chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Headache-Mild, Systemic: Visual Changes/Disturbances-Medium, Additional Details: SHE REPORTED EYE FLASHES AND EYE FLOATINGS ON 12/20/2021 VIA PHONE. SHE HAD AN APPOINTMENT WITH MD ON 12/20/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Lymphadenopathy, Oedema peripheral
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Lymph Node Swelling-Severe, Additional Details: swallowing golf ball size under arm
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Episcleritis, Eye pain, Joint range of motion decreased, Ocular hyperaemia
Clinical narrative: From December 20: Back pain, general less of flexibility, red eye and pain.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dysphagia, Dyspnoea, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Neck pain, Oedema, Pain, Tenderness
Clinical narrative: Within 12 hours I began having a radiating pain from the injection site up to my neck. Mild edema above my clavicle that is very painful to touch. Pain and edema has not decreased in 72 hours.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Oropharyngeal pain, Pain, Pain in extremity, SARS-CoV-2 test negative
Clinical narrative: I got my Moderna booster on Monday December 13th and now I broke out in hives and my hands hurt to the point where it hurts when trying to make a fist. I also get chills at night, and have a sore throat. I took two covid tests at home, one on Monday the 20th and one this morning. Both came back negative. Is this a typical reaction, a week after the vaccine?
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I got my Moderna booster on Monday December 13th and now I broke out in hives and my hands hurt to the point where it hurts when trying to make a fist. I also get chills at night, and have a sore throat. I took two covid tests at home, one on Monday the 20th and one this morning. Both came back negative. Is this a typical reaction, a week after the vaccine?
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: My right armpit lymph node is really swollen and painful. Swelling started around 5 pm the day after the booster shot.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Exposure to SARS-CoV-2, Fibrin D dimer increased, Pyrexia
Clinical narrative: From history and physical on 12/20/2021:  Patient is a 82 y.o. female w/ a hx of HTN, HLD, CKD Stage II, anxiety,  depression, GERD, alzheimer's disease, ??Parkinson's who presented to the ED w/ c/o a fever.  Pt w/ advanced dementia. Per her son, pt lives w/ her husband and their daughter. Pt no longer oriented at baseline and requires full assistance w/ ADLs. Pt's daughter tested positive for COVID and ws instructed to test everyone within the household. Pt tested negative. However, pt w/ reported fever over the past several days.  Pt evaluated in the ED. COVID Positive. CXR unremarkable. D.Dimer elevated @ 0.86, CTA Chest pending. Noted to be 89% on room air. Pt admitted to the hospital medicine service for further evaluation  No info on vaccine lot#.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: From history and physical on 12/20/2021:  Patient is a 82 y.o. female w/ a hx of HTN, HLD, CKD Stage II, anxiety,  depression, GERD, alzheimer's disease, ??Parkinson's who presented to the ED w/ c/o a fever.  Pt w/ advanced dementia. Per her son, pt lives w/ her husband and their daughter. Pt no longer oriented at baseline and requires full assistance w/ ADLs. Pt's daughter tested positive for COVID and ws instructed to test everyone within the household. Pt tested negative. However, pt w/ reported fever over the past several days.  Pt evaluated in the ED. COVID Positive. CXR unremarkable. D.Dimer elevated @ 0.86, CTA Chest pending. Noted to be 89% on room air. Pt admitted to the hospital medicine service for further evaluation  No info on vaccine lot#.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: rash was behind knees
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count normal, Eosinophil count normal, Erythema, Full blood count normal, Incorrect dose administered
Clinical narrative: I received a full dose (100ug) third dose as the half dose booster was not yet approved and I was traveling abroad. I had had little response (8 hours of chills) to the first 2 doses of Moderna. The third dose only gave me a sore arm.  Then 2 and aa half weeks later I developed unrelenting dermatographia- redness, itching, red lines, hives- which moved from place to place all over the body - resolving in one place after 30 min and then moving to another. I have been diagnosed by my GP and a dermatologist and placed on daily Zyrtec for 3 months which treats the symptoms effectively.  If however I am late on my dose, all of the symptoms return. I thought I was alone and then found a case study and saw that there were hundreds of folks like me who had added comments to the article  We are all suffering from this same condition post mRNA Covid 19 vaccine treatment. No one's condition has yet resolved.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pain in extremity, Pruritus, Urticaria
Clinical narrative: I received a full dose (100ug) third dose as the half dose booster was not yet approved and I was traveling abroad. I had had little response (8 hours of chills) to the first 2 doses of Moderna. The third dose only gave me a sore arm.  Then 2 and aa half weeks later I developed unrelenting dermatographia- redness, itching, red lines, hives- which moved from place to place all over the body - resolving in one place after 30 min and then moving to another. I have been diagnosed by my GP and a dermatologist and placed on daily Zyrtec for 3 months which treats the symptoms effectively.  If however I am late on my dose, all of the symptoms return. I thought I was alone and then found a case study and saw that there were hundreds of folks like me who had added comments to the article  We are all suffering from this same condition post mRNA Covid 19 vaccine treatment. No one's condition has yet resolved.
