chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: 10 minutes after getting shot, my lips started swelling and tingling and itching. Hives/ Redness on my face 30 minutes after- throat started itching  Treatment- given Benadryl, Pepcid, Steroid in Emergency Room and was observed from 10:30ish until 2:15p
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Erythema, Lip pruritus, Lip swelling, Paraesthesia oral
Clinical narrative: 10 minutes after getting shot, my lips started swelling and tingling and itching. Hives/ Redness on my face 30 minutes after- throat started itching  Treatment- given Benadryl, Pepcid, Steroid in Emergency Room and was observed from 10:30ish until 2:15p
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat irritation, Urticaria
Clinical narrative: 10 minutes after getting shot, my lips started swelling and tingling and itching. Hives/ Redness on my face 30 minutes after- throat started itching  Treatment- given Benadryl, Pepcid, Steroid in Emergency Room and was observed from 10:30ish until 2:15p
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Began feeling dizzy, developed headache and began having difficulty swallowing and lips started tingling and swelling. Then airway became tight. I went to CNP and reported the symptoms. He administered Epi-pen into my right deltoid and had me shift nearby for thirty minutes.  I began to feel some relief from symptoms but 20 minutes in I began to feel return of symptoms  along with chest and back pain on inspiration. They then called the squad.  Peramedic started IV and gave me 50mg of Benadryl.  At hospital they gave me 4 puffs of albuterol thru spacer, Solu- Medrol and Pepcid thru my IV and monitored me for approximately 2 hours then I was allowed to go home while at Hospital I noticed that I was having some trouble remembering things and thinking straight this continued after i got home, but improved today.  My throat, chest, and back are still sore today and my muscles have been achy and I've been flushed in my face today. And am taking Advil to help with those symptoms.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Chest X-ray normal, Chest pain, Dizziness, Dysphagia
Clinical narrative: Began feeling dizzy, developed headache and began having difficulty swallowing and lips started tingling and swelling. Then airway became tight. I went to CNP and reported the symptoms. He administered Epi-pen into my right deltoid and had me shift nearby for thirty minutes.  I began to feel some relief from symptoms but 20 minutes in I began to feel return of symptoms  along with chest and back pain on inspiration. They then called the squad.  Peramedic started IV and gave me 50mg of Benadryl.  At hospital they gave me 4 puffs of albuterol thru spacer, Solu- Medrol and Pepcid thru my IV and monitored me for approximately 2 hours then I was allowed to go home while at Hospital I noticed that I was having some trouble remembering things and thinking straight this continued after i got home, but improved today.  My throat, chest, and back are still sore today and my muscles have been achy and I've been flushed in my face today. And am taking Advil to help with those symptoms.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Flushing, Headache, Lip swelling, Memory impairment
Clinical narrative: Began feeling dizzy, developed headache and began having difficulty swallowing and lips started tingling and swelling. Then airway became tight. I went to CNP and reported the symptoms. He administered Epi-pen into my right deltoid and had me shift nearby for thirty minutes.  I began to feel some relief from symptoms but 20 minutes in I began to feel return of symptoms  along with chest and back pain on inspiration. They then called the squad.  Peramedic started IV and gave me 50mg of Benadryl.  At hospital they gave me 4 puffs of albuterol thru spacer, Solu- Medrol and Pepcid thru my IV and monitored me for approximately 2 hours then I was allowed to go home while at Hospital I noticed that I was having some trouble remembering things and thinking straight this continued after i got home, but improved today.  My throat, chest, and back are still sore today and my muscles have been achy and I've been flushed in my face today. And am taking Advil to help with those symptoms.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mental impairment, Myalgia, Obstructive airways disorder, Oropharyngeal pain, Painful respiration
Clinical narrative: Began feeling dizzy, developed headache and began having difficulty swallowing and lips started tingling and swelling. Then airway became tight. I went to CNP and reported the symptoms. He administered Epi-pen into my right deltoid and had me shift nearby for thirty minutes.  I began to feel some relief from symptoms but 20 minutes in I began to feel return of symptoms  along with chest and back pain on inspiration. They then called the squad.  Peramedic started IV and gave me 50mg of Benadryl.  At hospital they gave me 4 puffs of albuterol thru spacer, Solu- Medrol and Pepcid thru my IV and monitored me for approximately 2 hours then I was allowed to go home while at Hospital I noticed that I was having some trouble remembering things and thinking straight this continued after i got home, but improved today.  My throat, chest, and back are still sore today and my muscles have been achy and I've been flushed in my face today. And am taking Advil to help with those symptoms.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Began feeling dizzy, developed headache and began having difficulty swallowing and lips started tingling and swelling. Then airway became tight. I went to CNP and reported the symptoms. He administered Epi-pen into my right deltoid and had me shift nearby for thirty minutes.  I began to feel some relief from symptoms but 20 minutes in I began to feel return of symptoms  along with chest and back pain on inspiration. They then called the squad.  Peramedic started IV and gave me 50mg of Benadryl.  At hospital they gave me 4 puffs of albuterol thru spacer, Solu- Medrol and Pepcid thru my IV and monitored me for approximately 2 hours then I was allowed to go home while at Hospital I noticed that I was having some trouble remembering things and thinking straight this continued after i got home, but improved today.  My throat, chest, and back are still sore today and my muscles have been achy and I've been flushed in my face today. And am taking Advil to help with those symptoms.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Electrocardiogram normal, Feeling hot, Laboratory test normal, Rash
