chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Child maltreatment syndrome, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Immediately hit with dizzy spells. Was told to drink water and sit for 15 minutes. Left after 20 minutes and continued to feel tired and dizzy. Throughout the evening and night skin began to itch, my neck tightened up, my skin became extremely sensitive to touch, chills and shakes started to happen. I took an over the counter medicine lime Tylenol yet nothing has been helping. I current still have everything I described and a massive headache.  I am unable to move my left arm without extreme pain and the pain has been spreading down the arm.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pruritus, Skin sensitisation, Throat tightness
Clinical narrative: Immediately hit with dizzy spells. Was told to drink water and sit for 15 minutes. Left after 20 minutes and continued to feel tired and dizzy. Throughout the evening and night skin began to itch, my neck tightened up, my skin became extremely sensitive to touch, chills and shakes started to happen. I took an over the counter medicine lime Tylenol yet nothing has been helping. I current still have everything I described and a massive headache.  I am unable to move my left arm without extreme pain and the pain has been spreading down the arm.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Red bumps on arms and trunk
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash or burn under left arm, started on 06/07/2021, same arm of vaccine.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms
Clinical narrative: Severe muscle cramping - upper back, neck, trapezoid
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Product storage error
Clinical narrative: vaccine was administered outside of storage recommendations. Notified pt to return for re-vaccination
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac function test, Chest pain, Electrocardiogram abnormal, Fibrin D dimer normal
Clinical narrative: Developed chest pain on 5/26
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 25 y/o with no past medical history that presents with dizziness post vaccination. Patient states that this is the first dose in the two-dose series. Patient states that normally gets faint with blood draws. Patient states that vaccination was received to the left arm. Patient was placed in wheelchair and taken to the partitioned area with the NP and Paramedics. Patient vitals within normal limits (116/55 BP, 64 HR, 97% RA, 12 Resp). Patient placed in Trendelenburg position and monitored. Patient continued with normal vitals. Within 10 mins of observing patient, patient states that ?feels better?. Patient vitals upon discharge within normal limits (122/70 BP, 94 HR, 98% RA, 12 Resp). Patient able to ambulate without difficulty. Patient discharged in stable condition.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: fever/chills and whole body muscle soreness for about 2 days, gone by third day.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Full blood count, Glycosylated haemoglobin, Lymphadenopathy, Metabolic function test
Clinical narrative: Lymphadenopathy and localized lower neck swelling
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Lymphadenopathy and localized lower neck swelling
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Product storage error
Clinical narrative: vaccine was administered outside of storage recommendations. Notified pt to return for re-vaccination
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Dysgeusia, Fatigue, Headache
Clinical narrative: Started off with extreme fatigue the morning after the vaccine, then throbbing intense migraine started around 11 am that lasted until the next morning after which a dull headache lasting till Friday, 102.3 fever, EXTREMELY painful body aches, metallic taste in mouth, thirst that could not be quenched, dizziness, blurred vision, confusing, nausea.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Nausea, Pain, Pyrexia, Thirst
Clinical narrative: Started off with extreme fatigue the morning after the vaccine, then throbbing intense migraine started around 11 am that lasted until the next morning after which a dull headache lasting till Friday, 102.3 fever, EXTREMELY painful body aches, metallic taste in mouth, thirst that could not be quenched, dizziness, blurred vision, confusing, nausea.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Started off with extreme fatigue the morning after the vaccine, then throbbing intense migraine started around 11 am that lasted until the next morning after which a dull headache lasting till Friday, 102.3 fever, EXTREMELY painful body aches, metallic taste in mouth, thirst that could not be quenched, dizziness, blurred vision, confusing, nausea.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriogram coronary normal, Chest pain, Echocardiogram normal, Ejection fraction normal, Myocarditis
Clinical narrative: myocarditis: presented with 1 day chest pain.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: myocarditis: presented with 1 day chest pain.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Altered state of consciousness, Nausea
Clinical narrative: Within 5-10 minutes following vaccination patient nearly lost consciousness and felt nauseous. Parent states he has a history of vaso-vagal reaction following blood draws but never following vaccination. Patient was alert and oriented x3. Patient brought to cot to lay down. Vital signs taken x3 and were stable. Patient drank water and felt improved. Patient sent home with parent.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose was administered 1 hour after dose expiration.  Dose expired at 1425 and he was given an expired dose of Pfizer Covid Vaccine at 1530.  Contacted Pfizer as well as Dept. of Health.  Pfizer had no recommendations to repeat the dose.  The state contacted CDC and responded with "Here is what current guidance states:     Dose administered after improper storage and handling (e.g., temperature excursion, more than allowed time after first vial puncture) Contact the manufacturer for guidance. If the manufacturer provides information supporting that the dose should be repeated, the repeated dose may be given immediately (no minimum interval) in the opposite arm.   Pfizer does not give guidance to repeat dose so dose was not repeated.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Feeling abnormal, Headache, Pain
Clinical narrative: For 3.5 weeks I experienced headaches, brain fog and join pain. The headaches and brain fog have subsided but I am still experiencing joint pain. which has radiated from my shoulders to my elbows and now my back.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram abnormal, Deafness neurosensory, Deafness unilateral, Magnetic resonance imaging head abnormal, Sudden hearing loss
