chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Herpes zoster, Ischaemic cardiomyopathy, Laboratory test abnormal, Troponin increased
Clinical narrative: Chronic diastolic congestive heart failure (HCC)   Troponin level elevated   Coronary artery disease involving coronary bypass graft of native heart without angina pectoris -     CARDIAC REHAB PHASE II; Future   Ischemic cardiomyopathy   Herpes zoster without complication   Open wound of right knee, subsequent encounter   Other orders -     CARDIAC MONITOR; Standing -     STRICT INTAKE / OUTPUT (per unit routine); Standing -     WEIGH PATIENT; Standing -     ORTHOSTATIC VITALS; Standing -     CONTINUOUS OXIMETRY; Standing -     HEART FAILURE EDUCATION; Standing -     NOTIFY PROVIDER if need to titrate oxygen more than 2 L to maintain oxygen saturation greater than 90%; Standing -     CHF - NEW YORK HEART CLASS (NYHC); Standing -     BRAIN NATRIURETIC PEPTIDE; Standing -     TROPONIN I; Standing -     EKG; Standing -     XRAY CHEST PORTABLE -; Standing -     furosemide (LASIX) injection solution 40 mg -     CHF - No ACE inhibitor or ARB; Standing -     COMPREHENSIVE METABOLIC PANEL; Standing -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Standing -     ceFAZolin (ANCEF) in D-4% 50 mL IV piggyback (DUPLEX) (premix) 1,000 mg -     SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL; Standing -     DECISION TO ADMIT FROM ED; Standing  Hospital Course No notes on file patient was admitted to outpatient observation he has improved however is not back to baseline at this point time he still has dyspnea he will have an echocardiogram tomorrow and also see if cardiology can see him as they will be in this facility tomorrow             LabTests Pending at Discharge   Lab test were reviewed this morning they have improved but still show significant congestive heart failure he still shows a significant increase in BNP
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Wound
Clinical narrative: Chronic diastolic congestive heart failure (HCC)   Troponin level elevated   Coronary artery disease involving coronary bypass graft of native heart without angina pectoris -     CARDIAC REHAB PHASE II; Future   Ischemic cardiomyopathy   Herpes zoster without complication   Open wound of right knee, subsequent encounter   Other orders -     CARDIAC MONITOR; Standing -     STRICT INTAKE / OUTPUT (per unit routine); Standing -     WEIGH PATIENT; Standing -     ORTHOSTATIC VITALS; Standing -     CONTINUOUS OXIMETRY; Standing -     HEART FAILURE EDUCATION; Standing -     NOTIFY PROVIDER if need to titrate oxygen more than 2 L to maintain oxygen saturation greater than 90%; Standing -     CHF - NEW YORK HEART CLASS (NYHC); Standing -     BRAIN NATRIURETIC PEPTIDE; Standing -     TROPONIN I; Standing -     EKG; Standing -     XRAY CHEST PORTABLE -; Standing -     furosemide (LASIX) injection solution 40 mg -     CHF - No ACE inhibitor or ARB; Standing -     COMPREHENSIVE METABOLIC PANEL; Standing -     COMPLETE BLOOD COUNT WITH DIFFERENTIAL; Standing -     ceFAZolin (ANCEF) in D-4% 50 mL IV piggyback (DUPLEX) (premix) 1,000 mg -     SARS-COV-2, INFLUENZA A+B, AND/OR RSV NUCLEIC ACID TESTING PANEL; Standing -     DECISION TO ADMIT FROM ED; Standing  Hospital Course No notes on file patient was admitted to outpatient observation he has improved however is not back to baseline at this point time he still has dyspnea he will have an echocardiogram tomorrow and also see if cardiology can see him as they will be in this facility tomorrow             LabTests Pending at Discharge   Lab test were reviewed this morning they have improved but still show significant congestive heart failure he still shows a significant increase in BNP
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Dyspnoea, Myalgia
Clinical narrative: SxS include dyspnea, myalgias, weakness, diarrhea
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Chest discomfort, Cough, Dyspnoea, Electrocardiogram
Clinical narrative: The patient began feeling a tightness in his chest and by 12/8/2021 it had worsened to shortness of breath, cough and fever.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Pyrexia
Clinical narrative: The patient began feeling a tightness in his chest and by 12/8/2021 it had worsened to shortness of breath, cough and fever.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood magnesium normal, Blood potassium decreased, COVID-19, Cough
