chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Central nervous system infection, Chronic sinusitis, Computerised tomogram head normal, Culture urine negative, Electroencephalogram abnormal
Clinical narrative: Patient hospitalized from 4/18/21-4/23/21  4/18 Hospital Day 1: Patient (pt) presented to the ER via EMS for aphasia/altered mental status that began that AM. Pt had received his 2nd COVID19 vaccine (Moderna) x3 days prior. Pt had generalized body aches/fever and was taking acetaminophen for his symptoms with mild relief per wife. Per ER notes, patient had clear speech but was not making sense and easily agitated.   4/19-4/21 Hospital Day 2-4: Patient with altered mental status. Was non-verbal and easily agitated. There was concern for encephalitis, infectious vs autoimmune. On 4/19, antibiotics were discontinued and patient was being treated with steroids for possible autoimmune encephalitis.  4/22 Hospital Day 5: Patient was doing better and more talkative. Patient was able to have a limited conversation, appeared alert and oriented with some slow speech. Per medical chart, family reported patient was at "50% back to baseline."   4/23 Hospital Day 6: Patient was back at baseline and completed 3 days of IV steroids. Patient reported not being able to recall anything from "Saturday 4/17 to Wednesday 4/21". Patient was discharged on 4/23 and recommended to follow up with neurology and was not discharged with any steroids.   Treatments:  Fever: APAP 1 IVPB x1 (4/18-4/19), APAP 650 mg PO x1 (4/20-4/21) Encephalitis: Methylprednisolone 125 mg IVPB x1 (4/18); Methylprednisolone 500 mg IVPB BID (4/19-4/23) ID: Acyclovir 700 mg IVPB q8h (HSV infection) [4/18-4/19]; Cefepime 2 g IVPB x1 (Sepsis) [4/18]; Ceftriaxone 2 g IVPB q12h (CNS infection) [4/18-4/19]; Vancomycin 2.25 g IVPB x1, 1.5 g IVPB q12h (CNS infection) [4/18-4/19]
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Encephalitis, Fungal skin infection, Herpes virus infection, Magnetic resonance imaging head abnormal, Magnetic resonance imaging head normal
Clinical narrative: Patient hospitalized from 4/18/21-4/23/21  4/18 Hospital Day 1: Patient (pt) presented to the ER via EMS for aphasia/altered mental status that began that AM. Pt had received his 2nd COVID19 vaccine (Moderna) x3 days prior. Pt had generalized body aches/fever and was taking acetaminophen for his symptoms with mild relief per wife. Per ER notes, patient had clear speech but was not making sense and easily agitated.   4/19-4/21 Hospital Day 2-4: Patient with altered mental status. Was non-verbal and easily agitated. There was concern for encephalitis, infectious vs autoimmune. On 4/19, antibiotics were discontinued and patient was being treated with steroids for possible autoimmune encephalitis.  4/22 Hospital Day 5: Patient was doing better and more talkative. Patient was able to have a limited conversation, appeared alert and oriented with some slow speech. Per medical chart, family reported patient was at "50% back to baseline."   4/23 Hospital Day 6: Patient was back at baseline and completed 3 days of IV steroids. Patient reported not being able to recall anything from "Saturday 4/17 to Wednesday 4/21". Patient was discharged on 4/23 and recommended to follow up with neurology and was not discharged with any steroids.   Treatments:  Fever: APAP 1 IVPB x1 (4/18-4/19), APAP 650 mg PO x1 (4/20-4/21) Encephalitis: Methylprednisolone 125 mg IVPB x1 (4/18); Methylprednisolone 500 mg IVPB BID (4/19-4/23) ID: Acyclovir 700 mg IVPB q8h (HSV infection) [4/18-4/19]; Cefepime 2 g IVPB x1 (Sepsis) [4/18]; Ceftriaxone 2 g IVPB q12h (CNS infection) [4/18-4/19]; Vancomycin 2.25 g IVPB x1, 1.5 g IVPB q12h (CNS infection) [4/18-4/19]
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Mental impairment, Mental status changes, Pain, Procalcitonin normal, Pyrexia
Clinical narrative: Patient hospitalized from 4/18/21-4/23/21  4/18 Hospital Day 1: Patient (pt) presented to the ER via EMS for aphasia/altered mental status that began that AM. Pt had received his 2nd COVID19 vaccine (Moderna) x3 days prior. Pt had generalized body aches/fever and was taking acetaminophen for his symptoms with mild relief per wife. Per ER notes, patient had clear speech but was not making sense and easily agitated.   4/19-4/21 Hospital Day 2-4: Patient with altered mental status. Was non-verbal and easily agitated. There was concern for encephalitis, infectious vs autoimmune. On 4/19, antibiotics were discontinued and patient was being treated with steroids for possible autoimmune encephalitis.  