chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Somnambulism
Clinical narrative: Around 6 hours post vaccine I began having severe sleep disturbances. Lucid dreams which caused me to sleep walk posing a danger to myself along with calling people. I was completely asleep and have no recollection. Around 12 hours I began having intense chest and rib pain. It was a constricting type of pain. At closer to  18 hours walking became very difficult. Pain in full body is becoming unmanageable.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 17 yo patient received Moderna Vaccine 1/23/21. Pt also received dose 2 Moderna 2/20/21.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given the johnson and johnson vaccine, but was under age
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic stenosis, Back pain, Dyspnoea, Echocardiogram, Pain in extremity
Clinical narrative: Started to develop worsening shortness of breath, back pain, pressure along with heart palpitations, and arm pain 3 weeks ago of 04/19/21.   On 04/19/21, she also started to develop worsening petechiae of the bilateral lower extremities, spreading up to her thigh.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Petechiae, Pulmonary valve incompetence, Tricuspid valve incompetence
Clinical narrative: Started to develop worsening shortness of breath, back pain, pressure along with heart palpitations, and arm pain 3 weeks ago of 04/19/21.   On 04/19/21, she also started to develop worsening petechiae of the bilateral lower extremities, spreading up to her thigh.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Constant ringing in ears (tinnitus)
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Received Moderna Vaccine on April 1st., and two hours later developed slight ringing in ears. On morning of April 6th, ringing in head/ears became much louder. Ringing (loud) in ears has been constant and ongoing since April 6th.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage
Clinical narrative: Patient presented to the ED and was subsequently hospitalized on 3/22/21 with upper GI bleed. This was within 6 weeks of receiving COVID vaccination.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Off label use, Product administered to patient of inappropriate age
Clinical narrative: Pt. a minor inadvertently vaccinated at vaccine POD at 4:20pm on 03/20/21. Pt. presented with Father, on 05/03/21 preregistered for second dose of Moderna, FDA explained, all questions answered, off label consent form signed by father per Lead. Pt Identification verified, vaccinated for second dose of Moderna on 05/04/21 by , LVN. Notified, site manager and aware of situation.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hyperhidrosis, Malaise, Nausea, Pallor
Clinical narrative: While waiting for shot time to be up pt began feeling nauseous and "not feeling good".  Pt began feeling hot and diaphoretic with color to face and mouth white.  Pt was a/ox3.  Given water with gatorade packet placed in water. Pt tolerated fluids well.  Pt informed nurse that she felt that she had to vomit. No vomiting noted at this time.  V/S obtained with b/p 100/66 HR 73 and O2 98% on RA.  Pt started feeling better within 15 minutes of episode started.  Family was asked to come get pt d/t she lived over 30 minutes from site.  Family came to get pt. Pt verbalized that she felt better. V/s prior to departure 102/72 HR72 O2 99 on RA.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pressure abnormal, Hyperhidrosis, Pallor, Syncope
Clinical narrative: Pt reported a history of syncope with injections and blood draws in the past. Shortly after injection, he passed out briefly. He was noted to be pale and diaphoretic on exam. Initial BP was 90/52 and this improved to 100/64 after several minutes. HR 78, SP02 99%. Pt improved with observation only. He drove himself home after 30+ minutes of observation after his symptoms completely resolved.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Mental status changes, Syncope, Unresponsive to stimuli
Clinical narrative: Pt reported a history of syncope with injections and blood draws in the past. Shortly after injection, he passed out briefly. He was noted to be pale and diaphoretic on exam. Initial BP was 90/52 and this improved to 100/64 after several minutes. HR 78, SP02 99%. Pt improved with observation only. He drove himself home after 30+ minutes of observation after his symptoms completely resolved.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Craniectomy, Fall, Head injury, Intensive care
Clinical narrative: Pt reported a history of syncope with injections and blood draws in the past. Shortly after injection, he passed out briefly. He was noted to be pale and diaphoretic on exam. Initial BP was 90/52 and this improved to 100/64 after several minutes. HR 78, SP02 99%. Pt improved with observation only. He drove himself home after 30+ minutes of observation after his symptoms completely resolved.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chest pain, Chills, Echocardiogram abnormal, Electrocardiogram ST segment elevation
Clinical narrative: 35 year old male without a significant health history, who had his second dose of the Pfizer vaccine 4 days prior to admit on 4/30/2021. Since his second vaccine dose, he started having generalized chest/abdominal aching, chills, body aches, nausea/vomiting. On the day of admission, he awoke with numbness in his right and left upper extremity. In the ED, his ECG showed NSR with anterior and inferior ST elevation. Troponin elevated to 3.99, trended down. Echo  normal. Cardiac MRI suggested myocarditis. He was started on colchicine 0.6 mg BID with resolution of his symptoms.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging heart, N-terminal prohormone brain natriuretic peptide increased, Nausea, Pain
