chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Fatigue, Feeling abnormal, Injection site pain, Malaise
Clinical narrative: Pain at the injection site; Chest Tightening; Discomfort; Pain; General Malaise; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of CHEST DISCOMFORT (Chest Tightening), DISCOMFORT (Discomfort), PAIN (Pain), MALAISE (General Malaise) and FATIGUE (Fatigue) in a 43-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012A21ACVS) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No relevant concomitant medications reported. No relevant medical history was reported.     On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced CHEST DISCOMFORT (Chest Tightening), DISCOMFORT (Discomfort), PAIN (Pain), MALAISE (General Malaise) and FATIGUE (Fatigue). On an unknown date, the patient experienced INJECTION SITE PAIN (Pain at the injection site). The patient was treated with PARACETAMOL (TYLENOL) on 02-Mar-2021 at an unspecified dose and frequency. At the time of the report, CHEST DISCOMFORT (Chest Tightening), DISCOMFORT (Discomfort), PAIN (Pain), MALAISE (General Malaise), FATIGUE (Fatigue) and INJECTION SITE PAIN (Pain at the injection site) outcome was unknown. Possible      The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Reporter did not allow further contact
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Discomfort, Fatigue, Injection site pain, Malaise
Clinical narrative: Pain at the injection site; Chest Tightening; Discomfort; Pain; General Malaise; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of CHEST DISCOMFORT (Chest Tightening), DISCOMFORT (Discomfort), PAIN (Pain), MALAISE (General Malaise) and FATIGUE (Fatigue) in a 43-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012A21ACVS) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No relevant concomitant medications reported. No relevant medical history was reported.     On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced CHEST DISCOMFORT (Chest Tightening), DISCOMFORT (Discomfort), PAIN (Pain), MALAISE (General Malaise) and FATIGUE (Fatigue). On an unknown date, the patient experienced INJECTION SITE PAIN (Pain at the injection site). The patient was treated with PARACETAMOL (TYLENOL) on 02-Mar-2021 at an unspecified dose and frequency. At the time of the report, CHEST DISCOMFORT (Chest Tightening), DISCOMFORT (Discomfort), PAIN (Pain), MALAISE (General Malaise), FATIGUE (Fatigue) and INJECTION SITE PAIN (Pain at the injection site) outcome was unknown. Possible      The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Reporter did not allow further contact
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: Pain at the injection site; Chest Tightening; Discomfort; Pain; General Malaise; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of CHEST DISCOMFORT (Chest Tightening), DISCOMFORT (Discomfort), PAIN (Pain), MALAISE (General Malaise) and FATIGUE (Fatigue) in a 43-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012A21ACVS) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No relevant concomitant medications reported. No relevant medical history was reported.     On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced CHEST DISCOMFORT (Chest Tightening), DISCOMFORT (Discomfort), PAIN (Pain), MALAISE (General Malaise) and FATIGUE (Fatigue). On an unknown date, the patient experienced INJECTION SITE PAIN (Pain at the injection site). The patient was treated with PARACETAMOL (TYLENOL) on 02-Mar-2021 at an unspecified dose and frequency. At the time of the report, CHEST DISCOMFORT (Chest Tightening), DISCOMFORT (Discomfort), PAIN (Pain), MALAISE (General Malaise), FATIGUE (Fatigue) and INJECTION SITE PAIN (Pain at the injection site) outcome was unknown. Possible      The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Reporter did not allow further contact
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Brain oedema, Bundle branch block left, Bundle branch block right, Cardiac arrest
Clinical narrative: A DAY AFTER VACCINATED DIED CAUSE OF HEART ATTACK AND BRAIN DAMAGED
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardioversion, Catheterisation cardiac, Coma scale abnormal, Computerised tomogram head, Computerised tomogram head abnormal
Clinical narrative: A DAY AFTER VACCINATED DIED CAUSE OF HEART ATTACK AND BRAIN DAMAGED
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyslipidaemia, Electrocardiogram, Electrocardiogram abnormal, Endotracheal intubation, Epinephrine
Clinical narrative: A DAY AFTER VACCINATED DIED CAUSE OF HEART ATTACK AND BRAIN DAMAGED
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Loss of consciousness, Pulse absent, Resuscitation, Stent placement
Clinical narrative: A DAY AFTER VACCINATED DIED CAUSE OF HEART ATTACK AND BRAIN DAMAGED
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brain injury, Death, Myocardial infarction
Clinical narrative: A DAY AFTER VACCINATED DIED CAUSE OF HEART ATTACK AND BRAIN DAMAGED
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral, Lip swelling, Pharyngeal swelling, Throat tightness
