chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Joint effusion, Magnetic resonance imaging abnormal, Muscle atrophy, Myalgia, Osteoarthritis
Clinical narrative: Reported Symptoms: 10028322:MUSCLE PAIN; 10028411:MYALGIA; Narrative: Patient is a 76-year-old male patient with past medical history of pulmonary embolism, basal cell carcinoma of auricle of ear, hyperlipidemia, gastric ulcer, hiatal hernia, diverticulosis, and restless leg syndrome. Patient received 4 Pfizer COVID-19 vaccinations on 1/12/21, 02/02/21, 11/29/21, and 7/8/22. Patient received their 5th Pfizer COVID-19 vaccination as a booster dose at the facility on 10/26/2022 with no acute reaction. On 12/19/2022, the patient contacted the primary care provider reported atrophy of the left deltoid. The patient reported the area was getting larger and tender. He described it to be 2 inches in length x 1 inch wide. An aldolase level was measured on 1/6/23 and was found to be within normal limits. An MRI of the left shoulder was also done. Mild atrophy of the deltoid muscle was noted. No further evaluation was required. Other Relevant HX: Patient is a 76-year-old male patient with past medical history of pulmonary embolism, basal cell carcinoma of auricle of ear, hyperlipidemia, gastric ulcer, hiatal hernia, diverticulosis, and restless leg syndrome. Patient received 4 Pfizer COVID-19 vaccinations on 1/12/21, 02/02/21, 11/19/21, and 7/8/22. Patient received their 5th Pfizer COVID-19 vaccination as a booster dose at the facility on 10/26/2022 with no acute reaction. Other: MUSCLE Pain.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Tendon disorder, Tendon injury
Clinical narrative: Reported Symptoms: 10028322:MUSCLE PAIN; 10028411:MYALGIA; Narrative: Patient is a 76-year-old male patient with past medical history of pulmonary embolism, basal cell carcinoma of auricle of ear, hyperlipidemia, gastric ulcer, hiatal hernia, diverticulosis, and restless leg syndrome. Patient received 4 Pfizer COVID-19 vaccinations on 1/12/21, 02/02/21, 11/29/21, and 7/8/22. Patient received their 5th Pfizer COVID-19 vaccination as a booster dose at the facility on 10/26/2022 with no acute reaction. On 12/19/2022, the patient contacted the primary care provider reported atrophy of the left deltoid. The patient reported the area was getting larger and tender. He described it to be 2 inches in length x 1 inch wide. An aldolase level was measured on 1/6/23 and was found to be within normal limits. An MRI of the left shoulder was also done. Mild atrophy of the deltoid muscle was noted. No further evaluation was required. Other Relevant HX: Patient is a 76-year-old male patient with past medical history of pulmonary embolism, basal cell carcinoma of auricle of ear, hyperlipidemia, gastric ulcer, hiatal hernia, diverticulosis, and restless leg syndrome. Patient received 4 Pfizer COVID-19 vaccinations on 1/12/21, 02/02/21, 11/19/21, and 7/8/22. Patient received their 5th Pfizer COVID-19 vaccination as a booster dose at the facility on 10/26/2022 with no acute reaction. Other: MUSCLE Pain.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19-2
Symptoms: Asthenia
Clinical narrative: Reported Symptoms: 10047862:WEAKNESS; 10047865:WEAKNESS GENERALIZED; Narrative: Other Relevant HX: Other: WEAKNESS
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Exposure to SARS-CoV-2, Nasal congestion, Nasal discharge discolouration, Rhinorrhoea
Clinical narrative: Reported Symptoms: 10011232:COUGHING; Narrative: Pt is 57 yom with PMH of PTSD, GERD, Allergic Rhinitis, HTN, DM, HLD, and Obesity. Pt received first COVID vaccine on 7/29/21 and received Pfizer, pt then received second dose of Pfizer COVID vaccine on 8/26/21. At times of vaccines, pt noted no immediate adr. On 10/26/21 pt presented to urgent care clinic with cough, scratchy throat and nasal congestion that began that morning. Upon assessment positive responses were found for HPI: cough, purulent sputum, pain, maxillary or frontal sinuses, rhinorrhea, yellow or brown. Pt reported that he was exposed to covid recently by family member who tested positive on 10/25/21. Provider suspected covid infection to be cause of cough and pt was tested. Other Relevant HX: Positive Responses HPI: cough, purulent sputum HPI: pain, maxillary or frontal sinuses HPI: rhinorrhea, yellow or brown Other: COUGH (12/1/22@15:44:29)
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test, Sinus pain, Sputum purulent, Suspected COVID-19, Throat irritation
Clinical narrative: Reported Symptoms: 10011232:COUGHING; Narrative: Pt is 57 yom with PMH of PTSD, GERD, Allergic Rhinitis, HTN, DM, HLD, and Obesity. Pt received first COVID vaccine on 7/29/21 and received Pfizer, pt then received second dose of Pfizer COVID vaccine on 8/26/21. At times of vaccines, pt noted no immediate adr. On 10/26/21 pt presented to urgent care clinic with cough, scratchy throat and nasal congestion that began that morning. Upon assessment positive responses were found for HPI: cough, purulent sputum, pain, maxillary or frontal sinuses, rhinorrhea, yellow or brown. Pt reported that he was exposed to covid recently by family member who tested positive on 10/25/21. Provider suspected covid infection to be cause of cough and pt was tested. Other Relevant HX: Positive Responses HPI: cough, purulent sputum HPI: pain, maxillary or frontal sinuses HPI: rhinorrhea, yellow or brown Other: COUGH (12/1/22@15:44:29)
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Reported Symptoms: 10037087:PRURITUS; 10046735:URTICARIA; Narrative: Other Relevant HX: Other: URTICARIA