Clinical narrative: Sudden Idiopathic Sensio Neuro Hearing Loss in the my left ear, severe/profound loss
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Tympanoplasty
Clinical narrative: Sudden Idiopathic Sensio Neuro Hearing Loss in the my left ear, severe/profound loss
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine was administered outside of storage recommendations. Notified pt to return for re-vaccination
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Chills, Dry skin, Fatigue
Clinical narrative: Delayed reaction to the first shot of Moderna COVID-19 vaccine with symptoms beginning 6 days after the first dose. No visible signs of redness or rash. Symptoms include dry, itchy skin, pruritus. Patient describes a hot, burning sensation of skin similar to the feeling of bad sunburn without redness. This affects both arms, shoulders, chest and has moved to neck and face. No visible redness or rash however skin is visibly dry.  Other symptoms include paresthesia and numbness in forearms, hands and feet, general chills, horripilation and fatigue. Symptoms worsen in the evening and episodically occur 3-4 days a week, gradually worsening over a couple days.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Piloerection, Pruritus, Skin burning sensation
Clinical narrative: Delayed reaction to the first shot of Moderna COVID-19 vaccine with symptoms beginning 6 days after the first dose. No visible signs of redness or rash. Symptoms include dry, itchy skin, pruritus. Patient describes a hot, burning sensation of skin similar to the feeling of bad sunburn without redness. This affects both arms, shoulders, chest and has moved to neck and face. No visible redness or rash however skin is visibly dry.  Other symptoms include paresthesia and numbness in forearms, hands and feet, general chills, horripilation and fatigue. Symptoms worsen in the evening and episodically occur 3-4 days a week, gradually worsening over a couple days.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: Delayed reaction to the first shot of Moderna COVID-19 vaccine with symptoms beginning 6 days after the first dose. No visible signs of redness or rash. Symptoms include dry, itchy skin, pruritus. Patient describes a hot, burning sensation of skin similar to the feeling of bad sunburn without redness. This affects both arms, shoulders, chest and has moved to neck and face. No visible redness or rash however skin is visibly dry.  Other symptoms include paresthesia and numbness in forearms, hands and feet, general chills, horripilation and fatigue. Symptoms worsen in the evening and episodically occur 3-4 days a week, gradually worsening over a couple days.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Influenza like illness, Pain
Clinical narrative: second shot only - chills achy flue feeling for 2 days
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Blood test, Unevaluable event
Clinical narrative: Back in Dec before my 1st shot 12/18/20, I donated blood, confirmed my blood was good and sent to the hospital. Then I got my second shot 1/8/21 and a little bit after that I donated blood again (02/05/2021), this time sent a letter that my blood tested positive for Trypanosoma Cruzi and that they can?t use my blood and that I should see my Doc. I went to see my Infectious Disease 4/8/21 Doctor and he did all the tests and they came back negative. He said I didn?t have anything and he thinks it was a reaction from the vaccine that caused the antibodies test to be positive.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Rash, Rash papular, Rash pruritic
Clinical narrative: She had her vaccine at 10:30 a.m.  around 5 p.m. we noticed a few small red bumps on her left knee.  We thought at first they were mosquito bites.  We administered some Benadryl gel.  The next day around 6 p.m. she woke up from a long nap and noticed she had several raised bubbly itchy bumps on her hands, legs, and feet.  I immediately gave her one benadryl tablet.  After taking to the triage nurse around 7 p.m. I gave her another benadryl tablet plus two Advil Dual Action tablets.  She awoke the morning of June 8th and all the symptoms she had the earlier night were gone.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: JANSSEN SHOT WAS GIVEN TO 15YO
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine was administered outside of storage recommendations. Notified pt to return for re-vaccination
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood test abnormal, Cough, Exposure during pregnancy, Full blood count abnormal
Clinical narrative: Approximately 29 weeks pregnant (due July 9, 2021) when I developed a persistent, non-productive cough at the end of April 2021. Received pertussis vaccine May 3, 2021, which resulted in 2 days of aches and malaise, and then increased coughing that has continued until today June 8, 2021. Went to urgent care clinic May 14, 2021 and diagnosis there was allergies.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Approximately 29 weeks pregnant (due July 9, 2021) when I developed a persistent, non-productive cough at the end of April 2021. Received pertussis vaccine May 3, 2021, which resulted in 2 days of aches and malaise, and then increased coughing that has continued until today June 8, 2021. Went to urgent care clinic May 14, 2021 and diagnosis there was allergies.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Fatigue, Pain
Clinical narrative: I had body aches, and I also became very fatigue. I ran a fever at 102 . I also lost my taste and smell. Two days later I test positive for COVID. A couple days later I recovered my taste from smell , but I am still having lingering affects with my taste and smell.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had body aches, and I also became very fatigue. I ran a fever at 102 . I also lost my taste and smell. Two days later I test positive for COVID. A couple days later I recovered my taste from smell , but I am still having lingering affects with my taste and smell.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Neck mass, Neck pain, Ultrasound scan
Clinical narrative: I woke up 6 days after receiving the vaccine and I had some pain at my collar bone. It felt bruised and I felt something that felt like a ball rolling around. I called advice from clinic and they scheduled me a visit with Dr. for a video visit. At my visit with him, I explained what it was and I mentioned that I heard about lymph node enlargement after the vaccine. He told me that he hadn't heard anything about that, but scheduled an ultrasound for me. I scheduled an appt with my PCP and she told me that she did hear about the lymph node enlargement from the vaccine. I had the ultrasound on 03/30 and the results came back benign. Dr. called with my results and requested a follow up in 3 months.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine was administered outside of storage recommendations. Notified pt to return for re-vaccination