Clinical narrative: Patient is a nontoxic-appearing 54-year-old female with a history of lung cancer on chemotherapy this usually regulatory with stable vital signs complaining of generalized fatigue body aches nausea and vomiting.  She is Covid positive.  She was recently admitted to this facility and discharged 4 days ago.  She was doing somewhat better throughout the week and then today she started declining.  States she is having body aches as well as generalized fatigue nausea and vomiting.  She last took a dose of Zofran approximately 2 hours prior to arrival.  Denies any shortness of breath however does have a persistent cough.  No hemoptysis.  She did receive her Covid vaccinations as well as monoclonal antibody treatment Associated Symptoms: cough, fatigue, nausea, URI symptoms, vomiting, weakness
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, General physical health deterioration, Nausea, Pain, Respiratory symptom
Clinical narrative: Patient is a nontoxic-appearing 54-year-old female with a history of lung cancer on chemotherapy this usually regulatory with stable vital signs complaining of generalized fatigue body aches nausea and vomiting.  She is Covid positive.  She was recently admitted to this facility and discharged 4 days ago.  She was doing somewhat better throughout the week and then today she started declining.  States she is having body aches as well as generalized fatigue nausea and vomiting.  She last took a dose of Zofran approximately 2 hours prior to arrival.  Denies any shortness of breath however does have a persistent cough.  No hemoptysis.  She did receive her Covid vaccinations as well as monoclonal antibody treatment Associated Symptoms: cough, fatigue, nausea, URI symptoms, vomiting, weakness
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Upper respiratory tract infection, Vomiting
Clinical narrative: Patient is a nontoxic-appearing 54-year-old female with a history of lung cancer on chemotherapy this usually regulatory with stable vital signs complaining of generalized fatigue body aches nausea and vomiting.  She is Covid positive.  She was recently admitted to this facility and discharged 4 days ago.  She was doing somewhat better throughout the week and then today she started declining.  States she is having body aches as well as generalized fatigue nausea and vomiting.  She last took a dose of Zofran approximately 2 hours prior to arrival.  Denies any shortness of breath however does have a persistent cough.  No hemoptysis.  She did receive her Covid vaccinations as well as monoclonal antibody treatment Associated Symptoms: cough, fatigue, nausea, URI symptoms, vomiting, weakness
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Child given adult dose in error. No immediate adverse reactions.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac flutter, Chest pain, Electrocardiogram, Hyperhidrosis
Clinical narrative: Severe reoccurring chest pains, heart racing, fluttering, nausea/vomiting, sweats, tingling in my arm down to my hand
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Nausea, Palpitations, Paraesthesia, Vomiting
Clinical narrative: Severe reoccurring chest pains, heart racing, fluttering, nausea/vomiting, sweats, tingling in my arm down to my hand
Age: 62.0
Sex: F
Vaccine: H5N1, FLUC4
Symptoms: Arthralgia, Bone pain, Pain, Pain in extremity
Clinical narrative: About 20 minutes after the injection, I had shooting pains up and down my arm for about an hour, along severe pain in the joints/bones of my right wrist. The pains in my arm subsided, however, the intense pain in my wrist and wrist bone still exist. I have tried Voltaren and applying heat, yet the pain returns. Whenever I move my wrist, use my hand with my thumb, type, carry items with my left hand the pain is very intense.
Age: 62.0
Sex: F
Vaccine: H5N1, FLUC4
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: About 20 minutes after the injection, I had shooting pains up and down my arm for about an hour, along severe pain in the joints/bones of my right wrist. The pains in my arm subsided, however, the intense pain in my wrist and wrist bone still exist. I have tried Voltaren and applying heat, yet the pain returns. Whenever I move my wrist, use my hand with my thumb, type, carry items with my left hand the pain is very intense.
Age: 62.0
Sex: F
Vaccine: H5N1, FLUC4
Symptoms: Arthralgia, Bone pain, Pain, Pain in extremity
Clinical narrative: Patient called today (12/09/21) to report that the day after she received her flu vaccine from us she began experiencing arm and wrist pain.  She said she was still having that same pain but has not been to the doctor for evaluation yet.
