chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Injection site pain, Nasal inflammation
Clinical narrative: Became very tired the evening of 11/8. Slept for 10 hours. Woke up with soreness in back and at injection site. By 8am on 11/9, onset of fever, chills, and exhaustion. Smell and taste became distorted that same day.  Little improvement in smell or taste over the next  6 months. Started seeing an ENT in the beginning of May, 2022.  Started a cortisone nasal treatment to help heal the inflammation issues in my nose from vaccine. Expected that process will take months to heal correctly, possible even more than a year.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia, Pyrexia, Somnolence, Taste disorder
Clinical narrative: Became very tired the evening of 11/8. Slept for 10 hours. Woke up with soreness in back and at injection site. By 8am on 11/9, onset of fever, chills, and exhaustion. Smell and taste became distorted that same day.  Little improvement in smell or taste over the next  6 months. Started seeing an ENT in the beginning of May, 2022.  Started a cortisone nasal treatment to help heal the inflammation issues in my nose from vaccine. Expected that process will take months to heal correctly, possible even more than a year.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Systemic: Patient reported no  reactions-Mild, Additional Details:  The patient was contacted and reported no  reactions
Age: 5.58
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain, Muscle disorder, Pain
Clinical narrative: After the second dose I experienced pain in my left chest area when I twisted my body or had to raise my arm up. At first I thought it was a sprained muscle but the pain was deeper than that. The pain last about 5 days and by the second and third day it is at its worst. It does go away but since recieving the second dose it keeps coming back every month or so.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patinet was given vaccine 6 days after use date
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, Knee arthroplasty, Off label use, Poor quality product administered, Product administration error
Clinical narrative: Patinet was given vaccine 6 days after use date
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Clostridium test positive, Colitis, Culture stool positive, Magnetic resonance imaging
Clinical narrative: On April 26, 2022, I experienced cold like symptoms following by muscle aches. I saw my primary care on May 29, 2022, who prescribed amoxicillin. My doctor recommended that I test for covid during the telehealth visit and I tested positive on May 29, 2022. I started the Paxloid on May 30, 2022. I continued the amoxicillin with the Paxloid since I had already started it.  On May 12, 2022, I went to the Emergency Room and was diagnosed with colitis. The hospital took stool sample and I tested positive for C Diff.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Myalgia, Nasopharyngitis, SARS-CoV-2 test positive, Urine analysis
Clinical narrative: On April 26, 2022, I experienced cold like symptoms following by muscle aches. I saw my primary care on May 29, 2022, who prescribed amoxicillin. My doctor recommended that I test for covid during the telehealth visit and I tested positive on May 29, 2022. I started the Paxloid on May 30, 2022. I continued the amoxicillin with the Paxloid since I had already started it.  On May 12, 2022, I went to the Emergency Room and was diagnosed with colitis. The hospital took stool sample and I tested positive for C Diff.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen 3/11/21. Positive on 6/1/22
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Confirmed Breakthrough  1st Dose -- Pfizer - 5/13/2022 - EW0158 2nd Dose --Pfizer - 6/16/22022 - EN6207
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Pt Deceased - Breakthrough 1st Dose 3/4/2021 - Pfizer - en6202 2nd Dose 3/25/2021 - Pfizer -- en62077
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Pt Deceased - Breakthrough 1st Dose 3/4/2021 - Pfizer - en6202 2nd Dose 3/25/2021 - Pfizer -- en62077
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Immediate post-injection reaction, Pain
Clinical narrative: Deep pain in left shoulder joint immediately upon administration.  Pain continued to intensify over the next 30 - 45 minutes.  Dull pain in left shoulder, worse during the night.  Persists and is increased when raising arm, especially above head, rotating  arm out to left side or attempting to lift objects with left hand/arm
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 78.0
Sex: F
Vaccine: DF, COVID19
Symptoms: COVID-19, Dizziness, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Shortness of breath, lightheadedness. is COVID positive.  Ten of dexamethasone has been given.  She is requiring 2 L of oxygen.
Age: 78.0
Sex: F
Vaccine: DF, COVID19
Symptoms: COVID-19, Dizziness, Dyspnoea, Fatigue, Influenza virus test negative
Clinical narrative: Shortness of breath, lightheadedness. is COVID positive.  Ten of dexamethasone has been given.  She is requiring 2 L of oxygen.
