chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nausea, Neck pain, Pain, Pain in extremity
Clinical narrative: These were symptoms after 2nd shot.  I started with a mild headache and sore arm. Then things got worse. At night on Wednesday, 24th, I got a severe headache that was at the back of my neck and could feel in the back of my head. Then I became so achy. My bones and joints hurt so much. It hurt to sit or lay down. All I could feel is the pain in my joints. I became so weak and so achy that I could barely get up and walk to the restroom. I could it stand for more than 2 minutes due to the pain. The subsided slightly on Thursday night, 25th, at 6pm. But then returned in another way. I became very nauseous and dizzy. My muscles instead of my bones began to hurt extremely. I could barely move. I broke down crying a couple of times due to the pain being so intense. Throughout this time, I did try to eat or snack and continue to drink water and Gatorade.  Then finally the pain just all of a sudden went away on Friday, 26th, at 1:00pm. I felt like a different person. The pain was gone. The only lingering effect was when I would get up from sitting down, I would be dizzy and my head would throb for a few seconds. That went away on Saturday night, 27th.  I will say if that type of pain had continued on much longer, I might have had my husband take me to the Emergency Room.
Age: 97.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Headache, Muscular weakness, Neck pain
Clinical narrative: Severe neck pain and headache.  Muscle weakness and collapse.  Appetite suppression
Age: 97.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Coordination abnormal, Death, Hypophagia, Muscle spasms
Clinical narrative: Severe neck pain and headache.  Muscle weakness and collapse.  Appetite suppression
Age: 97.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain
Clinical narrative: Severe neck pain and headache.  Muscle weakness and collapse.  Appetite suppression
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Headache (1 hour after treatment - applied motrin) Fatigue (gone after good night's sleep 25 hours)  Soar arm at injection site (went away in 3 days)
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia
Clinical narrative: None with the first shot. With the second shot, I experienced chills, achy joints and muscles for about 2 days.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Relapse of Cellulitis, I have had Cellulitis twice before in the same leg, left. Hospitalized the first time, second time a course of Linezolid 600mg 10 days. On a course again finishing 02 Apr 2021
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder
Clinical narrative: Rapid back and forth eye movements causing vertigo like symptoms. Feeling unbalanced and dizzy at times. I feel better when I lay down. I am not sure if it is caused by the vaccine, but it is the only change in my life currently.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Momentary headache (temple area, alternating left/right, fairly strong but lasting only fraction of a second. Repeated about 5-6 times.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypoaesthesia oral, Lip swelling, Paraesthesia, Pruritus
Clinical narrative: 45 minutes after shot: flushed, itchiness beginning neck/hands/feet then spread to whole body.  One hour after lower lip swelling and tongue swelling with slight numbness in both; slight tingling on palms and bottom of feet.  Immediately took Benadryl and the swelling/tingling subsided.  Itchiness continued for almost 48 hours.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: 45 minutes after shot: flushed, itchiness beginning neck/hands/feet then spread to whole body.  One hour after lower lip swelling and tongue swelling with slight numbness in both; slight tingling on palms and bottom of feet.  Immediately took Benadryl and the swelling/tingling subsided.  Itchiness continued for almost 48 hours.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Fatigue, Skin striae, Tenderness
Clinical narrative: - Moderate arm tenderness beginning about four hours after injection and last for about 48 hours. - Extreme fatigue beginning about four hours after injection and lasting about 24 hours before decreasing to moderate fatigue for another 24 hours. - Metallic taste in mouth beginning about half an hour after the vaccine and lasting about two hours. - Skin striations on the arm that received the injection beginning about 4 hours after the injection and lasting about 3 hours.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: Patient states that he started having lower back pain after getting 2nd shot of COvid vaccine.  Patient states that the back pain is still the same or little worse even after 4 days. Patient has been taking advil and old oxycodone prescription for management.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue
Clinical narrative: extreme fatigue followed by a sudden onset of diarrhea which cleared up within a few hours. No treatment was required though I did avoid eating for a few hours
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Received 2nd dose of COVID vaccine on 1/20/2021.   On 3/22/2021 developed cough, headache, rhinorrhea, and sore throat.    Tested positive for COVID.  Received 1st dose of Pfizer vaccine 12/30/2021 and 2nd dose 1/20/2021.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Received 2nd dose of COVID vaccine on 1/20/2021.   On 3/22/2021 developed cough, headache, rhinorrhea, and sore throat.    Tested positive for COVID.  Received 1st dose of Pfizer vaccine 12/30/2021 and 2nd dose 1/20/2021.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia
