chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site pain, Nausea
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Nausea-Mild, Additional Details: Patient felt nauseous and light-headed. She recovered after 5 minutes while laying flat on the ground with feet elevated.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Called 911 and EMT completed an evaluation and released patient to go home
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Pain in extremity
Clinical narrative: Pain/swelling in lymph nodes in right armpit. Pain in right arm a week after vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Fall, Head injury, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Additional Details: upon exiting vaccination room pt fell forward. it is unknown if she fainted or tripped, mom was standing behind her and was unsure as well. pt bumped head and had a welt on her upper right eyebrow, also her nose began to bleed. ice pack was given/applied to head/eye, paper towel given to stop nose bleed. also water/starburst given. 911 was called. dispatchers came and quetsioned if she felt dizzy when she left room to which pt responded no, ambulance took pt.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Additional Details: upon exiting vaccination room pt fell forward. it is unknown if she fainted or tripped, mom was standing behind her and was unsure as well. pt bumped head and had a welt on her upper right eyebrow, also her nose began to bleed. ice pack was given/applied to head/eye, paper towel given to stop nose bleed. also water/starburst given. 911 was called. dispatchers came and quetsioned if she felt dizzy when she left room to which pt responded no, ambulance took pt.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Feeling hot, Flushing, Headache
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Nausea-Medium, Additional Details: after getting vaccine, pt felt dizzy/lightheaded. pt has had hx of fainting after getting vaccines due to anxiety. pt was very sweaty/hot. laid pt on the ground and instructed her to put legs up on the chair. provided water stated that was helping. nurse, lpn came and checked pts vitals. while we called 911. ambulance came and took her away. mom came back and said daughter was feeling better and did not go to ER
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Nausea-Medium, Additional Details: after getting vaccine, pt felt dizzy/lightheaded. pt has had hx of fainting after getting vaccines due to anxiety. pt was very sweaty/hot. laid pt on the ground and instructed her to put legs up on the chair. provided water stated that was helping. nurse, lpn came and checked pts vitals. while we called 911. ambulance came and took her away. mom came back and said daughter was feeling better and did not go to ER
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Hypoaesthesia, Pain in extremity, Rash
Clinical narrative: One week after second Pfizer Vaccine my arm felt pain from my hand up to over my shoulder. I thought it may be arthritis or a possible fracture. I waited it got worst. Went to Orthopedic doctor they couldn?t find anything. So I went to Chiropractor thinking it may be a pinched nerve. Showed doctor a rash developing on my hand & arm. He said it was shingles. Went to urgent care & doctor diagnosed as shingles and gave meds. A few days later I was rushed to hospital thinking I was having heart attack.  Hospital tests showed no heart attack. Still dealing with shingles & pain & numbness in arm & hand.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: Pt strart itching chest and extremeties.  We gave her 2 benadryl and kept her for 30 minutes
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister infected, Fatigue, Genital blister, Genital erythema, Genital herpes
Clinical narrative: I had about four weeks of fatigue (upon exerting myself) after the second vaccine, that passed and at the five week mark, had symptoms of a herpes outbreak (Iwas diagnosed with herpes thirty years ago) that is, genital blistering,, redness, and swelling. Also, blistering and itch on a couple fingers.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Genital swelling, Pruritus
Clinical narrative: I had about four weeks of fatigue (upon exerting myself) after the second vaccine, that passed and at the five week mark, had symptoms of a herpes outbreak (Iwas diagnosed with herpes thirty years ago) that is, genital blistering,, redness, and swelling. Also, blistering and itch on a couple fingers.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister, Erythema, Fatigue, Genital herpes, Herpes simplex
Clinical narrative: I had about four weeks of fatigue (upon exerting myself) after the second vaccine, that passed and at the five week mark, had symptoms of a herpes outbreak (Iwas diagnosed with herpes thirty years ago) that is, genital blistering,, redness, and swelling. Also, blistering and itch on a couple fingers.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: I had about four weeks of fatigue (upon exerting myself) after the second vaccine, that passed and at the five week mark, had symptoms of a herpes outbreak (Iwas diagnosed with herpes thirty years ago) that is, genital blistering,, redness, and swelling. Also, blistering and itch on a couple fingers.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Vaccine positive rechallenge