Clinical narrative: c/o feeling flushed within 15 minutes of being vaccinated. Blotchy rash noted to chest and neck. No SOB, no hives, no airway involvement. Transported to ED and al symptoms resolved upon arrival without intervention.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous, Tachycardia
Clinical narrative: c/o feeling flushed within 15 minutes of being vaccinated. Blotchy rash noted to chest and neck. No SOB, no hives, no airway involvement. Transported to ED and al symptoms resolved upon arrival without intervention.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Flushing, Rash, Rash macular
Clinical narrative: c/o feeling flushed within 15 minutes of being vaccinated. Blotchy rash noted to chest and neck. No SOB, no hives, no airway involvement. Transported to ED and al symptoms resolved upon arrival without intervention.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal paraesthesia, Urticaria
Clinical narrative: Within the hour of the symptoms (noticed around 5:15pm) I started to have a rash on the left side of my neck, along with small red dots on my chest. My throat was tingling ajd I had what is best described as ?on and off? rushes throughout my body. I returned back to the site where I got my test from and reported my reaction somewhere around 5:30. I was given 50 mg of Benadryl and told to have friends come and pick me up and drive me home. Around 8pm I was having slight tingling in my throat however it was mentioned it could be the after effect of the sensitivity to the vaccine. I was advised to not have the second dose.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adrenal disorder, Pharyngeal paraesthesia, Rash
Clinical narrative: Within the hour of the symptoms (noticed around 5:15pm) I started to have a rash on the left side of my neck, along with small red dots on my chest. My throat was tingling ajd I had what is best described as ?on and off? rushes throughout my body. I returned back to the site where I got my test from and reported my reaction somewhere around 5:30. I was given 50 mg of Benadryl and told to have friends come and pick me up and drive me home. Around 8pm I was having slight tingling in my throat however it was mentioned it could be the after effect of the sensitivity to the vaccine. I was advised to not have the second dose.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Lip swelling
Clinical narrative: Approx 8-10 min after rec. shot, started to feel lip begin to swell and became difficult to swallow.  At 5:34 pm when 15 min wait was done told staff what was happening.  Was triaged by NP and MD on standby along w/EMT treated w/50 Benadryl/20 Pepcid/125 Solumedrol IVP.  Waited in onsite Immediate Care and was given 1L 0.9 NS bolus.  Transferred by ambulance to ER at 6:45 pm after experiencing tingling to chest and dizziness.   Tingling changed to warmth in route to ER.  Observed in ER and discharged home at 9 pm.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysphagia, Electrocardiogram normal, Feeling hot, Lip swelling
Clinical narrative: Approx 8-10 min after rec. shot, started to feel lip begin to swell and became difficult to swallow.  At 5:34 pm when 15 min wait was done told staff what was happening.  Was triaged by NP and MD on standby along w/EMT treated w/50 Benadryl/20 Pepcid/125 Solumedrol IVP.  Waited in onsite Immediate Care and was given 1L 0.9 NS bolus.  Transferred by ambulance to ER at 6:45 pm after experiencing tingling to chest and dizziness.   Tingling changed to warmth in route to ER.  Observed in ER and discharged home at 9 pm.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: Approx 8-10 min after rec. shot, started to feel lip begin to swell and became difficult to swallow.  At 5:34 pm when 15 min wait was done told staff what was happening.  Was triaged by NP and MD on standby along w/EMT treated w/50 Benadryl/20 Pepcid/125 Solumedrol IVP.  Waited in onsite Immediate Care and was given 1L 0.9 NS bolus.  Transferred by ambulance to ER at 6:45 pm after experiencing tingling to chest and dizziness.   Tingling changed to warmth in route to ER.  Observed in ER and discharged home at 9 pm.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Areflexia, Guillain-Barre syndrome, Laboratory test, Magnetic resonance imaging, Sensory loss
Clinical narrative: 36-year old female with no significant past medical history, endocrinologist at hospital presenting with numbness and tingling of her upper and lower extremities. Of note, patient received the Pfizer COVID-19 vaccination on December 23, 2020. She had some arm soreness for about a day post-vaccine but no other symptoms at the time. Approximately eight days afterwards, she noticed numbness and tingling, loss of sensation in her fingertips. She also noticed that her her movements were more clumsy resulting in changed handwriting. The following night she developed neuropathic-type pain that became so severe that it woke her up from sleep. She spoke with occupational health regarding her symptoms and was told to take aspirin for symptomatic relief-which she did on 1/6, 1/7 and 1/8 with no relief. About a week after her upper extremity symptoms began, she noticed similar numbness and tingling in her medial ankle extending up to er calf bilaterally. She felt unsteady on her feet when walking down the stairs yesterday and getting out of her car. She came to the emergency department and was seen by neurology on 1/8.. On their evaluation she was noted to have lack of reflexes except for the right achilles tendon. MRI with and without contrast of the cervical and thoracic spine were done with benign findings. She decided to go home and monitor her symptoms. This morning,(1/9/20) she felt as though her right arm was weak and decided to come in for reevaluation. She denies any facial symptoms, headache, vision changes, urinary or fecal incontinence. She denies shortness of breath, chest pain, cough, abdominal pain, nausea, vomiting, rash, oral ulcers, urinary symptoms. She does not recall any recent respiratory/GI/ GU infections. she reports one set of watery stools a few days after the vaccine which resolved.  