Clinical narrative: Left arm muscle soreness about 1000am on 3/14/2021. Lasted 2 days until 3/16/2021 Mild headache about 1000am on 3/14/2021. Lasted that day. Took to Advil OTC.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Post-acute COVID-19 syndrome, Urticaria
Clinical narrative: Covid arm symptoms appeared at injection site around 4:00am just over a week after injection. Currently have two small-medium sized welts on left arm at injection site (typing this 7 hours after symptoms started)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Injection site pruritus, Injection site reaction
Clinical narrative: 03/11/21 - High fever (102.6). Chills, Fatigue. Drank lots of water and took 600 mg of ibuprofen every 3 hours. Fever was reduced when taking ibuprofen although it would rise again after 3 hours. Fever lasted all day. Better the next morning but was fatigued still the next day.   03/17/21 - Fever (101.3), Red Lump  about  1" in diameter appeared on  arm  at the vaccine site. It was itchy. Lots of water. 600 mg of Ibuprofen every 3 hours again to keep the fever down. Fever lasted through the day. The lump was there for 4 days  and gradually shrunk.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: 03/11/21 - High fever (102.6). Chills, Fatigue. Drank lots of water and took 600 mg of ibuprofen every 3 hours. Fever was reduced when taking ibuprofen although it would rise again after 3 hours. Fever lasted all day. Better the next morning but was fatigued still the next day.   03/17/21 - Fever (101.3), Red Lump  about  1" in diameter appeared on  arm  at the vaccine site. It was itchy. Lots of water. 600 mg of Ibuprofen every 3 hours again to keep the fever down. Fever lasted through the day. The lump was there for 4 days  and gradually shrunk.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chills, Incoherent, Laboratory test, Pyrexia
Clinical narrative: Feverish chills and vomiting on day 1.  On 4/1/21 at 1:00 am patient fainted and had incoherent speech and then went ?lights out? for less than a minute. He was taken to ER. They gave him fluids anti nausea medicine and ran many blood tests.  Patient still feeling dizzy and groggy on day 2
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Somnolence, Syncope, Vomiting
Clinical narrative: Feverish chills and vomiting on day 1.  On 4/1/21 at 1:00 am patient fainted and had incoherent speech and then went ?lights out? for less than a minute. He was taken to ER. They gave him fluids anti nausea medicine and ran many blood tests.  Patient still feeling dizzy and groggy on day 2
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization within 6 weeks after receiving vaccine
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Pain in extremity
Clinical narrative: Severe Headache, general not feeling well, tired, very sore arm Ibuprofen helped
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Mild rash to left arm No airway compromise  Treatment observe for 30 minutes Symptoms did not get worse  No meds were given
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Patient experienced sweating and felt faint about 2 minutes after injection. Look like she was going to faint. She was given some water and  patient recovered and went home.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Headache began 6 hours after vaccine; headache became worse and fever onset. Fever was 101F at 12 hours post-vaccine. Chills, sweating, severe fatigue, and headache persisted for 2 days post-vaccine.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia, Tremor
Clinical narrative: Rapid heart rate 138bpm- 3:20 am. Stayed elevated all night Uncontrollable shacking- 12:30 am. Lasted 10-15 mins
Age: 9.0
Sex: M
Vaccine: HPV9
Symptoms: Blood glucose normal, Blood pressure normal, Dizziness, Headache
Clinical narrative: Pt with dizziness and headache shortly after his lab draw and HPV vaccine. No syncope. Pt was given juice, and a snack, and was asked to lay down for observation.  After about 30 min he continued to report the same symptoms, mild improvement. Able to walk but reporting dizziness. Would not talk to nurses but would talk to dad.  Blood pressure rechecked and normal. Blood sugar normal (82).  Parent comfortable taking child home for further care, advised to contact doctor on call or seek medical attention if ongoing concerns once comfortable at home.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Fatigue, Feeling abnormal, Headache
Clinical narrative: Client reports painful, white sores in her mouth and on her tongue, beginning on 2/27 and lasting for about "10 days after."  She did not take her Orencia for RA on 2/27 due to these symptoms and reports that by 3/3/21 (Wednesday), "I was having a full blown flare of my RA with joint pain and fatigue; I noticed the worst symptoms in my wrists and hands." This prompted patient to take her Orencia on 3/3 that week. Due to the mouth sores, she increased her acyclovir (Zovirax) to 400mg BID. Client reports that after her 2nd dose on 3/24, she developed a "severe headache" the next day with worsening  of "just feeling really bad" noting that mouth sores returned on 3/27/21 and that on 3/28/21, "I woke up with something that felt like a bug bite on my left side" described as in the area of her lateral trunk region. She states, "I saw my RA doctor on 3/29 and was diagnosed with Shingles. She has prescribed Valtrex 1g TID on 3/29 and I still have the rash."
