chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Lethargy, Palpitations
Clinical narrative: I get headaches more often now.  I'm very lethargic, with a persistent cloudy mind.  I get more aches and pains now than just a few days prior to the first shot.  And I've had a couple of episodes with heart racing for no reason.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: After administering booster shot of Moderna (0.25ml) came to find out patient had already received 2 doses of Janssen vaccine, a previous does on 11/18/2021 and one the year before in another state (so the first original dose did not show up in our database).   Patient is not experiencing any adverse events that I am aware of but did receive an additional dose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphagia, Dyspnoea, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Patient had chest tightness and grabbing her chest , states her throat feel funny, hard to swallow. Oxygen 99% on room air. 15 min later, her tongue states is numb and chest tightness is worse. Patient grabbing on her neck. Blood pressure was 177/92. Heart rate was 98. Respirations was 18. EpiPen administered and 911 called.  Patient placed on 2L nasal cannula. Patient states shortness of breath, but oxygen at 99% , still states hard time swallowing , and grabbing on her chest.  Switched to nonrebreather mask at 5L.  Blood pressure was 160/91. Heart rate was 88. Oxygen saturation was 100%.  Respiration was 18. Patient left via ambulance, paramedics were present, patient continued to have chest tightness and numbness in extremities and shortness of breath.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort
Clinical narrative: Patient had chest tightness and grabbing her chest , states her throat feel funny, hard to swallow. Oxygen 99% on room air. 15 min later, her tongue states is numb and chest tightness is worse. Patient grabbing on her neck. Blood pressure was 177/92. Heart rate was 98. Respirations was 18. EpiPen administered and 911 called.  Patient placed on 2L nasal cannula. Patient states shortness of breath, but oxygen at 99% , still states hard time swallowing , and grabbing on her chest.  Switched to nonrebreather mask at 5L.  Blood pressure was 160/91. Heart rate was 88. Oxygen saturation was 100%.  Respiration was 18. Patient left via ambulance, paramedics were present, patient continued to have chest tightness and numbness in extremities and shortness of breath.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chest pain, Dyspnoea, Echocardiogram
Clinical narrative: 1/26/22: 10:30 - 11 pm - I felt a lot of pressure on my temples and gradually moved to the front of my head and eyes on the way to bed. The pressure was consistent the entire night. 1/27/22: 5:30 - 6:15 am - It was very weak, hard to wake up and get out of bed (felt very heavy), pressure from last night was still present. 1/27/22: 8:00 - 11 pm- Extreme fatigue (couldn't lift my head, arms, couldn't move my legs or walk without support from someone else), extreme labored breathing ( have to sleep on my sides and couldn't breathe on my back), pressure in the head (continued),  swollen left armpit (couldn't put the arm down). Constant deep sleep (during symptoms would subside other than breathing on the back and swollen armpit held at an angle). Couldn't walk without a cane after long nap periods and all the symptoms would come back even worse.  These symptoms have slowly started to improve like swollen armpit ( symptom left 2/1/22)   I began to gain a little bit more strength in the mornings, but once I exert any energy by walking or moving (even while sitting) my symptoms would return.  The return of symptoms would include labored breathing, extreme chest pains, pressure from temples to eyes.   These symptoms have been consistent and ongoing since 1/27/22 and are continuously present. As a result, keeping me from going to school or work.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Gait disturbance, Head discomfort, Loss of personal independence in daily activities
Clinical narrative: 1/26/22: 10:30 - 11 pm - I felt a lot of pressure on my temples and gradually moved to the front of my head and eyes on the way to bed. The pressure was consistent the entire night. 1/27/22: 5:30 - 6:15 am - It was very weak, hard to wake up and get out of bed (felt very heavy), pressure from last night was still present. 1/27/22: 8:00 - 11 pm- Extreme fatigue (couldn't lift my head, arms, couldn't move my legs or walk without support from someone else), extreme labored breathing ( have to sleep on my sides and couldn't breathe on my back), pressure in the head (continued),  swollen left armpit (couldn't put the arm down). Constant deep sleep (during symptoms would subside other than breathing on the back and swollen armpit held at an angle). Couldn't walk without a cane after long nap periods and all the symptoms would come back even worse.  These symptoms have slowly started to improve like swollen armpit ( symptom left 2/1/22)   I began to gain a little bit more strength in the mornings, but once I exert any energy by walking or moving (even while sitting) my symptoms would return.  The return of symptoms would include labored breathing, extreme chest pains, pressure from temples to eyes.   These symptoms have been consistent and ongoing since 1/27/22 and are continuously present. As a result, keeping me from going to school or work.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mobility decreased, Ocular discomfort, SARS-CoV-2 test negative, Sleep disorder
