersecretion, Pyrexia
Clinical narrative: I had slight fever, terrible sore throat, bad cough. The sore throat and fever went away shortly after. My cough remains today and also have sinus drainage.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paresis
Clinical narrative: LEFT BELLS PALSY LEFT FACIAL MUSCLE WEAKNESS
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Eye pain, Fatigue, Pyrexia
Clinical narrative: I started to have a cough, and my eyes felt like they were stinging. I had a fever of 101. I took Tylenol to reduce the fever and it helped to bring it down, but my fever kept coming back.  I took a COVID-19 test the next day and it came back positive. Over the next few days my symptoms had gotten worse, and I felt really tired.  I had a telephone visit with a doctor on 2/27/2023 and I was prescribed Paxlovid. I was unable to get my prescription for the medication until 3/2/23. My symptoms lasted for about 6 weeks.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I started to have a cough, and my eyes felt like they were stinging. I had a fever of 101. I took Tylenol to reduce the fever and it helped to bring it down, but my fever kept coming back.  I took a COVID-19 test the next day and it came back positive. Over the next few days my symptoms had gotten worse, and I felt really tired.  I had a telephone visit with a doctor on 2/27/2023 and I was prescribed Paxlovid. I was unable to get my prescription for the medication until 3/2/23. My symptoms lasted for about 6 weeks.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebellar stroke, Computerised tomogram, Dizziness, Fear, Magnetic resonance imaging
Clinical narrative: I had my vaccination on 10/05/2022. I was driving on 01/16/2023 and I started to experience severe dizziness and I wanted to pass out. I pulled my car over and hoped someone would find me. A volunteer paramedic found me in the parking lot and called 911. I was very scared when it happened but I did not hurt. I had a MRI and CAT scan done at the emergency room. I was told I had cerebellar stroke syndrome. I am given different medication to make the plaque slimy in my body so it will help me if this happens again. I am being followed up with neurology and medical team.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Respiratory failure
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Neck pain, Rash, Skin warm, Throat irritation
Clinical narrative: itchy throat, hives rash, warm to the touch, headache, neck pain
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: itchy throat, hives rash, warm to the touch, headache, neck pain
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: NONE COVID 19 EXPIRED 11/22/2022 GIVEN 11/28/2022
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Monovalent vaccine stop issued via email 4/18/23 @1800. Transfer for vaccine approved 4/18 @1700. My site received transferred in vaccine from coordinator site 4/19 AM. Dose given to patient 4/19. Patient did not receive any adverse side effects.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Abdominal pain lower, Computerised tomogram abnormal, Condition aggravated, Mobility decreased
Clinical narrative: December 2022,  mainly pain in the lower abdomen area and the discomfort from the middle section, up to my lower back, on the left-hand side.  The discomfort became worse in January 2023, I could not sit down. I could not put pressure on that side. I could not lie down on my back because it was uncomfortable. That is when I decided to see my doctor. I went to see the nephrologist and then I went to see my primary care and he referred me to the urologist.  My nephrologist told me my kidney function was fine. My gastroenterologist found a UTI in December 2022. She ordered a lower CAT scan of my stomach which I had on 2/2023 I was told I had a UTI. I was put on another antibiotics, Cipro. The CAT scan showed I had a cyst on my kidney.  I was put on Herbal supplement, D-mannose and they changed my probiotics. The Herbal supplement, D-mannose, help manage, keeping my bladder clean so I do not have another UTI. I have had 3 UTI's since December 2022. The first UTI I had ever had in my life was in 2016.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Musculoskeletal discomfort, Nutritional supplementation, Renal cyst, Renal function test normal, Urinary tract infection
Clinical narrative: December 2022,  mainly pain in the lower abdomen area and the discomfort from the middle section, up to my lower back, on the left-hand side.  The discomfort became worse in January 2023, I could not sit down. I could not put pressure on that side. I could not lie down on my back because it was uncomfortable. That is when I decided to see my doctor. I went to see the nephrologist and then I went to see my primary care and he referred me to the urologist.  My nephrologist told me my kidney function was fine. My gastroenterologist found a UTI in December 2022. She ordered a lower CAT scan of my stomach which I had on 2/2023 I was told I had a UTI. I was put on another antibiotics, Cipro. The CAT scan showed I had a cyst on my kidney.  I was put on Herbal supplement, D-mannose and they changed my probiotics. The Herbal supplement, D-mannose, help manage, keeping my bladder clean so I do not have another UTI. I have had 3 UTI's since December 2022. The first UTI I had ever had in my life was in 2016.
Age: 61.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Diarrhoea, Nausea, SARS-CoV-2 test positive
Clinical narrative: I had nausea, throwing up, diarrhea, the next day I had coughing. I used a home COVID-19 test that came back positive. I called my doctor and was able to have a telehealth visit. We discussed my positive test result and symptoms, I was prescribed the Paxlovid, I was able to start taking it that day. By my second day I was starting to feel better, today is day five and I feel much better.