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Stomatitis, Vaccine positive rechallenge
Clinical narrative: Client reports painful, white sores in her mouth and on her tongue, beginning on 2/27 and lasting for about "10 days after."  She did not take her Orencia for RA on 2/27 due to these symptoms and reports that by 3/3/21 (Wednesday), "I was having a full blown flare of my RA with joint pain and fatigue; I noticed the worst symptoms in my wrists and hands." This prompted patient to take her Orencia on 3/3 that week. Due to the mouth sores, she increased her acyclovir (Zovirax) to 400mg BID. Client reports that after her 2nd dose on 3/24, she developed a "severe headache" the next day with worsening  of "just feeling really bad" noting that mouth sores returned on 3/27/21 and that on 3/28/21, "I woke up with something that felt like a bug bite on my left side" described as in the area of her lateral trunk region. She states, "I saw my RA doctor on 3/29 and was diagnosed with Shingles. She has prescribed Valtrex 1g TID on 3/29 and I still have the rash."
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site inflammation, Musculoskeletal stiffness, Pain, Pruritus, Swelling
Clinical narrative: Inflamation at site and progressively down the arm over three days with simptons of swelling and itching  as well as some pain and stiffness.  Took some pain killer - one ibuprofen per night.  And when itching severe enough used Sarna lotion sometimes twice over the night
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscular weakness, Neck pain
Clinical narrative: Patient received her vaccine and began complaining of a headache and C/O pressure in the back of her neck. Stated has hypertension and did not take her medications. Also she had weakness in lower legs after walking to observation area. Participant asked to be transported to the hospital.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, SARS-CoV-2 test negative
Clinical narrative: Swollen lymph nodes in the neck ongoing still since 3/29 after 12pm through today.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Skin warm, Swelling
Clinical narrative: One week after the shot, woke with upper arm pain, very swollen wheal, warm to the touch with red skin
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Muscular weakness, Myalgia
Clinical narrative: Developed myalgia from injection within 6 hrs. However, after 2 weeks, myalgia is still present in left arm and right arm. I also have arthralgia in left/right shoulder, right elbow, right wrist, and right knuckles. I do not have arthritis. Or, I didn't have it before vaccine. I mean heck, I'm 53 so maybe this just popped up after the vaccinations. But the muscle weakness in my arms is really different. If symptoms do not go away by may, I will goto the clinic to get evaluated.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Approximately 10 hours after receiving vaccine, experienced nausea, headache, fatigue, chills, and fever (100*F) for the next 8 hours.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Urticaria, Vomiting
Clinical narrative: Administered 1st dose of Moderna at 10:06 , Within 5 minutes after receiving the vaccine she developed  hives, SOB and vomiting.  Administered 0.5ml of Epi at 10:12.  Within 3 minutes of administering epi, Pt self reported she was starting to feel better.  Ambulance called and transported to local ER for further evaluation.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: Administered 1st dose of Moderna at 10:06 , Within 5 minutes after receiving the vaccine she developed  hives, SOB and vomiting.  Administered 0.5ml of Epi at 10:12.  Within 3 minutes of administering epi, Pt self reported she was starting to feel better.  Ambulance called and transported to local ER for further evaluation.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Nausea, Oropharyngeal discomfort, Pruritus, Urticaria
Clinical narrative: Administered 1st dose of Moderna at 10:06 , Within 5 minutes after receiving the vaccine she developed  hives, SOB and vomiting.  Administered 0.5ml of Epi at 10:12.  Within 3 minutes of administering epi, Pt self reported she was starting to feel better.  Ambulance called and transported to local ER for further evaluation.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Myalgia, Pyrexia
Clinical narrative: Fever chills (felt very cold, shivering).  Muscle aches from sole of feet to scalp. Symptoms lasted until 03:00 AM (4 hours duration). Symptoms faded in intensity over next hour until gone.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Severe Arthritic pains in hands and fingers.  Just came on after the second shot.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 17 y/o inadvertently received 1st dose of Moderna 4 weeks ago.  Per CDC guidelies, 2nd dose given per recommended interval
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Joint range of motion decreased, Sleep disorder
