chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: FLUA4, FLUA4
Symptoms: Blood test, Electrocardiogram, Foaming at mouth, Loss of consciousness, Magnetic resonance imaging
Clinical narrative: Patient called 2 days after vaccination and stated she had foaming of the mouth and passed out- was taken to ER for a battery of tests and then followed up with more.  Still waiting on some results of tests.  The prevailing thought is possibly a reaction to the adjuvant in the Fluad vaccine since patient has done well with Fluzone HD in past.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: hypoesthesia and paresthesia  within 24 hours of vaccine
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Hypersomnia, Hypoaesthesia
Clinical narrative: Because I had allergic reactions to the 3 Pfizer vaccines in 2021 and a neurological reaction to the Pfizer bivalent booster in 2022 (my legs gave out and I fell) I took a Zyrtec prior to getting the Novovax this fall and also had the shot given to me in 2  half doses while waiting 40 minutes between the two. There didn't seem to be a reaction at first but on my way out to my car I noticed that my toes and feet had numbed up completely making it difficult to walk. I did however get home but then had the regular fatigue reaction I get each time so I slept for the following 24 hours. It has taken 10 days for the feet to mostly go back to normal.  No treatment though I did report it to my PCP.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Feeling hot, Heart rate increased, Immediate post-injection reaction
Clinical narrative: Tingling sensation on right side of face immediately after vaccine lasting around 15 seconds. Redness on right side of face lasting around 3 minutes and subsided gradually. Feeling heavy and hot for around 15 seconds and improvement over the course of 15 minutes. Rapid heart rate for around 5 minutes but returned to normal.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Tingling sensation on right side of face immediately after vaccine lasting around 15 seconds. Redness on right side of face lasting around 3 minutes and subsided gradually. Feeling heavy and hot for around 15 seconds and improvement over the course of 15 minutes. Rapid heart rate for around 5 minutes but returned to normal.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Fever over 102°, severe chills
Age: 77.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Fatigue, Myalgia
Clinical narrative: First date extreme fatigue.  Muscle and joint pain since vaccination on 11/8/2023.   Pain is at 8.  Some relief with Tylenol.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Heart rate increased, Myalgia
Clinical narrative: Fever, fatigue, minor headache, severe chills, muscle pain, nausea, fast pounding heartbeat.  Rest, electrolytes, aspirin had an excellent outcome.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations, Pyrexia
Clinical narrative: Fever, fatigue, minor headache, severe chills, muscle pain, nausea, fast pounding heartbeat.  Rest, electrolytes, aspirin had an excellent outcome.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electroencephalogram, Magnetic resonance imaging, Nerve conduction studies, Neuralgia, Pain
Clinical narrative: After the first shot I developed pain in my arm, in my nerves. When I had a second shot, I developed pain on the other side. Almost 3 years later I still have pain in my nerves, I developed tremor there and pain in my fingers and wrists completing simple tasks
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Tremor
Clinical narrative: After the first shot I developed pain in my arm, in my nerves. When I had a second shot, I developed pain on the other side. Almost 3 years later I still have pain in my nerves, I developed tremor there and pain in my fingers and wrists completing simple tasks
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Headache, Muscle twitching, Parosmia
Clinical narrative: it was the SPikevax - didn't know where to put that in boxes above. I've been having phantom odors that follow me (i.e regardless of surroundings or locations) that smell like: sulphur (like striken match), rotten leaves or animal, musty basement.  I use a daily saline rinse for sinus cleansing but smell has continued since vaccine. I had the strongest reaction yet to a covid vaccine: 23 hours after injection, I became extremely fatigued and  had a headache. Took ibuprphen but no relief until next day. I did get a flu shot at same time but in a different arm. I am having some twinges and aches on right side of chest but probably unrelated.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Day after- severely tired and headache. Beginning  day after and continuing 2 days after- redness, swelling, hard area around injection site.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Nausea, Orthostatic hypotension, Pain
Clinical narrative: Orthostatic hypotension upon awakening  56/36, 62/38 HR 49. Baseline 105/70, HR 60 . Resolved after fluids, 3 hours. Dizziness, weakness and  aches.  The following day,  nausea and vomiting
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Orthostatic hypotension upon awakening  56/36, 62/38 HR 49. Baseline 105/70, HR 60 . Resolved after fluids, 3 hours. Dizziness, weakness and  aches.  The following day,  nausea and vomiting
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site mass, Pain in extremity
Clinical narrative: Red v mark at the site of injection that has a lump in the spot. And my arm is still sore
Age: 66.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: About 36 hours after receiving both shots high up  in my upper left arm, I had excruciating pain in my shoulder and could not lift my left arm in front of me.  The pain has gotten worse over the last 5 weeks.  Doctor prescribed PT that starts Sec 5th.
Age: 66.0
Sex: M
Vaccine: RSV
Symptoms: Condition aggravated, Culture, Culture negative, Erythema multiforme, Mouth ulceration
Clinical narrative: INITIALLY DEVELOPED SKIN LESIONS, EVOLVED TO TYPICAL ERYTHEMA MULTIFORME TARGET LESIONS, THEN APPROX 11-4-2023 DEVELOPED ULCERATION OF ORAL MUCOSA, BUCCAL AND SOFT PALATE, WITH INCREASING SKIN LESIONS, CONSISTENT WITH ORAL VARIANT OF ERYTHEMA MULTIFORME OR ERYTHEMA MULTIFORME MAJOR.  INITIALLY TREATED ONLY SYMPTOMATICALLY, ULCERATIONS AND RASH WORSENED, BEGAN PREDNISONE TAPER 11-10-2023.  OUTCOME TO BE DETERMINED.  DOXYCYCLINE 100 MG BID BEGUN 11-6-2023 AFTER ENT DIAGNOSIS OF RECURRENT SINUS INFECTION.  ANTIBIOTIC BEGUN AFTER RASH AND ORAL LESIONS BEGAN, NOT CONSIDERED CAUSATIVE.