4/22 Hospital Day 5: Patient was doing better and more talkative. Patient was able to have a limited conversation, appeared alert and oriented with some slow speech. Per medical chart, family reported patient was at "50% back to baseline."   4/23 Hospital Day 6: Patient was back at baseline and completed 3 days of IV steroids. Patient reported not being able to recall anything from "Saturday 4/17 to Wednesday 4/21". Patient was discharged on 4/23 and recommended to follow up with neurology and was not discharged with any steroids.   Treatments:  Fever: APAP 1 IVPB x1 (4/18-4/19), APAP 650 mg PO x1 (4/20-4/21) Encephalitis: Methylprednisolone 125 mg IVPB x1 (4/18); Methylprednisolone 500 mg IVPB BID (4/19-4/23) ID: Acyclovir 700 mg IVPB q8h (HSV infection) [4/18-4/19]; Cefepime 2 g IVPB x1 (Sepsis) [4/18]; Ceftriaxone 2 g IVPB q12h (CNS infection) [4/18-4/19]; Vancomycin 2.25 g IVPB x1, 1.5 g IVPB q12h (CNS infection) [4/18-4/19]
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast, Sepsis, Slow speech, Speech disorder, Venogram normal
Clinical narrative: Patient hospitalized from 4/18/21-4/23/21  4/18 Hospital Day 1: Patient (pt) presented to the ER via EMS for aphasia/altered mental status that began that AM. Pt had received his 2nd COVID19 vaccine (Moderna) x3 days prior. Pt had generalized body aches/fever and was taking acetaminophen for his symptoms with mild relief per wife. Per ER notes, patient had clear speech but was not making sense and easily agitated.   4/19-4/21 Hospital Day 2-4: Patient with altered mental status. Was non-verbal and easily agitated. There was concern for encephalitis, infectious vs autoimmune. On 4/19, antibiotics were discontinued and patient was being treated with steroids for possible autoimmune encephalitis.  4/22 Hospital Day 5: Patient was doing better and more talkative. Patient was able to have a limited conversation, appeared alert and oriented with some slow speech. Per medical chart, family reported patient was at "50% back to baseline."   4/23 Hospital Day 6: Patient was back at baseline and completed 3 days of IV steroids. Patient reported not being able to recall anything from "Saturday 4/17 to Wednesday 4/21". Patient was discharged on 4/23 and recommended to follow up with neurology and was not discharged with any steroids.   Treatments:  Fever: APAP 1 IVPB x1 (4/18-4/19), APAP 650 mg PO x1 (4/20-4/21) Encephalitis: Methylprednisolone 125 mg IVPB x1 (4/18); Methylprednisolone 500 mg IVPB BID (4/19-4/23) ID: Acyclovir 700 mg IVPB q8h (HSV infection) [4/18-4/19]; Cefepime 2 g IVPB x1 (Sepsis) [4/18]; Ceftriaxone 2 g IVPB q12h (CNS infection) [4/18-4/19]; Vancomycin 2.25 g IVPB x1, 1.5 g IVPB q12h (CNS infection) [4/18-4/19]
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test, Viral test negative
Clinical narrative: Patient hospitalized from 4/18/21-4/23/21  4/18 Hospital Day 1: Patient (pt) presented to the ER via EMS for aphasia/altered mental status that began that AM. Pt had received his 2nd COVID19 vaccine (Moderna) x3 days prior. Pt had generalized body aches/fever and was taking acetaminophen for his symptoms with mild relief per wife. Per ER notes, patient had clear speech but was not making sense and easily agitated.   4/19-4/21 Hospital Day 2-4: Patient with altered mental status. Was non-verbal and easily agitated. There was concern for encephalitis, infectious vs autoimmune. On 4/19, antibiotics were discontinued and patient was being treated with steroids for possible autoimmune encephalitis.  4/22 Hospital Day 5: Patient was doing better and more talkative. Patient was able to have a limited conversation, appeared alert and oriented with some slow speech. Per medical chart, family reported patient was at "50% back to baseline."   4/23 Hospital Day 6: Patient was back at baseline and completed 3 days of IV steroids. Patient reported not being able to recall anything from "Saturday 4/17 to Wednesday 4/21". Patient was discharged on 4/23 and recommended to follow up with neurology and was not discharged with any steroids.   Treatments:  Fever: APAP 1 IVPB x1 (4/18-4/19), APAP 650 mg PO x1 (4/20-4/21) Encephalitis: Methylprednisolone 125 mg IVPB x1 (4/18); Methylprednisolone 500 mg IVPB BID (4/19-4/23) ID: Acyclovir 700 mg IVPB q8h (HSV infection) [4/18-4/19]; Cefepime 2 g IVPB x1 (Sepsis) [4/18]; Ceftriaxone 2 g IVPB q12h (CNS infection) [4/18-4/19]; Vancomycin 2.25 g IVPB x1, 1.5 g IVPB q12h (CNS infection) [4/18-4/19]
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase increased, Haemoglobin decreased, Haptoglobin decreased, Platelet count decreased, Platelet factor 4
Clinical narrative: Thrombotic thrombocytopenic purpura