Clinical narrative: 35 year old male without a significant health history, who had his second dose of the Pfizer vaccine 4 days prior to admit on 4/30/2021. Since his second vaccine dose, he started having generalized chest/abdominal aching, chills, body aches, nausea/vomiting. On the day of admission, he awoke with numbness in his right and left upper extremity. In the ED, his ECG showed NSR with anterior and inferior ST elevation. Troponin elevated to 3.99, trended down. Echo  normal. Cardiac MRI suggested myocarditis. He was started on colchicine 0.6 mg BID with resolution of his symptoms.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pericardial effusion, Scan with contrast, Vomiting
Clinical narrative: 35 year old male without a significant health history, who had his second dose of the Pfizer vaccine 4 days prior to admit on 4/30/2021. Since his second vaccine dose, he started having generalized chest/abdominal aching, chills, body aches, nausea/vomiting. On the day of admission, he awoke with numbness in his right and left upper extremity. In the ED, his ECG showed NSR with anterior and inferior ST elevation. Troponin elevated to 3.99, trended down. Echo  normal. Cardiac MRI suggested myocarditis. He was started on colchicine 0.6 mg BID with resolution of his symptoms.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Pain in my right arm and shoulder, pain in my right wrist, paiin my my thighs and hanstring, pain in my kness
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: Sore arm, but then swollen lymphy nodes on left side of neck
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram ambulatory, Hyperhidrosis, Oropharyngeal discomfort, Palpitations
Clinical narrative: Pt arrived to med obs #1 via wheelchair with ODI c/o dizziness, lightheadedness, and diaphoresis. Pt has holter monitor in place, placed yesterday (5/3/21) by pt cardiologist for ongoing s/s of palpitations and dizziness per her report. Pt also c/o tingling to bilateral hands and abdomen, and "strange sensation" in throat. Denies difficulty swallowing, soreness, or tightness of throat. Pt cannot elaborate further on the way her throat feels. Pt accepted water, declined snack. Pt began c/o worsening dizziness, placed in trendelenburg position with relief. Orthostatic VS obtained. Pt reports her BP tends to run low at baseline. VSS. Pt declined wheelchair to exit, escorted by staff with pt son to exit. VS are as follows: 1640: BP 128/55, HR 81, RR 12, O2 sat 96% on RA 1650: BP 117/60, HR 74, RR 14, O2 sat 96% on RA 1655 (lying): BP 110/55, HR 72, RR 16, O2 sat 95% on RA 1657 (sitting): BP 119/62, HR 83, RR 16, O2 sat 97% on RA 1659 (standing): BP 115/55, HR 77, RR 16, O2 sat 97% on RA
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Pt arrived to med obs #1 via wheelchair with ODI c/o dizziness, lightheadedness, and diaphoresis. Pt has holter monitor in place, placed yesterday (5/3/21) by pt cardiologist for ongoing s/s of palpitations and dizziness per her report. Pt also c/o tingling to bilateral hands and abdomen, and "strange sensation" in throat. Denies difficulty swallowing, soreness, or tightness of throat. Pt cannot elaborate further on the way her throat feels. Pt accepted water, declined snack. Pt began c/o worsening dizziness, placed in trendelenburg position with relief. Orthostatic VS obtained. Pt reports her BP tends to run low at baseline. VSS. Pt declined wheelchair to exit, escorted by staff with pt son to exit. VS are as follows: 1640: BP 128/55, HR 81, RR 12, O2 sat 96% on RA 1650: BP 117/60, HR 74, RR 14, O2 sat 96% on RA 1655 (lying): BP 110/55, HR 72, RR 16, O2 sat 95% on RA 1657 (sitting): BP 119/62, HR 83, RR 16, O2 sat 97% on RA 1659 (standing): BP 115/55, HR 77, RR 16, O2 sat 97% on RA
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mass, Tenderness
Clinical narrative: Swollen lymph glands on left side of chest and under left arm.  Tenderness for approx. 6 days. Then no tenderness and swelling has gone down little by little.  Small hard lump and swelling still evident, left side of chest near sternum on 5-4-21.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain in extremity, Pyrexia
Clinical narrative: Very sore arm, feeling crummy, low grade temperature 100.2°
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Pain, Pain in extremity
Clinical narrative: Caller states his wife took 1st Modena vaccine yesterday approx. 5 PM.  Starting around 3am this morning, she developed pain in her left arm radiating down her arm, chills and an elevated temp that is not responding to Tylenol or Motrin.  Temp has gone from 99 to 102 since 3 am today.  Encouraged her to go to ED or urgent care for evaluation of same.  RN
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: PATIENT REPORTED TO PHARMACY FOR SECOND DOSE AND MENTIONED REACTION OCCURING TWO DAYS AFTER RECEIVING VACCINE. IT STARTED AS AS PAIN THEN TINGLING AND NUMBING IN THE VACCINATED ARM. PATIENT USES OTC PAIN MEDICATIONS AND  A HEATING PAD WHICH CAUSES SOME REDNESS IN THE AFFECTED ARMS
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Hypoaesthesia, Insomnia, Lethargy, Pain
Clinical narrative: PATIENT REPORTED TO PHARMACY FOR SECOND DOSE AND MENTIONED REACTION OCCURING TWO DAYS AFTER RECEIVING VACCINE. IT STARTED AS AS PAIN THEN TINGLING AND NUMBING IN THE VACCINATED ARM. PATIENT USES OTC PAIN MEDICATIONS AND  A HEATING PAD WHICH CAUSES SOME REDNESS IN THE AFFECTED ARMS
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, Rash, Ultrasound scan, Vaccination site pain
Clinical narrative: PATIENT REPORTED TO PHARMACY FOR SECOND DOSE AND MENTIONED REACTION OCCURING TWO DAYS AFTER RECEIVING VACCINE. IT STARTED AS AS PAIN THEN TINGLING AND NUMBING IN THE VACCINATED ARM. PATIENT USES OTC PAIN MEDICATIONS AND  A HEATING PAD WHICH CAUSES SOME REDNESS IN THE AFFECTED ARMS
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Redness at injection site
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Eye pain, Malaise, Oropharyngeal pain