Age: 8.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Urticaria, Vomiting
Clinical narrative: vomitting 11pm, 1am, diffuse body hives noticed at 1am, gien 50mg benedryl at 130am, and again at 530am rash improved by 755am
Age: 8.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria, Vomiting
Clinical narrative: vomitting 11pm, 1am, diffuse body hives noticed at 1am, gien 50mg benedryl at 130am, and again at 530am rash improved by 755am
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Myalgia, Pyrexia
Clinical narrative: Fever and achy muscles the next morning, chest pains the night after
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Fever, headache, body aches
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Joint injury, Limb injury, Pain, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalized.  on Oxygen.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Exposure to SARS-CoV-2, Hypoxia
Clinical narrative: Per History and physical on 12/20/21: Patient is a 83 y.o. male with a PMH significant for NPH status post shunt in 2013, diabetes mellitus type 2, CKD stage III, CAD, HTN, HLD who presents to the ED due to cough with positive at home Covid testing today.  Patient lives with his daughter.  Today daughter who works in healthcare was routinely tested for Covid.  She tested positive, asymptomatic.  She returned home and tested both of her parents who live with her, patient and spouse both tested positive.  Patient reports a cough for the past couple of days.  He denies fever, fatigue, malaise, decreased appetite, nausea, vomiting, diarrhea, headache, loss of taste or smell, shortness of breath, chest pain, dysuria.   Hypoxia due to Covid 19 Pneumonia. --Satting 92% on room air, not on home oxygen.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Per History and physical on 12/20/21: Patient is a 83 y.o. male with a PMH significant for NPH status post shunt in 2013, diabetes mellitus type 2, CKD stage III, CAD, HTN, HLD who presents to the ED due to cough with positive at home Covid testing today.  Patient lives with his daughter.  Today daughter who works in healthcare was routinely tested for Covid.  She tested positive, asymptomatic.  She returned home and tested both of her parents who live with her, patient and spouse both tested positive.  Patient reports a cough for the past couple of days.  He denies fever, fatigue, malaise, decreased appetite, nausea, vomiting, diarrhea, headache, loss of taste or smell, shortness of breath, chest pain, dysuria.   Hypoxia due to Covid 19 Pneumonia. --Satting 92% on room air, not on home oxygen.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Discomfort, Feeling abnormal, Headache, Injection site pain
Clinical narrative: Around 4PM my arm started to ache - i didn't give it much thought.  As the evening went on, the discomfort radiated to my axilla and down the left arm with occasional shooting pain from the injection site down my arm.  I woke up during the night with severe muscle pain.  I feel like someone has used a club on my entire body.  I also have a headache.  Tylenol and ibuprofen do nothing.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pain in extremity, Sleep disorder
Clinical narrative: Around 4PM my arm started to ache - i didn't give it much thought.  As the evening went on, the discomfort radiated to my axilla and down the left arm with occasional shooting pain from the injection site down my arm.  I woke up during the night with severe muscle pain.  I feel like someone has used a club on my entire body.  I also have a headache.  Tylenol and ibuprofen do nothing.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Eye swelling, Flushing, Headache, Hyperhidrosis
Clinical narrative: Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Mouth swelling, Paraesthesia, Swelling face, Swollen tongue
Clinical narrative: Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Booster Given Too Early-
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: diffuse pruritus w/o CP or SOB or rash
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Injection site pain, Pyrexia
Clinical narrative: Fever, soreness at injection site, fatigue , joint pain
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pruritus, Rash
Clinical narrative: Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: skin is hot to touch around injection site-Severe, Additional Details: mom (NAME) called about daughter (NAME) . Mom cell is (PRIVACY). Pt's ph# (PRIVACY). I advised mom pt. is over 18 years old and may be point of contact. Pt got rash on arm and injection site is hot to touch. Advised mom to follow up with primary care doctor.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: No menstrual period for4 months from Aug-Dec
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Headache, Hyperhidrosis, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Mild, Systemic: Nausea-Mild
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Mild, Systemic: Nausea-Mild
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID CASE
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid after being fully vaccinated
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatologic examination, Rash