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Thrombotic thrombocytopenic purpura
Clinical narrative: Thrombotic thrombocytopenic purpura
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Mydriasis, Nausea, Pallor
Clinical narrative: Upon sitting in chair in observation area, pt. states he pulled out his phone to look at it and "it hit me all of the sudden" feeling dizzy, and then he "woke up on the floor." When RN in observation area arrived pt. was unconscious and not responding. Turned pt on to side; pt. was breathing and "stiff." Pt. then came to and was able to answer questions. Pt's eyes dilated and face was pale. EMT on site responded to pt., assisted to wheelchair and taken to observation room. Pt. continued to feel lightheaded with waves of nausea. Pt. drank 3-4 small water bottles, 1 juice box, and ate 2 packs of crackers and 1 protein bar during 45 minute visit. Other than color returning to face, status remained unchanged and unimproved during stay. Pt. encouraged to be seen at hospital for further observation; he agreed. EMT's transferred pt. to hospital.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Respiration abnormal, Unresponsive to stimuli
Clinical narrative: Upon sitting in chair in observation area, pt. states he pulled out his phone to look at it and "it hit me all of the sudden" feeling dizzy, and then he "woke up on the floor." When RN in observation area arrived pt. was unconscious and not responding. Turned pt on to side; pt. was breathing and "stiff." Pt. then came to and was able to answer questions. Pt's eyes dilated and face was pale. EMT on site responded to pt., assisted to wheelchair and taken to observation room. Pt. continued to feel lightheaded with waves of nausea. Pt. drank 3-4 small water bottles, 1 juice box, and ate 2 packs of crackers and 1 protein bar during 45 minute visit. Other than color returning to face, status remained unchanged and unimproved during stay. Pt. encouraged to be seen at hospital for further observation; he agreed. EMT's transferred pt. to hospital.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic inflammatory demyelinating polyradiculoneuropathy, Dyspnoea, Pain in extremity, Palpitations
Clinical narrative: Fast Racing heart beat. Heart was Pounding in chest. Felt like I couldn?t breathe.  Felt like a weight was on chest. Pain in left arm and hand was cold. Next morning had a slight issue with breathing in the morning but went away.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Almost immediately patient states she began experiencing tingling in her arm and hand.  She remained at the pharmacy for approximately 30 minutes at which point she says her whole hand was numb.  She was advised to seek medical help at that point. She went to the ER, was evaluated, and given ibuprofen.  She was instructed to follow up with PCP.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Shortness of breath
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Feeling of body temperature change, Headache, Influenza like illness
Clinical narrative: Flu like symptoms. Body aches, hot and cold with chills, bad headache, back hurts, slight fever
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Flu like symptoms. Body aches, hot and cold with chills, bad headache, back hurts, slight fever
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Hallucination, Laboratory test, Sleep deficit
Clinical narrative: Sleep deprivation and hallucinations
Age: 27.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Fatigue, Hallucination, Pain
Clinical narrative: Hallucinations , body aches, chills, fatigue
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Sleep disorder, Tinnitus
Clinical narrative: It?s made my tinnitus louder too point can?t ignore disrupts sleep and made my neck tighter.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia
Clinical narrative: Patient presented to the ED and was subsequently hospitalized with pneumonia within 6 weeks of receiving COVID vaccination.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Anaphylactic reaction, Blood pressure decreased, Dyspnoea, Erythema
Clinical narrative: Hands began itching, later led to anaphylaxis Itching, loss of consciousness, red, hives, difficulty breathing, face, hands, mouth, tongue, throat swollen, face and mouth numb, nausea, stomach distress, drop in blood pressure, increased heart rate, sweating
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Hypoaesthesia, Hypoaesthesia oral, Loss of consciousness
Clinical narrative: Hands began itching, later led to anaphylaxis Itching, loss of consciousness, red, hives, difficulty breathing, face, hands, mouth, tongue, throat swollen, face and mouth numb, nausea, stomach distress, drop in blood pressure, increased heart rate, sweating