Clinical narrative: On 5/4/2021, client approached EMT complaining of discomfort. Client was a 47 year old female alert and tracking with her eyes. Client had a chief complaint of general malaise. For the duration of the assessment and history taking, an interpreter assisted with translation. Client stated that after 15 minutes of her observation, she began to experience malaise as well as generalized pain behind her eye and in her throat. This is the client's second dose of the pfizer vaccine (Lot #EW0167 Exp 08/2021) and she has a history of an allergy to cephalexin and reglan. Client denied any reactions to the first dose of the vaccine. Assessment revealed no swelling, hives, discoloration, shortness of breath or other signs of anaphylaxis throughout the patient's body. Client complained of malaise but denied wanting to faint. Client complained of pain behind her eye and in her throat but had no excessive salivation or difficulty speaking. Client stated that she only had orange juice for breakfast this morning. Client's initial vitals at 1025 were 120/80 blood pressure, 80 heart rate, respirations 16, lung sounds clear bilaterally, alert and oriented to person, place, date and event, temperature 98 f and her skin was warm and normal. EMT present was unable to obtain an O2 sat due to client's fingernail paint. Client stated that the symptoms she complained of today did not resemble her allergic reaction to IV antibiotics. Client consented to remaining an additional 30 minutes and her vitals were monitored at 5 minute intervals. Client was provided with a snack and water and had no difficulty eating or swallowing during her extended observation. Client's vitals remained stable throughout her additional observation period and were as follows: 1030 - 116/76, pulse 80, respirations 16, 1035 - 116/76 blood pressure, 80 pulse, 16 respirations, 1040 - 116/76, 80 pulse, 16 respirations, 1045 - 118/76 blood pressure, 80 pulse, respirations 16, 1050 - 114/74 blood pressure, 80 pulse, 16 respirations, 1055 - 114/74, 80 pulse, respirations 16. Client did state she had slightly more energy after eating a snack and drinking water. However, she continued to state that her eye pain and throat pain was still present. Client was asked if she needed staff present to dial 911 but client refused stating she wanted to "see how she feels." Client was offered 50 mg of Benadryl but refused stating she would "take some when she gets home." Client was encouraged to contact her primary or seek out urgent care today if symptoms do not improve. Client was provided with all relevant information regarding the vaccine and possible side effects. Client departed borderview at 1057 stating she felt safe to drive and stating that her husband will be with her when she gets home. Client remained a total of 45 minutes with no anaphylaxis reaction.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Muscle tightness
Clinical narrative: Tight sensation in neck and chest post vaccination (approximately 1 hour later) that came and went 3 times.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Cheilitis, Mouth ulceration, Oral pruritus, Pruritus, Urticaria
Clinical narrative: Facial itching within first 45 minutes of injection. Within 3 hours small blisters formed on right upper lip and left lower lip. Oral itching progressed. Hives formed around mouth, eyes, jaw, and forehead. Itching and hives continued despite benadryl 25-50mg PO daily and covering  face in hydrocortisone cream. Oral blisters worsened and covered entire lips. Oral ulcers started inside mouth as well on day 2 post injection. The itching, blisters, and ulcers continued for 6 days without any improvement. PCP seen and steroid pack prescribed. Resolved issues after completion of day 4 of steroids. Entire pack completed without recurrence of hives.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Auditory disorder, Visual impairment
Clinical narrative: Our office did NOT administer the vaccine She received the vaccine at another location and 2 months later mad me aware of her symptoms as follows: The same day of her first vaccine, she had visual changes (half of her face looks very yellow)   and auditory (hearing a  radio). Subsided after a few hours. No further symptoms or changes  She did not notify me at the time so we did not have OV or eval dedicated to this
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Nausea, vomiting and dizziness.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypertension, Hypotension, Peripheral swelling, Pharyngeal swelling
Clinical narrative: Arm swelling, throat swelling, hypotension then hypertension,  ongoing dizzy spells
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscle tightness, Musculoskeletal stiffness, Vaccine positive rechallenge
Clinical narrative: 8 days after receiving the vaccine, woke up with stiff neck, was watching the morning news and couldn't move, within 30 min, was very painful.  Took robaxin rx, and tylenol, which eased the stiff neck and took another dose at bedtime, and was okay after that.  She feels that her neck continues to be tight, but can function normally.  Same thing happened after 1st COVID vaccine, other than it started same day, it was reported to VEARS.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Dysphonia, Dyspnoea, Throat tightness
Clinical narrative: shortly after vaccine administration, patient was unable to speak and throat tightened.  had difficulty breathing.  diphenhydramine 50 mg and epinephrine  0.3mg x2 administered.  face mask applied @ 15L.  positive for voice change and shortness of breath. treted with methylprednisolone, famotidine, albuterol inhaler
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Ophthalmological examination normal, Vertigo
Clinical narrative: Vertigo.  It is very serious in the morning when I get out of bed and eases somewhat during the day.  I have attempted the Eppley maneuver at home and my Primary Care Provider did a similar maneuver in her office recently
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: The vaccinator thought there was vaccine in the syringe when in fact there was nothing in the syringe being used. The Patient received less than 0.5cc of air. Patient came back to receive their actual dose of Moderna vaccine but then changed their mind and left without any notice.
