chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Appetite disorder, Aspartate aminotransferase normal, Asthenia, Basophil count decreased, Basophil percentage decreased
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride increased
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood magnesium normal, Blood potassium normal, Blood sodium normal
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood urea decreased, Blood urea nitrogen/creatinine ratio, Brain natriuretic peptide normal, COVID-19, Carbon dioxide decreased
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Chills, Cough, Diarrhoea
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Differential white blood cell count, Dizziness, Dyspnoea, Eosinophil count normal, Eosinophil percentage
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Full blood count, Gait disturbance, Globulin, Glomerular filtration rate normal
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Headache, Heart rate increased, Human chorionic gonadotropin negative
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, International normalised ratio normal, Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin concentration normal
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal, Monocyte percentage
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Neutrophil count normal, Neutrophil percentage, Nucleated red cells, Oropharyngeal pain
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Palpitations, Platelet count normal, Protein total normal, Prothrombin time normal
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Red blood cell count normal, Red cell distribution width normal, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor, Troponin normal, Vertigo, Walking distance test abnormal, White blood cell count normal
Clinical narrative: 1/24/22  Patient states that she was diagnosed with Covid on 1/10/2022 and at that time was experiencing headache, sore throat and cough.  Patient states that her symptoms have continued to get progressively worse since that time.  She continues to experience headache, and cough but has also developed worsening shortness of breath, difficulty breathing and severe dizziness.  Patient states that she has also been experiencing significant fatigue and weakness stating that it takes a significant amount of energy for her to be able to get up to use the restroom and takes her several minutes of resting between moving.   1/24/22  Patient states that she easily becomes short of breath when walking and feels as though her heart is racing.  Patient feels that her dizziness is as if the room is spinning making it very difficult for her to walk.  She also feels lightheaded feeling as if she may pass out.  Patient has recently developed diarrhea and has had difficulty tolerating foods due to nausea.  She has had a temperature to 100.0 yesterday. Review of Systems  Constitutional: Positive for activity change, appetite change, chills, diaphoresis, fatigue and fever.  HENT: Positive for congestion, rhinorrhea and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea and nausea. Negative for abdominal pain and vomiting.  Neurological: Positive for dizziness, tremors, light-headedness and headaches.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood pressure measurement, Dizziness, Hyperhidrosis
Clinical narrative: dizziness; diaphoretic; BP 182/90, 190/102; This is a spontaneous report received from contactable reporter(s) (Other HCP).  A 51 year-old male patient received bnt162b2 (BNT162B2), intramuscular, administration date 27Feb2021 11:00 (Lot number: EN6203) at the age of 51 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Hypertension" (unspecified if ongoing); "Type 2 diabetes" (unspecified if ongoing). Concomitant medication(s) included: LISINOPRIL; METFORMIN; METOZAAR; INSULIN. The following information was reported: DIZZINESS (non-serious) with onset 27Feb2021 11:00, outcome "recovered" (Mar2021), described as "dizziness"; HYPERHIDROSIS (non-serious) with onset 27Feb2021 11:00, outcome "recovered" (Mar2021), described as "diaphoretic"; BLOOD PRESSURE INCREASED (non-serious) with onset 27Feb2021 11:00, outcome "unknown", described as "BP 182/90, 190/102". The events "dizziness", "diaphoretic" and "bp 182/90, 190/102" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of dizziness, hyperhidrosis. Therapeutic measures were not taken as a result of blood pressure increased.  Additional information: Prior to vaccination, it was unknown if the patient was diagnosed with COVID-19; and since the vaccination, it was also unknown if patient had been tested for COVID-19. It was unknown if the patient did receive any other vaccines within 4 weeks prior to the COVID vaccine. It was further reported that patient in 15 minute observation called for medical with c/o dizziness and diaphoretic. Patient taken to first aid station for further assessment by Physician and EMS on Duty. Patient denied eating an AM meal. Patient was then given water 8oz and able to drink water without issues. VS checked and BP noted to be at 182/90. Patient stated that his pressure normally runs high. EMS on duty rechecked bp and was noted at 190/102. Patient requested CBG check but once EMS on duty went to take CBG, patient stated "I think we're making too much of a fuss". Patient refused further treatment and left.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on available information, a possible contributory role of BNT162B2 cannot be excluded for the reported events.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Nausea, SARS-CoV-2 test, Tinnitus
