chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound uterus abnormal, Uterine dilation and curettage
Clinical narrative: Completely unsure if related at all to the vaccine, but 3 days after my third dose of Pfizer I had very very severe menstrual bleeding. Turns out a miscarriage from Aug 5, 2021 was not 100% "complete" and this was my first period since pre-pregnancy.  The bleeding was so sudden and SO severe (massive blood clots) that I went to the ER.  The bleeding slowed down after 2-3 hours, but I had to have a D&C later that day.  The only reason I'm reporting it is because it had been 2 full months since the miscarriage and my body did not have a reaction to the incomplete miscarriage -- but was there something about getting the vaccine that triggered this kind of severe bleeding/response to the remnants of the pregnancy?
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: ADMITTED TO HOSPITAL FOR COVID
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Blood thyroid stimulating hormone, Electrocardiogram abnormal, Feeling abnormal, Full blood count, Metabolic function test
Clinical narrative: Pt. began to state that he felt off on Saturday morning. He continued to report that he felt bad off and on throughout the weekend/ He cam e home from school Monday with a migraine headache (left sided) for the first time. He continued to feel off and told mother his heart was racing on Tuesday evening. Mother took apical pulse with stethoscope and heart rate was >200. Reported to ED and EKG showed SVT. Pt. was able to self-convert through vagal maneuvers and was released home after lab work came back unremarkable.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Migraine, Palpitations, Supraventricular tachycardia
Clinical narrative: Pt. began to state that he felt off on Saturday morning. He continued to report that he felt bad off and on throughout the weekend/ He cam e home from school Monday with a migraine headache (left sided) for the first time. He continued to feel off and told mother his heart was racing on Tuesday evening. Mother took apical pulse with stethoscope and heart rate was >200. Reported to ED and EKG showed SVT. Pt. was able to self-convert through vagal maneuvers and was released home after lab work came back unremarkable.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Diarrhoea, Nausea, Urticaria
Clinical narrative: HIVES COVER THE ENTIRE BODY STARTING WITHIN 3 HOURS AFTER RECEIVING VACCINE.  HIVES CONTINUED FOR 2 MONTHS OFF AND ON.  ALSO, SEVERE, DEBILITATING STOMACH CRAMPING, NAUSEA, AND DIARRHEA LASTED FOR 4 DAYS.
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Paraesthesia, Shoulder injury related to vaccine administration
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Butterfly rash, Fatigue, Full blood count, Headache, Injection site induration
Clinical narrative: fatigue, vaginal bleeding, painful swelling at injection(hard, golf ball size), fever, headache, butterfly rash on face, vomiting
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Pyrexia, Vaginal haemorrhage, Vomiting
Clinical narrative: fatigue, vaginal bleeding, painful swelling at injection(hard, golf ball size), fever, headache, butterfly rash on face, vomiting
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Angiocardiogram, Dyspnoea, Echocardiogram, Fatigue, Flushing
Clinical narrative: Entire body felt flush, became tired and passed out on couch. Heavy breathing noticed because I was on the phone and they verified. Awoke to full body sweat.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Magnetic resonance imaging heart, Myocarditis, Scan myocardial perfusion
Clinical narrative: Entire body felt flush, became tired and passed out on couch. Heavy breathing noticed because I was on the phone and they verified. Awoke to full body sweat.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Malaise, Pain, Pyrexia
Clinical narrative: Low grade fever; Body aches; Injection site tenderness; Blah feeling
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Myalgia
Clinical narrative: Patient reported lightheadedness, dizziness and spreading myalgia within 30 mins of receiving the 3rd dose of the Pfizer vaccine
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Dyspnoea, Pain
Clinical narrative: 10/17/21 BROUGHT TO ER BY FAMILY DUE TO WORSENING SOB, , GENEREALIZED PAN. FOUDN TO HAVE COVID 19 PNEUMONIA PLACED ON BIPAP. WAS ADMITTED TO HOSPITAL AND WAS TRANSITIONED TO COMFORT CARE  AD FAMILY REQUEST. PATIENT DIED 10/18/21.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: 10/17/21 BROUGHT TO ER BY FAMILY DUE TO WORSENING SOB, , GENEREALIZED PAN. FOUDN TO HAVE COVID 19 PNEUMONIA PLACED ON BIPAP. WAS ADMITTED TO HOSPITAL AND WAS TRANSITIONED TO COMFORT CARE  AD FAMILY REQUEST. PATIENT DIED 10/18/21.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Dementia, Dyspnoea, Pain, Polyuria