Clinical narrative: Moderna COVID-19 Vaccine EUA  Left upper arm became sore later in the afternoon. The pain increased during the night, despite taking ibuprofen. Pain became intense and made it difficult to sleep. By 7 a.m., bad pain had subsided but arm remains sore. Difficult to lift it above shoulder height.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Injection site pruritus, Lethargy
Clinical narrative: On Friday, 1/22/2021, I woke up with pain in my left arm.  I thought I maybe had slept wrong until I looked down and saw that my axillary lymph nodes were completely swollen.  I had a lump there the size of an orange/small grapefruit.  It was very painful to the touch and uncomfortable to move my arm.  I contacted medical services (I work at a medical research center) and they asked me to come on-site to be evaluated.  I was seen by Nurse Practitioner sometime in the early afternoon. By the time I got there, the swelling had gone down significantly but the injection site was bright red, extremely itchy, and I was running a slight fever.  The itching at the site of injection lasted for another 24 hours after that and I was very tired and lethargic.  Prior to this, I had only felt what I would best describe as a bee sting at the injection site?. Very localized pain.    NP warned me that since I had reacted to the first dose, that I would probably have a stronger reaction to the second.  I received my second dose on Tuesday, 2/16/2021, at approximately 11:30 AM on my right arm (Moderna Lot#: 004M20A). By 7:30 PM that evening I had the chills and my fever spiked at 102.3 F.  My fever ranged from 101-102 for almost 48 hours along with chills, body aches, and extreme fatigue/lethargy. By Friday, 2/19/2021 I felt back to normal.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pain in extremity, Pyrexia
Clinical narrative: On Friday, 1/22/2021, I woke up with pain in my left arm.  I thought I maybe had slept wrong until I looked down and saw that my axillary lymph nodes were completely swollen.  I had a lump there the size of an orange/small grapefruit.  It was very painful to the touch and uncomfortable to move my arm.  I contacted medical services (I work at a medical research center) and they asked me to come on-site to be evaluated.  I was seen by Nurse Practitioner sometime in the early afternoon. By the time I got there, the swelling had gone down significantly but the injection site was bright red, extremely itchy, and I was running a slight fever.  The itching at the site of injection lasted for another 24 hours after that and I was very tired and lethargic.  Prior to this, I had only felt what I would best describe as a bee sting at the injection site?. Very localized pain.    NP warned me that since I had reacted to the first dose, that I would probably have a stronger reaction to the second.  I received my second dose on Tuesday, 2/16/2021, at approximately 11:30 AM on my right arm (Moderna Lot#: 004M20A). By 7:30 PM that evening I had the chills and my fever spiked at 102.3 F.  My fever ranged from 101-102 for almost 48 hours along with chills, body aches, and extreme fatigue/lethargy. By Friday, 2/19/2021 I felt back to normal.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Injection site swelling
Clinical narrative: Left upper arm soreness/swelling x 1 week; fatigue x 1 week; headache x 1week;
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Neck pain, Palpitations
Clinical narrative: Chills, fever, rash, heart racing for hours, headache, neck ache, joint ache
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: Chills, fever, rash, heart racing for hours, headache, neck ache, joint ache
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: itching and rash all over body that hasn't gone away after two weeks
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Rash, Rash erythematous
Clinical narrative: The day after shot I just had mild symptoms , bad headache and very tired.  The next day I woke up with a severe rash all over my chest, neck, stomach, back and arms. It was very bumpy, red and lumpy.  It did not itch and I don't think I had a fever.  I actually felt better this day than the day before.  I've heard of rashes just localized on your arm where the injection site was but not all over.  That night I took a benyadryl and it helped a lot.  It's almost gone.  Thought it was a strange reaction and just wanted to report it because I haven't heard of this before.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hallucination, Headache, Pain, Pain in extremity
Clinical narrative: Severe Chills, Fever 102.2 on Tylenol, Body Aches, Headache, Arm soreness.  Began about 10 hours after shot.  Next day, fever down to 99 on Tylenol, still body aches.  During severe chills was having hallucinations (I'm sure related to the fever).
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe Chills, Fever 102.2 on Tylenol, Body Aches, Headache, Arm soreness.  Began about 10 hours after shot.  Next day, fever down to 99 on Tylenol, still body aches.  During severe chills was having hallucinations (I'm sure related to the fever).