Clinical narrative: 1/26/22: 10:30 - 11 pm - I felt a lot of pressure on my temples and gradually moved to the front of my head and eyes on the way to bed. The pressure was consistent the entire night. 1/27/22: 5:30 - 6:15 am - It was very weak, hard to wake up and get out of bed (felt very heavy), pressure from last night was still present. 1/27/22: 8:00 - 11 pm- Extreme fatigue (couldn't lift my head, arms, couldn't move my legs or walk without support from someone else), extreme labored breathing ( have to sleep on my sides and couldn't breathe on my back), pressure in the head (continued),  swollen left armpit (couldn't put the arm down). Constant deep sleep (during symptoms would subside other than breathing on the back and swollen armpit held at an angle). Couldn't walk without a cane after long nap periods and all the symptoms would come back even worse.  These symptoms have slowly started to improve like swollen armpit ( symptom left 2/1/22)   I began to gain a little bit more strength in the mornings, but once I exert any energy by walking or moving (even while sitting) my symptoms would return.  The return of symptoms would include labored breathing, extreme chest pains, pressure from temples to eyes.   These symptoms have been consistent and ongoing since 1/27/22 and are continuously present. As a result, keeping me from going to school or work.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: 1/26/22: 10:30 - 11 pm - I felt a lot of pressure on my temples and gradually moved to the front of my head and eyes on the way to bed. The pressure was consistent the entire night. 1/27/22: 5:30 - 6:15 am - It was very weak, hard to wake up and get out of bed (felt very heavy), pressure from last night was still present. 1/27/22: 8:00 - 11 pm- Extreme fatigue (couldn't lift my head, arms, couldn't move my legs or walk without support from someone else), extreme labored breathing ( have to sleep on my sides and couldn't breathe on my back), pressure in the head (continued),  swollen left armpit (couldn't put the arm down). Constant deep sleep (during symptoms would subside other than breathing on the back and swollen armpit held at an angle). Couldn't walk without a cane after long nap periods and all the symptoms would come back even worse.  These symptoms have slowly started to improve like swollen armpit ( symptom left 2/1/22)   I began to gain a little bit more strength in the mornings, but once I exert any energy by walking or moving (even while sitting) my symptoms would return.  The return of symptoms would include labored breathing, extreme chest pains, pressure from temples to eyes.   These symptoms have been consistent and ongoing since 1/27/22 and are continuously present. As a result, keeping me from going to school or work.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: This patient possible received the adult vaccine in a 0.2ml dose (20mcg) which is double the dose indicated. There were no adverse events, patient tolerated fine
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Eye swelling, Ocular hyperaemia
Clinical narrative: Patient presented today (2/3) with swelling and redness around the right eye. Patient also had a red spot on face below right eye!
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Electroencephalogram, Generalised tonic-clonic seizure, Magnetic resonance imaging
Clinical narrative: Tonic clonic seizure on day 11 after the vaccine.  Of note (see other VAERS report of the same kid) he also had a seizure on day 9 after the first vaccine)
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: New persistent daily headache.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash erythematous, Rash macular, Skin irritation
Clinical narrative: After 1.5 weeks after receiving 3rd Moderna dose (booster), my scalp, head, and hands began to become itchy. The next day, my whole body began to itch. A single itch turned my skin red and irritated with raised marks and red bumps where I had itched. It would take around an hour for the irritated skin to calm down after a single itch. I was recommended to take two doses of Bennadrl daily to help. I don't believe it did much though I continued taking two doses daily for the next two weeks. My urge to itch has decreased but now I've been finding regions of redness (no hives) in splotches in random places around my body. Especially on my neck, chest and face.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: After 1.5 weeks after receiving 3rd Moderna dose (booster), my scalp, head, and hands began to become itchy. The next day, my whole body began to itch. A single itch turned my skin red and irritated with raised marks and red bumps where I had itched. It would take around an hour for the irritated skin to calm down after a single itch. I was recommended to take two doses of Bennadrl daily to help. I don't believe it did much though I continued taking two doses daily for the next two weeks. My urge to itch has decreased but now I've been finding regions of redness (no hives) in splotches in random places around my body. Especially on my neck, chest and face.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pruritus, Urticaria
Clinical narrative: Itchiness within 15 minutes of injection. Arm soreness within 15 minutes of injection. Full body hives within 12 hours of injection.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site inflammation, Urticaria
Clinical narrative: Itchiness within 15 minutes of injection. Arm soreness within 15 minutes of injection. Full body hives within 12 hours of injection.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Cardiac stress test normal, Chest pain
Clinical narrative: Chest pain, was admitted to hospital on suspicion of having had a non-STEMI heart attack; determined that no angioplasty was necessary, but a nuclear stress test was performed, as a result of which it was determined that I had no "treatable" blockages
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphagia, Erythema, Hypersensitivity, Interchange of vaccine products