Age: 66.0
Sex: M
Vaccine: RSV
Symptoms: Palatal ulcer, Rash, Sinusitis, Skin lesion
Clinical narrative: INITIALLY DEVELOPED SKIN LESIONS, EVOLVED TO TYPICAL ERYTHEMA MULTIFORME TARGET LESIONS, THEN APPROX 11-4-2023 DEVELOPED ULCERATION OF ORAL MUCOSA, BUCCAL AND SOFT PALATE, WITH INCREASING SKIN LESIONS, CONSISTENT WITH ORAL VARIANT OF ERYTHEMA MULTIFORME OR ERYTHEMA MULTIFORME MAJOR.  INITIALLY TREATED ONLY SYMPTOMATICALLY, ULCERATIONS AND RASH WORSENED, BEGAN PREDNISONE TAPER 11-10-2023.  OUTCOME TO BE DETERMINED.  DOXYCYCLINE 100 MG BID BEGUN 11-6-2023 AFTER ENT DIAGNOSIS OF RECURRENT SINUS INFECTION.  ANTIBIOTIC BEGUN AFTER RASH AND ORAL LESIONS BEGAN, NOT CONSIDERED CAUSATIVE.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Flushing, Hyperhidrosis, Syncope
Clinical narrative: PT had a vagal response and had lightheadedness/dizziness and experienced some flushing/sweating post vaccine. Pt was given orange juice and water and was seated for 15 minutes and seemed to improve. Symptoms lasted roughly 10 minutes.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes virus infection, Vertigo, Vestibular neuronitis, Vomiting
Clinical narrative: Extreme vertigo and violent vomiting. Diagnosed as vestibular neuritis. Hospitalized three days. Found a herpes outbreak which indicated the cause of the virus. Two weeks of medications - Aciclovir, Meticorten, Vontrol, Diazepam (only while hospitalized). Diagnosis of months of recovery ahead.
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Headache, Urticaria
Clinical narrative: Hives, headache, upset stomach starting approx 30 hours post vaccination
Age: 87.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Patient called back today 11/12/23 of severe arm pain. She's still able to move the arm.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Ataxia, Back pain, Blood uric acid normal, Chills, Condition aggravated
Clinical narrative: Within 12 hrs of the shot awoke at midnight with dizziness, chills, fever, myalgias, headache, backache, arm soreness.  Those sxs resolved in 24hrs.   But 24hrs+ later ,  lightheadeness, vertigo, dizziness and ataxia.  Those sxs resolved in 6 days.  But,  Same sxs recurred 3 weeks later although not as severe, and ever since, waxing and waning sxs of grogginess, dizziness, lighthead, borderline vertigo with exacerbation of my  tinnitus and rarely feel like I can't concentrate well.  Some days it feels like the sxs are gone or almost gone only to return a day or few days later.  In general, perhaps the sxs feel like they are slowly improving, but NOT yet resolved.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Full blood count normal, Headache, Laboratory test normal
Clinical narrative: Within 12 hrs of the shot awoke at midnight with dizziness, chills, fever, myalgias, headache, backache, arm soreness.  Those sxs resolved in 24hrs.   But 24hrs+ later ,  lightheadeness, vertigo, dizziness and ataxia.  Those sxs resolved in 6 days.  But,  Same sxs recurred 3 weeks later although not as severe, and ever since, waxing and waning sxs of grogginess, dizziness, lighthead, borderline vertigo with exacerbation of my  tinnitus and rarely feel like I can't concentrate well.  Some days it feels like the sxs are gone or almost gone only to return a day or few days later.  In general, perhaps the sxs feel like they are slowly improving, but NOT yet resolved.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lipids normal, Myalgia, Pain in extremity, Pyrexia, Tinnitus
Clinical narrative: Within 12 hrs of the shot awoke at midnight with dizziness, chills, fever, myalgias, headache, backache, arm soreness.  Those sxs resolved in 24hrs.   But 24hrs+ later ,  lightheadeness, vertigo, dizziness and ataxia.  Those sxs resolved in 6 days.  But,  Same sxs recurred 3 weeks later although not as severe, and ever since, waxing and waning sxs of grogginess, dizziness, lighthead, borderline vertigo with exacerbation of my  tinnitus and rarely feel like I can't concentrate well.  Some days it feels like the sxs are gone or almost gone only to return a day or few days later.  In general, perhaps the sxs feel like they are slowly improving, but NOT yet resolved.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal, Vertigo
Clinical narrative: Within 12 hrs of the shot awoke at midnight with dizziness, chills, fever, myalgias, headache, backache, arm soreness.  Those sxs resolved in 24hrs.   But 24hrs+ later ,  lightheadeness, vertigo, dizziness and ataxia.  Those sxs resolved in 6 days.  But,  Same sxs recurred 3 weeks later although not as severe, and ever since, waxing and waning sxs of grogginess, dizziness, lighthead, borderline vertigo with exacerbation of my  tinnitus and rarely feel like I can't concentrate well.  Some days it feels like the sxs are gone or almost gone only to return a day or few days later.  In general, perhaps the sxs feel like they are slowly improving, but NOT yet resolved.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Injection site pain, Pyrexia, Tremor
Clinical narrative: Fever , chills, shaking, flu like symptoms for 3 days, also severe pain at and around the injection site which has persisted .