Clinical narrative: Within 20 minutes of vaccine: numbing of the lips, swollen bottom lip, tingles in tongue, numbing of the throat, difficulty swallowing, drop of blood pressure. I was given an epipen shot by the pharmacist that administered  vaccine and  was taken to the emergency room by the paramedics. I was monitored and given allergy medication through IV fluids. I was released but within hours I continued to have swelling of the throat and was put on a round of steroids. It took over a week and 2 doctor visits to feel my throat back to normal.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure decreased, Dysphagia, Hypoaesthesia oral, Lip swelling, Paraesthesia oral
Clinical narrative: Within 20 minutes of vaccine: numbing of the lips, swollen bottom lip, tingles in tongue, numbing of the throat, difficulty swallowing, drop of blood pressure. I was given an epipen shot by the pharmacist that administered  vaccine and  was taken to the emergency room by the paramedics. I was monitored and given allergy medication through IV fluids. I was released but within hours I continued to have swelling of the throat and was put on a round of steroids. It took over a week and 2 doctor visits to feel my throat back to normal.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal hypoaesthesia, Pharyngeal swelling
Clinical narrative: Within 20 minutes of vaccine: numbing of the lips, swollen bottom lip, tingles in tongue, numbing of the throat, difficulty swallowing, drop of blood pressure. I was given an epipen shot by the pharmacist that administered  vaccine and  was taken to the emergency room by the paramedics. I was monitored and given allergy medication through IV fluids. I was released but within hours I continued to have swelling of the throat and was put on a round of steroids. It took over a week and 2 doctor visits to feel my throat back to normal.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia
Clinical narrative: Shortly after I received the shot. I would estimate 20-39 minutes my throat began to swell. It felt like it was slightly closing.  It didn?t last long. It was not too severe, I went back to let the pharmacist know what had occurred. She asked if I stayed the fifteen minutes .  I think I waited I think 10-12 minutes and keft.  As I said it didn?t seem to last long and I told that to the pharmacist. She immediately told me I could not receive the second dose. I reported this to my primary Dr and she agreed I shouldn?t get the second dose unless I?m a hospital setting.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incomplete course of vaccination, Pharyngeal swelling, Throat tightness
Clinical narrative: Shortly after I received the shot. I would estimate 20-39 minutes my throat began to swell. It felt like it was slightly closing.  It didn?t last long. It was not too severe, I went back to let the pharmacist know what had occurred. She asked if I stayed the fifteen minutes .  I think I waited I think 10-12 minutes and keft.  As I said it didn?t seem to last long and I told that to the pharmacist. She immediately told me I could not receive the second dose. I reported this to my primary Dr and she agreed I shouldn?t get the second dose unless I?m a hospital setting.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: death J96.90 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia E87.1 - Hypo-osmolality and hyponatremia R56.9 - Unspecified convulsions
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Hyponatraemia, Hypoosmolar state, Respiratory failure, Seizure
Clinical narrative: death J96.90 - Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia E87.1 - Hypo-osmolality and hyponatremia R56.9 - Unspecified convulsions
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Blood electrolytes normal, Blood fibrinogen normal, Deep vein thrombosis, Electrocardiogram normal
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fibrin D dimer increased, Full blood count, Haematocrit normal, Haemoglobin normal, Headache
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Heparin-induced thrombocytopenia test positive, Immunoglobulin therapy, Immunology test, Peripheral swelling, Platelet count decreased
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary embolism, Vaccination complication, White blood cell count increased
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Activated partial thromboplastin time, Angiogram pulmonary abnormal, Arthralgia, Arthritis bacterial, Blood fibrinogen
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood glucose normal, Brain natriuretic peptide normal, Cellulitis, Chest discomfort, Chills
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram head, Computerised tomogram head normal, Computerised tomogram thorax, Deep vein thrombosis, Erythema
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Feeling hot, Fibrin D dimer, Full blood count abnormal, Gout
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemorrhage intracranial, Headache, Immunology test, International normalised ratio increased, Metabolic function test
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pain in extremity, Platelet count decreased, Prothrombin time prolonged, Pulmonary embolism