Age: 61.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Vomiting
Clinical narrative: I had nausea, throwing up, diarrhea, the next day I had coughing. I used a home COVID-19 test that came back positive. I called my doctor and was able to have a telehealth visit. We discussed my positive test result and symptoms, I was prescribed the Paxlovid, I was able to start taking it that day. By my second day I was starting to feel better, today is day five and I feel much better.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Dry eye, Lacrimation increased
Clinical narrative: In around July of 2022, my eyes started watering. It got steadily worse, until I called the doctor. He told me I have dry eyes. I started using over the counter eye drops and it didn't get better. I went back to the doctor, and he prescribed Restasis. It hasn't fixed it by any means, but it is better than it was. I feel less need to use the lubricant eye drops. I am still taking the Restasis.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait inability, Magnetic resonance imaging, Peroneal nerve palsy, Tendon disorder
Clinical narrative: I was diagnosed with Tendinosis on November 5, 2021. I experienced pain in left ankle, unable to walk, can't flex foot, can't walk, I was taking ADVIL, TYLENOL, for my symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: I was diagnosed with Tendinosis on November 5, 2021. I experienced pain in left ankle, unable to walk, can't flex foot, can't walk, I was taking ADVIL, TYLENOL, for my symptoms.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: NONE
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Intestinal ischaemia
Clinical narrative: Moderna vaccine was administered outside of source - reported by patient  I95.9 HYPOTENSION 6/3/2021 ACUTE VISCERAL ISCHEMIA
Age: 1.75
Sex: M
Vaccine: DTAP, HIBV, MMRV, PNC13, VARCEL
Symptoms: Wrong product administered
Clinical narrative: MMRV and Varicella administered. MMRV should have been MMR. Follow up call made in afternoon by RN, mother stated child/patient is doing fine. Appointment scheduled for Hep A in 5 weeks at time of phone call.
Age: 0.33
Sex: M
Vaccine: MNQ
Symptoms: Wrong product administered
Clinical narrative: Patient reviewed Menquadfi in error instead of Prevnar. When I called parents upon realization of error made, parents report patient has no reactions at time of call/this reporting. Advised to call for any concerns or side effects right away.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Injection site bruising, Peripheral swelling
Clinical narrative: Called stating that right arm was swollen and had bruising at site of injection that started. on 4-19-23 . The provider recommended ice and Benadryl and if any problems breathing or if there is more swelling, she should be seen.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Condition aggravated, Deep vein thrombosis
Clinical narrative: ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 3/7/2022 HX OF ACUTE KIDNEY INJURY ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 3/7/2022 NONTRAUMATIC ACUTE KIDNEY INJURY
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: COVID hit me pretty hard with the usual respiratory distress. I am a doctor so I did not go see one. I did not take any medications.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia
Clinical narrative: ACUTE RESPIRATORY FAILURE 5/19/2021 HYPOXEMIA
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Angina pectoris
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  STABLE ANGINA ACUTE NON ST ELEVATION MI
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Coagulopathy, Embolic stroke, Metabolic encephalopathy
Clinical narrative: COAGULOPATHY, UNSPECIFIED TYPE 3/22/2021 ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY COAGULOPATHY, UNSPECIFIED TYPE 3/22/2021 METABOLIC ENCEPHALOPATHY COAGULOPATHY, UNSPECIFIED TYPE 3/22/2021 ATRIAL FIBRILLATION, PAROXYSMAL
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bronchitis, COVID-19, Chills, Dehydration
Clinical narrative: My wife had attended an event may unmasked  individuals were present she tested positive for COVID-19 Test Positive  21JAN2023.   She did an at home test due to loss of smell we isolated as much as possible on 21JAN2023 I was negative for COVID-19.  22JAN20023 COVID-19 Test-Positive,  the next night I had fever and chills and at three AM in the morning I take two Advil's I get up to urinate and I could not stand and slid down to the floor and no strength to went get to my knees. EMS came to my home and transported me to Hospital.. I was treated for dehydration an EKG was done and although telling them I had tested positive for COVID-19 nothing in my medical records indicated it except an the end of the report it states the patient asserted that he tested positive for COVID.  23JAN2023 I was told I was free to go and left the hospital.  The next morning I contacted my Doctor DR. he prescribed Paxlovid, I took for five days and felt good I did end up testing positive for Bronchitis.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Electrocardiogram, Exposure to SARS-CoV-2, Laboratory test abnormal, Patient isolation
