chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Headache, Heart rate increased
Clinical narrative: Heart Pounding, Increased Heart Rate and Resting Heart Rate, Racing Heart, Chest Pain, Lightheadedness, Shortness of Breath, headache, dizziness, Increased blood pressure from excellent (90/60) to between 121-137/80 the majority of the time.  I saw a cardiologist who ordered blood work, an echocardiogram, and an event monitor to be worn for 30 days.My echo was the same as my last one, the blood work was fine, the event monitor showed an increased heart rate and bouts with racing heart. The event monitor showed a resting heart rate of over 100 beats per minute for an hour and a half. I have had a three hour and four hour episode of racing heart before the monitor was ordered after the vaccine.  The doctor did not order treatment. I still have the same symptoms.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Tachycardia
Clinical narrative: Heart Pounding, Increased Heart Rate and Resting Heart Rate, Racing Heart, Chest Pain, Lightheadedness, Shortness of Breath, headache, dizziness, Increased blood pressure from excellent (90/60) to between 121-137/80 the majority of the time.  I saw a cardiologist who ordered blood work, an echocardiogram, and an event monitor to be worn for 30 days.My echo was the same as my last one, the blood work was fine, the event monitor showed an increased heart rate and bouts with racing heart. The event monitor showed a resting heart rate of over 100 beats per minute for an hour and a half. I have had a three hour and four hour episode of racing heart before the monitor was ordered after the vaccine.  The doctor did not order treatment. I still have the same symptoms.
Age: 3.0
Sex: F
Vaccine: TDAP
Symptoms: Medication error, Wrong product administered
Clinical narrative: Patient was given Tdap instead of DtaP (infantrix) vaccine  Medication error
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Eczema, Rash, Rash erythematous, Rash papular
Clinical narrative: Raised red itchy rash that started on ankle then developed on back then developed all over body. Started  late September. Went to urgent care in October 2021 then went to a Dermatologist in Dec 2021. Had 2 biopsy to confirm eczema. No relief with prescribed creams. Then started injections of methotrexate in Feb and after 3rd dose started feeling better but rash is still apparent. Still following up with Dermatologist.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Raised red itchy rash that started on ankle then developed on back then developed all over body. Started  late September. Went to urgent care in October 2021 then went to a Dermatologist in Dec 2021. Had 2 biopsy to confirm eczema. No relief with prescribed creams. Then started injections of methotrexate in Feb and after 3rd dose started feeling better but rash is still apparent. Still following up with Dermatologist.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Pyrexia
Clinical narrative: The individual was given 0.2mL of undiluted pediatric vaccine. The parent was contacted and notified of the error. The patient experienced a mild fever around 101 F, for approximately two days. Fever was controlled with Tylenol. No other symptoms were reported.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Skin discomfort, Skin irritation
Clinical narrative: On 02-19-2022  I started to develop severe skin irritation.  Global body Itching, hives, rash, redness and wheels all over my body. Similar to dermatographia symptoms. Specifically on my breasts, stomach, groin, neck, arms, wrists, face, back, ears (everywhere).   Severe skin discomfort and itching, with large visible raised swollen skin where scratched, that appear usually within 2-5 minutes after scratching skin, that worsen and spread in the general area. Wheels/rash significantly worsen on skin when itched or slightly agitated, even through touch. I receive mild symptom relief after taking 50mg of Benadryl every 4-6hrs, but rash/hives/wheels consistently return throughout the day, sometimes from scratching and skin agitation, sometimes without any skin agitation, often becoming worse at night and after bathing.  I have no medical conditions and am in good health prior to my Moderna booster(#3). I take no medications. I have not been exposed to any new foods, environmental factors (cosmetics, chemicals, animals etc.) My symptoms are ongoing and seem to be ramping up in severity as time goes by, not improving as one would hope to see over time. I am in the process on contacting my PCP for further treatment.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Skin swelling, Urticaria
Clinical narrative: On 02-19-2022  I started to develop severe skin irritation.  Global body Itching, hives, rash, redness and wheels all over my body. Similar to dermatographia symptoms. Specifically on my breasts, stomach, groin, neck, arms, wrists, face, back, ears (everywhere).   Severe skin discomfort and itching, with large visible raised swollen skin where scratched, that appear usually within 2-5 minutes after scratching skin, that worsen and spread in the general area. Wheels/rash significantly worsen on skin when itched or slightly agitated, even through touch. I receive mild symptom relief after taking 50mg of Benadryl every 4-6hrs, but rash/hives/wheels consistently return throughout the day, sometimes from scratching and skin agitation, sometimes without any skin agitation, often becoming worse at night and after bathing.  I have no medical conditions and am in good health prior to my Moderna booster(#3). I take no medications. I have not been exposed to any new foods, environmental factors (cosmetics, chemicals, animals etc.) My symptoms are ongoing and seem to be ramping up in severity as time goes by, not improving as one would hope to see over time. I am in the process on contacting my PCP for further treatment.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test positive, Allergy to animal, Mycotic allergy, Seasonal allergy, Vertigo
