chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema nodosum
Clinical narrative: Erythema nodosum
Age: 40.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Axillary pain, Lymphadenopathy, Neck pain
Clinical narrative: Pain under left arm, swollen armpit ( left), swollen on both sides of shoulders and neck (lymph nodes) and pain. Just took Tylenol and I am waiting couple days to see if it will resolve by itself, if not will see a doctor.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Third dose of Pfizer administered to 13 year old. Third dose has not been approved for this age range.
Age: 66.0
Sex: F
Vaccine: VARCEL
Symptoms: Chills, Erythema, Feeling hot, Headache, Hyperhidrosis
Clinical narrative: Chills, red, hot, sore arm, headache, sweats, body aches
Age: 66.0
Sex: F
Vaccine: VARCEL
Symptoms: Pain, Pain in extremity
Clinical narrative: Chills, red, hot, sore arm, headache, sweats, body aches
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of internal records, it was found there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram abnormal, Dyspnoea, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: 11/21 Pt presents to ER with c/o increasing SOB x2 days, report tested + at outpt clinic 3 days prior. CT shows multifocal airspace opacity.  11/22 Started on Decadron, remdesivir, vitamin C, vitamin D, and zinc.  11/23 CT shows worsening aeration. Baricitinib added. 12/02 The On high-flow oxygen.  On baricitinib at 4 mg. She is doing better. Resume Decadron at 10 mg IV  12/06 The patient finished treatment with baricitinib.  She remains on Decadron 10 mg IV every 24 hours.  The patient is doing much better.  She is now on 4 L oxygen.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Faeces discoloured, Gastrointestinal haemorrhage, Melaena
Clinical narrative: 11/24 Pt to ED complaints of dark tarry stools. Per EMS, patient is also covid positive for the past week and has been tachycardic.  11/25 COVID-19 infection, tolerating very well. RA o2. GI Bleed. 11/27 No significant infiltrate noted on chest x-ray 11/30 Stable for transfer back to nursing home facility
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia
Clinical narrative: 11/24 Pt to ED complaints of dark tarry stools. Per EMS, patient is also covid positive for the past week and has been tachycardic.  11/25 COVID-19 infection, tolerating very well. RA o2. GI Bleed. 11/27 No significant infiltrate noted on chest x-ray 11/30 Stable for transfer back to nursing home facility
Age: 41.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Dyspnoea, Fatigue
Clinical narrative: 11/23 ED for dyspnea, onset 1 week, worsening. Went to urgent care and tested positive for covid.   Reports progressive dyspnea, fatigue and weakness. unable to eat for 3 days.  11/24 On ceftriaxone/zmax, remdesivir, decadron 11/25 Dx Pneumonia secondary to COVID-19, patient is on azithromycin as well as Rocephin and Decadron, DVT prophylaxis, on Lovenox 40 mg twice a day 11/26 Discharged
Age: 41.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Feeding disorder, SARS-CoV-2 test positive
Clinical narrative: 11/23 ED for dyspnea, onset 1 week, worsening. Went to urgent care and tested positive for covid.   Reports progressive dyspnea, fatigue and weakness. unable to eat for 3 days.  11/24 On ceftriaxone/zmax, remdesivir, decadron 11/25 Dx Pneumonia secondary to COVID-19, patient is on azithromycin as well as Rocephin and Decadron, DVT prophylaxis, on Lovenox 40 mg twice a day 11/26 Discharged
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Blood lactic acid, Blood pressure fluctuation, COVID-19, Chest X-ray normal
Clinical narrative: 75 year old female with PMHx of Alzheimer's dementia, T2DM, and CAD presented with generalized weakness, known to be COVID +. OA, labs revealed elevated troponins 0.07 -> 0.04 -> 0.07, EKG NSR with PVC. Cr 1.18, Lactic acid 2.1. D-Dimer >10,000. LE doppler neg for DVT.  UA positive. UCX showing multiple pathogens. CTPE and CXR WNL. ID consulted and Pt treated with 3 days of Decadron and 4 days of Rocephin for UTI. Recommended no more anti-COVID treatments as Pt. Was stable. Cardiology consulted given elevated troponins, likely due to demand ischemia, ACS unlikely. Treated with Decadron for three days. Saturating at 92% on Room Air. During her admission, Pt complained of right leg pain. X-rays showed acute intertrochanteric right hip fracture. Orthopedic surgery was consulted who took Pt back to the OR for intramedullary right hip nailing without complications. Pt Cleared from Ortho standpoint when medically stable. Pt was evaluated by PT/OT who recommended SAR. Only particular living site accepts COVID patients.   Patient's blood pressures fluctuated into 190s/100s during admission. Blood pressure meds were changed to include Lisinopril 40 mg daily and Amlodipine 10 mg daily. Patient is on Metoprolol 100 mg BID currently due to change in dose.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax normal, Culture urine positive, Electrocardiogram abnormal, Fibrin D dimer, Hip fracture