Clinical narrative: Patient states that he has history of syncope episode with first Prizer Covid19 vaccine. Patient had episode of syncope 5 minutes after injection for approximately 10 seconds. Ammonia salts were used immediately and patient was immediately alert after use. Patient was offered medical emergency assistance but declined. Patient was advised to stay full 30 minutes and seek further emergency medical advice if needed after being monitored. Patient was advised to wait with legs and feet elevated. Patient complied with all request besides further emergency medical treatment at this time. Patient denied any sigs or symptoms of throat tightness, trouble breathing, hives, or itching. Patients pulse was monitored continuously throughout monitoring. Pulse immediately after syncompe was 45. Pulse gradually rose to 75-80 prior to leaving. Patient blood pressure was checked prior to leaving and WNL. Patient was alert and oriented x 4 prior to leaving. Patient chose to leave after the 30 minute monitoring period. Patient was accompanied by 1 friend/family member the entire encounter and left with this person as well.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Nervousness, Vomiting
Clinical narrative: Systemic: Vomiting-Mild, Additional Details: Pt was a little nervous for vaccine, but was hydrated and no problem with previous vaccine.  Pt was fine after vaccination, but about 5 to 10 min after vaccine she threw up.  Gave her water, wet paper towels to cool down, candy. Took her pulse- was normal. She felt better. kept her additional 15 min. She was fine  then. Called her later in afternoon, and she said she was good.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea
Clinical narrative: Fatigue, nausea, and headache beginning day after the second vaccination shot (5/21/21). Treated by patient --- rest, fluids.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Lethargy, Vomiting
Clinical narrative: Systemic: Diarrhea-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Vomiting-Severe, Additional Details: patient had severe vomiting and diarrhea and exhaustion after the vaccine.  continued for 3 days after (still ongoing).  cannot keep anything down.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Dyspnoea, Eye swelling, Injection site pain, Mouth swelling
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face, Swollen tongue
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Abdominal Pain-Mild
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Feeling hot, Headache, Injection site pain, Lymphadenopathy
Clinical narrative: Lymphadenopathy to left armpit - with pain on day 1 , mild warmth, small pea sized nodule palpable at 4:03 am . Also had nausea, headache and sharp electrical type sensation to my lower jaw bone that radiated left to right, soreness to left arm of injection. Day 2 only swollen lymph nodes with change in size to kidney bean size and pain still present. Day 3 left side lymph node with 2 sites one pea sized the other walnut sized both painful to touch and noticeable when moving arm during activity. Day 4, both sites still present same sizes and tenderness continues along with mild discomfit during movement with activities.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Tenderness
Clinical narrative: Lymphadenopathy to left armpit - with pain on day 1 , mild warmth, small pea sized nodule palpable at 4:03 am . Also had nausea, headache and sharp electrical type sensation to my lower jaw bone that radiated left to right, soreness to left arm of injection. Day 2 only swollen lymph nodes with change in size to kidney bean size and pain still present. Day 3 left side lymph node with 2 sites one pea sized the other walnut sized both painful to touch and noticeable when moving arm during activity. Day 4, both sites still present same sizes and tenderness continues along with mild discomfit during movement with activities.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Fatigue, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Mild, Additional Details: Patient passed out about 5 minutes after receiving immunization.  He came to fairly quickly but was confused, shaky and sweaty. After laying on the floor for a while he became nauseous but did not physically vomit while in my care. As the paramedics arrived the patient passed out a second time and was taken to the ER after evaluation.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Loss of consciousness, Nausea, Syncope, Tremor