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Atrial fibrillation, Dyspnoea
Clinical narrative: FIBRILACION ATRIAL, SOB
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Blood test, Computerised tomogram, Diarrhoea
Clinical narrative: Severe diarrhea for three days, Extreme swelling of stomach. Extreme abdominal pain. Additional swollen area on left side of intestines. Shingles like pain in  abdominal skin and flesh.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin
Clinical narrative: Severe diarrhea for three days, Extreme swelling of stomach. Extreme abdominal pain. Additional swollen area on left side of intestines. Shingles like pain in  abdominal skin and flesh.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: I started my period on Friday morning (before the shot) and it was gone within 24 hours. I have had normal 28day cycle, 4-5 day normal/light periods my entire life so this is NOT normal.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Back pain, Death, Histology abnormal, Myocardial infarction
Clinical narrative: had second dose of Pfizer vaccine on 2/4 at 15:00, had back pain, nausea and vomiting around 18:00, went to the ER around midnight with abdominal symptoms and stable VS, and went unresponsive and was pronounced on 2/5 at 6:23 am.    Dr. did the autopsy over the weekend.  At autopsy, he has remote myocardial infarcts and what appears very recent myocardial infarct.  Quick tox was negative for drugs.  No hemorrhage or signs of inflammation in the injection site (right shoulder). No other findings. Cause and manner of death are currently pending for extensive histology and viral testing.  F/u from OCME on 2/22/2021: histology slides and decedent has myocardial infarct. He will be signed out as such.  Covid swab is negative
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test negative, Toxicologic test normal, Unresponsive to stimuli, Vomiting
Clinical narrative: had second dose of Pfizer vaccine on 2/4 at 15:00, had back pain, nausea and vomiting around 18:00, went to the ER around midnight with abdominal symptoms and stable VS, and went unresponsive and was pronounced on 2/5 at 6:23 am.    Dr. did the autopsy over the weekend.  At autopsy, he has remote myocardial infarcts and what appears very recent myocardial infarct.  Quick tox was negative for drugs.  No hemorrhage or signs of inflammation in the injection site (right shoulder). No other findings. Cause and manner of death are currently pending for extensive histology and viral testing.  F/u from OCME on 2/22/2021: histology slides and decedent has myocardial infarct. He will be signed out as such.  Covid swab is negative
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Call and left message  several times but no answer from patient.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, C-reactive protein increased, Congestive cardiomyopathy, Ejection fraction normal, HIV antibody negative
Clinical narrative: Acute HFrEF (35%) and dilated cardiomyopathy. Potential myocarditis. MRI cardiac obtained 24 days post vaccination neg for acute myocarditis. Other work up cardiomyopathy: ischemia (underwent left heart cath), HIV, TSH neg. No hx of alcohol,  meth, or cocaine. Not acutely infected.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ischaemia, Red blood cell sedimentation rate increased, Troponin I, Ventricular hypokinesia
Clinical narrative: Acute HFrEF (35%) and dilated cardiomyopathy. Potential myocarditis. MRI cardiac obtained 24 days post vaccination neg for acute myocarditis. Other work up cardiomyopathy: ischemia (underwent left heart cath), HIV, TSH neg. No hx of alcohol,  meth, or cocaine. Not acutely infected.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Head discomfort
Clinical narrative: Symptoms: dizziness and "heaviness in head" that began 10 minutes after vaccine administration. Vitals were taken every 5 minutes, client was placed in a zero-gravity chair and given water.  S/s improved with time & subsided completely after 15 minutes.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus, Rash macular
Clinical narrative: Per RN telephone encounter on 3/12/21: About 35 minutes after vaccine started having tingling in face and arms and developed red blotchy skin with slight itching in these areas. Red areas not raised or welted.  Benadryl  50 mg does help decrease redness and itching. She had taken Benadryl for 2 weeks, but once she stopped the symptoms returned. Patient had an office visit on 3/26/21 for assessment. She was provided prednisone, omeprazole and Benadryl regimen/taper, but the symptom of facial tingling came back despite this. She presented to the ED on 4/1/21 with facial paresthesia. She was instructed to stop taking the medication regimen, but she was still have tingling on her face that moves around from her eyes to cheeks to temples to jaw.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Injection site nodule
Clinical narrative: Knot at injection site, diffuse bruise spreac down arm toward elbow (on anterior side). Not warm to touch and not overly sore (according to patient)
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Patient called and stated itching followed by redness/hives developed around her right elbow the morning after her vaccination. Later in the day she noticed her left shoulder was red (but no hives developed). The patient applied some hydrocortisone cream and took Benadryl. At this point she has not experienced any further symptoms.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Paraesthesia, Sleep disorder