Clinical narrative: My wife had attended an event may unmasked  individuals were present she tested positive for COVID-19 Test Positive  21JAN2023.   She did an at home test due to loss of smell we isolated as much as possible on 21JAN2023 I was negative for COVID-19.  22JAN20023 COVID-19 Test-Positive,  the next night I had fever and chills and at three AM in the morning I take two Advil's I get up to urinate and I could not stand and slid down to the floor and no strength to went get to my knees. EMS came to my home and transported me to Hospital.. I was treated for dehydration an EKG was done and although telling them I had tested positive for COVID-19 nothing in my medical records indicated it except an the end of the report it states the patient asserted that he tested positive for COVID.  23JAN2023 I was told I was free to go and left the hospital.  The next morning I contacted my Doctor DR. he prescribed Paxlovid, I took for five days and felt good I did end up testing positive for Bronchitis.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: My wife had attended an event may unmasked  individuals were present she tested positive for COVID-19 Test Positive  21JAN2023.   She did an at home test due to loss of smell we isolated as much as possible on 21JAN2023 I was negative for COVID-19.  22JAN20023 COVID-19 Test-Positive,  the next night I had fever and chills and at three AM in the morning I take two Advil's I get up to urinate and I could not stand and slid down to the floor and no strength to went get to my knees. EMS came to my home and transported me to Hospital.. I was treated for dehydration an EKG was done and although telling them I had tested positive for COVID-19 nothing in my medical records indicated it except an the end of the report it states the patient asserted that he tested positive for COVID.  23JAN2023 I was told I was free to go and left the hospital.  The next morning I contacted my Doctor DR. he prescribed Paxlovid, I took for five days and felt good I did end up testing positive for Bronchitis.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Full blood count, Haemoglobin decreased, Platelet count decreased, Transfusion
Clinical narrative: Four years ago, my hemoglobin to 4.9 in my red blood cells, it was low enough that I needed blood transfusions. I was forty-hours away from death. I went to the doctor on April 17, 2023, for a routine exam, On April 18, the doctor called to advise me that my hemoglobin was 11.5, my platelets were 144 in my red blood cells He has started me on folic acid and iron to raise the hemoglobin and platelet count in my red blood cells. I will be going back in thirty days for another CBC blood panel to see if the two medications have helped to bring my hemoglobin and platelet counts up.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Hypotension, Thrombocytopenia
Clinical narrative: I95.9 HYPOTENSION 11/12/2021 ANEMIA I95.9 HYPOTENSION 11/12/2021 ANEMIA I95.9 HYPOTENSION 11/12/2021 THROMBOCYTOPENIA, UNSPECIFIED.
Age: 10.0
Sex: M
Vaccine: HPV9
Symptoms: Seizure
Clinical narrative: seizures at night after first HPV dose, then a witnessed daytime seizure after second HPV dose was given on 2/21/23. ED visit after seizure on 2/27/23
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chronic kidney disease, Glomerular filtration rate decreased, Hypoxia, Respiratory failure
Clinical narrative: RESPIRATORY FAILURE, UNSPECIFIED ACUITY 12/16/2021 CKD STAGE 4 (GFR 15-29)  HYPOXIA 12/27/2021 CKD STAGE 4 (GFR 15-29)  RESPIRATORY FAILURE, UNSPECIFIED ACUITY 12/16/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED  HYPOXIA 12/27/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Atrioventricular block, Blood test abnormal, Cardiac pacemaker insertion, Carotid endarterectomy, Condition aggravated
Clinical narrative: 9/16/22 I was at the clinic and had lab work. Told them about a bump in my carotid gland. On 9/27/23 I had an ultrasound, and they found a tumor. I had an appointment for a biopsy on 11/4/22. I was diagnosed with a small cell cancerous tumor. I had a full body PET Scan on 11/15/22, confirmed the tumor. I was admitted into the hospital on 12/5/22 and had a Carotid Endarterectomy. After the surgery, they also did radiation therapy. On 4/3/23 I went in for a routine check up and I was admitted to ICU because of heart blockage. The next day, I had a pacemaker put in.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Heart rate decreased, Intensive care, Laboratory test, Myocardial necrosis marker increased
Clinical narrative: 9/16/22 I was at the clinic and had lab work. Told them about a bump in my carotid gland. On 9/27/23 I had an ultrasound, and they found a tumor. I had an appointment for a biopsy on 11/4/22. I was diagnosed with a small cell cancerous tumor. I had a full body PET Scan on 11/15/22, confirmed the tumor. I was admitted into the hospital on 12/5/22 and had a Carotid Endarterectomy. After the surgery, they also did radiation therapy. On 4/3/23 I went in for a routine check up and I was admitted to ICU because of heart blockage. The next day, I had a pacemaker put in.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Paraganglion neoplasm, Positron emission tomogram abnormal, Radiotherapy, Small cell carcinoma, Tumour biopsy
Clinical narrative: 9/16/22 I was at the clinic and had lab work. Told them about a bump in my carotid gland. On 9/27/23 I had an ultrasound, and they found a tumor. I had an appointment for a biopsy on 11/4/22. I was diagnosed with a small cell cancerous tumor. I had a full body PET Scan on 11/15/22, confirmed the tumor. I was admitted into the hospital on 12/5/22 and had a Carotid Endarterectomy. After the surgery, they also did radiation therapy. On 4/3/23 I went in for a routine check up and I was admitted to ICU because of heart blockage. The next day, I had a pacemaker put in.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: 9/16/22 I was at the clinic and had lab work. Told them about a bump in my carotid gland. On 9/27/23 I had an ultrasound, and they found a tumor. I had an appointment for a biopsy on 11/4/22. I was diagnosed with a small cell cancerous tumor. I had a full body PET Scan on 11/15/22, confirmed the tumor. I was admitted into the hospital on 12/5/22 and had a Carotid Endarterectomy. After the surgery, they also did radiation therapy. On 4/3/23 I went in for a routine check up and I was admitted to ICU because of heart blockage. The next day, I had a pacemaker put in.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Dyspnoea, Hypoxia, Metastases to lymph nodes, Neoplasm malignant
