Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Autoimmune hepatitis, Biopsy liver abnormal
Clinical narrative: He got his vaccine, he had no issues right away.  In that spring he was feeling fatigued and his energy level was down a little bit.  I has been jogging which was part of his lifestyle up to 6 miles a day, and he was keeping his weight off by then.  From mid spring up to August he continued to loose weight even though he was not jogging.  In August he noticed that his urine was turning brown and he went to the doctor.  He was also jaundiced and tested his liver and his liver enzymes his ALT, AST's were 1400 and the other 2100.  In 2017, 2018 and 2019 he had work physicals and his liver enzymes for those years were in the 20s for 4 years straight, COVID hits, gets a vaccine, and now he is sick.  In the process of going to the doctor who did the blood work, and the next day they contacted  him and told him to go to the ER that day.  They did more blood work, and did a CAT scan, chest x-ray, ultrasound and an EKG.  The blood work showed the raised enzymes but they could not figure out what was wrong for him and they sent him home.  He went back to the doctor 4-5 visits, doing other blood work, and on the CAT scan and ultrasound there was no scarring or any damage.  He went back to the doctor about 1 1/2 months and everything he was testing for hepatitis A/B and everything, and everything came back normal.  He was then sent to a liver specialist and it came to him that it might be the vaccine as he was fine the previous years.  He Googled the information and asked if there was any increase in liver disease after a COVID vaccine and autoimmune hepatitis came up.  He had all the symptoms that were listed other than the vomiting.  He went back to the liver specialists and asked if he was tested for autoimmune hepatitis and they tested him for it.  He told the nurse why he felt he got it from the vaccine as they couldn't find anything else out.  They did the blood work and week later they would not give him the results.  About a week or so later they did an MRI and the they would not give him the results on that either so he knew something was up.  He called the nurse again and asked what the blood work results were.  He then ordered a liver biopsy and the liver speicalist called him and told him that he had a condition called autoimmune hepatitis and that they did not know how he got it, and probably would never know how he got it and there was no cure for it.  He told the doctor that he thought it was from the COVID vaccine, and he gave him the evidence and over the phone he told him that he believed that was how he got it.  He had  his office visit with him after that and confirmed it again that he believed he got it from the COVID vaccine.  The MRI showed no scarring of the liver, and it doesn't show autoimmune hepatitis on scans, as it's a rare disease.  Now, last fall his #'s have gone down and the medicine brought them down within range within a year.  He had blood work, doctors visit yesterday and he said that one of his liver enzyme #'s was 42 and the other dropped a little bit.  In November he ordered a special US that measures to see if he had any scarring, and now he has moderate scarring, which he did not have prior during testing earlier on.  This is why he beileves it was the first shot which was the start of it, and then had the 2nd vaccine and a booster.  His last booster was in October/November of 2022.  He now takes Prednisone 5 mg, azathiotrine 50 mg.  The US in November is when he was told he had mild to moderate of scarring on his liver.  In January he wanted him to get another MRI as he's now looking for cancer, and then he ordered another MRI which he had last week and is ordering another MRI in 6 months ago.  So, he's being monitored to see if he's having any changes for cancer.   His father was diagnosed with GBS from a flu shot.   He was a healthy gentleman prior to the vaccine, jogging up to 6 miles a day and he is able to jog now and works on a daily basis.