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth swelling, Nausea, Peripheral swelling, Pharyngeal swelling, Pruritus
Clinical narrative: Hands began itching, later led to anaphylaxis Itching, loss of consciousness, red, hives, difficulty breathing, face, hands, mouth, tongue, throat swollen, face and mouth numb, nausea, stomach distress, drop in blood pressure, increased heart rate, sweating
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Swollen tongue, Urticaria
Clinical narrative: Hands began itching, later led to anaphylaxis Itching, loss of consciousness, red, hives, difficulty breathing, face, hands, mouth, tongue, throat swollen, face and mouth numb, nausea, stomach distress, drop in blood pressure, increased heart rate, sweating
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Pharyngeal swelling
Clinical narrative: Throat closure, dyspnea.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Full blood count normal, Head discomfort, Inflammation, Pain in extremity
Clinical narrative: Continued and persistent pain in hips, back of thighs, and down my calves. There is a cramping sensation in my calves. Head pressure and sinuses are filled. I do not have a history of allergies or sinus issues. My main concern is the leg cramping/inflammation. I am 22-days post vaccine and still have this symptom.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort
Clinical narrative: Continued and persistent pain in hips, back of thighs, and down my calves. There is a cramping sensation in my calves. Head pressure and sinuses are filled. I do not have a history of allergies or sinus issues. My main concern is the leg cramping/inflammation. I am 22-days post vaccine and still have this symptom.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: A week after the second does of Pfizer COVID-19 vaccine, I start developing a very itchy rash on various parts of my body (forearms, ankles, torso, etc.).
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Cyst
Clinical narrative: A couple days after my first dose, a lump appeared under my clavicle. I got an ultrasound and they told me it is a cyst. The cyst got smaller and smaller. But then I got my second dose yesterday, April 27 and this morning my cyst is bigger than ever before.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Myalgia, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: Slight cough; stuffy nose; muscle aches - I had those symptoms about two days (they almost resolved before I had the test).
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Impaired work ability, Nausea
Clinical narrative: developed fever, chills and nausea  at the 12th hour remained for two hours at which time I took 2 Ibuprofen 200 mg each to relieve symptoms, drank weak ginger tea w/honey and dry toast.  still had fever and chills until about the 16th hour after receiving vaccine. at which time I fell asleep but had disturbed rest as kept waking up throughout the night roughly 4 times until awake at 5AM at which time felt tired and had a headache,  did not resume regular activities, i/e/ work until the following day (stayed out for the 28th of April 2021.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: developed fever, chills and nausea  at the 12th hour remained for two hours at which time I took 2 Ibuprofen 200 mg each to relieve symptoms, drank weak ginger tea w/honey and dry toast.  still had fever and chills until about the 16th hour after receiving vaccine. at which time I fell asleep but had disturbed rest as kept waking up throughout the night roughly 4 times until awake at 5AM at which time felt tired and had a headache,  did not resume regular activities, i/e/ work until the following day (stayed out for the 28th of April 2021.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Influenza like illness, Pain, Pain in extremity, Rash pruritic
Clinical narrative: Patient reports she had some arm pain after the shot, and later developed a flu-like illness with symptoms of chills and body aches. Then about 5 days after the shot, she developed a generalized itchy rash
Age: 48.0
Sex: U
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Patient had a seizure.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Diarrhoea, Erythema, Headache
Clinical narrative: Severe swelling, redness and pain in right arm pit (Lymph Noles) and right arm; Seen by doctor and had to get a shot for inflammation, and  2 prescriptions. Around 11:30 pm  on 4/27/21, had nausea, diarreah, chills/shaking uncontrollably and headache.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea, Pain in extremity, Tremor, Ultrasound scan normal