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness transient, Blindness unilateral, Cerebrovascular accident, Transient ischaemic attack
Clinical narrative: TIA (small stroke) involving temporary complete loss of vision in left eye.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Bronchitis, Chest X-ray, Cough, Diarrhoea, Influenza virus test negative
Clinical narrative: I had the covid - flu - RSV shots ...it was 5 days later that I came down sick.  I was fine up until 10/22/23. I had covid and flu last year and no problems. Symptoms started out with bad sore throat and runny nose and cough and diarrhea.  My physician told me to go to the emergency room to rule out viral pneumonia and I didn't but I was diagnosed with acute bronchitis and still have it...I believe it was the RSV that has caused this.  Thank goodness I wasn't admitted in the hospital.  I've never had any problems with vaccines before and I'm still under Dr's care.  The symptoms for RSV compromised my immune system and this has really dragged me down.  It as a week on Friday that I came down with this and still struggling.   I tested negative at the hospital for covid and flu.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Malaise, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: I had the covid - flu - RSV shots ...it was 5 days later that I came down sick.  I was fine up until 10/22/23. I had covid and flu last year and no problems. Symptoms started out with bad sore throat and runny nose and cough and diarrhea.  My physician told me to go to the emergency room to rule out viral pneumonia and I didn't but I was diagnosed with acute bronchitis and still have it...I believe it was the RSV that has caused this.  Thank goodness I wasn't admitted in the hospital.  I've never had any problems with vaccines before and I'm still under Dr's care.  The symptoms for RSV compromised my immune system and this has really dragged me down.  It as a week on Friday that I came down with this and still struggling.   I tested negative at the hospital for covid and flu.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood glucose increased, Chest pain, Chills, Gait disturbance
Clinical narrative: Could not walk without severe pain the night after thr injection.  Fever, chills, severe muscle and joint ach, cough, nasal and chest congestion, blisters on tongue and down throat,  severe laryngitis,  chest pain, headache,  blurred vision and elevated glucose.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laryngitis, Myalgia, Nasal congestion, Oropharyngeal blistering
Clinical narrative: Could not walk without severe pain the night after thr injection.  Fever, chills, severe muscle and joint ach, cough, nasal and chest congestion, blisters on tongue and down throat,  severe laryngitis,  chest pain, headache,  blurred vision and elevated glucose.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion, Tongue blistering, Vision blurred
Clinical narrative: Could not walk without severe pain the night after thr injection.  Fever, chills, severe muscle and joint ach, cough, nasal and chest congestion, blisters on tongue and down throat,  severe laryngitis,  chest pain, headache,  blurred vision and elevated glucose.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash papular
Clinical narrative: Pt received the spikevax vaccine on 11/10 and woke up on 11/12 with a raised rash on her trunk. She is taking benadryl to help with reaction. She also had just started a new medication (atomoxetine) the day before. It may be possible the reaction has been caused by that.  I informed her to call her doctor in the morning.
Age: 76.0
Sex: M
Vaccine: RSV
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Not sure if this was related to shot but patient came in today and said about an hour after getting his shot he had to little red bumps show up on both of his thumbs that itched like a bug bite and looked almost like a bug bite he said. I asked if he thought he could have been bitten by something and he said its possible. He put Hydrocortisone 1% cream on each spot and the itching was relieved with 15-30 minutes. He had no other issues after that and the spots disappeared sometime later.
Age: 27.0
Sex: F
Vaccine: COVID19, FLUR4
Symptoms: Feeling abnormal
Clinical narrative: PT FELT UNDER THE WEATHER FROM BOTH IMZS GIVEN- MODERNA SPIKEVAX AND FLUBLOK
Age: 71.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Abdominal discomfort, Injection site erythema, Injection site swelling, Malaise, Pain
Clinical narrative: Patient began feeling achy on 11/9/23 after recieving the vaccinations. The spot on the arm where the RSV shot was administered became red and swollen. The patient also developed an upset stomach and was not feeling well until the morning of 11/12/23 but they did not feel like they were 100%. They just felt a little bit better.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein, Chest X-ray normal, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Two days following injection I woke up violently with my heart beating wildly with difficulty breathing and I felt I had a stack of phone books resting on my chest. The significant effects of this event lasted approximately three hours. Unfortunately, for many days afterwards I had off and on shortness of breath with difficulty breathing occasional tightening of chest and jaw pain. This eventually lead to two urgent care visits starting Oct. 16 2023 (blood test, chest x-ray & EKG). The 2nd urgent care visit (Oct 19 2023) lead to an emergency room visit, looking for cardiac markers. Additional cardiac monitoring, blood work preformed. Released from ER after 6 hours. Treadmill test scheduled
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fibrin D dimer, Heart rate irregular, Pain in jaw, Red blood cell sedimentation rate increased
Clinical narrative: Two days following injection I woke up violently with my heart beating wildly with difficulty breathing and I felt I had a stack of phone books resting on my chest. The significant effects of this event lasted approximately three hours. Unfortunately, for many days afterwards I had off and on shortness of breath with difficulty breathing occasional tightening of chest and jaw pain. This eventually lead to two urgent care visits starting Oct. 16 2023 (blood test, chest x-ray & EKG). The 2nd urgent care visit (Oct 19 2023) lead to an emergency room visit, looking for cardiac markers. Additional cardiac monitoring, blood work preformed. Released from ER after 6 hours. Treadmill test scheduled
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus bradycardia, Sinus rhythm, Troponin I
Clinical narrative: Two days following injection I woke up violently with my heart beating wildly with difficulty breathing and I felt I had a stack of phone books resting on my chest. The significant effects of this event lasted approximately three hours. Unfortunately, for many days afterwards I had off and on shortness of breath with difficulty breathing occasional tightening of chest and jaw pain. This eventually lead to two urgent care visits starting Oct. 16 2023 (blood test, chest x-ray & EKG). The 2nd urgent care visit (Oct 19 2023) lead to an emergency room visit, looking for cardiac markers. Additional cardiac monitoring, blood work preformed. Released from ER after 6 hours. Treadmill test scheduled
Age: 25.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Burning sensation, Hypoaesthesia
Clinical narrative: Left armpit and middle of the back of my arm is completely numb, the area surrounding the numbness burns. Started day after the vaccine and has been 14 days, still numb and burning
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Atrial fibrillation, Dizziness, Hyperhidrosis
Clinical narrative: Around 6:30 pm Patient noticed he was having dizziness which lasted about 15 minutes along with perfused sweating, O2 was normal. Patient went into Afib; had resting heart rate 76.