Clinical narrative: Became severely allergic to airborns tested positive for all in the series including mold, pollen, cats, dog, grass, bark, etc.  after second shot and then Got horrible veritigo after Booster, all allergies continue and increase. Attended 2 weeks of balance therapy, three huge episodes. Days off work and doctor appts.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Brain natriuretic peptide, Chest X-ray, Cough, Dyspnoea
Clinical narrative: Cough Shortness of Breath DOE Decrease in ADL's due to aforementioned symptoms
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram, Full blood count, Loss of personal independence in daily activities, Metabolic function test
Clinical narrative: Cough Shortness of Breath DOE Decrease in ADL's due to aforementioned symptoms
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Pyrexia
Clinical narrative: Patient was administered 0.2mL of undiluted pediatric vaccine. The parent was contacted and notified of the error. The patient experienced a fever around 101 F, for approximately 2 days. The fever was well controlled with Tylenol. No other symptoms were reported.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness, tingling and pain bilateral upper extremities.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Loss of personal independence in daily activities, Muscle spasms, Spirometry
Clinical narrative: muscle spasm in affected arm x 1 week, chest pressure and shortness of breath x 6 weeks and ongoing interfering with ability to function as normal.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness unilateral, Magnetic resonance imaging head abnormal, Neuro-ophthalmological test abnormal, Optic ischaemic neuropathy
Clinical narrative: On April 29, 2021 I received the J&J Janssen Covid  vaccine at pharmacy. On December 10, 2021 I received the J&J Janssen Covid Booster vaccine at Pharmacy.  On the morning of January 4, 2022 I awoke with what turned out to be an eye stroke in my right eye - a rare condition called NAION - that has resulted in significant and permanent vision loss in my right eye.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine beyond the published expiration date. Per Moderna Manufacterer, re-vaccination is not required, the vaccine was determined to still maintain the activity necessary to protect against Covid-19.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dyspnoea, Erythema, Swelling face, Urticaria
Clinical narrative: SWOLLEN /RED FACE, HIVES, PRESSURE, SLIGHT DIFFICULTY BREATHING
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Blood creatine, Blood urea normal, Complement factor C3, Complement factor C4
Clinical narrative: 24 hrs. following receipt of 2nd Covid-19 vaccine, patient developed gross hematuria. This was confirmed during office appointment on 2/8. Gross hematuria resolved after 3 days, microscopic hematuria still present on day 4. BP, CREA, BUN, normal, C3, C4, ANA neg. Renal ultrasound neg, urine culture neg, patient not menstruating. ESR, CBC normal. By history patient had first vaccine 5/26/21 and same happened. Teen did not report to parent at that time and resolved over few days. She told her parent when happened again. No other personal HX of hematuria, no family history of nephropathy. Patient will seen nephrologist 2/28.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine negative, Full blood count normal, Haematuria, Inappropriate schedule of product administration, Red blood cell sedimentation rate normal
Clinical narrative: 24 hrs. following receipt of 2nd Covid-19 vaccine, patient developed gross hematuria. This was confirmed during office appointment on 2/8. Gross hematuria resolved after 3 days, microscopic hematuria still present on day 4. BP, CREA, BUN, normal, C3, C4, ANA neg. Renal ultrasound neg, urine culture neg, patient not menstruating. ESR, CBC normal. By history patient had first vaccine 5/26/21 and same happened. Teen did not report to parent at that time and resolved over few days. She told her parent when happened again. No other personal HX of hematuria, no family history of nephropathy. Patient will seen nephrologist 2/28.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cells urine positive, Ultrasound kidney normal
Clinical narrative: 24 hrs. following receipt of 2nd Covid-19 vaccine, patient developed gross hematuria. This was confirmed during office appointment on 2/8. Gross hematuria resolved after 3 days, microscopic hematuria still present on day 4. BP, CREA, BUN, normal, C3, C4, ANA neg. Renal ultrasound neg, urine culture neg, patient not menstruating. ESR, CBC normal. By history patient had first vaccine 5/26/21 and same happened. Teen did not report to parent at that time and resolved over few days. She told her parent when happened again. No other personal HX of hematuria, no family history of nephropathy. Patient will seen nephrologist 2/28.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Menstruation delayed, Urticaria
Clinical narrative: Red circular welt on arm for 3-4 days post injection. Menstrual cycle was delayed 10 days after injection.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Pyrexia, Tremor
Clinical narrative: Fever, severe chills, shakes, couldn?t get my bones warm. Side effects lasted for 36 hours, also had extreme fatigue for the following week