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Mild, Additional Details: Patient passed out about 5 minutes after receiving immunization.  He came to fairly quickly but was confused, shaky and sweaty. After laying on the floor for a while he became nauseous but did not physically vomit while in my care. As the paramedics arrived the patient passed out a second time and was taken to the ER after evaluation.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Mild, Additional Details: Patient passed out about 5 minutes after receiving immunization.  He came to fairly quickly but was confused, shaky and sweaty. After laying on the floor for a while he became nauseous but did not physically vomit while in my care. As the paramedics arrived the patient passed out a second time and was taken to the ER after evaluation.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Contusion, Erythema, Haemorrhage, Immediate post-injection reaction
Clinical narrative: Right after vaccine injection site was extremely itchy. After a few minutes of vaccine my whole body was itchy .  Left arm was extremely sore warm to touch and bruised 45 minutes after vaccine I bleed as if I was getting my period (Bright red blood) spotted until the next day then it was done. I was due for my menstrual cycle on 05/22/2021 which never came I am regular on my cycle.  Topical rash on neck developed after 24hrs , redness, itching and burning
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Menstruation delayed, Pain in extremity, Pruritus, Rash
Clinical narrative: Right after vaccine injection site was extremely itchy. After a few minutes of vaccine my whole body was itchy .  Left arm was extremely sore warm to touch and bruised 45 minutes after vaccine I bleed as if I was getting my period (Bright red blood) spotted until the next day then it was done. I was due for my menstrual cycle on 05/22/2021 which never came I am regular on my cycle.  Topical rash on neck developed after 24hrs , redness, itching and burning
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Right after vaccine injection site was extremely itchy. After a few minutes of vaccine my whole body was itchy .  Left arm was extremely sore warm to touch and bruised 45 minutes after vaccine I bleed as if I was getting my period (Bright red blood) spotted until the next day then it was done. I was due for my menstrual cycle on 05/22/2021 which never came I am regular on my cycle.  Topical rash on neck developed after 24hrs , redness, itching and burning
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Member called regarding chest pain lasting less than 1/2 second, 1-2 times a day, for the past few days.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Increased resting heart rate 165 bpm
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Headache, Hyperhidrosis, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Additional Details: Patient received 2nd injection Pfizer, complained of mild itching. Waited 15 min then additional 10 min; pt. still had itch; benadryl 25 mg provided but no rash; itching localized at injection site/did not spread. counseled to call or go to urgent care. Pt confirmed he did not get worse, did not want to wait another 10 min.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Dysstasia, Heart rate increased
Clinical narrative: Elevated heart rate that wouldn't come down after sex.  Felt like my heart was about to explode.  Had to take a shower in cold water, to lower heart rate and body temperature.  It lasted nearly an hour.  I couldn't even stand in the shower.  I sat on the shower floor.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypotension, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Headache-Severe, Systemic: Hypotension-Severe, Additional Details: patient fainted 7-10 minutes after vaccination. He felt when tried to stand up so he layed down until the help arrives. Patient mentioned about having history of fainting whne he had blood draw years back. Never received any vaccinations. EMS took him to hospital for check up. No allergic reactons noted no breathing issues as well.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Injection site because firm, red, and hot to touch. Circular 5? diameter. Quite painful to touch.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Fall, Hypotension, Lip injury
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Mild, Additional Details: Patient went to observation area after receiving Pfizer Covid-19 Vaccine. Patient became lightheaded and faint and fell to floor. Patient was unconscious for aproximately 30 sec. After being repositioned, patient did regain consciousness; however was a little confused as to what had happened. Patient did injure his lip during fall. Vitals were all within normal limits with a slightly low blood pressure reading. 911 was called immediately. Stated had not eaten today/slept night before either.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Mild, Additional Details: Patient went to observation area after receiving Pfizer Covid-19 Vaccine. Patient became lightheaded and faint and fell to floor. Patient was unconscious for aproximately 30 sec. After being repositioned, patient did regain consciousness; however was a little confused as to what had happened. Patient did injure his lip during fall. Vitals were all within normal limits with a slightly low blood pressure reading. 911 was called immediately. Stated had not eaten today/slept night before either.