Vital signs is significant for tachycardia, hypertension.  Neuro exam findings:  MS - AAOx3, follows commands, answers questions appropriately, no  dysarthria, no aphasia. CN - PERRL, EOMI, V1-V3 intact, no facial asymmetry, tongue midline, vision intact. Motor - 5/5 UE and LE BL. No pronator drift. Right finger extension 3/5. Sensory - decresed sesation to B/L UEs (right hand and whole arm, left hand to forearm)and B/L LEs (medial aspect of her BL feet to the medial aspect of her thighs). DTRs - 0 except for 2+ left brachial radialis.  Coordination - no noted tremor; Coordiation intact.  Gait: not tested.  Past Medical history: preeclampsia in 2018, reportedly HLA B27 positive Past surgical history: salpingectomy for ectopic pregnancy n 2016, C-section in 2018  -home medications- OCP Family history- mother- healthy. Father- HTN, pulmonary embolism X 2. Grandfather had Guillain barre syndrome in 1970s after influenza vaccine, reportedly had motor symptoms and completely recovered.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Areflexia, Balance disorder, CSF culture negative, CSF glucose normal, CSF protein increased
Clinical narrative: 36-year old female with no significant past medical history, endocrinologist at hospital presenting with numbness and tingling of her upper and lower extremities. Of note, patient received the Pfizer COVID-19 vaccination on December 23, 2020. She had some arm soreness for about a day post-vaccine but no other symptoms at the time. Approximately eight days afterwards, she noticed numbness and tingling, loss of sensation in her fingertips. She also noticed that her her movements were more clumsy resulting in changed handwriting. The following night she developed neuropathic-type pain that became so severe that it woke her up from sleep. She spoke with occupational health regarding her symptoms and was told to take aspirin for symptomatic relief-which she did on 1/6, 1/7 and 1/8 with no relief. About a week after her upper extremity symptoms began, she noticed similar numbness and tingling in her medial ankle extending up to er calf bilaterally. She felt unsteady on her feet when walking down the stairs yesterday and getting out of her car. She came to the emergency department and was seen by neurology on 1/8.. On their evaluation she was noted to have lack of reflexes except for the right achilles tendon. MRI with and without contrast of the cervical and thoracic spine were done with benign findings. She decided to go home and monitor her symptoms. This morning,(1/9/20) she felt as though her right arm was weak and decided to come in for reevaluation. She denies any facial symptoms, headache, vision changes, urinary or fecal incontinence. She denies shortness of breath, chest pain, cough, abdominal pain, nausea, vomiting, rash, oral ulcers, urinary symptoms. She does not recall any recent respiratory/GI/ GU infections. she reports one set of watery stools a few days after the vaccine which resolved.  Vital signs is significant for tachycardia, hypertension.  Neuro exam findings:  MS - AAOx3, follows commands, answers questions appropriately, no  dysarthria, no aphasia. CN - PERRL, EOMI, V1-V3 intact, no facial asymmetry, tongue midline, vision intact. Motor - 5/5 UE and LE BL. No pronator drift. Right finger extension 3/5. Sensory - decresed sesation to B/L UEs (right hand and whole arm, left hand to forearm)and B/L LEs (medial aspect of her BL feet to the medial aspect of her thighs). DTRs - 0 except for 2+ left brachial radialis.  Coordination - no noted tremor; Coordiation intact.  Gait: not tested.  Past Medical history: preeclampsia in 2018, reportedly HLA B27 positive Past surgical history: salpingectomy for ectopic pregnancy n 2016, C-section in 2018  -home medications- OCP Family history- mother- healthy. Father- HTN, pulmonary embolism X 2. Grandfather had Guillain barre syndrome in 1970s after influenza vaccine, reportedly had motor symptoms and completely recovered.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: CSF white blood cell count, Diarrhoea, Electrocardiogram normal, Full blood count normal, Guillain-Barre syndrome
Clinical narrative: 36-year old female with no significant past medical history, endocrinologist at hospital presenting with numbness and tingling of her upper and lower extremities. Of note, patient received the Pfizer COVID-19 vaccination on December 23, 2020. She had some arm soreness for about a day post-vaccine but no other symptoms at the time. Approximately eight days afterwards, she noticed numbness and tingling, loss of sensation in her fingertips. She also noticed that her her movements were more clumsy resulting in changed handwriting. The following night she developed neuropathic-type pain that became so severe that it woke her up from sleep. She spoke with occupational health regarding her symptoms and was told to take aspirin for symptomatic relief-which she did on 1/6, 1/7 and 1/8 with no relief. About a week after her upper extremity symptoms began, she noticed similar numbness and tingling in her medial ankle extending up to er calf bilaterally. She felt unsteady on her feet when walking down the stairs yesterday and getting out of her car. She came to the emergency department and was seen by neurology on 1/8.. On their evaluation she was noted to have lack of reflexes except for the right achilles tendon. MRI with and without contrast of the cervical and thoracic spine were done with benign findings. She decided to go home and monitor her symptoms. This morning,(1/9/20) she felt as though her right arm was weak and decided to come in for reevaluation. She denies any facial symptoms, headache, vision changes, urinary or fecal incontinence. She denies shortness of breath, chest pain, cough, abdominal pain, nausea, vomiting, rash, oral ulcers, urinary symptoms. She does not recall any recent respiratory/GI/ GU infections. she reports one set of watery stools a few days after the vaccine which resolved.  