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Lethargy, Myalgia, Pyrexia
Clinical narrative: Reported Symptoms: 10016558:FEVER; 10024264:LETHARGY; 10028411:MYALGIA; Narrative: Other Relevant HX: Other: Lethargy
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Dermatitis allergic, Papule, Pruritus, Rash, Rash erythematous
Clinical narrative: Reported Symptoms: 10037087:PRURITUS; 10037844:RASH;   Narrative: 11/21/2023: Patient administered influenza vaccine 11/22/2023: Per nursing primary care note addendum "67 year old male presents today as a walk-in secondary to new rash on face and left upper extremity deltoid region.  Patient states that he noticed a rash late last night and this morning, states that the rash it itchy but not painful. Denies any symptoms of difficulty breathing or airway swelling.  Patient had been seen prior day for back pain where he was prescribed naproxen and cyclobenzaprine for relief. In addition patient received influenza immunization at that visit. Patient states he has had this reaction in the past but is not sure what is the etiology, denies any known allergies. Denies fever, chills, nausea, vomiting. Rash likely allergic, unsure what etiology is but based off of location and time correlation possibly egg allergy to influenza vaccination. May need to try avoiding egg incubated vaccines in future. Prescribed Benadryl 25 mg every 4-6 hours as needed to rash and itching, counseled on side effect profile including sedation. Also advised to keep diary of rash and correlated events. If rash continues or worsens with continued use of naproxen advised to stop this medication and report. ED precautions given. Physical exam revealed patchy oval shaped papules, erythematous across bilateral mandibular areas of face and well-circumscribed raised papule on left deltoid measuring approximatly 5 cm in diameter." Other Relevant HX:  Other:
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Rash pruritic
Clinical narrative: Reported Symptoms: 10037087:PRURITUS; 10037844:RASH;   Narrative: 11/21/2023: Patient administered influenza vaccine 11/22/2023: Per nursing primary care note addendum "67 year old male presents today as a walk-in secondary to new rash on face and left upper extremity deltoid region.  Patient states that he noticed a rash late last night and this morning, states that the rash it itchy but not painful. Denies any symptoms of difficulty breathing or airway swelling.  Patient had been seen prior day for back pain where he was prescribed naproxen and cyclobenzaprine for relief. In addition patient received influenza immunization at that visit. Patient states he has had this reaction in the past but is not sure what is the etiology, denies any known allergies. Denies fever, chills, nausea, vomiting. Rash likely allergic, unsure what etiology is but based off of location and time correlation possibly egg allergy to influenza vaccination. May need to try avoiding egg incubated vaccines in future. Prescribed Benadryl 25 mg every 4-6 hours as needed to rash and itching, counseled on side effect profile including sedation. Also advised to keep diary of rash and correlated events. If rash continues or worsens with continued use of naproxen advised to stop this medication and report. ED precautions given. Physical exam revealed patchy oval shaped papules, erythematous across bilateral mandibular areas of face and well-circumscribed raised papule on left deltoid measuring approximatly 5 cm in diameter." Other Relevant HX:  Other:
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Adult failure to thrive, Blood culture negative, COVID-19
Clinical narrative: Reported Symptoms: 10054112:HOSPITALISATION; 10084268:COVID-19; Narrative: 95 yo male patient with past medical history significant for CAD/MI 2006, asthma/COPD, A. fib status post ablation, BPH, and bipolar 1 presented to ED on 12/05/2022 with COVID symptoms for 1 week and frequent falls. Pt admitted to hospital for AHRF due to COVID respiratory infection. Pt received dexamethasone (12/6-12/15). Despite note indicating pt receiving remdesivir (12/5-12/10), pt was not given remdesivir due to pt renal function. Pt was weaned from O2 as needed. Patient had AKI on CKD stage IV which improved with fluids. Pt w/ stage II right hip ulcer and stage I sacral ulcer POA without signs of infection. BCX on admission (-) x 5 days. No fevers or chills. Pt was dehydrated, not eating and confused due to hypernatremia. Hospice certified on 12/19 for failure to thrive, Cachexia, severe protein malnutrition with Hypernatremia declining TF. Pt was placed in CNH on 12/21 with hospice without comfort care. Family notified facility of pt passing on 12/30/22. Other Relevant HX: 95 yo male patient with past medical history significant for CAD/MI 2006, asthma/COPD, A. fib status post ablation, BPM, and bipolar I. Other: COVID-19 Infection w/ hospitalization
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cachexia, Chronic kidney disease, Confusional state, Death, Dehydration