Age: 78.0
Sex: F
Vaccine: DF, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Shortness of breath, lightheadedness. is COVID positive.  Ten of dexamethasone has been given.  She is requiring 2 L of oxygen.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Productive cough, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Shortness of Breath and Cough (Productive cough green sputum times 3 days. Covid positive 5/24/2022)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: diagnosed with COVID in May.  Early part of May symptoms develop with headache, cough, wheezing, shortness of breath, muscle aches, tired.  The wheezing and coughing got better the shortness of breath improved however the headache remained.  She continues to have a headache 7/10.  Generalized headache.  The headache is been present since mother's Day.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Wheezing
Clinical narrative: diagnosed with COVID in May.  Early part of May symptoms develop with headache, cough, wheezing, shortness of breath, muscle aches, tired.  The wheezing and coughing got better the shortness of breath improved however the headache remained.  She continues to have a headache 7/10.  Generalized headache.  The headache is been present since mother's Day.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Productive cough, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: patient was found to be positive for COVID  having a sore throat for the last 3 weeks along with coughing up sputum.  He states that he is coughing up some gray sputum.  He also has runny nose.  He denies any shortness of breath or wheezing.  No fever, nausea, vomiting, diarrhea
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum discoloured
Clinical narrative: patient was found to be positive for COVID  having a sore throat for the last 3 weeks along with coughing up sputum.  He states that he is coughing up some gray sputum.  He also has runny nose.  He denies any shortness of breath or wheezing.  No fever, nausea, vomiting, diarrhea
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, SARS-CoV-2 test
Clinical narrative: Encounter For Preprocedural Laboratory Examination (COVID-19)
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: presenting today for worsening shortness of breath.  She has a history of sleep apnea with COPD overlap using CPAP at night with supplemental oxygen.  She was diagnosed with COVID approximately 5-6 days ago by home tests after having multiple sick contacts
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19 positive, the patient does not report any COVID-19 symptoms
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Hip surgery, Pyrexia
Clinical narrative: Patient came to the hopsital for Hip surgery, she initially had fever and mild cough. treated with antibiotics. Discharged home.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Unresponsive to stimuli
Clinical narrative: unresponsive episode 2 days after injection
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, COVID-19, Chest pain, Dyspnoea
Clinical narrative: Patient came to hospital with shortness of breath and chest pain. She was diagnosed with PE and Covid. She was treated with heparin oxygen and nebulizers. pt discharged home
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Acute respiratory failure, Blood creatinine increased, Blood culture negative, Blood gases
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge:  DO  Admission Date: 5/26/2022  PRESENTING PROBLEM: Hyperbilirubinemia [E80.6] Elevated liver enzymes [R74.8] Acute on chronic combined systolic and diastolic CHF (congestive heart failure) (HCC) [I50.43] Acute on chronic respiratory failure with hypoxia and hypercapnia (HCC) [J96.21, J96.22] COVID [U07.1]   HOSPITAL COURSE: Patient is a 71-year-old male with a past medical history significant for recent COVID-19 infection status post treatment and completion of dexamethasone, oxygen-dependent chronic obstructive pulmonary disease, coronary artery disease, chronic systolic and diastolic heart failure who presented with difficulty breathing well as hypoxia.  He is usually on 2 L of oxygen via nasal cannula.  In the emergency department he was found to be hypoxic with sats 72 on 2 L and VBG showed pH of 7.24 with CO2 of 59. He was initially placed on non-rebreather and then placed on BiPAP. He has persistent atrial fibrillation which is rate controlled with metoprolol and amiodarone and is also on Xarelto. Patient  felt to to have chronic combined hypoxic and hypercarbic respiratory failure due to CHF exacerbation and chronic obstructive pulmonary disease exacerbation.  There was also concern that he had pneumonia due to infiltrates as well as leukocytosis.  Patient was placed on vancomycin and Zosyn.  MRSA screen came back negative and therefore vancomycin was discontinued.  He was rapidly weaned off BiPAP and placed on 6 L of oxygen via nasal cannula. Patient's home torsemide was held and he was placed on IV Lasix.  Cardiology was consulted who agreed with IV diuresis.  Patient had improvement of his symptoms.  Leukocytosis did improve. Blood cultures did not reveal any growth. He was initially placed on Solu-Medrol and then transitioned to prednisone.   Patient had very little improvement in his symptoms with IV Lasix.  He also had increase in his creatinine and therefore Nephrology was consulted.  Nephrology place patient on Lasix infusion but he still did not have adequate diuresis.   Patient's condition declined acutely the morning of 5/31 and he became increasingly short of breath with increased work of breathing.  Prior to this he was a full code and when code status was discussed previously, patient stated that he did not wish to change it.  However as his condition declined, patient stated that he wished to become a do not resuscitate.  His condition declined even further and he was made comfort care late afternoon 5/31.  Hospice was consulted and patient was made inpatient hospice.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pH decreased, COVID-19, Carbon dioxide increased, Cardiac failure congestive, Chronic left ventricular failure