Age: 54.0
Sex: U
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction
Clinical narrative: Site: Pain at Injection Site-Severe, Additional Details: patient states pain from injection site did not go away for 4 days. was out of work for 2 days. patient was adviced to see a doctor as this is not normal.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pain, Pyrexia
Clinical narrative: Low grade fever, body aches, lethargy,
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Feeling abnormal, Hypertension, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Anxiety-Medium, Systemic: Hypertension-Medium, Systemic: Shakiness-Mild, Additional Details: Patient experienced high levels of apprehension and anxiety pre-administration. After 15 minute observation period, pt was visibly anxious and reported a "weird" feeling on her left side, local to administration and radiating from left shoulder. Pt BP was read as 173/109 and 5 minutes later 168/95. Pharmacist advised pt leave site due to perceived anxiety/worry, measure again in an hour, and report to ER/Urgent care if BP still above 120/80. RPh will follow up with pt following day.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Musculoskeletal discomfort, Tremor
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Anxiety-Medium, Systemic: Hypertension-Medium, Systemic: Shakiness-Mild, Additional Details: Patient experienced high levels of apprehension and anxiety pre-administration. After 15 minute observation period, pt was visibly anxious and reported a "weird" feeling on her left side, local to administration and radiating from left shoulder. Pt BP was read as 173/109 and 5 minutes later 168/95. Pharmacist advised pt leave site due to perceived anxiety/worry, measure again in an hour, and report to ER/Urgent care if BP still above 120/80. RPh will follow up with pt following day.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nasal congestion, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever between 100.4 and 102.6 for three days so far, nausea, vomiting, diarrhea, sore throat, post nasal drip and nasal congestion.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: Fever between 100.4 and 102.6 for three days so far, nausea, vomiting, diarrhea, sore throat, post nasal drip and nasal congestion.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Dysstasia, Gait disturbance
Clinical narrative: Severe lower back pain radiating to RIGHT leg unable to stand or walk without extreme difficulty. Had relatively mild symptoms   21/2- 3 weeks after first dose, not so unusual as similar to ongoing back problems that I've had last many years.Starting 6 days ago and continuing to present much worse affecting RIGHT  leg severely, never before have had R leg so affected.Hard to get comfortable in any position can only walk with cane very short distance.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Computerised tomogram head, Eye irritation, Facial paralysis
Clinical narrative: Eye irritation began 5/13/2021. Noticed mouth droop with facial paralysis on the left side next morning. Rushed to ER (thought I was having a stroke).  Diagnosed with Bell's Palsy on 5/14/2021 in Dept. Followed up with appt to eye doctor 5/17/2021; scheduled appt with Rheumatologist 5/25/2021
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Cough, Dyspnoea, Nervousness
Clinical narrative: Systemic: anxiety, nervousness, shortness of breath-Severe, Additional Details: patient presented to pharmacy next day following janssen covid vaccine. presented with shortness of breath, anxiety, nervousness, cough. patient states symptoms started around 2AM. Ambulance was called. EMT took patient to hospital
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Intense full body itching, still ongoing 2 months later
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Dizziness, Headache, Hyperhidrosis, Injection site erythema
Clinical narrative: Moderna COVID-19 Vaccine EUA Injection site has pain and redness area is 8cm*5cm; touch the skin can feel the swelling; Other Side effects: have headache and whole body muscle pain, feel chills but sweating lots; slept almost 23 hours because of the dizziness.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Injection site swelling, Myalgia, Somnolence
Clinical narrative: Moderna COVID-19 Vaccine EUA Injection site has pain and redness area is 8cm*5cm; touch the skin can feel the swelling; Other Side effects: have headache and whole body muscle pain, feel chills but sweating lots; slept almost 23 hours because of the dizziness.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Cardiac flutter
Clinical narrative: Heart flutters
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac flutter
Clinical narrative: Heart flutters
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Redness, itching, heat (site is about 1.5° warmer than temple per temporal thermometer) Started 8 days post-vaccine. Worse on day 9.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram, Pulmonary thrombosis
Clinical narrative: blood clot right lung on xeralto may to november2021
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Gait disturbance, Insomnia, Peripheral swelling, Pruritus
