chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Extra dose administered, Mobility decreased, Oral pain, Pain in extremity, Pain in jaw
Clinical narrative: He got his vaccine, was ok.  Went to bed, woke up and he could not lift his head like somebody hit him in the head with a hammer.  The left side of his face was swollen and he could not open his mouth as it was sore, and thought he had an abscessed tooth.  He called the dentist and informed them that he could not open his mouth and they saw him that day.  When he got there they x-rayed his mouth and told him that there was nothing wrong with his teeth.  She checked his teeth out and asked her why his jaw was sore and she gave him a prescription for some antibiotics.  He took those and he keeps getting things swelling up all over his body and has extreme itching all over his body, his hand is sore and he cannot open and close it, his jaw is still swollen and sore and it's been 15 days.  The bumps/hives are all over his body, his stomach, his arms, his hands, his legs and itch very bad.  He did not have any of these symptoms until he got the vaccine.  Each night he swells up and it's driving him crazy.  He is unable to sleep as his hands feel like they are on fire and they keep itching.    The first four vaccines his arm was sore that he could not lift it, and a slight fever, but nothing more than that.  These symptoms stopped after a few days, but this time it's crazy.
Age: 67.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Pruritus, Rash, Rash pruritic, Sleep disorder, Swelling
Clinical narrative: He got his vaccine, was ok.  Went to bed, woke up and he could not lift his head like somebody hit him in the head with a hammer.  The left side of his face was swollen and he could not open his mouth as it was sore, and thought he had an abscessed tooth.  He called the dentist and informed them that he could not open his mouth and they saw him that day.  When he got there they x-rayed his mouth and told him that there was nothing wrong with his teeth.  She checked his teeth out and asked her why his jaw was sore and she gave him a prescription for some antibiotics.  He took those and he keeps getting things swelling up all over his body and has extreme itching all over his body, his hand is sore and he cannot open and close it, his jaw is still swollen and sore and it's been 15 days.  The bumps/hives are all over his body, his stomach, his arms, his hands, his legs and itch very bad.  He did not have any of these symptoms until he got the vaccine.  Each night he swells up and it's driving him crazy.  He is unable to sleep as his hands feel like they are on fire and they keep itching.    The first four vaccines his arm was sore that he could not lift it, and a slight fever, but nothing more than that.  These symptoms stopped after a few days, but this time it's crazy.
Age: 67.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Swelling face, Urticaria, X-ray dental normal
Clinical narrative: He got his vaccine, was ok.  Went to bed, woke up and he could not lift his head like somebody hit him in the head with a hammer.  The left side of his face was swollen and he could not open his mouth as it was sore, and thought he had an abscessed tooth.  He called the dentist and informed them that he could not open his mouth and they saw him that day.  When he got there they x-rayed his mouth and told him that there was nothing wrong with his teeth.  She checked his teeth out and asked her why his jaw was sore and she gave him a prescription for some antibiotics.  He took those and he keeps getting things swelling up all over his body and has extreme itching all over his body, his hand is sore and he cannot open and close it, his jaw is still swollen and sore and it's been 15 days.  The bumps/hives are all over his body, his stomach, his arms, his hands, his legs and itch very bad.  He did not have any of these symptoms until he got the vaccine.  Each night he swells up and it's driving him crazy.  He is unable to sleep as his hands feel like they are on fire and they keep itching.    The first four vaccines his arm was sore that he could not lift it, and a slight fever, but nothing more than that.  These symptoms stopped after a few days, but this time it's crazy.
Age: 67.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Abdominal distension, Blister, Gastric ulcer, Headache, Pain in extremity
Clinical narrative: He got his vaccine, was ok.  Went to bed, woke up and he could not lift his head like somebody hit him in the head with a hammer.  The left side of his face was swollen and he could not open his mouth as it was sore, and thought he had an abscessed tooth.  He called the dentist and informed them that he could not open his mouth and they saw him that day.  When he got there they x-rayed his mouth and told him that there was nothing wrong with his teeth.  She checked his teeth out and asked her why his jaw was sore and she gave him a prescription for some antibiotics.  He took those and he keeps getting things swelling up all over his body and has extreme itching all over his body, his hand is sore and he cannot open and close it, his jaw is still swollen and sore and it's been 15 days.  The bumps/hives are all over his body, his stomach, his arms, his hands, his legs and itch very bad.  He did not have any of these symptoms until he got the vaccine.  Each night he swells up and it's driving him crazy.  He is unable to sleep as his hands feel like they are on fire and they keep itching.    The first four vaccines his arm was sore that he could not lift it, and a slight fever, but nothing more than that.  These symptoms stopped after a few days, but this time it's crazy.