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge:  DO  Admission Date: 5/26/2022  PRESENTING PROBLEM: Hyperbilirubinemia [E80.6] Elevated liver enzymes [R74.8] Acute on chronic combined systolic and diastolic CHF (congestive heart failure) (HCC) [I50.43] Acute on chronic respiratory failure with hypoxia and hypercapnia (HCC) [J96.21, J96.22] COVID [U07.1]   HOSPITAL COURSE: Patient is a 71-year-old male with a past medical history significant for recent COVID-19 infection status post treatment and completion of dexamethasone, oxygen-dependent chronic obstructive pulmonary disease, coronary artery disease, chronic systolic and diastolic heart failure who presented with difficulty breathing well as hypoxia.  He is usually on 2 L of oxygen via nasal cannula.  In the emergency department he was found to be hypoxic with sats 72 on 2 L and VBG showed pH of 7.24 with CO2 of 59. He was initially placed on non-rebreather and then placed on BiPAP. He has persistent atrial fibrillation which is rate controlled with metoprolol and amiodarone and is also on Xarelto. Patient  felt to to have chronic combined hypoxic and hypercarbic respiratory failure due to CHF exacerbation and chronic obstructive pulmonary disease exacerbation.  There was also concern that he had pneumonia due to infiltrates as well as leukocytosis.  Patient was placed on vancomycin and Zosyn.  MRSA screen came back negative and therefore vancomycin was discontinued.  He was rapidly weaned off BiPAP and placed on 6 L of oxygen via nasal cannula. Patient's home torsemide was held and he was placed on IV Lasix.  Cardiology was consulted who agreed with IV diuresis.  Patient had improvement of his symptoms.  Leukocytosis did improve. Blood cultures did not reveal any growth. He was initially placed on Solu-Medrol and then transitioned to prednisone.   Patient had very little improvement in his symptoms with IV Lasix.  He also had increase in his creatinine and therefore Nephrology was consulted.  Nephrology place patient on Lasix infusion but he still did not have adequate diuresis.   Patient's condition declined acutely the morning of 5/31 and he became increasingly short of breath with increased work of breathing.  Prior to this he was a full code and when code status was discussed previously, patient stated that he did not wish to change it.  However as his condition declined, patient stated that he wished to become a do not resuscitate.  His condition declined even further and he was made comfort care late afternoon 5/31.  Hospice was consulted and patient was made inpatient hospice.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, General physical health deterioration, Hepatic enzyme increased
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge:  DO  Admission Date: 5/26/2022  PRESENTING PROBLEM: Hyperbilirubinemia [E80.6] Elevated liver enzymes [R74.8] Acute on chronic combined systolic and diastolic CHF (congestive heart failure) (HCC) [I50.43] Acute on chronic respiratory failure with hypoxia and hypercapnia (HCC) [J96.21, J96.22] COVID [U07.1]   HOSPITAL COURSE: Patient is a 71-year-old male with a past medical history significant for recent COVID-19 infection status post treatment and completion of dexamethasone, oxygen-dependent chronic obstructive pulmonary disease, coronary artery disease, chronic systolic and diastolic heart failure who presented with difficulty breathing well as hypoxia.  He is usually on 2 L of oxygen via nasal cannula.  In the emergency department he was found to be hypoxic with sats 72 on 2 L and VBG showed pH of 7.24 with CO2 of 59. He was initially placed on non-rebreather and then placed on BiPAP. He has persistent atrial fibrillation which is rate controlled with metoprolol and amiodarone and is also on Xarelto. Patient  felt to to have chronic combined hypoxic and hypercarbic respiratory failure due to CHF exacerbation and chronic obstructive pulmonary disease exacerbation.  There was also concern that he had pneumonia due to infiltrates as well as leukocytosis.  Patient was placed on vancomycin and Zosyn.  MRSA screen came back negative and therefore vancomycin was discontinued.  He was rapidly weaned off BiPAP and placed on 6 L of oxygen via nasal cannula. Patient's home torsemide was held and he was placed on IV Lasix.  Cardiology was consulted who agreed with IV diuresis.  Patient had improvement of his symptoms.  Leukocytosis did improve. Blood cultures did not reveal any growth. He was initially placed on Solu-Medrol and then transitioned to prednisone.   Patient had very little improvement in his symptoms with IV Lasix.  He also had increase in his creatinine and therefore Nephrology was consulted.  Nephrology place patient on Lasix infusion but he still did not have adequate diuresis.   Patient's condition declined acutely the morning of 5/31 and he became increasingly short of breath with increased work of breathing.  Prior to this he was a full code and when code status was discussed previously, patient stated that he did not wish to change it.  However as his condition declined, patient stated that he wished to become a do not resuscitate.  His condition declined even further and he was made comfort care late afternoon 5/31.  Hospice was consulted and patient was made inpatient hospice.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperbilirubinaemia, Hypoxia, Leukocytosis, Lung infiltration, Positive airway pressure therapy