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Tenderness, Thrombocytopenia, Troponin normal, Ultrasound Doppler abnormal
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Venogram normal, Venous thrombosis
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram, Blood count, Computerised tomogram head normal, Computerised tomogram thorax abnormal, Deep vein thrombosis
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Headache, Immunoglobulin therapy, Limb discomfort
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pulmonary artery thrombosis, Pulmonary embolism
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Ultrasound Doppler abnormal, Venogram normal
Clinical narrative: Im  healthy 46 yo man who received the J&J vaccine for COVID19 on 4/8/2021.  Thereafter, I had low grade subjective fevers, aching, and fatigue.  I eventually also noticed headache and RLE discomfort.  I went to a free-standing ER on 4/22/2021. My left leg was swollen and I have had pain in there. I returned to the ER on 4/24/2021 with LLE pain and swelling, as well as ongoing headaches.  CT venogram was negative for cerebral sinus thrombosis, but LE dopplers showed a DVT(popliteal vein left leg) and CTA showed PE(thrombus in right lower lobe and segmental pulmonary arteries, on the left thrombus is in the distal main pulmonary artery with extension in to the upper and lower lobes).   D dimer was 28,000. I had no prior history of VTE.  I was transferred ,  steroids, IVIG, and bivalirudin were started.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea, Gait disturbance, Myelitis transverse, SARS-CoV-2 test
Clinical narrative: Acute transverse myelitis
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myelitis transverse
Clinical narrative: Acute transverse myelitis
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blindness, Computerised tomogram head, Ischaemic stroke, Magnetic resonance imaging head
Clinical narrative: I had my first stroke 5 days after the Pfizer vaccine.  And then my second stroke 8 days later. There is blockage in my right vertebral artery, but not in any other arteries. It is possible, but not certain, that the Pfizer vaccine caused some of the vertebral blockage to break off and cause my 2 strokes
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident, Laboratory test, Vertebral artery occlusion
Clinical narrative: I had my first stroke 5 days after the Pfizer vaccine.  And then my second stroke 8 days later. There is blockage in my right vertebral artery, but not in any other arteries. It is possible, but not certain, that the Pfizer vaccine caused some of the vertebral blockage to break off and cause my 2 strokes
Age: 68.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Asthenia, Blood test normal, Decreased appetite, Dizziness, Electrocardiogram normal
Clinical narrative: extremely weak, shaky, loos of appetite, loss weight, loss of concentration,  bad gas in stomach
Age: 68.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Eructation, Gastrooesophageal reflux disease, Impaired driving ability, Malaise, Nausea
Clinical narrative: extremely weak, shaky, loos of appetite, loss weight, loss of concentration,  bad gas in stomach
Age: 68.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Oesophageal pain, On and off phenomenon, Pain in extremity, Poor quality sleep, Sleep disorder
Clinical narrative: extremely weak, shaky, loos of appetite, loss weight, loss of concentration,  bad gas in stomach
Age: 68.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Ultrasound abdomen normal
Clinical narrative: extremely weak, shaky, loos of appetite, loss weight, loss of concentration,  bad gas in stomach
Age: 68.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Asthenia, Decreased appetite, Disturbance in attention, Flatulence, Nervousness
Clinical narrative: extremely weak, shaky, loos of appetite, loss weight, loss of concentration,  bad gas in stomach
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary thrombosis
Clinical narrative: Shortness of breath, chest tightness, heart palpitations, elevated heart rate and blood pressure, referred to a cardiologist. Was diagnosed with a pulmonary embolism with several blood clots in lungs. Currently on Eliquis 5mg twice a day.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Blood pressure increased, Chest discomfort, Dyspnoea, Heart rate increased
Clinical narrative: Shortness of breath, chest tightness, heart palpitations, elevated heart rate and blood pressure, referred to a cardiologist. Was diagnosed with a pulmonary embolism with several blood clots in lungs. Currently on Eliquis 5mg twice a day.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Pulmonary embolism, Pulmonary thrombosis
Clinical narrative: Shortness of breath, chest tightness, heart palpitations, elevated heart rate and blood pressure, referred to a cardiologist. Was diagnosed with a pulmonary embolism with several blood clots in lungs. Currently on Eliquis 5mg twice a day.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Dose 1 1/29/2021 Pfizer EL9264 lot   Covid 19 positive 8/12/2021