Clinical narrative: Severe swelling, redness and pain in right arm pit (Lymph Noles) and right arm; Seen by doctor and had to get a shot for inflammation, and  2 prescriptions. Around 11:30 pm  on 4/27/21, had nausea, diarreah, chills/shaking uncontrollably and headache.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Headache, Nausea, Parosmia, Vomiting
Clinical narrative: About an hour and a half after receiving the shot, I started having a headache and queasiness in my stomach. I threw up twice. I started smelling and tasting metal as well. Every single day since the shot I have felt queasy. I haven't thrown up again, but my stomach is still queasy and  this is only with the first shot.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: Low grade fever (never got to 101*), chills, muscle aches, fatigue
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nervousness
Clinical narrative: Patient became dizzy, lightheaded and shaky.  Epi Pen was given, patient felt much better after the dose of epinephrine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Pericarditis, Rash, Sinusitis
Clinical narrative: Patient received the first dose of Moderna vaccination on 3/26/2021. Patient states that the next day she started to develop mild chest pain that would come and go. Saw a medical provider on 4/5/2021 for sinus infection and was prescribed Augmentin. Patient states that soon after starting medication she started to develop a bumpy rash on her back and chest. Medication was changed to Zpack on 4/14. Rash continued. Patient received her second dose of Moderna vaccination on 4/23/2021. Patient states that chest pain has progressively worsened since 2nd dose. Was evaluated by provider on 4/27/2021 and prescribed Indomethacin for diagnosis of Pericarditis. Patient continues to have rash on chest and back.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: COVID arm: red rash, swelling, warm to touch, pain in area, itching
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: COVID arm: red rash, swelling, warm to touch, pain in area, itching
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Transverse sinus thrombosis
Clinical narrative: Physician reported on 4/28/2019 that patient presented to hospital and was diagnosed with Transverse Sinus Thrombosis. Was admitted to hospital 4/25/2021. No other information. Hospital wanted the Health Department to report this since the vaccine was given by us.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Endotracheal intubation, Feeling abnormal, Unresponsive to stimuli
Clinical narrative: 4/8/21 pt had brain fog like he was in a haze and felt strange being very relaxed like he had taken a tranquillizer  he felt better next day.  pt seemed to be fine at this point. 4/22/21 pt seemed to be fine and went to the store where he went shopping.  He put shopping bags in car.  He was found in his car after and hour and 20 minutes by a couple of bystanders unresponsive.  911 was called and he transported to ER.  He was intubated but patient died. Unknown is any test were performed.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash papular
Clinical narrative: Red raised rash on left deltoid that appeared 7 days after vaccination. Benadryl cream and ibuprofen. Instructed patient to seek medical care if rash worsens or symptoms change.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Menstruation irregular
Clinical narrative: My period ended seven days prior to vaccination.  Approximately 6 hours after vaccination, I began bleeding like I?m having a light period,  and it?s now 11 days later and it?s still happening without stop
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: After the 1st dose of Moderna vaccine, the patient had a rash on her back, but after the 2nd dose the rash appeared on her back again and spread to the upper chest, neck, and behind the ears. She made an appointment with her primary care physician and was told it was an allergy to the shot.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: injection site reaction; redness, swelling, and induration stable at day 10
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Blood thyroid stimulating hormone normal, Brain natriuretic peptide increased, C-reactive protein normal, Chest X-ray abnormal
Clinical narrative: Patient reported to ER w/ 3 days of chest pain. Patient found to have segmental Pulmonary embolism and non segmental Pulmonary embolism w/ pleural effusion with evidence of right heart strain