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Aortic thrombosis, Bartonella test, Blood culture, Cerebral infarction, Confusional state
Clinical narrative: **Dual report to incorporate both flu & Spikevax vaccines given. Quadrivalent Adjuvanted PF vaccine given 10/01/2023 (lot number 370679)**  11/6: He was confused. Saw his doctor on 11/7 where labs were normal. Had syncopal episode on 11/8  getting him admitted to hospital.  MRI done found multiple infarcts. TEE found thrombus vs. infection on aortic valve.   At time of report, patient is hospitalized on broad spectrum antibiotics to empirically treat infection on valve. Scheduled to have CT scan of chest & PET scan of body to help determine whether it is a thrombus or infection on valve.
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Echocardiogram, Endocarditis, Fungal test, Laboratory test, Magnetic resonance imaging head abnormal
Clinical narrative: **Dual report to incorporate both flu & Spikevax vaccines given. Quadrivalent Adjuvanted PF vaccine given 10/01/2023 (lot number 370679)**  11/6: He was confused. Saw his doctor on 11/7 where labs were normal. Had syncopal episode on 11/8  getting him admitted to hospital.  MRI done found multiple infarcts. TEE found thrombus vs. infection on aortic valve.   At time of report, patient is hospitalized on broad spectrum antibiotics to empirically treat infection on valve. Scheduled to have CT scan of chest & PET scan of body to help determine whether it is a thrombus or infection on valve.
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Syncope
Clinical narrative: **Dual report to incorporate both flu & Spikevax vaccines given. Quadrivalent Adjuvanted PF vaccine given 10/01/2023 (lot number 370679)**  11/6: He was confused. Saw his doctor on 11/7 where labs were normal. Had syncopal episode on 11/8  getting him admitted to hospital.  MRI done found multiple infarcts. TEE found thrombus vs. infection on aortic valve.   At time of report, patient is hospitalized on broad spectrum antibiotics to empirically treat infection on valve. Scheduled to have CT scan of chest & PET scan of body to help determine whether it is a thrombus or infection on valve.
Age: 57.0
Sex: F
Vaccine: FLUR4
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Patient received flublok and comirnaty together in left arm.  Patient states it was really painful ,"like a cortisone shot/" when first shot, which was flu, was administered.  She thinks it was administered too high in the arm.  She had a really sore arm for 3 days and hasn't been able to lift her arm past her shoulder for 4 weeks now.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Severe nausea and vomiting for 72 hrs since the vaccination
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Anomalous pulmonary venous connection, Atrial septal defect, Balloon atrial septostomy, Biopsy heart abnormal, Cardiac arrest
Clinical narrative: Fever and suspected otitis media - prescribed amoxicillin 7JUL2023. 11JUL2023 received hepatitis A, MMR, varicella vaccines (first doses of each).  12JUL 2023, presented with hypovolemic and septic shock with subsequent cardiac arrest (CPR 45-60 minutes) requiring VA-ECMO. Initial echo revealed severely depressed RV and LV function and moderate MV and TV regurgitation. She underwent balloon atrial septostomy to decompress the left ventricle on 7/12, and biventricular function recovered well. Required CVVH while on VA-ECMO, decannulated on 7/14. Myocardial biopsy 7/12 showed non-specific changes seen in myocarditis as well as sepsis, however cardiac MRI 7/17 consistent with myocarditis. Treated with IVIG 2g/kg on 7/12 and hydrocortisone 100mg/m2/day 7/12-7/15 for presumed myocarditis. He also completed a 7 day course of Rocephin and vancomycin for septic shock (7/12-7/18). Cardiac MRI also revealed PAPVR and 2:1 shunt across ASD created by balloon septostomy, which will require cardiology follow up for further evaluation and repair. MRI brain 7/17 showed acute infarctions of the hippocampus and left inferior putamen and chronic microhemorrhages with right medulla and left temporal lobe, likely related to VA-ECMO and cardiac arrest. Extubated to RA on 7/19. Started on low dose ASA 7/20 given septostomy and increased risk for stroke. Started on Keppra 100mg BID for seizure prophylaxis, although no clinical seizures or seizure activity on EEG 7/15. Transferred on 7/21. Weaned off Diuril and Aldactone, remained on Lasix for diuresis and Coreg for persistent sinus tachycardia. Concerns for aspiration per SLP.  Discharged from inpatient rehabilitation on 07AUG2023. 1. Myocarditis a. History of severely depressed systolic function b. Recovery of systolic function, normal by echo 8/3/2023 c. IVIG administered 7/12/2023 2. Partial anomalous pulmonary venous connection of the LUPV to the left innominate vein a. Stable 3. History of ECMO a. Status post balloon atrial septostomy (7/12/2023) b. Cannulation from 7/12/23 - 7/14/23 c. Stable 4. Atrial septal defect a. Iatrogenic following balloon atrial septostomy b. Qp:Qs 1.9:1 by CMR 7/17/2023 in setting of ASD and PAPVC c. Appears small by echo with left-2-right shunting (echo 10/11/2023) Continues outpatient rehabilitation
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Cardiac imaging procedure abnormal, Cerebral infarction, Cerebral microhaemorrhage, Echocardiogram abnormal, Electroencephalogram normal