Clinical narrative: Towards the end of April - Beginning of May: Both legs started to become itchy.  May6th- May 8th: Started to notice mosquito- bite like bumps on both lower extremities, both legs started to swelled up. But the right leg was more swollen than the left to the point that I couldn?t sleep or walk on it.   May 9th- I went to Emergency Care around 5am to be checked out cause it was hurting me so much.  They couldn?t figure out what had happened and they discharged me a few hours later with an order of Prednisone to take once a day for 7 days and preferred me to my PCP.   May 10th - We went to go see my PCP which she advised us to stop taking the prednisone and doctors orders was to stay out of work for a week in order to be off my feet.   She advised us to cancel the second vaccine appointment until everything clears up.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Towards the end of April - Beginning of May: Both legs started to become itchy.  May6th- May 8th: Started to notice mosquito- bite like bumps on both lower extremities, both legs started to swelled up. But the right leg was more swollen than the left to the point that I couldn?t sleep or walk on it.   May 9th- I went to Emergency Care around 5am to be checked out cause it was hurting me so much.  They couldn?t figure out what had happened and they discharged me a few hours later with an order of Prednisone to take once a day for 7 days and preferred me to my PCP.   May 10th - We went to go see my PCP which she advised us to stop taking the prednisone and doctors orders was to stay out of work for a week in order to be off my feet.   She advised us to cancel the second vaccine appointment until everything clears up.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Coagulation test normal, Immunology test normal, Thrombosis
Clinical narrative: Two weeks following vaccine I developed a superficial blood clot in my right cephalic vein. I am 33yrs old, no comorbidities, no injuries. Not sure if the blood clot is related to the vaccine but I've been told it's worth mentioning.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Seizure
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Seizure-Mild, Additional Details: patient suddenly fell down, had a slight seizure last around 5 sec and regains concious.  He feels fine but pharmacy still called 911 and was escort to receive emergery/urgent services.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Lethargy, Syncope, Visual impairment
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Pt almost fainted, states vision narrowed and he felt like he was going to pass out. But then as quick as it come on it subsided and he was fine. -Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: visual changes=narrowed vision that corrected within less than 5 minutes
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: headache, body aches, fatigue
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Paraesthesia
Clinical narrative: 2 days later, intense fatigue, joint pain, body on "fire", paresethesias on left side. Ongoing. No response to prednisone (all inflammatory markers normal) or celecoxib.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Blood test, Electrocardiogram, Eye swelling, Fatigue
Clinical narrative: I had the shot on the 8th,  The first 24 hours I was tired and had some injection site soreness.  Day 2 until now I have had numbness in legs and feet. A huge lump appeared a few inches from injection site.  My whole body feels swollen and tender.  My eyes are swollen and my vision is blurry.  It feels like someone is poking my internal organs. I am tired all the time and I have pain in back.   I am scheduled for second shot  in a week and now I am very afraid that the side effects will be worst after the second shot or possibly permanent.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Injection site pain, Injection site swelling, Swelling, Tenderness
Clinical narrative: I had the shot on the 8th,  The first 24 hours I was tired and had some injection site soreness.  Day 2 until now I have had numbness in legs and feet. A huge lump appeared a few inches from injection site.  My whole body feels swollen and tender.  My eyes are swollen and my vision is blurry.  It feels like someone is poking my internal organs. I am tired all the time and I have pain in back.   I am scheduled for second shot  in a week and now I am very afraid that the side effects will be worst after the second shot or possibly permanent.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vision blurred
Clinical narrative: I had the shot on the 8th,  The first 24 hours I was tired and had some injection site soreness.  Day 2 until now I have had numbness in legs and feet. A huge lump appeared a few inches from injection site.  My whole body feels swollen and tender.  My eyes are swollen and my vision is blurry.  It feels like someone is poking my internal organs. I am tired all the time and I have pain in back.   I am scheduled for second shot  in a week and now I am very afraid that the side effects will be worst after the second shot or possibly permanent.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Back pain, Blood test, COVID-19, Chest X-ray