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Fibrin D dimer increased, Laboratory test abnormal, Lung consolidation, Myocardial strain
Clinical narrative: Patient reported to ER w/ 3 days of chest pain. Patient found to have segmental Pulmonary embolism and non segmental Pulmonary embolism w/ pleural effusion with evidence of right heart strain
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pleural effusion, Pulmonary embolism, Scan with contrast abnormal, Thyroxine free normal
Clinical narrative: Patient reported to ER w/ 3 days of chest pain. Patient found to have segmental Pulmonary embolism and non segmental Pulmonary embolism w/ pleural effusion with evidence of right heart strain
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax, Pulmonary embolism
Clinical narrative: Patient reported to ER w/ 3 days of chest pain. Patient found to have segmental Pulmonary embolism and non segmental Pulmonary embolism w/ pleural effusion with evidence of right heart strain
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Erythema, Feeling hot, Injection site swelling
Clinical narrative: Day 1 - Day of Dosing @ 5pm - Slight soreness in right arm Day 2 - Fever up to 100-101, cycling up and down for appx 36 hours, starting about 12 hours after vaccination. Body aches, sore glands in neck, sore kidneys, chills, - lasted about 20 hours starting about 12 hours after vaccination.  Day 3 - body aches, soreness, chills all gone upon waking up. Fever up to 100 still on and off until about dinner Day 5 - Delayed local injection site reaction on left arm about the size of a small mango. Felt hot and a little itchy.  Day 6 - Delayed local injection site reaction continued. No pain/discomfort to note Day 7 - Delayed local injection site reaction continued. No pain/discomfort to note. Redness/welt is improving.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pruritus, Pyrexia, Renal pain
Clinical narrative: Day 1 - Day of Dosing @ 5pm - Slight soreness in right arm Day 2 - Fever up to 100-101, cycling up and down for appx 36 hours, starting about 12 hours after vaccination. Body aches, sore glands in neck, sore kidneys, chills, - lasted about 20 hours starting about 12 hours after vaccination.  Day 3 - body aches, soreness, chills all gone upon waking up. Fever up to 100 still on and off until about dinner Day 5 - Delayed local injection site reaction on left arm about the size of a small mango. Felt hot and a little itchy.  Day 6 - Delayed local injection site reaction continued. No pain/discomfort to note Day 7 - Delayed local injection site reaction continued. No pain/discomfort to note. Redness/welt is improving.
Age: 26.0
Sex: U
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Complaining of tingling in left arm. Patient able to move extremities and tingling did not worsen. Patient feels safe to go home. Educated on signs and symptoms to look for and going to ER if necessary.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Furuncle
Clinical narrative: boils/blister like on feet and legs just appear at random. Have not been out of the house, worn shoes or changed schedule since vaccination
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Dysarthria, Electrocardiogram
Clinical narrative: April 25th  emergency Droopy Eye, Chin, blurred vision and speech..  Diagnosed with Bells Palsey  Need script for O.T and P.T.. Speech and eye. Cat Scan, Blood Work  Nuerologist, complete work up. Seeing Dr.  eye ulcered, blurred vision slurred speech.. Seeing M.D. Today April 28th.
Sex: F
Vaccine: COVID19
Symptoms: Eye ulcer, Facial paralysis, Speech disorder, Vision blurred
Clinical narrative: April 25th  emergency Droopy Eye, Chin, blurred vision and speech..  Diagnosed with Bells Palsey  Need script for O.T and P.T.. Speech and eye. Cat Scan, Blood Work  Nuerologist, complete work up. Seeing Dr.  eye ulcered, blurred vision slurred speech.. Seeing M.D. Today April 28th.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: A couple of days after the Vaccination, when showering I noticed several strands of Hair down the sides of my face. Didn't think much of it at the time. It kept happening every day in the shower on an increasing basis. To the Point that half my hair had fallen out and left a Bald spot on the Lower portion of the Back of my Head. I got a Haircut 2 1/2 weeks after the Vaccination and my Barber who has cut my hair for 40 years, said "What happened to your hair? Last time I cut your hair I had a Dust Pan full of clippings." I refused that take the Second Vaccination. My hair has stopped falling out, but it is very Thin now.