Age: 62.0
Sex: F
Vaccine: H5N1, FLUC4
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Patient called today (12/09/21) to report that the day after she received her flu vaccine from us she began experiencing arm and wrist pain.  She said she was still having that same pain but has not been to the doctor for evaluation yet.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood test normal, Diffuse alopecia, Full blood count normal, Thyroid function test normal
Clinical narrative: My hair began to start snapping off on around 7/15/2021. As time went on there was gradual hair loss. On Sept 21st, I used a clarifying product on my hair and hundreds of hair fell out. The following day I went to my hair salon and stylist told me to see my family practitioner. I also went to immunologist on the same day and observed my hair loss, and said I needed to see a specialist after I was to see my PCP.  So went to my PCP on Sept 23rd.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Trichorrhexis, Vitamin D
Clinical narrative: My hair began to start snapping off on around 7/15/2021. As time went on there was gradual hair loss. On Sept 21st, I used a clarifying product on my hair and hundreds of hair fell out. The following day I went to my hair salon and stylist told me to see my family practitioner. I also went to immunologist on the same day and observed my hair loss, and said I needed to see a specialist after I was to see my PCP.  So went to my PCP on Sept 23rd.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pruritus
Clinical narrative: Pt was placed for 30 mins watch after vaccination due to shellfish allergies. Pt began to complaint of itchiness in her abdomen, feeling of fatigue. Pt given diphenhydramine oral, 12.5 mg and 25 mg after 10 mins. Pt verbalized symptoms subsided. Pt educated with common side effects and advices if symptoms worsen to seek medical attention right away. Pt able to leave the vaccination site in stable conditions.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Feeding disorder, Impaired work ability, Loss of personal independence in daily activities, Nausea
Clinical narrative: Severe nausea and vomiting. Monday morning at 7am I woke up nauseous and began vomiting. I was vomiting from then through Tuesday late afternoon. I was unable to eat both Monday and Tuesday. Monday I was unable to hold down water resulting in dehydration and vomiting of bile. I called in to work both Monday and Tuesday as I was not able to carry out my daily functions.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Severe nausea and vomiting. Monday morning at 7am I woke up nauseous and began vomiting. I was vomiting from then through Tuesday late afternoon. I was unable to eat both Monday and Tuesday. Monday I was unable to hold down water resulting in dehydration and vomiting of bile. I called in to work both Monday and Tuesday as I was not able to carry out my daily functions.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: 16 YEAR OLD PATIENT RECEIVED BOOSTER OF PFIZER WITHOUT BEING ELIGIBLE.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Joint swelling
Clinical narrative: Golf Ball size lump on outside of left elbow about golf ball sized.  Found following morning after receiving the Pfizer Booster shot.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Dyspnoea, Electrocardiogram
Clinical narrative: I had loss of taste and smell.  I was fatigue.  I had SOB and headache.  These symptom are still ongoing.  I went to the doctor.  They did EKG.  I did a COVID-19, positive result.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, SARS-CoV-2 test positive
Clinical narrative: I had loss of taste and smell.  I was fatigue.  I had SOB and headache.  These symptom are still ongoing.  I went to the doctor.  They did EKG.  I did a COVID-19, positive result.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Pyrexia
Clinical narrative: 12 hours after my vaccination I had a 106 degree fever, and had chills (felt cold) and had extreme fatigue and had it for about 15 hours then it just went away after I woke up the next day.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Feeding disorder
Clinical narrative: Inability to stand or eat
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dysgeusia, Inflammation, Peripheral swelling, Spinal pain
Clinical narrative: After 2 days I had a metallic taste in my mouth for about a week.  My right calf was slightly swollen for 2 days after the metallic taste left.  Since then I have been experiencing severe inflammation in my back on both sides of my spine which is increasing my usual chronic pain level.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Diarrhoea, Dyspnoea, Headache, Oropharyngeal pain
Clinical narrative: SOB, worsening resp failure w/ sepsis, diarrhea, weakness, headache, sore throat
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure, Sepsis
Clinical narrative: SOB, worsening resp failure w/ sepsis, diarrhea, weakness, headache, sore throat
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case
Age: 7.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Adult patient  was given Pediatric Covid 19 Pfizer dose