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 9/8/2021 HILAR LUNG MASS    SHORTNESS OF BREATH J96.20 ACUTE ON CHRONIC RESPIRATORY FAILURE 9/26/2021 HILAR LUNG MASS    SHORTNESS OF BREATH J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 9/26/2021 HILAR LUNG MASS    SHORTNESS OF BREATH R09.02 HYPOXEMIA 5/7/2021 HILAR LUNG MASS    SHORTNESS OF BREATH J96.00 ACUTE RESPIRATORY FAILURE 9/8/2021 CANCER METASTATIC TO UNSPECIFIED LN    RESPIRATORY DISTRESS J96.20 ACUTE ON CHRONIC RESPIRATORY FAILURE 9/26/2021 CANCER METASTATIC TO UNSPECIFIED LN    RESPIRATORY DISTRESS J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 9/26/2021 CANCER METASTATIC TO UNSPECIFIED LN    RESPIRATORY DISTRESS R09.02 HYPOXEMIA 5/7/2021 CANCER METASTATIC TO UNSPECIFIED LN    RESPIRATORY DISTRESS J96.00 ACUTE RESPIRATORY FAILURE 9/8/2021 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE J96.20 ACUTE ON CHRONIC RESPIRATORY FAILURE 9/26/2021 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 9/26/2021 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE R09.02 HYPOXEMIA 5/7/2021 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary hilum mass, Respiratory distress, Respiratory failure
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 9/8/2021 HILAR LUNG MASS    SHORTNESS OF BREATH J96.20 ACUTE ON CHRONIC RESPIRATORY FAILURE 9/26/2021 HILAR LUNG MASS    SHORTNESS OF BREATH J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 9/26/2021 HILAR LUNG MASS    SHORTNESS OF BREATH R09.02 HYPOXEMIA 5/7/2021 HILAR LUNG MASS    SHORTNESS OF BREATH J96.00 ACUTE RESPIRATORY FAILURE 9/8/2021 CANCER METASTATIC TO UNSPECIFIED LN    RESPIRATORY DISTRESS J96.20 ACUTE ON CHRONIC RESPIRATORY FAILURE 9/26/2021 CANCER METASTATIC TO UNSPECIFIED LN    RESPIRATORY DISTRESS J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 9/26/2021 CANCER METASTATIC TO UNSPECIFIED LN    RESPIRATORY DISTRESS R09.02 HYPOXEMIA 5/7/2021 CANCER METASTATIC TO UNSPECIFIED LN    RESPIRATORY DISTRESS J96.00 ACUTE RESPIRATORY FAILURE 9/8/2021 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE J96.20 ACUTE ON CHRONIC RESPIRATORY FAILURE 9/26/2021 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 9/26/2021 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE R09.02 HYPOXEMIA 5/7/2021 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Headache, SARS-CoV-2 test positive, Sneezing
Clinical narrative: 2/6/2023 I woke up , I had a headache and below my eyes it was tender and felt bad and sides of my nose. I sneezed a lot and thought it was allergies . I never had headaches before. I tested positive the next day. I did telehealth the following. The doctor prescribed Paxlovid. I was feeling tired.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tenderness
Clinical narrative: 2/6/2023 I woke up , I had a headache and below my eyes it was tender and felt bad and sides of my nose. I sneezed a lot and thought it was allergies . I never had headaches before. I tested positive the next day. I did telehealth the following. The doctor prescribed Paxlovid. I was feeling tired.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Pulmonary embolism, Symptom recurrence
Clinical narrative: SADDLE PULMONARY EMBOLISM ACUTE HYPOXEMIC RESPIRATORY FAILURE ACUTE PULMONARY EMBOLISM  03/20/2023 - RECURRENCE OF SAME SYMPTOMS
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiac flutter, Cardiac stress test normal, Chest discomfort, Echocardiogram normal, Electrocardiogram ambulatory normal
Clinical narrative: Around 02/22/2023, I got up in the middle of the night and I had a fluttering, uncomfortable feeling in my chest. When I checked my pulse rate, it was 137 and I hadn't done anything to make it go up that high. I went to the doctor the next day. Because I have a family history of heart issues, he wanted me to go to the cardiologist. I've had a plethora of tests, but as far as I know, all of the results came back normally. I will follow up, but it hasn't happened before and hasn't happened since.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Heart rate increased, Laboratory test normal, Middle insomnia
Clinical narrative: Around 02/22/2023, I got up in the middle of the night and I had a fluttering, uncomfortable feeling in my chest. When I checked my pulse rate, it was 137 and I hadn't done anything to make it go up that high. I went to the doctor the next day. Because I have a family history of heart issues, he wanted me to go to the cardiologist. I've had a plethora of tests, but as far as I know, all of the results came back normally. I will follow up, but it hasn't happened before and hasn't happened since.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Influenza like illness, Pyrexia, Vaccine breakthrough infection
Clinical narrative: I had multiple breakthrough cases of Covid-19 with flu like symptoms with fever was prescribed PAXLOVID, after about a week symptoms were gone.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  ACUTE NON ST ELEVATION MI
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the bivalent booster as her first shot and should have been given the monovalent as her dose 1.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Client needed to complete primary series by 4/20 due to immigration requirements. Unable to receive monovalent vaccine due FDA no longer authorizing it as of 4/18/23. No current guidance to switch to administering bivalent vaccine issued yet, received verbal order from medical director to administer.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Dizziness, Exposure to SARS-CoV-2, No adverse event, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I was exposed to COVID-19 while on a family trip. I tested positive for COVID-19 on 02/13/2023. I contacted my provider via a telehealth visit. I got a prescription for Paxlovid. I tolerated the medication without any complications. I was a little lightheaded but I never really felt sick.  As of today, I do not have any lingering symptoms.