Clinical narrative: Tinnitus in both ears; Brain fog; Mild nausea; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 58 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm right, administration date 14Jan2021 13:00 (Lot number: EL1283) at the age of 58 years as dose 1, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: TINNITUS (non-serious) with onset 15Jan2021, outcome "not recovered", described as "Tinnitus in both ears"; FEELING ABNORMAL (non-serious) with onset 15Jan2021, outcome "not recovered", described as "Brain fog"; NAUSEA (non-serious) with onset 15Jan2021, outcome "not recovered", described as "Mild nausea". The events "tinnitus in both ears", "brain fog" and "mild nausea" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section Therapeutic measures were taken as a result of the events which included treatment with flonase nasal spray. Additional information: Prior to vaccination, the patient had not been diagnosed with COVID-19. Since the vaccination, the patient was tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the vaccine  No follow-up attempts are possible. No further information is expected.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Acute disseminated encephalomyelitis, Balance disorder, CSF test abnormal, Cerebral infarction, Computerised tomogram normal
Clinical narrative: Developed headache within one week of vaccine, then within 2 weeks of vaccine developed flu-like symptoms, fever, neck stiffness, imbalance and rapidly progressive encephalopathy. Required intubation and critical care, complicated by papilledema and communicating hydrocephalus. Evaluation for infection, meningitis was negative. Treated with IVIg and steroids with partial recovery. After extensive subsequent workup and evaluation, he has been diagnosed with ADEM/encephalomyeloradiculitis. 9 months later, he has persistent imbalance and numbness/tingling over face. he remains on prednisone 30  mg daly as symptoms worsened when steroids were tapered further. MRI spine 5/2/21:  Suspected abnormal cord signal at the C5-C6 and T11-L1 levels. There is thickening and enhancement of multiple thoracic spinal nerve roots and diffuse thickening and enhancement of the cauda equina nerve roots. Findings may relate to inflammatory or infectious process in keeping with the findings in the MRI brain. Flow cytometry results:CSF Flow cytometric immunophenotyping performed on the cerebrospinal fluid reveals a small polytypic B-cell population and a T-cell population (see comment). Comment: Given the limited nature of this sample the analysis was mainly limited to the B-cells. The T-cell markers include CD3, CD5 and CD7 that show a subset of T-cells lack CD7 expression. CT c/a/p 5/2021: normal. EMG 11/10/2021, SUMMARY OF FINDINGS: Extensive electrodiagnostic evaluation of the right and left upper extremities and right lower extremity demonstrates the following: Normal sensory responses of the right and left median, right ulnar, right radial, right sural and right superficial peroneal nerves. Abnormal motor response of the right median nerve with prolonged onset latency and prolonged conduction velocity. Prolonged F wave of the right median nerve. Normal motor response of the left median, right ulnar, right peroneal, and right tibial nerves. Abnormal needle electromyography of selected muscles of the right upper extremity as tabulated above. CONCLUSION: This study shows evidence of a mild demyelinating lesion of the right median nerve between the wrist and elbow with prolonged F-wave. Such findings could be seen with an acquired demyelinating neurology in the appropriate clinical context, but given a single nerve segment slowing, these findings are not consistent a chronic demyelinating process. There is no evidence of an ulnar or radial neuropathy affecting the right upper extremity. There is no evidence of a cervical motor radiculopathy affecting the right upper extremity.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Electromyogram abnormal, Encephalitis viral, Encephalopathy, Endotracheal intubation, Flow cytometry