Clinical narrative: Fever and suspected otitis media - prescribed amoxicillin 7JUL2023. 11JUL2023 received hepatitis A, MMR, varicella vaccines (first doses of each).  12JUL 2023, presented with hypovolemic and septic shock with subsequent cardiac arrest (CPR 45-60 minutes) requiring VA-ECMO. Initial echo revealed severely depressed RV and LV function and moderate MV and TV regurgitation. She underwent balloon atrial septostomy to decompress the left ventricle on 7/12, and biventricular function recovered well. Required CVVH while on VA-ECMO, decannulated on 7/14. Myocardial biopsy 7/12 showed non-specific changes seen in myocarditis as well as sepsis, however cardiac MRI 7/17 consistent with myocarditis. Treated with IVIG 2g/kg on 7/12 and hydrocortisone 100mg/m2/day 7/12-7/15 for presumed myocarditis. He also completed a 7 day course of Rocephin and vancomycin for septic shock (7/12-7/18). Cardiac MRI also revealed PAPVR and 2:1 shunt across ASD created by balloon septostomy, which will require cardiology follow up for further evaluation and repair. MRI brain 7/17 showed acute infarctions of the hippocampus and left inferior putamen and chronic microhemorrhages with right medulla and left temporal lobe, likely related to VA-ECMO and cardiac arrest. Extubated to RA on 7/19. Started on low dose ASA 7/20 given septostomy and increased risk for stroke. Started on Keppra 100mg BID for seizure prophylaxis, although no clinical seizures or seizure activity on EEG 7/15. Transferred on 7/21. Weaned off Diuril and Aldactone, remained on Lasix for diuresis and Coreg for persistent sinus tachycardia. Concerns for aspiration per SLP.  Discharged from inpatient rehabilitation on 07AUG2023. 1. Myocarditis a. History of severely depressed systolic function b. Recovery of systolic function, normal by echo 8/3/2023 c. IVIG administered 7/12/2023 2. Partial anomalous pulmonary venous connection of the LUPV to the left innominate vein a. Stable 3. History of ECMO a. Status post balloon atrial septostomy (7/12/2023) b. Cannulation from 7/12/23 - 7/14/23 c. Stable 4. Atrial septal defect a. Iatrogenic following balloon atrial septostomy b. Qp:Qs 1.9:1 by CMR 7/17/2023 in setting of ASD and PAPVC c. Appears small by echo with left-2-right shunting (echo 10/11/2023) Continues outpatient rehabilitation
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Haemofiltration, Hypovolaemia, Immunoglobulin therapy, Left ventricular dysfunction, Left-to-right cardiac shunt
Clinical narrative: Fever and suspected otitis media - prescribed amoxicillin 7JUL2023. 11JUL2023 received hepatitis A, MMR, varicella vaccines (first doses of each).  12JUL 2023, presented with hypovolemic and septic shock with subsequent cardiac arrest (CPR 45-60 minutes) requiring VA-ECMO. Initial echo revealed severely depressed RV and LV function and moderate MV and TV regurgitation. She underwent balloon atrial septostomy to decompress the left ventricle on 7/12, and biventricular function recovered well. Required CVVH while on VA-ECMO, decannulated on 7/14. Myocardial biopsy 7/12 showed non-specific changes seen in myocarditis as well as sepsis, however cardiac MRI 7/17 consistent with myocarditis. Treated with IVIG 2g/kg on 7/12 and hydrocortisone 100mg/m2/day 7/12-7/15 for presumed myocarditis. He also completed a 7 day course of Rocephin and vancomycin for septic shock (7/12-7/18). Cardiac MRI also revealed PAPVR and 2:1 shunt across ASD created by balloon septostomy, which will require cardiology follow up for further evaluation and repair. MRI brain 7/17 showed acute infarctions of the hippocampus and left inferior putamen and chronic microhemorrhages with right medulla and left temporal lobe, likely related to VA-ECMO and cardiac arrest. Extubated to RA on 7/19. Started on low dose ASA 7/20 given septostomy and increased risk for stroke. Started on Keppra 100mg BID for seizure prophylaxis, although no clinical seizures or seizure activity on EEG 7/15. Transferred on 7/21. Weaned off Diuril and Aldactone, remained on Lasix for diuresis and Coreg for persistent sinus tachycardia. Concerns for aspiration per SLP.  Discharged from inpatient rehabilitation on 07AUG2023. 1. Myocarditis a. History of severely depressed systolic function b. Recovery of systolic function, normal by echo 8/3/2023 c. IVIG administered 7/12/2023 2. Partial anomalous pulmonary venous connection of the LUPV to the left innominate vein a. Stable 3. History of ECMO a. Status post balloon atrial septostomy (7/12/2023) b. Cannulation from 7/12/23 - 7/14/23 c. Stable 4. Atrial septal defect a. Iatrogenic following balloon atrial septostomy b. Qp:Qs 1.9:1 by CMR 7/17/2023 in setting of ASD and PAPVC c. Appears small by echo with left-2-right shunting (echo 10/11/2023) Continues outpatient rehabilitation
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Lung assist device therapy, Magnetic resonance imaging head abnormal, Mitral valve incompetence, Myocarditis, Resuscitation
