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., |