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Dose 1 1/29/2021 Pfizer EL9264 lot   Covid 19 positive 8/12/2021
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood test, Computerised tomogram, Dysphemia, Electrocardiogram
Clinical narrative: Severe Headache right side it is worse, tremor in my right hand, weakness in my right side of my body ,speech slurred and my short memory it is terrible, feeling very tired most of the time, I can not do the housewife tasks
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Magnetic resonance imaging, Neuropsychological test, Pain
Clinical narrative: Severe Headache right side it is worse, tremor in my right hand, weakness in my right side of my body ,speech slurred and my short memory it is terrible, feeling very tired most of the time, I can not do the housewife tasks
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination complication
Clinical narrative: Severe Headache right side it is worse, tremor in my right hand, weakness in my right side of my body ,speech slurred and my short memory it is terrible, feeling very tired most of the time, I can not do the housewife tasks
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head, Computerised tomogram neck, Dysarthria, Fatigue, Headache
Clinical narrative: Severe Headache right side it is worse, tremor in my right hand, weakness in my right side of my body ,speech slurred and my short memory it is terrible, feeling very tired most of the time, I can not do the housewife tasks
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hemiparesis, Magnetic resonance imaging head, Memory impairment, Tremor
Clinical narrative: Severe Headache right side it is worse, tremor in my right hand, weakness in my right side of my body ,speech slurred and my short memory it is terrible, feeling very tired most of the time, I can not do the housewife tasks
Age: 57.0
Sex: M
Vaccine: UNK, UNK, COVID19
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Lumbar puncture abnormal, Magnetic resonance imaging head, Muscular weakness
Clinical narrative: Weakness or tingling sensations, especially in the legs or arms, that's worsening and spreading to other parts of the body Difficulty walking Difficulty with facial movements, including speaking, chewing, or swallowing Difficulty with bladder control or bowel function Tested positive for Guillain-Barre syndrome
Age: 57.0
Sex: M
Vaccine: UNK, UNK, COVID19
Symptoms: Bladder disorder, Dysphagia, Functional gastrointestinal disorder, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: Weakness or tingling sensations, especially in the legs or arms, that's worsening and spreading to other parts of the body Difficulty walking Difficulty with facial movements, including speaking, chewing, or swallowing Difficulty with bladder control or bowel function Tested positive for Guillain-Barre syndrome
Age: 57.0
Sex: M
Vaccine: UNK, UNK, COVID19
Symptoms: Lumbar puncture abnormal, Mastication disorder, Muscular weakness, Paraesthesia, Speech disorder
Clinical narrative: Weakness or tingling sensations, especially in the legs or arms, that's worsening and spreading to other parts of the body Difficulty walking Difficulty with facial movements, including speaking, chewing, or swallowing Difficulty with bladder control or bowel function Tested positive for Guillain-Barre syndrome
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Activated partial thromboplastin time prolonged, Anticoagulant therapy, Axillary vein thrombosis, Basophil count, Blood creatinine normal
Clinical narrative: COVID in 04/2021 and received 2 doses of COVID vaccine, completing her course towards the end of June.  COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose (COVID-19 VACCINE (PFIZER)) 6/23/2021, 6/3/2021  7/21/2021 Right arm axillosubclavian thrombosis  8/17/2021 Admitted for procedure INFRA CLAVICULAR FIRST RIB RESECTION AND RIGHT UPPER EXTREMITY VENOGRAM, Balloon angioplasty of subclavian vein (Right)
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood electrolytes normal, Blood fibrinogen decreased, Blood glucose normal, Blood lactic acid normal, Blood magnesium normal
Clinical narrative: COVID in 04/2021 and received 2 doses of COVID vaccine, completing her course towards the end of June.  COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose (COVID-19 VACCINE (PFIZER)) 6/23/2021, 6/3/2021  7/21/2021 Right arm axillosubclavian thrombosis  8/17/2021 Admitted for procedure INFRA CLAVICULAR FIRST RIB RESECTION AND RIGHT UPPER EXTREMITY VENOGRAM, Balloon angioplasty of subclavian vein (Right)
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood urea nitrogen/creatinine ratio, Blood urea normal, Brachiocephalic vein thrombosis, Discomfort, Erythema
Clinical narrative: COVID in 04/2021 and received 2 doses of COVID vaccine, completing her course towards the end of June.  COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose (COVID-19 VACCINE (PFIZER)) 6/23/2021, 6/3/2021  7/21/2021 Right arm axillosubclavian thrombosis  8/17/2021 Admitted for procedure INFRA CLAVICULAR FIRST RIB RESECTION AND RIGHT UPPER EXTREMITY VENOGRAM, Balloon angioplasty of subclavian vein (Right)