Age: 5.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the Agency due to lack of stability data, it was advised to revaccinate the patient.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Hypoaesthesia, Immediate post-injection reaction, Paraesthesia
Clinical narrative: Patient received the Pfizer booster on his right arm. He felt numbness and tingling on his arm immediately after vaccination. He returned to vaccination clinic at 3:20PM complaining of decreased strength in his right arm, numbness and tingling. He mentioned that the feeling was similar to when he pinched a nerve in his arm 20 years ago. His blood pressure was measured and was recorded at 149/92. He was advised by pharmacist to go to the emergency department if the symptoms worsen or do not subside.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Light headed Weak
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Insomnia, Lymphadenopathy, Nausea, Pain
Clinical narrative: Headache within 1 hour, nausea after 6 hours, insomnia, body aches, swollen lymph nodes in armpit on the same side as the vaccine was received.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Scratch, Skin discolouration, Skin test, Urticaria
Clinical narrative: 17 days after receiving this vaccine I developed Dermatographia. I'm having hives and dark red scratches show up on my neck, stomach, and back. For example, I'll wake up in the morning with itchy red hives all over my neck from my shirt pressing against it. Even pressure from my clothing will cause it.   I treat the hives with hydrocortisone ointment and benadryl. But they still keep coming back day after day. I'm very worried the symptoms will continue to persist.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Herpes zoster
Clinical narrative: On Oct 29 patient received the Pfizer Covid-19 booster. On Nov 5 she developed mild abdominal pain without other symptoms or comoplaints. On Nov 11 patient developed herpes zoster of the left inferior thorax
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling drunk, Hallucination, Visual impairment
Clinical narrative: I was diagnosed with sciatica in June 2021, I was on treatment- Gabapentin. It was not helping that much and the doctor felt I should take a higher dose. I can't remember when I started taking the higher dose, it was like a week or 2 prior to the vaccine. On 09/30/2021 - after the vaccine, I started to walk home. I thought I saw my postman and as I got closer there was no postman. I live like 10 minutes away I could not see straight. I was seeing things on my phone that were not there. I was acting like someone that had too much to drink. I don't drink. I was hallucinating, but did not know it at the time. I had a video chat with my doctor - he felt that it was a rare response to the gabapentin. He was pretty sure it was not the booster. He told me not to leave my house. And a few hours later I was back to normal. The doctor told me to stop taking the Gabapentin and they switch me to another drug, pregabalin 75mg once a day, and it has worked well.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: 30 minutes after vaccine was given patient was very light headed and dizzie, and c/o a headache. Patient had a history of HTN, checked BP and it was 168/92, P 80, RR 14, SPO2 99%.  Rechecked BP 10 minutes later and it was 160/92. Patient continued to feel lightheaded and dizziness. Patient initially refused to let us call 911, then  spoke with her PCP office who advised she goto hospital, we called 911 and she was transported to the hospital via ambulance.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Injection site reaction, Pain, Rash, Urticaria
Clinical narrative: Got a series of hive like bumps around the injection site. Woke up with an upset stomach, which was a painful blot feeling. She also had a rash on her torsel and some hives on her lower back and thighs.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest pain, Electrocardiogram abnormal
Clinical narrative: Chest pain, anxiety
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bronchitis, Cough, Oropharyngeal discomfort, Wheezing
Clinical narrative: cough, slight wheeze, feeling in throat, she says she is coming down with bronchitis. started 12/8/21
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Bad headaches for two weeks.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Dizziness, Dysstasia, Visual impairment
Clinical narrative: Burning sensation in the face followed by a narrowing and darkening of vision, inability to stand unaided, dizziness and near lose of consciousness lasting about an hour starting five to ten minutes after the initial injection. Pushed fluids and monitored heart rate and blood pressure and episode seemed to pass about an hour from onset.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient had no adverse event or outcome. After administration, was discovered that vaccine refrigerator was out of temperature range. Patient is notified and offered re-vaccination.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: CHILD RECEIVED PFIZER ADULT DOSE AT AGE 11 BEFORE VACCINE APPROVED FOR CHILDREN (5/14/2021).  CHILD ALSO RECEIVED SECOND DOSE ON 6/18/2021, STILL AT THE AGE OF 11.