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge:  DO  Admission Date: 5/26/2022  PRESENTING PROBLEM: Hyperbilirubinemia [E80.6] Elevated liver enzymes [R74.8] Acute on chronic combined systolic and diastolic CHF (congestive heart failure) (HCC) [I50.43] Acute on chronic respiratory failure with hypoxia and hypercapnia (HCC) [J96.21, J96.22] COVID [U07.1]   HOSPITAL COURSE: Patient is a 71-year-old male with a past medical history significant for recent COVID-19 infection status post treatment and completion of dexamethasone, oxygen-dependent chronic obstructive pulmonary disease, coronary artery disease, chronic systolic and diastolic heart failure who presented with difficulty breathing well as hypoxia.  He is usually on 2 L of oxygen via nasal cannula.  In the emergency department he was found to be hypoxic with sats 72 on 2 L and VBG showed pH of 7.24 with CO2 of 59. He was initially placed on non-rebreather and then placed on BiPAP. He has persistent atrial fibrillation which is rate controlled with metoprolol and amiodarone and is also on Xarelto. Patient  felt to to have chronic combined hypoxic and hypercarbic respiratory failure due to CHF exacerbation and chronic obstructive pulmonary disease exacerbation.  There was also concern that he had pneumonia due to infiltrates as well as leukocytosis.  Patient was placed on vancomycin and Zosyn.  MRSA screen came back negative and therefore vancomycin was discontinued.  He was rapidly weaned off BiPAP and placed on 6 L of oxygen via nasal cannula. Patient's home torsemide was held and he was placed on IV Lasix.  Cardiology was consulted who agreed with IV diuresis.  Patient had improvement of his symptoms.  Leukocytosis did improve. Blood cultures did not reveal any growth. He was initially placed on Solu-Medrol and then transitioned to prednisone.   Patient had very little improvement in his symptoms with IV Lasix.  He also had increase in his creatinine and therefore Nephrology was consulted.  Nephrology place patient on Lasix infusion but he still did not have adequate diuresis.   Patient's condition declined acutely the morning of 5/31 and he became increasingly short of breath with increased work of breathing.  Prior to this he was a full code and when code status was discussed previously, patient stated that he did not wish to change it.  However as his condition declined, patient stated that he wished to become a do not resuscitate.  His condition declined even further and he was made comfort care late afternoon 5/31.  Hospice was consulted and patient was made inpatient hospice.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, Staphylococcus test negative
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge:  DO  Admission Date: 5/26/2022  PRESENTING PROBLEM: Hyperbilirubinemia [E80.6] Elevated liver enzymes [R74.8] Acute on chronic combined systolic and diastolic CHF (congestive heart failure) (HCC) [I50.43] Acute on chronic respiratory failure with hypoxia and hypercapnia (HCC) [J96.21, J96.22] COVID [U07.1]   HOSPITAL COURSE: Patient is a 71-year-old male with a past medical history significant for recent COVID-19 infection status post treatment and completion of dexamethasone, oxygen-dependent chronic obstructive pulmonary disease, coronary artery disease, chronic systolic and diastolic heart failure who presented with difficulty breathing well as hypoxia.  He is usually on 2 L of oxygen via nasal cannula.  In the emergency department he was found to be hypoxic with sats 72 on 2 L and VBG showed pH of 7.24 with CO2 of 59. He was initially placed on non-rebreather and then placed on BiPAP. He has persistent atrial fibrillation which is rate controlled with metoprolol and amiodarone and is also on Xarelto. Patient  felt to to have chronic combined hypoxic and hypercarbic respiratory failure due to CHF exacerbation and chronic obstructive pulmonary disease exacerbation.  There was also concern that he had pneumonia due to infiltrates as well as leukocytosis.  Patient was placed on vancomycin and Zosyn.  MRSA screen came back negative and therefore vancomycin was discontinued.  He was rapidly weaned off BiPAP and placed on 6 L of oxygen via nasal cannula. Patient's home torsemide was held and he was placed on IV Lasix.  Cardiology was consulted who agreed with IV diuresis.  Patient had improvement of his symptoms.  Leukocytosis did improve. Blood cultures did not reveal any growth. He was initially placed on Solu-Medrol and then transitioned to prednisone.   Patient had very little improvement in his symptoms with IV Lasix.  He also had increase in his creatinine and therefore Nephrology was consulted.  Nephrology place patient on Lasix infusion but he still did not have adequate diuresis.   Patient's condition declined acutely the morning of 5/31 and he became increasingly short of breath with increased work of breathing.  Prior to this he was a full code and when code status was discussed previously, patient stated that he did not wish to change it.  However as his condition declined, patient stated that he wished to become a do not resuscitate.  His condition declined even further and he was made comfort care late afternoon 5/31.  Hospice was consulted and patient was made inpatient hospice.