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Full blood count normal, Haematocrit normal, Haemoglobin normal, Immature granulocyte count, International normalised ratio normal
Clinical narrative: COVID in 04/2021 and received 2 doses of COVID vaccine, completing her course towards the end of June.  COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose (COVID-19 VACCINE (PFIZER)) 6/23/2021, 6/3/2021  7/21/2021 Right arm axillosubclavian thrombosis  8/17/2021 Admitted for procedure INFRA CLAVICULAR FIRST RIB RESECTION AND RIGHT UPPER EXTREMITY VENOGRAM, Balloon angioplasty of subclavian vein (Right)
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Limb discomfort, Liver function test normal, Lymphocyte count, Metabolic function test abnormal, Monocyte count
Clinical narrative: COVID in 04/2021 and received 2 doses of COVID vaccine, completing her course towards the end of June.  COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose (COVID-19 VACCINE (PFIZER)) 6/23/2021, 6/3/2021  7/21/2021 Right arm axillosubclavian thrombosis  8/17/2021 Admitted for procedure INFRA CLAVICULAR FIRST RIB RESECTION AND RIGHT UPPER EXTREMITY VENOGRAM, Balloon angioplasty of subclavian vein (Right)
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neutrophil count, Peripheral swelling, Platelet count normal, Pregnancy test urine negative, Prothrombin time normal
Clinical narrative: COVID in 04/2021 and received 2 doses of COVID vaccine, completing her course towards the end of June.  COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose (COVID-19 VACCINE (PFIZER)) 6/23/2021, 6/3/2021  7/21/2021 Right arm axillosubclavian thrombosis  8/17/2021 Admitted for procedure INFRA CLAVICULAR FIRST RIB RESECTION AND RIGHT UPPER EXTREMITY VENOGRAM, Balloon angioplasty of subclavian vein (Right)
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Thrombolysis, Ultrasound Doppler abnormal, Venogram abnormal, White blood cell count normal
Clinical narrative: COVID in 04/2021 and received 2 doses of COVID vaccine, completing her course towards the end of June.  COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose (COVID-19 VACCINE (PFIZER)) 6/23/2021, 6/3/2021  7/21/2021 Right arm axillosubclavian thrombosis  8/17/2021 Admitted for procedure INFRA CLAVICULAR FIRST RIB RESECTION AND RIGHT UPPER EXTREMITY VENOGRAM, Balloon angioplasty of subclavian vein (Right)
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rib excision, Subclavian vein thrombosis, Venogram abnormal, Venous angioplasty
Clinical narrative: COVID in 04/2021 and received 2 doses of COVID vaccine, completing her course towards the end of June.  COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose (COVID-19 VACCINE (PFIZER)) 6/23/2021, 6/3/2021  7/21/2021 Right arm axillosubclavian thrombosis  8/17/2021 Admitted for procedure INFRA CLAVICULAR FIRST RIB RESECTION AND RIGHT UPPER EXTREMITY VENOGRAM, Balloon angioplasty of subclavian vein (Right)
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder, Psoriasis, Psoriatic arthropathy
Clinical narrative: Nails  on right hand started to show the signs of psoriasis.  Saw provider and gave steroid.  Reports after second shot had a full body massive flare.  States skin and nails went from total clear to a massive flare.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Nail disorder, Psoriasis
Clinical narrative: Nails  on right hand started to show the signs of psoriasis.  Saw provider and gave steroid.  Reports after second shot had a full body massive flare.  States skin and nails went from total clear to a massive flare.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Blood test abnormal, COVID-19, Clostridium test positive, Colitis
Clinical narrative: COVID-19 hospitalization
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Enterococcal sepsis, Illness, Pneumonia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: COVID-19 hospitalization
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Staphylococcal infection
Clinical narrative: COVID-19 hospitalization
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Antibody test positive, Brain natriuretic peptide increased, Cardiac dysfunction, Cardiogenic shock
Clinical narrative: No significant PMH presenting with developed headache, body aches, sore throat, fever (39 C), and vomiting on 7/26.Multi-system involvement, cardiac shock, AKI. Elevated CRP, Ferritin, Troponin, BNP, D-dimer. ECHO showed coronary artery dilation, left ventricular dysfunction, pericardial effusion, mild mitral regurgitation. COVID PCR negative on admission, positive for IgG (spike) on 7/30. Case previously positive for COVID PCR on 11/29/2020.  Patient admitted to PICU on 7/29; on HFNC and given vasoactive medications (milrinone, epinephrine); placed on enoxaparin, ASA. Patient also given IVIG treatment (X1) and placed on steroids. Patient did develop hypotension, mycarditis & cardiogenic shock. Patient was discharged on 8/5 (survived) and diagnosed with atypical Kawasaki Disease. MIS-C was ruled out by clinicians based on negative COVID antibodies (nucleocapsid).