Age: 7.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral, Arteriogram carotid, Blindness, Magnetic resonance imaging head, Retinal artery occlusion
Clinical narrative: left retinal artery occlusion resulting in permanent vision loss
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Influenza virus test negative, Mechanical urticaria, Muscular weakness
Clinical narrative: Hives and dermatographia began 11/23.  Full body, including scalp, feet, hands, and upper lip.  Hives were extremely itchy and painful and skin seemed swollen and was hot to the touch.  Fingers felt very stiff and hands weak.  By 11/25, left arm (NOT the arm that received the injection) and wrist felt very sore.  After sitting for Thanksgiving dinner, buttocks also felt painfully sore.  Was fatigued that day.  On 11/26, conditions began to improve.  As of today (12/9), still experiencing some itchniess, hives, and dermatographia, but much more manageable.  Treatments: 11/23 - none 11/24-25 - Spray Benadryl, Eucerin Calming Cream, Colloidal Oatmeal bath 11/26-27 - Spray Hydrocortisone, 1 Claritin/day, Colloidal Oatmeal bath 11/28+ - occasional spray hydrocortisone
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness, Pain, Pain in extremity, Pruritus
Clinical narrative: Hives and dermatographia began 11/23.  Full body, including scalp, feet, hands, and upper lip.  Hives were extremely itchy and painful and skin seemed swollen and was hot to the touch.  Fingers felt very stiff and hands weak.  By 11/25, left arm (NOT the arm that received the injection) and wrist felt very sore.  After sitting for Thanksgiving dinner, buttocks also felt painfully sore.  Was fatigued that day.  On 11/26, conditions began to improve.  As of today (12/9), still experiencing some itchniess, hives, and dermatographia, but much more manageable.  Treatments: 11/23 - none 11/24-25 - Spray Benadryl, Eucerin Calming Cream, Colloidal Oatmeal bath 11/26-27 - Spray Hydrocortisone, 1 Claritin/day, Colloidal Oatmeal bath 11/28+ - occasional spray hydrocortisone
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Skin swelling, Skin warm, Urticaria
Clinical narrative: Hives and dermatographia began 11/23.  Full body, including scalp, feet, hands, and upper lip.  Hives were extremely itchy and painful and skin seemed swollen and was hot to the touch.  Fingers felt very stiff and hands weak.  By 11/25, left arm (NOT the arm that received the injection) and wrist felt very sore.  After sitting for Thanksgiving dinner, buttocks also felt painfully sore.  Was fatigued that day.  On 11/26, conditions began to improve.  As of today (12/9), still experiencing some itchniess, hives, and dermatographia, but much more manageable.  Treatments: 11/23 - none 11/24-25 - Spray Benadryl, Eucerin Calming Cream, Colloidal Oatmeal bath 11/26-27 - Spray Hydrocortisone, 1 Claritin/day, Colloidal Oatmeal bath 11/28+ - occasional spray hydrocortisone
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Collapse a few minutes after injection. Unclear if this was syncope as patient was initially unresponsive. Was sent to ER.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Breast pain, Dysmenorrhoea, Headache
Clinical narrative: Terrible menstrual cramping and PMS symptoms.  Abdominal pain far exceeded 'normal' by my own experience (including some of the worst endometriosis flares). Lower back pain, breast soreness, headache, mood swings - all of these were significantly worse than usual.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Mood swings, Premenstrual syndrome
Clinical narrative: Terrible menstrual cramping and PMS symptoms.  Abdominal pain far exceeded 'normal' by my own experience (including some of the worst endometriosis flares). Lower back pain, breast soreness, headache, mood swings - all of these were significantly worse than usual.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Vision blurred
Clinical narrative: Right eye became blurry, causing squinting within days of receiving the 2nd vaccine. Never in my life before this did I have problems with my eyes. Eye appeared as if it was twitching at times.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dehydration, Exposure during pregnancy, Fatigue, Morning sickness
Clinical narrative: Pregnancy: (10 weeks; first trimester). Symptoms: extreme fever and dehydration, fatigue, vomiting (likely a form of extreme morning sickness due to dehydration and empty stomach due to lack of appetite). Unable to sleep due to waking every 2 hours to use restroom.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder, Vomiting
Clinical narrative: Pregnancy: (10 weeks; first trimester). Symptoms: extreme fever and dehydration, fatigue, vomiting (likely a form of extreme morning sickness due to dehydration and empty stomach due to lack of appetite). Unable to sleep due to waking every 2 hours to use restroom.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PATIENT WAS ADMINISTERED ADULT COVID VACCINE DOSE IN ERROR INSTEAD OF APPROPRIATE PEDIATRIC COVID VACCINE DOSE.