Clinical narrative: Fever and suspected otitis media - prescribed amoxicillin 7JUL2023. 11JUL2023 received hepatitis A, MMR, varicella vaccines (first doses of each).  12JUL 2023, presented with hypovolemic and septic shock with subsequent cardiac arrest (CPR 45-60 minutes) requiring VA-ECMO. Initial echo revealed severely depressed RV and LV function and moderate MV and TV regurgitation. She underwent balloon atrial septostomy to decompress the left ventricle on 7/12, and biventricular function recovered well. Required CVVH while on VA-ECMO, decannulated on 7/14. Myocardial biopsy 7/12 showed non-specific changes seen in myocarditis as well as sepsis, however cardiac MRI 7/17 consistent with myocarditis. Treated with IVIG 2g/kg on 7/12 and hydrocortisone 100mg/m2/day 7/12-7/15 for presumed myocarditis. He also completed a 7 day course of Rocephin and vancomycin for septic shock (7/12-7/18). Cardiac MRI also revealed PAPVR and 2:1 shunt across ASD created by balloon septostomy, which will require cardiology follow up for further evaluation and repair. MRI brain 7/17 showed acute infarctions of the hippocampus and left inferior putamen and chronic microhemorrhages with right medulla and left temporal lobe, likely related to VA-ECMO and cardiac arrest. Extubated to RA on 7/19. Started on low dose ASA 7/20 given septostomy and increased risk for stroke. Started on Keppra 100mg BID for seizure prophylaxis, although no clinical seizures or seizure activity on EEG 7/15. Transferred on 7/21. Weaned off Diuril and Aldactone, remained on Lasix for diuresis and Coreg for persistent sinus tachycardia. Concerns for aspiration per SLP.  Discharged from inpatient rehabilitation on 07AUG2023. 1. Myocarditis a. History of severely depressed systolic function b. Recovery of systolic function, normal by echo 8/3/2023 c. IVIG administered 7/12/2023 2. Partial anomalous pulmonary venous connection of the LUPV to the left innominate vein a. Stable 3. History of ECMO a. Status post balloon atrial septostomy (7/12/2023) b. Cannulation from 7/12/23 - 7/14/23 c. Stable 4. Atrial septal defect a. Iatrogenic following balloon atrial septostomy b. Qp:Qs 1.9:1 by CMR 7/17/2023 in setting of ASD and PAPVC c. Appears small by echo with left-2-right shunting (echo 10/11/2023) Continues outpatient rehabilitation
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Right ventricular dysfunction, Septic shock, Sinus tachycardia, Systolic dysfunction, Tricuspid valve incompetence
Clinical narrative: Fever and suspected otitis media - prescribed amoxicillin 7JUL2023. 11JUL2023 received hepatitis A, MMR, varicella vaccines (first doses of each).  12JUL 2023, presented with hypovolemic and septic shock with subsequent cardiac arrest (CPR 45-60 minutes) requiring VA-ECMO. Initial echo revealed severely depressed RV and LV function and moderate MV and TV regurgitation. She underwent balloon atrial septostomy to decompress the left ventricle on 7/12, and biventricular function recovered well. Required CVVH while on VA-ECMO, decannulated on 7/14. Myocardial biopsy 7/12 showed non-specific changes seen in myocarditis as well as sepsis, however cardiac MRI 7/17 consistent with myocarditis. Treated with IVIG 2g/kg on 7/12 and hydrocortisone 100mg/m2/day 7/12-7/15 for presumed myocarditis. He also completed a 7 day course of Rocephin and vancomycin for septic shock (7/12-7/18). Cardiac MRI also revealed PAPVR and 2:1 shunt across ASD created by balloon septostomy, which will require cardiology follow up for further evaluation and repair. MRI brain 7/17 showed acute infarctions of the hippocampus and left inferior putamen and chronic microhemorrhages with right medulla and left temporal lobe, likely related to VA-ECMO and cardiac arrest. Extubated to RA on 7/19. Started on low dose ASA 7/20 given septostomy and increased risk for stroke. Started on Keppra 100mg BID for seizure prophylaxis, although no clinical seizures or seizure activity on EEG 7/15. Transferred on 7/21. Weaned off Diuril and Aldactone, remained on Lasix for diuresis and Coreg for persistent sinus tachycardia. Concerns for aspiration per SLP.  Discharged from inpatient rehabilitation on 07AUG2023. 1. Myocarditis a. History of severely depressed systolic function b. Recovery of systolic function, normal by echo 8/3/2023 c. IVIG administered 7/12/2023 2. Partial anomalous pulmonary venous connection of the LUPV to the left innominate vein a. Stable 3. History of ECMO a. Status post balloon atrial septostomy (7/12/2023) b. Cannulation from 7/12/23 - 7/14/23 c. Stable 4. Atrial septal defect a. Iatrogenic following balloon atrial septostomy b. Qp:Qs 1.9:1 by CMR 7/17/2023 in setting of ASD and PAPVC c. Appears small by echo with left-2-right shunting (echo 10/11/2023) Continues outpatient rehabilitation
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Urine output decreased