Clinical narrative: 75 year old female with PMHx of Alzheimer's dementia, T2DM, and CAD presented with generalized weakness, known to be COVID +. OA, labs revealed elevated troponins 0.07 -> 0.04 -> 0.07, EKG NSR with PVC. Cr 1.18, Lactic acid 2.1. D-Dimer >10,000. LE doppler neg for DVT.  UA positive. UCX showing multiple pathogens. CTPE and CXR WNL. ID consulted and Pt treated with 3 days of Decadron and 4 days of Rocephin for UTI. Recommended no more anti-COVID treatments as Pt. Was stable. Cardiology consulted given elevated troponins, likely due to demand ischemia, ACS unlikely. Treated with Decadron for three days. Saturating at 92% on Room Air. During her admission, Pt complained of right leg pain. X-rays showed acute intertrochanteric right hip fracture. Orthopedic surgery was consulted who took Pt back to the OR for intramedullary right hip nailing without complications. Pt Cleared from Ortho standpoint when medically stable. Pt was evaluated by PT/OT who recommended SAR. Only particular living site accepts COVID patients.   Patient's blood pressures fluctuated into 190s/100s during admission. Blood pressure meds were changed to include Lisinopril 40 mg daily and Amlodipine 10 mg daily. Patient is on Metoprolol 100 mg BID currently due to change in dose.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hip surgery, Intramedullary rod insertion, Myocardial ischaemia, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: 75 year old female with PMHx of Alzheimer's dementia, T2DM, and CAD presented with generalized weakness, known to be COVID +. OA, labs revealed elevated troponins 0.07 -> 0.04 -> 0.07, EKG NSR with PVC. Cr 1.18, Lactic acid 2.1. D-Dimer >10,000. LE doppler neg for DVT.  UA positive. UCX showing multiple pathogens. CTPE and CXR WNL. ID consulted and Pt treated with 3 days of Decadron and 4 days of Rocephin for UTI. Recommended no more anti-COVID treatments as Pt. Was stable. Cardiology consulted given elevated troponins, likely due to demand ischemia, ACS unlikely. Treated with Decadron for three days. Saturating at 92% on Room Air. During her admission, Pt complained of right leg pain. X-rays showed acute intertrochanteric right hip fracture. Orthopedic surgery was consulted who took Pt back to the OR for intramedullary right hip nailing without complications. Pt Cleared from Ortho standpoint when medically stable. Pt was evaluated by PT/OT who recommended SAR. Only particular living site accepts COVID patients.   Patient's blood pressures fluctuated into 190s/100s during admission. Blood pressure meds were changed to include Lisinopril 40 mg daily and Amlodipine 10 mg daily. Patient is on Metoprolol 100 mg BID currently due to change in dose.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin increased, Ultrasound Doppler normal, Urinary tract infection, Urine analysis abnormal, Ventricular extrasystoles
Clinical narrative: 75 year old female with PMHx of Alzheimer's dementia, T2DM, and CAD presented with generalized weakness, known to be COVID +. OA, labs revealed elevated troponins 0.07 -> 0.04 -> 0.07, EKG NSR with PVC. Cr 1.18, Lactic acid 2.1. D-Dimer >10,000. LE doppler neg for DVT.  UA positive. UCX showing multiple pathogens. CTPE and CXR WNL. ID consulted and Pt treated with 3 days of Decadron and 4 days of Rocephin for UTI. Recommended no more anti-COVID treatments as Pt. Was stable. Cardiology consulted given elevated troponins, likely due to demand ischemia, ACS unlikely. Treated with Decadron for three days. Saturating at 92% on Room Air. During her admission, Pt complained of right leg pain. X-rays showed acute intertrochanteric right hip fracture. Orthopedic surgery was consulted who took Pt back to the OR for intramedullary right hip nailing without complications. Pt Cleared from Ortho standpoint when medically stable. Pt was evaluated by PT/OT who recommended SAR. Only particular living site accepts COVID patients.   Patient's blood pressures fluctuated into 190s/100s during admission. Blood pressure meds were changed to include Lisinopril 40 mg daily and Amlodipine 10 mg daily. Patient is on Metoprolol 100 mg BID currently due to change in dose.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray of pelvis and hip abnormal