Clinical narrative: 10/17/21 BROUGHT TO ER BY FAMILY DUE TO WORSENING SOB, , GENEREALIZED PAN. FOUDN TO HAVE COVID 19 PNEUMONIA PLACED ON BIPAP. WAS ADMITTED TO HOSPITAL AND WAS TRANSITIONED TO COMFORT CARE  AD FAMILY REQUEST. PATIENT DIED 10/18/21.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Positive airway pressure therapy, Seizure, Wheezing
Clinical narrative: 10/17/21 BROUGHT TO ER BY FAMILY DUE TO WORSENING SOB, , GENEREALIZED PAN. FOUDN TO HAVE COVID 19 PNEUMONIA PLACED ON BIPAP. WAS ADMITTED TO HOSPITAL AND WAS TRANSITIONED TO COMFORT CARE  AD FAMILY REQUEST. PATIENT DIED 10/18/21.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID 19
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing
Clinical narrative: Upon receiving vaccine patient c/o feeling flushed.  BP 124/70, HR 110, RR16, 95%O2Sat.  Skin warm and dry. good cap refill.  Pt placed supine cool cloth to forehead.  Repeat vital signs  BP 120/72, HR 115, RR 16, 96%O2Sat.  Skin warm and drMy, breath sounds clear bilaterally.  Pt tolerating sips of water.  Cool cloth of forehead.  Vital signs repeated: BP 112/.70, HR 99,  RR 16,  97%O2Sat.  Skin warm and dy.  Patient discharged home accompanied by husband.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Cold sweat, Fatigue, Headache, Impaired work ability
Clinical narrative: Day after shot I was cold but sweating, had a headache and severe fatigue. 10/18/21 I missed work because I have all that again AND this awful abdominal pain unlike anything I have ever felt before. Today 10/19/21 it is still here and headache worse.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: ADMITTED TO HOSPITAL WITH DIAGNOSIS OF COVID
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hot flush, Myalgia, Nausea
Clinical narrative: Day 1 (day after receiving vaccine - 10/18): Severe muscle aches; headache; chills; nausea Day 2 (following day 10/19):  Hot flashes
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: pt was given the Pfizer COVID vaccine when she had already received both of the moderna vaccines. NO issues reported, pt had no complaints when discharged.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Systemic: Stroke-Severe
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Dyspnoea, Pain, Vertigo
Clinical narrative: Patient reports shoulder pain and radiating pain of chest continuously day after administration to today. Patient is also having pain while moving shoulder and she aslo reports shortness of breath especially when her chest pain is severe. Patient also reports that on day 5 she had severe vertigo where she had to stay in bed the whole day.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient received 1st dose Moderna  on 2/6/2021, received 2nd Moderna on 3/6/2021 . Then patient received Pfizer at Vaccine clinic on 10/18/2021, reached out to patient next day on 10/19/2021, asymptomatic. No symptoms, no headache, no chills, no fever, no swelling, no itching, asymptomatic.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Headache, Nausea
Clinical narrative: 10/18/21: NAUSEA, EMESIS, HEADACHE, COUGH, DIARRHEA
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: 10/18/21: NAUSEA, EMESIS, HEADACHE, COUGH, DIARRHEA
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, C-reactive protein normal, Chest X-ray normal, Chest pain, Electrocardiogram ambulatory normal
Clinical narrative: Pt felt headache, chest pain, and nausea immediately after vaccine on 9/13.  Over the next week had waxing and waning of same symptoms.  On 9/20 with physical exertion had severe chest pain, abdominal pain, and headache.  Since 9/20 symptoms have continued to linger.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Full blood count normal, Headache, Metabolic function test, Nausea
Clinical narrative: Pt felt headache, chest pain, and nausea immediately after vaccine on 9/13.  Over the next week had waxing and waning of same symptoms.  On 9/20 with physical exertion had severe chest pain, abdominal pain, and headache.  Since 9/20 symptoms have continued to linger.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Troponin normal
Clinical narrative: Pt felt headache, chest pain, and nausea immediately after vaccine on 9/13.  Over the next week had waxing and waning of same symptoms.  On 9/20 with physical exertion had severe chest pain, abdominal pain, and headache.  Since 9/20 symptoms have continued to linger.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin increased, C-reactive protein increased, Eye swelling, Urticaria
Clinical narrative: Swollen both eyes. Hives.  Hives never fully go away. Will fade, but can still see it. Can go from little Hives to full leg , arms, back. Eye swelling comes up about every three weeks.  Hives will not go away with over the counter allergy medicine, prescribed allergy medicine or steroids.