Age: 55.0
Sex: F
Vaccine: COVID19, FLUA4, FLUA4, PNC13
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse event has taken place with the extra influenza vaccine given. Contacted the patient today at 11:09 AM. Patient received an influenza vaccine on 12/6/2021 when seen by her provider; however, the patient came back two days later at a different clinic for she   had scheduled herself in a nurse visit to receive the COVID Moderna booster vaccine and influenza vaccine. Patient was given both vaccines that day (nurse unaware of the office visit on 12/6/2021). However, I should have reviewed the patient's immunization vaccine list before giving the  influenza injection as I had reviewed her COVID vaccine list.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The patient presents  for vaccine. states she has been in a facility. does not have any vaccine card. The writer looks in registry and sees no Cvoid vaccine listed.  After giving the injection the electronic transfer red flags the dose stating it was given too early. the writer looks in registry again and now sees a dose listed as given on 11/23/2021.  The patient states yes, I think they did give me something in a facility.  she is informed the does was given too early; to call if any S/S. aware next dose due 01/05/2022.  Dr.   responsible for oversight of vaccine notified.  will F/U with the patient in next 24 -48 hours.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Angiopathy, Asthenia, Back pain, Blood creatinine increased
Clinical narrative: HPI: patient presented to the ED with 2 day history of chest and back pain, in Ventricular Tachycardia and cardioverted,  73yr old male with a history of CAD status post stent who presented to the ED with 2 days of chest pain, shortness of breath and weakness.  Symptoms worsened today.  He arrived to the emergency department in ventricular tachycardia.  His blood pressure was 103/69.  He was given succinylcholine 50 mg IV as an attempt at cardioversion.  This apparently worked.  A repeat EKG demonstrated a left bundle branch block which is new.  And there was concern for ischemic change specifically in leads V2 and II.   Chest x-ray shows hypervascularity concerning for fluid overload.  Mediastinum appears normal.  CBC shows leukocytosis.  Creatinine minimally elevated at 1.51.  It was 1.35 two weeks ago.  DIAGNOSIS: #1.  Acute coronary syndrome #2.  Ventricular tachycardia #3.  Chest pain #4.  Congestive heart failure new onset
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Bundle branch block left, Cardiac failure congestive, Cardioversion, Chest X-ray abnormal, Chest pain
Clinical narrative: HPI: patient presented to the ED with 2 day history of chest and back pain, in Ventricular Tachycardia and cardioverted,  73yr old male with a history of CAD status post stent who presented to the ED with 2 days of chest pain, shortness of breath and weakness.  Symptoms worsened today.  He arrived to the emergency department in ventricular tachycardia.  His blood pressure was 103/69.  He was given succinylcholine 50 mg IV as an attempt at cardioversion.  This apparently worked.  A repeat EKG demonstrated a left bundle branch block which is new.  And there was concern for ischemic change specifically in leads V2 and II.   Chest x-ray shows hypervascularity concerning for fluid overload.  Mediastinum appears normal.  CBC shows leukocytosis.  Creatinine minimally elevated at 1.51.  It was 1.35 two weeks ago.  DIAGNOSIS: #1.  Acute coronary syndrome #2.  Ventricular tachycardia #3.  Chest pain #4.  Congestive heart failure new onset
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Full blood count abnormal, Leukocytosis, Ventricular tachycardia
Clinical narrative: HPI: patient presented to the ED with 2 day history of chest and back pain, in Ventricular Tachycardia and cardioverted,  73yr old male with a history of CAD status post stent who presented to the ED with 2 days of chest pain, shortness of breath and weakness.  Symptoms worsened today.  He arrived to the emergency department in ventricular tachycardia.  His blood pressure was 103/69.  He was given succinylcholine 50 mg IV as an attempt at cardioversion.  This apparently worked.  A repeat EKG demonstrated a left bundle branch block which is new.  And there was concern for ischemic change specifically in leads V2 and II.   Chest x-ray shows hypervascularity concerning for fluid overload.  Mediastinum appears normal.  CBC shows leukocytosis.  Creatinine minimally elevated at 1.51.  It was 1.35 two weeks ago.  DIAGNOSIS: #1.  Acute coronary syndrome #2.  Ventricular tachycardia #3.  Chest pain #4.  Congestive heart failure new onset
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Wrong product administered
Clinical narrative: Patient received 2 AstraZeneca doses & was given a booster of Moderna. After administration I discovered that patient should have received a Pfizer. I will inform patient of error.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Blood test, Chest discomfort, Chest pain
Clinical narrative: Sore throat, arm pain, slight swelling at injection site, chest pain(left side) persistent 1mnth,  tongue numbness (1mnth- persistent), no sense of smell, or taste (1mnth- persistent), throwing up,  diarrhea (2wks- continuing), fever,  cough(1 month-persistent), body aches, chills, extreme fatigue, shortness of breath, trouble breathing, chest pain, tightness left side(2wks-persistent).
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Diarrhoea, Dyspnoea, Electrocardiogram
Clinical narrative: Sore throat, arm pain, slight swelling at injection site, chest pain(left side) persistent 1mnth,  tongue numbness (1mnth- persistent), no sense of smell, or taste (1mnth- persistent), throwing up,  diarrhea (2wks- continuing), fever,  cough(1 month-persistent), body aches, chills, extreme fatigue, shortness of breath, trouble breathing, chest pain, tightness left side(2wks-persistent).
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia oral, Injection site swelling, Oropharyngeal pain, Pain
Clinical narrative: Sore throat, arm pain, slight swelling at injection site, chest pain(left side) persistent 1mnth,  tongue numbness (1mnth- persistent), no sense of smell, or taste (1mnth- persistent), throwing up,  diarrhea (2wks- continuing), fever,  cough(1 month-persistent), body aches, chills, extreme fatigue, shortness of breath, trouble breathing, chest pain, tightness left side(2wks-persistent).