Clinical narrative: 75 year old female with PMHx of Alzheimer's dementia, T2DM, and CAD presented with generalized weakness, known to be COVID +. OA, labs revealed elevated troponins 0.07 -> 0.04 -> 0.07, EKG NSR with PVC. Cr 1.18, Lactic acid 2.1. D-Dimer >10,000. LE doppler neg for DVT.  UA positive. UCX showing multiple pathogens. CTPE and CXR WNL. ID consulted and Pt treated with 3 days of Decadron and 4 days of Rocephin for UTI. Recommended no more anti-COVID treatments as Pt. Was stable. Cardiology consulted given elevated troponins, likely due to demand ischemia, ACS unlikely. Treated with Decadron for three days. Saturating at 92% on Room Air. During her admission, Pt complained of right leg pain. X-rays showed acute intertrochanteric right hip fracture. Orthopedic surgery was consulted who took Pt back to the OR for intramedullary right hip nailing without complications. Pt Cleared from Ortho standpoint when medically stable. Pt was evaluated by PT/OT who recommended SAR. Only particular living site accepts COVID patients.   Patient's blood pressures fluctuated into 190s/100s during admission. Blood pressure meds were changed to include Lisinopril 40 mg daily and Amlodipine 10 mg daily. Patient is on Metoprolol 100 mg BID currently due to change in dose.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Pt tested positve for COVID on 10/26/2021. Pt is a known cae of atrial fibrillation, high blood pressure and chronic kidney disease who presented to the hospital on 10/26/2021 with acute respiratory failure related to COVID pneumonia.  Treatment with IV steroids and IV remdesivir.  oxygen.  Afib controlled on cardizem and rythmol.  Discharged to home.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Eye infection, Feeling abnormal, Malaise, Nausea
Clinical narrative: My daughter started feeling off around 8 p.m the evening of her 2nd covid vaccine. She woke up around 3 a.m with sever nausea and a fever 0f 102.5. Shortly after she began vomiting which continued throughout the night. By morning she still had a fever of about 102 and could not hold down fluids. We called in to our pediatricians office and told them of our situation. The Dr called in some ONDANSETRON to control the vomiting. She also developed a sore throat, cough, runy nose and eye infection. We saw another Dr to treat the eye infection which started a few days later.  She still isn't feeling well and it has been almost 2 weeks.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Rhinorrhoea, Sleep disorder, Vomiting
Clinical narrative: My daughter started feeling off around 8 p.m the evening of her 2nd covid vaccine. She woke up around 3 a.m with sever nausea and a fever 0f 102.5. Shortly after she began vomiting which continued throughout the night. By morning she still had a fever of about 102 and could not hold down fluids. We called in to our pediatricians office and told them of our situation. The Dr called in some ONDANSETRON to control the vomiting. She also developed a sore throat, cough, runy nose and eye infection. We saw another Dr to treat the eye infection which started a few days later.  She still isn't feeling well and it has been almost 2 weeks.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity, Product preparation issue
Clinical narrative: The client was given undiluted Pfizer COVID-19 5-11 vaccine. The orange cap was removed and 0.2cc drawn up and given to client. The mother was notified on 12-30-21 at noon. No issues noted at that time.  1-3-22 interview with mother completed. She reported that the child had a fever 100.1 the night of 12-30-21 with a sore arm. By 12-31-21 am, the child's symptoms were resolved without medication.
Age: 73.0
Sex: M
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department's internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Electrocardiogram, Pericarditis
Clinical narrative: pericarditis diagnosed by EKG symptoms of chest pain and tightness constant for 48 hours, then improving but persist at night on day 5
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: ADMIN ERROR   Pt was given a expired vax, vax expired 12/31/2021.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Atrial fibrillation, Chills, Echocardiogram, Electrocardiogram
Clinical narrative: First dose on 4/1 039A21A. I had 5 short-term Afib incidents between 1/1 through vac date. Afib incidents on April 2 12 17 19 24 27, incidents between 10 mins and 2 hours. Second dose 4/29 Afib started at 7:45, intermittent. Heart rate was 100. Fever of 101, chills, vomiting, by 19:45. Heart rate 102. Next day HR in 90s, muscle & joint aches. Went to doctor on May 1. High temp was 100.8, HR high was 164, until ER visit.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Heart rate increased, Metabolic function test, Myalgia, Pyrexia
Clinical narrative: First dose on 4/1 039A21A. I had 5 short-term Afib incidents between 1/1 through vac date. Afib incidents on April 2 12 17 19 24 27, incidents between 10 mins and 2 hours. Second dose 4/29 Afib started at 7:45, intermittent. Heart rate was 100. Fever of 101, chills, vomiting, by 19:45. Heart rate 102. Next day HR in 90s, muscle & joint aches. Went to doctor on May 1. High temp was 100.8, HR high was 164, until ER visit.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin, Vomiting
Clinical narrative: First dose on 4/1 039A21A. I had 5 short-term Afib incidents between 1/1 through vac date. Afib incidents on April 2 12 17 19 24 27, incidents between 10 mins and 2 hours. Second dose 4/29 Afib started at 7:45, intermittent. Heart rate was 100. Fever of 101, chills, vomiting, by 19:45. Heart rate 102. Next day HR in 90s, muscle & joint aches. Went to doctor on May 1. High temp was 100.8, HR high was 164, until ER visit.