Age: 12.0
Sex: M
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Medical Assistance accidently administered DTAP instead of TDAP to 12 yo patient. Talked with nurse educator and they stated there is no adverse events that will occur. I have called family to advise of mistake and request if patient is having any abnormal symptoms and they did not answer, I called and left voicemail.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Exposure to SARS-CoV-2, Hypoxia
Clinical narrative: Admission Date: 5/30/2022 Discharge Date: Jun 1, 2022  HOSPITAL COURSE: patient is a 58 yo male with PMH of diabetes, HLD, gout, HTN who presented to the ED with generalized weakness, nausea and vomiting. He was playing golf on the day of presentation with sudden development of aforementioned symptoms.    In the ED he was noted to be febrile and reported rhinorrhea for 2-3 days prior to presentation. He also reported exposure to COVID at a party about 6 days prior and stated he had been vaccinated against COVID-19 with JJ vaccine but had not received the booster. CXR was obtained which was without acute pulmonary process and patient was initially set to discharge from the ED with written prescription for Paxlovid but due to hypoxia was admitted to the medicine service.   # COVID-19 Patient was treated with oral decadron and was able to wean off oxygen rather quickly and never required more than 2 liters. He remained afebrile without dyspnea and was able to ambulate without hypoxia. He was discharged home in stable condition and discharge instructions provided. He was recommended to self isolate for 10 days from symptom onset and to follow-up with PCP regarding obtaining COVID-19 booster.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Rhinorrhoea, Vomiting
Clinical narrative: Admission Date: 5/30/2022 Discharge Date: Jun 1, 2022  HOSPITAL COURSE: patient is a 58 yo male with PMH of diabetes, HLD, gout, HTN who presented to the ED with generalized weakness, nausea and vomiting. He was playing golf on the day of presentation with sudden development of aforementioned symptoms.    In the ED he was noted to be febrile and reported rhinorrhea for 2-3 days prior to presentation. He also reported exposure to COVID at a party about 6 days prior and stated he had been vaccinated against COVID-19 with JJ vaccine but had not received the booster. CXR was obtained which was without acute pulmonary process and patient was initially set to discharge from the ED with written prescription for Paxlovid but due to hypoxia was admitted to the medicine service.   # COVID-19 Patient was treated with oral decadron and was able to wean off oxygen rather quickly and never required more than 2 liters. He remained afebrile without dyspnea and was able to ambulate without hypoxia. He was discharged home in stable condition and discharge instructions provided. He was recommended to self isolate for 10 days from symptom onset and to follow-up with PCP regarding obtaining COVID-19 booster.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Tinnitus
Clinical narrative: Patient reports having developed Bell's Palsy and ringing in the ears about 5 months after receiving the vaccine
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt has redness, swelling and felt hot to touch on the site that injection was given.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphonia, Retching, Vomiting
Clinical narrative: Employee was known to have a history of prior anaphylaxis to another vaccine and medications she had received in the past so was advised to receive Covid vaccine in acute care setting, About 20 minutes after receiving 1st covid vaccine, she started to have chest tightness with increasing hoarseness and wretching vomiting. Epinepherine given IM and transferred to ED for further monitoring and treatment. In the ED, received zofran, iv benadryl, albuterol neb, additional IM epinephrine dose, solu-medrol 125mg.  She was observed for several hours and discharged home.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Cardiac arrest, Death, Feeling abnormal, Flatulence
Clinical narrative: Leg/Hip pain for approx a week before. Complained of gas and cramping. Date of event felt bad and called ambulance. Cardiac Arrest shortly after and doctors unable to restart heart. Death.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Muscle spasms, Pain in extremity
Clinical narrative: Leg/Hip pain for approx a week before. Complained of gas and cramping. Date of event felt bad and called ambulance. Cardiac Arrest shortly after and doctors unable to restart heart. Death.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose abnormal, Immediate post-injection reaction, Neck pain
Clinical narrative: After receiving my vaccination, I immediately had pain in my neck. I was taking a steroid pill so I had to be careful taking anything but I would take Aleve about 12 hours after taking the steroid pill. The combination of the vaccine and my blood pressure medication did something to my body. I had been taking the blood pressure medication for years and never had a problem. When I stopped taking the blood pressure medication, my neck starting feeling better. I was recently diagnosed as pre-diabetic due to taking the steroid.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Influenza like illness, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19 on 5/24/2022 after experiencing flu like systems with fever previous two day.. Personal physician prescribed Paxlovid.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for COVID-19 on 05/13/2022.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy thyroid gland abnormal, Cardiac stress test, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: Racing and skipped heart beats, palpitations, some breathiness, fatigue, Mild headaches as reported in V-Safe application which continues On/off Fatigue  Also, diagnosed in October 2021 with thyroid nodule which was biopsied and positive for papillary cancer.  Partial thyroidectomy surgery on January 18, 2022. Surgery was delayed due to cardiac evaluation/workup for palpitations
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Extrasystoles, Fatigue, Headache, Palpitations