Age: 12.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Client needed to complete primary series by 4/20 due to requirements. Unable to receive monovalent vaccine due to FDA no longer authorizing it as of 4/18/23. No current guidance to switch to administering bivalent vaccine issued yet, received verbal order from medical director to administer.
Age: 83.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Loss of consciousness
Clinical narrative: Patient blacked out for about 1 hour per husband, shortly following vaccine administration.  No other adverse effects reported.
Age: 11.0
Sex: F
Vaccine: MENB
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Doctor ordered Hpv, MCV4,  & men B. Vaccines were administered by medical assistant. No symptoms at the time of discharge.
Age: 16.0
Sex: F
Vaccine: IPV, MNQ, TDAP, VARCEL
Symptoms: Expired product administered
Clinical narrative: Tdap vaccine expired 4/1/2023, given 4/6/2023 0 adverse reaction to patient known
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Influenza virus test, Nausea, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I struggle with seasonal allergies, and I thought that it was allergies. I had a runny nose, which I normally get from my sinuses. I had some nausea and vomiting as well. At the urgent care they swabbed me for flu and COVID-19. It came back positive for COVID-19. This was at Medical Group. The doctor told me that just because I'm fully vaccinated that I didn't need any medication for even the nausea and vomiting. The doctor told me that I wouldn't need Paxlovid. He told me to stay home for 3 days and wear a mask when I go out for the following 3 days. The very next day I called my Primary Care Physician, and she prescribed the necessary medications. She prescribed me Paxlovid and an Albuterol Inhaler. I believe I was asymptomatic. My house had just flooded and so I was having to live at various hotels while my house was being repaired.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I struggle with seasonal allergies, and I thought that it was allergies. I had a runny nose, which I normally get from my sinuses. I had some nausea and vomiting as well. At the urgent care they swabbed me for flu and COVID-19. It came back positive for COVID-19. This was at Medical Group. The doctor told me that just because I'm fully vaccinated that I didn't need any medication for even the nausea and vomiting. The doctor told me that I wouldn't need Paxlovid. He told me to stay home for 3 days and wear a mask when I go out for the following 3 days. The very next day I called my Primary Care Physician, and she prescribed the necessary medications. She prescribed me Paxlovid and an Albuterol Inhaler. I believe I was asymptomatic. My house had just flooded and so I was having to live at various hotels while my house was being repaired.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Embolic stroke, Embolism arterial, Melaena
Clinical narrative: ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 12/15/2021 MELENA
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Genital herpes
Clinical narrative: I had a herpes outbreak following booster on 04/18/2022. I have Genital Type 1 Herpes, I took three rounds of acyclovir. I am unsure if the outbreak began before the vaccine or right at the same time. The first three months after this began it was the worst I have ever experienced. It has been an ongoing outbreak for the last year.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Malaise, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: My husband got Covid and three days later I had congestion and sore throat and generally feeling bad my first test was negative but on 17FEB2023 I felt worse and my test was positive. I called my doctor I spoke with a nurse and set up a video appointment with a different doctor and I was prescribed PAXLOVID. I was sick or felt bad for a week and felt better then crashed again on a Sunday. The doctor said it was rebound Covid, I tested positive for about two weeks then had a negative test.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: My husband got Covid and three days later I had congestion and sore throat and generally feeling bad my first test was negative but on 17FEB2023 I felt worse and my test was positive. I called my doctor I spoke with a nurse and set up a video appointment with a different doctor and I was prescribed PAXLOVID. I was sick or felt bad for a week and felt better then crashed again on a Sunday. The doctor said it was rebound Covid, I tested positive for about two weeks then had a negative test.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION  2/23/2022 & 4/20/2022 - - RECURRENCE OF SAME SYMPTOMS
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cerebral artery occlusion, Cerebrovascular accident, Chronic kidney disease, Coagulopathy
Clinical narrative: COAGULOPATHY, UNSPECIFIED TYPE 1/17/2022 ALTERED MENTAL STATUS, UNSPECIFIED ACUTE NON ST ELEVATION MI 1/17/2022 ALTERED MENTAL STATUS, UNSPECIFIED ACUTE STROKE DUE TO OCCLUSION OF LEFT POSTERIOR CEREBRAL ARTERY 6/1/2021 ALTERED MENTAL STATUS, UNSPECIFIED COAGULOPATHY, UNSPECIFIED TYPE 1/17/2022 ANEMIA DUE TO CKD ACUTE NON ST ELEVATION MI 1/17/2022 ANEMIA DUE TO CKD ACUTE STROKE DUE TO OCCLUSION OF LEFT POSTERIOR CEREBRAL ARTERY 6/1/2021 ANEMIA DUE TO CKD
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Nephrogenic anaemia