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Breast swelling, Breast tenderness, Erythema
Clinical narrative: Left breast swollen, painful, & had red lines across outer aspect of breast. Became less tender by day 5, still slightly swollen.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Oligomenorrhoea
Clinical narrative: Non-stop menstruation since 28Jan2022. Bright red blood with egg released each week.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Skin wound
Clinical narrative: Tough discolored and has cuts on it.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amnesia, Arthralgia, Asthenia, Blood test, Fatigue
Clinical narrative: Fever 102, edema allover my body( specially left arm, left shoulder, left breast, under my left armpit), body aches, severe joints pain, headache, weakness, fatigue, pain and heaviness in my left arm with numbness and tingling, memory loss.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypoaesthesia, Limb discomfort, Oedema, Pain
Clinical narrative: Fever 102, edema allover my body( specially left arm, left shoulder, left breast, under my left armpit), body aches, severe joints pain, headache, weakness, fatigue, pain and heaviness in my left arm with numbness and tingling, memory loss.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, Pyrexia
Clinical narrative: Fever 102, edema allover my body( specially left arm, left shoulder, left breast, under my left armpit), body aches, severe joints pain, headache, weakness, fatigue, pain and heaviness in my left arm with numbness and tingling, memory loss.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Axillary pain, Body temperature, Breast pain
Clinical narrative: Fever 102, edema allover my body( specially left arm, left shoulder, left breast, under my left armpit), body aches, severe joints pain, headache, weakness, fatigue, pain and heaviness in my left arm with numbness and tingling, memory loss.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breast swelling, Dizziness, Feeling abnormal, Headache, Hypokinesia
Clinical narrative: Fever 102, edema allover my body( specially left arm, left shoulder, left breast, under my left armpit), body aches, severe joints pain, headache, weakness, fatigue, pain and heaviness in my left arm with numbness and tingling, memory loss.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint swelling, Pain, Pyrexia, Swelling
Clinical narrative: Fever 102, edema allover my body( specially left arm, left shoulder, left breast, under my left armpit), body aches, severe joints pain, headache, weakness, fatigue, pain and heaviness in my left arm with numbness and tingling, memory loss.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: Large, red, warm, painful bump on administration arm at and around site of injection.  Started later in the day after her dose.  This happened on the first dose too and lasted several days.  Also experienced fatigue, body aches.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Large, red, warm, painful bump on administration arm at and around site of injection.  Started later in the day after her dose.  This happened on the first dose too and lasted several days.  Also experienced fatigue, body aches.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy bone marrow, Blood test, Chromaturia, Cold type haemolytic anaemia, Full blood count
Clinical narrative: Very dark urine for two days starting on Thursday after the covid booster on Monday.  Test the following Monday (11/22/2021) did not show blood in urine. Tests on 11/30/2021 showed low red blood cell count. Subsequently diagnosed as cold AIHA. I'm still undergoing tests to determine cause.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound abdomen
Clinical narrative: Very dark urine for two days starting on Thursday after the covid booster on Monday.  Test the following Monday (11/22/2021) did not show blood in urine. Tests on 11/30/2021 showed low red blood cell count. Subsequently diagnosed as cold AIHA. I'm still undergoing tests to determine cause.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: the patient had a syncope event after the shot. he was standing up waiting for his mom to get her shot
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Large itchy red, raised rash on left arm.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Bone swelling, Skin warm
Clinical narrative: Swelling on collarbone size of baseball, hot to touch, phone call to doctor's office after two days with swelling, told to take Advil, took for 3 days regularly, and it resolved.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling, Urticaria, Urticaria chronic
Clinical narrative: Hives have persisted for 9 weeks + , itchy, red, raised hives.  Hives are located all over body.  I went and saw an allergist.  The only course of action I can take is to continue to take antihistamines.  I take antihistamines everyday which helps the hives go away.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram, Limb operation, Mobility decreased, Nail bed bleeding
Clinical narrative: Had J & J vaccine no unusual side effects? Did moderna booster developed blood clot in Radial Artery
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Onychoclasis, Pain in extremity, Peripheral artery thrombosis, Peripheral coldness, Radial pulse decreased
Clinical narrative: Had J & J vaccine no unusual side effects? Did moderna booster developed blood clot in Radial Artery
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Had J & J vaccine no unusual side effects? Did moderna booster developed blood clot in Radial Artery