Age: 67.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Pain in jaw, Peripheral swelling, Swelling, Swelling face, Urticaria
Clinical narrative: He got his vaccine, was ok.  Went to bed, woke up and he could not lift his head like somebody hit him in the head with a hammer.  The left side of his face was swollen and he could not open his mouth as it was sore, and thought he had an abscessed tooth.  He called the dentist and informed them that he could not open his mouth and they saw him that day.  When he got there they x-rayed his mouth and told him that there was nothing wrong with his teeth.  She checked his teeth out and asked her why his jaw was sore and she gave him a prescription for some antibiotics.  He took those and he keeps getting things swelling up all over his body and has extreme itching all over his body, his hand is sore and he cannot open and close it, his jaw is still swollen and sore and it's been 15 days.  The bumps/hives are all over his body, his stomach, his arms, his hands, his legs and itch very bad.  He did not have any of these symptoms until he got the vaccine.  Each night he swells up and it's driving him crazy.  He is unable to sleep as his hands feel like they are on fire and they keep itching.    The first four vaccines his arm was sore that he could not lift it, and a slight fever, but nothing more than that.  These symptoms stopped after a few days, but this time it's crazy.
Age: 32.0
Sex: M
Vaccine: COVID19-2
Symptoms: Herpes zoster
Clinical narrative: Shingles. T8 and T9 dermatomes of LEFT flank. Onset on 9/26/22 with diagnosis by virtual provider on 9/28/22. Started Valcyclovir on 9/28/22.
Age: 27.0
Sex: F
Vaccine: UNK
Symptoms: Heavy menstrual bleeding, Menstruation irregular, Oligomenorrhoea, Polymenorrhoea, Vaginal haemorrhage
Clinical narrative: Early period, heavier and longer lasting period, irregular spotting, and period every 2 weeks instead of every 4
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID19
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: The patient didn't have an adverse event. This is a reported administration error.  The patient was given an expired vaccine.
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Arthritis, Gout, Hyperkeratosis, Pain in extremity, Peripheral swelling
Clinical narrative: Later the same day day I began to become aware of pain in the ball of my right foot.  It became very painful in the night. I continued to have pain and swelling for 4 days.  On day 3 (Monday, September 26) I visited a podiatrist.  Differential included deep callous?, joint inflammation (possible chronic trauma or microfracture), gout.  Symptoms improved throughout  September 27 and nearly completely gone September 28.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID19
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Diarrhoea, Frequent bowel movements
Clinical narrative: Minor but persistent GI issues (over two weeks), with diarrhea.  GI discomfort and frequent bowel movement.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, sore throat, nausea, headache
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: CHILD GIVEN WRONG PFIZER FORMULATION FOR AGE. AT 13YO SHOULD'VE RECEIVED THE ADULT FORMULATION FOR 12+.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: VACCINATED x4, COVID POSITIVE PT, ADMITTED TO HOSPITAL
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Information per RN  Well child appointment 4:30 PM 09/26/2022  Due for 4 month vaccines: Pentacel (DTaP, IPV, Hib), Prevnar, Rota  Child up to date on vaccinations according to system  RN ordered immunizations due in system w/provider as cosigner  RN prepared vaccines to be administered at 4:55 pm  RN opened new box of Pentacel (Lot:  RN took out 1 vial of DTap-IPV  RN did not take out vial of Hib to be mixed w/DTap-IPV component of combination vaccine  This RN administered DTAP-IPV component of Pentacel to patient at 5:05 pm  Pt did not receive Hib vaccine  RN went to document administration of vaccinations 5:15 pm   RN then realized she did not provide Hib component of combination vaccine to child  RN was only person in clinic  RN found the below documentation:  LPN notified 09/27/2022 8:30 AM  notified 8:45 AM  Provider notified 09/27/2022 9:30 AM  RN notified 11 AM 9/27/22 The parents were not notified  No adverse effects reported by patient's parents
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swelling and pain  in lymph nodes in right armpit
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: VACCINATED x3 , COVID POSITIVE PT, HOSPITALIZED
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Altered state of consciousness, Angiogram normal, Anion gap increased, Blood bicarbonate decreased, Computerised tomogram normal
Clinical narrative: 26 hours after the vaccine
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cyanosis, Echocardiogram normal, Ejection fraction normal, Electrocardiogram normal, Electroencephalogram abnormal
Clinical narrative: 26 hours after the vaccine
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fibrin D dimer increased, Hypopnoea, Magnetic resonance imaging normal, Oral discharge, Postictal state
Clinical narrative: 26 hours after the vaccine
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Supine position, Syncope, Tongue injury, Troponin normal
Clinical narrative: 26 hours after the vaccine
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/3/22 admit, 9/8/22 discharge.  Presentation to the ED: shortness of breath. COVID-19 + date: 9/3/22. Treatment: Rocephin, azithromycin, dexamethasone, supplemental O2, remedesevir. Discharge to: home w/ health care services.