Clinical narrative: I had the shot on the 8th,  The first 24 hours I was tired and had some injection site soreness.  Day 2 until now I have had numbness in legs and feet. A huge lump appeared a few inches from injection site.  My whole body feels swollen and tender.  My eyes are swollen and my vision is blurry.  It feels like someone is poking my internal organs. I am tired all the time and I have pain in back.   I am scheduled for second shot  in a week and now I am very afraid that the side effects will be worst after the second shot or possibly permanent.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Electrocardiogram, Eye swelling, Fatigue, Feeling abnormal
Clinical narrative: I had the shot on the 8th,  The first 24 hours I was tired and had some injection site soreness.  Day 2 until now I have had numbness in legs and feet. A huge lump appeared a few inches from injection site.  My whole body feels swollen and tender.  My eyes are swollen and my vision is blurry.  It feels like someone is poking my internal organs. I am tired all the time and I have pain in back.   I am scheduled for second shot  in a week and now I am very afraid that the side effects will be worst after the second shot or possibly permanent.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling cold, Hypoaesthesia, Lymphadenopathy, Muscle spasms, Nasal dryness
Clinical narrative: I had the shot on the 8th,  The first 24 hours I was tired and had some injection site soreness.  Day 2 until now I have had numbness in legs and feet. A huge lump appeared a few inches from injection site.  My whole body feels swollen and tender.  My eyes are swollen and my vision is blurry.  It feels like someone is poking my internal organs. I am tired all the time and I have pain in back.   I am scheduled for second shot  in a week and now I am very afraid that the side effects will be worst after the second shot or possibly permanent.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia, Pharyngeal swelling, Tinnitus
Clinical narrative: I had the shot on the 8th,  The first 24 hours I was tired and had some injection site soreness.  Day 2 until now I have had numbness in legs and feet. A huge lump appeared a few inches from injection site.  My whole body feels swollen and tender.  My eyes are swollen and my vision is blurry.  It feels like someone is poking my internal organs. I am tired all the time and I have pain in back.   I am scheduled for second shot  in a week and now I am very afraid that the side effects will be worst after the second shot or possibly permanent.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccination site mass, Vaccination site pain, Vision blurred, Visual impairment
Clinical narrative: I had the shot on the 8th,  The first 24 hours I was tired and had some injection site soreness.  Day 2 until now I have had numbness in legs and feet. A huge lump appeared a few inches from injection site.  My whole body feels swollen and tender.  My eyes are swollen and my vision is blurry.  It feels like someone is poking my internal organs. I am tired all the time and I have pain in back.   I am scheduled for second shot  in a week and now I am very afraid that the side effects will be worst after the second shot or possibly permanent.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site paraesthesia, Injection site swelling, Lymphadenopathy, Shoulder injury related to vaccine administration
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Lymph Node Swelling-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.), Additional Details: Patient is experiencing extreme pain and swelling after receiving first dose of Pfizer vaccine on 5/17/21. Went to both the ER and PCP and was informed that it was administered too low and could be a potential for infection.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hot flush, Injection site pain, Injection site warmth
Clinical narrative: Fever, hot flashes, exhaustion, injection site heat, injection site sore, tiredness, chills
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, hot flashes, exhaustion, injection site heat, injection site sore, tiredness, chills
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Very achy throughout my body for 12 hours. Achiness began 14 hours after the shot.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cardioversion, Erythema, Urticaria
Clinical narrative: Large red welt appeared next day 7 days after injections received 4 shocks from ICD after 7 years with no issues
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain
Clinical narrative: 10 hours of body aches; mild headache; slight nausea
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives started 1 hour later, lasted 3 days. Tolerated second dose.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Heart rate increased, Heart rate irregular, Palpitations
Clinical narrative: Rapid irregular heart beat, heart palpitations, fatigue, light headed, hard pounding heart