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Pain in extremity, Peripheral swelling, Ultrasound scan
Clinical narrative: After vaccination my arm started getting sore and swollen and it's now eight weeks later and it's still sore and swollen and hard.  I went to the ER on the 31st and got an ultrasound and said there was not a blood clot. I have an appointment with the orthopedic doctor to see what's going on with my arm.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Death, Gene sequencing, Vaccine breakthrough infection
Clinical narrative: Case  is a vaccine breakthrough case of interest who died of COVID-19 pneumonia on 6/2/2021 after an approximately 2 week hospitalization. Whole genome sequencing resulted in identification of B.1.1.7.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Tremor
Clinical narrative: A 15 year old female who has completed a 15-minute observation period with the following signs and symptoms of an adverse reaction: loss of consiousness. Pfizer-BioNTech COVID-19 vaccine # 2 in series administered.  Per mother, patient started shaking and passes out Action(s) taken: Transferred to higher level of care.  ED. 911 called Allergy to COVID-19 vaccine documented in Allergies activity: no
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Patient complained of heart racing. Patient assessed and vital signs taken. Patient sent home in stable condition. B/P 147/97, HR 64, 02 SAT 97%RA RR 20. Patient educated
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine was administered outside of storage recommendations. Notified pt to return for re-vaccination
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure via skin contact, Injection site extravasation
Clinical narrative: After around 5 minutes after the IM injection, the patient took off the bandage over the injection site and clear liquid ran down her arm. No reaction or symptoms occurred.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Fainted after vaccine for couple seconds
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Syncope
Clinical narrative: Patient received Covid vaccination and sat down afterward to wait.  Within 10 to 15 minutes, patient fainted.  She then had a seizure.  We called 9-1-1.  Patient stopped seizing and was alert by the time EMT's arrived.  They checked patient, and allowed patient to leave and go home with a parent.  No further problems/seizures were reported to have occurred.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Adenovirus test, Antibody test, Bacterial test, Blood gases, Blood immunoglobulin E
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Borrelia test, C-reactive protein increased, CD4 lymphocytes, CD8 lymphocytes, CSF test
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Coagulation test, Coxsackie virus test, Ehrlichia test, Electroencephalogram, Encephalitis
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Endotracheal intubation, Enterovirus test, Full blood count, Headache, Hyponatraemia
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Inappropriate antidiuretic hormone secretion, Intensive care, Laboratory test, Lumbar puncture, Lyme carditis
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging, Multisystem inflammatory syndrome in children, Myocarditis, Polymerase chain reaction, Prothrombin time prolonged
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Respiratory viral panel, Thyroid function test, Toxicologic test, Troponin increased
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Varicella virus test, Viral test, Vomiting, West Nile virus test
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood bicarbonate decreased, Blood chloride normal, Blood creatine phosphokinase increased, Blood creatinine normal, Blood glucose normal
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood urea normal, C-reactive protein increased, Central nervous system lesion
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram head normal, Confusional state, Diarrhoea, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Encephalitis, Endotracheal intubation, Feeling hot, Haemoglobin normal, Hallucination, visual
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Heart rate increased, Hyponatraemia, Lethargy, Lipase normal
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Liver function test normal, Lumbar puncture, Magnetic resonance imaging head abnormal, Magnetic resonance imaging heart, Malaise
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myocarditis, Platelet count normal, Sinus tachycardia, Troponin, Vomiting
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood sodium decreased, Blood test, Confusional state, Discomfort
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electroencephalogram, Encephalitis, Headache, Intensive care, Lumbar puncture
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Magnetic resonance imaging heart, Myocarditis, Neurological examination, Pain in extremity
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Somnolence, Vomiting
Clinical narrative: Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report.   From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission,  treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody.  Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Fibrin D dimer increased, Pulmonary embolism
Clinical narrative: Diagnosis of small blood clots in right lung
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Generalized itching  within 10 minutes of receiving vaccine
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Rotator cuff syndrome
Clinical narrative: A few days after the injection I began feeling a pain in my left shoulder. Since I sleep on my side I thought it had somethig to do with sleeping on it wrong. When I went to my cardiologist for a checkup after the second shot  , 3/24/21, he diagnosed the pain in both shoulders as rotator cuff injury possibly caused by vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram abnormal, Hypotension
Clinical narrative: The second vaccine shot put my heart into AFIB.  My heart beat was normal for 7 years and within 5 days after the second shot I noticed I was in AFIB.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: patient received 3 doses of Moderna vaccine each one month apart.