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of internal records, it was found there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Balance disorder, Chills, Decreased appetite, Diarrhoea
Clinical narrative: Fever, muscle aches, & left axillary pain within 4-6 hours of injection. Fevers 101-102F,  chills, extreme fatigue, headache, nausea, diarrhea, lack of appetite,  & worsening myalgia extending from 10/13/21-10/15/21. On evening of 10/15 I began experiencing slight dizziness which dissipated before going to bed, but then noticed a golfball sized, round,  pink, tender, area noted at injection site. The next morning the site enlarged to slightly smaller than tennis ball sized, now warm to the touch, pink-red, swelling, and continued to be itchy & tender, not completely disappearing until 10/26.  On Saturday morning 10/16/21, I began experiencing worsening dizziness &  headache, to the point I was unable to look downward or turn my head more than a couple degrees side to side without the room spinning and feeling off balance.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Fever, muscle aches, & left axillary pain within 4-6 hours of injection. Fevers 101-102F,  chills, extreme fatigue, headache, nausea, diarrhea, lack of appetite,  & worsening myalgia extending from 10/13/21-10/15/21. On evening of 10/15 I began experiencing slight dizziness which dissipated before going to bed, but then noticed a golfball sized, round,  pink, tender, area noted at injection site. The next morning the site enlarged to slightly smaller than tennis ball sized, now warm to the touch, pink-red, swelling, and continued to be itchy & tender, not completely disappearing until 10/26.  On Saturday morning 10/16/21, I began experiencing worsening dizziness &  headache, to the point I was unable to look downward or turn my head more than a couple degrees side to side without the room spinning and feeling off balance.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Myalgia, Nausea
Clinical narrative: Fever, muscle aches, & left axillary pain within 4-6 hours of injection. Fevers 101-102F,  chills, extreme fatigue, headache, nausea, diarrhea, lack of appetite,  & worsening myalgia extending from 10/13/21-10/15/21. On evening of 10/15 I began experiencing slight dizziness which dissipated before going to bed, but then noticed a golfball sized, round,  pink, tender, area noted at injection site. The next morning the site enlarged to slightly smaller than tennis ball sized, now warm to the touch, pink-red, swelling, and continued to be itchy & tender, not completely disappearing until 10/26.  On Saturday morning 10/16/21, I began experiencing worsening dizziness &  headache, to the point I was unable to look downward or turn my head more than a couple degrees side to side without the room spinning and feeling off balance.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vertigo
Clinical narrative: Fever, muscle aches, & left axillary pain within 4-6 hours of injection. Fevers 101-102F,  chills, extreme fatigue, headache, nausea, diarrhea, lack of appetite,  & worsening myalgia extending from 10/13/21-10/15/21. On evening of 10/15 I began experiencing slight dizziness which dissipated before going to bed, but then noticed a golfball sized, round,  pink, tender, area noted at injection site. The next morning the site enlarged to slightly smaller than tennis ball sized, now warm to the touch, pink-red, swelling, and continued to be itchy & tender, not completely disappearing until 10/26.  On Saturday morning 10/16/21, I began experiencing worsening dizziness &  headache, to the point I was unable to look downward or turn my head more than a couple degrees side to side without the room spinning and feeling off balance.
Age: 67.0
Sex: M
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department's internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Loss of consciousness, Syncope
Clinical narrative: Patient walked up to the counter to state she felt funny and then fainted. She woke up within a minute and was gotten into a chair. She stood up to get something to drink and fainted again and revived soon after. 911 was called and they checked her out.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Head injury, Loss of consciousness
Clinical narrative: Patient walked up to the counter to state she felt funny and then fainted. She woke up within a minute and was gotten into a chair. She stood up to get something to drink and fainted again and revived soon after. 911 was called and they checked her out.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Loss of consciousness, Syncope
Clinical narrative: Patient passed-out and hit head twice.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Head injury, Loss of consciousness
Clinical narrative: Patient passed-out and hit head twice.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: fever and positive covid test in fully vaccinated pt
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Very pronounced armpit lymph node swollen and painful that lasted a few weeks.