Age: 33.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dizziness, Fatigue, Injection site pain
Clinical narrative: Pain at injection site, dizziness, light headedness, fatigue
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Feeling abnormal, Full blood count, Metabolic function test
Clinical narrative: 7 days after receiving the first pfizer shot, patient was participating in football practice, doing drills and exercises he has been doing for months. All of a sudden, patient felt like his throat was swelling up and he was coughing up mucous. He started experiencing sharp, tingling pains all throughout his chest. EMS was called and responded to the scene. He was given supplemental oxygen and put on ECG monitoring and O2 monitor. After approximately 30 minutes the episode subsided and he was released from EMS care home. 8 days post first shot he was still experiencing fatigue and not feeling normal.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pharyngeal swelling, Productive cough, Serum ferritin
Clinical narrative: 7 days after receiving the first pfizer shot, patient was participating in football practice, doing drills and exercises he has been doing for months. All of a sudden, patient felt like his throat was swelling up and he was coughing up mucous. He started experiencing sharp, tingling pains all throughout his chest. EMS was called and responded to the scene. He was given supplemental oxygen and put on ECG monitoring and O2 monitor. After approximately 30 minutes the episode subsided and he was released from EMS care home. 8 days post first shot he was still experiencing fatigue and not feeling normal.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Polymenorrhoea
Clinical narrative: I have a Nexplanon Birth Control implant. Usually, I only receive my period 3-4 times a year and it is very light. Since getting my second dose of the covid vaccine, my periods have been frequent and heavy. At first, I didn't think much of it. Then, I saw a news segment about other women who were having abnormal period symptoms since getting the vaccine. Then, I began asking my friends and family and most had similar stories. Some had heavier than normal, some more frequent, some more or worse symptoms. I have not experienced any worse or unusual symptoms, but the other two I have. In the news segment, it asked women who may be experiencing similar issues to VAERS. I am happy to do it, and happy to help any further questions. I have also encouraged my family and friends to report their symptoms as well.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: HIVES BOTH LEGS within 24 hours of dose 1 and dose 2
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Communication disorder, Decreased appetite, Dysphagia, Hypersomnia
Clinical narrative: The health event is basically a notable decline in energy and communication - more docile. I?m not sure if it was a more natural progression. It seems irrelevant and there?s no way to determine if it?s a natural progression of her cancer and Parkinson?s. I would say her sleeping increased at that time, she sleeps a lot more. I would say her appetite decreased as well as her ability to eat. That includes swallowing, having a hard time swallowing. Physicians are declining to investigate anything.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Anal incontinence, Asthma, Condition aggravated, Dyspnoea, Urinary incontinence
Clinical narrative: Severe Asthmatic Exacerbation Attacks,
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Arthralgia, Blood cholesterol increased, Blood iron, Blood lactate dehydrogenase
Clinical narrative: Weight gain, bone and joint pain,  swelling of hands, feet and face after receiving the COVID 19 vaccine in 05/2021
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Blood phosphorus, Blood thyroid stimulating hormone, Blood uric acid, Bone pain, Full blood count
Clinical narrative: Weight gain, bone and joint pain,  swelling of hands, feet and face after receiving the COVID 19 vaccine in 05/2021
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Gamma-glutamyltransferase, Inflammation, Iron binding capacity total, Lipids, Metabolic function test
Clinical narrative: Weight gain, bone and joint pain,  swelling of hands, feet and face after receiving the COVID 19 vaccine in 05/2021
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Platelet count, Red blood cell sedimentation rate, Swelling face, Weight increased
Clinical narrative: Weight gain, bone and joint pain,  swelling of hands, feet and face after receiving the COVID 19 vaccine in 05/2021
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID19
Age: 72.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Diarrhoea, Productive cough, SARS-CoV-2 test positive
Clinical narrative: WEAKNESS, PRODUCTIVE COUGH WIT THICK WHITISH PHLEM, DIARRHEA, VOMITING
Age: 72.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Sputum discoloured, Vomiting
Clinical narrative: WEAKNESS, PRODUCTIVE COUGH WIT THICK WHITISH PHLEM, DIARRHEA, VOMITING
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site paraesthesia, Injection site pruritus, Injection site rash
Clinical narrative: 20 minutes after the shot at approximately 3:00 pm on 10/11/2021, I felt a warm tingly sensation in my arm around the injection site.  This went away after a couple hours, and I thought that  maybe it was a normal reaction.  I woke up around 7am the next day, the 12th, and noticed that the left upper arm near the injection site had 3 bumps/hives and it was red and appeared inflamed and was very warm to the touch.  Throughout the day, I  noticed more of these bumps appearing on my left forearm and becoming extremely itchy.  They continued to appear as of the 14th, and they were also becoming extremely itchy.  The first 3 bumps began to blister and remained warm to the touch as of the 14th, so I went to urgent care on 10/14/2021 at approximately 11:45am  The doctor said that it was probably an allergic reaction to one of the ingredients in the Moderna vaccine, and I was then given a steroid shot, along with 6 days of oral steroids.  As of Monday the 18th, many of the initial bumps/hives were almost healed, but more of these itchy bumps/hives appeared on my lower left wrist area.  As of today, the 19th, the remaining bumps are still extremely itchy.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Injection site vesicles, Injection site warmth
Clinical narrative: 20 minutes after the shot at approximately 3:00 pm on 10/11/2021, I felt a warm tingly sensation in my arm around the injection site.  This went away after a couple hours, and I thought that  maybe it was a normal reaction.  I woke up around 7am the next day, the 12th, and noticed that the left upper arm near the injection site had 3 bumps/hives and it was red and appeared inflamed and was very warm to the touch.  Throughout the day, I  noticed more of these bumps appearing on my left forearm and becoming extremely itchy.  They continued to appear as of the 14th, and they were also becoming extremely itchy.  The first 3 bumps began to blister and remained warm to the touch as of the 14th, so I went to urgent care on 10/14/2021 at approximately 11:45am  The doctor said that it was probably an allergic reaction to one of the ingredients in the Moderna vaccine, and I was then given a steroid shot, along with 6 days of oral steroids.  As of Monday the 18th, many of the initial bumps/hives were almost healed, but more of these itchy bumps/hives appeared on my lower left wrist area.  As of today, the 19th, the remaining bumps are still extremely itchy.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: I experienced hair loss after receiving the vaccine and went to see my Dermatologist a couple of months later. The Dermatologist said that it sounded like I'm sensitive to any medical changes but could not clarify it 100% as related to the vaccine. The hair loss is continuing (still seeing it fall out).