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pain, Pyrexia
Clinical narrative: extreme fatigue, 103 degrees+fever, muscle/body aches
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: A few days after the vaccine I noticed an red, firm, raised itchy rash had developed along the joint area and in the palmar portion of my hand.  I was prescribed an topical steroid cream but only applied it once and the rash went away a week later.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus, Rash, Swelling
Clinical narrative: I had normal soreness, redness and slight swelling for a couple days after my first dose. One week after my first vaccine,  my (left) arm became very red, itchy and rashy, with swelling, spreading to an area about 4 inches in diameter.  This lasted for 4-5 days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on face and upper body
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Electrocardiogram, Electromyogram, Electronystagmogram
Clinical narrative: About 3-4 days after the shot I was walking in food city and my left foot felt like it was asleep like it wouldn?t wake up later that day it kept getting stiffer and stiffer and eventually went all the way up the whole left side of my body went kind of numb it  The next day I woke up it was completely stiff hard to walk so I went to my doctor he thought it was something to do with the spinal cord I told him it could possibly be from the shot I thought maybe went through many thousands of dollars of tests they tested me for MRIs I?ll kinds of stuff they have yet to find anything wrong with me I?ve been in and out of the doctors I still have left sided numbness at times left side of my head feels numb left chest left but area and all way down to my toes At this point after going to the neurologist only thing they?re all just could find was I was low on vitamin B 12 I have started injections on vitamin B 12 I still have no notice no change
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Limb discomfort, Magnetic resonance imaging head, Magnetic resonance imaging heart, Magnetic resonance imaging spinal
Clinical narrative: About 3-4 days after the shot I was walking in food city and my left foot felt like it was asleep like it wouldn?t wake up later that day it kept getting stiffer and stiffer and eventually went all the way up the whole left side of my body went kind of numb it  The next day I woke up it was completely stiff hard to walk so I went to my doctor he thought it was something to do with the spinal cord I told him it could possibly be from the shot I thought maybe went through many thousands of dollars of tests they tested me for MRIs I?ll kinds of stuff they have yet to find anything wrong with me I?ve been in and out of the doctors I still have left sided numbness at times left side of my head feels numb left chest left but area and all way down to my toes At this point after going to the neurologist only thing they?re all just could find was I was low on vitamin B 12 I have started injections on vitamin B 12 I still have no notice no change
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Ultrasound scan
Clinical narrative: About 3-4 days after the shot I was walking in food city and my left foot felt like it was asleep like it wouldn?t wake up later that day it kept getting stiffer and stiffer and eventually went all the way up the whole left side of my body went kind of numb it  The next day I woke up it was completely stiff hard to walk so I went to my doctor he thought it was something to do with the spinal cord I told him it could possibly be from the shot I thought maybe went through many thousands of dollars of tests they tested me for MRIs I?ll kinds of stuff they have yet to find anything wrong with me I?ve been in and out of the doctors I still have left sided numbness at times left side of my head feels numb left chest left but area and all way down to my toes At this point after going to the neurologist only thing they?re all just could find was I was low on vitamin B 12 I have started injections on vitamin B 12 I still have no notice no change
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient developed COVID symptoms on 3/29/2021. Diagnosed COVID + on 4/1/2021
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Limb discomfort
Clinical narrative: Strong fatigue, much dizziness, legs feel very heavy. Symptoms have persisted ever since injection day.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Migraine, Myalgia, Pyrexia
Clinical narrative: Abrupt cascade of symptoms at 11:15pm after 3pm injection:  Muscle soreness, sudden migraine (no warning, unlike most migraines), fever 100.5 degrees F, lethargy.  Migraine addressed partially successfully with Treximet 2x.  Tylenol 1x for ache.  All others gone within one day.  Quite abrupt declination of symptoms as well.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Nausea
Clinical narrative: Chills, nausea, headache, achy joints/muscles for 24 hrs
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: Chills, headache, body ache
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: significant chills and low grade fever (100)
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Chills, Fatigue, Headache, Nausea
Clinical narrative: Headache started 4 hours after injection. 16 hours later, Fever 102, severe chills, bone pain, nausea and vomiting lasting 24 hours after starting of symptoms. Fatigue and off and on chills with 100.5 for another 24 hours with nausea but no vomiting
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Headache started 4 hours after injection. 16 hours later, Fever 102, severe chills, bone pain, nausea and vomiting lasting 24 hours after starting of symptoms. Fatigue and off and on chills with 100.5 for another 24 hours with nausea but no vomiting
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I hear a High pitched tone heard in both ears. Constant, day or night. No change with head position, or when clearing ears, or when plugging one ear or the other. Very annoying, I hear it with everything I do. I do not think I have any hearing loss. And I may get my hearing checked but unfortunately I don?t have a baseline audio gram to be able to compare.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Body aches, chills, fatigue, 100.4 degree fever
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dysphagia, Oral pruritus
Clinical narrative: 11:55 Felt light-headed and weak on way home. 12 - Arrived home. Still light-headed and weak. needed to sit down. Read info on side effects.  12:30 - called pharmacy and talked to pharmacist.  12:45 - some itching in mouth and a little bit of difficulty swallowing noticed for ~ 15 minutes. 1:00 - laid down. 2:00 - felt better.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: February 8, 2021 1100- injection  12:30 - localized soreness of injection site 1800 - chills, low grade fever, mild body aches  20:00 - continuous chills, low grade fever. Severe body aches and joint pain. 0600 February 9, 2021 - joint pain/body aches resolved. Took 1000mg of Tylenol every 6 hours which provided relief from the fever and chills. No improvement of joint pain with OTC Tylenol.  All symptoms subsided by Feb 9, 2021 1200.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Paraesthesia, Rash, Rash pruritic