Clinical narrative: Patient is a 43 year old woman who presented to the vaccine clinic to receive her booster dose. Patient stated she had a previous mild reaction to the second dose of the Pfizer vaccine. Per Dr. was cleared to receive the J&J booster. The J&J Booster vaccine was administered at 1405. Patient began to exhibit symptoms at 1415.   Upon assessment patient was A&Ox4. Respirations were even  with non audible wheezes upon auscultation. Notable erythema on face and chest. Patient expressed having difficulty swallowing with severe increased swelling of the tongue. Unable to assess palate and uvula due to increased swelling of the tongue. Patient expressed feeling tightness of the chest.  EpiPen Auto-Injector 0.3mg was administered at 1416. Patient expressed mild relief. Patient was transported to the ER via wheelchair.    COVID Vaccine Worksheet  Did the patient have an immediate allergic reaction of any severity such as urticaria, angioedema, respiratory distress, or anaphylaxis (<4 hours following administration of the COVID vaccine)?  Yes  Did the patient previously have an immediate allergic reaction of any severity to polysorbate or polyethylene glycol?  No  Has the patient had prior anaphylactic reactions from another vaccine, medication or any other cause?  Yes  Did the patient have an allergic reaction >4 hours after administration? OR have an expected side effect of the COVID vaccine?  Yes
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Patient is a 43 year old woman who presented to the vaccine clinic to receive her booster dose. Patient stated she had a previous mild reaction to the second dose of the Pfizer vaccine. Per Dr. was cleared to receive the J&J booster. The J&J Booster vaccine was administered at 1405. Patient began to exhibit symptoms at 1415.   Upon assessment patient was A&Ox4. Respirations were even  with non audible wheezes upon auscultation. Notable erythema on face and chest. Patient expressed having difficulty swallowing with severe increased swelling of the tongue. Unable to assess palate and uvula due to increased swelling of the tongue. Patient expressed feeling tightness of the chest.  EpiPen Auto-Injector 0.3mg was administered at 1416. Patient expressed mild relief. Patient was transported to the ER via wheelchair.    COVID Vaccine Worksheet  Did the patient have an immediate allergic reaction of any severity such as urticaria, angioedema, respiratory distress, or anaphylaxis (<4 hours following administration of the COVID vaccine)?  Yes  Did the patient previously have an immediate allergic reaction of any severity to polysorbate or polyethylene glycol?  No  Has the patient had prior anaphylactic reactions from another vaccine, medication or any other cause?  Yes  Did the patient have an allergic reaction >4 hours after administration? OR have an expected side effect of the COVID vaccine?  Yes
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Mother brought him to the pharmacy to ask about a swollen lump on the base of the left side of his neck.  I explained it was likely a swollen lymph node but to monitor it closely and seek medical attention if it worsened.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pruritus, Rash erythematous, Sleep disorder
Clinical narrative: 11/27/2021 I began to notice itching on my scalp, right temporal area, it started to become a little tiny pustule as well. My heart rate increased from 100-110 until December and my sleep had been messed up as well. Reddish rash around the whole area. The back of my neck began to break out as well with similar symptoms. It has been continuing to persists till current day. Over the counter medication like Hydrocortisone and clindamycin to treat affected areas and the areas do get relief however it comes back again.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: did not dilute pediatric pfizer, before inject 0.20ml to patient, call and talk with parent, they said the kids are seem ok, will call back tomorrow to check again.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Chest pain, Dyspnoea, Gait disturbance, Headache
Clinical narrative: Felt like I was unable to breath when lying down. I couldn't form sentences or walk properly because I couldn't get enough air in. I had severe chest pain and headaches. I wasn't able to return to normal for three weeks.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Laboratory test
Clinical narrative: Felt like I was unable to breath when lying down. I couldn't form sentences or walk properly because I couldn't get enough air in. I had severe chest pain and headaches. I wasn't able to return to normal for three weeks.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Swelling, Ultrasound scan
Clinical narrative: pain, swelling in crotch
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute kidney injury, Contusion, Deep vein thrombosis
Clinical narrative: -Blood clot on left leg -Persistent abdominal pain -Excessive bruising beyond injection site NOTE: Symptoms first noticed on June 13, 2012, about 25 days after the JESSEN COVID-19 vaccination.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute kidney injury, Blood urine present, Contusion, Deep vein thrombosis
Clinical narrative: -Blood clot on left leg -Persistent abdominal pain -Excessive bruising beyond injection site NOTE: Symptoms first noticed on June 13, 2012, about 25 days after the JESSEN COVID-19 vaccination.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea haemorrhagic, Gait disturbance, Hypophagia, Skin haemorrhage, Skin weeping
Clinical narrative: -Blood clot on left leg -Persistent abdominal pain -Excessive bruising beyond injection site NOTE: Symptoms first noticed on June 13, 2012, about 25 days after the JESSEN COVID-19 vaccination.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sticky skin, Thrombosis
Clinical narrative: -Blood clot on left leg -Persistent abdominal pain -Excessive bruising beyond injection site NOTE: Symptoms first noticed on June 13, 2012, about 25 days after the JESSEN COVID-19 vaccination.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Per mom patient developed a rash all over body from the neck down on2/3 @1