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arrhythmia, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood electrolytes normal, Blood pressure increased
Clinical narrative: Patient is a previously healthy 16 year old male who presented to ER for severe substernal chest pain. Patients states that at 1 pm he started to experience 4-5/10 substernal chest pain. He spoke to his sister who suggested he rest and drink a glass of milk. Patient states that he tried a hot shower which helped a little but by 9 pm the chest pain increased in severity to 8-9/10. He denies fever, SOB, dizziness, palpitations, N/V. He called his bother who brought him to the ER. History significant for receiving second Pfizer COVID vaccine 3 days prior. Labs at outside ER were significant for high sensitivity Troponin elevated to 1447, CK = 1342, CRP= 2.89. EKG demonstrated ST elevation in anterior inferior leads as well as lateral precordial leads. Electrolytes, CBC wnl, LFTs mildly elevated AST at 88. Echo reported to be normal function and intracardiac structure. His was afebrile with a HR of 81, RR =20, BP= 173/91 decreased to 112/66 after falling asleep, Oxygen Sats =100%..  16 year old previously healthy, 16 year old male who present with substernal chest pain in the setting of second dose of Pfizer COVID vaccine 3 days ago. Lab work and EKG consistent with post Vaccine myocarditis/pericarditis. Patient has no hemodynamic compromise requiring only pain relief for chest pain. No respiratory distress. PICU admission for monitoring for cardiac arrhythmias, pain management, serial EKGs and trending of his elevated troponin and inflammatory markers.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: C-reactive protein increased, Chest pain, Echocardiogram abnormal, Ejection fraction, Electrocardiogram ST segment elevation
Clinical narrative: Patient is a previously healthy 16 year old male who presented to ER for severe substernal chest pain. Patients states that at 1 pm he started to experience 4-5/10 substernal chest pain. He spoke to his sister who suggested he rest and drink a glass of milk. Patient states that he tried a hot shower which helped a little but by 9 pm the chest pain increased in severity to 8-9/10. He denies fever, SOB, dizziness, palpitations, N/V. He called his bother who brought him to the ER. History significant for receiving second Pfizer COVID vaccine 3 days prior. Labs at outside ER were significant for high sensitivity Troponin elevated to 1447, CK = 1342, CRP= 2.89. EKG demonstrated ST elevation in anterior inferior leads as well as lateral precordial leads. Electrolytes, CBC wnl, LFTs mildly elevated AST at 88. Echo reported to be normal function and intracardiac structure. His was afebrile with a HR of 81, RR =20, BP= 173/91 decreased to 112/66 after falling asleep, Oxygen Sats =100%..  16 year old previously healthy, 16 year old male who present with substernal chest pain in the setting of second dose of Pfizer COVID vaccine 3 days ago. Lab work and EKG consistent with post Vaccine myocarditis/pericarditis. Patient has no hemodynamic compromise requiring only pain relief for chest pain. No respiratory distress. PICU admission for monitoring for cardiac arrhythmias, pain management, serial EKGs and trending of his elevated troponin and inflammatory markers.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Full blood count normal, Inflammatory marker test, Intensive care, Laboratory test normal, Liver function test increased
Clinical narrative: Patient is a previously healthy 16 year old male who presented to ER for severe substernal chest pain. Patients states that at 1 pm he started to experience 4-5/10 substernal chest pain. He spoke to his sister who suggested he rest and drink a glass of milk. Patient states that he tried a hot shower which helped a little but by 9 pm the chest pain increased in severity to 8-9/10. He denies fever, SOB, dizziness, palpitations, N/V. He called his bother who brought him to the ER. History significant for receiving second Pfizer COVID vaccine 3 days prior. Labs at outside ER were significant for high sensitivity Troponin elevated to 1447, CK = 1342, CRP= 2.89. EKG demonstrated ST elevation in anterior inferior leads as well as lateral precordial leads. Electrolytes, CBC wnl, LFTs mildly elevated AST at 88. Echo reported to be normal function and intracardiac structure. His was afebrile with a HR of 81, RR =20, BP= 173/91 decreased to 112/66 after falling asleep, Oxygen Sats =100%..  16 year old previously healthy, 16 year old male who present with substernal chest pain in the setting of second dose of Pfizer COVID vaccine 3 days ago. Lab work and EKG consistent with post Vaccine myocarditis/pericarditis. Patient has no hemodynamic compromise requiring only pain relief for chest pain. No respiratory distress. PICU admission for monitoring for cardiac arrhythmias, pain management, serial EKGs and trending of his elevated troponin and inflammatory markers.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myocarditis, Pericarditis, Red blood cell sedimentation rate increased, Troponin increased, Ventricular hypokinesia