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Congestive cardiomyopathy, Coronary artery dilatation, Decreased appetite, Ejection fraction decreased, Fatigue
Clinical narrative: No significant PMH presenting with developed headache, body aches, sore throat, fever (39 C), and vomiting on 7/26.Multi-system involvement, cardiac shock, AKI. Elevated CRP, Ferritin, Troponin, BNP, D-dimer. ECHO showed coronary artery dilation, left ventricular dysfunction, pericardial effusion, mild mitral regurgitation. COVID PCR negative on admission, positive for IgG (spike) on 7/30. Case previously positive for COVID PCR on 11/29/2020.  Patient admitted to PICU on 7/29; on HFNC and given vasoactive medications (milrinone, epinephrine); placed on enoxaparin, ASA. Patient also given IVIG treatment (X1) and placed on steroids. Patient did develop hypotension, mycarditis & cardiogenic shock. Patient was discharged on 8/5 (survived) and diagnosed with atypical Kawasaki Disease. MIS-C was ruled out by clinicians based on negative COVID antibodies (nucleocapsid).
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Kawasaki's disease, Multisystem inflammatory syndrome in children, Nausea, Pyrexia, Respiratory viral panel
Clinical narrative: No significant PMH presenting with developed headache, body aches, sore throat, fever (39 C), and vomiting on 7/26.Multi-system involvement, cardiac shock, AKI. Elevated CRP, Ferritin, Troponin, BNP, D-dimer. ECHO showed coronary artery dilation, left ventricular dysfunction, pericardial effusion, mild mitral regurgitation. COVID PCR negative on admission, positive for IgG (spike) on 7/30. Case previously positive for COVID PCR on 11/29/2020.  Patient admitted to PICU on 7/29; on HFNC and given vasoactive medications (milrinone, epinephrine); placed on enoxaparin, ASA. Patient also given IVIG treatment (X1) and placed on steroids. Patient did develop hypotension, mycarditis & cardiogenic shock. Patient was discharged on 8/5 (survived) and diagnosed with atypical Kawasaki Disease. MIS-C was ruled out by clinicians based on negative COVID antibodies (nucleocapsid).
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 antibody test negative, Troponin increased, Vomiting
Clinical narrative: No significant PMH presenting with developed headache, body aches, sore throat, fever (39 C), and vomiting on 7/26.Multi-system involvement, cardiac shock, AKI. Elevated CRP, Ferritin, Troponin, BNP, D-dimer. ECHO showed coronary artery dilation, left ventricular dysfunction, pericardial effusion, mild mitral regurgitation. COVID PCR negative on admission, positive for IgG (spike) on 7/30. Case previously positive for COVID PCR on 11/29/2020.  Patient admitted to PICU on 7/29; on HFNC and given vasoactive medications (milrinone, epinephrine); placed on enoxaparin, ASA. Patient also given IVIG treatment (X1) and placed on steroids. Patient did develop hypotension, mycarditis & cardiogenic shock. Patient was discharged on 8/5 (survived) and diagnosed with atypical Kawasaki Disease. MIS-C was ruled out by clinicians based on negative COVID antibodies (nucleocapsid).
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Brain natriuretic peptide increased, C-reactive protein increased, Cardiogenic shock
Clinical narrative: No significant PMH presenting with developed headache, body aches, sore throat, fever (39 C), and vomiting on 7/26.Multi-system involvement, cardiac shock, AKI. Elevated CRP, Ferritin, Troponin, BNP, D-dimer. ECHO showed coronary artery dilation, left ventricular dysfunction, pericardial effusion, mild mitral regurgitation. COVID PCR negative on admission, positive for IgG (spike) on 7/30. Case previously positive for COVID PCR on 11/29/2020.  Patient admitted to PICU on 7/29; on HFNC and given vasoactive medications (milrinone, epinephrine); placed on enoxaparin, ASA. Patient also given IVIG treatment (X1) and placed on steroids. Patient did develop hypotension, mycarditis & cardiogenic shock. Patient was discharged on 8/5 (survived) and diagnosed with atypical Kawasaki Disease. MIS-C was ruled out by clinicians based on negative COVID antibodies (nucleocapsid).