Age: 0.92
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccination administered after BUD of 72 days. No adverse reaction noted during 15 minute observation time
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Arthralgia, Back pain, Injection site pain, Pain, Pain in extremity
Clinical narrative: Arm pain at injection site, but rapidly progressed to radiating down the arm to the forearm, radiating to the upper pack behind the shoulder, and paresthesias in arm.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Paraesthesia
Clinical narrative: Arm pain at injection site, but rapidly progressed to radiating down the arm to the forearm, radiating to the upper pack behind the shoulder, and paresthesias in arm.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with covid; fully vaccinated with 2 boosters
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Gait inability, Headache, Limb discomfort
Clinical narrative: less than 24 hours I started getting fever, chills.  by the end of the 2nd day I couldn't walk for 3 days, my legs felt very heavy.  I had a headache, blurred vision, palpitations, extreme fatigue, body aches for 15 days.  I tested twice for COVID and was negative.  for 45 days I continued with same symptoms.  Symptoms lessoned but I would randomly wake up feeling like I was having a heart attack.  Since the vaccine my heart run tachy.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Pyrexia, SARS-CoV-2 test negative, Sleep disorder
Clinical narrative: less than 24 hours I started getting fever, chills.  by the end of the 2nd day I couldn't walk for 3 days, my legs felt very heavy.  I had a headache, blurred vision, palpitations, extreme fatigue, body aches for 15 days.  I tested twice for COVID and was negative.  for 45 days I continued with same symptoms.  Symptoms lessoned but I would randomly wake up feeling like I was having a heart attack.  Since the vaccine my heart run tachy.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Vision blurred
Clinical narrative: less than 24 hours I started getting fever, chills.  by the end of the 2nd day I couldn't walk for 3 days, my legs felt very heavy.  I had a headache, blurred vision, palpitations, extreme fatigue, body aches for 15 days.  I tested twice for COVID and was negative.  for 45 days I continued with same symptoms.  Symptoms lessoned but I would randomly wake up feeling like I was having a heart attack.  Since the vaccine my heart run tachy.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Rash, Rash pruritic
Clinical narrative: Rash across my stomach,  it itches and it's stinging pain across my lower back and my left side hip
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive, Syncope
Clinical narrative: Hospitalization: 9/7/22 ADMIT, 9/9/22 DISCHARGE. Presentation to the ED: SYNCOPE & FALL.  COVID-19 + date: 9/7/22. Treatment: ROCEPHIN.  Discharge to: HOME.
