chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Acute myocardial infarction, Alanine aminotransferase increased, Angiogram pulmonary normal, Antineutrophil cytoplasmic antibody negative
Clinical narrative: 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review].  see below  Assigned case number (redacted)  Nov 17, 2021 Pfizer covid vaccine  12/14/21 Pfizer covid vaccine 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review]. ER found partial rupt ovarian cyst, bilat basilar atelectatic, CSF study consistent with viral meningitis (see 1/11/2022 note) Dx viral meningitis and enteritis  admitted  seen by dermatology for truck/extremity salmon colored petechial rash.(1/19/2022 note-was on mult antibiotics, antiviral, NSAID, opioids, IV contrast, etc)  --- 1/23/2022 discharge diagnoses: Adult onset stills disease, viral meningitis, enteritis, NSTEMII type 2, pulmonary edema, and acute hepatic injury  3/2022: 29yo AD Female referred to rheumatology for evaluation of AOSD.  COVID vaccination in Jan developed cytokine storm like symptoms ultimately requiring hospitalization in early Jan m/b quotidian fevers,   evanescent rash, leukopenia, arthralgias, pleural effusion, sore throat, myocarditis, high AST/ALT.  Started on high dose steroids and increasing MTX at this time.  Prednisone self tapered to 20mg daily and currently on 10mg weekly of MTX.   pertinent positives include:  Ferritin >4000-- >1321-- >82, CRP 36-- >2.7-- >.28, Negative ANA, RF, ANCA, HIV, C3/4, cultures. Radiology studies: Negative for lymphadenopathy by CTPA.  Apr-May 2022: dx myocarditis: normal echo, cardiac MRI 2 months after onset chest pain, no significant findings noted in symptoms along with elevated troponin "are most consistent with a dx of myocarditis" after covid vaccine.   Also diagnosed with AOSD on prednisone and methotrexate.   3/14/2025 Allergist documented discussion with Medical director Dr. advising "no evidence to extrapolate her request to all vaccines" but was granted exemption to covid-19 vaccinations.  Case referred "formally to the (redacted)" per MD and he provided contact information to this patient.  6/27/2025: Continues to be seen by rheumatology, cardiology, neurology, psych, PCP and followed by case manager at facility.  No contact from this patient to (redacted).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Arthralgia, Aspartate aminotransferase increased, Atelectasis, Back pain
Clinical narrative: 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review].  see below  Assigned case number (redacted)  Nov 17, 2021 Pfizer covid vaccine  12/14/21 Pfizer covid vaccine 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review]. ER found partial rupt ovarian cyst, bilat basilar atelectatic, CSF study consistent with viral meningitis (see 1/11/2022 note) Dx viral meningitis and enteritis  admitted  seen by dermatology for truck/extremity salmon colored petechial rash.(1/19/2022 note-was on mult antibiotics, antiviral, NSAID, opioids, IV contrast, etc)  --- 1/23/2022 discharge diagnoses: Adult onset stills disease, viral meningitis, enteritis, NSTEMII type 2, pulmonary edema, and acute hepatic injury  3/2022: 29yo AD Female referred to rheumatology for evaluation of AOSD.  COVID vaccination in Jan developed cytokine storm like symptoms ultimately requiring hospitalization in early Jan m/b quotidian fevers,   evanescent rash, leukopenia, arthralgias, pleural effusion, sore throat, myocarditis, high AST/ALT.  Started on high dose steroids and increasing MTX at this time.  Prednisone self tapered to 20mg daily and currently on 10mg weekly of MTX.   pertinent positives include:  Ferritin >4000-- >1321-- >82, CRP 36-- >2.7-- >.28, Negative ANA, RF, ANCA, HIV, C3/4, cultures. Radiology studies: Negative for lymphadenopathy by CTPA.  Apr-May 2022: dx myocarditis: normal echo, cardiac MRI 2 months after onset chest pain, no significant findings noted in symptoms along with elevated troponin "are most consistent with a dx of myocarditis" after covid vaccine.   Also diagnosed with AOSD on prednisone and methotrexate.   3/14/2025 Allergist documented discussion with Medical director Dr. advising "no evidence to extrapolate her request to all vaccines" but was granted exemption to covid-19 vaccinations.  Case referred "formally to the (redacted)" per MD and he provided contact information to this patient.  6/27/2025: Continues to be seen by rheumatology, cardiology, neurology, psych, PCP and followed by case manager at facility.  No contact from this patient to (redacted).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, CSF test abnormal, Chest pain, Chills, Complement factor C3