Clinical narrative: Reported Symptoms: 10054112:HOSPITALISATION; 10084268:COVID-19; Narrative: 95 yo male patient with past medical history significant for CAD/MI 2006, asthma/COPD, A. fib status post ablation, BPH, and bipolar 1 presented to ED on 12/05/2022 with COVID symptoms for 1 week and frequent falls. Pt admitted to hospital for AHRF due to COVID respiratory infection. Pt received dexamethasone (12/6-12/15). Despite note indicating pt receiving remdesivir (12/5-12/10), pt was not given remdesivir due to pt renal function. Pt was weaned from O2 as needed. Patient had AKI on CKD stage IV which improved with fluids. Pt w/ stage II right hip ulcer and stage I sacral ulcer POA without signs of infection. BCX on admission (-) x 5 days. No fevers or chills. Pt was dehydrated, not eating and confused due to hypernatremia. Hospice certified on 12/19 for failure to thrive, Cachexia, severe protein malnutrition with Hypernatremia declining TF. Pt was placed in CNH on 12/21 with hospice without comfort care. Family notified facility of pt passing on 12/30/22. Other Relevant HX: 95 yo male patient with past medical history significant for CAD/MI 2006, asthma/COPD, A. fib status post ablation, BPM, and bipolar I. Other: COVID-19 Infection w/ hospitalization
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Eating disorder, Fall, Hypernatraemia, Malnutrition, SARS-CoV-2 test positive
Clinical narrative: Reported Symptoms: 10054112:HOSPITALISATION; 10084268:COVID-19; Narrative: 95 yo male patient with past medical history significant for CAD/MI 2006, asthma/COPD, A. fib status post ablation, BPH, and bipolar 1 presented to ED on 12/05/2022 with COVID symptoms for 1 week and frequent falls. Pt admitted to hospital for AHRF due to COVID respiratory infection. Pt received dexamethasone (12/6-12/15). Despite note indicating pt receiving remdesivir (12/5-12/10), pt was not given remdesivir due to pt renal function. Pt was weaned from O2 as needed. Patient had AKI on CKD stage IV which improved with fluids. Pt w/ stage II right hip ulcer and stage I sacral ulcer POA without signs of infection. BCX on admission (-) x 5 days. No fevers or chills. Pt was dehydrated, not eating and confused due to hypernatremia. Hospice certified on 12/19 for failure to thrive, Cachexia, severe protein malnutrition with Hypernatremia declining TF. Pt was placed in CNH on 12/21 with hospice without comfort care. Family notified facility of pt passing on 12/30/22. Other Relevant HX: 95 yo male patient with past medical history significant for CAD/MI 2006, asthma/COPD, A. fib status post ablation, BPM, and bipolar I. Other: COVID-19 Infection w/ hospitalization
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Skin ulcer
Clinical narrative: Reported Symptoms: 10054112:HOSPITALISATION; 10084268:COVID-19; Narrative: 95 yo male patient with past medical history significant for CAD/MI 2006, asthma/COPD, A. fib status post ablation, BPH, and bipolar 1 presented to ED on 12/05/2022 with COVID symptoms for 1 week and frequent falls. Pt admitted to hospital for AHRF due to COVID respiratory infection. Pt received dexamethasone (12/6-12/15). Despite note indicating pt receiving remdesivir (12/5-12/10), pt was not given remdesivir due to pt renal function. Pt was weaned from O2 as needed. Patient had AKI on CKD stage IV which improved with fluids. Pt w/ stage II right hip ulcer and stage I sacral ulcer POA without signs of infection. BCX on admission (-) x 5 days. No fevers or chills. Pt was dehydrated, not eating and confused due to hypernatremia. Hospice certified on 12/19 for failure to thrive, Cachexia, severe protein malnutrition with Hypernatremia declining TF. Pt was placed in CNH on 12/21 with hospice without comfort care. Family notified facility of pt passing on 12/30/22. Other Relevant HX: 95 yo male patient with past medical history significant for CAD/MI 2006, asthma/COPD, A. fib status post ablation, BPM, and bipolar I. Other: COVID-19 Infection w/ hospitalization
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Immunisation reaction, Peripheral swelling, Pruritus, Rash
Clinical narrative: Reported Symptoms: 10037844:RASH; Narrative: Per 11/01/2022 allergy note "51 year old MALE who was referred for evaluation of shingles vaccine reaction. He received the first dose of shingles vaccine on 8/11/22, had no immediate reaction afterwards. About 1 week later, the skin on his chest and abdomen and thighs felt itching, with some redness at the itch location. Some has raised areas on his thighs. Denies any shortness of breath or any other systemic symptoms. He took benadryl and helped temporary. If he does not think about it, he did not itch, but itch can affect his sleep." Other Relevant HX: Other:
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Sleep disorder
Clinical narrative: Reported Symptoms: 10037844:RASH; Narrative: Per 11/01/2022 allergy note "51 year old MALE who was referred for evaluation of shingles vaccine reaction. He received the first dose of shingles vaccine on 8/11/22, had no immediate reaction afterwards. About 1 week later, the skin on his chest and abdomen and thighs felt itching, with some redness at the itch location. Some has raised areas on his thighs. Denies any shortness of breath or any other systemic symptoms. He took benadryl and helped temporary. If he does not think about it, he did not itch, but itch can affect his sleep." Other Relevant HX: Other:
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Reported Symptoms:  10022086:INJECTION SITE PAIN;    Narrative:  08/25/2021 COVID vaccine dose #1-Patient developed left deltoid pain after vaccination, pain resolved about 8-9 weeks later 09/15/2021 COVID vaccine dose #2-Patient developed right arm pain after vaccination to right arm, pain resolved about 8-9 weeks later 05/05/2022 COVID vaccine dose #3-Patient developed stabbing pain, the pain on his left arm has been slowly increasing.  11/07/2022 At PCP visit, pt reports the pain is 2/10 intensity but increases when he lays on it or when pressure is applied to 8/10 intensity. Pain decreases a few minutes after pressure is removed.  Provider ordered gabapentin to treat pain.  Other Relevant HX:  Other: pain at injection site