Clinical narrative: Developed headache within one week of vaccine, then within 2 weeks of vaccine developed flu-like symptoms, fever, neck stiffness, imbalance and rapidly progressive encephalopathy. Required intubation and critical care, complicated by papilledema and communicating hydrocephalus. Evaluation for infection, meningitis was negative. Treated with IVIg and steroids with partial recovery. After extensive subsequent workup and evaluation, he has been diagnosed with ADEM/encephalomyeloradiculitis. 9 months later, he has persistent imbalance and numbness/tingling over face. he remains on prednisone 30  mg daly as symptoms worsened when steroids were tapered further. MRI spine 5/2/21:  Suspected abnormal cord signal at the C5-C6 and T11-L1 levels. There is thickening and enhancement of multiple thoracic spinal nerve roots and diffuse thickening and enhancement of the cauda equina nerve roots. Findings may relate to inflammatory or infectious process in keeping with the findings in the MRI brain. Flow cytometry results:CSF Flow cytometric immunophenotyping performed on the cerebrospinal fluid reveals a small polytypic B-cell population and a T-cell population (see comment). Comment: Given the limited nature of this sample the analysis was mainly limited to the B-cells. The T-cell markers include CD3, CD5 and CD7 that show a subset of T-cells lack CD7 expression. CT c/a/p 5/2021: normal. EMG 11/10/2021, SUMMARY OF FINDINGS: Extensive electrodiagnostic evaluation of the right and left upper extremities and right lower extremity demonstrates the following: Normal sensory responses of the right and left median, right ulnar, right radial, right sural and right superficial peroneal nerves. Abnormal motor response of the right median nerve with prolonged onset latency and prolonged conduction velocity. Prolonged F wave of the right median nerve. Normal motor response of the left median, right ulnar, right peroneal, and right tibial nerves. Abnormal needle electromyography of selected muscles of the right upper extremity as tabulated above. CONCLUSION: This study shows evidence of a mild demyelinating lesion of the right median nerve between the wrist and elbow with prolonged F-wave. Such findings could be seen with an acquired demyelinating neurology in the appropriate clinical context, but given a single nerve segment slowing, these findings are not consistent a chronic demyelinating process. There is no evidence of an ulnar or radial neuropathy affecting the right upper extremity. There is no evidence of a cervical motor radiculopathy affecting the right upper extremity.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hydrocephalus, Hypoaesthesia, Immunoglobulin therapy, Immunophenotyping
Clinical narrative: Developed headache within one week of vaccine, then within 2 weeks of vaccine developed flu-like symptoms, fever, neck stiffness, imbalance and rapidly progressive encephalopathy. Required intubation and critical care, complicated by papilledema and communicating hydrocephalus. Evaluation for infection, meningitis was negative. Treated with IVIg and steroids with partial recovery. After extensive subsequent workup and evaluation, he has been diagnosed with ADEM/encephalomyeloradiculitis. 9 months later, he has persistent imbalance and numbness/tingling over face. he remains on prednisone 30  mg daly as symptoms worsened when steroids were tapered further. MRI spine 5/2/21:  Suspected abnormal cord signal at the C5-C6 and T11-L1 levels. There is thickening and enhancement of multiple thoracic spinal nerve roots and diffuse thickening and enhancement of the cauda equina nerve roots. Findings may relate to inflammatory or infectious process in keeping with the findings in the MRI brain. Flow cytometry results:CSF Flow cytometric immunophenotyping performed on the cerebrospinal fluid reveals a small polytypic B-cell population and a T-cell population (see comment). Comment: Given the limited nature of this sample the analysis was mainly limited to the B-cells. The T-cell markers include CD3, CD5 and CD7 that show a subset of T-cells lack CD7 expression. CT c/a/p 5/2021: normal. EMG 11/10/2021, SUMMARY OF FINDINGS: Extensive electrodiagnostic evaluation of the right and left upper extremities and right lower extremity demonstrates the following: Normal sensory responses of the right and left median, right ulnar, right radial, right sural and right superficial peroneal nerves. Abnormal motor response of the right median nerve with prolonged onset latency and prolonged conduction velocity. Prolonged F wave of the right median nerve. Normal motor response of the left median, right ulnar, right peroneal, and right tibial nerves. Abnormal needle electromyography of selected muscles of the right upper extremity as tabulated above. CONCLUSION: This study shows evidence of a mild demyelinating lesion of the right median nerve between the wrist and elbow with prolonged F-wave. Such findings could be seen with an acquired demyelinating neurology in the appropriate clinical context, but given a single nerve segment slowing, these findings are not consistent a chronic demyelinating process. There is no evidence of an ulnar or radial neuropathy affecting the right upper extremity. There is no evidence of a cervical motor radiculopathy affecting the right upper extremity.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Intensive care, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal, Motor dysfunction