Age: 55.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient reported itching and swelling localized to injection area.  She showed me a picture of how her arm looked yesterday.  There was a approx 2-3" raised red area around site.   She denied trouble breathing or swallowing and denied any other issues.  Today the site is much smaller.  I instructed her to apply a cool compress.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: VACCINATEDX4, COVID POSITIVE PT, ADMITTED TO HOSPITAL
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: right bicep has been itching from Sunday through present date and time, 3x4" area 2" above elbow reddened and warm to touch
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/7/22 ADMIT, 9/10/22 DISCHARGE. Presentation to the ED: COUGH X 6 WEEKS W/ SOB.  COVID-19 + date: 9/7/22. Treatment: will avoid remdesivir for now as the patient does not have any worsening oxygen requirements. DEXAMETHASONE.  Discharge to: HOME.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Pleurisy, Rash, Urticaria
Clinical narrative: Rash that is described as hives.  Cough with pleurisy x24hrs.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/7/2022 - 9/11/2022 Presentation to the ED: UNABLE TO RECEIVE OUTPATIENT DIALYSIS D/T BEING COVID +.  COVID-19 + date: 9/7/22. Treatment: PATIENT IS ASYMPTOMATIC AND WAS NOT GIVEN ADDITIONAL MEDICATIONS TO TREAT COVID. Discharge to: HOME.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Feeling cold, Headache, Nausea
Clinical narrative: Severe headache, loss of balance, feeling very cold, and unable to get warm. shaking, Nausea, pain in the elbow and knee
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Severe headache, loss of balance, feeling very cold, and unable to get warm. shaking, Nausea, pain in the elbow and knee
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Confusional state, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/4/2022 - 9/17/2022. Presentation to the ED: confusion/altered mental status.  COVID-19 + date: 9/7/22. Treatment: ceftriaxone.  Discharge to: Home Under Care in anticipation of Covered Skilled Care.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Electrocardiogram ambulatory, Endoscopy, Gastric emptying study, Gastrointestinal tube insertion
Clinical narrative: Nausea 2-3 nights per week started 3 days after the 2nd dose of vaccine given. On 9/15/21 chronic nausea and vomiting started and never ended. 1 year later still has same symptoms. Was diagnosed with gastroparesis in Dec 2021. Has failed all meds to treat gastroparesis. Progressed from NJ feeding tube to GJ feeding tube with minimal success. Awaiting definitive POTS diagnosis. Weight loss of 30 lbs. Has been unable to attend school since late Fall of 2021 due to severity of symptoms. Has been hospitalized with Hospital numerous times for testing, rehydration etc.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired gastric emptying, Laboratory test, Loss of personal independence in daily activities, Nausea, Ultrasound abdomen
Clinical narrative: Nausea 2-3 nights per week started 3 days after the 2nd dose of vaccine given. On 9/15/21 chronic nausea and vomiting started and never ended. 1 year later still has same symptoms. Was diagnosed with gastroparesis in Dec 2021. Has failed all meds to treat gastroparesis. Progressed from NJ feeding tube to GJ feeding tube with minimal success. Awaiting definitive POTS diagnosis. Weight loss of 30 lbs. Has been unable to attend school since late Fall of 2021 due to severity of symptoms. Has been hospitalized with Hospital numerous times for testing, rehydration etc.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Weight decreased
Clinical narrative: Nausea 2-3 nights per week started 3 days after the 2nd dose of vaccine given. On 9/15/21 chronic nausea and vomiting started and never ended. 1 year later still has same symptoms. Was diagnosed with gastroparesis in Dec 2021. Has failed all meds to treat gastroparesis. Progressed from NJ feeding tube to GJ feeding tube with minimal success. Awaiting definitive POTS diagnosis. Weight loss of 30 lbs. Has been unable to attend school since late Fall of 2021 due to severity of symptoms. Has been hospitalized with Hospital numerous times for testing, rehydration etc.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anxiety, Aphasia, Computerised tomogram, Diarrhoea, Fear
Clinical narrative: I received the vaccine on 09/23/2022 and I had to go to the emergency room. I have memory issues, finding simple words, unable to react normally, hyper upset, panic attacks, fear, anxiety, severe diarrhea. I was observed for overnight. Nothing was found and it was decided that I had an extreme reaction to the vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Immunisation reaction, Magnetic resonance imaging, Memory impairment, Panic attack
Clinical narrative: I received the vaccine on 09/23/2022 and I had to go to the emergency room. I have memory issues, finding simple words, unable to react normally, hyper upset, panic attacks, fear, anxiety, severe diarrhea. I was observed for overnight. Nothing was found and it was decided that I had an extreme reaction to the vaccine.