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: Reported Symptoms: 10082218:ANAPHYLAXIS; Narrative: Other Relevant HX: Other: ANAPHYLAXIS
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Reported Symptoms: 10042244:STROKE; Narrative: Other Relevant HX: Other: STROKE
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No additional AE/No PQC; then received a .5ML booster dose at age 19; received an adult 1ML dose of VAQTA at age 18 then .5ML booster at age 19; This spontaneous report has been received from a medical assistant and refers to an 18-year-old female. The patient's pertinent medical history, previous drug reactions or allergies and concomitant medications were not provided.  On an unknown date in June 2017, the patient at age of 18-year-old  was vaccinated with the primary dose of hepatitis a vaccine, inactivated (VAQTA) at an adult dose of 1 milliliter as prophylaxis (incorrect dose administered) (formulation, route of administration, lot number and expiration date were not provided). Then, on December 2018, at age of 19, she received the booster of hepatitis a vaccine, inactivated (VAQTA) at a dose of 0.5 ml (she should have received the 0.5 ml dose at age of 18) (underdose) (formulation, route of administration, lot number and expiration date were not provided). No other adverse effects were reported.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Debridement, Pruritus, Scab, Wound complication, Wound treatment
Clinical narrative: Itching 5 days after vaccine, developed into a severe burn type of wound,very painful,scabbbbing ,Dr debreid wound, administered antibiotic cream and covered with wound dressing,need to change wound dressing 3 times daily,dr suggests I may need surgery depending on outcome of test results,may need plastic surgery as the wound ks very very deep
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: X-ray
Clinical narrative: Itching 5 days after vaccine, developed into a severe burn type of wound,very painful,scabbbbing ,Dr debreid wound, administered antibiotic cream and covered with wound dressing,need to change wound dressing 3 times daily,dr suggests I may need surgery depending on outcome of test results,may need plastic surgery as the wound ks very very deep
Age: 1.25
Sex: M
Vaccine: DTAP, FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Malaise, Pyrexia
Clinical narrative: High fever 105.8°F and malaise treated with infant motrin and tylenol, cool cloth, and cold room temperature. Low grade fever persisting for several days (99.5-102) despite antipyretic treatment. Left thigh swelling, redness, and warmth.
Age: 5.0
Sex: F
Vaccine: MMRV
Symptoms: Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: within 15 minutes of administration child developed headache then developed fever (up to 103) with nausea and vomiting.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Echocardiogram abnormal, Electrocardiogram abnormal, Electrocardiogram ambulatory, Extrasystoles
Clinical narrative: Extra heartbeat found per ekg Feb 2024, ecg in March 2024. Prior to the tests, on Jan 16, 2023 heart collapsed like a fish out of water- racing and erratic heartbeat,    quivering/fluttering lasting until Jan 17.  Blood pressure monitoring Jan, Feb 2023 showed irregular heartbeat. Normal heartbeat until Nov 2024. Had family doctor visit 2-22-24 because of recurring quivering fluttering symptoms-did ekg found extra heartbeat. Did Holter monitor for 48 hrs. referred to Dr., echocardiogram done.  Erratic heartbeat, quivering, fluttering continues.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Palpitations
Clinical narrative: Extra heartbeat found per ekg Feb 2024, ecg in March 2024. Prior to the tests, on Jan 16, 2023 heart collapsed like a fish out of water- racing and erratic heartbeat,    quivering/fluttering lasting until Jan 17.  Blood pressure monitoring Jan, Feb 2023 showed irregular heartbeat. Normal heartbeat until Nov 2024. Had family doctor visit 2-22-24 because of recurring quivering fluttering symptoms-did ekg found extra heartbeat. Did Holter monitor for 48 hrs. referred to Dr., echocardiogram done.  Erratic heartbeat, quivering, fluttering continues.
Age: 31.0
Sex: F
Vaccine: YF
Symptoms: Incorrect route of product administration
Clinical narrative: Vaccine given IM instead of Subcutaneous.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Product administered at inappropriate site, Swelling
Clinical narrative: Patient complained from redness, swallowing and soreness because of a wrong injection technique, the vaccine was injected  by intramuscular route lower than the deltoid muscle of the arm, closer to the middle of the arm, the patient is checking with her doctor if any treatment is necessary.
Age: 63.0
Sex: M
Vaccine: HEP, PNC20, RSV, VARZOS
Symptoms: Dyspnoea, Eye swelling, Pruritus, Rash, Swelling face
Clinical narrative: Patient started experiencing itchiness and rash all over body including swollen face and eyes on 3/2/24. Patient also reported some trouble breathing when they called the pharmacy to report the symptoms on 3/4/24. Patient took benadryl on 3/3/24, but did not experience any relief. Recommended patient be seen by doctor and was prescribed loratadine, steroids, and silver cream.