Clinical narrative: Fever and suspected otitis media - prescribed amoxicillin 7JUL2023. 11JUL2023 received hepatitis A, MMR, varicella vaccines (first doses of each).  12JUL 2023, presented with hypovolemic and septic shock with subsequent cardiac arrest (CPR 45-60 minutes) requiring VA-ECMO. Initial echo revealed severely depressed RV and LV function and moderate MV and TV regurgitation. She underwent balloon atrial septostomy to decompress the left ventricle on 7/12, and biventricular function recovered well. Required CVVH while on VA-ECMO, decannulated on 7/14. Myocardial biopsy 7/12 showed non-specific changes seen in myocarditis as well as sepsis, however cardiac MRI 7/17 consistent with myocarditis. Treated with IVIG 2g/kg on 7/12 and hydrocortisone 100mg/m2/day 7/12-7/15 for presumed myocarditis. He also completed a 7 day course of Rocephin and vancomycin for septic shock (7/12-7/18). Cardiac MRI also revealed PAPVR and 2:1 shunt across ASD created by balloon septostomy, which will require cardiology follow up for further evaluation and repair. MRI brain 7/17 showed acute infarctions of the hippocampus and left inferior putamen and chronic microhemorrhages with right medulla and left temporal lobe, likely related to VA-ECMO and cardiac arrest. Extubated to RA on 7/19. Started on low dose ASA 7/20 given septostomy and increased risk for stroke. Started on Keppra 100mg BID for seizure prophylaxis, although no clinical seizures or seizure activity on EEG 7/15. Transferred on 7/21. Weaned off Diuril and Aldactone, remained on Lasix for diuresis and Coreg for persistent sinus tachycardia. Concerns for aspiration per SLP.  Discharged from inpatient rehabilitation on 07AUG2023. 1. Myocarditis a. History of severely depressed systolic function b. Recovery of systolic function, normal by echo 8/3/2023 c. IVIG administered 7/12/2023 2. Partial anomalous pulmonary venous connection of the LUPV to the left innominate vein a. Stable 3. History of ECMO a. Status post balloon atrial septostomy (7/12/2023) b. Cannulation from 7/12/23 - 7/14/23 c. Stable 4. Atrial septal defect a. Iatrogenic following balloon atrial septostomy b. Qp:Qs 1.9:1 by CMR 7/17/2023 in setting of ASD and PAPVC c. Appears small by echo with left-2-right shunting (echo 10/11/2023) Continues outpatient rehabilitation
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pruritus
Clinical narrative: Itching and bruising at the injection site
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: On 11/11/23 pt came in and had red, slightly swollen area about 4" x5" on left arm. It was warm to the touch.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: I received this vaccine on October 12, the vaccine was given to me on my left hand. Since then I?ve been getting a numbing and tingling sensation from my shoulders to my fingers, the sensation is constant. It seems that this vaccine has somehow affected the nerves in my hand. I?m really regretting taking this vaccine now, I didn?t have any problems with my hand before and now I?m reading that this vaccine can cause nerve damage to some people. I wouldn?t be getting the second dosage.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: LUE with 6.5" superiorly, 6" inferiorly; 4.75" in length, hot, tense area of hot erythema
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Musculoskeletal stiffness, Neck pain, Pain
Clinical narrative: Patient states had vaccine at 3pm on 11/9 and woke up at 2am on 11/10 with horrible pain in her neck.  She states the pain in her neck was on the right side opposite of the left side where she received her injection.  She was unable to turn her head, pain radiated across her shoulders and down both arms.  Patient even had trouble bending her fingers.  She reported this information to me today 11/12/23 at 2:26pm.  She did not seek medical treatment and only took an advil to help relieve the pain.  Patient is still experiencing some stiffness in neck today but not to the degree it was on the 10th.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: Patient states had vaccine at 3pm on 11/9 and woke up at 2am on 11/10 with horrible pain in her neck.  She states the pain in her neck was on the right side opposite of the left side where she received her injection.  She was unable to turn her head, pain radiated across her shoulders and down both arms.  Patient even had trouble bending her fingers.  She reported this information to me today 11/12/23 at 2:26pm.  She did not seek medical treatment and only took an advil to help relieve the pain.  Patient is still experiencing some stiffness in neck today but not to the degree it was on the 10th.
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Cellulitis, Erythema, Fatigue, Hypersensitivity, Pyrexia
Clinical narrative: Within 24 hours developed marked swelling, fever and fatigue.  Next developed further swelling 11 cm X 11 cm with red streaking medially away from swelling.  Went to urgent care today - treated for cellulitis. Felt also to be allergic reaction
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Swelling
Clinical narrative: Within 24 hours developed marked swelling, fever and fatigue.  Next developed further swelling 11 cm X 11 cm with red streaking medially away from swelling.  Went to urgent care today - treated for cellulitis. Felt also to be allergic reaction
Age: 81.0
Sex: M
Vaccine: UNK
Symptoms: Cough, Dizziness, Dyspnoea, Influenza virus test negative, Insomnia
Clinical narrative: COUGHING, SHORTNESS OF BREATH,INSOMIA, DIZZINESS, DROWNSING
Age: 81.0
Sex: M
Vaccine: UNK
Symptoms: Somnolence
Clinical narrative: COUGHING, SHORTNESS OF BREATH,INSOMIA, DIZZINESS, DROWNSING
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes ophthalmic
Clinical narrative: Pt developed herpes in her eye 2 weeks after the vaccine
Age: 76.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Erythema, Rash, Rash pruritic, Skin warm
Clinical narrative: The day after receiving vaccines (11-4) patient began to experience rash that was warm to touch and itchy.  Followed up with patient 11-11 and still some redness on left arm but symptoms had subsided.