Clinical narrative: Patient is a previously healthy 16 year old male who presented to ER for severe substernal chest pain. Patients states that at 1 pm he started to experience 4-5/10 substernal chest pain. He spoke to his sister who suggested he rest and drink a glass of milk. Patient states that he tried a hot shower which helped a little but by 9 pm the chest pain increased in severity to 8-9/10. He denies fever, SOB, dizziness, palpitations, N/V. He called his bother who brought him to the ER. History significant for receiving second Pfizer COVID vaccine 3 days prior. Labs at outside ER were significant for high sensitivity Troponin elevated to 1447, CK = 1342, CRP= 2.89. EKG demonstrated ST elevation in anterior inferior leads as well as lateral precordial leads. Electrolytes, CBC wnl, LFTs mildly elevated AST at 88. Echo reported to be normal function and intracardiac structure. His was afebrile with a HR of 81, RR =20, BP= 173/91 decreased to 112/66 after falling asleep, Oxygen Sats =100%..  16 year old previously healthy, 16 year old male who present with substernal chest pain in the setting of second dose of Pfizer COVID vaccine 3 days ago. Lab work and EKG consistent with post Vaccine myocarditis/pericarditis. Patient has no hemodynamic compromise requiring only pain relief for chest pain. No respiratory distress. PICU admission for monitoring for cardiac arrhythmias, pain management, serial EKGs and trending of his elevated troponin and inflammatory markers.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram abnormal, Myocarditis, Troponin increased
Clinical narrative: Patient is a previously healthy 16 year old male who presented to ER for severe substernal chest pain. Patients states that at 1 pm he started to experience 4-5/10 substernal chest pain. He spoke to his sister who suggested he rest and drink a glass of milk. Patient states that he tried a hot shower which helped a little but by 9 pm the chest pain increased in severity to 8-9/10. He denies fever, SOB, dizziness, palpitations, N/V. He called his bother who brought him to the ER. History significant for receiving second Pfizer COVID vaccine 3 days prior. Labs at outside ER were significant for high sensitivity Troponin elevated to 1447, CK = 1342, CRP= 2.89. EKG demonstrated ST elevation in anterior inferior leads as well as lateral precordial leads. Electrolytes, CBC wnl, LFTs mildly elevated AST at 88. Echo reported to be normal function and intracardiac structure. His was afebrile with a HR of 81, RR =20, BP= 173/91 decreased to 112/66 after falling asleep, Oxygen Sats =100%..  16 year old previously healthy, 16 year old male who present with substernal chest pain in the setting of second dose of Pfizer COVID vaccine 3 days ago. Lab work and EKG consistent with post Vaccine myocarditis/pericarditis. Patient has no hemodynamic compromise requiring only pain relief for chest pain. No respiratory distress. PICU admission for monitoring for cardiac arrhythmias, pain management, serial EKGs and trending of his elevated troponin and inflammatory markers.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood electrolytes normal, Blood pressure increased, C-reactive protein increased
Clinical narrative: Patient is a previously healthy 16 year old male who presented to ER for severe substernal chest pain. Patients states that at 1 pm he started to experience 4-5/10 substernal chest pain. He spoke to his sister who suggested he rest and drink a glass of milk. Patient states that he tried a hot shower which helped a little but by 9 pm the chest pain increased in severity to 8-9/10. He denies fever, SOB, dizziness, palpitations, N/V. He called his bother who brought him to the ER. History significant for receiving second Pfizer COVID vaccine 3 days prior. Labs at outside ER were significant for high sensitivity Troponin elevated to 1447, CK = 1342, CRP= 2.89. EKG demonstrated ST elevation in anterior inferior leads as well as lateral precordial leads. Electrolytes, CBC wnl, LFTs mildly elevated AST at 88. Echo reported to be normal function and intracardiac structure. His was afebrile with a HR of 81, RR =20, BP= 173/91 decreased to 112/66 after falling asleep, Oxygen Sats =100%..  16 year old previously healthy, 16 year old male who present with substernal chest pain in the setting of second dose of Pfizer COVID vaccine 3 days ago. Lab work and EKG consistent with post Vaccine myocarditis/pericarditis. Patient has no hemodynamic compromise requiring only pain relief for chest pain. No respiratory distress. PICU admission for monitoring for cardiac arrhythmias, pain management, serial EKGs and trending of his elevated troponin and inflammatory markers.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Diastolic dysfunction, Echocardiogram normal, Ejection fraction, Ejection fraction normal
Clinical narrative: Patient is a previously healthy 16 year old male who presented to ER for severe substernal chest pain. Patients states that at 1 pm he started to experience 4-5/10 substernal chest pain. He spoke to his sister who suggested he rest and drink a glass of milk. Patient states that he tried a hot shower which helped a little but by 9 pm the chest pain increased in severity to 8-9/10. He denies fever, SOB, dizziness, palpitations, N/V. He called his bother who brought him to the ER. History significant for receiving second Pfizer COVID vaccine 3 days prior. Labs at outside ER were significant for high sensitivity Troponin elevated to 1447, CK = 1342, CRP= 2.89. EKG demonstrated ST elevation in anterior inferior leads as well as lateral precordial leads. Electrolytes, CBC wnl, LFTs mildly elevated AST at 88. Echo reported to be normal function and intracardiac structure. His was afebrile with a HR of 81, RR =20, BP= 173/91 decreased to 112/66 after falling asleep, Oxygen Sats =100%..  16 year old previously healthy, 16 year old male who present with substernal chest pain in the setting of second dose of Pfizer COVID vaccine 3 days ago. Lab work and EKG consistent with post Vaccine myocarditis/pericarditis. Patient has no hemodynamic compromise requiring only pain relief for chest pain. No respiratory distress. PICU admission for monitoring for cardiac arrhythmias, pain management, serial EKGs and trending of his elevated troponin and inflammatory markers.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram ST segment elevation, Full blood count normal, Intensive care, Liver function test increased, Magnetic resonance imaging abnormal