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram thorax abnormal, Pain in extremity, Pulmonary thrombosis, Thrombosis
Clinical narrative: Intense pain in the L/leg. Went to ER, where they performed an ultrasound that showed a large blood clot in that leg. A subsequent CT scan revealed a small blood clot in the R/lung. Was given Lovenox and later Eliquis. Admitted to hospital same day.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: Intense pain in the L/leg. Went to ER, where they performed an ultrasound that showed a large blood clot in that leg. A subsequent CT scan revealed a small blood clot in the R/lung. Was given Lovenox and later Eliquis. Admitted to hospital same day.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Acne, Menstruation irregular, Rosacea
Clinical narrative: Experienced rosacea and acne for the first time in 20 years and disruption in my menstrual cycle.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Chest X-ray, Chest pain, Computerised tomogram head
Clinical narrative: I work at a grocery store. Had to get the shot for work. Recived the shot 1/14/22. On 1/15/2022 went to work, felt faint to the brink of exhaustion. I told the pharmacist who administrators the shot my symptoms. He suggested I take my blood pressure, I did just that and my pressure was 150/99. I was told to go to the hospital for further observation.  I went to the hospital and my pressure was steadily rising. Because of the pandemic rising I had a long wait. During the wait, I felt chest pains and was breathing heavy. I fainted and hit my head on the floor of the hospital.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Head injury, Syncope
Clinical narrative: I work at a grocery store. Had to get the shot for work. Recived the shot 1/14/22. On 1/15/2022 went to work, felt faint to the brink of exhaustion. I told the pharmacist who administrators the shot my symptoms. He suggested I take my blood pressure, I did just that and my pressure was 150/99. I was told to go to the hospital for further observation.  I went to the hospital and my pressure was steadily rising. Because of the pandemic rising I had a long wait. During the wait, I felt chest pains and was breathing heavy. I fainted and hit my head on the floor of the hospital.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: I work at a grocery store. Had to get the shot for work. Recived the shot 1/14/22. On 1/15/2022 went to work, felt faint to the brink of exhaustion. I told the pharmacist who administrators the shot my symptoms. He suggested I take my blood pressure, I did just that and my pressure was 150/99. I was told to go to the hospital for further observation.  I went to the hospital and my pressure was steadily rising. Because of the pandemic rising I had a long wait. During the wait, I felt chest pains and was breathing heavy. I fainted and hit my head on the floor of the hospital.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Coronary angioplasty, Echocardiogram, Electrocardiogram, Metabolic function test
Clinical narrative: Myocardial infarction treated with multiple (3) angioplasties to coronary arteries
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocardial infarction
Clinical narrative: Myocardial infarction treated with multiple (3) angioplasties to coronary arteries
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Lipase increased, Pancreatitis acute, Vomiting
Clinical narrative: Pt with abdominal pain and vomiting, admitted via the ED with acute pancreatitis without clear etiology
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Disorientation, Erythema, Lethargy, Skin warm, Vomiting
Clinical narrative: Approx 30 min s/p vaccinations pt became very lethargic, skin very red all over, ears and face hot (warm to touch) vomiting, seems disoriented. Sent to ER.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Bandaemia, C-reactive protein increased, Constipation, Culture urine negative
Clinical narrative: 10 y.o. female with PMHx of mild intermittent asthma and chronic constipation, presenting with vaginal ulcers accompanied by dysuria x1 day PTA, lower abdominal discomfort most likely secondary to chronic constipation, and fever and bandemia that have resolved since admission. Cause of vaginal ulcers and pain are continuing to be worked up with wide differential, with consults from gynecology and dermatology. Genecology workup was urgent priority to determine possibility of abuse, and have so far resulted negative for syphilis, HIV, HSV1/2 and VZV. GC/Chlamydia is still pending. Wound and urine cutlers are NGTD. RVP of swabbed ulcers is negative. Currently, there is lower suspicion of infectious origin due to negative results to date. Social work and child protection also following patient.  Of note, this patient received her COVID-19 vaccine shortly prior to presentation of fever and vaginal ulcers. A case report shown Lipschütz ulcer development in a 12 year old girl following COVID-19 vaccination, with more reports of patients developing Lipschütz ulcers following COVID-19 infection. Patient is COVID-negative as of 2/5/22.   Other potential causes of patient's current symptoms include vaginal foreign body, Crohn's, EBV- related Lipschütz ulcer, Behcet syndrome, and contact irritation from change in laundry detergent. There was concern for vaginal foreign body due to vaginal discharge and patient endorsing pain in the vagina, but internal pain is more likely secondary to chronic constipation x7 days. Patient will receive enema today and continue bowel regimen, will observe for symptom resolution. Internal vaginal exam deferred for now due to need for general anesthesia, gynecology will follow up. Foreign body is lower on differential as this would not explain vaginal ulcers. Crohn's can be associated with constipations, abdominal discomfort, and vaginal ulcers, so fecal calprotectin was sent. Awaiting EBV results as well.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Culture wound negative, Dysuria, Epstein-Barr virus test, Faecal calprotectin, HIV test negative