Clinical narrative: Racing and skipped heart beats, palpitations, some breathiness, fatigue, Mild headaches as reported in V-Safe application which continues On/off Fatigue  Also, diagnosed in October 2021 with thyroid nodule which was biopsied and positive for papillary cancer.  Partial thyroidectomy surgery on January 18, 2022. Surgery was delayed due to cardiac evaluation/workup for palpitations
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Papillary thyroid cancer, Thyroid mass
Clinical narrative: Racing and skipped heart beats, palpitations, some breathiness, fatigue, Mild headaches as reported in V-Safe application which continues On/off Fatigue  Also, diagnosed in October 2021 with thyroid nodule which was biopsied and positive for papillary cancer.  Partial thyroidectomy surgery on January 18, 2022. Surgery was delayed due to cardiac evaluation/workup for palpitations
Age: 21.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: Pt was vaccinated with expired Pfizer covid dose by 10 Days
Age: 16.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Dizziness, Pallor, Vomiting
Clinical narrative: Vaccines given ant 11:00 am. At 11:03 Pt felt dizzy after vaccination. Became pale, vomiting. Placed in room. BP 103/73, HR106, RR-16, SaO2 97%. Felt better after approx 5 min  11:34- Pt sitting in room no longer vomiting. Denies feeling faint or nauseated. Sat on exam table for approx 10-15min, drinking water. BP-108/68, HR82, RR-16 SaO2 98%. Color looks good. Pt denied any symptoms and was discharged to home
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Immunodeficiency, Incorrect dose administered
Clinical narrative: Immunocompromised patient received Pfizer as D1 and D2.  Received Moderna 0.5mL as AD on 11/20/2021 as indicated in this report.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphonia
Clinical narrative: Vocal quality change (weak, breathy) started 3 days following Moderna vaccination on 5/5/22.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Laboratory test, Myalgia, Neck pain, Pain in extremity
Clinical narrative: Shortly after vaccination, I began to have swelling in my right hand, started from thumb to elbow. Muscles hurt in upper arm. Received vaccination in left arm.  Aches up and down the arm, my right arm. I am holding the phone in my left hand. My hand still aches, if it's not swollen. My thumb is misshaped. I was told it's just coincidence. After the booster shot, my hand got much worst. In addition, it was elbow and my neck ached on the right side. I could turn my neck, but I have to force it. My right knee is swollen. The other stuff didnt go away, after the booster, it was just more.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Shortly after vaccination, I began to have swelling in my right hand, started from thumb to elbow. Muscles hurt in upper arm. Received vaccination in left arm.  Aches up and down the arm, my right arm. I am holding the phone in my left hand. My hand still aches, if it's not swollen. My thumb is misshaped. I was told it's just coincidence. After the booster shot, my hand got much worst. In addition, it was elbow and my neck ached on the right side. I could turn my neck, but I have to force it. My right knee is swollen. The other stuff didnt go away, after the booster, it was just more.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asymptomatic COVID-19, Death, Dizziness, Gait disturbance
Clinical narrative: Patient tested positive for Covid-19 on 01/19/2022.  Patient was asymptomatic and afebrile, and was moved to isolation at facility.  On 01/31/2022 patient noted to have a large amount of rectal bleeding in toilet, with abdominal pain and was transferred to ED for evaluation.  Patient returned the following day with orders to set up a GI consult.  Patient was noted to have unsteady gait, and felt dizzy.  Patient was then transferred to Hospital.  Patient expired on 03/07/2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Rectal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for Covid-19 on 01/19/2022.  Patient was asymptomatic and afebrile, and was moved to isolation at facility.  On 01/31/2022 patient noted to have a large amount of rectal bleeding in toilet, with abdominal pain and was transferred to ED for evaluation.  Patient returned the following day with orders to set up a GI consult.  Patient was noted to have unsteady gait, and felt dizzy.  Patient was then transferred to Hospital.  Patient expired on 03/07/2022.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt received expired Pfizer covid vaccine by 10 days
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: PATIENT PRESENTED AS A HEALTHY ADULT FEMALE. SPOKE WITH HER AND INFORMED HER OF THE SHOT AND WHAT SIDE EFFECTS TO EXPECT.  GAVE SHOT IN LEFT DELTOID, AND CONTINUED CONVERSATION ANSWERING ANY QUESTIONS. VIS SHEET GIVEN AND I WENT TO PLACE SHARPS CONTAINER IN PHARMACY. APPROXIMATELY 4 MINUTES HAD PASSED. AS I TURNED AND TOOK 2 STEPS, SHE PASSED OUT. SHE DID SLIDE/FALL OUT OF THE CHAIR. PATIENT IMMEDIATELY REGAINED CONCIOUSNESS AND ON QUESTIONING, SHE HAD NOT EATEN SINCE EARLY THAT MORNING, AND INFORMED ME THEN THAT SHE DID THE SAME THING WITH HER BIRTH CONTROL SHOT. PATIENT STAYED APPROXIMATLY 35 ADDITIONAL MINUTES AND WAS FINE WHEN SHE LEFT. BLOOD PRESSURE AND PULSE WERE NORMAL. SHE DID HAVE A FRIEND WITH HER WHO WAS TAKING HER TO GET SOMETHING ELSE TO EAT. SHE WAS GIVEN A COCA COLA AND COOKIES BY THE PHARMACY TO SUSTAIN HER UNTIL THEN.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Fatigue, Nasal congestion, Nasopharyngitis
Clinical narrative: I received my vaccine on 04/23/2022. On 05/23/2022 I started having runny, stuffed nose, fatigue, diarrhea and I felt as if I had a cold. On 05/25/2022 I was tested positive for Covid. Spoke to doc and had a telehealth on 05/26/2022. I was prescribed Paxlovid. After taking the Paxlovid the symptoms went away.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I received my vaccine on 04/23/2022. On 05/23/2022 I started having runny, stuffed nose, fatigue, diarrhea and I felt as if I had a cold. On 05/25/2022 I was tested positive for Covid. Spoke to doc and had a telehealth on 05/26/2022. I was prescribed Paxlovid. After taking the Paxlovid the symptoms went away.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Required hospital admission.  Patient expired.  Received 3 Pfizer vaccines