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Feeling cold, Feeling hot, Headache, Influenza like illness
Clinical narrative: The day after getting vaccine I got flu like symptoms headache bodyaches sore arm chills high fever fatigue freezing one minute hot the next I was told to take Tylenol ibprophen
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: The day after getting vaccine I got flu like symptoms headache bodyaches sore arm chills high fever fatigue freezing one minute hot the next I was told to take Tylenol ibprophen
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was under the age of 18 when he received both vaccines: 01/28/21 & 02/24/21
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Asthenia, Blood test, Computerised tomogram, Dyspnoea
Clinical narrative: Patient reports receiving 2 Pfizer COVID vaccines. The first one was on 3/17/21 with lot # EN6207 with no adverse reactions. She received her second one on 4/5/21 with lot #EP7533. She reports she started "feeling bad" 4/6/21-4/11/21. She noticed left sided neck swelling on 4/11/21. She went to urgent care and was seen by an NP and was told to go to for a CT scan the next day since it was on a Sunday.  Patient reports she went home and had further left sided neck swelling and difficulty breathing. She "couldn't catch her breath". EMS was called and she was transported per her request to Hospital. She had a 9 day hospital stay and was told she was having a severe reaction to the vaccine and that she had pneumonia with fluid in her lungs and fluid around her heart. She was treated with 2 antibiotics, IV fluids, and a diuretic. Patient had a follow up with her primary care on Monday 4/26/21 with NP and was told her heart and lungs sounded clear. She has a follow up appt scheduled with her lung doctor Dr on 5/24/21. Patient did not say why she has seen a lung doctor before but that she had been seeing this doctor prior to this adverse reaction. She was told in the hospital that it was not normal to be having this much swelling. Patient states she still feels weak and is still somewhat short of breath.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Pericardial effusion, Pneumonia, Pulmonary oedema, Swelling
Clinical narrative: Patient reports receiving 2 Pfizer COVID vaccines. The first one was on 3/17/21 with lot # EN6207 with no adverse reactions. She received her second one on 4/5/21 with lot #EP7533. She reports she started "feeling bad" 4/6/21-4/11/21. She noticed left sided neck swelling on 4/11/21. She went to urgent care and was seen by an NP and was told to go to for a CT scan the next day since it was on a Sunday.  Patient reports she went home and had further left sided neck swelling and difficulty breathing. She "couldn't catch her breath". EMS was called and she was transported per her request to Hospital. She had a 9 day hospital stay and was told she was having a severe reaction to the vaccine and that she had pneumonia with fluid in her lungs and fluid around her heart. She was treated with 2 antibiotics, IV fluids, and a diuretic. Patient had a follow up with her primary care on Monday 4/26/21 with NP and was told her heart and lungs sounded clear. She has a follow up appt scheduled with her lung doctor Dr on 5/24/21. Patient did not say why she has seen a lung doctor before but that she had been seeing this doctor prior to this adverse reaction. She was told in the hospital that it was not normal to be having this much swelling. Patient states she still feels weak and is still somewhat short of breath.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Eye swelling, Heart rate increased, Lip swelling, Oxygen saturation decreased
Clinical narrative: Facial swelling (eye, tongue, lip), high BP, high HR, shaking, lower O2 (95), monitored for over an hour while hooked up to BP machine and pulse oximeter, epi was brought out and kept nearby but not administered. Continued for several hours after I got home. Also had severe uterine cramping for about 12 hours even though I am in menopause.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Swollen tongue, Tremor, Uterine spasm
Clinical narrative: Facial swelling (eye, tongue, lip), high BP, high HR, shaking, lower O2 (95), monitored for over an hour while hooked up to BP machine and pulse oximeter, epi was brought out and kept nearby but not administered. Continued for several hours after I got home. Also had severe uterine cramping for about 12 hours even though I am in menopause.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pain, Vertigo
Clinical narrative: Only local mild pain only on the day.  5 days later dizziness, kind of vertigo.  I do not know if it is related to the vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: I  awoke about 7:00 am this morning, I felt achy in my legs, arms, hips and my head,  My stomached is fine.  My temperature ai 11:52   97.6. F.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Tachycardia
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival pain, Hypoaesthesia, Lacrimation increased, Rhinorrhoea, Toothache
Clinical narrative: My first vaccine was on a Tuesday. The following Saturday I woke up, around 8:15 am, and the right side of my face was numb. My right eye kept tearing, nose was running, teeth and gums made it hard to eat. My face did not look droopy and my eyes were not crossed. I was scared and checked for other symptoms that could indicate stroke, eventually thought it could be the start of MS or something serious. Around 10 pm the numbness was gone. It has not returned but I am not sure if I should get the second dose.  I called my pcp but office did not pick up so I just let it go, until I read that it could possibly be related to the vaccine (a few days ago).