Clinical narrative: Patient is a previously healthy 16 year old male who presented to ER for severe substernal chest pain. Patients states that at 1 pm he started to experience 4-5/10 substernal chest pain. He spoke to his sister who suggested he rest and drink a glass of milk. Patient states that he tried a hot shower which helped a little but by 9 pm the chest pain increased in severity to 8-9/10. He denies fever, SOB, dizziness, palpitations, N/V. He called his bother who brought him to the ER. History significant for receiving second Pfizer COVID vaccine 3 days prior. Labs at outside ER were significant for high sensitivity Troponin elevated to 1447, CK = 1342, CRP= 2.89. EKG demonstrated ST elevation in anterior inferior leads as well as lateral precordial leads. Electrolytes, CBC wnl, LFTs mildly elevated AST at 88. Echo reported to be normal function and intracardiac structure. His was afebrile with a HR of 81, RR =20, BP= 173/91 decreased to 112/66 after falling asleep, Oxygen Sats =100%..  16 year old previously healthy, 16 year old male who present with substernal chest pain in the setting of second dose of Pfizer COVID vaccine 3 days ago. Lab work and EKG consistent with post Vaccine myocarditis/pericarditis. Patient has no hemodynamic compromise requiring only pain relief for chest pain. No respiratory distress. PICU admission for monitoring for cardiac arrhythmias, pain management, serial EKGs and trending of his elevated troponin and inflammatory markers.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging heart, Myocardial fibrosis, Myocarditis, Troponin I, Ventricular hypokinesia
Clinical narrative: Patient is a previously healthy 16 year old male who presented to ER for severe substernal chest pain. Patients states that at 1 pm he started to experience 4-5/10 substernal chest pain. He spoke to his sister who suggested he rest and drink a glass of milk. Patient states that he tried a hot shower which helped a little but by 9 pm the chest pain increased in severity to 8-9/10. He denies fever, SOB, dizziness, palpitations, N/V. He called his bother who brought him to the ER. History significant for receiving second Pfizer COVID vaccine 3 days prior. Labs at outside ER were significant for high sensitivity Troponin elevated to 1447, CK = 1342, CRP= 2.89. EKG demonstrated ST elevation in anterior inferior leads as well as lateral precordial leads. Electrolytes, CBC wnl, LFTs mildly elevated AST at 88. Echo reported to be normal function and intracardiac structure. His was afebrile with a HR of 81, RR =20, BP= 173/91 decreased to 112/66 after falling asleep, Oxygen Sats =100%..  16 year old previously healthy, 16 year old male who present with substernal chest pain in the setting of second dose of Pfizer COVID vaccine 3 days ago. Lab work and EKG consistent with post Vaccine myocarditis/pericarditis. Patient has no hemodynamic compromise requiring only pain relief for chest pain. No respiratory distress. PICU admission for monitoring for cardiac arrhythmias, pain management, serial EKGs and trending of his elevated troponin and inflammatory markers.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Symptomatic COVID-19 infection
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: After receiving my first and second COVID vaccine  (Pfizer doses) on 12/18/20 and 1/8/21, I noticed a change in my menstrual cycle.  My periods were significantly heavier.  The periods were increased in blood loss volume and also were full of clots.  I soaked through tampons rapidly.  For the first time, every month there was at least one or two episodes of soaking through my underwear and clothing in a very short amount of time.  I've never had this happen before the vaccine, but it has happened every month since.  I submitted to VSAFE and they suggested I report here, but I never did.  My periods got a little better in the last few months. After receiving my booster on 9/30/21, I have again had a terrible menstrual cycle (similar to spring 2021 after dose 2).  My hemoglobin is even lower than normal.  I've had coworkers (all pharmacists)  experience the same.  There has been no other change in my health besides the COVID vaccine.  It was a significant change from my cycles prior to the vaccine.    My OBGYN prescribed TXA, but I have not taken it
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: I have an IUD (Mirena) and besides spotting for a day or two when a new device inserted, have had no problems and have not had a menstrual cycle for past 15 years.  Three days after my first vaccination, I started a menstrual cycle-a heavy cycle-and have not stopped(besides a time from a  Thursday through a Tuesday night) - i have not stopped bleeding.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Skin irritation
Clinical narrative: Itchy skin, irritating red spots on skin
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Condition aggravated, Parkinson's disease, Tremor