Age: 34.0
Sex: F
Vaccine: YF
Symptoms: Incorrect route of product administration
Clinical narrative: Vaccine given IM instead of Subcutaneous.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Feeling jittery, Heart rate increased
Clinical narrative: Rapid heartbeat, jittery
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: PATIENT RECEIVED COMIRATNY 12+ GFS 23-24 INJ IN RIGHT ARM, WHICH STARTED TO CAUSE SEVERE PAIN AT INJECTIONS SITE BY THE NEXT MORNING. PT HAS TAKEN IBUPROFEN SINCE THAT TIME FOR PAST 2 WKS.  PT STILL HAS MODERATE PAIN IN UPPER RIGHT ARM WHERE INJECTION WAS GIVEN, APPROXIMATELY 3 FINGERS WIDTH FROM SHOULDER JOINT.  PT WAS IN DRIVE-THRU WINDOW AT THE TIME OF REPORTING SO  UNABLE TO COMPLETE VISUAL INSPECTION BY PHARMACIST. PT STATES SHE DOES NOT SEE ANYTHING ON HER ARM BUT IT STILL IS PAINFUL WITH OR WITHOUT MOVEMENT. PATIENT HAS RECIEVED 3 OTHER PFIZER COVID VACCINES AT THIS WALMART PHARMACY IN THE PAST. PHARMACIST ADVISED PATIENT TO SHARE SYMPTOMS WITH HER PROVIDER.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Inflammation, Injection site pain, Menstrual disorder, Neurological symptom
Clinical narrative: Immediate fever, severe arm pain at the site of injection, inflammation throughout the body, the reaction from the vaccination was worse than having COVID. Has given me long term nerve sensitivity, affects to my menstrual and reproductive cycle to this day.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Immediate fever, severe arm pain at the site of injection, inflammation throughout the body, the reaction from the vaccination was worse than having COVID. Has given me long term nerve sensitivity, affects to my menstrual and reproductive cycle to this day.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The patient received 4 Shingrix vaccines starting in May 2022, and the third being reported. Patient did not report adverse effects, this was an administration error.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray, Electrocardiogram, Pulmonary pain
Clinical narrative: Persistent shortness of breath/ lung pain, no cough, however.  Lasts for days, this time for weeks or is now permanent.  I have been to the doctor, given an EKG, chest xray, & blood work.  I had the house treated with mold remediation to rule out other possibilities.. it still came back.  It hurts worse when I lie flat or bend down.  Definitely uncomfortable.  I am currently in the process of quitting smoking to rule out that possibility as well.
Age: 48.0
Sex: M
Vaccine: COVID19-2, HEP, MMR, TDAP, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Patient had a prior covid shot 2 days ago (3/14/24) at pharmacy and covid shot was readministered 3/16/24 at store.
Age: 14.0
Sex: M
Vaccine: COVID19-2, HEP, MMR, TDAP, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Patient received a covid vaccine on 3/14/24 at pharmacy and covid vaccine readministered 3/16/24 at store.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Bell's palsy
Clinical narrative: Patient received first dose of Shingrix, then the next day was experiencing symptoms of Bells Palsy. Patient was diagnosed with Bells Palsy the day after symptoms started.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Myocardial injury, Pneumonia
Clinical narrative: Double Pneumonia. Cardiac damage
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Within the past two years, I have developed severe chronic bilateral tinnitus. I am now certain that this is due to receiving the mRNA Pfizer-BioNTech COVID-19 Vaccine Bivalent Boosters on 11/11/2022 and again on 10/18/2023. After talking with my audiologist and analyzing the timeline of events, I realized that my tinnitus became very noticeable shortly after receiving the first mRNA Pfizer-BioNTech COVID-19 Vaccine Bivalent Booster and it became severe after receiving the second mRNA Pfizer-BioNTech COVID-19 Vaccine Bivalent Booster. This is my brief story. Over the last six months, the tinnitus has become categorically severe. It first became prevalent around late November/early December 2022 and officially turned .into severe tinnitus in late October/early November 2023. In February 2024, I finally had to see an audiologist because I reached a point where I could not tolerate the ringing anymore, and I was immensely desperate for help. The diagnosis revealed a THI score of 66, indicating severe tinnitus (Grade 4), despite not having any hearing loss or signs of ear issues. Consequently, I purchased hearing aids with tinnitus masking technology, as it was the only way to find relief and cope with my condition.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Cough, Dyspnoea, Malaise
Clinical narrative: Patient states she is feeling very sick and has not been able to get out of bed or do anything since the day after her vaccination. The following are her reactions she still has ; consistent cough, joint and bone pain, headache, difficulty breathing and pounding of the heart.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Palpitations
Clinical narrative: Patient states she is feeling very sick and has not been able to get out of bed or do anything since the day after her vaccination. The following are her reactions she still has ; consistent cough, joint and bone pain, headache, difficulty breathing and pounding of the heart.
Age: 77.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: pt call on 3/16/24 stating that he had an anaphylaxis event after the spikevax vaccine on 3/14/24 and have to spend the night in the hospital.
Age: 77.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Burning sensation, Dehydration, Diarrhoea, Dizziness, Rash pruritic
Clinical narrative: pt call on 3/16/24 stating that he had an anaphylaxis event after the spikevax vaccine on 3/14/24 and have to spend the night in the hospital.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Aphthous ulcer, Dysstasia, Gait inability, Hypoaesthesia, Lip swelling
Clinical narrative: PATIENT SAID SYMPTOMS STARTED THE NEXT DAY. HE EXPERIENCE RASH, SORE, SOME LEVEL OF NUMBNESS, AND PAIN ON HIS FEET TO THE POINT WHERE HE COULDN'T TAKE A STEP FOR 5 DAYS. PATIENT WAS ABLE TO STAND A LITTLE BIT BUT UNABLE TO WALK. HE GOT RASH ON HIS BACK. HIS LIPS WERE SWOLLEN. HE GOT CANKER SORE, COLD SORE IN HIS MOUTH PREVENTED HIM FROM EATING. HE HAD FEVER THE NEXT DAY WHICH WENT AFTER A DAY OR 2. PATIENT STILL HAVE COLD SORE AND CANKER SORE ON HIS LIPS (BOTH INNER AND OUTER) ON 3/16/24.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Oral herpes, Pain, Pain in extremity, Pyrexia, Rash
Clinical narrative: PATIENT SAID SYMPTOMS STARTED THE NEXT DAY. HE EXPERIENCE RASH, SORE, SOME LEVEL OF NUMBNESS, AND PAIN ON HIS FEET TO THE POINT WHERE HE COULDN'T TAKE A STEP FOR 5 DAYS. PATIENT WAS ABLE TO STAND A LITTLE BIT BUT UNABLE TO WALK. HE GOT RASH ON HIS BACK. HIS LIPS WERE SWOLLEN. HE GOT CANKER SORE, COLD SORE IN HIS MOUTH PREVENTED HIM FROM EATING. HE HAD FEVER THE NEXT DAY WHICH WENT AFTER A DAY OR 2. PATIENT STILL HAVE COLD SORE AND CANKER SORE ON HIS LIPS (BOTH INNER AND OUTER) ON 3/16/24.