Clinical narrative: Two weeks after my booster, I began experiencing a daily rash. I?ve had no new exposure to pets or animals and no new exposure to foods or other chemicals. The rash improves with zyrtec, but reappears globally after 24 hours unless I use zyrtec again. The rash is spontaneous and travels. I can?t predict where it will reappear, except that it seems to begin on my head/scalp first sometimes. I am still experiencing the rash.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea, Flushing
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Ankle fracture, Anticoagulant therapy, Cor pulmonale acute, Pulmonary embolism, Syncope
Clinical narrative: Pulmonary embolism causing acute cor pulmonale causing syncope and resulting in ankle fracture Treated with heparin and transitioned to Eliquis Discharged to rehab and now doing better at home
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Ventilation/perfusion scan
Clinical narrative: Pulmonary embolism causing acute cor pulmonale causing syncope and resulting in ankle fracture Treated with heparin and transitioned to Eliquis Discharged to rehab and now doing better at home
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Hospitalized.  2 doses of Moderna on 1/21/21 and 2/28/21.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Pruritus
Clinical narrative: Inflammation (spreading with time) Itching
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Dysuria
Clinical narrative: From history and physical 12/21/21:  Patient is a 61 y.o. female with a PMH significant for ESRD on HD M/W/F, diabetes mellitus type 2, HTN, HLD, chronic hypoxic respiratory failure on 2 L home O2, history of stroke who presents to the ED due to shortness of breath.  Patient reports recent exposure to COVID-19.  She was tested positive outpatient for COVID-19 on 12/14/2021, she was asymptomatic at that time.  She reports that she began to feel poorly over the next 4-5 days.  She complains of nonproductive cough, shortness of breath, low-grade fever, diarrhea, malaise, headache, change in taste.  Today, patient reports shortness of breath not relieved with her home oxygen.  Due to difficulty breathing she came to the ED.  Patient is a small amount of urine in has current complaints of dysuria.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Feeling abnormal, Headache, Malaise, Pyrexia
Clinical narrative: From history and physical 12/21/21:  Patient is a 61 y.o. female with a PMH significant for ESRD on HD M/W/F, diabetes mellitus type 2, HTN, HLD, chronic hypoxic respiratory failure on 2 L home O2, history of stroke who presents to the ED due to shortness of breath.  Patient reports recent exposure to COVID-19.  She was tested positive outpatient for COVID-19 on 12/14/2021, she was asymptomatic at that time.  She reports that she began to feel poorly over the next 4-5 days.  She complains of nonproductive cough, shortness of breath, low-grade fever, diarrhea, malaise, headache, change in taste.  Today, patient reports shortness of breath not relieved with her home oxygen.  Due to difficulty breathing she came to the ED.  Patient is a small amount of urine in has current complaints of dysuria.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Taste disorder, Urine output decreased
Clinical narrative: From history and physical 12/21/21:  Patient is a 61 y.o. female with a PMH significant for ESRD on HD M/W/F, diabetes mellitus type 2, HTN, HLD, chronic hypoxic respiratory failure on 2 L home O2, history of stroke who presents to the ED due to shortness of breath.  Patient reports recent exposure to COVID-19.  She was tested positive outpatient for COVID-19 on 12/14/2021, she was asymptomatic at that time.  She reports that she began to feel poorly over the next 4-5 days.  She complains of nonproductive cough, shortness of breath, low-grade fever, diarrhea, malaise, headache, change in taste.  Today, patient reports shortness of breath not relieved with her home oxygen.  Due to difficulty breathing she came to the ED.  Patient is a small amount of urine in has current complaints of dysuria.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Fatigue, Feeling abnormal, Lethargy, Pain
Clinical narrative: Systemic: Body Aches Generalized-Severe, Systemic: Confusion-Medium, Systemic: Exhaustion / Lethargy-Medium, Additional Details: Patient reported psychiatric type side effects. She felt like her "biceps were going through her skin" as stated verbatim by her. She has never had a side effect like this and she wants it reported. Her daughter also reported having an out of body feeling after covid booster and her husband felt like he was high.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Psychiatric symptom
Clinical narrative: Systemic: Body Aches Generalized-Severe, Systemic: Confusion-Medium, Systemic: Exhaustion / Lethargy-Medium, Additional Details: Patient reported psychiatric type side effects. She felt like her "biceps were going through her skin" as stated verbatim by her. She has never had a side effect like this and she wants it reported. Her daughter also reported having an out of body feeling after covid booster and her husband felt like he was high.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Itchiness on scalp, neck and shoulders starting 11/17/2021. Hives all over body, including dermatographia, starting 11/18/2021. Hives continued since that date. Treated with daily Zyrtec, steroid shot on 11/21/2021 and 11-day course of prednisone starting 12/6/2021.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The 9 year old patient received a full adult dose, 0.3mL, of the adult formulation of the Pfizer Covid-19 vaccine.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Angiogram cerebral abnormal, Aphasia, CSF culture negative, CSF glucose normal