Clinical narrative: 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review].  see below  Assigned case number (redacted)  Nov 17, 2021 Pfizer covid vaccine  12/14/21 Pfizer covid vaccine 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review]. ER found partial rupt ovarian cyst, bilat basilar atelectatic, CSF study consistent with viral meningitis (see 1/11/2022 note) Dx viral meningitis and enteritis  admitted  seen by dermatology for truck/extremity salmon colored petechial rash.(1/19/2022 note-was on mult antibiotics, antiviral, NSAID, opioids, IV contrast, etc)  --- 1/23/2022 discharge diagnoses: Adult onset stills disease, viral meningitis, enteritis, NSTEMII type 2, pulmonary edema, and acute hepatic injury  3/2022: 29yo AD Female referred to rheumatology for evaluation of AOSD.  COVID vaccination in Jan developed cytokine storm like symptoms ultimately requiring hospitalization in early Jan m/b quotidian fevers,   evanescent rash, leukopenia, arthralgias, pleural effusion, sore throat, myocarditis, high AST/ALT.  Started on high dose steroids and increasing MTX at this time.  Prednisone self tapered to 20mg daily and currently on 10mg weekly of MTX.   pertinent positives include:  Ferritin >4000-- >1321-- >82, CRP 36-- >2.7-- >.28, Negative ANA, RF, ANCA, HIV, C3/4, cultures. Radiology studies: Negative for lymphadenopathy by CTPA.  Apr-May 2022: dx myocarditis: normal echo, cardiac MRI 2 months after onset chest pain, no significant findings noted in symptoms along with elevated troponin "are most consistent with a dx of myocarditis" after covid vaccine.   Also diagnosed with AOSD on prednisone and methotrexate.   3/14/2025 Allergist documented discussion with Medical director Dr. advising "no evidence to extrapolate her request to all vaccines" but was granted exemption to covid-19 vaccinations.  Case referred "formally to the (redacted)" per MD and he provided contact information to this patient.  6/27/2025: Continues to be seen by rheumatology, cardiology, neurology, psych, PCP and followed by case manager at facility.  No contact from this patient to (redacted).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Complement factor C4, Complement factor normal, Computerised tomogram thorax, Culture, Cytokine storm
Clinical narrative: 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review].  see below  Assigned case number (redacted)  Nov 17, 2021 Pfizer covid vaccine  12/14/21 Pfizer covid vaccine 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review]. ER found partial rupt ovarian cyst, bilat basilar atelectatic, CSF study consistent with viral meningitis (see 1/11/2022 note) Dx viral meningitis and enteritis  admitted  seen by dermatology for truck/extremity salmon colored petechial rash.(1/19/2022 note-was on mult antibiotics, antiviral, NSAID, opioids, IV contrast, etc)  --- 1/23/2022 discharge diagnoses: Adult onset stills disease, viral meningitis, enteritis, NSTEMII type 2, pulmonary edema, and acute hepatic injury  3/2022: 29yo AD Female referred to rheumatology for evaluation of AOSD.  COVID vaccination in Jan developed cytokine storm like symptoms ultimately requiring hospitalization in early Jan m/b quotidian fevers,   evanescent rash, leukopenia, arthralgias, pleural effusion, sore throat, myocarditis, high AST/ALT.  Started on high dose steroids and increasing MTX at this time.  Prednisone self tapered to 20mg daily and currently on 10mg weekly of MTX.   pertinent positives include:  Ferritin >4000-- >1321-- >82, CRP 36-- >2.7-- >.28, Negative ANA, RF, ANCA, HIV, C3/4, cultures. Radiology studies: Negative for lymphadenopathy by CTPA.  Apr-May 2022: dx myocarditis: normal echo, cardiac MRI 2 months after onset chest pain, no significant findings noted in symptoms along with elevated troponin "are most consistent with a dx of myocarditis" after covid vaccine.   Also diagnosed with AOSD on prednisone and methotrexate.   3/14/2025 Allergist documented discussion with Medical director Dr. advising "no evidence to extrapolate her request to all vaccines" but was granted exemption to covid-19 vaccinations.  Case referred "formally to the (redacted)" per MD and he provided contact information to this patient.  6/27/2025: Continues to be seen by rheumatology, cardiology, neurology, psych, PCP and followed by case manager at facility.  No contact from this patient to (redacted).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Ear pain, Echocardiogram normal, Enteritis
Clinical narrative: 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review].  see below  Assigned case number (redacted)  Nov 17, 2021 Pfizer covid vaccine  12/14/21 Pfizer covid vaccine 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review]. ER found partial rupt ovarian cyst, bilat basilar atelectatic, CSF study consistent with viral meningitis (see 1/11/2022 note) Dx viral meningitis and enteritis  admitted  seen by dermatology for truck/extremity salmon colored petechial rash.(1/19/2022 note-was on mult antibiotics, antiviral, NSAID, opioids, IV contrast, etc)  --- 1/23/2022 discharge diagnoses: Adult onset stills disease, viral meningitis, enteritis, NSTEMII type 2, pulmonary edema, and acute hepatic injury  3/2022: 29yo AD Female referred to rheumatology for evaluation of AOSD.  