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, SARS-CoV-2 test, Streptococcus test, Vomiting
Clinical narrative: Sore throat, arm pain, slight swelling at injection site, chest pain(left side) persistent 1mnth,  tongue numbness (1mnth- persistent), no sense of smell, or taste (1mnth- persistent), throwing up,  diarrhea (2wks- continuing), fever,  cough(1 month-persistent), body aches, chills, extreme fatigue, shortness of breath, trouble breathing, chest pain, tightness left side(2wks-persistent).
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rash/hives/wheals that spread to full body, with most occurring near joints
Age: 9.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: PATIENT TESTED POSITIVE FOR COVID ON 05/05/2021.  PATIENT DIED ON 05/10/2021.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient vaccinated 2-4-2021, 3-4-2021 and 11-23-2021, found to be covid + on 12-2-2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood test, Condition aggravated, Electrocardiogram, Fatigue
Clinical narrative: I experienced flu like symptoms, fatigue, brain fog, hair loss. I went to the ER and the doctors performed a series of kidney tests, and performed an EKG. I was admitted for overnight observation for 1 day.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Influenza like illness, Renal function test
Clinical narrative: I experienced flu like symptoms, fatigue, brain fog, hair loss. I went to the ER and the doctors performed a series of kidney tests, and performed an EKG. I was admitted for overnight observation for 1 day.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: tested positive for covid 12/9/2021- no sx, tested as part of follow up due to known exposure- wife positive
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Condition aggravated, Muscle spasms, Myalgia, Neuralgia
Clinical narrative: Five days after receiving the vaccine, I noticed significant upper back pain. Muscle cramping followed a day or two later with nerve pain. This nerve and muscle pain is identical to the shingles pain (without a rash) I had September of 2020. For the first week it was nonstop. Since then the muscle cramping isn't as severe but the nerve pain is still there. Having had shingles a little over a year ago, I can say with complete certainty this is the exact same pain. I went to my GP for an examination. There is no rash but my overall symptoms are the same as the shingles virus. I am four weeks into this and the nerve pain is intermittent particularly worse at night.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Ejection fraction normal, Electrocardiogram ST segment elevation, Myocarditis, Troponin increased
Clinical narrative: Chest pain began 1 day post vaccine.  ECG with subtle ST elevation.  hs-Troponin 840 and trending down on presentation 12/7.   EF normal. By criteria, probable myocarditis; low risk
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Patient reported that immunizer did not administer full dosage due to syringe malfunction - he reported seeing a "consistent stream of liquid" coming from the syringe as it was placed in the Sharps container
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Gait disturbance, Headache, Myalgia
Clinical narrative: Joint pain, hives, burning sensation in skin, headache, fatigue, muscle pain, difficulty walking, night sweats, swelling all of which is still on going
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Skin burning sensation, Swelling, Urticaria
Clinical narrative: Joint pain, hives, burning sensation in skin, headache, fatigue, muscle pain, difficulty walking, night sweats, swelling all of which is still on going
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary mass, Lymphadenopathy, Mammogram
Clinical narrative: Swollen lymph nodes and lump in my left armpit.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Feeling hot, Immediate post-injection reaction, Laboratory test normal
Clinical narrative: Immediate severe swelling, redness of entire left forearm-vital signs stable and no other signs of allergy/anaphylaxis.  Treated with cool pack and observed for an additional 30 minutes with no other symptoms. Redness resolved in approximately 3 hours post vaccination.   3 days later on 11/21 child developed episodes of being hot, heart racing, shortness of breath, and red/blotchy patches on face.  No fever, chills  or GI symptoms.  It looked almost like "panic attacks or anxiety" per mother's report.  Seen by Pediatrician at Clinic on 11/29 but all tests were normal.  Referred to mental health clinician.  Episodes have resolved at this time-12/9/21.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Peripheral swelling, Rash macular
Clinical narrative: Immediate severe swelling, redness of entire left forearm-vital signs stable and no other signs of allergy/anaphylaxis.  Treated with cool pack and observed for an additional 30 minutes with no other symptoms. Redness resolved in approximately 3 hours post vaccination.   3 days later on 11/21 child developed episodes of being hot, heart racing, shortness of breath, and red/blotchy patches on face.  No fever, chills  or GI symptoms.  It looked almost like "panic attacks or anxiety" per mother's report.  Seen by Pediatrician at Clinic on 11/29 but all tests were normal.  Referred to mental health clinician.  Episodes have resolved at this time-12/9/21.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: The entire left side swelled up (shoulder down to hips). Remained swollen for 10 days.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: received pediatric Pfizer vaccine instead of formulation appropriate for age 12+
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Tinnitus