Clinical narrative: On the day of - after few hours felt little bit of internal prickly sensation in the forearm area no other redness or swelling in the arm at all.  On the 2nd day after the shot (5/3/21), woke up with Severe swelling in the upper arm the shot area, redness and swelling spread up to 7" below the shot area (7+" down and 4+"wide area) and continues to exist.  Couldn't fall asleep that night until 3am of next day (no pain except for swelling sensation).  No other symptoms to report at this time.  Just reporting for research data
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fall, Loss of consciousness, Syncope
Clinical narrative: passed out in car. felt weak and fell over (according to spouse) syncope. Evaluated by EMS- Transported to Emergency room/department or urgent care.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood test abnormal, Chest X-ray normal, Chills, Computerised tomogram normal
Clinical narrative: Ischemic Stroke:  I was sick with flu like symptoms the day after my test, including headache, fever, chills, fatigue and body aches. I rested and treated with ibuprofen and tylenol.  The second day after I was well enough to return to normal activities. However, after dinner, my left hand seized up and I had to shake out my hand to get it working again. This event lasted about 30 seconds. I had some small tingling in the evening after that. The next morining when I woke up my left arm was not functioning properly. It was weak, slow and I could not close my hand in a grip.  My husband drove me to the ER where I received many tests over 3 days, resulting in the diagnosis of an ischemic stroke on the right side of my brain.  Most of my arm function returned late afternoon the same day I was admitted.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Echocardiogram normal, Fatigue, Grip strength decreased, Headache
Clinical narrative: Ischemic Stroke:  I was sick with flu like symptoms the day after my test, including headache, fever, chills, fatigue and body aches. I rested and treated with ibuprofen and tylenol.  The second day after I was well enough to return to normal activities. However, after dinner, my left hand seized up and I had to shake out my hand to get it working again. This event lasted about 30 seconds. I had some small tingling in the evening after that. The next morining when I woke up my left arm was not functioning properly. It was weak, slow and I could not close my hand in a grip.  My husband drove me to the ER where I received many tests over 3 days, resulting in the diagnosis of an ischemic stroke on the right side of my brain.  Most of my arm function returned late afternoon the same day I was admitted.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Ischaemic stroke, Magnetic resonance imaging abnormal, Mobility decreased, Muscle spasms
Clinical narrative: Ischemic Stroke:  I was sick with flu like symptoms the day after my test, including headache, fever, chills, fatigue and body aches. I rested and treated with ibuprofen and tylenol.  The second day after I was well enough to return to normal activities. However, after dinner, my left hand seized up and I had to shake out my hand to get it working again. This event lasted about 30 seconds. I had some small tingling in the evening after that. The next morining when I woke up my left arm was not functioning properly. It was weak, slow and I could not close my hand in a grip.  My husband drove me to the ER where I received many tests over 3 days, resulting in the diagnosis of an ischemic stroke on the right side of my brain.  Most of my arm function returned late afternoon the same day I was admitted.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain, Paraesthesia, Pyrexia
Clinical narrative: Ischemic Stroke:  I was sick with flu like symptoms the day after my test, including headache, fever, chills, fatigue and body aches. I rested and treated with ibuprofen and tylenol.  The second day after I was well enough to return to normal activities. However, after dinner, my left hand seized up and I had to shake out my hand to get it working again. This event lasted about 30 seconds. I had some small tingling in the evening after that. The next morining when I woke up my left arm was not functioning properly. It was weak, slow and I could not close my hand in a grip.  My husband drove me to the ER where I received many tests over 3 days, resulting in the diagnosis of an ischemic stroke on the right side of my brain.  Most of my arm function returned late afternoon the same day I was admitted.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Feeling abnormal, Injection site pain, Migraine, Muscle spasms
Clinical narrative: This is only a moderate adverse event, but I wanted to add it to the record in case more people have similar experiences. // Day 1 - mild pain at injection site, no other issues. Took Advil. // Day 2 - Flu-like body pains/sensitivity, very uncomfortable, foggy brain, spent most of the day in bed because that made it less uncomfortable. (I understand this is a typical 2nd shot reaction. No problems there.) Took Advil. // Day 3 - Felt fine when I woke, no more full body pains except continuing strong pain at injection site. Pain level totally managable. Continued the Advil. // Evening of Day 3 - Arm hurting a lot now. Migraine started,  back started cramping, neck cramped so badly it became nearly immobile. Pain in arm still pretty strong. Continued the Advil. // Day 4 - Pain continued, very slightly less. Continued the Advil. // Day 5 - Pain considerably less, arm pain very mild, back and neck cramping stopped completely. Residual soreness/stiffness, but that's it. Migraine gone.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Musculoskeletal stiffness, Pain