Age: 41.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Reddish, hot rash, itchy, sore, and firm skin all around and below the injection site.  Appeared after about one day, and worsened over the next two days.  Treating with rest and ice.  Soreness has subsided, but skin is still sensitive, warm, and rash has grown slightly
Age: 41.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Injection site warmth, Sensitive skin
Clinical narrative: Reddish, hot rash, itchy, sore, and firm skin all around and below the injection site.  Appeared after about one day, and worsened over the next two days.  Treating with rest and ice.  Soreness has subsided, but skin is still sensitive, warm, and rash has grown slightly
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccine positive rechallenge
Clinical narrative: Patient developed herpes in her eye 2 weeks after the vaccine.  The same thing happened after the first Shingrix dose. She is now on maintenance valacyclovir.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Breast disorder female, Breast pain, Inflammation, Mammogram abnormal, Pain
Clinical narrative: Patient came in stating that her arm was hurting and that there was an indentation in her breast.  She says she has already had a mammogram and there was nothing wrong, but now her breast hurts and there is a rod-like shape.  She is still having inflammation and pain a week and a half after taking the vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Skin indentation
Clinical narrative: Patient came in stating that her arm was hurting and that there was an indentation in her breast.  She says she has already had a mammogram and there was nothing wrong, but now her breast hurts and there is a rod-like shape.  She is still having inflammation and pain a week and a half after taking the vaccine.
Age: 66.0
Sex: M
Vaccine: RSV
Symptoms: Rash, Rash maculo-papular, Rash pruritic
Clinical narrative: Maculopapular rash on upper extremities bilaterally with pruritis, treated with Zyrtec and topical cortisone resulted in resolution over several weeks.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Antibody test abnormal, Blood immunoglobulin G, Blood parathyroid hormone normal, Burning sensation, C-telopeptide
Clinical narrative: Started with itching on my palms and soles of my feet, progressing over the next couple of weeks to overall itchiness, redness, lesions, dermagraphism, burning, and hives. I have been to primary care doc, endocrinologist, allergist, dermatologist, and rheumatologist. I was instructed to take round-the-clock antihistamines, which I have been doing since May 2023. They mostly control my symptoms, but if I stop taking them, the hives return within about 12 hours.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Complement analysis, Complement factor C3, Complement factor C4, Erythema, Mechanical urticaria
Clinical narrative: Started with itching on my palms and soles of my feet, progressing over the next couple of weeks to overall itchiness, redness, lesions, dermagraphism, burning, and hives. I have been to primary care doc, endocrinologist, allergist, dermatologist, and rheumatologist. I was instructed to take round-the-clock antihistamines, which I have been doing since May 2023. They mostly control my symptoms, but if I stop taking them, the hives return within about 12 hours.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus, Red blood cell sedimentation rate, Skin lesion, Urticaria
Clinical narrative: Started with itching on my palms and soles of my feet, progressing over the next couple of weeks to overall itchiness, redness, lesions, dermagraphism, burning, and hives. I have been to primary care doc, endocrinologist, allergist, dermatologist, and rheumatologist. I was instructed to take round-the-clock antihistamines, which I have been doing since May 2023. They mostly control my symptoms, but if I stop taking them, the hives return within about 12 hours.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered, Pain, Wrong product administered
Clinical narrative: Patient was mistakenly administered a third dose of Shingrix. He came to pharmacy to receive the RSV vaccination (Arexvy) and Shingrix was administered instead. The two products were next to each other in the fridge and Shingrix was grabbed and reconstituted and administered to patient instead of Arexvy on 11/11/23. It was discovered 11/12/23 due to inventory issues that patient received wrong vaccination. Patient was called and notified that he was mistakenly given Shingrix. Patient stated that he received 2 doses in 2020, and complained of only feeling "achy" as a side effect from the third dose of Shingrix.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: Patient complains that she has pain in the left arm. She described the pain as transient and at times flaring up really bad. This issue started after two weeks since she had gotten the previous covid booster last year. She did not feel like it was a big deal and thought the pain would go away on its own; therefore she never notified the pharmacy or her provider about it.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Asthenia, Ear pain, Fatigue, Feeling cold, Headache
Clinical narrative: About 5-6 hours after the injection on Thursday, I first noticed some aching and  fatigue.  Soon, that same evening, I noticed I was getting some cold symptoms, including stuffy sinuses, slight headache, and a bit of a sore throat. Not having a fever,  I managed to go to work the next day, Friday, but had a lot of post nasal mucus and felt tired and weak with again a slight headache from sinus pressure. Over the weekend my symptoms have gotten worse, with much thicker mucus.  It's now Sunday night, and I have a slight fever and feel chilled. My sinus congestion has not alleviated, and I have sinus pain in my face , head, and ears. I have not had any coughing.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Increased viscosity of upper respiratory secretion, Nasopharyngitis, Oropharyngeal pain, Pain, Paranasal sinus discomfort
Clinical narrative: About 5-6 hours after the injection on Thursday, I first noticed some aching and  fatigue.  Soon, that same evening, I noticed I was getting some cold symptoms, including stuffy sinuses, slight headache, and a bit of a sore throat. Not having a fever,  I managed to go to work the next day, Friday, but had a lot of post nasal mucus and felt tired and weak with again a slight headache from sinus pressure. Over the weekend my symptoms have gotten worse, with much thicker mucus.  It's now Sunday night, and I have a slight fever and feel chilled. My sinus congestion has not alleviated, and I have sinus pain in my face , head, and ears. I have not had any coughing.