Age: 5.0
Sex: F
Vaccine: IPV
Symptoms: Product storage error
Clinical narrative: THERE WAS A TEMPERATURE EXCURSION 2WEEKPRIOR TO VACCINE BEING GIVEN
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Cough, Ear pain, Headache, Oropharyngeal pain
Clinical narrative: Ear pain, sore throat, congestion, cough, sneezing, headache, back pain and pneumonia.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Respiratory tract congestion, Sneezing
Clinical narrative: Ear pain, sore throat, congestion, cough, sneezing, headache, back pain and pneumonia.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Malaise, Palpitations
Clinical narrative: Within 15 minutes after my second dose, I felt dizziness. The nurse asked me to go upside down and put cotton in my nose. Then she walked with me to the door. After the first shot, I had a headache like I never experienced before in my whole life (for one day only and then stopped). After second shot 09/27/2021, I felt very sick for around 3 days. Now after about three months, I  experience a throbbing heart and sometimes in my back. I never experienced this in my life. I never had problem with my heart before. I do not know if this is related to the vaccine or not.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: body aches, chills, fever- started on 1/4/22
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes
Clinical narrative: presenting  to ED with several days of altered mental status
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Delivery, Exposure during pregnancy, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/26/2021.  Pt presented to ED for routine pregnancy delivery.  Pre procedural Covid swab +, pt asymptomatic.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Injection site pain
Clinical narrative: My initial dose was the Johnson & Johnson (April 2021). The booster shot was Moderna. I experienced pain at the injection site, extreme fatigue, headache, chills and dizziness.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: My initial dose was the Johnson & Johnson (April 2021). The booster shot was Moderna. I experienced pain at the injection site, extreme fatigue, headache, chills and dizziness.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 62-year-old female, history of hypertension presented to the ED with generalized fatigue. Symptomatic for 5 days.Pt test + for COVID on 10/26.  No chest pain, no cough and no fever. Vitals within normal limits.  Supportive care.  Continue quaratining until result negative.  Told to return if symptoms worsen.  Follow up PCP in 2-3 days.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: vaccinated-covid related death
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Pain in extremity, Vertigo
Clinical narrative: Are became very sore and 4 to 5 days after she started having very bad vertigo. She fell down at work and went to the doctor and that what she was diagnosed with. She never had that before taking the vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Nausea, Neck pain
Clinical narrative: Sore arm, sore neck, general weakness, chills, joint pain, nausea
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm, sore neck, general weakness, chills, joint pain, nausea
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of at a local Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested in asymptomatic psych patient for placement
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Butterfly rash, Headache, Rash
Clinical narrative: Employee recieved Pfizer Covid 19 vaccine on 12/21/2021.  States that since two days after he took the vaccine his head aches, it is throbbing and his temples are "sore."  Also, reports soreness in the back of his head.  He states that he also had a rash on his face.   Stated it was more prominent last night.  Barely visible at this point.  States it was like a butterfly rash. Reports his father has a hx of SLE and wonders if these are symptoms of that.  I advised him that the vaccine won't cause you to contract SLE but, it can cause an inflammatory response that could cause symptoms of SLE to show..  Instructed him to see his PCP for follow up on SLE and also on direction regarding getting second vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash pruritic
Clinical narrative: Intermittent itching rash. Mostly on forearms with itching on other body areas at times.  Made better by antihistamines. Patient using benadryl spray and cetirizine. Issue has not resolved
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Hypoaesthesia, Inflammation, Injection site pain
Clinical narrative: On 1/2/2022: Tingling and Numbness in left thumb and palm starting at 3:45 pm. As of 1/4/2022 it persists but has decreased in intensity. On 1/3/2022: Numbness and decreased sensitivity in left shoulder at 10:00 am.  On 1/3/2022: Pain under left armpit and down left side of ribs at 5:00 pm. This persists as of 1/4/2022. On 1/3/2022: Pain on left shoulder near injection site at 10:30 pm. This persists as of 1/4/2022. On 1/4/2022: Pain and inflammation at left collarbone area at 7:00 am
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Pain
Clinical narrative: On 1/2/2022: Tingling and Numbness in left thumb and palm starting at 3:45 pm. As of 1/4/2022 it persists but has decreased in intensity. On 1/3/2022: Numbness and decreased sensitivity in left shoulder at 10:00 am.  On 1/3/2022: Pain under left armpit and down left side of ribs at 5:00 pm. This persists as of 1/4/2022. On 1/3/2022: Pain on left shoulder near injection site at 10:30 pm. This persists as of 1/4/2022. On 1/4/2022: Pain and inflammation at left collarbone area at 7:00 am