Clinical narrative: My Parkinson?s tremors got worse and my balance was off.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Chills, Headache, Injury, Myalgia
Clinical narrative: Uncontollable Chills, Paralysis, Chest Pains, Trauma, Muscle Aches, Headaches; 2 a.m.- 12:00 p.m. 03/22/21; Headaches lasted for 5 days until 03/27/21. Chills, Paralysis, Chest Pains, Trauma, Muscle Aches, Headaches; 3 a.m. - 10 a.m. 04/19/21; 2nd round not as severe as first round
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Paralysis
Clinical narrative: Uncontollable Chills, Paralysis, Chest Pains, Trauma, Muscle Aches, Headaches; 2 a.m.- 12:00 p.m. 03/22/21; Headaches lasted for 5 days until 03/27/21. Chills, Paralysis, Chest Pains, Trauma, Muscle Aches, Headaches; 3 a.m. - 10 a.m. 04/19/21; 2nd round not as severe as first round
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Fatigue
Clinical narrative: Bell's palsy, fatigue
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Ageusia, COVID-19, COVID-19 pneumonia, Confusional state
Clinical narrative: pt diagnosed COVID positive in ED on 8/21, cough and no taste, dc'd to home; next day received monoclonal antibodies; on 8/24 pt was confused and had more SOB, O2 saturations low, placed on O2 via nasal cannula; started on full treatment for COVID; pt's condition worsened where he died in the hospital; acute respiratory failure, COVID pneumonia, metabolic encephalopathy
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Death, Dyspnoea, Metabolic encephalopathy, Oxygen saturation decreased
Clinical narrative: pt diagnosed COVID positive in ED on 8/21, cough and no taste, dc'd to home; next day received monoclonal antibodies; on 8/24 pt was confused and had more SOB, O2 saturations low, placed on O2 via nasal cannula; started on full treatment for COVID; pt's condition worsened where he died in the hospital; acute respiratory failure, COVID pneumonia, metabolic encephalopathy
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt diagnosed COVID positive in ED on 8/21, cough and no taste, dc'd to home; next day received monoclonal antibodies; on 8/24 pt was confused and had more SOB, O2 saturations low, placed on O2 via nasal cannula; started on full treatment for COVID; pt's condition worsened where he died in the hospital; acute respiratory failure, COVID pneumonia, metabolic encephalopathy
Age: 52.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Patient reports red, bumpy, itchy rash that appeared on her abdomen from her breast to her belly button on 10/7/21. Patient reported negative for new soaps, detergents or medications. She also stated that she had a similar reaction with her Clindamycin allergic reaction. Rash resolved in 2-3 days after patient took benadryl. Patient has never had a reaction to a Flu shot in the past and does not think that the reaction is from the Flu shot.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Blood thyroid stimulating hormone normal, Dizziness, Fatigue, Feeling abnormal, Full blood count
Clinical narrative: Patient had first regular  menstrual  cycle 9/20/21 then received 2nd covid vaccine and 10/06 the day after the shot in the middle night she stated heavy clotting , dizziness, fatigue, shaky , felt out of body she went to work and almost past out in bathroom , she has had this   for two weeks now, hasn't been able to work. Patient came to us her primary  10/13/21 we drew labs put her on iron pill then next day she had GYN appointment where that was normal, patient still recovering from shot, she is tired and fatigue
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Full blood count abnormal, Haemoglobin decreased, Heavy menstrual bleeding, Metabolic function test, Presyncope
Clinical narrative: Patient had first regular  menstrual  cycle 9/20/21 then received 2nd covid vaccine and 10/06 the day after the shot in the middle night she stated heavy clotting , dizziness, fatigue, shaky , felt out of body she went to work and almost past out in bathroom , she has had this   for two weeks now, hasn't been able to work. Patient came to us her primary  10/13/21 we drew labs put her on iron pill then next day she had GYN appointment where that was normal, patient still recovering from shot, she is tired and fatigue
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Tremor
Clinical narrative: Patient had first regular  menstrual  cycle 9/20/21 then received 2nd covid vaccine and 10/06 the day after the shot in the middle night she stated heavy clotting , dizziness, fatigue, shaky , felt out of body she went to work and almost past out in bathroom , she has had this   for two weeks now, hasn't been able to work. Patient came to us her primary  10/13/21 we drew labs put her on iron pill then next day she had GYN appointment where that was normal, patient still recovering from shot, she is tired and fatigue
Age: 14.0
Sex: F
Vaccine: FLUX
Symptoms: Axillary pain, Cough, Dyspnoea, Lymph node pain, Wheezing
Clinical narrative: Difficulty breathing, coughing, wheezing, sore lymph node under armpit on arm where vaccine was administered
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: I had regular periods throughout the week in to the weekend that I was vaccinated.  Since then I have not had a single period, spotting, cramps or anything indicating a menstrual cycle at all.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Migraine, Nausea, Peripheral coldness, SARS-CoV-2 test negative