Clinical narrative: Janssen COVID-19 Vaccine EUA Prickly itchy rash appeared on thighs; discomfort waned after ~ 15 min.  Similar rash appeared on arms, legs, & back after showering same day at ~ 5 pm.  Again, discomfort waned after ~20 min.  Rash appeared on thighs again this morning at ~ 7:30 am.  Again, discomfort waned after ~20 min. I have not yet sought medical attention since symptoms have been intermittent rather than persistent since first appearing.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Loss of personal independence in daily activities, Neck pain, Pain in extremity
Clinical narrative: Severe pain on left side- unable to move left side arm, shoulder, neck. Unable to sit up on own, unable to complete daily tasks on own without major support from another person. Unbearable pain.  9:00pm on 3/31 to present (pain medication has made pain more manageable)
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: Face twitch
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received vaccine at age 17.  Will not receive 2nd dose until age 18 at our site.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at site of injection - way a delayed response and appeared on 3/31/2021 even though vaccine was administered on 3/23/2021
Age: 84.0
Sex: U
Vaccine: UNK
Symptoms: Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: Pfizer Vaccine.  Diarrhea,  no appetite, tired.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Fatigue starting about 5 hours after the vaccination.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Malaise, Throat tightness
Clinical narrative: Approximately 10 minutes after receiving 2nd Covid 19 vaccine, patient reported not feeling well.  She was assisted to a cot where she was able to lie down.  VS taken: Pulse-101, O2 sat 99% bon 2L/min of Oxygen, BP 135/87. At 12:30 she was anxious and began to c/o tightening of the throat and 0.3mg of epinephrine was administered IM into the right leg via auto injector by RN per protocol.  EMS was at the POD site and monitored until she was transported to the emergency department by ambulance.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Stomatitis
Clinical narrative: Described by wife: Sores on the left wrist and forearm  starting on 3/27/21 that "still itch" and mouth sores. Wife reports that she is treating the sores with her zovirax topically applied to the sores on the arm.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breast pain, Pain in extremity, Vaccine positive rechallenge
Clinical narrative: When I received my first dose on 03/03/2021, I experienced pain under my left are and in both breasts.  I took Tylenol to help with the pain and after about two weeks the pain began to subside. By the time I went for my 2nd shot, it was gone.  After I got the 2nd shot, the same thing happened only the pain was more intense.  This time I took Advil.  It helps to ease the pain, but doesn't take it away completely.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Fever chills headache tiredness nausea
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Migraine
Clinical narrative: I got a severe headache/migraine soon after the shot and it lasted for about 72 hours. It did seem worse than usual and lasted longer than is typical, but it might have been a coincidence since I do get frequent headaches or might have something to do with the vaccine.
Sex: U
Vaccine: COVID19
Symptoms: Chest X-ray, Magnetic resonance imaging, Pain
Clinical narrative: Aches and pains in parts of body not experienced before injection.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Explosive diarrhea
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: ringing in left ear
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Amylase, Analgesic drug level, Blood creatine phosphokinase, Blood gases, Blood lactic acid
Clinical narrative: Patient described myalgias, headache and dyspnea at ER visit on 4/1/21 at 2:37 am. Patient was discharged. Patient returned the same day at 15:40 cyanotic, altered, hypoxic and hypotensive. The patient was found to have profound metabolic acidosis, liver failure, renal failure. She went into cardiopulmonary arrest, was revived, rearrested and died. Patient was treated for possible sepsis, shock, liver failure.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Chest X-ray, Coagulation test abnormal, Computerised tomogram abdomen, Computerised tomogram head
Clinical narrative: Patient described myalgias, headache and dyspnea at ER visit on 4/1/21 at 2:37 am. Patient was discharged. Patient returned the same day at 15:40 cyanotic, altered, hypoxic and hypotensive. The patient was found to have profound metabolic acidosis, liver failure, renal failure. She went into cardiopulmonary arrest, was revived, rearrested and died. Patient was treated for possible sepsis, shock, liver failure.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Cyanosis, Death, Dyspnoea, Electrocardiogram
Clinical narrative: Patient described myalgias, headache and dyspnea at ER visit on 4/1/21 at 2:37 am. Patient was discharged. Patient returned the same day at 15:40 cyanotic, altered, hypoxic and hypotensive. The patient was found to have profound metabolic acidosis, liver failure, renal failure. She went into cardiopulmonary arrest, was revived, rearrested and died. Patient was treated for possible sepsis, shock, liver failure.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Headache, Hepatic enzyme increased, Hepatic failure, Hypotension
Clinical narrative: Patient described myalgias, headache and dyspnea at ER visit on 4/1/21 at 2:37 am. Patient was discharged. Patient returned the same day at 15:40 cyanotic, altered, hypoxic and hypotensive. The patient was found to have profound metabolic acidosis, liver failure, renal failure. She went into cardiopulmonary arrest, was revived, rearrested and died. Patient was treated for possible sepsis, shock, liver failure.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Leukocytosis, Lipase, Metabolic acidosis, Metabolic function test
Clinical narrative: Patient described myalgias, headache and dyspnea at ER visit on 4/1/21 at 2:37 am. Patient was discharged. Patient returned the same day at 15:40 cyanotic, altered, hypoxic and hypotensive. The patient was found to have profound metabolic acidosis, liver failure, renal failure. She went into cardiopulmonary arrest, was revived, rearrested and died. Patient was treated for possible sepsis, shock, liver failure.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Renal failure, Resuscitation, Troponin, Urine analysis
Clinical narrative: Patient described myalgias, headache and dyspnea at ER visit on 4/1/21 at 2:37 am. Patient was discharged. Patient returned the same day at 15:40 cyanotic, altered, hypoxic and hypotensive. The patient was found to have profound metabolic acidosis, liver failure, renal failure. She went into cardiopulmonary arrest, was revived, rearrested and died. Patient was treated for possible sepsis, shock, liver failure.