Vital signs is significant for tachycardia, hypertension.  Neuro exam findings:  MS - AAOx3, follows commands, answers questions appropriately, no  dysarthria, no aphasia. CN - PERRL, EOMI, V1-V3 intact, no facial asymmetry, tongue midline, vision intact. Motor - 5/5 UE and LE BL. No pronator drift. Right finger extension 3/5. Sensory - decresed sesation to B/L UEs (right hand and whole arm, left hand to forearm)and B/L LEs (medial aspect of her BL feet to the medial aspect of her thighs). DTRs - 0 except for 2+ left brachial radialis.  Coordination - no noted tremor; Coordiation intact.  Gait: not tested.  Past Medical history: preeclampsia in 2018, reportedly HLA B27 positive Past surgical history: salpingectomy for ectopic pregnancy n 2016, C-section in 2018  -home medications- OCP Family history- mother- healthy. Father- HTN, pulmonary embolism X 2. Grandfather had Guillain barre syndrome in 1970s after influenza vaccine, reportedly had motor symptoms and completely recovered.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Magnetic resonance imaging brain normal, Metabolic function test normal, Muscular weakness
Clinical narrative: 36-year old female with no significant past medical history, endocrinologist at hospital presenting with numbness and tingling of her upper and lower extremities. Of note, patient received the Pfizer COVID-19 vaccination on December 23, 2020. She had some arm soreness for about a day post-vaccine but no other symptoms at the time. Approximately eight days afterwards, she noticed numbness and tingling, loss of sensation in her fingertips. She also noticed that her her movements were more clumsy resulting in changed handwriting. The following night she developed neuropathic-type pain that became so severe that it woke her up from sleep. She spoke with occupational health regarding her symptoms and was told to take aspirin for symptomatic relief-which she did on 1/6, 1/7 and 1/8 with no relief. About a week after her upper extremity symptoms began, she noticed similar numbness and tingling in her medial ankle extending up to er calf bilaterally. She felt unsteady on her feet when walking down the stairs yesterday and getting out of her car. She came to the emergency department and was seen by neurology on 1/8.. On their evaluation she was noted to have lack of reflexes except for the right achilles tendon. MRI with and without contrast of the cervical and thoracic spine were done with benign findings. She decided to go home and monitor her symptoms. This morning,(1/9/20) she felt as though her right arm was weak and decided to come in for reevaluation. She denies any facial symptoms, headache, vision changes, urinary or fecal incontinence. She denies shortness of breath, chest pain, cough, abdominal pain, nausea, vomiting, rash, oral ulcers, urinary symptoms. She does not recall any recent respiratory/GI/ GU infections. she reports one set of watery stools a few days after the vaccine which resolved.  Vital signs is significant for tachycardia, hypertension.  Neuro exam findings:  MS - AAOx3, follows commands, answers questions appropriately, no  dysarthria, no aphasia. CN - PERRL, EOMI, V1-V3 intact, no facial asymmetry, tongue midline, vision intact. Motor - 5/5 UE and LE BL. No pronator drift. Right finger extension 3/5. Sensory - decresed sesation to B/L UEs (right hand and whole arm, left hand to forearm)and B/L LEs (medial aspect of her BL feet to the medial aspect of her thighs). DTRs - 0 except for 2+ left brachial radialis.  Coordination - no noted tremor; Coordiation intact.  Gait: not tested.  Past Medical history: preeclampsia in 2018, reportedly HLA B27 positive Past surgical history: salpingectomy for ectopic pregnancy n 2016, C-section in 2018  -home medications- OCP Family history- mother- healthy. Father- HTN, pulmonary embolism X 2. Grandfather had Guillain barre syndrome in 1970s after influenza vaccine, reportedly had motor symptoms and completely recovered.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Paraesthesia, Sensory loss, Vital capacity decreased
Clinical narrative: 36-year old female with no significant past medical history, endocrinologist at hospital presenting with numbness and tingling of her upper and lower extremities. Of note, patient received the Pfizer COVID-19 vaccination on December 23, 2020. She had some arm soreness for about a day post-vaccine but no other symptoms at the time. Approximately eight days afterwards, she noticed numbness and tingling, loss of sensation in her fingertips. She also noticed that her her movements were more clumsy resulting in changed handwriting. The following night she developed neuropathic-type pain that became so severe that it woke her up from sleep. She spoke with occupational health regarding her symptoms and was told to take aspirin for symptomatic relief-which she did on 1/6, 1/7 and 1/8 with no relief. About a week after her upper extremity symptoms began, she noticed similar numbness and tingling in her medial ankle extending up to er calf bilaterally. She felt unsteady on her feet when walking down the stairs yesterday and getting out of her car. She came to the emergency department and was seen by neurology on 1/8.. On their evaluation she was noted to have lack of reflexes except for the right achilles tendon. MRI with and without contrast of the cervical and thoracic spine were done with benign findings. She decided to go home and monitor her symptoms. This morning,(1/9/20) she felt as though her right arm was weak and decided to come in for reevaluation. She denies any facial symptoms, headache, vision changes, urinary or fecal incontinence. She denies shortness of breath, chest pain, cough, abdominal pain, nausea, vomiting, rash, oral ulcers, urinary symptoms. She does not recall any recent respiratory/GI/ GU infections. she reports one set of watery stools a few days after the vaccine which resolved.  