Clinical narrative: 1 week after receiving vaccination the patient developed generalized myalgia, sore throat, and fatigue. On 12/17/21 he developed headache and fought with his parents. They did not speak or see each other for the majority of the day on 12/18/21. On 12/19/21, They found him with a right sided facial droop, nonverbal and unable to follow commands. He was also agitated and unable to follow commands. He was hospitalized for concerns of stroke vs CNS infection.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: CSF lymphocyte count normal, CSF monocyte count decreased, CSF neutrophil count increased, CSF protein normal, CSF red blood cell count positive
Clinical narrative: 1 week after receiving vaccination the patient developed generalized myalgia, sore throat, and fatigue. On 12/17/21 he developed headache and fought with his parents. They did not speak or see each other for the majority of the day on 12/18/21. On 12/19/21, They found him with a right sided facial droop, nonverbal and unable to follow commands. He was also agitated and unable to follow commands. He was hospitalized for concerns of stroke vs CNS infection.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral hypoperfusion, Computerised tomogram head normal, Cytomegalovirus test negative, Electroencephalogram abnormal, Enterovirus test negative
Clinical narrative: 1 week after receiving vaccination the patient developed generalized myalgia, sore throat, and fatigue. On 12/17/21 he developed headache and fought with his parents. They did not speak or see each other for the majority of the day on 12/18/21. On 12/19/21, They found him with a right sided facial droop, nonverbal and unable to follow commands. He was also agitated and unable to follow commands. He was hospitalized for concerns of stroke vs CNS infection.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Epstein-Barr virus test negative, Facial paralysis, Fatigue, HIV test negative, Headache
Clinical narrative: 1 week after receiving vaccination the patient developed generalized myalgia, sore throat, and fatigue. On 12/17/21 he developed headache and fought with his parents. They did not speak or see each other for the majority of the day on 12/18/21. On 12/19/21, They found him with a right sided facial droop, nonverbal and unable to follow commands. He was also agitated and unable to follow commands. He was hospitalized for concerns of stroke vs CNS infection.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes simplex test negative, Lumbar puncture, Magnetic resonance imaging head abnormal, Mental status changes, Myalgia
Clinical narrative: 1 week after receiving vaccination the patient developed generalized myalgia, sore throat, and fatigue. On 12/17/21 he developed headache and fought with his parents. They did not speak or see each other for the majority of the day on 12/18/21. On 12/19/21, They found him with a right sided facial droop, nonverbal and unable to follow commands. He was also agitated and unable to follow commands. He was hospitalized for concerns of stroke vs CNS infection.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Negativism, Oropharyngeal pain, Respiratory viral panel, Scan with contrast abnormal, Treponema test negative
Clinical narrative: 1 week after receiving vaccination the patient developed generalized myalgia, sore throat, and fatigue. On 12/17/21 he developed headache and fought with his parents. They did not speak or see each other for the majority of the day on 12/18/21. On 12/19/21, They found him with a right sided facial droop, nonverbal and unable to follow commands. He was also agitated and unable to follow commands. He was hospitalized for concerns of stroke vs CNS infection.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test negative
Clinical narrative: 1 week after receiving vaccination the patient developed generalized myalgia, sore throat, and fatigue. On 12/17/21 he developed headache and fought with his parents. They did not speak or see each other for the majority of the day on 12/18/21. On 12/19/21, They found him with a right sided facial droop, nonverbal and unable to follow commands. He was also agitated and unable to follow commands. He was hospitalized for concerns of stroke vs CNS infection.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Severe, Additional Details: pt passed out in observation chair bp was low 11:47a 101/56 pilse 48, 11:52a 98/59 pulse 74, pt was put on back with feet elevated bp was unstable and continued to stay low even while on back, called emergency at 12:05pm arrived at 12:15pm and parmedics took patient outside to monitor
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: New Tinnitus. I did not have Tinnitus or hearing loss prior to my Covid 19 inoculation. Since my Booster 3 weeks ago it's louder than ever.