Clinical narrative: This is only a moderate adverse event, but I wanted to add it to the record in case more people have similar experiences. // Day 1 - mild pain at injection site, no other issues. Took Advil. // Day 2 - Flu-like body pains/sensitivity, very uncomfortable, foggy brain, spent most of the day in bed because that made it less uncomfortable. (I understand this is a typical 2nd shot reaction. No problems there.) Took Advil. // Day 3 - Felt fine when I woke, no more full body pains except continuing strong pain at injection site. Pain level totally managable. Continued the Advil. // Evening of Day 3 - Arm hurting a lot now. Migraine started,  back started cramping, neck cramped so badly it became nearly immobile. Pain in arm still pretty strong. Continued the Advil. // Day 4 - Pain continued, very slightly less. Continued the Advil. // Day 5 - Pain considerably less, arm pain very mild, back and neck cramping stopped completely. Residual soreness/stiffness, but that's it. Migraine gone.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram, Dyspnoea
Clinical narrative: acutely worsening shortness of breath requiring up to 90% FiO2 on high flow nasal cannula. Was treated for possible pneumonia. was able to come off of oxygen within two days.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Laboratory test, Pyrexia
Clinical narrative: acutely worsening shortness of breath requiring up to 90% FiO2 on high flow nasal cannula. Was treated for possible pneumonia. was able to come off of oxygen within two days.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Feeling cold, Pyrexia, Vomiting
Clinical narrative: acutely worsening shortness of breath requiring up to 90% FiO2 on high flow nasal cannula. Was treated for possible pneumonia. was able to come off of oxygen within two days.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fibrin D dimer, Throat tightness, Urticaria, White blood cell count increased
Clinical narrative: Broke out in hives consistently, shortness of breath, throat tightening. Hives are not clearing up. D dimer 1450.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope event
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Apraxia, Asthenia, Base excess increased, Blood bicarbonate increased, Carbon dioxide increased
Clinical narrative: EXACERBATION OF MYASTHENIA GRAVIS:DOUBLE VISION, DIFFICULTY SWALLOWING, THROAT CLOSES UP,CHEWING DIFFICULTY, EXTREME WEAKNESS,BREATHING PROBLEMS DIAPHRAM GETS EXTREMELY WEAK, LEGS GIVE OUT WHILE WALKING, ARMS ARE WEAK, EYELIDS WONT STAY OPEN, CANTS HOLD MY HEAD UP MOST OF THE TIME, SLEEPLESSNESS, THESE SYMTOMS STARTED SLOWLY AND ADVANCED AS TIME WENT ON. I STILL STRUGGLE TO THIS DAY, CANT TAKE CARE OF MYSELF, CANT DRIVE, CAN'T WORK I WAS SENT TO THE EMERGENCY ROOM BY MY DOCTOR, THEY PUT ME IN THE ICU, WAS GIVEN 2 TRATMENTS OF IVIG IT DID NOT HELP. THIS FORM WILL NOT LET ME FILL IN NAME OF HOSPITAL: I WAS IN THE HOSPITAL FOR 3 DAYS. I HAD THIS CONDITION UNDER CONTROL FOR 12  yr
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Diplopia, Dysphagia, Dyspnoea
Clinical narrative: EXACERBATION OF MYASTHENIA GRAVIS:DOUBLE VISION, DIFFICULTY SWALLOWING, THROAT CLOSES UP,CHEWING DIFFICULTY, EXTREME WEAKNESS,BREATHING PROBLEMS DIAPHRAM GETS EXTREMELY WEAK, LEGS GIVE OUT WHILE WALKING, ARMS ARE WEAK, EYELIDS WONT STAY OPEN, CANTS HOLD MY HEAD UP MOST OF THE TIME, SLEEPLESSNESS, THESE SYMTOMS STARTED SLOWLY AND ADVANCED AS TIME WENT ON. I STILL STRUGGLE TO THIS DAY, CANT TAKE CARE OF MYSELF, CANT DRIVE, CAN'T WORK I WAS SENT TO THE EMERGENCY ROOM BY MY DOCTOR, THEY PUT ME IN THE ICU, WAS GIVEN 2 TRATMENTS OF IVIG IT DID NOT HELP. THIS FORM WILL NOT LET ME FILL IN NAME OF HOSPITAL: I WAS IN THE HOSPITAL FOR 3 DAYS. I HAD THIS CONDITION UNDER CONTROL FOR 12  yr
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Immunoglobulin therapy, Impaired driving ability, Impaired work ability, Insomnia, Intensive care
Clinical narrative: EXACERBATION OF MYASTHENIA GRAVIS:DOUBLE VISION, DIFFICULTY SWALLOWING, THROAT CLOSES UP,CHEWING DIFFICULTY, EXTREME WEAKNESS,BREATHING PROBLEMS DIAPHRAM GETS EXTREMELY WEAK, LEGS GIVE OUT WHILE WALKING, ARMS ARE WEAK, EYELIDS WONT STAY OPEN, CANTS HOLD MY HEAD UP MOST OF THE TIME, SLEEPLESSNESS, THESE SYMTOMS STARTED SLOWLY AND ADVANCED AS TIME WENT ON. I STILL STRUGGLE TO THIS DAY, CANT TAKE CARE OF MYSELF, CANT DRIVE, CAN'T WORK I WAS SENT TO THE EMERGENCY ROOM BY MY DOCTOR, THEY PUT ME IN THE ICU, WAS GIVEN 2 TRATMENTS OF IVIG IT DID NOT HELP. THIS FORM WILL NOT LET ME FILL IN NAME OF HOSPITAL: I WAS IN THE HOSPITAL FOR 3 DAYS. I HAD THIS CONDITION UNDER CONTROL FOR 12  yr
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Mastication disorder, Myasthenia gravis, Posture abnormal, Throat tightness
Clinical narrative: EXACERBATION OF MYASTHENIA GRAVIS:DOUBLE VISION, DIFFICULTY SWALLOWING, THROAT CLOSES UP,CHEWING DIFFICULTY, EXTREME WEAKNESS,BREATHING PROBLEMS DIAPHRAM GETS EXTREMELY WEAK, LEGS GIVE OUT WHILE WALKING, ARMS ARE WEAK, EYELIDS WONT STAY OPEN, CANTS HOLD MY HEAD UP MOST OF THE TIME, SLEEPLESSNESS, THESE SYMTOMS STARTED SLOWLY AND ADVANCED AS TIME WENT ON. I STILL STRUGGLE TO THIS DAY, CANT TAKE CARE OF MYSELF, CANT DRIVE, CAN'T WORK I WAS SENT TO THE EMERGENCY ROOM BY MY DOCTOR, THEY PUT ME IN THE ICU, WAS GIVEN 2 TRATMENTS OF IVIG IT DID NOT HELP. THIS FORM WILL NOT LET ME FILL IN NAME OF HOSPITAL: I WAS IN THE HOSPITAL FOR 3 DAYS. I HAD THIS CONDITION UNDER CONTROL FOR 12  yr
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Consciousness fluctuating, Loss of consciousness, Pallor