Vital signs is significant for tachycardia, hypertension.  Neuro exam findings:  MS - AAOx3, follows commands, answers questions appropriately, no  dysarthria, no aphasia. CN - PERRL, EOMI, V1-V3 intact, no facial asymmetry, tongue midline, vision intact. Motor - 5/5 UE and LE BL. No pronator drift. Right finger extension 3/5. Sensory - decresed sesation to B/L UEs (right hand and whole arm, left hand to forearm)and B/L LEs (medial aspect of her BL feet to the medial aspect of her thighs). DTRs - 0 except for 2+ left brachial radialis.  Coordination - no noted tremor; Coordiation intact.  Gait: not tested.  Past Medical history: preeclampsia in 2018, reportedly HLA B27 positive Past surgical history: salpingectomy for ectopic pregnancy n 2016, C-section in 2018  -home medications- OCP Family history- mother- healthy. Father- HTN, pulmonary embolism X 2. Grandfather had Guillain barre syndrome in 1970s after influenza vaccine, reportedly had motor symptoms and completely recovered.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Areflexia, Balance disorder, CSF glucose normal, CSF protein increased, CSF white blood cell count negative
Clinical narrative: 36-year old female with no significant past medical history, endocrinologist at hospital presenting with numbness and tingling of her upper and lower extremities. Of note, patient received the Pfizer COVID-19 vaccination on December 23, 2020. She had some arm soreness for about a day post-vaccine but no other symptoms at the time. Approximately eight days afterwards, she noticed numbness and tingling, loss of sensation in her fingertips. She also noticed that her her movements were more clumsy resulting in changed handwriting. The following night she developed neuropathic-type pain that became so severe that it woke her up from sleep. She spoke with occupational health regarding her symptoms and was told to take aspirin for symptomatic relief-which she did on 1/6, 1/7 and 1/8 with no relief. About a week after her upper extremity symptoms began, she noticed similar numbness and tingling in her medial ankle extending up to er calf bilaterally. She felt unsteady on her feet when walking down the stairs yesterday and getting out of her car. She came to the emergency department and was seen by neurology on 1/8.. On their evaluation she was noted to have lack of reflexes except for the right achilles tendon. MRI with and without contrast of the cervical and thoracic spine were done with benign findings. She decided to go home and monitor her symptoms. This morning,(1/9/20) she felt as though her right arm was weak and decided to come in for reevaluation. She denies any facial symptoms, headache, vision changes, urinary or fecal incontinence. She denies shortness of breath, chest pain, cough, abdominal pain, nausea, vomiting, rash, oral ulcers, urinary symptoms. She does not recall any recent respiratory/GI/ GU infections. she reports one set of watery stools a few days after the vaccine which resolved.  Vital signs is significant for tachycardia, hypertension.  Neuro exam findings:  MS - AAOx3, follows commands, answers questions appropriately, no  dysarthria, no aphasia. CN - PERRL, EOMI, V1-V3 intact, no facial asymmetry, tongue midline, vision intact. Motor - 5/5 UE and LE BL. No pronator drift. Right finger extension 3/5. Sensory - decresed sesation to B/L UEs (right hand and whole arm, left hand to forearm)and B/L LEs (medial aspect of her BL feet to the medial aspect of her thighs). DTRs - 0 except for 2+ left brachial radialis.  Coordination - no noted tremor; Coordiation intact.  Gait: not tested.  Past Medical history: preeclampsia in 2018, reportedly HLA B27 positive Past surgical history: salpingectomy for ectopic pregnancy n 2016, C-section in 2018  -home medications- OCP Family history- mother- healthy. Father- HTN, pulmonary embolism X 2. Grandfather had Guillain barre syndrome in 1970s after influenza vaccine, reportedly had motor symptoms and completely recovered.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Diarrhoea, Dyskinesia, Glycosylated haemoglobin normal, Guillain-Barre syndrome, Hypertension
Clinical narrative: 36-year old female with no significant past medical history, endocrinologist at hospital presenting with numbness and tingling of her upper and lower extremities. Of note, patient received the Pfizer COVID-19 vaccination on December 23, 2020. She had some arm soreness for about a day post-vaccine but no other symptoms at the time. Approximately eight days afterwards, she noticed numbness and tingling, loss of sensation in her fingertips. She also noticed that her her movements were more clumsy resulting in changed handwriting. The following night she developed neuropathic-type pain that became so severe that it woke her up from sleep. She spoke with occupational health regarding her symptoms and was told to take aspirin for symptomatic relief-which she did on 1/6, 1/7 and 1/8 with no relief. About a week after her upper extremity symptoms began, she noticed similar numbness and tingling in her medial ankle extending up to er calf bilaterally. She felt unsteady on her feet when walking down the stairs yesterday and getting out of her car. She came to the emergency department and was seen by neurology on 1/8.. On their evaluation she was noted to have lack of reflexes except for the right achilles tendon. MRI with and without contrast of the cervical and thoracic spine were done with benign findings. She decided to go home and monitor her symptoms. This morning,(1/9/20) she felt as though her right arm was weak and decided to come in for reevaluation. She denies any facial symptoms, headache, vision changes, urinary or fecal incontinence. She denies shortness of breath, chest pain, cough, abdominal pain, nausea, vomiting, rash, oral ulcers, urinary symptoms. She does not recall any recent respiratory/GI/ GU infections. she reports one set of watery stools a few days after the vaccine which resolved.  