COVID vaccination in Jan developed cytokine storm like symptoms ultimately requiring hospitalization in early Jan m/b quotidian fevers,   evanescent rash, leukopenia, arthralgias, pleural effusion, sore throat, myocarditis, high AST/ALT.  Started on high dose steroids and increasing MTX at this time.  Prednisone self tapered to 20mg daily and currently on 10mg weekly of MTX.   pertinent positives include:  Ferritin >4000-- >1321-- >82, CRP 36-- >2.7-- >.28, Negative ANA, RF, ANCA, HIV, C3/4, cultures. Radiology studies: Negative for lymphadenopathy by CTPA.  Apr-May 2022: dx myocarditis: normal echo, cardiac MRI 2 months after onset chest pain, no significant findings noted in symptoms along with elevated troponin "are most consistent with a dx of myocarditis" after covid vaccine.   Also diagnosed with AOSD on prednisone and methotrexate.   3/14/2025 Allergist documented discussion with Medical director Dr. advising "no evidence to extrapolate her request to all vaccines" but was granted exemption to covid-19 vaccinations.  Case referred "formally to the (redacted)" per MD and he provided contact information to this patient.  6/27/2025: Continues to be seen by rheumatology, cardiology, neurology, psych, PCP and followed by case manager at facility.  No contact from this patient to (redacted).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Flank pain, HIV test negative, Headache, Leukopenia, Liver injury
Clinical narrative: 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review].  see below  Assigned case number (redacted)  Nov 17, 2021 Pfizer covid vaccine  12/14/21 Pfizer covid vaccine 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review]. ER found partial rupt ovarian cyst, bilat basilar atelectatic, CSF study consistent with viral meningitis (see 1/11/2022 note) Dx viral meningitis and enteritis  admitted  seen by dermatology for truck/extremity salmon colored petechial rash.(1/19/2022 note-was on mult antibiotics, antiviral, NSAID, opioids, IV contrast, etc)  --- 1/23/2022 discharge diagnoses: Adult onset stills disease, viral meningitis, enteritis, NSTEMII type 2, pulmonary edema, and acute hepatic injury  3/2022: 29yo AD Female referred to rheumatology for evaluation of AOSD.  COVID vaccination in Jan developed cytokine storm like symptoms ultimately requiring hospitalization in early Jan m/b quotidian fevers,   evanescent rash, leukopenia, arthralgias, pleural effusion, sore throat, myocarditis, high AST/ALT.  Started on high dose steroids and increasing MTX at this time.  Prednisone self tapered to 20mg daily and currently on 10mg weekly of MTX.   pertinent positives include:  Ferritin >4000-- >1321-- >82, CRP 36-- >2.7-- >.28, Negative ANA, RF, ANCA, HIV, C3/4, cultures. Radiology studies: Negative for lymphadenopathy by CTPA.  Apr-May 2022: dx myocarditis: normal echo, cardiac MRI 2 months after onset chest pain, no significant findings noted in symptoms along with elevated troponin "are most consistent with a dx of myocarditis" after covid vaccine.   Also diagnosed with AOSD on prednisone and methotrexate.   3/14/2025 Allergist documented discussion with Medical director Dr. advising "no evidence to extrapolate her request to all vaccines" but was granted exemption to covid-19 vaccinations.  Case referred "formally to the (redacted)" per MD and he provided contact information to this patient.  6/27/2025: Continues to be seen by rheumatology, cardiology, neurology, psych, PCP and followed by case manager at facility.  No contact from this patient to (redacted).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging heart normal, Meningitis viral, Musculoskeletal stiffness, Myocarditis, Nasopharyngitis
Clinical narrative: 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review].  see below  Assigned case number (redacted)  Nov 17, 2021 Pfizer covid vaccine  12/14/21 Pfizer covid vaccine 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review]. ER found partial rupt ovarian cyst, bilat basilar atelectatic, CSF study consistent with viral meningitis (see 1/11/2022 note) Dx viral meningitis and enteritis  admitted  seen by dermatology for truck/extremity salmon colored petechial rash.(1/19/2022 note-was on mult antibiotics, antiviral, NSAID, opioids, IV contrast, etc)  --- 1/23/2022 discharge diagnoses: Adult onset stills disease, viral meningitis, enteritis, NSTEMII type 2, pulmonary edema, and acute hepatic injury  3/2022: 29yo AD Female referred to rheumatology for evaluation of AOSD.  COVID vaccination in Jan developed cytokine storm like symptoms ultimately requiring hospitalization in early Jan m/b quotidian fevers,   evanescent rash, leukopenia, arthralgias, pleural effusion, sore throat, myocarditis, high AST/ALT.  Started on high dose steroids and increasing MTX at this time.  Prednisone self tapered to 20mg daily and currently on 10mg weekly of MTX.   pertinent positives include:  Ferritin >4000-- >1321-- >82, CRP 36-- >2.7-- >.28, Negative ANA, RF, ANCA, HIV, C3/4, cultures. Radiology studies: Negative for lymphadenopathy by CTPA.  