Clinical narrative: Migraine starting 10/10 lasting 6 days, requiringi telemedicine appt and narcotic to arrest. Accompanied by nausea and intermittent chilling of hands and feet which has persisted until present at day 10.  Migraine has recurred today.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Bedridden, Chills, Diarrhoea, Fatigue
Clinical narrative: Dose1- Fatigue  and headache Dose2-fever of 103, headache, vomiting and diarrhea , fatigue, joint and muscle pain. Patient was in bed for 2days following the vaccine Dose3- fever of 103, headache,  diarrhea ,  fatigue, joint and muscle pain Patient was in bed for 2days following the vaccine, chills Large lump under your right arm-size of avocado-Dose 3
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Lymphadenopathy, Myalgia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Dose1- Fatigue  and headache Dose2-fever of 103, headache, vomiting and diarrhea , fatigue, joint and muscle pain. Patient was in bed for 2days following the vaccine Dose3- fever of 103, headache,  diarrhea ,  fatigue, joint and muscle pain Patient was in bed for 2days following the vaccine, chills Large lump under your right arm-size of avocado-Dose 3
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Dose1- Fatigue  and headache Dose2-fever of 103, headache, vomiting and diarrhea , fatigue, joint and muscle pain. Patient was in bed for 2days following the vaccine Dose3- fever of 103, headache,  diarrhea ,  fatigue, joint and muscle pain Patient was in bed for 2days following the vaccine, chills Large lump under your right arm-size of avocado-Dose 3
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Woke up in the morning with vertigo, where I felt extremely dizzy.  This lasted a few days.  On the evening of the third day, the "world" would seem to tilt momentarily from my view.  From this day until treatment, symptoms were much more sever at night when laying down
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Psoriasis
Clinical narrative: Sudden onset of plaque psoriasis on legs and hands.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypopnoea
Clinical narrative: Shallowed/ difficulty breathing
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vitreous floaters
Clinical narrative: At 10:46 patient stated that she was feeling light headed while sitting in postvac. States she did not eat or drink  this morning other than a sip of gatoraid to take her birthcontrol pill. BP 126/66, HR 80, rr 18. Gave her a drink  of water. 10:54 states feeling less "lupey but still has a few floaters in vision" she did not state this when asked at on set. States she experienced light headedness in 2018 when she had blood drawn but that she does not  have a fear of needles. 1102 bp 122/62, rr 16, hr 74. Patient education provided and she signed and gave  verbal that she understands instructions. Left clinic on her own at 1106.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: PATIENT EXPIRED ON 10/19/2021.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of product administration
Clinical narrative: Shot was given subcutaneous instead of IM.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nasal congestion, Odynophagia, Oropharyngeal pain, Pain
Clinical narrative: A week after the vaccination, 10/14/2021, I woke up with a slight fever and my whole body hurt.  I was really congested,  my head was pounding and one nostril was running and the other was stuffed up. I had a really sore throat, it felt like I was swallowing glass.  My symptoms  just let up today, 10, 19, 2021, I just finished my z-pack that my doctor called in on 10/14/2021.   Also on 10/14/2021- I did a hospital COVID-19 test through the  hospital drive thru  and the results were negative.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: A week after the vaccination, 10/14/2021, I woke up with a slight fever and my whole body hurt.  I was really congested,  my head was pounding and one nostril was running and the other was stuffed up. I had a really sore throat, it felt like I was swallowing glass.  My symptoms  just let up today, 10, 19, 2021, I just finished my z-pack that my doctor called in on 10/14/2021.   Also on 10/14/2021- I did a hospital COVID-19 test through the  hospital drive thru  and the results were negative.
Age: 66.0
Sex: F
Vaccine: COVID19, PNC13
Symptoms: Limb discomfort, Pain, Pain in extremity
Clinical narrative: Patient states continued pain from vaccinations, she states the vaccinator had given the vaccine "too high" on her arm and after one week of continued pain/discomfort it was notated. Patient has seen provider and no treatment course has been decided on yet.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Urticaria
Clinical narrative: Patient in the observation area reported feeling itchy in the body. The patient was taken to the treatment area where a cephalocaudal evaluation was preformed. Objective data: itchy foot, red area on the back, left side has hives or rash, area of the vaccine, no reaction is observed. No edema is observed in the mouth, throat, lungs are clear on auscultation. there is no stridor 99% SPO2, 75 pulse strong and regular. 16 breaths, 110/70mm B/P. A consultation with Doctor who indicates that he be given 50mg of BENADRYL PO and left under observation for and additional 15 minutes. After 15 minutes the patient is re-evaluated, there is no itching or edema.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Pyrexia
Clinical narrative: patient admitted to hospital with fever and confusion. confusion reported 2-3 before vaccine. pt discharged 10/19