Vital signs is significant for tachycardia, hypertension.  Neuro exam findings:  MS - AAOx3, follows commands, answers questions appropriately, no  dysarthria, no aphasia. CN - PERRL, EOMI, V1-V3 intact, no facial asymmetry, tongue midline, vision intact. Motor - 5/5 UE and LE BL. No pronator drift. Right finger extension 3/5. Sensory - decresed sesation to B/L UEs (right hand and whole arm, left hand to forearm)and B/L LEs (medial aspect of her BL feet to the medial aspect of her thighs). DTRs - 0 except for 2+ left brachial radialis.  Coordination - no noted tremor; Coordiation intact.  Gait: not tested.  Past Medical history: preeclampsia in 2018, reportedly HLA B27 positive Past surgical history: salpingectomy for ectopic pregnancy n 2016, C-section in 2018  -home medications- OCP Family history- mother- healthy. Father- HTN, pulmonary embolism X 2. Grandfather had Guillain barre syndrome in 1970s after influenza vaccine, reportedly had motor symptoms and completely recovered.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Magnetic resonance imaging spinal normal, Muscular weakness, Neuralgia
Clinical narrative: 36-year old female with no significant past medical history, endocrinologist at hospital presenting with numbness and tingling of her upper and lower extremities. Of note, patient received the Pfizer COVID-19 vaccination on December 23, 2020. She had some arm soreness for about a day post-vaccine but no other symptoms at the time. Approximately eight days afterwards, she noticed numbness and tingling, loss of sensation in her fingertips. She also noticed that her her movements were more clumsy resulting in changed handwriting. The following night she developed neuropathic-type pain that became so severe that it woke her up from sleep. She spoke with occupational health regarding her symptoms and was told to take aspirin for symptomatic relief-which she did on 1/6, 1/7 and 1/8 with no relief. About a week after her upper extremity symptoms began, she noticed similar numbness and tingling in her medial ankle extending up to er calf bilaterally. She felt unsteady on her feet when walking down the stairs yesterday and getting out of her car. She came to the emergency department and was seen by neurology on 1/8.. On their evaluation she was noted to have lack of reflexes except for the right achilles tendon. MRI with and without contrast of the cervical and thoracic spine were done with benign findings. She decided to go home and monitor her symptoms. This morning,(1/9/20) she felt as though her right arm was weak and decided to come in for reevaluation. She denies any facial symptoms, headache, vision changes, urinary or fecal incontinence. She denies shortness of breath, chest pain, cough, abdominal pain, nausea, vomiting, rash, oral ulcers, urinary symptoms. She does not recall any recent respiratory/GI/ GU infections. she reports one set of watery stools a few days after the vaccine which resolved.  Vital signs is significant for tachycardia, hypertension.  Neuro exam findings:  MS - AAOx3, follows commands, answers questions appropriately, no  dysarthria, no aphasia. CN - PERRL, EOMI, V1-V3 intact, no facial asymmetry, tongue midline, vision intact. Motor - 5/5 UE and LE BL. No pronator drift. Right finger extension 3/5. Sensory - decresed sesation to B/L UEs (right hand and whole arm, left hand to forearm)and B/L LEs (medial aspect of her BL feet to the medial aspect of her thighs). DTRs - 0 except for 2+ left brachial radialis.  Coordination - no noted tremor; Coordiation intact.  Gait: not tested.  Past Medical history: preeclampsia in 2018, reportedly HLA B27 positive Past surgical history: salpingectomy for ectopic pregnancy n 2016, C-section in 2018  -home medications- OCP Family history- mother- healthy. Father- HTN, pulmonary embolism X 2. Grandfather had Guillain barre syndrome in 1970s after influenza vaccine, reportedly had motor symptoms and completely recovered.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Neurological examination abnormal, Pain in extremity, Paraesthesia, Peripheral sensory neuropathy, Scan with contrast normal
Clinical narrative: 36-year old female with no significant past medical history, endocrinologist at hospital presenting with numbness and tingling of her upper and lower extremities. Of note, patient received the Pfizer COVID-19 vaccination on December 23, 2020. She had some arm soreness for about a day post-vaccine but no other symptoms at the time. Approximately eight days afterwards, she noticed numbness and tingling, loss of sensation in her fingertips. She also noticed that her her movements were more clumsy resulting in changed handwriting. The following night she developed neuropathic-type pain that became so severe that it woke her up from sleep. She spoke with occupational health regarding her symptoms and was told to take aspirin for symptomatic relief-which she did on 1/6, 1/7 and 1/8 with no relief. About a week after her upper extremity symptoms began, she noticed similar numbness and tingling in her medial ankle extending up to er calf bilaterally. She felt unsteady on her feet when walking down the stairs yesterday and getting out of her car. She came to the emergency department and was seen by neurology on 1/8.. On their evaluation she was noted to have lack of reflexes except for the right achilles tendon. MRI with and without contrast of the cervical and thoracic spine were done with benign findings. She decided to go home and monitor her symptoms. This morning,(1/9/20) she felt as though her right arm was weak and decided to come in for reevaluation. She denies any facial symptoms, headache, vision changes, urinary or fecal incontinence. She denies shortness of breath, chest pain, cough, abdominal pain, nausea, vomiting, rash, oral ulcers, urinary symptoms. She does not recall any recent respiratory/GI/ GU infections. she reports one set of watery stools a few days after the vaccine which resolved.  