Age: 42.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Dizziness, Loss of consciousness, Pyrexia
Clinical narrative: Woke up the next day with a fever and took Advil 600 mg. Slept until 12:20 and when woke up became extremely dizzy and passed out  when walking to use toilet. Took blood pressure at home and it was 90/60
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received the wrong vaccine
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Feeling hot, Immunisation reaction, Periorbital swelling, Rash
Clinical narrative: Severe rash/hives covering 40 to 50% of her body.  Patches of raised irritated skinS specifically under both breasts, around mid abdomen at waist band, at the underwear line on both legs, neck, face, around eye,scalp, random spots on legs and back.  At most severe stage 6 days after vaccination, swollen face, neck and around eyes.  Patient reported severe itching, burning and hot sensations at sites of rash.  She was started on a steroid but called the Dr after 4 days complaining that there was no improvement. Dr. then told her to discontinue that steroid pack and prescribed a stronger 20 day dose of Prednisone 20mg tab.   At the time of this reporting the rash has diminished by maybe 30%. Patient still has severe itching and burning and had been remediating symptoms with oatmeal baths, cool showers, aloe vera w/lidocaine cream.  She cannot wear clothing for more than a couple hours and had her sleep disrupted to the point of only sleeping about 4 hours per night. Dr. also prescribed cimetadine and triamcinolone cream.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash papular, Rash pruritic, Sleep disorder, Swelling, Swelling face
Clinical narrative: Severe rash/hives covering 40 to 50% of her body.  Patches of raised irritated skinS specifically under both breasts, around mid abdomen at waist band, at the underwear line on both legs, neck, face, around eye,scalp, random spots on legs and back.  At most severe stage 6 days after vaccination, swollen face, neck and around eyes.  Patient reported severe itching, burning and hot sensations at sites of rash.  She was started on a steroid but called the Dr after 4 days complaining that there was no improvement. Dr. then told her to discontinue that steroid pack and prescribed a stronger 20 day dose of Prednisone 20mg tab.   At the time of this reporting the rash has diminished by maybe 30%. Patient still has severe itching and burning and had been remediating symptoms with oatmeal baths, cool showers, aloe vera w/lidocaine cream.  She cannot wear clothing for more than a couple hours and had her sleep disrupted to the point of only sleeping about 4 hours per night. Dr. also prescribed cimetadine and triamcinolone cream.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: Severe rash/hives covering 40 to 50% of her body.  Patches of raised irritated skinS specifically under both breasts, around mid abdomen at waist band, at the underwear line on both legs, neck, face, around eye,scalp, random spots on legs and back.  At most severe stage 6 days after vaccination, swollen face, neck and around eyes.  Patient reported severe itching, burning and hot sensations at sites of rash.  She was started on a steroid but called the Dr after 4 days complaining that there was no improvement. Dr. then told her to discontinue that steroid pack and prescribed a stronger 20 day dose of Prednisone 20mg tab.   At the time of this reporting the rash has diminished by maybe 30%. Patient still has severe itching and burning and had been remediating symptoms with oatmeal baths, cool showers, aloe vera w/lidocaine cream.  She cannot wear clothing for more than a couple hours and had her sleep disrupted to the point of only sleeping about 4 hours per night. Dr. also prescribed cimetadine and triamcinolone cream.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Employee was at Employer sponsored Mass flu clinic where Covid-19 boosters were being offered.  Employee went through 2 influenza lines and did not communicate clearly with staff thinking she received the Covid-19 bivalent booster and ended up receiving a 2nd influenza vaccine.  Both vaccines with same lot number and expiration.  This was realized after the 2nd influenza vaccination had already been administered to the Employee.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Covid 19 vaccination administered on 9/20/22.  discovered that the lot number used for that dose expired Aug 31st when product removed from freezer, 10 week exp was assigned to the bag containing the vials. however, the vials themselves expired aug 31st
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Contracted COVID after two vaccines and two boosters vaccines.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 47 y/o female patient, was administered fluzone high dose which is recommended for ages 65 and up instead of routine dose
Age: 0.75
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: Syringe issue, Underdose
Clinical narrative: Patient received half of the dose as about half of the dose squirted out the syringe around where the needle is screwed onto the syringe. Consulted with MD and patient did not receive additional dose.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dysstasia, Exercise tolerance decreased, Fall
Clinical narrative: Hospitalization: 9/9/2022 - 9/11/2022 Presentation to the ED: generalized weakness and decreased effort tolerance, CONTROLLED FALL TO THE GROUND & INABILITY TO GET UP.  COVID-19 + date: 9/9/22. Treatment: BRONCHODIALATORS. Discharge to: Home or Self Care.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/9/2022 - 9/11/2022 Presentation to the ED: generalized weakness and decreased effort tolerance, CONTROLLED FALL TO THE GROUND & INABILITY TO GET UP.  COVID-19 + date: 9/9/22. Treatment: BRONCHODIALATORS. Discharge to: Home or Self Care.
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Cardiac flutter, Heart rate increased, Malaise, Palpitations
Clinical narrative: Heart flutter, palpitations, increased heart rate even at rest, feelings of weakness and just feeling unwell
Age: 57.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Fatigue, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: Sore throat and fatigue noticed on September 18.  Since I work in hospitals and facilities, I was screened by employee health staff and I took a PCR COVID test at my doctor's office.  I discussed contagion and the appropriate protocol for returning to work with staff at my doctor's office.