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: Received the first dose of the Pediatric Pfizer formulation for ages 5-11 years COVID-19 Vaccine on 12/14/21 in the morning.  Grandma (guardian) reports that the following day, 12/15/21, he was picked up from school and his entire bottom lower lip was swollen. She does report that he may have a nut allergy but, he did not eat nuts and did not have any facial injury known/reported. The only new thing he had introduced was the COVID-19 vaccine the following day. He did recover from the lip swelling and did not have a rash, hives or trouble breathing.  Patient came into the doctor's office anticipating their 2nd COVID-19 vaccine on 1/4/22. Discussed with pediatrician and determined it was best for patient to be evaluated by allergist before receiving 2nd COVID-19 vaccine. A referral to the allergist was made 1/4/22. Has pending allergist appt. for 1/5/22.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid after being fully vaccinated
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 10/13/2021, vaccine given 10/22/2021.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse reaction, Biopsy kidney abnormal, Blood urine present, Cystoscopy normal, IgA nephropathy
Clinical narrative: The morning following my vaccination, I started to notice visible blood in my urine. This continued for about a week before clearing up. I sought medical care from my primary care provider. I was referred to a urologist, who performed a cystoscopy in July 2021. The results showed no abnormalities, so I was referred to a nephrologist for further treatment. A biopsy of one of my kidneys was performed in July 2021. The results led to my diagnosis of IgA nephropathy.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pain in extremity, Pruritus, Urticaria
Clinical narrative: Sore arm after the injection for less than 24 hours.  No problems other than sore arm after the first and second Moderna CoVid 19 vaccinations.  On Day 12 after receiving the vaccine (Moderna Booster), had whole body itchiness and hive formation upon scratching.  Urticarial and Dermatographia reactions.  Hives last for less than 1 hour upon taking Benadryl.  Then hours later or the next day, they show up again in a different location.  I have had them in groin, legs, arms, chest, and back. I am now taking Zyrtec each morning and this seems to keep the hives away for the most part.  If they show up I take Benadryl.  If I skip Zyrtec, the hives will show up within 24 hours.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test in fully vaccinated pt
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 10/13/2021, vaccine given 10/22/2021
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in my ears
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: My arm became red, itchy, hot to the touch, and was very swollen.  The swelling made my arm at least 25% larger.  My elbow also was painful, which has not gone away since the swelling went away.  My elbow pain continues.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Pt test positive for COVID on 10/27/2021.  90 year old female with PMHx of afib, HTN, arthritis presented to ED complaining of one week duration of worsening cough with SOB, rhinorrhea.  Admission dx hypoxia, dyspnea, pneumonia due to COVID. D-dimer 510-499.  Treatment:  oxygen, decadron, Remdesivir held due to Bradycardia.  Discharged to home.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hypoxia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Pt test positive for COVID on 10/27/2021.  90 year old female with PMHx of afib, HTN, arthritis presented to ED complaining of one week duration of worsening cough with SOB, rhinorrhea.  Admission dx hypoxia, dyspnea, pneumonia due to COVID. D-dimer 510-499.  Treatment:  oxygen, decadron, Remdesivir held due to Bradycardia.  Discharged to home.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Mental status changes
Clinical narrative: admitted through the ED with symptoms of weakness and AMS
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Blood test, Computerised tomogram, Influenza like illness
Clinical narrative: Flu like symptoms, upset stomach, joint pain, hip, knee, shoulder and elbow pain. Swelling in right calf and knee. Shooting pain down right and left leg starting at the hip and moving down.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Pain, Pain in extremity, Peripheral swelling, Ultrasound scan
Clinical narrative: Flu like symptoms, upset stomach, joint pain, hip, knee, shoulder and elbow pain. Swelling in right calf and knee. Shooting pain down right and left leg starting at the hip and moving down.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness, Ear discomfort
Clinical narrative: Difficulty with hearing.. feels as if he has lost hearing and has feeling of fullness in both ears.  I took him to an ENT where he was observed and then given a hearing test.. lower end of normal on test Went to pediatrician and did hearing tests and he failed twice in left ear Went to another audiologist  and his hearing test showed the lower end of normal . Going back to ENT this week on 1/6/21
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine expired 10/13/2021, vaccine given 10/22/2021
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nasal congestion, Productive cough, Pyrexia, Rhinorrhoea
Clinical narrative: productive cough, fever, nasal congestion, runny nose. starting 1/2/22
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Hypoaesthesia, Incorrect route of product administration, Vision blurred
Clinical narrative: numbness in legs/ feet, vision blurry, balance off,
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Palpitations
Clinical narrative: Heart palpitations, possibly premature arrhythmia, occurring approximately 6 times per minute.  Regularly occurred over the course of approximately 20 hours.  Issue first noticed 12/30/2021 at 8pm (the day after receiving the shot), and lasted until 12/31/2021 at 3pm. Symptoms included feeling one irregular heartbeat, repeating approximately  6x/minute.  No chest pain, dizziness, shortness of breath.  No other known contributing factors present, such as change in activity or ingestion of stimulants (caffeine, pseudoephedrine, etc.)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Lymph node pain, Lymphadenopathy, Mammogram normal, Pain