Age: 58.0
Sex: F
Vaccine: FLUR4
Symptoms: Pain in extremity
Clinical narrative: Patient states her arm hurt from flu shot
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalized.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Fall, Hypoxia, Pneumonia
Clinical narrative: A Fall - weakness and found to have pneumonia with hypoxia in ED.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dry eye, Headache, Joint stiffness, Muscle spasms
Clinical narrative: Body aches, nausea, chills, headache, joint stiffness, dry eyes, cramping of muscles
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: Body aches, nausea, chills, headache, joint stiffness, dry eyes, cramping of muscles
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Headache, Pain, Pyrexia
Clinical narrative: spoke to customer on 12/10/21 @4:30pm. Pt said she was fine now. But she experienced side effects.  She complaint pain, fever, chill, body ache, headache and  light shortness of breath for a short time.  Overall everything is fine now. All those symptoms resolved.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fibrin D dimer, Muscle spasms, Syncope
Clinical narrative: Syncope within 10 minutes of injective & severe stomach pain upon waking from passing out.   Moderate to severe leg cramps for 4-5 post injection.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Dizziness, Fatigue, Lethargy, Pallor
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient lost color in her face and said that she could not see anymore...She was able to communicate and squeeze my hand for a bit before she stopped talking to me.  Her friend and I laid her on the ground to prevent fainting and in doing so she ended up passing out.  She was non responsive, but breathing.  911 was called. Pulse ox was placed on her finger and breathing checked.  She came to in about 30 seconds and we kept her on the floor flat until EMS came.  EMS arrived quickly and took over
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient lost color in her face and said that she could not see anymore...She was able to communicate and squeeze my hand for a bit before she stopped talking to me.  Her friend and I laid her on the ground to prevent fainting and in doing so she ended up passing out.  She was non responsive, but breathing.  911 was called. Pulse ox was placed on her finger and breathing checked.  She came to in about 30 seconds and we kept her on the floor flat until EMS came.  EMS arrived quickly and took over
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Flank pain, Pyrexia
Clinical narrative: Fever and flank pain
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiopathy, Headache, Magnetic resonance imaging, Migraine
Clinical narrative: Day one after first dose, started with a slight headache which later developed into a 3 day migraine type with zero relief despite medication and hydration attempts. Then resolved. Second dose then gave me a constant headache with no relief from medication and hydration attempts. At times i feel a pulse in my head when bending over. some days i cannot get out of bed due to the pounding feeling and how heavy my head feels. Went to PCP, they ordered MRI/MRA and referral to neurology.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Arthralgia, Cardiac murmur, Cardioversion, Chest pain
Clinical narrative: I received the second dose of the vaccine on October 27, 2021.   By 6 PM I wasn?t able to get out of bed with the following symptoms, 103° Fever, severe malaise, severe myalgia, severe joint pain, dizziness, headache, mild chest pain, abdominal discomfort, neurological (visual, muscular, and neuropathy in fingers and toes .  Many of these symptoms have persisted until this day.  On day 4 I developed an SVT and needed intervention including cardioversion.  Chest pain increased over the next 3 weeks and I went to the emergency department on 11/23/21 and was diagnosed with lung pleurisy and a heart murmur.  All symptoms are persistent to this day with waxing and waning severity.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax, Dizziness, Electrocardiogram, Headache, Laboratory test
Clinical narrative: I received the second dose of the vaccine on October 27, 2021.   By 6 PM I wasn?t able to get out of bed with the following symptoms, 103° Fever, severe malaise, severe myalgia, severe joint pain, dizziness, headache, mild chest pain, abdominal discomfort, neurological (visual, muscular, and neuropathy in fingers and toes .  Many of these symptoms have persisted until this day.  On day 4 I developed an SVT and needed intervention including cardioversion.  Chest pain increased over the next 3 weeks and I went to the emergency department on 11/23/21 and was diagnosed with lung pleurisy and a heart murmur.  All symptoms are persistent to this day with waxing and waning severity.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Mobility decreased, Muscle disorder, Myalgia, Neurological symptom
Clinical narrative: I received the second dose of the vaccine on October 27, 2021.   By 6 PM I wasn?t able to get out of bed with the following symptoms, 103° Fever, severe malaise, severe myalgia, severe joint pain, dizziness, headache, mild chest pain, abdominal discomfort, neurological (visual, muscular, and neuropathy in fingers and toes .  Many of these symptoms have persisted until this day.  On day 4 I developed an SVT and needed intervention including cardioversion.  Chest pain increased over the next 3 weeks and I went to the emergency department on 11/23/21 and was diagnosed with lung pleurisy and a heart murmur.  All symptoms are persistent to this day with waxing and waning severity.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neuropathy peripheral, Pleurisy, Pyrexia, Supraventricular tachycardia, Visual impairment