Clinical narrative: 10 y.o. female with PMHx of mild intermittent asthma and chronic constipation, presenting with vaginal ulcers accompanied by dysuria x1 day PTA, lower abdominal discomfort most likely secondary to chronic constipation, and fever and bandemia that have resolved since admission. Cause of vaginal ulcers and pain are continuing to be worked up with wide differential, with consults from gynecology and dermatology. Genecology workup was urgent priority to determine possibility of abuse, and have so far resulted negative for syphilis, HIV, HSV1/2 and VZV. GC/Chlamydia is still pending. Wound and urine cutlers are NGTD. RVP of swabbed ulcers is negative. Currently, there is lower suspicion of infectious origin due to negative results to date. Social work and child protection also following patient.  Of note, this patient received her COVID-19 vaccine shortly prior to presentation of fever and vaginal ulcers. A case report shown Lipschütz ulcer development in a 12 year old girl following COVID-19 vaccination, with more reports of patients developing Lipschütz ulcers following COVID-19 infection. Patient is COVID-negative as of 2/5/22.   Other potential causes of patient's current symptoms include vaginal foreign body, Crohn's, EBV- related Lipschütz ulcer, Behcet syndrome, and contact irritation from change in laundry detergent. There was concern for vaginal foreign body due to vaginal discharge and patient endorsing pain in the vagina, but internal pain is more likely secondary to chronic constipation x7 days. Patient will receive enema today and continue bowel regimen, will observe for symptom resolution. Internal vaginal exam deferred for now due to need for general anesthesia, gynecology will follow up. Foreign body is lower on differential as this would not explain vaginal ulcers. Crohn's can be associated with constipations, abdominal discomfort, and vaginal ulcers, so fecal calprotectin was sent. Awaiting EBV results as well.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes simplex test negative, Pyrexia, SARS-CoV-2 test negative, Treponema test negative, Vaginal discharge
Clinical narrative: 10 y.o. female with PMHx of mild intermittent asthma and chronic constipation, presenting with vaginal ulcers accompanied by dysuria x1 day PTA, lower abdominal discomfort most likely secondary to chronic constipation, and fever and bandemia that have resolved since admission. Cause of vaginal ulcers and pain are continuing to be worked up with wide differential, with consults from gynecology and dermatology. Genecology workup was urgent priority to determine possibility of abuse, and have so far resulted negative for syphilis, HIV, HSV1/2 and VZV. GC/Chlamydia is still pending. Wound and urine cutlers are NGTD. RVP of swabbed ulcers is negative. Currently, there is lower suspicion of infectious origin due to negative results to date. Social work and child protection also following patient.  Of note, this patient received her COVID-19 vaccine shortly prior to presentation of fever and vaginal ulcers. A case report shown Lipschütz ulcer development in a 12 year old girl following COVID-19 vaccination, with more reports of patients developing Lipschütz ulcers following COVID-19 infection. Patient is COVID-negative as of 2/5/22.   Other potential causes of patient's current symptoms include vaginal foreign body, Crohn's, EBV- related Lipschütz ulcer, Behcet syndrome, and contact irritation from change in laundry detergent. There was concern for vaginal foreign body due to vaginal discharge and patient endorsing pain in the vagina, but internal pain is more likely secondary to chronic constipation x7 days. Patient will receive enema today and continue bowel regimen, will observe for symptom resolution. Internal vaginal exam deferred for now due to need for general anesthesia, gynecology will follow up. Foreign body is lower on differential as this would not explain vaginal ulcers. Crohn's can be associated with constipations, abdominal discomfort, and vaginal ulcers, so fecal calprotectin was sent. Awaiting EBV results as well.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal ulceration, Varicella virus test negative, Vulvovaginal pain
Clinical narrative: 10 y.o. female with PMHx of mild intermittent asthma and chronic constipation, presenting with vaginal ulcers accompanied by dysuria x1 day PTA, lower abdominal discomfort most likely secondary to chronic constipation, and fever and bandemia that have resolved since admission. Cause of vaginal ulcers and pain are continuing to be worked up with wide differential, with consults from gynecology and dermatology. Genecology workup was urgent priority to determine possibility of abuse, and have so far resulted negative for syphilis, HIV, HSV1/2 and VZV. GC/Chlamydia is still pending. Wound and urine cutlers are NGTD. RVP of swabbed ulcers is negative. Currently, there is lower suspicion of infectious origin due to negative results to date. Social work and child protection also following patient.  Of note, this patient received her COVID-19 vaccine shortly prior to presentation of fever and vaginal ulcers. A case report shown Lipschütz ulcer development in a 12 year old girl following COVID-19 vaccination, with more reports of patients developing Lipschütz ulcers following COVID-19 infection. Patient is COVID-negative as of 2/5/22.   