Clinical narrative: Developed headache within one week of vaccine, then within 2 weeks of vaccine developed flu-like symptoms, fever, neck stiffness, imbalance and rapidly progressive encephalopathy. Required intubation and critical care, complicated by papilledema and communicating hydrocephalus. Evaluation for infection, meningitis was negative. Treated with IVIg and steroids with partial recovery. After extensive subsequent workup and evaluation, he has been diagnosed with ADEM/encephalomyeloradiculitis. 9 months later, he has persistent imbalance and numbness/tingling over face. he remains on prednisone 30  mg daly as symptoms worsened when steroids were tapered further. MRI spine 5/2/21:  Suspected abnormal cord signal at the C5-C6 and T11-L1 levels. There is thickening and enhancement of multiple thoracic spinal nerve roots and diffuse thickening and enhancement of the cauda equina nerve roots. Findings may relate to inflammatory or infectious process in keeping with the findings in the MRI brain. Flow cytometry results:CSF Flow cytometric immunophenotyping performed on the cerebrospinal fluid reveals a small polytypic B-cell population and a T-cell population (see comment). Comment: Given the limited nature of this sample the analysis was mainly limited to the B-cells. The T-cell markers include CD3, CD5 and CD7 that show a subset of T-cells lack CD7 expression. CT c/a/p 5/2021: normal. EMG 11/10/2021, SUMMARY OF FINDINGS: Extensive electrodiagnostic evaluation of the right and left upper extremities and right lower extremity demonstrates the following: Normal sensory responses of the right and left median, right ulnar, right radial, right sural and right superficial peroneal nerves. Abnormal motor response of the right median nerve with prolonged onset latency and prolonged conduction velocity. Prolonged F wave of the right median nerve. Normal motor response of the left median, right ulnar, right peroneal, and right tibial nerves. Abnormal needle electromyography of selected muscles of the right upper extremity as tabulated above. CONCLUSION: This study shows evidence of a mild demyelinating lesion of the right median nerve between the wrist and elbow with prolonged F-wave. Such findings could be seen with an acquired demyelinating neurology in the appropriate clinical context, but given a single nerve segment slowing, these findings are not consistent a chronic demyelinating process. There is no evidence of an ulnar or radial neuropathy affecting the right upper extremity. There is no evidence of a cervical motor radiculopathy affecting the right upper extremity.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Papilloedema, Paraesthesia, Peripheral nerve lesion, Pyrexia
Clinical narrative: Developed headache within one week of vaccine, then within 2 weeks of vaccine developed flu-like symptoms, fever, neck stiffness, imbalance and rapidly progressive encephalopathy. Required intubation and critical care, complicated by papilledema and communicating hydrocephalus. Evaluation for infection, meningitis was negative. Treated with IVIg and steroids with partial recovery. After extensive subsequent workup and evaluation, he has been diagnosed with ADEM/encephalomyeloradiculitis. 9 months later, he has persistent imbalance and numbness/tingling over face. he remains on prednisone 30  mg daly as symptoms worsened when steroids were tapered further. MRI spine 5/2/21:  Suspected abnormal cord signal at the C5-C6 and T11-L1 levels. There is thickening and enhancement of multiple thoracic spinal nerve roots and diffuse thickening and enhancement of the cauda equina nerve roots. Findings may relate to inflammatory or infectious process in keeping with the findings in the MRI brain. Flow cytometry results:CSF Flow cytometric immunophenotyping performed on the cerebrospinal fluid reveals a small polytypic B-cell population and a T-cell population (see comment). Comment: Given the limited nature of this sample the analysis was mainly limited to the B-cells. The T-cell markers include CD3, CD5 and CD7 that show a subset of T-cells lack CD7 expression. CT c/a/p 5/2021: normal. EMG 11/10/2021, SUMMARY OF FINDINGS: Extensive electrodiagnostic evaluation of the right and left upper extremities and right lower extremity demonstrates the following: Normal sensory responses of the right and left median, right ulnar, right radial, right sural and right superficial peroneal nerves. Abnormal motor response of the right median nerve with prolonged onset latency and prolonged conduction velocity. Prolonged F wave of the right median nerve. Normal motor response of the left median, right ulnar, right peroneal, and right tibial nerves. Abnormal needle electromyography of selected muscles of the right upper extremity as tabulated above. CONCLUSION: This study shows evidence of a mild demyelinating lesion of the right median nerve between the wrist and elbow with prolonged F-wave. Such findings could be seen with an acquired demyelinating neurology in the appropriate clinical context, but given a single nerve segment slowing, these findings are not consistent a chronic demyelinating process. There is no evidence of an ulnar or radial neuropathy affecting the right upper extremity. There is no evidence of a cervical motor radiculopathy affecting the right upper extremity.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Spinal disorder, Thoracic spinal stenosis, Vasculitis