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Blood magnesium, Blood thyroid stimulating hormone, C-reactive protein, Chest X-ray
Clinical narrative: 12 hours after vaccination developed Palpitations, Tachycardia, Trouble breathing, Chest pain, and dizziness went to the Emergency room
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram thorax, Dizziness, Dyspnoea, Electrocardiogram
Clinical narrative: 12 hours after vaccination developed Palpitations, Tachycardia, Trouble breathing, Chest pain, and dizziness went to the Emergency room
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Human chorionic gonadotropin, Metabolic function test, Palpitations
Clinical narrative: 12 hours after vaccination developed Palpitations, Tachycardia, Trouble breathing, Chest pain, and dizziness went to the Emergency room
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin
Clinical narrative: 12 hours after vaccination developed Palpitations, Tachycardia, Trouble breathing, Chest pain, and dizziness went to the Emergency room
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Feeling abnormal, SARS-CoV-2 test positive
Clinical narrative: He already had a cough because he has allergies. However, one of his teachers said his cough was worse. So, he tested negative on 05/04/2022. I took him to the doctor on 05/07/2022 and they upped him on allergy medicine because his lungs seemed clear and it seemed like his allergies were just worse. Then, I got a note from his school stating that he was exposed to COVID at school. I tested him on 05/08/2022 and it was almost instantaneously positive. Then, on 05/13/2022 he tested negative and he resumed his normal activities. As of 05/14/2022, he reported he was feeling about 75% normal and I remember by Wednesday 05/18/2022 he felt back to normal. He was doing Flovent and albuterol during the bad allergy and COVID event. However, since recovering he no longer needs those medicines.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt received expired Pfizer covid vaccine by 10 days
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Pain, SARS-CoV-2 test positive
Clinical narrative: In the middle of the night 05/31-06/01, I woke up with a nasty cough and when my husband left for work at 4 a.m. he noticed that I was warm to the touch. When I got up that morning, I was not feeling well, so I called my employer who is also my physician and informed him that my temperature was 100.1 and I was having body aches. I did go in to be tested for Covid that morning and I was positive. I have began a round of Paxlovid antiviral medication. I'm still having body aches and am coughing but overall, I would say it isn't too bad.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: In the middle of the night 05/31-06/01, I woke up with a nasty cough and when my husband left for work at 4 a.m. he noticed that I was warm to the touch. When I got up that morning, I was not feeling well, so I called my employer who is also my physician and informed him that my temperature was 100.1 and I was having body aches. I did go in to be tested for Covid that morning and I was positive. I have began a round of Paxlovid antiviral medication. I'm still having body aches and am coughing but overall, I would say it isn't too bad.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: CLIENT RECEIVED A MODERNA VACCINE ON 2/26/2021 FOLLOWING A PFIZER 1ST DOSE GIVEN ON 2/4/2021. AT THE TIME IN FEB 2021 MANUFACTURER MIX AND MATCH WAS NOT APPROVED.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19 pneumonia, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient presented to ED with SOB while at a skilled nursing facility.  The patient had a previous hospitalization with COVID PNA where she was treated on the COVID protocol, discharged on 1 L of oxygen PRN.  Patient stated since discharged she ahs always been short of breath.  In the ED CTA of chest had scattered infiltrates suggestive of worsening covid infiltrates.  The patient was placed on 4.5 L of oxygen, saturation at 92% and tachypneic.  The patient was admitted to ICU and was eventually intubated, she required multiple sedatives which also affected her blood pressure.  She continued to require higher FiO2 until family decided to withdraw care.  Patient expired on 04/26/2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Lung infiltration, Tachypnoea
Clinical narrative: Patient presented to ED with SOB while at a skilled nursing facility.  The patient had a previous hospitalization with COVID PNA where she was treated on the COVID protocol, discharged on 1 L of oxygen PRN.  Patient stated since discharged she ahs always been short of breath.  In the ED CTA of chest had scattered infiltrates suggestive of worsening covid infiltrates.  The patient was placed on 4.5 L of oxygen, saturation at 92% and tachypneic.  The patient was admitted to ICU and was eventually intubated, she required multiple sedatives which also affected her blood pressure.  She continued to require higher FiO2 until family decided to withdraw care.  Patient expired on 04/26/2022.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Intracranial mass, SARS-CoV-2 test positive
Clinical narrative: Patient admitted as inpatient on 5/30/22 due to a brain mass. Patient was tested for COVID-19 and was positive on 5/31/22 (asymptomatic) upon admission.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given expired Pfizer vaccine, was 10 days expired
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine
Clinical narrative: Series of headaches and severe migraines. Saw doctor and received medications: Z-pak 5-day 250ml. Resolved.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Dyspnoea, Fatigue, Ocular discomfort
Clinical narrative: On Monday 05/30/2022, I started having trouble breathing, dizziness, fatigue, and low-grade fever. When I woke up the next day, I had congestion and pressure around my eyes. I went to my doctor after these symptoms on 06/01/2022, and got COVID-19 tested. They performed a rapid antigen test, and it came back positive. The doctor prescribed me Paxlovid and prednisone 20mg. Currently, I'm still having congestion and everything because I just started the medication today (06/02/2022).