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given moderna vaccine to a 17 year old patient. No adverse effect after getting the vaccine
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Got Moderna vaccine on Tuesday (02/01/21) morning at about 10 45 am or so. Today (02/03/21) noticed the area was a little swollen, very red and hot to the touch and a softball sized area around where the shot was given is sore to the touch. Took ibuprofen yesterday since she was achy and felt fine today when she woke up. However, she noticed the area when taking a shower about 10   minutes ago. Advised to go to urgent care to get it checked out to make sure not infected.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Arthralgia, Asthenia, Blood test abnormal, Chest discomfort
Clinical narrative: Chest pain, heart arythmias, shortness of breath, numbness , tingling, skipped heart rate, shortness of breathe, chest tightness, weakness, shoulder pain, thoracic pain, fatigue. Pain reported as extreme 4/5 many times, sharp to dull to tight.   Symptoms began almost immediately after second vaccine and continue to this date.   Multiple trips to urgent care and Er, including 911 calls between May through November 2021.   Myocarditis and inflammation.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal
Clinical narrative: Chest pain, heart arythmias, shortness of breath, numbness , tingling, skipped heart rate, shortness of breathe, chest tightness, weakness, shoulder pain, thoracic pain, fatigue. Pain reported as extreme 4/5 many times, sharp to dull to tight.   Symptoms began almost immediately after second vaccine and continue to this date.   Multiple trips to urgent care and Er, including 911 calls between May through November 2021.   Myocarditis and inflammation.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Extrasystoles, Fatigue, Hypoaesthesia, Inflammation, Inflammatory marker increased
Clinical narrative: Chest pain, heart arythmias, shortness of breath, numbness , tingling, skipped heart rate, shortness of breathe, chest tightness, weakness, shoulder pain, thoracic pain, fatigue. Pain reported as extreme 4/5 many times, sharp to dull to tight.   Symptoms began almost immediately after second vaccine and continue to this date.   Multiple trips to urgent care and Er, including 911 calls between May through November 2021.   Myocarditis and inflammation.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pain, Paraesthesia
Clinical narrative: Chest pain, heart arythmias, shortness of breath, numbness , tingling, skipped heart rate, shortness of breathe, chest tightness, weakness, shoulder pain, thoracic pain, fatigue. Pain reported as extreme 4/5 many times, sharp to dull to tight.   Symptoms began almost immediately after second vaccine and continue to this date.   Multiple trips to urgent care and Er, including 911 calls between May through November 2021.   Myocarditis and inflammation.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Visual impairment
Clinical narrative: Chest pain during the night after the injection. The next day I woke up and walk few steps and suddenly my vision turned black, I lay on the floor for 5 hours because I felt powerless. After that I felt chest pain for 5 days.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I received daily hives that would go away with Allergy medication, for several weeks. I seen a doctor who gave me steroids. I did not take them hoping the hives would go away on their own. They did. It has now been one week since the hives have been gone.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Whole upper body covered in hives
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Emotional distress, Feeling hot, Malaise
Clinical narrative: Gave vaccine at about 5:40pm. Patient soon after felt faint, hot and overall not well. Upon observation, she was also shaking and appeared distressed.  She was not sure what was happening and probably thought it was anxiety. She didn't have any reactions prior. I talked to her to get her to calm down a little, offered her a lollipop (to increase her sugar intake) and had her sit. She felt better after 15 minutes and she left after verbally confirming she was feeling better.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Gave vaccine at about 5:40pm. Patient soon after felt faint, hot and overall not well. Upon observation, she was also shaking and appeared distressed.  She was not sure what was happening and probably thought it was anxiety. She didn't have any reactions prior. I talked to her to get her to calm down a little, offered her a lollipop (to increase her sugar intake) and had her sit. She felt better after 15 minutes and she left after verbally confirming she was feeling better.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Painful Rashes, itching, and hives all over body
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Inflammation, Joint range of motion decreased, Musculoskeletal stiffness, Periarthritis
Clinical narrative: COVID19 BOOST SHOT, LEFT SHOULDER PROGRESSIVE PAIN AND STIFFNESS SINCE DEC 1, 2021 ASSOCIATED WITH A PROGRESSIVE LOSS SHOULDER RANGE OF MOTION
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Shoulder injury related to vaccine administration, Vaccination complication, X-ray limb abnormal
Clinical narrative: COVID19 BOOST SHOT, LEFT SHOULDER PROGRESSIVE PAIN AND STIFFNESS SINCE DEC 1, 2021 ASSOCIATED WITH A PROGRESSIVE LOSS SHOULDER RANGE OF MOTION
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram, Electrocardiogram, Full blood count, Hypoaesthesia