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Inappropriate schedule of product administration, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Additional Details: PATIENT WAS TOLD BY HER PCP THAT IT WAS OK TO GET COVID VACCINE. HEP A WAS ADMINISTERED BY PCP ON 5/20/21. PATIENT WAS CONTACTED BY PHARMACY INTERN WHO ADMINISTERED VACCINE 2 HOURS LATER AND WAS TOLD THAT THE ACUTE SYMPTOMS HAD RESOLVED AND SHE WAS FEELING MUCH BETTER.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Additional Details: PATIENT WAS TOLD BY HER PCP THAT IT WAS OK TO GET COVID VACCINE. HEP A WAS ADMINISTERED BY PCP ON 5/20/21. PATIENT WAS CONTACTED BY PHARMACY INTERN WHO ADMINISTERED VACCINE 2 HOURS LATER AND WAS TOLD THAT THE ACUTE SYMPTOMS HAD RESOLVED AND SHE WAS FEELING MUCH BETTER.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Red itchy rash at injection site on left arm, no treatment, still ongoing on day 2 so unsure of outcome
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot
Clinical narrative: SOB, feeling hot. Started 5 minutes after injection, lasted a few minutes. Did not recur with second dose.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dysphagia, Dyspnoea, Eye swelling, Injection site erythema
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Additional Details: pt's tongue felt funny, then her throat felt tingly, progressed to throat beginning to close. given 50mg benedryl and 20mg pepcid at pharmacy and she went by ambulance to ER. she will undergo further testing this week at allergist to see if she is allergic to polysorbate and peg.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth swelling, Pharyngeal paraesthesia, Pruritus, Swelling face, Swollen tongue
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Additional Details: pt's tongue felt funny, then her throat felt tingly, progressed to throat beginning to close. given 50mg benedryl and 20mg pepcid at pharmacy and she went by ambulance to ER. she will undergo further testing this week at allergist to see if she is allergic to polysorbate and peg.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Additional Details: pt's tongue felt funny, then her throat felt tingly, progressed to throat beginning to close. given 50mg benedryl and 20mg pepcid at pharmacy and she went by ambulance to ER. she will undergo further testing this week at allergist to see if she is allergic to polysorbate and peg.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Heart rate
Clinical narrative: Elevated heart rate at rest and active Fatigue Dizzy Out of breath We had him rest - lasted 3 days
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Scratch, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted and fell down forward, scratched his face. He gained consciousness in few seconds. we lifted his feet, cooled him down and took his BP. PB was normal. Paramedics checked him out and he was released within few minutes. He didn't want to go to the hospital for more work-up.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Extremely loud persistent non stop TINNITUS
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Discharge
Clinical narrative: I waited 20 minutes before leaving the pharmacy.  Within 5 minutes the severe abdominal cramps started and continue the remainder of Sunday.  The intensity of the cramps decreased Monday and Tuesday.  Tuesday evening I noticed a small amount of brownish discharge that I would normally see after my period.  The discharge continued until Wednesday.    All symptoms had dissipated by Thursday of the same week.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Bruxism, Disorientation, Feeling hot, Hyperhidrosis, Loss of consciousness
Clinical narrative: Systemic: Seizure-Mild, Additional Details: patient got vaccine and about 3 minutes after dose was experiencing feeling hot and excessive sweating. Patient then passed out and had seizure with loss of consiusness, convulsion, and clenched jaw. Patient regained consciousness in about 10-15 seconds and was disorriented ambulance was called and patient was taken to hospital. Hx of seizure 1 time in past year not currently on antiepleptic medication
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Systemic: Seizure-Mild, Additional Details: patient got vaccine and about 3 minutes after dose was experiencing feeling hot and excessive sweating. Patient then passed out and had seizure with loss of consiusness, convulsion, and clenched jaw. Patient regained consciousness in about 10-15 seconds and was disorriented ambulance was called and patient was taken to hospital. Hx of seizure 1 time in past year not currently on antiepleptic medication
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Plasma cell count, Pyrexia, Vitamin C, Vitamin D
Clinical narrative: Headache,  fever. Plasma,  vitamins C and D. Etc.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Headache,  fever. Plasma,  vitamins C and D. Etc.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: Ringing, burning and pressure in my ears.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Rash papular
Clinical narrative: Red, raised rash surrounding injection site. Rash is warm to the touch and somewhat sore/stiff
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Muscle spasms, Pain, Pyrexia
Clinical narrative: Fevers; body aches; lower extremity cramps; fast heart rate overnight. Self resolved.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, Sneezing, Throat irritation
Clinical narrative: Sneezing, runny nose, itchy none and throat