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On Monday 05/30/2022, I started having trouble breathing, dizziness, fatigue, and low-grade fever. When I woke up the next day, I had congestion and pressure around my eyes. I went to my doctor after these symptoms on 06/01/2022, and got COVID-19 tested. They performed a rapid antigen test, and it came back positive. The doctor prescribed me Paxlovid and prednisone 20mg. Currently, I'm still having congestion and everything because I just started the medication today (06/02/2022).
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patinet was given expired Pfizer vaccine , 10 days expired
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Rash, Urticaria
Clinical narrative: patients mother picked her up from daycare at approximently 4pm 6-1-2022 and patient had a rash and hives all over her body
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest, Chest X-ray abnormal
Clinical narrative: Patient presented to ED via EMS due to decrease oxygenation at home.  In the ED supplemental oxygen initiated.  Chest xray shows changes consistent with COVID-19 PNA.  Covid antigen positive, CRP elevated.  Patient reports frequent nonproductive cough, ongoing dyspnea, increased lower extremity edema.  Patient admitted to hospital and started on BiPap with oxygenation improvement.  Patient then was found to be unresponsive with Bipap mask off, code was called and patient went through 2 rounds of ACLS with 2 doses of epi with ROSC on ventilator, patient on epi drip and transfer to ICU.  Decision to withdraw care was made and patient passed on 9/13/2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Death, Dyspnoea, Intensive care, Life support
Clinical narrative: Patient presented to ED via EMS due to decrease oxygenation at home.  In the ED supplemental oxygen initiated.  Chest xray shows changes consistent with COVID-19 PNA.  Covid antigen positive, CRP elevated.  Patient reports frequent nonproductive cough, ongoing dyspnea, increased lower extremity edema.  Patient admitted to hospital and started on BiPap with oxygenation improvement.  Patient then was found to be unresponsive with Bipap mask off, code was called and patient went through 2 rounds of ACLS with 2 doses of epi with ROSC on ventilator, patient on epi drip and transfer to ICU.  Decision to withdraw care was made and patient passed on 9/13/2021.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Oedema peripheral, Positive airway pressure therapy, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Patient presented to ED via EMS due to decrease oxygenation at home.  In the ED supplemental oxygen initiated.  Chest xray shows changes consistent with COVID-19 PNA.  Covid antigen positive, CRP elevated.  Patient reports frequent nonproductive cough, ongoing dyspnea, increased lower extremity edema.  Patient admitted to hospital and started on BiPap with oxygenation improvement.  Patient then was found to be unresponsive with Bipap mask off, code was called and patient went through 2 rounds of ACLS with 2 doses of epi with ROSC on ventilator, patient on epi drip and transfer to ICU.  Decision to withdraw care was made and patient passed on 9/13/2021.
Age: 22.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: PT CAME IN FOR LAB/TB SKIN TEST/TDAP. I GAVE THE WRONG VACCINE.  HE WAS GIVEN THE DTAP WHICH SHOULD HAVE ONLE BEEN GIVEN TO A PEDI. I CALLED NP DUE TO NURSE MANAGER BEING OUT AFTER THE PROVIDER WAS NOTIFIED.  I CALLED THE CDC AND THEY SENT ME THE PAPER WORK I WAS NEEDING FOR DOCUMENTATION AND TO SEE IF HE WOULD NEED TO TAKE THE CURRECT SHOT AGAIN IN SO MANY DAYS.  THEY SAID IF HE GOT ALL OF HIS SHOTS WHEN HE WAS LITTLE HE WAS FINE NO NEED TO MONITOR OR DO LABS. THE SHOT THAT WAS GIVEN TO HIM WOULD COUNT AND HE WOULD NOT HAVE TO START OVER.  PT DID NOT HAVE AN ADVERSE REACTION.  I CALLED AND TOLD THE PT THAT THE SHOT HE WAS GIVEN WAS A DIFFERENT ONE AND IT WOULD STILL COUNT FOR WHAT HE WAS NEEDING HE STATED HE UNDERSTOOD.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dermatitis contact, Exposure to toxic agent, Pruritus
Clinical narrative: I was exposed to poison ivy on  5/20/2022 but was not aware of it at the time.  A day or two later I began noticing skin reactions to the exposure.  The adverse event is the extremeness of the reaction, much greater than experienced in prior exposures.  I contacted my personal physician and he prescribed Triamcinolone Acetonide Cream USP 1mg/g.  After application for three days the extreme reaction was not subsiding so my personal physician prescribed Methylprednisolone Tablets, USP 4 mg, 21 tablet course for 6 days.  Basic comfort was restored, but some itching remained, though greatly reduced.  The initial major rashes are recovering but other patches, some seem to be new areas, are flaring up (itchiness without the pimpling) periodically.