Clinical narrative: I received the second dose of the vaccine on October 27, 2021.   By 6 PM I wasn?t able to get out of bed with the following symptoms, 103° Fever, severe malaise, severe myalgia, severe joint pain, dizziness, headache, mild chest pain, abdominal discomfort, neurological (visual, muscular, and neuropathy in fingers and toes .  Many of these symptoms have persisted until this day.  On day 4 I developed an SVT and needed intervention including cardioversion.  Chest pain increased over the next 3 weeks and I went to the emergency department on 11/23/21 and was diagnosed with lung pleurisy and a heart murmur.  All symptoms are persistent to this day with waxing and waning severity.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: "Pins and Needles" and localize numbness on left shin to foot.  Identical symptoms were experienced in my right leg following the 2nd vaccination shot (COVID-19 Moderna on 5/14/21) but I had not attributed a relationship to the vaccine at that time.  The "Pins and Needles" and numbness slowly dissipated since the 2nd shot but has not entirely disappeared as of yet (very minor localized pins and needles)
Age: 36.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Lip swelling, Pharyngeal swelling
Clinical narrative: Upper lip swollen, back of throat swollen
Age: 0.58
Sex: F
Vaccine: FLU4
Symptoms: Rash maculo-papular
Clinical narrative: local eruption of maculopapular rash on the right thigh
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Blood test, Fatigue, Feeling abnormal, Gait disturbance
Clinical narrative: The 1st day of vaccine I started to feel tingling in my whole body, difficulty  walking , very bad balanced, Brain fog, numbness, sever pain, Fatigue, my head and feet would twitch  I had a xray of my back no problem that would cause the tingling. the RA Dr referred me to the Neurologist  who saw me at the beginning of April she ran large amount of blood work, I had a MRI and there were no signs of a problem . The Neurologist didn't do any more testing after the MRI because my symptoms went away. I had taken a steroid a few weeks before seeing the Neurologist for my result for the RA flare up and the symptoms went away.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging, Muscle twitching, Pain, Paraesthesia
Clinical narrative: The 1st day of vaccine I started to feel tingling in my whole body, difficulty  walking , very bad balanced, Brain fog, numbness, sever pain, Fatigue, my head and feet would twitch  I had a xray of my back no problem that would cause the tingling. the RA Dr referred me to the Neurologist  who saw me at the beginning of April she ran large amount of blood work, I had a MRI and there were no signs of a problem . The Neurologist didn't do any more testing after the MRI because my symptoms went away. I had taken a steroid a few weeks before seeing the Neurologist for my result for the RA flare up and the symptoms went away.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rheumatoid arthritis, X-ray
Clinical narrative: The 1st day of vaccine I started to feel tingling in my whole body, difficulty  walking , very bad balanced, Brain fog, numbness, sever pain, Fatigue, my head and feet would twitch  I had a xray of my back no problem that would cause the tingling. the RA Dr referred me to the Neurologist  who saw me at the beginning of April she ran large amount of blood work, I had a MRI and there were no signs of a problem . The Neurologist didn't do any more testing after the MRI because my symptoms went away. I had taken a steroid a few weeks before seeing the Neurologist for my result for the RA flare up and the symptoms went away.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Fall, Lumbar puncture, Paralysis
Clinical narrative: I received the J J vaccine because of the Government mandated vaccination, after 10 day I woke up to go to work at 5:00 am  falling flat on my face out of bed unable to talk, and paralyzed from my head to my feet ,calling emergency 911 taken to hospital scared I was dying my life has been Hell ever since
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Persistent fever, fatigue, body aches for 24 hours
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Patient developed rash/itching to back. Received Benadryl 25mg po with good effect. Discharged in stable condition.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Received too early
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Menstrual bleeding 9 days early right after 3rd dose of vaccine
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pain in extremity
Clinical narrative: ALL DAY: Sore arm; body aches; fatigue; OFF & ON ALL DAY: 100.3 to 100.8 fever TREATMENT: Tylenol
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Too soon to receive dose
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Cardiac stress test, Echocardiogram, Palpitations
Clinical narrative: Began experiencing heart palpitations the day after the injection.  symptoms appear to be non-life threatening.