Age: 59.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Blood test, Decreased interest, Fatigue, Headache, Pain in extremity
Clinical narrative: Sore left arm for a week, headaches and very very extreme fatigue. I've only been outside twice since my vaccination. I lost interest in things that I use to do.  The fatigue is still ongoing since the vaccination.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity, X-ray
Clinical narrative: persistent left shoulder pain
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac arrest, Dizziness, Electrocardiogram normal, Fatigue
Clinical narrative: immediately felt tingling in left arm (like ben gay), then after about 10 min felt go into neck and and cheek. A little light headed. At 15 minutes asked nurse if normal. Then started sweating. left hand turned purple. Dont really remember anything else. Went unconscious. Remember them yelling Code something and Cardiac arrest. Taken to ER. Think they may have said anaphalatic shock. I think they gave me epinepherine. Had paralysis in left hand when i woke up for a few minutes. Blood work and EKG were normal. Went home within a couple of hours. Light-headed two days later still. Saw doctor two days after. Blood pressure is high.  Little bit of fatigue and brain fog.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Hypertension, Immediate post-injection reaction, Injection site paraesthesia
Clinical narrative: immediately felt tingling in left arm (like ben gay), then after about 10 min felt go into neck and and cheek. A little light headed. At 15 minutes asked nurse if normal. Then started sweating. left hand turned purple. Dont really remember anything else. Went unconscious. Remember them yelling Code something and Cardiac arrest. Taken to ER. Think they may have said anaphalatic shock. I think they gave me epinepherine. Had paralysis in left hand when i woke up for a few minutes. Blood work and EKG were normal. Went home within a couple of hours. Light-headed two days later still. Saw doctor two days after. Blood pressure is high.  Little bit of fatigue and brain fog.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Monoplegia, Paraesthesia, Skin discolouration
Clinical narrative: immediately felt tingling in left arm (like ben gay), then after about 10 min felt go into neck and and cheek. A little light headed. At 15 minutes asked nurse if normal. Then started sweating. left hand turned purple. Dont really remember anything else. Went unconscious. Remember them yelling Code something and Cardiac arrest. Taken to ER. Think they may have said anaphalatic shock. I think they gave me epinepherine. Had paralysis in left hand when i woke up for a few minutes. Blood work and EKG were normal. Went home within a couple of hours. Light-headed two days later still. Saw doctor two days after. Blood pressure is high.  Little bit of fatigue and brain fog.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood potassium decreased, COVID-19, Hypokalaemia, Laboratory test abnormal
Clinical narrative: 3/30/21: Patient presented and was admitted for abnormal labs, nausea and dry heaving x 1 week. On admission, patient was found to be hypokalemic (K 2.2), creatinine of 4.81. Patient received second dose of COVID vaccine this morning.  Patient was tested positive for Covid-19 at this visit.   Per the EUA, hospitalizations to be reported irrespective of attribution to vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Retching, SARS-CoV-2 test positive
Clinical narrative: 3/30/21: Patient presented and was admitted for abnormal labs, nausea and dry heaving x 1 week. On admission, patient was found to be hypokalemic (K 2.2), creatinine of 4.81. Patient received second dose of COVID vaccine this morning.  Patient was tested positive for Covid-19 at this visit.   Per the EUA, hospitalizations to be reported irrespective of attribution to vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Swelling face
Clinical narrative: At vaccine center, patient reported shortness of breath and facial swelling. Epi pen given and patient went to the ED.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Faeces soft, Gastrointestinal sounds abnormal
Clinical narrative: INTESTINAL NOISES AND DISCOMFORT, AND EXTRA SOFT STOOLS FOR 2 WEEKS SO FAR
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pruritus, Skin warm, Swelling
Clinical narrative: Day 2 deep red circle about 2 inch. Swollen Hurt to touch, very hot. Last 3 days. On 7th day same circle but darker red, very hot to touch, itchy, very hard.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Day 2 deep red circle about 2 inch. Swollen Hurt to touch, very hot. Last 3 days. On 7th day same circle but darker red, very hot to touch, itchy, very hard.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Haematochezia
Clinical narrative: Mild abdominal pain and cramping. Blood clot with stool.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fear of injection, Loss of consciousness
Clinical narrative: Patient has needle anxicty breifly passed out after recieving vacine. Onsite EMS was called vitals HR 54   BP 110/80. She quickly recovered and went home.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Headache, body aches, chills, fatigue, fever, pain at injection site,  muscle pain