Vital signs is significant for tachycardia, hypertension.  Neuro exam findings:  MS - AAOx3, follows commands, answers questions appropriately, no  dysarthria, no aphasia. CN - PERRL, EOMI, V1-V3 intact, no facial asymmetry, tongue midline, vision intact. Motor - 5/5 UE and LE BL. No pronator drift. Right finger extension 3/5. Sensory - decresed sesation to B/L UEs (right hand and whole arm, left hand to forearm)and B/L LEs (medial aspect of her BL feet to the medial aspect of her thighs). DTRs - 0 except for 2+ left brachial radialis.  Coordination - no noted tremor; Coordiation intact.  Gait: not tested.  Past Medical history: preeclampsia in 2018, reportedly HLA B27 positive Past surgical history: salpingectomy for ectopic pregnancy n 2016, C-section in 2018  -home medications- OCP Family history- mother- healthy. Father- HTN, pulmonary embolism X 2. Grandfather had Guillain barre syndrome in 1970s after influenza vaccine, reportedly had motor symptoms and completely recovered.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Sensory loss, Sleep disorder, Tachycardia, Vitamin B12 increased
Clinical narrative: 36-year old female with no significant past medical history, endocrinologist at hospital presenting with numbness and tingling of her upper and lower extremities. Of note, patient received the Pfizer COVID-19 vaccination on December 23, 2020. She had some arm soreness for about a day post-vaccine but no other symptoms at the time. Approximately eight days afterwards, she noticed numbness and tingling, loss of sensation in her fingertips. She also noticed that her her movements were more clumsy resulting in changed handwriting. The following night she developed neuropathic-type pain that became so severe that it woke her up from sleep. She spoke with occupational health regarding her symptoms and was told to take aspirin for symptomatic relief-which she did on 1/6, 1/7 and 1/8 with no relief. About a week after her upper extremity symptoms began, she noticed similar numbness and tingling in her medial ankle extending up to er calf bilaterally. She felt unsteady on her feet when walking down the stairs yesterday and getting out of her car. She came to the emergency department and was seen by neurology on 1/8.. On their evaluation she was noted to have lack of reflexes except for the right achilles tendon. MRI with and without contrast of the cervical and thoracic spine were done with benign findings. She decided to go home and monitor her symptoms. This morning,(1/9/20) she felt as though her right arm was weak and decided to come in for reevaluation. She denies any facial symptoms, headache, vision changes, urinary or fecal incontinence. She denies shortness of breath, chest pain, cough, abdominal pain, nausea, vomiting, rash, oral ulcers, urinary symptoms. She does not recall any recent respiratory/GI/ GU infections. she reports one set of watery stools a few days after the vaccine which resolved.  Vital signs is significant for tachycardia, hypertension.  Neuro exam findings:  MS - AAOx3, follows commands, answers questions appropriately, no  dysarthria, no aphasia. CN - PERRL, EOMI, V1-V3 intact, no facial asymmetry, tongue midline, vision intact. Motor - 5/5 UE and LE BL. No pronator drift. Right finger extension 3/5. Sensory - decresed sesation to B/L UEs (right hand and whole arm, left hand to forearm)and B/L LEs (medial aspect of her BL feet to the medial aspect of her thighs). DTRs - 0 except for 2+ left brachial radialis.  Coordination - no noted tremor; Coordiation intact.  Gait: not tested.  Past Medical history: preeclampsia in 2018, reportedly HLA B27 positive Past surgical history: salpingectomy for ectopic pregnancy n 2016, C-section in 2018  -home medications- OCP Family history- mother- healthy. Father- HTN, pulmonary embolism X 2. Grandfather had Guillain barre syndrome in 1970s after influenza vaccine, reportedly had motor symptoms and completely recovered.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Guillain-Barre syndrome, Paraesthesia, SARS-CoV-2 test negative
Clinical narrative: 36-year old female with no significant past medical history, endocrinologist at hospital presenting with numbness and tingling of her upper and lower extremities. Of note, patient received the Pfizer COVID-19 vaccination on December 23, 2020. She had some arm soreness for about a day post-vaccine but no other symptoms at the time. Approximately eight days afterwards, she noticed numbness and tingling, loss of sensation in her fingertips. She also noticed that her her movements were more clumsy resulting in changed handwriting. The following night she developed neuropathic-type pain that became so severe that it woke her up from sleep. She spoke with occupational health regarding her symptoms and was told to take aspirin for symptomatic relief-which she did on 1/6, 1/7 and 1/8 with no relief. About a week after her upper extremity symptoms began, she noticed similar numbness and tingling in her medial ankle extending up to er calf bilaterally. She felt unsteady on her feet when walking down the stairs yesterday and getting out of her car. She came to the emergency department and was seen by neurology on 1/8.. On their evaluation she was noted to have lack of reflexes except for the right achilles tendon. MRI with and without contrast of the cervical and thoracic spine were done with benign findings. She decided to go home and monitor her symptoms. This morning,(1/9/20) she felt as though her right arm was weak and decided to come in for reevaluation. She denies any facial symptoms, headache, vision changes, urinary or fecal incontinence. She denies shortness of breath, chest pain, cough, abdominal pain, nausea, vomiting, rash, oral ulcers, urinary symptoms. She does not recall any recent respiratory/GI/ GU infections. she reports one set of watery stools a few days after the vaccine which resolved.  