Clinical narrative: Sunday afternoon discovered painful swollen lymph node in left armpit with pain radiating to left breast. Had mammogram in December and results were negative for breast cancer, but it was scary to feel the sensation in my breast.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Temperature excursion; vaccine left in freezer past 14 days, administered to patient's
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: SOB and positive covid test in fully vaccinated and boostered pt
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: No adverse event occurred immediately following vaccination. The child experienced an approximately "1/4 inch raised red area at injection site for less than a day"   otherwise the parent denied that the child had any adverse events after vaccination.  Patient was vaccinated on  the morning  of 12/30/2021 , by mid afternoon, parent reported the child with out adverse events. By 1/4/2022 parent reported the raised red area mentioned above but nothing further. Reported, "honestly she is fine"
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dyspnoea, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: After injection administered, initially experienced mild anaphylaxis, tongue/throat swelling, shortness of breath and palpitations. PCP provided Benadryl pills and a cup of water and had patient wait an extended 30 minutes leaving the facility. Upon return home, injection site developed a red, itchy, raised rash. It was initially the size of a dime. Over time, for the next 3-4 days, it grew to the size of the patient's palm (approximately baseball sized, slightly larger). Itching was intense to the point of opening the skin. Patient contacted PCP office 3-4 days after injection and advised to use Benadryl or Cortisone cream on injection site. She was to take Benadryl until symptoms no longer persisted. After 2 weeks, the rash, hives and itching went away. A week later, the rash, hives and itching returned to the same size and intensity as initial reaction. This persisted for 4 days before fading away. Another week later the itching returned. The area previously raised with hives and rash, turned dark like necrosis. This dark patch persisted for 3 weeks before fading away.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pharyngeal swelling, Swollen tongue, Urticaria
Clinical narrative: After injection administered, initially experienced mild anaphylaxis, tongue/throat swelling, shortness of breath and palpitations. PCP provided Benadryl pills and a cup of water and had patient wait an extended 30 minutes leaving the facility. Upon return home, injection site developed a red, itchy, raised rash. It was initially the size of a dime. Over time, for the next 3-4 days, it grew to the size of the patient's palm (approximately baseball sized, slightly larger). Itching was intense to the point of opening the skin. Patient contacted PCP office 3-4 days after injection and advised to use Benadryl or Cortisone cream on injection site. She was to take Benadryl until symptoms no longer persisted. After 2 weeks, the rash, hives and itching went away. A week later, the rash, hives and itching returned to the same size and intensity as initial reaction. This persisted for 4 days before fading away. Another week later the itching returned. The area previously raised with hives and rash, turned dark like necrosis. This dark patch persisted for 3 weeks before fading away.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin burning sensation, Urticaria
Clinical narrative: Chronic hives all over my body. Itchiness and burning. Usually triggered by scratching/rubbing.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Blood test, Foot deformity, Laboratory test, Pain
Clinical narrative: Inflammation in all joints. hands, knee shoulders, fingers. pain, fever, toe deformity. currently I'm still like this.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Inflammation in all joints. hands, knee shoulders, fingers. pain, fever, toe deformity. currently I'm still like this.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Throat irritation, Urticaria
Clinical narrative: hives tingling lips and tongue scratchy throat
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Dyspnoea, Headache
Clinical narrative: I started out on December 17th with a severe headache in the evening. I took Aleve to relieve the pain. For 3 days on I had a headache. December 20th my nose was running, I was sneezing and coughing with a severe headache. At 10:30AM that day I had a Covid test did and my symptoms got worse. December 21st I found out that I had Covid. My legs and arms were shaky. It was hard to breathe. When I talked to my doctor they said my oxygen level was at 73. I was  prescribed an inhaler, antibiotics, and steroids. Thursday I went to Medical Center. I had the Monoclonal Antibody Infusion. My oxygen was between 80 and 89. I still have aches and pains in my body. I had about a 100-101 degree high fever. I have no fever or headaches now. I normally don't  have aches and pains. I still have shortness of breath and sometimes it's so bad that I can't talk.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I started out on December 17th with a severe headache in the evening. I took Aleve to relieve the pain. For 3 days on I had a headache. December 20th my nose was running, I was sneezing and coughing with a severe headache. At 10:30AM that day I had a Covid test did and my symptoms got worse. December 21st I found out that I had Covid. My legs and arms were shaky. It was hard to breathe. When I talked to my doctor they said my oxygen level was at 73. I was  prescribed an inhaler, antibiotics, and steroids. Thursday I went to Medical Center. I had the Monoclonal Antibody Infusion. My oxygen was between 80 and 89. I still have aches and pains in my body. I had about a 100-101 degree high fever. I have no fever or headaches now. I normally don't  have aches and pains. I still have shortness of breath and sometimes it's so bad that I can't talk.