Apr-May 2022: dx myocarditis: normal echo, cardiac MRI 2 months after onset chest pain, no significant findings noted in symptoms along with elevated troponin "are most consistent with a dx of myocarditis" after covid vaccine.   Also diagnosed with AOSD on prednisone and methotrexate.   3/14/2025 Allergist documented discussion with Medical director Dr. advising "no evidence to extrapolate her request to all vaccines" but was granted exemption to covid-19 vaccinations.  Case referred "formally to the (redacted)" per MD and he provided contact information to this patient.  6/27/2025: Continues to be seen by rheumatology, cardiology, neurology, psych, PCP and followed by case manager at facility.  No contact from this patient to (redacted).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Ovarian cyst ruptured, Petechiae, Pleural effusion
Clinical narrative: 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review].  see below  Assigned case number (redacted)  Nov 17, 2021 Pfizer covid vaccine  12/14/21 Pfizer covid vaccine 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review]. ER found partial rupt ovarian cyst, bilat basilar atelectatic, CSF study consistent with viral meningitis (see 1/11/2022 note) Dx viral meningitis and enteritis  admitted  seen by dermatology for truck/extremity salmon colored petechial rash.(1/19/2022 note-was on mult antibiotics, antiviral, NSAID, opioids, IV contrast, etc)  --- 1/23/2022 discharge diagnoses: Adult onset stills disease, viral meningitis, enteritis, NSTEMII type 2, pulmonary edema, and acute hepatic injury  3/2022: 29yo AD Female referred to rheumatology for evaluation of AOSD.  COVID vaccination in Jan developed cytokine storm like symptoms ultimately requiring hospitalization in early Jan m/b quotidian fevers,   evanescent rash, leukopenia, arthralgias, pleural effusion, sore throat, myocarditis, high AST/ALT.  Started on high dose steroids and increasing MTX at this time.  Prednisone self tapered to 20mg daily and currently on 10mg weekly of MTX.   pertinent positives include:  Ferritin >4000-- >1321-- >82, CRP 36-- >2.7-- >.28, Negative ANA, RF, ANCA, HIV, C3/4, cultures. Radiology studies: Negative for lymphadenopathy by CTPA.  Apr-May 2022: dx myocarditis: normal echo, cardiac MRI 2 months after onset chest pain, no significant findings noted in symptoms along with elevated troponin "are most consistent with a dx of myocarditis" after covid vaccine.   Also diagnosed with AOSD on prednisone and methotrexate.   3/14/2025 Allergist documented discussion with Medical director Dr. advising "no evidence to extrapolate her request to all vaccines" but was granted exemption to covid-19 vaccinations.  Case referred "formally to the (redacted)" per MD and he provided contact information to this patient.  6/27/2025: Continues to be seen by rheumatology, cardiology, neurology, psych, PCP and followed by case manager at facility.  No contact from this patient to (redacted).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, Pyrexia, Rash, Rash erythematous, Rheumatoid factor negative
Clinical narrative: 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review].  see below  Assigned case number (redacted)  Nov 17, 2021 Pfizer covid vaccine  12/14/21 Pfizer covid vaccine 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review]. ER found partial rupt ovarian cyst, bilat basilar atelectatic, CSF study consistent with viral meningitis (see 1/11/2022 note) Dx viral meningitis and enteritis  admitted  seen by dermatology for truck/extremity salmon colored petechial rash.(1/19/2022 note-was on mult antibiotics, antiviral, NSAID, opioids, IV contrast, etc)  --- 1/23/2022 discharge diagnoses: Adult onset stills disease, viral meningitis, enteritis, NSTEMII type 2, pulmonary edema, and acute hepatic injury  3/2022: 29yo AD Female referred to rheumatology for evaluation of AOSD.  COVID vaccination in Jan developed cytokine storm like symptoms ultimately requiring hospitalization in early Jan m/b quotidian fevers,   evanescent rash, leukopenia, arthralgias, pleural effusion, sore throat, myocarditis, high AST/ALT.  Started on high dose steroids and increasing MTX at this time.  Prednisone self tapered to 20mg daily and currently on 10mg weekly of MTX.   pertinent positives include:  Ferritin >4000-- >1321-- >82, CRP 36-- >2.7-- >.28, Negative ANA, RF, ANCA, HIV, C3/4, cultures. Radiology studies: Negative for lymphadenopathy by CTPA.  Apr-May 2022: dx myocarditis: normal echo, cardiac MRI 2 months after onset chest pain, no significant findings noted in symptoms along with elevated troponin "are most consistent with a dx of myocarditis" after covid vaccine.   Also diagnosed with AOSD on prednisone and methotrexate.   3/14/2025 Allergist documented discussion with Medical director Dr. advising "no evidence to extrapolate her request to all vaccines" but was granted exemption to covid-19 vaccinations.  Case referred "formally to the (redacted)" per MD and he provided contact information to this patient.  6/27/2025: Continues to be seen by rheumatology, cardiology, neurology, psych, PCP and followed by case manager at facility.  No contact from this patient to (redacted).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Serum ferritin increased, Sinus disorder, Still's disease, Tachycardia