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Coronary artery dilatation, Echocardiogram abnormal, Fibrin D dimer increased, Headache, Hypotension
Clinical narrative: No significant PMH presenting with developed headache, body aches, sore throat, fever (39 C), and vomiting on 7/26.Multi-system involvement, cardiac shock, AKI. Elevated CRP, Ferritin, Troponin, BNP, D-dimer. ECHO showed coronary artery dilation, left ventricular dysfunction, pericardial effusion, mild mitral regurgitation. COVID PCR negative on admission, positive for IgG (spike) on 7/30. Case previously positive for COVID PCR on 11/29/2020.  Patient admitted to PICU on 7/29; on HFNC and given vasoactive medications (milrinone, epinephrine); placed on enoxaparin, ASA. Patient also given IVIG treatment (X1) and placed on steroids. Patient did develop hypotension, mycarditis & cardiogenic shock. Patient was discharged on 8/5 (survived) and diagnosed with atypical Kawasaki Disease. MIS-C was ruled out by clinicians based on negative COVID antibodies (nucleocapsid).
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Immunoglobulin therapy, Intensive care, Kawasaki's disease, Left ventricular dysfunction, Mitral valve incompetence
Clinical narrative: No significant PMH presenting with developed headache, body aches, sore throat, fever (39 C), and vomiting on 7/26.Multi-system involvement, cardiac shock, AKI. Elevated CRP, Ferritin, Troponin, BNP, D-dimer. ECHO showed coronary artery dilation, left ventricular dysfunction, pericardial effusion, mild mitral regurgitation. COVID PCR negative on admission, positive for IgG (spike) on 7/30. Case previously positive for COVID PCR on 11/29/2020.  Patient admitted to PICU on 7/29; on HFNC and given vasoactive medications (milrinone, epinephrine); placed on enoxaparin, ASA. Patient also given IVIG treatment (X1) and placed on steroids. Patient did develop hypotension, mycarditis & cardiogenic shock. Patient was discharged on 8/5 (survived) and diagnosed with atypical Kawasaki Disease. MIS-C was ruled out by clinicians based on negative COVID antibodies (nucleocapsid).
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Myocarditis, Oropharyngeal pain, Pain, Pericardial effusion, Pyrexia
Clinical narrative: No significant PMH presenting with developed headache, body aches, sore throat, fever (39 C), and vomiting on 7/26.Multi-system involvement, cardiac shock, AKI. Elevated CRP, Ferritin, Troponin, BNP, D-dimer. ECHO showed coronary artery dilation, left ventricular dysfunction, pericardial effusion, mild mitral regurgitation. COVID PCR negative on admission, positive for IgG (spike) on 7/30. Case previously positive for COVID PCR on 11/29/2020.  Patient admitted to PICU on 7/29; on HFNC and given vasoactive medications (milrinone, epinephrine); placed on enoxaparin, ASA. Patient also given IVIG treatment (X1) and placed on steroids. Patient did develop hypotension, mycarditis & cardiogenic shock. Patient was discharged on 8/5 (survived) and diagnosed with atypical Kawasaki Disease. MIS-C was ruled out by clinicians based on negative COVID antibodies (nucleocapsid).
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Serum ferritin increased, Troponin increased, Vomiting
Clinical narrative: No significant PMH presenting with developed headache, body aches, sore throat, fever (39 C), and vomiting on 7/26.Multi-system involvement, cardiac shock, AKI. Elevated CRP, Ferritin, Troponin, BNP, D-dimer. ECHO showed coronary artery dilation, left ventricular dysfunction, pericardial effusion, mild mitral regurgitation. COVID PCR negative on admission, positive for IgG (spike) on 7/30. Case previously positive for COVID PCR on 11/29/2020.  Patient admitted to PICU on 7/29; on HFNC and given vasoactive medications (milrinone, epinephrine); placed on enoxaparin, ASA. Patient also given IVIG treatment (X1) and placed on steroids. Patient did develop hypotension, mycarditis & cardiogenic shock. Patient was discharged on 8/5 (survived) and diagnosed with atypical Kawasaki Disease. MIS-C was ruled out by clinicians based on negative COVID antibodies (nucleocapsid).