Clinical narrative: Developed numbness in right arm and right leg.  She presented to the Emergency Room for evaluation.  Evaluation with blood tests and CT scans were done/ there was no evidence of a stroke.  She continues to have the numbness although it is somewhat improved. there is no muscular weakness.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Metabolic function test, Troponin
Clinical narrative: Developed numbness in right arm and right leg.  She presented to the Emergency Room for evaluation.  Evaluation with blood tests and CT scans were done/ there was no evidence of a stroke.  She continues to have the numbness although it is somewhat improved. there is no muscular weakness.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient not of appropriate age to receive moderns vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Lingering arm pain at injection site
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Appendicolith, Brain natriuretic peptide normal, C-reactive protein increased, Chromaturia
Clinical narrative: Patient is a 9 yo boy history of premature birth, otherwise previously well, now admitted with febrile illness associated with abdominal pain, vomiting and diarrhea, and with elevated inflammatory markers, suspected MIS-C.  On 12/16 he developed headache.  He was otherwise well, though the following day he again had headache, and developed abdominal pain and body aches.  Symptoms worsened on 12/18 and he developed fever.  12/19 he was seen by PMD with worsening symptoms.  Rapid strep, COVID, and flu all negative.  The following day he developed higher fever, worse abdominal pain and body aches, and developed profuse watery diarrhea and persistent emesis with any PO intake.  Returned to PMD on 12/21 (yesterday). Repeat rapid strep positive, COVID negative.  Referred to ER for evaluation.  He has not been able to tolerate PO intake since start of emesis on 12/20.  He has had a dramatic decrease in activity and remains very listless.  He has not had significant cough or congestion.  He is noted to have swollen eyes with conjunctival injection today.  He has been complaining of a sensation of fullness in his throat described as "lumps".  No noted adenopathy.  Although he is achy all over, the pain is most intense left side of neck.  His urine looks darker today.  A few weeks ago he did have a single dry patch of skin on one leg.  That has since resolved with a moisturizer.  No other rash.  No extremity swelling.  He has not had a recent febrile illness.  He does say his taste is off during the current illness, though no prior loss of taste or smell.  He has had intermittent URI symptoms over the past few months, though nothing out of the ordinary.  All systems negative other than as noted.  His parents had COVID early in the pandemic in February and March of 2020.  His sister who lives with the family had COVID in 9/2021.  Patient was negative at the time.  His parents do note that they receive notice from the school regularly that there have been COVID cases.  Patient is in-person school.   In the ER yesterday he was febrile and tachycardic.  Labs with left shift on WBC, lymphopenia, borderline low platelets, markedly elevated CRP.  Urinalysis had mild pyuria and hematuria, negative LE and nitrite.  COVID antibody was positive, PCR negative.  CTA showed appendicolith but no acute abnormality.  Admitted inpatient on ceftriaxone.  Ferritin and D-dimer added today markedly elevated.  BNP and troponin normal.   PMH - Born at 27 weeks gestation.  He was followed by cardiology and ophthalmology for the first year of his life, but has since been cleared by both services.  Otherwise previously well. Allergies - NKDA Immunizations UTD including dose 1 of COVID on 12/3.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Conjunctival hyperaemia, Decreased activity, Diarrhoea, Dry skin
Clinical narrative: Patient is a 9 yo boy history of premature birth, otherwise previously well, now admitted with febrile illness associated with abdominal pain, vomiting and diarrhea, and with elevated inflammatory markers, suspected MIS-C.  On 12/16 he developed headache.  He was otherwise well, though the following day he again had headache, and developed abdominal pain and body aches.  Symptoms worsened on 12/18 and he developed fever.  12/19 he was seen by PMD with worsening symptoms.  Rapid strep, COVID, and flu all negative.  The following day he developed higher fever, worse abdominal pain and body aches, and developed profuse watery diarrhea and persistent emesis with any PO intake.  Returned to PMD on 12/21 (yesterday). Repeat rapid strep positive, COVID negative.  Referred to ER for evaluation.  He has not been able to tolerate PO intake since start of emesis on 12/20.  He has had a dramatic decrease in activity and remains very listless.  He has not had significant cough or congestion.  He is noted to have swollen eyes with conjunctival injection today.  He has been complaining of a sensation of fullness in his throat described as "lumps".  No noted adenopathy.  Although he is achy all over, the pain is most intense left side of neck.  His urine looks darker today.  A few weeks ago he did have a single dry patch of skin on one leg.  That has since resolved with a moisturizer.  No other rash.  No extremity swelling.  He has not had a recent febrile illness.  He does say his taste is off during the current illness, though no prior loss of taste or smell.  He has had intermittent URI symptoms over the past few months, though nothing out of the ordinary.  All systems negative other than as noted.  His parents had COVID early in the pandemic in February and March of 2020.  His sister who lives with the family had COVID in 9/2021.  Patient was negative at the time.  His parents do note that they receive notice from the school regularly that there have been COVID cases.  Patient is in-person school.   In the ER yesterday he was febrile and tachycardic.  Labs with left shift on WBC, lymphopenia, borderline low platelets, markedly elevated CRP.  Urinalysis had mild pyuria and hematuria, negative LE and nitrite.  COVID antibody was positive, PCR negative.  CTA showed appendicolith but no acute abnormality.  Admitted inpatient on ceftriaxone.  Ferritin and D-dimer added today markedly elevated.  BNP and troponin normal.   PMH - Born at 27 weeks gestation.  He was followed by cardiology and ophthalmology for the first year of his life, but has since been cleared by both services.  Otherwise previously well. Allergies - NKDA Immunizations UTD including dose 1 of COVID on 12/3.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Fibrin D dimer increased, Haematuria, Headache, Inflammatory marker increased