Clinical narrative: Developed headache within one week of vaccine, then within 2 weeks of vaccine developed flu-like symptoms, fever, neck stiffness, imbalance and rapidly progressive encephalopathy. Required intubation and critical care, complicated by papilledema and communicating hydrocephalus. Evaluation for infection, meningitis was negative. Treated with IVIg and steroids with partial recovery. After extensive subsequent workup and evaluation, he has been diagnosed with ADEM/encephalomyeloradiculitis. 9 months later, he has persistent imbalance and numbness/tingling over face. he remains on prednisone 30  mg daly as symptoms worsened when steroids were tapered further. MRI spine 5/2/21:  Suspected abnormal cord signal at the C5-C6 and T11-L1 levels. There is thickening and enhancement of multiple thoracic spinal nerve roots and diffuse thickening and enhancement of the cauda equina nerve roots. Findings may relate to inflammatory or infectious process in keeping with the findings in the MRI brain. Flow cytometry results:CSF Flow cytometric immunophenotyping performed on the cerebrospinal fluid reveals a small polytypic B-cell population and a T-cell population (see comment). Comment: Given the limited nature of this sample the analysis was mainly limited to the B-cells. The T-cell markers include CD3, CD5 and CD7 that show a subset of T-cells lack CD7 expression. CT c/a/p 5/2021: normal. EMG 11/10/2021, SUMMARY OF FINDINGS: Extensive electrodiagnostic evaluation of the right and left upper extremities and right lower extremity demonstrates the following: Normal sensory responses of the right and left median, right ulnar, right radial, right sural and right superficial peroneal nerves. Abnormal motor response of the right median nerve with prolonged onset latency and prolonged conduction velocity. Prolonged F wave of the right median nerve. Normal motor response of the left median, right ulnar, right peroneal, and right tibial nerves. Abnormal needle electromyography of selected muscles of the right upper extremity as tabulated above. CONCLUSION: This study shows evidence of a mild demyelinating lesion of the right median nerve between the wrist and elbow with prolonged F-wave. Such findings could be seen with an acquired demyelinating neurology in the appropriate clinical context, but given a single nerve segment slowing, these findings are not consistent a chronic demyelinating process. There is no evidence of an ulnar or radial neuropathy affecting the right upper extremity. There is no evidence of a cervical motor radiculopathy affecting the right upper extremity.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 antibody test, Vaccination failure
Clinical narrative: covid 19 positive; covid 19 positive; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 45 year-old female patient received bnt162b2 (BNT162B2), administered in arm, administration date 24Mar2021 (Lot number: ER8132) at the age of 44 years as dose 2, single and administered in arm, administration date 03Mar2021 (Lot number: EN6199) as dose 1, single for covid-19 immunisation. The patient's relevant medical history was not reported. Concomitant medication(s) included: LAMICTAL taken for bipolar disorder, start date: 2013 (ongoing). The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 09Aug2021, outcome "unknown" and all described as "covid 19 positive". The patient underwent the following laboratory tests and procedures: sars-cov-2 antibody test: (09Aug2021) positive.  No follow-up attempts are possible. No further information is expected.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Antibody test negative, Anxiety, Blood pressure increased, Blood test normal
Clinical narrative: Severe Vertigo three days after 2nd vaccination requiring hospitalization.  High blood pressure (180/110)and headaches two weeks after.  Massive headaches requiring hospitalization May 30, 2021.  Visits to ENT, Neurologist, Allergist, and Primary care Physician for several weeks following.  Additional symptoms, increasing blood pressure, headaches, insomnia, sleep apnea, diareah for 2 months, tinnitus, hearing loss, extreme neck pain, extreme anxiety, and depression.  Treatments over the following three months included CPAP therapy, blood pressure medication, hearing tests, depression medication, anxiety medication, Migraine medication, Botox shots for neck pain which also helped with headaches, facett block.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Botulinum toxin injection, Computerised tomogram head normal, Deafness, Decreased activity, Depersonalisation/derealisation disorder
Clinical narrative: Severe Vertigo three days after 2nd vaccination requiring hospitalization.  High blood pressure (180/110)and headaches two weeks after.  Massive headaches requiring hospitalization May 30, 2021.  Visits to ENT, Neurologist, Allergist, and Primary care Physician for several weeks following.  Additional symptoms, increasing blood pressure, headaches, insomnia, sleep apnea, diareah for 2 months, tinnitus, hearing loss, extreme neck pain, extreme anxiety, and depression.  Treatments over the following three months included CPAP therapy, blood pressure medication, hearing tests, depression medication, anxiety medication, Migraine medication, Botox shots for neck pain which also helped with headaches, facett block.