Clinical narrative: 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review].  see below  Assigned case number (redacted)  Nov 17, 2021 Pfizer covid vaccine  12/14/21 Pfizer covid vaccine 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review]. ER found partial rupt ovarian cyst, bilat basilar atelectatic, CSF study consistent with viral meningitis (see 1/11/2022 note) Dx viral meningitis and enteritis  admitted  seen by dermatology for truck/extremity salmon colored petechial rash.(1/19/2022 note-was on mult antibiotics, antiviral, NSAID, opioids, IV contrast, etc)  --- 1/23/2022 discharge diagnoses: Adult onset stills disease, viral meningitis, enteritis, NSTEMII type 2, pulmonary edema, and acute hepatic injury  3/2022: 29yo AD Female referred to rheumatology for evaluation of AOSD.  COVID vaccination in Jan developed cytokine storm like symptoms ultimately requiring hospitalization in early Jan m/b quotidian fevers,   evanescent rash, leukopenia, arthralgias, pleural effusion, sore throat, myocarditis, high AST/ALT.  Started on high dose steroids and increasing MTX at this time.  Prednisone self tapered to 20mg daily and currently on 10mg weekly of MTX.   pertinent positives include:  Ferritin >4000-- >1321-- >82, CRP 36-- >2.7-- >.28, Negative ANA, RF, ANCA, HIV, C3/4, cultures. Radiology studies: Negative for lymphadenopathy by CTPA.  Apr-May 2022: dx myocarditis: normal echo, cardiac MRI 2 months after onset chest pain, no significant findings noted in symptoms along with elevated troponin "are most consistent with a dx of myocarditis" after covid vaccine.   Also diagnosed with AOSD on prednisone and methotrexate.   3/14/2025 Allergist documented discussion with Medical director Dr. advising "no evidence to extrapolate her request to all vaccines" but was granted exemption to covid-19 vaccinations.  Case referred "formally to the (redacted)" per MD and he provided contact information to this patient.  6/27/2025: Continues to be seen by rheumatology, cardiology, neurology, psych, PCP and followed by case manager at facility.  No contact from this patient to (redacted).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review].  see below  Assigned case number (redacted)  Nov 17, 2021 Pfizer covid vaccine  12/14/21 Pfizer covid vaccine 1/9/2022: ER c/o 1.5 weeks cold/sinus symptoms with negative covid antigen.  Left ear pain, ha, nausea, mild abd pain. 1/11-15/2022: 3rd ER visit with rt flank pain, nausea, dec appetite..febrile (103), tachycardia,  chills, neck stiffness, back pain, SOB [has hx of LBP, bilat breast prostheses, and migraines (PTSD/concussions) per med record review]. ER found partial rupt ovarian cyst, bilat basilar atelectatic, CSF study consistent with viral meningitis (see 1/11/2022 note) Dx viral meningitis and enteritis  admitted  seen by dermatology for truck/extremity salmon colored petechial rash.(1/19/2022 note-was on mult antibiotics, antiviral, NSAID, opioids, IV contrast, etc)  --- 1/23/2022 discharge diagnoses: Adult onset stills disease, viral meningitis, enteritis, NSTEMII type 2, pulmonary edema, and acute hepatic injury  3/2022: 29yo AD Female referred to rheumatology for evaluation of AOSD.  COVID vaccination in Jan developed cytokine storm like symptoms ultimately requiring hospitalization in early Jan m/b quotidian fevers,   evanescent rash, leukopenia, arthralgias, pleural effusion, sore throat, myocarditis, high AST/ALT.  Started on high dose steroids and increasing MTX at this time.  Prednisone self tapered to 20mg daily and currently on 10mg weekly of MTX.   pertinent positives include:  Ferritin >4000-- >1321-- >82, CRP 36-- >2.7-- >.28, Negative ANA, RF, ANCA, HIV, C3/4, cultures. Radiology studies: Negative for lymphadenopathy by CTPA.  Apr-May 2022: dx myocarditis: normal echo, cardiac MRI 2 months after onset chest pain, no significant findings noted in symptoms along with elevated troponin "are most consistent with a dx of myocarditis" after covid vaccine.   Also diagnosed with AOSD on prednisone and methotrexate.   3/14/2025 Allergist documented discussion with Medical director Dr. advising "no evidence to extrapolate her request to all vaccines" but was granted exemption to covid-19 vaccinations.  Case referred "formally to the (redacted)" per MD and he provided contact information to this patient.  6/27/2025: Continues to be seen by rheumatology, cardiology, neurology, psych, PCP and followed by case manager at facility.  No contact from this patient to (redacted).