Age: 16.0
Sex: M
Vaccine: MMR
Symptoms: Dizziness, Skin warm
Clinical narrative: after pt received the mmr vaccine, he started to feel a little dizzy and lightheaded. I told him to remain seated and wait about 15 minutes until he feels better. Pt's mother was in the room and was monitoring him. I told both of them they can stay in the immunization room for as long as they would like until he feels better. I gave the patient some water to drink and I had to leave the immunization room to attend to the pharmacy and the pt's mother said she will continue to monitor her son and will notify me asap if anything happens. After about 5 minutes, she calls for me and states he needs to lie down and that he is feeling more faint. I came in the room, checked pt's pulse which was around 70bpm. pt felt warm to the touch. pt wanted more water so we provided him with a bottle of cold water for him to drink. After a few minutes and after he drank more water, pt stated he was starting to feel better. I wanted them to stay and I wanted to monitor them more, so we brought him into another room for him to lay and rest. Mother said she will continue to monitor her son. After 5 minutes i came back to check on pt and he said he feels much better. I told them they can stay in the room for as long as they would like until he feels better to get up and walk around.  They stayed in the room for about 30-45 minutes and left when pt was able to get up and walk. I called the mom later to follow up with pt and she said he's doing better and no longer feeling faint, dizzy and lightheaded.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid rash, Rash, Skin lesion
Clinical narrative: Rash on eyelids, scalp, back, chest, R iliac crest region, B upper arms, B lower legs c/w guttate psoriasis - rapid appearance and proliferation of 20+ erythematous papules with overlying silvery scale in previously very well controlled/minimal disease for decades.  Worst involvement on back.  Lesions appeared in crops over about a week, starting about a week post-vaccination.  Have increased high potency topical steroid use (fluocinonide) with minimal response.  No new lesions in last 3 weeks (now 7 weeks post vaccination), but no regression of guttate lesions that appeared post-vaccination.  Did not have this issue with any previous COVID-19 vaccine doses.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Patient's daughter left voicemail for pharmacy staff on 03/14/24 stating that patient had gotten cellulitis following administration of vaccine on 03/12/24. Patient's daughter herself is a physician. According to the daughter, the patient was seen and prescribed an antibiotic.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Patient contacted pharmacy within 48 hours after receiving vaccination reporting cellulitis. Patient is a physician. Patient stated she was seen and prescribed a prescription to treat the cellulitis.
Age: 48.0
Sex: F
Vaccine: VARCEL
Symptoms: Dizziness, Nausea
Clinical narrative: Patient experienced nausea and dizziness 5 minutes after receiving the Varicella vaccine. RPH provided patient 2 tablets of Benadryl 25 mg Lot # CSC023 exp 08/25 Johnson & Johnson. Patient recovered from the adverse reaction after 10 minutes and left.
Age: 62.0
Sex: M
Vaccine: RSV
Symptoms: Hypoacusis, Oral herpes, Paranasal sinus hypersecretion, Sinus congestion
Clinical narrative: Day after, cold sores in mouth, sinuses went "crazy" excessive dranage, clogging, etc. affected hearing. Took a week and a half to resolve completely.
Age: 64.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: We administered his 2nd dose of havrix 32 days after the 1st dose.  The schedule should have been 180 days between doses.
Age: 38.0
Sex: F
Vaccine: TYP
Symptoms: Fatigue, Headache, Nausea, Skin hyperpigmentation
Clinical narrative: I experienced nausea, fatigue, headaches, and loose stools for one week after my last dose of the oral typhoid vaccine. The symptoms started approximately 24 hours after my 4th dose, and lasted for one week. I did not have any fevers. I know these are side effects people can experience for a day or two after, but a whole week (7 days) seemed like a long time, which is why I wanted to ensure that VAERS had this information. Also, one other thing I noted that may be completely unrelated, but I had a brown blotch (hyperpigmented macule) appear on the dorsal surface of my left index finger at this time. It has now gone away.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Delirium, Dizziness, Pyrexia
Clinical narrative: High fever ? started at 101.3 and peaked at 104.1°F. Felt dizzy, delirious. Took over 8 hours to break.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Nausea, Rash, Rash pruritic
Clinical narrative: itchy rash left leg, left arm, nausea, diarrhea, headache
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain, Decreased appetite, Insomnia, Pain
Clinical narrative: Started with sore abdominal, that lasted 12 hours, sleeplessness for 15 hours, lack of appetitte, aching all over, then slept alot for 6 hours constant, awake for 4 hours, then slept anothe 10 hours.  Abdominal pain went away after 12 hours.   Took tylenol every 5 hours until symptoms went away.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Muscle atrophy
Clinical narrative: The day after receiving this, my third booster, my left shoulder started to ache constantly and I developed a sore spot on top of my shoulder. The beginning of February I went to an Orthopedist who informed my I had shoulder muscles atrophying. He gave me a cortisone shot and sent me to 4 weeks of physical therapy. I continue to do the exercises they gave me but my shoulder still does not feel normal. I have also found 2 additional people having a similar reaction with muscle atrophy. While I advocate for vaccinations, I will not take another covid-19 booster.