Age: 77.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Dyspnoea
Clinical narrative: DX: COVID, SOB and COPD, pt admitted with COVID pneumonia.  Completed remdeivir and discharged to skilled nursing facility.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: sore arm, fatigue
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster dose was given at less than 6 months after completing initial series.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Fibrin D dimer increased, Pulmonary embolism
Clinical narrative: Pulmonary embolism 4/16/21.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site warmth, Pruritus
Clinical narrative: She was experiencing itchiness of right arm that lasted for a couple hours. Her right upper arm was warm to the touch and redness was present around the circumference of her right upper arm.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given the pediatric dose instead of the adult dose and she is 12 years old.  No reactions at this time
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Cough, Dry throat, Dysphonia
Clinical narrative: Day 1 left arm sore and sore throat Day  2 Sore arm  hit at injection. left arm with lymph node swelling fever  breathing wheezing  and difficulties when lying down continuous coughing clearing of a very dry throat. Raspy voice, Fast heart rate 98, Headache all day  1 and 2; Ache all over joints ribs and back pain
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Headache, Heart rate increased, Injection site pain, Lymphadenopathy
Clinical narrative: Day 1 left arm sore and sore throat Day  2 Sore arm  hit at injection. left arm with lymph node swelling fever  breathing wheezing  and difficulties when lying down continuous coughing clearing of a very dry throat. Raspy voice, Fast heart rate 98, Headache all day  1 and 2; Ache all over joints ribs and back pain
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal chest pain, Oropharyngeal pain, Pain in extremity, Pyrexia, Throat clearing
Clinical narrative: Day 1 left arm sore and sore throat Day  2 Sore arm  hit at injection. left arm with lymph node swelling fever  breathing wheezing  and difficulties when lying down continuous coughing clearing of a very dry throat. Raspy voice, Fast heart rate 98, Headache all day  1 and 2; Ache all over joints ribs and back pain
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Wheezing
Clinical narrative: Day 1 left arm sore and sore throat Day  2 Sore arm  hit at injection. left arm with lymph node swelling fever  breathing wheezing  and difficulties when lying down continuous coughing clearing of a very dry throat. Raspy voice, Fast heart rate 98, Headache all day  1 and 2; Ache all over joints ribs and back pain
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Formication, Muscle spasms, Muscle strain, Myalgia
Clinical narrative: Severe muscle cramps, especially in both calf's.   One week after first vaccine, as I prepared to lift something at work I felt sharp pain in my upper left calf muscle and could no longer stand cause of the pain.  After going to Ortho urgent care, they determined partial tear in left calf muscle.     Before event, along with muscle cramps in calf's, I had an unusual sensations in my calf's, as if I had something like bugs moving in my calfs.  It should be noted, that I had the same sensations in my calf's after the second vaccine and booster shot, but to a lesser degree with both of the other shots.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The patient was administered the contents of an undiluted vial for his booster dose.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Magnetic resonance imaging head normal, Mobility decreased, Muscular weakness, Pain in extremity
Clinical narrative: 65 yr old male with hx of Diabetes, HLP, reports right arm/hand pain and weakness for about 15 days. He was evaluated by primary MD, and had mRI brain which was negative, and he was prescribed Neurontin, also seen neurology. he has increasing weakness where he can not extent right hand fingers getting worse so i advised him to go to er. He denies any falls, or any trauma. he also has tremor in both hand which is new.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test positive, Tremor
Clinical narrative: 65 yr old male with hx of Diabetes, HLP, reports right arm/hand pain and weakness for about 15 days. He was evaluated by primary MD, and had mRI brain which was negative, and he was prescribed Neurontin, also seen neurology. he has increasing weakness where he can not extent right hand fingers getting worse so i advised him to go to er. He denies any falls, or any trauma. he also has tremor in both hand which is new.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19 pneumonia, Computerised tomogram thorax normal, Dyspnoea, Fibrin D dimer increased
