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. 2023 Jul 13;31(1-2):9–17. doi: 10.3233/HAB-220013

Table 1, continued

Patient 7 Patient 8 Patient 9 Patient 10 Patient 11 Patient 12
Age 19 years 17 years 29 years 43 years 30 years 52 years
Gender Female Female Male Male Female Male
Country USA USA Australia UK UK USA
First dose Pfizer-BioNTech Pfizer-BioNTech Oxford-AstraZeneca Pfizer-BioNTech Oxford-AstraZeneca Pfizer-BioNTech
Second dose Pfizer-BioNTech Pfizer-BioNTech Pfizer-BioNTech Pfizer-BioNTech
Third dose Pfizer-BioNTech
POTS Symptom onset 18 days post second dose 3 weeks post second dose 4 days post first dose 1 to 2 weeks post second dose; 2–3 days post third dose 6 hours post first dose After second dose
Symptoms Dizziness, headache, nausea, bloating, excessive sweating, and fatigue Syncope, fatigue, chest tightness, nausea, and heat intolerance Intermittent paraesthesia, palpitations, racing hearbeat, dizziness, and worsening of paraesthesia and skin colour Dizziness, leg weakness, light-headedness, brain fog, word-finding difficulties Dizziness, nausea, weakness, bradykinesia, brain fog, early waking, fatigue, “jelly-legs”, changes to walking gait, Burning and stabbing feeling, orthostatic intolerance, syncope, supraventricular tachycardia, tinnitus
Other medical conditions None None None None Patient uses Naproxen, Lansoprazole, Dihydrocodeine, Melatonin
Past medical history Not significant Not significant Not significant Suspected COVID-19 infection (8 months before vaccination) Fatigue and sleep disturbances
Previously known reactions to other vaccines
Medical Interventions Salt tablets and Propranolol Scopolamine patches, Salt tablets and Propranolol 5-week course of steroid (no effect); lifestyle modifications Intramusular hydroxocobalamin followed by oral cyanocobalamin Intramusular hydroxocobalamin therapy Nadolol, Gabapentin, Amitriptyline, and trazodone (no effect); Five plasma exchange sessions
Resolution Patient reported improvement in symptoms Patient reported improvement in symptoms Patient has some improvement still 6 months post treatment start Eight weeks from treatment Patient reported improvement in symptoms Patient reported improvement in symptoms
Reference Eldokla and Numan [7] Eldokla and Numan [7] Karimi [8] Carroll et al., [9] Carroll et al., [9] Schelke et al.,