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Influenza like illness, Muscle spasms, Pain
Clinical narrative: Heavy Periods two and half weeks apart. 1st one was very heavy and second one has been five days of painful cramping so far. Very unusual for my cycle.   Also had flu like symptoms the day after my second shot for about 24 hours, but I was expecting that.  I was not expecting issues with menstruation. I have heard antidotal stories from other women that they experienced heavy and painful menstruation after the shot. Women really should be told this is a side effect if it is so they don't think something is "wrong" and so that they can be prepared.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Dysarthria, Echocardiogram, Fall
Clinical narrative: My father experienced an acute stroke,  1month +7days after receiving his 2nd shot. We are reporting this because when we mentioned the stroke to members of our church, there were at least 2 others who knew of someone in my fathers age group who also had a stroke 1 month after their 2nd covid vaccine shot. My father is currently at hospital, and is being moved to Rehab Center today. (April 28, 2021)     On Saturday, April 24th, he woke up with wobbly legs around 3am, accompanied with an odd sensation in one of his arms, and legs. He went on about his day, but felt off. He fell around 2:20pm, I was called by mom. My husband and I arrived about 10 minutes later. He was up, and walking at that point, but his speech was very slurred. We checked his blood levels (159), and went through the stroke symptoms, and drove him to Hospital, where they immediately took him in under stroke protocols. It was determined he had an acute stroke.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Magnetic resonance imaging head abnormal, Muscular weakness, Sensory disturbance, Swallow study
Clinical narrative: My father experienced an acute stroke,  1month +7days after receiving his 2nd shot. We are reporting this because when we mentioned the stroke to members of our church, there were at least 2 others who knew of someone in my fathers age group who also had a stroke 1 month after their 2nd covid vaccine shot. My father is currently at hospital, and is being moved to Rehab Center today. (April 28, 2021)     On Saturday, April 24th, he woke up with wobbly legs around 3am, accompanied with an odd sensation in one of his arms, and legs. He went on about his day, but felt off. He fell around 2:20pm, I was called by mom. My husband and I arrived about 10 minutes later. He was up, and walking at that point, but his speech was very slurred. We checked his blood levels (159), and went through the stroke symptoms, and drove him to Hospital, where they immediately took him in under stroke protocols. It was determined he had an acute stroke.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pain in extremity
Clinical narrative: Sharp, quick pain in L pinky finger, repeating at intervals over the course of the day. Slight L-side chest pain.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Loss of consciousness, Retching, Syncope
Clinical narrative: Syncope after urinating in the morning on day after vaccination.  Never had syncope before.  LOC lasted about one minute and was followed by dry heaves and diaphoresis.  +Headache.   Symptoms (except for persistent headache) resolved after 20 minutes.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt received 2nd dose of Pfizer on 4/23 , but had received Moderna as 1 st dose  on 3/29.  Pt showed no adverse reaction to Pfizer .Pt remained on site for about 45 minutes after dose.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypotension, Loss of consciousness, Muscle rigidity
Clinical narrative: patient became very diaphoretic in the observation area, her head went back, eyes closed, extremities became very rigid and patient appeared to have lost consciousness for a brief moment.  RN was present at side of patient, patient was hypotensive, vitals checked BP 71/48 and pulse 54.  Patient states she felt like she went to sleep, started to feel better several minutes later.  EMS was contacted to evaluate and transport patient to ED.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Client was given Moderna at age 17. No medical reactions noted. Vaccine series was completed April 21, 2021.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypertension, Myalgia, Pyrexia
Clinical narrative: Hypertension, high fever, muscle soreness, headache
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Antinuclear antibody, Antinuclear antibody positive, Biopsy bone marrow abnormal, Biopsy kidney normal
Clinical narrative: lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed.  SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Complement factor decreased, Critical illness, Dialysis, Double stranded DNA antibody, Dyspnoea exertional
Clinical narrative: lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed.  SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Encephalopathy, Fatigue, Haemophagocytic lymphohistiocytosis, Leukopenia, Lymphopenia
Clinical narrative: lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed.  SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mixed connective tissue disease, Nausea, Overlap syndrome, Pleural effusion, Pyrexia
Clinical narrative: lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed.  SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Renal failure, Rhabdomyolysis, Systemic lupus erythematosus, Thrombocytopenia, Vomiting
Clinical narrative: lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed.  SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Alanine aminotransferase increased, Antibody test positive, Aspartate aminotransferase increased, Autoimmune disorder
Clinical narrative: lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed.  SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Autonomic nervous system imbalance, Biopsy bone marrow abnormal, Biopsy kidney abnormal, Biopsy muscle abnormal, Blister
Clinical narrative: lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed.  SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase increased, Cardiac arrest, Death, Dyspnoea, Encephalopathy
Clinical narrative: lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed.  SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fungal test negative, Haemangioma of liver, Haemodialysis, Haemophagocytic lymphohistiocytosis
Clinical narrative: lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed.  SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypertriglyceridaemia, Hypophagia, Hypotension, Immunology test, Intensive care
Clinical narrative: lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed.  SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test normal, Leukopenia, Liver function test, Lupus nephritis, Magnetic resonance imaging abdominal normal
Clinical narrative: lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed.  SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.