Age: 8.0
Sex: F
Vaccine: TDAP
Symptoms: Extra dose administered
Clinical narrative: Patient and mom presented to our office for 8 year WCC and mom provided me with historic record of immunizations. Prior to determining if patient was due, these were entered into the chart so that it could be reconciled with system to determine if any are due. After completion of entry, it showed me that patient was due for TDaP next dose. We proceeded with administration of this immunization after permission obtained with mom, patient tolerated and left. Upon further review, it shows that this was a duplicate/invalid administration as patient had previously been up to date with vaccines. I believe the system had not had a chance to completely reconcile the outside data entry leading to erroneous duplication of vaccine. Moving forward, more attention to detail to allow system to fully update and review current immunization counts compared to how many should be due manually would be prudent to help prevent this moving forward when reviewing historic/current immunizations due. Patient's mom to be notified of duplication, no action required for recovery.
Age: 0.5
Sex: F
Vaccine: DTPPVHBHPB, PNC20
Symptoms: Fatigue, Pyrexia, Somnolence, Vomiting
Clinical narrative: Patient was sleepy on the hour drive home after vaccinations were administered. She napped most of the drive home and was more tired than usual that afternoon. She vomited 1-2 Tbsp of partially digested breast milk (no blood or discoloration) at 7:45pm. She had a fever of 100.7F at 8pm on 02Apr2025 No treatment was administered for vomiting. No additional bouts of vomiting occurred after this instance. Body temperature reduced to 99.7F by 7:15pm on 03Apr2025 without intervention and was normal by 12pm 04Apr2025.
Age: 57.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: After being vaccinated, in 2024 I developed shingles requiring medical treatment
Age: 86.0
Sex: M
Vaccine: COVID19, RSV
Symptoms: Expired product administered
Clinical narrative: Additional dose of AREXVY beyond the single recommended dose
Age: 95.0
Sex: M
Vaccine: COVID19, RSV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received additional dose of AREXVY in addition to the initial recommended dose - Doses were approximately 16 months apart.
Sex: F
Vaccine: RAB
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The patient received the second dose of RabAvert vaccine in the middle of the night between day three to day four; Case reference number US-BN-2024-002407 is a spontaneous case initially received from consumer via Med Communication (reference number USBAV24-2110) on 26-Aug-2024 and concerns a female patient of unknown age.  The patient's medical history and concomitant medication were not provided.  On an unspecified date, the patient received the first dose of RabAvert (batch number: unknown), at an unknown dose, route or site of administration, for rabies vaccination. As reported, the patient went to emergency room (ER) for the first dose and was told that following doses could be administered in urgent care. The patient was out of town when got first dose of RabAvert and found that it was very hard to find any urgent care in patient's area that carries this brand of vaccine.  On an unspecified date, reported as in the middle of the night, between day three and day four, the patient received the second dose of RabAvert (batch number: unknown), at an unknown dose, route or site of administration (explicitly coded ' Inappropriate schedule of vaccine administered'). As reported, the patient went where the first dose was administered, for fear of keeping the same manufacture through the series.  At the time of the initial report, it was unknown if the patient experienced any adverse event due to RabAvert vaccine.  No further information was provided.; Reporter's Comments: A female patient of unknown age received the second dose of RabAvert for rabies vaccination, reported as in the middle of the night, between day three and day four, which is considered as inappropriate schedule of vaccine administered. It was unknown if the patient experienced any adverse event due to RabAvert vaccine. Inappropriate schedule of product administration is considered as listed per company convention. The patient's medical history and concomitant medication details were not provided. Inappropriate schedule of product administration is not related to the suspect vaccine, but to a human factor. This case is considered as non-serious.; Sender's Comments: A female patient of unknown age received the second dose of RabAvert for rabies vaccination, reported as in the middle of the night, between day three and day four, which is considered as inappropriate schedule of vaccine administered. It was unknown if the patient experienced any adverse event due to RabAvert vaccine. Inappropriate schedule of product administration is considered as listed per company convention. The patient's medical history and concomitant medication details were not provided. Inappropriate schedule of product administration is not related to the suspect vaccine, but to a human factor. This case is considered as non-serious.
Age: 73.0
Sex: F
Vaccine: PNC21
Symptoms: Feeling hot, Injection site warmth, Pyrexia
Clinical narrative: The patient presents for evaluation of a reaction to a pneumonia vaccine.  Reaction to pneumonia vaccine - She received the vaccine on 06/23/2025, followed by blood work. - She reports no pain but notes warmth at the injection site. - On the first night post-vaccination, she experienced a fever, managed with aspirin, and felt warm throughout the night. - No new rashes, but mentions a pre-existing rash around her neck.
Age: 86.0
Sex: M
Vaccine: COVID19, RSV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received additional dose of AREXVY in addition to the single dose recommended - doses were approximately 19 months apart.