Other potential causes of patient's current symptoms include vaginal foreign body, Crohn's, EBV- related Lipschütz ulcer, Behcet syndrome, and contact irritation from change in laundry detergent. There was concern for vaginal foreign body due to vaginal discharge and patient endorsing pain in the vagina, but internal pain is more likely secondary to chronic constipation x7 days. Patient will receive enema today and continue bowel regimen, will observe for symptom resolution. Internal vaginal exam deferred for now due to need for general anesthesia, gynecology will follow up. Foreign body is lower on differential as this would not explain vaginal ulcers. Crohn's can be associated with constipations, abdominal discomfort, and vaginal ulcers, so fecal calprotectin was sent. Awaiting EBV results as well.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient given Pfizer instead of Moderna Covid-19.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Swelling face, Urticaria
Clinical narrative: Broke out in hives, facial swelling, partial throat swelling, welts all over body.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Computerised tomogram thorax abnormal, Cough, Dyspnoea
Clinical narrative: Hospitalized 2/22 for increaseing dyspnea, dry cough, weakness and fatigue  received monoclonal antibody infusion of sotrovimab on 2/19
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pneumonia, Pneumonitis, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 2/22 for increaseing dyspnea, dry cough, weakness and fatigue  received monoclonal antibody infusion of sotrovimab on 2/19
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Arteriogram coronary normal, Catheterisation cardiac, Chest X-ray, Chest pain
Clinical narrative: Fatigue, followed by dull, pleuritic left anterior chest pain
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Early repolarisation syndrome, Echocardiogram normal, Ejection fraction decreased, Ejection fraction normal, Electrocardiogram ST segment elevation
Clinical narrative: Fatigue, followed by dull, pleuritic left anterior chest pain
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer normal, Pain, Pericarditis, Peripheral vascular disorder
Clinical narrative: Fatigue, followed by dull, pleuritic left anterior chest pain
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Pleuritic pain, Troponin increased
Clinical narrative: Fatigue, followed by dull, pleuritic left anterior chest pain
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram thorax, Creutzfeldt-Jakob disease, Death, Electroencephalogram
Clinical narrative: Acute AMS started on 5/26/21, dx with on  6/15/21, died 7/3/21
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy metal test, Laboratory test, Lumbar puncture, Magnetic resonance imaging head, Mental status changes
Clinical narrative: Acute AMS started on 5/26/21, dx with on  6/15/21, died 7/3/21
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast
Clinical narrative: Acute AMS started on 5/26/21, dx with on  6/15/21, died 7/3/21
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Epistaxis
Clinical narrative: nosebleed and spitting up blood clots on 09-24-2021, shortness of breath, chest pain on 09-25-2021, instructed to do albuterol to help with shortness of breath, sent to hematology to rule out medication, which was ruled out, ct scan was obtained which showed some inflammation in my lungs, ER visit on 10-15-2021 due to continued chest pain and shortness of breath and a Medrol dose pack was given
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonitis, Thrombosis
Clinical narrative: nosebleed and spitting up blood clots on 09-24-2021, shortness of breath, chest pain on 09-25-2021, instructed to do albuterol to help with shortness of breath, sent to hematology to rule out medication, which was ruled out, ct scan was obtained which showed some inflammation in my lungs, ER visit on 10-15-2021 due to continued chest pain and shortness of breath and a Medrol dose pack was given
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chronic inflammatory demyelinating polyradiculoneuropathy, Immunoglobulin therapy, Lumbar puncture, Magnetic resonance imaging, Nerve conduction studies
Clinical narrative: Chronic Inflammatory Demyelinating Polyneuropathy Patient hospitalized several times for IVIG treatments
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Dysphagia, Fatigue, Gait inability, Headache
Clinical narrative: Chronic Inflammatory Demyelinating Polyneuropathy Patient hospitalized several times for IVIG treatments
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Insomnia, Myalgia, Pain in extremity, Polyneuropathy, SARS-CoV-2 test
Clinical narrative: Chronic Inflammatory Demyelinating Polyneuropathy Patient hospitalized several times for IVIG treatments
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sleep disorder
Clinical narrative: Chronic Inflammatory Demyelinating Polyneuropathy Patient hospitalized several times for IVIG treatments
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
Clinical narrative: Chronic Inflammatory Demyelinating Polyneuropathy Patient hospitalized several times for IVIG treatments
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 12/25/21 presents to EC ED for "generalized fatigue". PMHx of "Parkinson's disease, peripheral arterial disease, hypertension, CKD, hyperlipidemia".
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 12/25/21 presents to EC ED for "generalized fatigue". PMHx of "Parkinson's disease, peripheral arterial disease, hypertension, CKD, hyperlipidemia".