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: I started out on December 17th with a severe headache in the evening. I took Aleve to relieve the pain. For 3 days on I had a headache. December 20th my nose was running, I was sneezing and coughing with a severe headache. At 10:30AM that day I had a Covid test did and my symptoms got worse. December 21st I found out that I had Covid. My legs and arms were shaky. It was hard to breathe. When I talked to my doctor they said my oxygen level was at 73. I was  prescribed an inhaler, antibiotics, and steroids. Thursday I went to Medical Center. I had the Monoclonal Antibody Infusion. My oxygen was between 80 and 89. I still have aches and pains in my body. I had about a 100-101 degree high fever. I have no fever or headaches now. I normally don't  have aches and pains. I still have shortness of breath and sometimes it's so bad that I can't talk.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Heart rate increased, Pain
Clinical narrative: Pt reports that the day after her vaccine, her heart rate was much higher.  She felt like it was "beating out of her chest".  This was intermittent.  She also had joint pain, fatigue, achy, chills, subjective fever (hot to touch but chilled and no measurable fever) but not a fever that registered on a thermometer.  She also had frequent urination. This lasted throughout Thursday, 12/30, then she seemed to be fine Friday.  She did have an episode of achiness Friday night that didn't last long.  Pt had previously tolerated her first two Moderna vaccines without incident.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pollakiuria, Pyrexia, Skin warm
Clinical narrative: Pt reports that the day after her vaccine, her heart rate was much higher.  She felt like it was "beating out of her chest".  This was intermittent.  She also had joint pain, fatigue, achy, chills, subjective fever (hot to touch but chilled and no measurable fever) but not a fever that registered on a thermometer.  She also had frequent urination. This lasted throughout Thursday, 12/30, then she seemed to be fine Friday.  She did have an episode of achiness Friday night that didn't last long.  Pt had previously tolerated her first two Moderna vaccines without incident.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Discomfort
Clinical narrative: Patient with long standing pre-existing abdominal pain, discomfort and bloating received her Pfizer Covid-19 booster shot on 8/19/2021.  She reports total resolution of symptoms to this day after vaccination.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID 19 Vit C, Aspirin, Tylenol In-patient
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Menstruation delayed
Clinical narrative: Amenorrhea, Delayed menstruation by 14 days. I have a normal & very regular menstruation cycle of 25 days. My last menstruation before booster shot was Nov 26th, 2021. I got the Booster on Dec 10, 2021.  I got my period on Jan 4, 2022 - 39 days in this cycle, with delay by 14 days. I have never had a delayed period ever before.   On Item 20 below - I have said "Unknown" for has patient recovered because while I my period has started, I have no idea what effect or impact this delay has had on my ovaries.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, B-cell lymphoma, Dysstasia, Loss of personal independence in daily activities
Clinical narrative: CHIEF COMPLAINT:   Pt states, "I got up too fast out of bed and slid. I had a hard time getting up myself. My son helped me." Denies hitting head or LOC. Denies blood thinners.   HISTORY OF PRESENT ILLNESS:     63-year-old gentleman who was recently diagnosed with B-cell lymphoma involving his sigmoid colon, right ureter, lung presenting for the evaluation of generalized weakness.  Patient reports 1 week of progressively worsening weakness and states tonight he was unable to get out of bed which prompted his evaluation in the ED.  He denies falls or head trauma.  Patient does note that he was recently diagnosed with lymphoma and was seen by his oncologist today where he was started on several medications including an antibiotic for a gluteal skin infection.  He is denying fevers or chills.  He reports abdominal pain.  Denies chest pain or shortness of breath.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Skin infection
Clinical narrative: CHIEF COMPLAINT:   Pt states, "I got up too fast out of bed and slid. I had a hard time getting up myself. My son helped me." Denies hitting head or LOC. Denies blood thinners.   HISTORY OF PRESENT ILLNESS:     63-year-old gentleman who was recently diagnosed with B-cell lymphoma involving his sigmoid colon, right ureter, lung presenting for the evaluation of generalized weakness.  Patient reports 1 week of progressively worsening weakness and states tonight he was unable to get out of bed which prompted his evaluation in the ED.  He denies falls or head trauma.  Patient does note that he was recently diagnosed with lymphoma and was seen by his oncologist today where he was started on several medications including an antibiotic for a gluteal skin infection.  He is denying fevers or chills.  He reports abdominal pain.  Denies chest pain or shortness of breath.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: pt qualified as immunocompromised, received booster dose instead of full dose.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 10/13/2021, vaccine given 10/22/2021
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Palpitations
Clinical narrative: Episodes of racing heart, periodic feelings of chest pressure (worse when lying down) --occasional difficulty breathing or getting a full breath of air.   She says she has no idea how many times a day nor how long it lasts - it builds gradually until she notices it's been happening, then subsides gradually.