Clinical narrative: Patient is a 9 yo boy history of premature birth, otherwise previously well, now admitted with febrile illness associated with abdominal pain, vomiting and diarrhea, and with elevated inflammatory markers, suspected MIS-C.  On 12/16 he developed headache.  He was otherwise well, though the following day he again had headache, and developed abdominal pain and body aches.  Symptoms worsened on 12/18 and he developed fever.  12/19 he was seen by PMD with worsening symptoms.  Rapid strep, COVID, and flu all negative.  The following day he developed higher fever, worse abdominal pain and body aches, and developed profuse watery diarrhea and persistent emesis with any PO intake.  Returned to PMD on 12/21 (yesterday). Repeat rapid strep positive, COVID negative.  Referred to ER for evaluation.  He has not been able to tolerate PO intake since start of emesis on 12/20.  He has had a dramatic decrease in activity and remains very listless.  He has not had significant cough or congestion.  He is noted to have swollen eyes with conjunctival injection today.  He has been complaining of a sensation of fullness in his throat described as "lumps".  No noted adenopathy.  Although he is achy all over, the pain is most intense left side of neck.  His urine looks darker today.  A few weeks ago he did have a single dry patch of skin on one leg.  That has since resolved with a moisturizer.  No other rash.  No extremity swelling.  He has not had a recent febrile illness.  He does say his taste is off during the current illness, though no prior loss of taste or smell.  He has had intermittent URI symptoms over the past few months, though nothing out of the ordinary.  All systems negative other than as noted.  His parents had COVID early in the pandemic in February and March of 2020.  His sister who lives with the family had COVID in 9/2021.  Patient was negative at the time.  His parents do note that they receive notice from the school regularly that there have been COVID cases.  Patient is in-person school.   In the ER yesterday he was febrile and tachycardic.  Labs with left shift on WBC, lymphopenia, borderline low platelets, markedly elevated CRP.  Urinalysis had mild pyuria and hematuria, negative LE and nitrite.  COVID antibody was positive, PCR negative.  CTA showed appendicolith but no acute abnormality.  Admitted inpatient on ceftriaxone.  Ferritin and D-dimer added today markedly elevated.  BNP and troponin normal.   PMH - Born at 27 weeks gestation.  He was followed by cardiology and ophthalmology for the first year of his life, but has since been cleared by both services.  Otherwise previously well. Allergies - NKDA Immunizations UTD including dose 1 of COVID on 12/3.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, Listless, Lymphopenia, Multisystem inflammatory syndrome in children, Neck pain
Clinical narrative: Patient is a 9 yo boy history of premature birth, otherwise previously well, now admitted with febrile illness associated with abdominal pain, vomiting and diarrhea, and with elevated inflammatory markers, suspected MIS-C.  On 12/16 he developed headache.  He was otherwise well, though the following day he again had headache, and developed abdominal pain and body aches.  Symptoms worsened on 12/18 and he developed fever.  12/19 he was seen by PMD with worsening symptoms.  Rapid strep, COVID, and flu all negative.  The following day he developed higher fever, worse abdominal pain and body aches, and developed profuse watery diarrhea and persistent emesis with any PO intake.  Returned to PMD on 12/21 (yesterday). Repeat rapid strep positive, COVID negative.  Referred to ER for evaluation.  He has not been able to tolerate PO intake since start of emesis on 12/20.  He has had a dramatic decrease in activity and remains very listless.  He has not had significant cough or congestion.  He is noted to have swollen eyes with conjunctival injection today.  He has been complaining of a sensation of fullness in his throat described as "lumps".  No noted adenopathy.  Although he is achy all over, the pain is most intense left side of neck.  His urine looks darker today.  A few weeks ago he did have a single dry patch of skin on one leg.  That has since resolved with a moisturizer.  No other rash.  No extremity swelling.  He has not had a recent febrile illness.  He does say his taste is off during the current illness, though no prior loss of taste or smell.  He has had intermittent URI symptoms over the past few months, though nothing out of the ordinary.  All systems negative other than as noted.  His parents had COVID early in the pandemic in February and March of 2020.  His sister who lives with the family had COVID in 9/2021.  Patient was negative at the time.  His parents do note that they receive notice from the school regularly that there have been COVID cases.  Patient is in-person school.   In the ER yesterday he was febrile and tachycardic.  Labs with left shift on WBC, lymphopenia, borderline low platelets, markedly elevated CRP.  Urinalysis had mild pyuria and hematuria, negative LE and nitrite.  COVID antibody was positive, PCR negative.  CTA showed appendicolith but no acute abnormality.  Admitted inpatient on ceftriaxone.  Ferritin and D-dimer added today markedly elevated.  BNP and troponin normal.   PMH - Born at 27 weeks gestation.  He was followed by cardiology and ophthalmology for the first year of his life, but has since been cleared by both services.  Otherwise previously well. Allergies - NKDA Immunizations UTD including dose 1 of COVID on 12/3.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Platelet count decreased, Pyrexia, Pyuria, SARS-CoV-2 antibody test positive