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Blood test abnormal, Chest X-ray, Chest pain, Chills, Delirium
Clinical narrative: 17 Y 7 M generally healthy male who presents with acute onset of chest pain/pressure worsening Friday. He received COVID booster on 1/24/22, had intense fevers, myalgias, "nerve pain" all over body the 24-36hours after the booster. He was pretty much recovering by Wednesday and went to school since Thursday. However, on Friday, by 11:30am, he was feeling very tired and out-of-it. He started feeling chest pressure and pain. Denies tingling/numbness/radiation. Currently, he says he feels a little pressure at the chest right above the epigastric area--more like pressure rather than sharp. At one point, he did feel sharp pain but the general sensation of pressure was more bothering. He was seen this afternoon and referred for labs. His troponin came back elevated at 0.4 and so he was directed to the emergency room for further evaluation.    In ED: repeat troponin 0.44, bedside echocardiogram showed good LV function and no effusion. Rest of labs reassuring. After discussion with cardiology, patient admitted for further management. on 1/31/22:17 y.o. M with post COVID vaccine-related myocarditis, admitted with intermittent chest pain and elevated troponin, awaiting troponin level <0.5. Overall down-trended from peak troponin of 3.55 but with mild uptrend in troponin to 1.16 from 0.95. Chest pain improved with q8h motrin, now with only intermittent chest pain (at decr level from prior) and no SOB. Plan: Trending troponin q12h until trop <0.5. 1/28 EKG: NSR, RSR' in V1/V2 prob normal variant per Cards. Also on nicotine patch 14mg/24h started 1/29/22 in s/o hx vaping and desire to quit.    Dispo plan & recs per Cardiology: Plan for outpt cards f/u appt, no strenuous activities for 30 days after discharge and no competitive sports for 3 months until he can be cleared with a normal treadmill test. Recheck troponin 1 week after discharge. Will need nicotine patch wean - should be on (14 mg/day) for 2 weeks then step down to step 3 (7 mg/day) for 2 weeks.   Exam notable for CV: mildly bradycardic rate, normal rhythm, normal S1/S2, no point tenderness of chest on palpation. Cap refill < 2 sec, normal pulse. Pulm: CTAB. Abd: soft, NT, ND.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Lethargy, Myalgia
Clinical narrative: 17 Y 7 M generally healthy male who presents with acute onset of chest pain/pressure worsening Friday. He received COVID booster on 1/24/22, had intense fevers, myalgias, "nerve pain" all over body the 24-36hours after the booster. He was pretty much recovering by Wednesday and went to school since Thursday. However, on Friday, by 11:30am, he was feeling very tired and out-of-it. He started feeling chest pressure and pain. Denies tingling/numbness/radiation. Currently, he says he feels a little pressure at the chest right above the epigastric area--more like pressure rather than sharp. At one point, he did feel sharp pain but the general sensation of pressure was more bothering. He was seen this afternoon and referred for labs. His troponin came back elevated at 0.4 and so he was directed to the emergency room for further evaluation.    In ED: repeat troponin 0.44, bedside echocardiogram showed good LV function and no effusion. Rest of labs reassuring. After discussion with cardiology, patient admitted for further management. on 1/31/22:17 y.o. M with post COVID vaccine-related myocarditis, admitted with intermittent chest pain and elevated troponin, awaiting troponin level <0.5. Overall down-trended from peak troponin of 3.55 but with mild uptrend in troponin to 1.16 from 0.95. Chest pain improved with q8h motrin, now with only intermittent chest pain (at decr level from prior) and no SOB. Plan: Trending troponin q12h until trop <0.5. 1/28 EKG: NSR, RSR' in V1/V2 prob normal variant per Cards. Also on nicotine patch 14mg/24h started 1/29/22 in s/o hx vaping and desire to quit.    Dispo plan & recs per Cardiology: Plan for outpt cards f/u appt, no strenuous activities for 30 days after discharge and no competitive sports for 3 months until he can be cleared with a normal treadmill test. Recheck troponin 1 week after discharge. Will need nicotine patch wean - should be on (14 mg/day) for 2 weeks then step down to step 3 (7 mg/day) for 2 weeks.   Exam notable for CV: mildly bradycardic rate, normal rhythm, normal S1/S2, no point tenderness of chest on palpation. Cap refill < 2 sec, normal pulse. Pulm: CTAB. Abd: soft, NT, ND.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Myocarditis, Neuralgia, Pyrexia, Troponin increased
Clinical narrative: 17 Y 7 M generally healthy male who presents with acute onset of chest pain/pressure worsening Friday. He received COVID booster on 1/24/22, had intense fevers, myalgias, "nerve pain" all over body the 24-36hours after the booster. He was pretty much recovering by Wednesday and went to school since Thursday. However, on Friday, by 11:30am, he was feeling very tired and out-of-it. He started feeling chest pressure and pain. Denies tingling/numbness/radiation. Currently, he says he feels a little pressure at the chest right above the epigastric area--more like pressure rather than sharp. At one point, he did feel sharp pain but the general sensation of pressure was more bothering. He was seen this afternoon and referred for labs. His troponin came back elevated at 0.4 and so he was directed to the emergency room for further evaluation.    