Age: 28.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Joint swelling
Clinical narrative: On 9/20/22 I started feeling pain and swelling around my knee joints. On 9/25/2022 I went to urgent care and they prescribed OTC pain medication and a knee brace.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given Moderna vaccine in clinic. After the injection when entering information into our computer charting system I realized the Moderna had expired on 9/10/2022.  I notified BSN, RN the Director of Nursing she stated to the the manufacturer. Moderna was informed of the incident and we were instructed to check with our Medical Director. Nurse spoke with the medical director Dr. and the Health Commissioner and were in agreeance the the dose did not to be repeated based on information from Moderna.  Attempted so far to call the client and notify of incident but phone is not in service. Will continue to reach out.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received monovalent Pfizer vaccination instead of bivalent Pfizer. Patient was instructed to come back in 2 months to receive the correct bivalent pfizer vaccine.
Age: 0.42
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Granuloma, Limb mass
Clinical narrative: Mass of right thigh, granulomatous reaction to vaccine as determined by dermatologist (benign growth) Occurred a few weeks after vaccine given, no treatment or intervention deemed necessary at this time
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Encephalopathy, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/9/2022 - 9/17/2022. Presentation to the ED: encephalopathy status post dialysis treatment. COVID-19 + date: 9/9/22. Treatment: Remdesivir. Discharge to: PATIENT LEFT AMA TO HOME UNDER CARE OF ORGANIZED HOME HEALTH SERVICE IN ANTICIPATION OF COVERED SKILLED CARE.
Age: 0.75
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: PT GIVEN ADULT BOOSTER ONLY MODERNA COVID-19 VACCINE 0.25ML NO ILL EFFECTS
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Choking, Cough, Extra dose administered, Feeling abnormal
Clinical narrative: She got her vaccine, 20 minutes after that she was driving home, and felt the pain in her arm.  A second later she had a pounding headache in the front of her forehead.  The rest of the evening it was just terrible pain in her arm and the headache.  On Friday morning she had slight flu symptoms, and each hour they increased rapidly.  By 10:00 AM she had full flu symptoms with her rib hurting, chills, hot and cold, felt like full blown flu.  By 2:00 PM her teeth were chattering she was so cold.  She was taking her temperature throughout the day, she normally is in the low 96/97 range, was 98.4 to 98.5 which for her is a fever.  She didn't think to take anything as she has had health issues for years.  At 5:00 PM she took an Ibuprofen and the chills went away, and the arm stopped hurting.  On Friday evening she had a choking cough, kept coughing and did that for an hour or so.  Put in a cough drop and did it again with a coughing spell/choking cough.  All day Saturday she was fine, then Sunday she started feeling bad again, not severe but had flu again on Sunday and half of Monday.  She is still not feeling like before the vaccine, kind of like she still had flu like symptoms lingering.    She had four previous COVID vaccines and on the 1st and 2nd doses for 24 hours she had slight flu-like symptoms.  The extra and the first booster she had no reactions.    She did have a Zoom APT with insurance and the lady was surprised that she had the symptoms and gave her VAERS phone #.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling cold, Feeling of body temperature change, Headache, Influenza, Musculoskeletal chest pain
Clinical narrative: She got her vaccine, 20 minutes after that she was driving home, and felt the pain in her arm.  A second later she had a pounding headache in the front of her forehead.  The rest of the evening it was just terrible pain in her arm and the headache.  On Friday morning she had slight flu symptoms, and each hour they increased rapidly.  By 10:00 AM she had full flu symptoms with her rib hurting, chills, hot and cold, felt like full blown flu.  By 2:00 PM her teeth were chattering she was so cold.  She was taking her temperature throughout the day, she normally is in the low 96/97 range, was 98.4 to 98.5 which for her is a fever.  She didn't think to take anything as she has had health issues for years.  At 5:00 PM she took an Ibuprofen and the chills went away, and the arm stopped hurting.  On Friday evening she had a choking cough, kept coughing and did that for an hour or so.  Put in a cough drop and did it again with a coughing spell/choking cough.  All day Saturday she was fine, then Sunday she started feeling bad again, not severe but had flu again on Sunday and half of Monday.  She is still not feeling like before the vaccine, kind of like she still had flu like symptoms lingering.    She had four previous COVID vaccines and on the 1st and 2nd doses for 24 hours she had slight flu-like symptoms.  