Clinical narrative: DX SOB, COVID-19 pneumonia, hypoxemia requiring supplemental oxygen. 66-year-old gentleman significant known history for diabetes/hypertension presented to complaint of shortness of breath; he states he has been having COVID symptoms with severe headache/cough/productive/shortness of breath over the past 6 days. The patient completed the dose of azithromycin and remdesivir.  D-dimer was elevated today on 10/05;CT pulmonary embolism protocol was negative for pulmonary embolism. The patient will be discharged on Eliquis 2.5 mg daily for total 14 days given the elevated D-dimer.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoxia, Productive cough
Clinical narrative: DX SOB, COVID-19 pneumonia, hypoxemia requiring supplemental oxygen. 66-year-old gentleman significant known history for diabetes/hypertension presented to complaint of shortness of breath; he states he has been having COVID symptoms with severe headache/cough/productive/shortness of breath over the past 6 days. The patient completed the dose of azithromycin and remdesivir.  D-dimer was elevated today on 10/05;CT pulmonary embolism protocol was negative for pulmonary embolism. The patient will be discharged on Eliquis 2.5 mg daily for total 14 days given the elevated D-dimer.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain lower, Appendicectomy, Complicated appendicitis, Computerised tomogram abdomen abnormal
Clinical narrative: About 12 hours, after vaccination started to feel nauseous with a bad belly ache and vomited about every half an hour for 5 Hours and very bad vomited. I then called my on-call Doctor and she stated to go to the ER but to know that it is a side effect of the vaccine and pain was intense on my lower abdomen and then I went to ER right away at noon; Hospital and they said my appendix was very large and I would need to have emergency surgery within 2 hours. Appendix was contained with gain green.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: About 12 hours, after vaccination started to feel nauseous with a bad belly ache and vomited about every half an hour for 5 Hours and very bad vomited. I then called my on-call Doctor and she stated to go to the ER but to know that it is a side effect of the vaccine and pain was intense on my lower abdomen and then I went to ER right away at noon; Hospital and they said my appendix was very large and I would need to have emergency surgery within 2 hours. Appendix was contained with gain green.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Bartonella test negative, Blood culture negative, C-reactive protein increased, Cardiac dysfunction
Clinical narrative: The adverse event was clinically consistent with MIS-C.  The patient developed low-grade fever to 100 F several hours after vaccination.    These fevers persisted for 3 days.  On 12/11/21, fever increased to 102-103 accompanied by rash (palms, soles, eventually trunk), non-purulent conjunctivitis with limbic sparing, and mild strawberry tongue.  He had chest pain with inspiration, myalgias (especially neck), sore throat, headache, and dizziness.    Labs showed marked inflammation and echo showed cardiac dysfunction (see item 19).  He was treated with IVIG with only mild improvement in symptoms.  Infectious work-up was negative for active infection but did reveal an anti-SARS-CoV-2 antibody (spike) positive before IVIG.  He received a second infusion of IVIG and methylprednisolone 1 G IV with marked improvement in symptoms.  He had one additional fever spike, resulting in additional steroids and a steroid taper.  Echo abnormalities resolved, all labs improved, and symptoms improved except for fatigue.  He was discharged to home on 12/20/21.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Conjunctivitis, Cytomegalovirus test positive, Dizziness, Echocardiogram abnormal
Clinical narrative: The adverse event was clinically consistent with MIS-C.  The patient developed low-grade fever to 100 F several hours after vaccination.    These fevers persisted for 3 days.  On 12/11/21, fever increased to 102-103 accompanied by rash (palms, soles, eventually trunk), non-purulent conjunctivitis with limbic sparing, and mild strawberry tongue.  He had chest pain with inspiration, myalgias (especially neck), sore throat, headache, and dizziness.    Labs showed marked inflammation and echo showed cardiac dysfunction (see item 19).  He was treated with IVIG with only mild improvement in symptoms.  Infectious work-up was negative for active infection but did reveal an anti-SARS-CoV-2 antibody (spike) positive before IVIG.  He received a second infusion of IVIG and methylprednisolone 1 G IV with marked improvement in symptoms.  He had one additional fever spike, resulting in additional steroids and a steroid taper.  Echo abnormalities resolved, all labs improved, and symptoms improved except for fatigue.  He was discharged to home on 12/20/21.