Clinical narrative: Patient is a 9 yo boy history of premature birth, otherwise previously well, now admitted with febrile illness associated with abdominal pain, vomiting and diarrhea, and with elevated inflammatory markers, suspected MIS-C.  On 12/16 he developed headache.  He was otherwise well, though the following day he again had headache, and developed abdominal pain and body aches.  Symptoms worsened on 12/18 and he developed fever.  12/19 he was seen by PMD with worsening symptoms.  Rapid strep, COVID, and flu all negative.  The following day he developed higher fever, worse abdominal pain and body aches, and developed profuse watery diarrhea and persistent emesis with any PO intake.  Returned to PMD on 12/21 (yesterday). Repeat rapid strep positive, COVID negative.  Referred to ER for evaluation.  He has not been able to tolerate PO intake since start of emesis on 12/20.  He has had a dramatic decrease in activity and remains very listless.  He has not had significant cough or congestion.  He is noted to have swollen eyes with conjunctival injection today.  He has been complaining of a sensation of fullness in his throat described as "lumps".  No noted adenopathy.  Although he is achy all over, the pain is most intense left side of neck.  His urine looks darker today.  A few weeks ago he did have a single dry patch of skin on one leg.  That has since resolved with a moisturizer.  No other rash.  No extremity swelling.  He has not had a recent febrile illness.  He does say his taste is off during the current illness, though no prior loss of taste or smell.  He has had intermittent URI symptoms over the past few months, though nothing out of the ordinary.  All systems negative other than as noted.  His parents had COVID early in the pandemic in February and March of 2020.  His sister who lives with the family had COVID in 9/2021.  Patient was negative at the time.  His parents do note that they receive notice from the school regularly that there have been COVID cases.  Patient is in-person school.   In the ER yesterday he was febrile and tachycardic.  Labs with left shift on WBC, lymphopenia, borderline low platelets, markedly elevated CRP.  Urinalysis had mild pyuria and hematuria, negative LE and nitrite.  COVID antibody was positive, PCR negative.  CTA showed appendicolith but no acute abnormality.  Admitted inpatient on ceftriaxone.  Ferritin and D-dimer added today markedly elevated.  BNP and troponin normal.   PMH - Born at 27 weeks gestation.  He was followed by cardiology and ophthalmology for the first year of his life, but has since been cleared by both services.  Otherwise previously well. Allergies - NKDA Immunizations UTD including dose 1 of COVID on 12/3.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sensation of foreign body, Serum ferritin increased, Streptococcus test positive, Tachycardia
Clinical narrative: Patient is a 9 yo boy history of premature birth, otherwise previously well, now admitted with febrile illness associated with abdominal pain, vomiting and diarrhea, and with elevated inflammatory markers, suspected MIS-C.  On 12/16 he developed headache.  He was otherwise well, though the following day he again had headache, and developed abdominal pain and body aches.  Symptoms worsened on 12/18 and he developed fever.  12/19 he was seen by PMD with worsening symptoms.  Rapid strep, COVID, and flu all negative.  The following day he developed higher fever, worse abdominal pain and body aches, and developed profuse watery diarrhea and persistent emesis with any PO intake.  Returned to PMD on 12/21 (yesterday). Repeat rapid strep positive, COVID negative.  Referred to ER for evaluation.  He has not been able to tolerate PO intake since start of emesis on 12/20.  He has had a dramatic decrease in activity and remains very listless.  He has not had significant cough or congestion.  He is noted to have swollen eyes with conjunctival injection today.  He has been complaining of a sensation of fullness in his throat described as "lumps".  No noted adenopathy.  Although he is achy all over, the pain is most intense left side of neck.  His urine looks darker today.  A few weeks ago he did have a single dry patch of skin on one leg.  That has since resolved with a moisturizer.  No other rash.  No extremity swelling.  He has not had a recent febrile illness.  He does say his taste is off during the current illness, though no prior loss of taste or smell.  He has had intermittent URI symptoms over the past few months, though nothing out of the ordinary.  All systems negative other than as noted.  His parents had COVID early in the pandemic in February and March of 2020.  His sister who lives with the family had COVID in 9/2021.  Patient was negative at the time.  His parents do note that they receive notice from the school regularly that there have been COVID cases.  Patient is in-person school.   In the ER yesterday he was febrile and tachycardic.  Labs with left shift on WBC, lymphopenia, borderline low platelets, markedly elevated CRP.  Urinalysis had mild pyuria and hematuria, negative LE and nitrite.  COVID antibody was positive, PCR negative.  CTA showed appendicolith but no acute abnormality.  Admitted inpatient on ceftriaxone.  Ferritin and D-dimer added today markedly elevated.  BNP and troponin normal.   PMH - Born at 27 weeks gestation.  He was followed by cardiology and ophthalmology for the first year of his life, but has since been cleared by both services.  Otherwise previously well. Allergies - NKDA Immunizations UTD including dose 1 of COVID on 12/3.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Taste disorder, Troponin normal, Upper respiratory tract infection, Urine analysis abnormal, Vomiting