Clinical narrative: COAGULOPATHY, UNSPECIFIED TYPE 1/17/2022 ALTERED MENTAL STATUS, UNSPECIFIED ACUTE NON ST ELEVATION MI 1/17/2022 ALTERED MENTAL STATUS, UNSPECIFIED ACUTE STROKE DUE TO OCCLUSION OF LEFT POSTERIOR CEREBRAL ARTERY 6/1/2021 ALTERED MENTAL STATUS, UNSPECIFIED COAGULOPATHY, UNSPECIFIED TYPE 1/17/2022 ANEMIA DUE TO CKD ACUTE NON ST ELEVATION MI 1/17/2022 ANEMIA DUE TO CKD ACUTE STROKE DUE TO OCCLUSION OF LEFT POSTERIOR CEREBRAL ARTERY 6/1/2021 ANEMIA DUE TO CKD
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Staff was not aware that the EUA for monovalent vaccines was discontinued immediately the evening prior to administration, 4/18/23
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Tenderness
Clinical narrative: Left leg had 24 hours where it was tender, then 24 hours later it was the right leg the wed pain got worse
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arrhythmia, Pulse abnormal
Clinical narrative: I did not have an adverse reaction to the vaccine. I noticed a change in my pulse one day while out driving. I contacted my doctor, and it was determined that I have a heart arrythmia. On 04/13/2023, I had to go to the emergency room for observation. I am scheduled to see a cardiologist on 04/26/2023.
Age: 30.0
Sex: M
Vaccine: COVID19-2, COVID19-2, COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd monovalent dose was given 3/15/2023. Bivalent dose, given 4/19/2023, was given too early.
Age: 30.0
Sex: M
Vaccine: COVID19-2, COVID19-2, COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: 2nd monovalent dose was given 3/15/2023. Bivalent dose, given 4/19/2023, was given too early.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Cardiac stress test normal, Condition aggravated, Diarrhoea, Electrocardiogram normal
Clinical narrative: On February 21, 2023, I felt extremely tired. I took a nap. I woke up with acid reflux. I also had loose bowels that were mustard yellow. After dinner, I immediately vomited my entire meal. I felt decent for the next few days. I had such severe acid reflux on Saturday, February 25, 2023, I thought I was having a heart attack. I went to the emergency room. They did an EKG and blood work. The confirmed I was not having a heart attack and sent me home. I went back to the doctor on February 28, 2023. They prescribed omeprazole. They also scheduled a stress test to rule out cardio issues. I took that on March 04, 2023. I went back to the doctor on March 3, 2023, as well. She completed a urinalysis and stool sample. Stool sample showed Sapovirus. They took me off omeprazole and put me on pantoprazole instead. I went back to the doctor around March 20, 2023. They suggested I take a probiotic. Most of the reflux subsided after taking it. I still have occasional diarrhea. I had an Upper Endoscopy last Friday, April 14, 2023. I saw a Gastroenterologist yesterday. He ordered additional stool tests, but I have not completed them yet. I'm feeling 80% better, but I have occasional symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Endoscopy upper gastrointestinal tract normal, Faeces discoloured, Fatigue, Gastrooesophageal reflux disease, Sapovirus test positive
Clinical narrative: On February 21, 2023, I felt extremely tired. I took a nap. I woke up with acid reflux. I also had loose bowels that were mustard yellow. After dinner, I immediately vomited my entire meal. I felt decent for the next few days. I had such severe acid reflux on Saturday, February 25, 2023, I thought I was having a heart attack. I went to the emergency room. They did an EKG and blood work. The confirmed I was not having a heart attack and sent me home. I went back to the doctor on February 28, 2023. They prescribed omeprazole. They also scheduled a stress test to rule out cardio issues. I took that on March 04, 2023. I went back to the doctor on March 3, 2023, as well. She completed a urinalysis and stool sample. Stool sample showed Sapovirus. They took me off omeprazole and put me on pantoprazole instead. I went back to the doctor around March 20, 2023. They suggested I take a probiotic. Most of the reflux subsided after taking it. I still have occasional diarrhea. I had an Upper Endoscopy last Friday, April 14, 2023. I saw a Gastroenterologist yesterday. He ordered additional stool tests, but I have not completed them yet. I'm feeling 80% better, but I have occasional symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Stool analysis abnormal, Urine analysis normal, Vomiting
Clinical narrative: On February 21, 2023, I felt extremely tired. I took a nap. I woke up with acid reflux. I also had loose bowels that were mustard yellow. After dinner, I immediately vomited my entire meal. I felt decent for the next few days. I had such severe acid reflux on Saturday, February 25, 2023, I thought I was having a heart attack. I went to the emergency room. They did an EKG and blood work. The confirmed I was not having a heart attack and sent me home. I went back to the doctor on February 28, 2023. They prescribed omeprazole. They also scheduled a stress test to rule out cardio issues. I took that on March 04, 2023. I went back to the doctor on March 3, 2023, as well. She completed a urinalysis and stool sample. Stool sample showed Sapovirus. They took me off omeprazole and put me on pantoprazole instead. I went back to the doctor around March 20, 2023. They suggested I take a probiotic. Most of the reflux subsided after taking it. I still have occasional diarrhea. I had an Upper Endoscopy last Friday, April 14, 2023. I saw a Gastroenterologist yesterday. He ordered additional stool tests, but I have not completed them yet. I'm feeling 80% better, but I have occasional symptoms.