Age: 85.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received additional dose of AREXVY in addition to single dose recommended - doses were approximately 19 months apart
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: She started having rashes around her belly button on 6/20. Symptoms are getting better
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The patient came in with their house assistant seeking to get a Prevnar 20 vaccine and a Shingles vaccine. The Prevnar vaccine had been given previously so we informed them of that, however the shingles vaccination history was missed. A claim was run and approved and the vaccine was given. When looking through the patient history, it was discovered that the patient had already received two doses of Shingrix. The house manager was notified and told to watch for any issues with the third dose. There have been no reported adverse effects from the vaccine reported as of the writing of this summary. We will follow up over the next several days-weeks with the patient to ensure that no harmful side effects were experienced. If the patient has any additional symptoms we will notify VAERS immediately.
Age: 1.08
Sex: M
Vaccine: MMR
Symptoms: Chest X-ray, Culture urine, Pyrexia, Respiratory pathogen panel, Urine analysis
Clinical narrative: fever and possible rash starting on 6/22-6/26
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Patient received shingrix vaccine in left arm on 6-23-25. she returned to the pharmacy on 6-27-25 stating her was experiencing pain, redness, warmth and swelling in the left arm. She also stated the area had gotten larger.  She reported she did not have a fever. Rph explained this may be a normal reaction to the vaccine but advised a nurse consult at the clinic. Pharmacist walked her to the clinic to advise about an ancillary visit, but patient did not have time to wait. she was advised to call the clinic  as soon as possible for advice. She was also advised to go to urgent care or  emergency room if symptoms worsened or if she developed a fever. patient acknowledged understanding.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site rash, Pain, Pain in extremity
Clinical narrative: She started developing soreness in the left arm and down left side the night of 6/26/25. She noticed the rash in the morning of 6/27/25. It is below the injection site and about 2 inches in diameter with a couple smaller spots around it. It doesn't itch, it's just tender.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Extra dose administered, Streptococcus test positive, Wrong product administered
Clinical narrative: Patient given incorrect vaccine outside of the order from the provider. It is patient's 3rd dose of Varivax. Patient also tested positive for Strep Throat in office during visit.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, PNC15
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 15-MONTH-OLD RECIEVED VACCINES 2 DAYS AGO. MOTHER CALLED STATING SHE NOTICED LEFT LEG REDNESS, SWELLING, AND TENDERNESS AT SITE OF INJECTION. TODAY IN OFFICE PURPLE/RED DISCOLORATION AND BRUISING SEEN AT 5CM AWAY FROM INJECTION SITE PER PROVIDER. TREATMENT IS SUPPORTIVE CARE/MONITORING.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Urticaria
Clinical narrative: Employee noted hives around the left flank and left lower back around 1900 when taking a shower, the day following the vaccination on 06/21/2025. Employee states that there was mild itching at the left flank and lower back. Employee denies any redness and itching at the injection site. Employee denies seeking medical attention for the itching. Employee applied Vaseline and CeraVe body lotion to the hives to alleviate itching.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash
Clinical narrative: Rash on left arm near injection site. Pt will monitor and let us know of any changes.
Age: 63.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Asthenia, Musculoskeletal stiffness, Myalgia, Tendon pain
Clinical narrative: DIFFUSE SEVERE JOINT PAIN , STIFFNESS, WEAKNESS, FOLOWED BY TENDON AND MUSCLE PAIN X 4 DAYS
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site rash, Rash erythematous, Rash papular
Clinical narrative: About 10 minutes after vaccine administration patient developed a nonpruritic rash on her face only.  The rash was mildly erythematous and raised.  There was no difficulty breathing, throat swelling or pain, pruritus. Patient was evaluated immediately after and provided Benadryl.  Patient was walking and talking at baseline.  A prescription was sent for Benadryl and prednisone if symptoms worsen.  Patient's parent was given strict ED precautions.
Age: 27.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: Patient was administered vaccine on 6/27/25 but the expiration date was 5/11/25.