Age: 77.0
Sex: M
Vaccine: RSV
Symptoms: Fatigue, Headache
Clinical narrative: Patient came by to report that ever since he has gotten the Arexvy shot, he had severe headaches and fatigue. It has gotten worse. He went to the doctor, who couldn't find anything wrong with him. But was told to report it to the pharmacy by him.
Age: 12.0
Sex: M
Vaccine: HEP, IPV, MMRV, TD
Symptoms: Product storage error
Clinical narrative: Patient inadvertently received Polio vaccine that was stored out of recommended temperature range and deemed nonviable by manufacturer. Vaccine temperature excursion discovered after vaccine administration.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV9, IPV, MMRV, MNQ, TDAP
Symptoms: Product storage error
Clinical narrative: Patient inadvertently received the Polio vaccine that was stored out of recommended temperature range and deemed nonviable by the manufacturer. Vaccine temperature excursion discovered after vaccine administration. The healthcare provider will determine if the patient requires revaccination.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest pain, Immediate post-injection reaction, Neck pain, Pain
Clinical narrative: pt states immediate pains through her chest, and radiates to back of neck. She thought that the pain was due to a hernia and GERD that she has had in the same area for a while. Pain goes to center of chest. She is having some tests soon to rule out hernia issues.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Gait disturbance, Guillain-Barre syndrome, Immunoglobulin therapy, Injection site pain, Lymphadenopathy
Clinical narrative: Severe Right shoulder, neck and arm pain for weeks. Swollen Lymph nodes on right subclavian area. Symptoms started the night after getting flu vaccine in right arm. 4-6 weeks after vaccine started having issues walking and arms not working properly.  I was hospitalized for a week. Doctors treated me for Guillian-Barre syndrome giving me IVIG therapy.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal disorder, Neck pain, Pain in extremity
Clinical narrative: Severe Right shoulder, neck and arm pain for weeks. Swollen Lymph nodes on right subclavian area. Symptoms started the night after getting flu vaccine in right arm. 4-6 weeks after vaccine started having issues walking and arms not working properly.  I was hospitalized for a week. Doctors treated me for Guillian-Barre syndrome giving me IVIG therapy.
Age: 1.0
Sex: M
Vaccine: HIBV, VARCEL
Symptoms: Ear discomfort, Excessive cerumen production, Rash, Rhinorrhoea
Clinical narrative: On 10/6/2006, Patient received Varicella/Varivax and Hib vaccine. Manufacturer is not in the dr. note. Location also not given. on 10/14/2006, 8 days later, Patient developed a rash, so Mom, brought him in for a check on a possible reaction. Doctor noted, skin, lymph nodes and nose were affected.  Runny nose and Patient was tugging on Left ear for 1 day. Ear wax was removed at this visit. Dr. CRNP. They noted clear runny nose and mom mentioned the rash that didn't seem normal. Other dr. notes were unreadable from this visit. Pharynx pile? CTAB? was another note. 10/30/2006 - rash on face and back for 2 days (since 10/29). Pulling left ear. Dr. noted it could be a vaccine reaction in Dr. Noted that this could be a vaccine reaction or a virus in the notes. Areas affected included skin and "Eyes/Ears/Nose". Hard to read doctor's handwriting for other notes. Can't read signature. First name starts with an "E" and it was a CRNP. Mom brought him in for an ongoing rash that they could not explain. This vaccine varicella has neomycin and gelatin. Later on, Patient had a reaction to the Measles vaccine, see VAERS ID: 0380204-1. This vaccine also contains neomycin and gelatin. Patient should probably never receive another vaccine with these ingredients due to having a reaction to both the Varivax Varicella and Measles (single) vaccine.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling hot, Nausea, Vomiting
Clinical narrative: After successful donation, Immunization administered at 1015am into left deltoid. At 1025am during post-immunization monitoring phase, staff observed donor starting to have emesis into corner trashcan. Donor brought directly to office and had her sit down. She stated she did not eat prior to coming in for donation. She stated she felt warm and then felt sensation to vomit. Donor VS taken x3 sets, multiple cracker packets and 8oz bottle of water given to donor, and fanned. Donor resolved in 10 minutes or less.
Age: 13.0
Sex: F
Vaccine: HEP, IPV, MMR, TDAP, VARCEL
Symptoms: Product storage error
Clinical narrative: Patient inadvertently received the Polio (IPV) vaccine that was stored out of recommended temperature range and deemed nonviable by the manufacturer. Vaccine temperature excursion discovered after vaccine administration. The healthcare provider will determine if the patient requires revaccination.
Age: 12.0
Sex: F
Vaccine: HEP, IPV, MMRV, MNQ, TDAP
Symptoms: Product storage error
Clinical narrative: Patient inadvertently received the Polio vaccine that was stored out of recommended temperature range and deemed nonviable by the manufacturer. Vaccine temperature excursion discovered after vaccine administration. The healthcare provider will determine if the patient requires revaccination.
Age: 11.0
Sex: F
Vaccine: HEP, IPV, MMRV, MNQ, TDAP
Symptoms: Product storage error
Clinical narrative: Patient inadvertently received the Polio vaccine that was stored out of recommended temperature range and deemed nonviable by the manufacturer. Vaccine temperature excursion discovered after vaccine administration. The healthcare provider will determine if the patient requires revaccination.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Erythema, Headache, Hypogeusia, Lymphadenopathy
Clinical narrative: Sore arm, redness, swollen lymph node under armpit, headache, fever, body aches, weakness, taste diminished.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, redness, swollen lymph node under armpit, headache, fever, body aches, weakness, taste diminished.