In ED: repeat troponin 0.44, bedside echocardiogram showed good LV function and no effusion. Rest of labs reassuring. After discussion with cardiology, patient admitted for further management. on 1/31/22:17 y.o. M with post COVID vaccine-related myocarditis, admitted with intermittent chest pain and elevated troponin, awaiting troponin level <0.5. Overall down-trended from peak troponin of 3.55 but with mild uptrend in troponin to 1.16 from 0.95. Chest pain improved with q8h motrin, now with only intermittent chest pain (at decr level from prior) and no SOB. Plan: Trending troponin q12h until trop <0.5. 1/28 EKG: NSR, RSR' in V1/V2 prob normal variant per Cards. Also on nicotine patch 14mg/24h started 1/29/22 in s/o hx vaping and desire to quit.    Dispo plan & recs per Cardiology: Plan for outpt cards f/u appt, no strenuous activities for 30 days after discharge and no competitive sports for 3 months until he can be cleared with a normal treadmill test. Recheck troponin 1 week after discharge. Will need nicotine patch wean - should be on (14 mg/day) for 2 weeks then step down to step 3 (7 mg/day) for 2 weeks.   Exam notable for CV: mildly bradycardic rate, normal rhythm, normal S1/S2, no point tenderness of chest on palpation. Cap refill < 2 sec, normal pulse. Pulm: CTAB. Abd: soft, NT, ND.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Bradycardia, Capillary nail refill test, Chest discomfort, Chest pain, Echocardiogram normal
Clinical narrative: 17 Y 7 M generally healthy male who presents with acute onset of chest pain/pressure worsening Friday. He received COVID booster on 1/24/22, had intense fevers, myalgias, "nerve pain" all over body the 24-36hours after the booster. He was pretty much recovering by Wednesday and went to school since Thursday. However, on Friday, by 11:30am, he was feeling very tired and out-of-it. He started feeling chest pressure and pain. Denies tingling/numbness/radiation. Currently, he says he feels a little pressure at the chest right above the epigastric area--more like pressure rather than sharp. At one point, he did feel sharp pain but the general sensation of pressure was more bothering. He was seen this afternoon and referred for labs. His troponin came back elevated at 0.4 and so he was directed to the emergency room for further evaluation.    In ED: repeat troponin 0.44, bedside echocardiogram showed good LV function and no effusion. Rest of labs reassuring. After discussion with cardiology, patient admitted for further management. on 1/31/22:17 y.o. M with post COVID vaccine-related myocarditis, admitted with intermittent chest pain and elevated troponin, awaiting troponin level <0.5. Overall down-trended from peak troponin of 3.55 but with mild uptrend in troponin to 1.16 from 0.95. Chest pain improved with q8h motrin, now with only intermittent chest pain (at decr level from prior) and no SOB. Plan: Trending troponin q12h until trop <0.5. 1/28 EKG: NSR, RSR' in V1/V2 prob normal variant per Cards. Also on nicotine patch 14mg/24h started 1/29/22 in s/o hx vaping and desire to quit.    Dispo plan & recs per Cardiology: Plan for outpt cards f/u appt, no strenuous activities for 30 days after discharge and no competitive sports for 3 months until he can be cleared with a normal treadmill test. Recheck troponin 1 week after discharge. Will need nicotine patch wean - should be on (14 mg/day) for 2 weeks then step down to step 3 (7 mg/day) for 2 weeks.   Exam notable for CV: mildly bradycardic rate, normal rhythm, normal S1/S2, no point tenderness of chest on palpation. Cap refill < 2 sec, normal pulse. Pulm: CTAB. Abd: soft, NT, ND.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Laboratory test, Myalgia, Myocarditis
Clinical narrative: 17 Y 7 M generally healthy male who presents with acute onset of chest pain/pressure worsening Friday. He received COVID booster on 1/24/22, had intense fevers, myalgias, "nerve pain" all over body the 24-36hours after the booster. He was pretty much recovering by Wednesday and went to school since Thursday. However, on Friday, by 11:30am, he was feeling very tired and out-of-it. He started feeling chest pressure and pain. Denies tingling/numbness/radiation. Currently, he says he feels a little pressure at the chest right above the epigastric area--more like pressure rather than sharp. At one point, he did feel sharp pain but the general sensation of pressure was more bothering. He was seen this afternoon and referred for labs. His troponin came back elevated at 0.4 and so he was directed to the emergency room for further evaluation.    In ED: repeat troponin 0.44, bedside echocardiogram showed good LV function and no effusion. Rest of labs reassuring. After discussion with cardiology, patient admitted for further management. on 1/31/22:17 y.o. M with post COVID vaccine-related myocarditis, admitted with intermittent chest pain and elevated troponin, awaiting troponin level <0.5. Overall down-trended from peak troponin of 3.55 but with mild uptrend in troponin to 1.16 from 0.95. Chest pain improved with q8h motrin, now with only intermittent chest pain (at decr level from prior) and no SOB. Plan: Trending troponin q12h until trop <0.5. 1/28 EKG: NSR, RSR' in V1/V2 prob normal variant per Cards. Also on nicotine patch 14mg/24h started 1/29/22 in s/o hx vaping and desire to quit.    Dispo plan & recs per Cardiology: Plan for outpt cards f/u appt, no strenuous activities for 30 days after discharge and no competitive sports for 3 months until he can be cleared with a normal treadmill test. Recheck troponin 1 week after discharge. Will need nicotine patch wean - should be on (14 mg/day) for 2 weeks then step down to step 3 (7 mg/day) for 2 weeks.   Exam notable for CV: mildly bradycardic rate, normal rhythm, normal S1/S2, no point tenderness of chest on palpation. Cap refill < 2 sec, normal pulse. Pulm: CTAB. Abd: soft, NT, ND.