Clinical narrative: Patient is a 9 yo boy history of premature birth, otherwise previously well, now admitted with febrile illness associated with abdominal pain, vomiting and diarrhea, and with elevated inflammatory markers, suspected MIS-C.  On 12/16 he developed headache.  He was otherwise well, though the following day he again had headache, and developed abdominal pain and body aches.  Symptoms worsened on 12/18 and he developed fever.  12/19 he was seen by PMD with worsening symptoms.  Rapid strep, COVID, and flu all negative.  The following day he developed higher fever, worse abdominal pain and body aches, and developed profuse watery diarrhea and persistent emesis with any PO intake.  Returned to PMD on 12/21 (yesterday). Repeat rapid strep positive, COVID negative.  Referred to ER for evaluation.  He has not been able to tolerate PO intake since start of emesis on 12/20.  He has had a dramatic decrease in activity and remains very listless.  He has not had significant cough or congestion.  He is noted to have swollen eyes with conjunctival injection today.  He has been complaining of a sensation of fullness in his throat described as "lumps".  No noted adenopathy.  Although he is achy all over, the pain is most intense left side of neck.  His urine looks darker today.  A few weeks ago he did have a single dry patch of skin on one leg.  That has since resolved with a moisturizer.  No other rash.  No extremity swelling.  He has not had a recent febrile illness.  He does say his taste is off during the current illness, though no prior loss of taste or smell.  He has had intermittent URI symptoms over the past few months, though nothing out of the ordinary.  All systems negative other than as noted.  His parents had COVID early in the pandemic in February and March of 2020.  His sister who lives with the family had COVID in 9/2021.  Patient was negative at the time.  His parents do note that they receive notice from the school regularly that there have been COVID cases.  Patient is in-person school.   In the ER yesterday he was febrile and tachycardic.  Labs with left shift on WBC, lymphopenia, borderline low platelets, markedly elevated CRP.  Urinalysis had mild pyuria and hematuria, negative LE and nitrite.  COVID antibody was positive, PCR negative.  CTA showed appendicolith but no acute abnormality.  Admitted inpatient on ceftriaxone.  Ferritin and D-dimer added today markedly elevated.  BNP and troponin normal.   PMH - Born at 27 weeks gestation.  He was followed by cardiology and ophthalmology for the first year of his life, but has since been cleared by both services.  Otherwise previously well. Allergies - NKDA Immunizations UTD including dose 1 of COVID on 12/3.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell disorder
Clinical narrative: Patient is a 9 yo boy history of premature birth, otherwise previously well, now admitted with febrile illness associated with abdominal pain, vomiting and diarrhea, and with elevated inflammatory markers, suspected MIS-C.  On 12/16 he developed headache.  He was otherwise well, though the following day he again had headache, and developed abdominal pain and body aches.  Symptoms worsened on 12/18 and he developed fever.  12/19 he was seen by PMD with worsening symptoms.  Rapid strep, COVID, and flu all negative.  The following day he developed higher fever, worse abdominal pain and body aches, and developed profuse watery diarrhea and persistent emesis with any PO intake.  Returned to PMD on 12/21 (yesterday). Repeat rapid strep positive, COVID negative.  Referred to ER for evaluation.  He has not been able to tolerate PO intake since start of emesis on 12/20.  He has had a dramatic decrease in activity and remains very listless.  He has not had significant cough or congestion.  He is noted to have swollen eyes with conjunctival injection today.  He has been complaining of a sensation of fullness in his throat described as "lumps".  No noted adenopathy.  Although he is achy all over, the pain is most intense left side of neck.  His urine looks darker today.  A few weeks ago he did have a single dry patch of skin on one leg.  That has since resolved with a moisturizer.  No other rash.  No extremity swelling.  He has not had a recent febrile illness.  He does say his taste is off during the current illness, though no prior loss of taste or smell.  He has had intermittent URI symptoms over the past few months, though nothing out of the ordinary.  All systems negative other than as noted.  His parents had COVID early in the pandemic in February and March of 2020.  His sister who lives with the family had COVID in 9/2021.  Patient was negative at the time.  His parents do note that they receive notice from the school regularly that there have been COVID cases.  Patient is in-person school.   In the ER yesterday he was febrile and tachycardic.  Labs with left shift on WBC, lymphopenia, borderline low platelets, markedly elevated CRP.  Urinalysis had mild pyuria and hematuria, negative LE and nitrite.  COVID antibody was positive, PCR negative.  CTA showed appendicolith but no acute abnormality.  Admitted inpatient on ceftriaxone.  Ferritin and D-dimer added today markedly elevated.  BNP and troponin normal.   PMH - Born at 27 weeks gestation.  He was followed by cardiology and ophthalmology for the first year of his life, but has since been cleared by both services.  Otherwise previously well. Allergies - NKDA Immunizations UTD including dose 1 of COVID on 12/3.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted in the store after vaccination but regained conscious shortly. She decided not to leave with the ambulance.