Clinical narrative: Patient passed out about 5-7 minutes after getting the vaccine.  She came to but appeared to struggle to stay alert.  Her skin was very pale and clammy.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Catheterisation cardiac normal, Chest pain, Drug screen negative, Echocardiogram normal
Clinical narrative: Presented with chest pain starting 1d after 2nd vaccine and worsening 3 d post vaccine. Found to have nstemi with troponin 11, normal echo, normal heart cath, negative urine drug screen.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Troponin increased
Clinical narrative: Presented with chest pain starting 1d after 2nd vaccine and worsening 3 d post vaccine. Found to have nstemi with troponin 11, normal echo, normal heart cath, negative urine drug screen.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Throat tightness
Clinical narrative: TIGHTNESS IN THROAT. ANXIOUS. Evaluated by EMS-Cleared
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture negative, Blood glucose normal, Blood lactic acid normal, Confusional state, Differential white blood cell count
Clinical narrative: A few hours after the vaccine he experienced acute confusion, a fever of 103.8 degrees F, tachycardia, hypertension, neutropenia, and thrombocytopenia. He was given Tylenol, placed ice packs under arms and neck, normal saline, and ceftriaxone. He has been hospitalized for the past 4 days.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Haematocrit decreased, Haemoglobin increased, Hypertension, Liver function test normal
Clinical narrative: A few hours after the vaccine he experienced acute confusion, a fever of 103.8 degrees F, tachycardia, hypertension, neutropenia, and thrombocytopenia. He was given Tylenol, placed ice packs under arms and neck, normal saline, and ceftriaxone. He has been hospitalized for the past 4 days.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Neutropenia, Platelet count decreased, Pyrexia, Red blood cell count decreased
Clinical narrative: A few hours after the vaccine he experienced acute confusion, a fever of 103.8 degrees F, tachycardia, hypertension, neutropenia, and thrombocytopenia. He was given Tylenol, placed ice packs under arms and neck, normal saline, and ceftriaxone. He has been hospitalized for the past 4 days.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Tachycardia, Thrombocytopenia, Troponin normal, Urine analysis normal
Clinical narrative: A few hours after the vaccine he experienced acute confusion, a fever of 103.8 degrees F, tachycardia, hypertension, neutropenia, and thrombocytopenia. He was given Tylenol, placed ice packs under arms and neck, normal saline, and ceftriaxone. He has been hospitalized for the past 4 days.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: A few hours after the vaccine he experienced acute confusion, a fever of 103.8 degrees F, tachycardia, hypertension, neutropenia, and thrombocytopenia. He was given Tylenol, placed ice packs under arms and neck, normal saline, and ceftriaxone. He has been hospitalized for the past 4 days.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Full body aches, grueling and throbbing headache
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Muscle fatigue
Clinical narrative: 2 days after 2nd dose two lymph nodes on my right clavicle became swollen and are still swollen.  Also my right shoulder feels like muscle fatigue most of the time.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: 8 Days after my vaccination I woke up and noticed warm itchy red splotches on my arm below the vaccination spot.  Throughout the day it has progressed into a spot roughly the size of my palm.  Raised, red, warm, and itchy.  My arm is somewhat achey.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pain in extremity, Rash macular
Clinical narrative: 8 Days after my vaccination I woke up and noticed warm itchy red splotches on my arm below the vaccination spot.  Throughout the day it has progressed into a spot roughly the size of my palm.  Raised, red, warm, and itchy.  My arm is somewhat achey.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Angiotensin converting enzyme, Anti-ganglioside antibody, Anti-muscle specific kinase antibody, Aspiration, Bladder catheterisation
Clinical narrative: The patient is a 49 year old male who has a past medical history significant for bipolar disorder with manic episodes, OSA on CPAP, morbid obesity, HLD, and  relapsing remitting MS.  Per chart review, patient's MS was initially diagnosed in 2012 on MRI and LP and was on Copaxone for several years but stopped taking in 2017.  Symptoms and imaging remained stable through 2019 then patient was lost to follow up until he was seen by Dr.  on 4/12/21 who ordered an outpt MRI.   Patient had COVID vaccine with Jansen vaccine on 4/10/21.  He developed bilateral upper and lower exremity weakness and urinary retention on 4/21/21 which prompted presentation.  He came into ED 4/21/21 and had foley placed but removed foley and decided to leave AMA. Returned on 4/22/21 with worsening symptoms and was subsequently admitted. Patient was seen by neurology and started on high dose steroid x5d for MS exacerbation. Initial MRI of the brain obtained on 4/22/21 was notably stable without change in previously described white matter disease. No new lesions to suggest active demyelination. New plaques were noted on MRI C and T spine (4/22/21). It is noted that patient received COVID19 vaccination with J&J vaccine on 4/10/21 and temporal relationship between his acute presentation and recent vaccination was questioned.    