Vital signs is significant for tachycardia, hypertension.  Neuro exam findings:  MS - AAOx3, follows commands, answers questions appropriately, no  dysarthria, no aphasia. CN - PERRL, EOMI, V1-V3 intact, no facial asymmetry, tongue midline, vision intact. Motor - 5/5 UE and LE BL. No pronator drift. Right finger extension 3/5. Sensory - decresed sesation to B/L UEs (right hand and whole arm, left hand to forearm)and B/L LEs (medial aspect of her BL feet to the medial aspect of her thighs). DTRs - 0 except for 2+ left brachial radialis.  Coordination - no noted tremor; Coordiation intact.  Gait: not tested.  Past Medical history: preeclampsia in 2018, reportedly HLA B27 positive Past surgical history: salpingectomy for ectopic pregnancy n 2016, C-section in 2018  -home medications- OCP Family history- mother- healthy. Father- HTN, pulmonary embolism X 2. Grandfather had Guillain barre syndrome in 1970s after influenza vaccine, reportedly had motor symptoms and completely recovered.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Palpitations, Pruritus, Urticaria, Wheezing
Clinical narrative: Within minutes after taking the vaccination I started to have a little bit of a heavy breathing heart beat racing high blood pressure sweating headaches, sensitive sight fever. Paramedics, doctors, nurses, all came to try to help me and my blood pressure was raising high at about 160/100 or something like that, heartbeat was at 1:52 after an hour of vaccination throat started closing in itchy eyes and wheezing was rushed to Kaiser to get an antihistamine IV and famotidine
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea, Eye pruritus, Headache, Heart rate increased
Clinical narrative: Within minutes after taking the vaccination I started to have a little bit of a heavy breathing heart beat racing high blood pressure sweating headaches, sensitive sight fever. Paramedics, doctors, nurses, all came to try to help me and my blood pressure was raising high at about 160/100 or something like that, heartbeat was at 1:52 after an hour of vaccination throat started closing in itchy eyes and wheezing was rushed to Kaiser to get an antihistamine IV and famotidine
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Hypertension, Photophobia, Sensitive skin, Throat tightness
Clinical narrative: Within minutes after taking the vaccination I started to have a little bit of a heavy breathing heart beat racing high blood pressure sweating headaches, sensitive sight fever. Paramedics, doctors, nurses, all came to try to help me and my blood pressure was raising high at about 160/100 or something like that, heartbeat was at 1:52 after an hour of vaccination throat started closing in itchy eyes and wheezing was rushed to Kaiser to get an antihistamine IV and famotidine
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Wheezing
Clinical narrative: Within minutes after taking the vaccination I started to have a little bit of a heavy breathing heart beat racing high blood pressure sweating headaches, sensitive sight fever. Paramedics, doctors, nurses, all came to try to help me and my blood pressure was raising high at about 160/100 or something like that, heartbeat was at 1:52 after an hour of vaccination throat started closing in itchy eyes and wheezing was rushed to Kaiser to get an antihistamine IV and famotidine
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Confusional state, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Symptoms began on 1/2/21 Self isolating Start of symptoms similar to a cold with mild discombobulation Symptoms are mild with a loss of taste and smell continuing
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness, kept patient in observation for 30 min.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Pain
Clinical narrative: Thought I felt fine, but lightheaded, dizzy upon leaving clinic, waited in my car for a while drove home with adult daughter passenger, still felt lightheaded and dizzy. About an hour later headache, body aches.  Injection site not bothersome. Came home, rested, still resting, still  feel ?off? continuing mild symptoms at 10 pm.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site mass, Injection site pain, Injection site warmth, Limb discomfort
Clinical narrative: On 1/4/2020 at roughly 07:00 PM, a dull ache started in my right arm where the vaccine was injected, it radiated from my right shoulder, to my right shoulder blade. My arm felt very heavy. There was also a small hard lump beginning to form with a little heat at the injection site. I had difficulty sleeping due to the aching pain. On 1/5/2020, I woke up at 06:30 AM, the lump had grown in size, and was much more red and hot to the touch, in an oval shape. By roughly 11:30 AM same day, it began to itch, I had checked it and the lump had raised significantly. Hot to the touch. The dull ache had begun radiating into my right armpit as well as down to my right elbow. By 06:00 PM, same day, the aching had continued,  the lump was still very raised, itchy, red, and hot. It looked like a large hive. By 06:30 AM on 1/6/2020, the dull ache had mostly subsided, my shoulder blade still felt uncomfortable. The itching continued. The redness spread in size, however the swelling of the lump had gone down slightly. By 06:30 AM on 1/7/2020, the lump had mostly gone down in size significantly, the dull ache had subsided completely, the redness had gone away. By 1/8/2020, 10:00 PM, the lump and swelling are gone, no ache, no itch, still a slight discoloration where lump was.