Age: 36.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Posture abnormal
Clinical narrative: Client felt dizzy and while grabbing the front desk counter and sliding down on the wall to the floor.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cataract operation, Cough, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: I thought I had a bad cold; I used a home COVID-19 test that came back positive. I called my doctor, had a telehealth visit, I was prescribed the Paxlovid. I started feeling better, I just had a lingering cough that didn't seem to want to go away. I keep getting mild colds where the cough seems to want to linger. I have been given steroids and antibiotics to help clear it up. During my eye exam, my eye doctor did say that the steroids caused my cataracts to get worse. I did get cataract surgery on both eyes.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Instead of being given 0.1ml of PPD, patient was administered 0.1ml of fluzone
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Obstructive sleep apnoea syndrome, Shock
Clinical narrative: ACUTE RESPIRATORY FAILURE 1/2/2022 ACUTE HYPOXEMIC RESPIRATORY FAILURE  ACUTE HYPOXEMIC RESPIRATORY FAILURE 12/3/2021 ACUTE HYPOXEMIC RESPIRATORY FAILURE  SHOCK, UNSPECIFIED 12/3/2021 ACUTE HYPOXEMIC RESPIRATORY FAILURE  ACUTE RESPIRATORY FAILURE 1/2/2022 OBSTRUCTIVE SLEEP APNEA  ACUTE HYPOXEMIC RESPIRATORY FAILURE 12/3/2021 OBSTRUCTIVE SLEEP APNEA  SHOCK, UNSPECIFIED 12/3/2021 OBSTRUCTIVE SLEEP APNEA
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cerebral artery occlusion, Cerebrovascular accident, Ischaemic stroke
Clinical narrative: ACUTE STROKE DUE TO OCCLUSION OF LEFT MIDDLE CEREBRAL ARTERY 11/6/2021 ACUTE RESPIRATORY FAILURE ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY 11/6/2021 ACUTE RESPIRATORY FAILURE ACUTE RESPIRATORY FAILURE 11/6/2021 ACUTE RESPIRATORY FAILURE
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder cancer, Haematuria, Hyperlipidaemia, Hypoxia
Clinical narrative: Pfizer vaccine was administered outside of the source - reported by patient  R09.02 HYPOXIA 12/19/2021 HEMATURIA R09.02 HYPOXIA 12/19/2021 BLADDER CANCER, LOCALIZED, UNSPECIFIED SITE R09.02 HYPOXIA 12/19/2021 HYPERLIPIDEMIA
Age: 10.0
Sex: F
Vaccine: HPV9
Symptoms: Abdominal distension, Anxiety, Arthralgia, Asthenia, Back pain
Clinical narrative: When she was ten, patient received the three-shot course of quadrivalent HPV vaccine. Please note, it was quadrivalent, not Gardasil 9 which was not yet available at the time. She experienced severe pain in her arm and a massive headache with each shot. As middle school started in the Fall, we noticed her getting more frequent headaches and not having as much energy as usual. PE class became a struggle for her as well, and she had trouble concentrating on her homework. Patient developed feelings of anxiety. She also started to have a disordered sleep schedule, often unable to sleep at night but exhausted enough to need naps during the day to function. She started spending less and less time outside as she felt overly sensitive to the noise, direct light, and heat. She progressively spent more time in her room where it was dark and quiet. She spent much of her time in bed feeling fatigued. She started requesting to take personal days off from school because of her frequent migraines and exhaustion. She would often start to black out (lose vision and hearing, feel dizzy and nauseous, and drop to the ground) after getting up from bed. She noticed pain in her joints, especially in her shoulders, back, and lower extremities. Any time she would have to stand for more than a few minutes, her legs would get splotchy red or purple coloring and her knees would feel sore. Warm showers and baths made her feel lightheaded and would induce shooting pains in her calves and feet. She experienced gastric stasis with nausea, bloating and intermittent constipation. Eventually, she developed a hand tremor that would manifest any time she used her hands for eating, painting, drawing, or carrying things.