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pruritus, Syncope
Clinical narrative: Itching, more joint pain, lasted days, needed prednisone. Next dose was the same (3/30), also with syncope 2 days later. Resolved over a few weeks.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chills, Dyspnoea, Electrocardiogram normal, Headache
Clinical narrative: night of vaccination: Headache, chills, body aches, nausea. Day 1: Headache, body ache, nausea, rash  Day 2: nausea, Headache, threw up at work, rash Day 3: headache rash day 4:  chsst tightness, tingling left arm, rash, tunnel vision, shortness of breath, sweating.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Magnetic resonance imaging normal, Nausea, Pain, Paraesthesia
Clinical narrative: night of vaccination: Headache, chills, body aches, nausea. Day 1: Headache, body ache, nausea, rash  Day 2: nausea, Headache, threw up at work, rash Day 3: headache rash day 4:  chsst tightness, tingling left arm, rash, tunnel vision, shortness of breath, sweating.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Troponin increased, Tunnel vision, Vomiting
Clinical narrative: night of vaccination: Headache, chills, body aches, nausea. Day 1: Headache, body ache, nausea, rash  Day 2: nausea, Headache, threw up at work, rash Day 3: headache rash day 4:  chsst tightness, tingling left arm, rash, tunnel vision, shortness of breath, sweating.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Conjunctivitis, Eye irritation, Impaired work ability, Ocular discomfort, Photophobia
Clinical narrative: Stayed home from work the Monday I got the shot as well as the following Tuesday. Woke up Wednesday with my By Sunday the 16th I began having pressure and some irritation.  Went to urgent care Monday the 17th.  They said I had pink eye.  I immediately began using the prescribed eye drops.  It's important to mention no one in my family has or had pink eye nor have I knowingly come in contact with it.  By Friday the 21st there was no improvement from the medication and I began t developed severe light sensitivity and blurry vision.  I went back to urgent Care 5/22.  They prescribed a different medication for pink eye and referred me to an eye specialist.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Stayed home from work the Monday I got the shot as well as the following Tuesday. Woke up Wednesday with my By Sunday the 16th I began having pressure and some irritation.  Went to urgent care Monday the 17th.  They said I had pink eye.  I immediately began using the prescribed eye drops.  It's important to mention no one in my family has or had pink eye nor have I knowingly come in contact with it.  By Friday the 21st there was no improvement from the medication and I began t developed severe light sensitivity and blurry vision.  I went back to urgent Care 5/22.  They prescribed a different medication for pink eye and referred me to an eye specialist.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased
Clinical narrative: Low pressure stabilized after laying in stretcher BP 102/49 then 125/95
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Palpitations
Clinical narrative: Palpitations, "heat" a few minutes after vaccine, lasted only a few minutes. Tolerated second dose with no symptoms.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives x4 days, did not recur with second dose.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oral herpes, Pain in jaw, Rash, Toothache
Clinical narrative: I had my jaw rewired 20 years ago.  The jaw, teeth started to hurt  about a week after first dose.  Then 3 days after second dose,  I got a big cold sore with several clusters. I NEVER get cold sore in warm months. If I do get one, it?s in the winter and just a small one. I use abreva at the first sign, and it goes away next day. But this cold sore, it is going the full blown 2 week recovery despite abreva.  One week after my second dose, I got skin rash on my face cheeks, kinda like rosacea. I never had this before. All symptoms are still as of May 23.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody positive, Blood thyroid stimulating hormone, Diplopia, Endocrine ophthalmopathy, Eye pain
Clinical narrative: About 2 weeks (mid January) after the first shot, I started experiencing transient diplopia on awakening in the morning that would resolve in 5 minutes. 2 weeks after the second shot (2/16/21) I started having pain in my left orbit.  I received an MRI brain/orbits on 2/26/21 showing inflammation of my inferior and lateral rectus eye muscles. Labs on 2/26/21 showed normal TSH, free T4, free T3. ANA was positive (without titer). TSI (thyroid stimulating immunoglobulin) was positive at 1.75, 3x the upper limit of labs were normal (0.5). On 3/3/21, I noticed left suborbital swelling and eye restriction on upward gaze. 3/15/21, restriction in upward and lateral gaze. I was diagnosed with thyroid eye disease. I attempted treatment with a methylprednisone dose pack for 6 days on 3/26/21 without improvement. Then a 20 day high dose prednisone (1mg/kg) on 5/8/21 with rapid taper also without symptom improvement. I am starting authorization now for a monoclonal antibody for thyroid eye disease.