Age: 1.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: gave MMR-V and Varicella at the sametime, no reaction reported
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: patient was given a dose of pentacel by mistake at last checkup.  pt with no complications reported by mother.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal X-ray, Autonomic nervous system imbalance, Blindness transient, Blood test, Bradycardia
Clinical narrative: 4-13-21; Driven home from work with lightheadedness 6-03-21; DVTs in right leg 8-05-21; Driven home from work with lightheadedness, near syncope 8-10-21; Driven to hospital from work with lightheadedness, near syncope. O/N in hospital --tachychardia Through 2022--Continued issues with lightheadedness, transient vision obscurations TVO's), and unexplained autonomic dysfunction 5-25-22; Failed Tilt Table Test-- POTS diagnosis 5-25-22; FIRST TIME COVID DIAGNOSIS 10-13-22; Ambulance from work--1st Vertigo attack--After several months, diagnosed with Meniere's Continues to-date with same issues--now calling it "Vaso Depressor Syncope," Bradychardia, fatigue
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac stress test, Chest X-ray, Computerised tomogram head, Computerised tomogram thorax
Clinical narrative: 4-13-21; Driven home from work with lightheadedness 6-03-21; DVTs in right leg 8-05-21; Driven home from work with lightheadedness, near syncope 8-10-21; Driven to hospital from work with lightheadedness, near syncope. O/N in hospital --tachychardia Through 2022--Continued issues with lightheadedness, transient vision obscurations TVO's), and unexplained autonomic dysfunction 5-25-22; Failed Tilt Table Test-- POTS diagnosis 5-25-22; FIRST TIME COVID DIAGNOSIS 10-13-22; Ambulance from work--1st Vertigo attack--After several months, diagnosed with Meniere's Continues to-date with same issues--now calling it "Vaso Depressor Syncope," Bradychardia, fatigue
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Dizziness, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: 4-13-21; Driven home from work with lightheadedness 6-03-21; DVTs in right leg 8-05-21; Driven home from work with lightheadedness, near syncope 8-10-21; Driven to hospital from work with lightheadedness, near syncope. O/N in hospital --tachychardia Through 2022--Continued issues with lightheadedness, transient vision obscurations TVO's), and unexplained autonomic dysfunction 5-25-22; Failed Tilt Table Test-- POTS diagnosis 5-25-22; FIRST TIME COVID DIAGNOSIS 10-13-22; Ambulance from work--1st Vertigo attack--After several months, diagnosed with Meniere's Continues to-date with same issues--now calling it "Vaso Depressor Syncope," Bradychardia, fatigue
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocochleogram, Electroencephalogram, Fatigue, Magnetic resonance imaging head, Meniere's disease
Clinical narrative: 4-13-21; Driven home from work with lightheadedness 6-03-21; DVTs in right leg 8-05-21; Driven home from work with lightheadedness, near syncope 8-10-21; Driven to hospital from work with lightheadedness, near syncope. O/N in hospital --tachychardia Through 2022--Continued issues with lightheadedness, transient vision obscurations TVO's), and unexplained autonomic dysfunction 5-25-22; Failed Tilt Table Test-- POTS diagnosis 5-25-22; FIRST TIME COVID DIAGNOSIS 10-13-22; Ambulance from work--1st Vertigo attack--After several months, diagnosed with Meniere's Continues to-date with same issues--now calling it "Vaso Depressor Syncope," Bradychardia, fatigue
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Postural orthostatic tachycardia syndrome, Presyncope, Syncope, Tachycardia, Tilt table test positive
Clinical narrative: 4-13-21; Driven home from work with lightheadedness 6-03-21; DVTs in right leg 8-05-21; Driven home from work with lightheadedness, near syncope 8-10-21; Driven to hospital from work with lightheadedness, near syncope. O/N in hospital --tachychardia Through 2022--Continued issues with lightheadedness, transient vision obscurations TVO's), and unexplained autonomic dysfunction 5-25-22; Failed Tilt Table Test-- POTS diagnosis 5-25-22; FIRST TIME COVID DIAGNOSIS 10-13-22; Ambulance from work--1st Vertigo attack--After several months, diagnosed with Meniere's Continues to-date with same issues--now calling it "Vaso Depressor Syncope," Bradychardia, fatigue
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler, Vertigo
Clinical narrative: 4-13-21; Driven home from work with lightheadedness 6-03-21; DVTs in right leg 8-05-21; Driven home from work with lightheadedness, near syncope 8-10-21; Driven to hospital from work with lightheadedness, near syncope. O/N in hospital --tachychardia Through 2022--Continued issues with lightheadedness, transient vision obscurations TVO's), and unexplained autonomic dysfunction 5-25-22; Failed Tilt Table Test-- POTS diagnosis 5-25-22; FIRST TIME COVID DIAGNOSIS 10-13-22; Ambulance from work--1st Vertigo attack--After several months, diagnosed with Meniere's Continues to-date with same issues--now calling it "Vaso Depressor Syncope," Bradychardia, fatigue
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error during transport caused vaccine to be deemed invalid
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error during transport caused vaccine to be deemed invalid
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error during transport caused vaccine to be deemed invalid.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Extra dose administered
Clinical narrative: Patient received Tdap dose on 6/27/25 as her previous PCP records indicated last dose was in October of 2015.  After administration it was determined patient had received Tdap at the same facility one month prior 5/29/2025.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Central nervous system lesion, Condition aggravated, Gait disturbance, Magnetic resonance imaging head abnormal
Clinical narrative: New enhancing brain lesion after vaccination event on 09/24/2024, confirmed by MRI on 11/2/2024.  PMRI done prior to vaccination in mid-September 2024 did not show this lesion.  Following vaccination, new neurologic symptoms appeared, including vertigo and balance/gait difficulties.