Age: 10.0
Sex: F
Vaccine: HPV9
Symptoms: Blindness, Constipation, Deafness, Disturbance in attention, Dizziness
Clinical narrative: When she was ten, patient received the three-shot course of quadrivalent HPV vaccine. Please note, it was quadrivalent, not Gardasil 9 which was not yet available at the time. She experienced severe pain in her arm and a massive headache with each shot. As middle school started in the Fall, we noticed her getting more frequent headaches and not having as much energy as usual. PE class became a struggle for her as well, and she had trouble concentrating on her homework. Patient developed feelings of anxiety. She also started to have a disordered sleep schedule, often unable to sleep at night but exhausted enough to need naps during the day to function. She started spending less and less time outside as she felt overly sensitive to the noise, direct light, and heat. She progressively spent more time in her room where it was dark and quiet. She spent much of her time in bed feeling fatigued. She started requesting to take personal days off from school because of her frequent migraines and exhaustion. She would often start to black out (lose vision and hearing, feel dizzy and nauseous, and drop to the ground) after getting up from bed. She noticed pain in her joints, especially in her shoulders, back, and lower extremities. Any time she would have to stand for more than a few minutes, her legs would get splotchy red or purple coloring and her knees would feel sore. Warm showers and baths made her feel lightheaded and would induce shooting pains in her calves and feet. She experienced gastric stasis with nausea, bloating and intermittent constipation. Eventually, she developed a hand tremor that would manifest any time she used her hands for eating, painting, drawing, or carrying things.
Age: 10.0
Sex: F
Vaccine: HPV9
Symptoms: Electrocardiogram abnormal, Erythema, Fatigue, Headache, Hyperacusis
Clinical narrative: When she was ten, patient received the three-shot course of quadrivalent HPV vaccine. Please note, it was quadrivalent, not Gardasil 9 which was not yet available at the time. She experienced severe pain in her arm and a massive headache with each shot. As middle school started in the Fall, we noticed her getting more frequent headaches and not having as much energy as usual. PE class became a struggle for her as well, and she had trouble concentrating on her homework. Patient developed feelings of anxiety. She also started to have a disordered sleep schedule, often unable to sleep at night but exhausted enough to need naps during the day to function. She started spending less and less time outside as she felt overly sensitive to the noise, direct light, and heat. She progressively spent more time in her room where it was dark and quiet. She spent much of her time in bed feeling fatigued. She started requesting to take personal days off from school because of her frequent migraines and exhaustion. She would often start to black out (lose vision and hearing, feel dizzy and nauseous, and drop to the ground) after getting up from bed. She noticed pain in her joints, especially in her shoulders, back, and lower extremities. Any time she would have to stand for more than a few minutes, her legs would get splotchy red or purple coloring and her knees would feel sore. Warm showers and baths made her feel lightheaded and would induce shooting pains in her calves and feet. She experienced gastric stasis with nausea, bloating and intermittent constipation. Eventually, she developed a hand tremor that would manifest any time she used her hands for eating, painting, drawing, or carrying things.
Age: 10.0
Sex: F
Vaccine: HPV9
Symptoms: Impaired gastric emptying, Insomnia, Loss of consciousness, Loss of personal independence in daily activities, Migraine
Clinical narrative: When she was ten, patient received the three-shot course of quadrivalent HPV vaccine. Please note, it was quadrivalent, not Gardasil 9 which was not yet available at the time. She experienced severe pain in her arm and a massive headache with each shot. As middle school started in the Fall, we noticed her getting more frequent headaches and not having as much energy as usual. PE class became a struggle for her as well, and she had trouble concentrating on her homework. Patient developed feelings of anxiety. She also started to have a disordered sleep schedule, often unable to sleep at night but exhausted enough to need naps during the day to function. She started spending less and less time outside as she felt overly sensitive to the noise, direct light, and heat. She progressively spent more time in her room where it was dark and quiet. She spent much of her time in bed feeling fatigued. She started requesting to take personal days off from school because of her frequent migraines and exhaustion. She would often start to black out (lose vision and hearing, feel dizzy and nauseous, and drop to the ground) after getting up from bed. She noticed pain in her joints, especially in her shoulders, back, and lower extremities. Any time she would have to stand for more than a few minutes, her legs would get splotchy red or purple coloring and her knees would feel sore. Warm showers and baths made her feel lightheaded and would induce shooting pains in her calves and feet. She experienced gastric stasis with nausea, bloating and intermittent constipation. Eventually, she developed a hand tremor that would manifest any time she used her hands for eating, painting, drawing, or carrying things.