Age: 87.0
Sex: M
Vaccine: FLUR4, FLUR4
Symptoms: Injection site pain
Clinical narrative: Patient called on 3/17/24 and stated that since getting the flu shot on 12/30/2023, he has been experiencing arm-ache that runs from his elbow all the way to his shoulder. Patient has tried Aleve to help with pain, with no success. He did not want to take too much pain killer so he stopped. He has not tried anything else to alleviate pain afterwards. He was wondering if anyone else has the same reaction as his after getting Flublok.
Age: 87.0
Sex: M
Vaccine: FLUR4, FLUR4
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Patient called on 3/17/24 and stated that since getting the flu shot on 12/30/2023, he has been experiencing arm-ache that runs from his elbow all the way to his shoulder. Patient has tried Aleve to help with pain, with no success. He did not want to take too much pain killer so he stopped. He has not tried anything else to alleviate pain afterwards. He was wondering if anyone else has the same reaction as his after getting Flublok.
Age: 87.0
Sex: M
Vaccine: FLUR4, FLUR4
Symptoms: Injection site pain
Clinical narrative: Sore shoulder joint and upper left  arm.
Age: 87.0
Sex: M
Vaccine: FLUR4, FLUR4
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Sore shoulder joint and upper left  arm.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Chest pain, Injection site pain, Injection site swelling, Ischaemia
Clinical narrative: patient stated 1 hour after receiving injection she felt chest pain, patient went to emergency room and was found to have elevated troponin and evidence of ischemia and angina. 24 hours after injection patient developed hives and itching. Patient states lymph nodes are tender and injection site is swollen and sore. Patient reports muscle aches 24 hours post injection
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Myalgia, Pruritus, Troponin increased, Urticaria
Clinical narrative: patient stated 1 hour after receiving injection she felt chest pain, patient went to emergency room and was found to have elevated troponin and evidence of ischemia and angina. 24 hours after injection patient developed hives and itching. Patient states lymph nodes are tender and injection site is swollen and sore. Patient reports muscle aches 24 hours post injection
Age: 70.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Chills, Fatigue, Heart rate increased, Pain, Pyrexia
Clinical narrative: Severe chills, fever, body aches, fatigue, rapid heart rate (110-115).
Age: 70.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Severe chills, fever, body aches, fatigue, rapid heart rate (110-115).
Age: 76.0
Sex: M
Vaccine: RSV
Symptoms: CSF protein increased, Gait inability, Magnetic resonance imaging spinal, Muscular weakness, Oedema peripheral
Clinical narrative: Note: We are unsure if he got RSV Abrysvo or Arexvy. He had the vaccine on Mar 4 and developed lower extremity weakness 4 days later which got progressively worse. On Friday, March 15, he had lower extremity edema. He was unable to walk on Sunday, Mar 17 and went to the ED. LP showed high protein.
Age: 1.08
Sex: M
Vaccine: FLUC4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: This patient was given 1 extra dose of the flu shot. The nurse asked the mother if she wanted the flu shot at this well check visit as the provider requested, mother answered yes. The nurse failed to realize that this patient was already given the 2-dose series of the seasonal flu shot. Patient did not have any adverse reactions to this vaccine.
Age: 34.0
Sex: M
Vaccine: UNK
Symptoms: Cough, Temperature intolerance
Clinical narrative: Started to have adverse reaction in cold, no medicines stopping this symptoms. If cold is aggregated dry cough started and last upto 2 months
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Biopsy, Lichen planopilaris
Clinical narrative: I started to have really bad hair fall after my 2nd shot. Like mt hair was melting off aka falling out in clumps...then it started to get thinner and balding. I had a place as big as a grapefruit... by the end of the year I was diagnosed with lichen Planopilaris when I never....NEVER had any hair or scalp issues previously. Now I am stuck with this disease forever because of this injury thanks to Pfizer. I have spent thousands of dollars to get my hair back because of this vaccine...for the last 3 years! I have pictures documenting my loss.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac ablation, Cardiac electrophysiologic study, Deep vein thrombosis, Disturbance in attention
Clinical narrative: PATIENT DEVELOPED LEFT LEG DEEP VENOUS THROMBOSIS AND ATRIAL FIBRILLATION REQUIRING ABLATION.  ALSO HAD LACK OF MENTAL CLARITY, PALPITATIONS, DYSESTHESIAS, POST-EXERTIONAL FATIGURE.  TREATED WITH LONG TERM PRADAXA.  STARTED ON PROTOCOL BASE SPIKE DETOXIFICATION 2024 WITH IMPROVEMENT.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dysaesthesia, Echocardiogram, Electrocardiogram, Fatigue, Laboratory test
Clinical narrative: PATIENT DEVELOPED LEFT LEG DEEP VENOUS THROMBOSIS AND ATRIAL FIBRILLATION REQUIRING ABLATION.  ALSO HAD LACK OF MENTAL CLARITY, PALPITATIONS, DYSESTHESIAS, POST-EXERTIONAL FATIGURE.  TREATED WITH LONG TERM PRADAXA.  STARTED ON PROTOCOL BASE SPIKE DETOXIFICATION 2024 WITH IMPROVEMENT.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Ultrasound Doppler
Clinical narrative: PATIENT DEVELOPED LEFT LEG DEEP VENOUS THROMBOSIS AND ATRIAL FIBRILLATION REQUIRING ABLATION.  ALSO HAD LACK OF MENTAL CLARITY, PALPITATIONS, DYSESTHESIAS, POST-EXERTIONAL FATIGURE.  TREATED WITH LONG TERM PRADAXA.  STARTED ON PROTOCOL BASE SPIKE DETOXIFICATION 2024 WITH IMPROVEMENT.