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Headache, body aches, chills, fatigue, fever, pain at injection site,  muscle pain
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Mild rash on neck and chest. Saw Allergist 2 days after. They said not to get second Pfizer vaccine. Going back in 3 weeks to test to see if allergic to Johnson and Johnson vaccine components.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Epigastric discomfort, Hypertension
Clinical narrative: Vaccinated at 1pm 10minutes post vaccine epigastric tightness & lightheadedness that improved with getting up and walking. Declined ED when encouraged during post vaccination observation. She left the clinic on her own after 30 minutes . She did go to ED at 1435 EKG  with normal sinus rhythm, hypertensive, admitted for observation r/t hypertension, oral medication change and discharged to home the next day..
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Nasopharyngitis, Nausea
Clinical narrative: I was fine all day until about 6:00p.m. when I started getting cold.  Then the chills( I didn't notice a fever)  My body ached all over.  Around 9:00 I started vomiting and had a headache.  I didn't take any medication because of the vomiting.   This continued most of the night.  Around 4:00 a.m. I was able to take Ibuprofen.  That helped with the body aches but the headache continued most of the the second day (Wednesday.)  I ate very little and when I did it either came back up or caused me to feel very nauseas. (Crackers and water)  I slept quite a bit.  The body aches did not return.  The headache went away Thursday afternoon.  And I was able to keep food down Thursday evening. Friday morning I am feeling much better just weak from not eating.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vomiting
Clinical narrative: I was fine all day until about 6:00p.m. when I started getting cold.  Then the chills( I didn't notice a fever)  My body ached all over.  Around 9:00 I started vomiting and had a headache.  I didn't take any medication because of the vomiting.   This continued most of the night.  Around 4:00 a.m. I was able to take Ibuprofen.  That helped with the body aches but the headache continued most of the the second day (Wednesday.)  I ate very little and when I did it either came back up or caused me to feel very nauseas. (Crackers and water)  I slept quite a bit.  The body aches did not return.  The headache went away Thursday afternoon.  And I was able to keep food down Thursday evening. Friday morning I am feeling much better just weak from not eating.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Joint stiffness
Clinical narrative: Ongoing chronic joint stiffness especially fingers.
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: 2-3 inch rash at injection site, red, slightly itchy and swollen
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Moderna COVID-19 Vaccine EUA. Symptoms: fatigue, headache, chills, muscle pain, nausea
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chills, Headache, Listless
Clinical narrative: Fever; low energy; listlessness; Headache; muscle cramping, chills. I fall asleep and wake up with sweating profusely. Really bad runny nose. Still ongoing with all of these symptoms. The only thing that has improved recently - is that I felt a little more energy and a little less feverish but still have everything else.  I had the second vaccine around Feb 6th on Saturday.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Pyrexia, Rhinorrhoea
Clinical narrative: Fever; low energy; listlessness; Headache; muscle cramping, chills. I fall asleep and wake up with sweating profusely. Really bad runny nose. Still ongoing with all of these symptoms. The only thing that has improved recently - is that I felt a little more energy and a little less feverish but still have everything else.  I had the second vaccine around Feb 6th on Saturday.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: Patient developed acute headache (atypical of migraine headaches in past) with associated nausea and vomiting and low-grade fever.  Symptoms began one day after receiving second dose of vaccine.  Patient attempted to manage her symptoms with Imitrex and Zofran - no relief.  Treated in our facility with IM Toradol and Zofran ODT and sent home with prescriptions for Fioricet, Reglan, and Compazine suppositories.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Chills, fever, very sore upper arm, fatigue (fatigue lasted 4 days.  Other symptoms resolved in 24 hours.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Injection site erythema
Clinical narrative: Chills, fever, body aches, headache, dizziness, fatigue, rash at site of injection, large swollen red area around site.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site swelling, Pain, Pyrexia
Clinical narrative: Chills, fever, body aches, headache, dizziness, fatigue, rash at site of injection, large swollen red area around site.