On 4/30/21, patient developed severe bilateral facial weakness and he additionally was reported to have had an episode of aspiration.  Repeat MRI brain on 4/30/21 showed new bilateral facial nerve enhancement. Etiologies could include: GBS, Lyme disease, botulism, neurosarcoidosis, less likely myasthenia gravis.  LP was pursued on 5/1/21 which was significant for tube 4 with 136 WBC, 88% lymphocytes, glucose 89, protein 632. Meningitis/encephalitis panel was negative.  Lyme CSF was negative, Lyme antibody panel was positive.  MuSK antibody negative.  ACE blood level normal.  Ganglioside antibody panel and myasthenia graivs adult panel pending. He is being treated for Lyme disease with Ceftriaxone 2g IV daily since 5/1/21 with plan for 2-4 week course to cover for Lyme disease.  He is still admitted and is still having symptoms of facial palsy as of today (5/4/21)
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Borrelia test negative, Borrelia test positive, CSF glucose increased, CSF lymphocyte count increased, CSF protein increased
Clinical narrative: The patient is a 49 year old male who has a past medical history significant for bipolar disorder with manic episodes, OSA on CPAP, morbid obesity, HLD, and  relapsing remitting MS.  Per chart review, patient's MS was initially diagnosed in 2012 on MRI and LP and was on Copaxone for several years but stopped taking in 2017.  Symptoms and imaging remained stable through 2019 then patient was lost to follow up until he was seen by Dr.  on 4/12/21 who ordered an outpt MRI.   Patient had COVID vaccine with Jansen vaccine on 4/10/21.  He developed bilateral upper and lower exremity weakness and urinary retention on 4/21/21 which prompted presentation.  He came into ED 4/21/21 and had foley placed but removed foley and decided to leave AMA. Returned on 4/22/21 with worsening symptoms and was subsequently admitted. Patient was seen by neurology and started on high dose steroid x5d for MS exacerbation. Initial MRI of the brain obtained on 4/22/21 was notably stable without change in previously described white matter disease. No new lesions to suggest active demyelination. New plaques were noted on MRI C and T spine (4/22/21). It is noted that patient received COVID19 vaccination with J&J vaccine on 4/10/21 and temporal relationship between his acute presentation and recent vaccination was questioned.    On 4/30/21, patient developed severe bilateral facial weakness and he additionally was reported to have had an episode of aspiration.  Repeat MRI brain on 4/30/21 showed new bilateral facial nerve enhancement. Etiologies could include: GBS, Lyme disease, botulism, neurosarcoidosis, less likely myasthenia gravis.  LP was pursued on 5/1/21 which was significant for tube 4 with 136 WBC, 88% lymphocytes, glucose 89, protein 632. Meningitis/encephalitis panel was negative.  Lyme CSF was negative, Lyme antibody panel was positive.  MuSK antibody negative.  ACE blood level normal.  Ganglioside antibody panel and myasthenia graivs adult panel pending. He is being treated for Lyme disease with Ceftriaxone 2g IV daily since 5/1/21 with plan for 2-4 week course to cover for Lyme disease.  He is still admitted and is still having symptoms of facial palsy as of today (5/4/21)
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: CSF white blood cell count increased, Condition aggravated, Facial paralysis, Facial paresis, Lumbar puncture abnormal
Clinical narrative: The patient is a 49 year old male who has a past medical history significant for bipolar disorder with manic episodes, OSA on CPAP, morbid obesity, HLD, and  relapsing remitting MS.  Per chart review, patient's MS was initially diagnosed in 2012 on MRI and LP and was on Copaxone for several years but stopped taking in 2017.  Symptoms and imaging remained stable through 2019 then patient was lost to follow up until he was seen by Dr.  on 4/12/21 who ordered an outpt MRI.   Patient had COVID vaccine with Jansen vaccine on 4/10/21.  He developed bilateral upper and lower exremity weakness and urinary retention on 4/21/21 which prompted presentation.  He came into ED 4/21/21 and had foley placed but removed foley and decided to leave AMA. Returned on 4/22/21 with worsening symptoms and was subsequently admitted. Patient was seen by neurology and started on high dose steroid x5d for MS exacerbation. Initial MRI of the brain obtained on 4/22/21 was notably stable without change in previously described white matter disease. No new lesions to suggest active demyelination. New plaques were noted on MRI C and T spine (4/22/21). It is noted that patient received COVID19 vaccination with J&J vaccine on 4/10/21 and temporal relationship between his acute presentation and recent vaccination was questioned.    On 4/30/21, patient developed severe bilateral facial weakness and he additionally was reported to have had an episode of aspiration.  Repeat MRI brain on 4/30/21 showed new bilateral facial nerve enhancement. Etiologies could include: GBS, Lyme disease, botulism, neurosarcoidosis, less likely myasthenia gravis.  LP was pursued on 5/1/21 which was significant for tube 4 with 136 WBC, 88% lymphocytes, glucose 89, protein 632. Meningitis/encephalitis panel was negative.  Lyme CSF was negative, Lyme antibody panel was positive.  MuSK antibody negative.  ACE blood level normal.  Ganglioside antibody panel and myasthenia graivs adult panel pending. He is being treated for Lyme disease with Ceftriaxone 2g IV daily since 5/1/21 with plan for 2-4 week course to cover for Lyme disease.  He is still admitted and is still having symptoms of facial palsy as of today (5/4/21)