Clinical narrative: Ringing in ears, bad headaches off and on until 12/5 and ongoing  high blood pressure and resting pulse with continued ringing in the ears.  Did not realize blood pressure was high until doctors visit 12/1.  was prescribed migraine medicine and asked to continue recording blood pressure.  Have been prescribed blood pressure meds starting 12/9.  Had always previously had low blood pressure and been diagnosed at one point as having syncope due to low BP and normal resting pulse in 55 - 65 range
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Swollen tongue.  Had to go to the ER and received and EPI shot, prednisone and two antihistamines via IV.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Covid arm- severe pain at injection site, large red rash is both painful and itchy.  It started about 8 hours after receiving dose and got worse over the next 24 hours.  Rash is still present on day 3 after injection.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Headache, Lymphadenopathy, Pain
Clinical narrative: I have a painful swollen armpit which I believe to be my lymph node on the side I received my injection (left). The lymph nodes by my throat are also swollen but not as large and painful as my armpit. It's quite painful  to move or raise my arm up or lay on that side. The pain constant and heat and cold compress brings little relief.  I also had the ?usual? symptoms of headache, fatigue and fever/chills  but I can tell they are beginning to subside today.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I have a painful swollen armpit which I believe to be my lymph node on the side I received my injection (left). The lymph nodes by my throat are also swollen but not as large and painful as my armpit. It's quite painful  to move or raise my arm up or lay on that side. The pain constant and heat and cold compress brings little relief.  I also had the ?usual? symptoms of headache, fatigue and fever/chills  but I can tell they are beginning to subside today.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: Hives, itching, dermatographia that is now ongoing.
Age: 65.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Arthralgia, Back pain, Feeling abnormal, Gait inability, Loss of personal independence in daily activities
Clinical narrative: Extreme back pain. I first felt a strange sensation in my back.  It felt like, starting in my mid-back and going down to my lower-back, someone was slowly pulling a shade down - it was a sensation of movement. Then the extreme back pain started. It was intermittent (on and off) for about 5 to 10 minutes total.  While the pain was on, I could not walk or function.  It was the worst pain I have ever felt. I would rate it "10" out of "10."  Additionally, my right shoulder was  sore for at least 3 weeks, and even now - 2 months later - it still feels a little sore on certain movements.
Age: 65.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pain, Sensory disturbance
Clinical narrative: Extreme back pain. I first felt a strange sensation in my back.  It felt like, starting in my mid-back and going down to my lower-back, someone was slowly pulling a shade down - it was a sensation of movement. Then the extreme back pain started. It was intermittent (on and off) for about 5 to 10 minutes total.  While the pain was on, I could not walk or function.  It was the worst pain I have ever felt. I would rate it "10" out of "10."  Additionally, my right shoulder was  sore for at least 3 weeks, and even now - 2 months later - it still feels a little sore on certain movements.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Muscular weakness, Neck pain, Pain in extremity
Clinical narrative: Approximately 38 hours after injection, I woke up with severe pain in my left shoulder and up the neck.  Pain is mostly at night in the neck, shoulder, and upper arm.  I also have weakness in my arm and some loss of range of motion.  I am currently working with facility to schedule an evaluation with a physician.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 11 year old patient inadvertently given adult dose of Pfizer for second dose in vaccination series.  Patient weighs 67kg.   NKDA.  Patient tolerated first dose well per observers from last event.  Patient observed for 30 minutes.  No adverse reactions noted.  Discharged to caregiver.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Mobility decreased, Pain, Pain in extremity, Pyrexia
Clinical narrative: Arm hurts like absolute crap, cannot move it without pain. Fever of 100.2. Feel weird.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: headache, chills, aches, nausea, low grade fever.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Erythema, Infection, Lymph node pain, Lymphadenopathy
Clinical narrative: Presented to PCP on 11/9 with c/o lymphadenopathy, redness and pain to right axilla. Redness had improved by time of visit and only had lymphadenopathy and tenderness. No fever, chills, night sweats.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: received pediatric Pfizer vaccine  instead of Pfizer vaccine approved for age 12+
Age: 6.0
Sex: U
Vaccine: COVID19
Symptoms: Immunisation, No adverse event, Wrong technique in product usage process
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Child, age 12, presented to a school clinic with parent for 2nd dose of Pfizer COVID vaccine.  He was given Pfizer Pediatric version instead of Pfizer.  When it was realized, nurse called the mother and explained what happened and advised that the child receive a Pfizer (12 and older) version, with no waiting period between shots.  Parent brought child back to school clinic and child was administered the correct version of Pfizer for his age.