The extra and the first booster she had no reactions.    She did have a Zoom APT with insurance and the lady was surprised that she had the symptoms and gave her VAERS phone #.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: She got her vaccine, 20 minutes after that she was driving home, and felt the pain in her arm.  A second later she had a pounding headache in the front of her forehead.  The rest of the evening it was just terrible pain in her arm and the headache.  On Friday morning she had slight flu symptoms, and each hour they increased rapidly.  By 10:00 AM she had full flu symptoms with her rib hurting, chills, hot and cold, felt like full blown flu.  By 2:00 PM her teeth were chattering she was so cold.  She was taking her temperature throughout the day, she normally is in the low 96/97 range, was 98.4 to 98.5 which for her is a fever.  She didn't think to take anything as she has had health issues for years.  At 5:00 PM she took an Ibuprofen and the chills went away, and the arm stopped hurting.  On Friday evening she had a choking cough, kept coughing and did that for an hour or so.  Put in a cough drop and did it again with a coughing spell/choking cough.  All day Saturday she was fine, then Sunday she started feeling bad again, not severe but had flu again on Sunday and half of Monday.  She is still not feeling like before the vaccine, kind of like she still had flu like symptoms lingering.    She had four previous COVID vaccines and on the 1st and 2nd doses for 24 hours she had slight flu-like symptoms.  The extra and the first booster she had no reactions.    She did have a Zoom APT with insurance and the lady was surprised that she had the symptoms and gave her VAERS phone #.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received a monovalent booster in error when should have received the bivalent moderna booster patient requested.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardiac arrest, Death
Clinical narrative: cardiac arrest then passed away
Age: 12.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: The 3rd dose of Covid 12+ vaccine that was given was not the Bivalent that is now required as the third dose.
Age: 1.58
Sex: M
Vaccine: FLUC4, VARCEL
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: 5 day onset progressive half dollar size, raised, red, painful lump to right thigh. Patient had varicella om right thigh. Mom gave ibuprofen for pain in right thigh.  Mom scheduled follow up with provider on 09/26/2022.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Neck pain, Pain
Clinical narrative: Pt contacted the pharmacy to ask about side effects from COVID Vaccine. She noted that she had excruciating pain shooting down her left arm and through her neck. Dose was given on 9/26 at 1pm and pain started at 6pm. Her pain has increased in severity since symptoms started. Patient woke up crying due to pain and states her pain level is 10/10 when lying on the arm and a 6/10 without pressure on the arm. Pt has been taking 600mg ibuprofen and used several doses but is unsure how many total doses she has used. Ibuprofen has not helped with pain. Recommended that the patient consul PCP or visit urgent care to address pain. I then verified injection technique with administering technician which was confirmed to be correct according to our company standard operating procedures
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Diarrhoea, Lethargy, Nasal congestion, Oropharyngeal pain
Clinical narrative: We recently took a trip out of town and attended the theater. I wore a mask for the entire trip, but others were not always masked. We returned home on 09/24/2022. On 09/25/2022 at 05:00PM my throat began to hurt, and my husband was also not feeling well. We both tested negative on at home COVID-19 tests. The next day, 09/26/2022, we tested again, and the results were positive. I called my doctor who prescribed us each PAXLOVID which we began taking that same day. My symptoms have not begun to improve yet. I'm still experiencing sore throat, fever, aches and pains, lethargy, stuffy nose, respiratory wheezing in my chest, and diarrhea.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Wheezing
Clinical narrative: We recently took a trip out of town and attended the theater. I wore a mask for the entire trip, but others were not always masked. We returned home on 09/24/2022. On 09/25/2022 at 05:00PM my throat began to hurt, and my husband was also not feeling well. We both tested negative on at home COVID-19 tests. The next day, 09/26/2022, we tested again, and the results were positive. I called my doctor who prescribed us each PAXLOVID which we began taking that same day. My symptoms have not begun to improve yet. I'm still experiencing sore throat, fever, aches and pains, lethargy, stuffy nose, respiratory wheezing in my chest, and diarrhea.
Age: 1.5
Sex: M
Vaccine: DTAPIPVHIB, HEPA
Symptoms: Wrong product administered
Clinical narrative: Patient was not due for polio and received that as part of the component of pentacel.  Due date according to system for polio 03/10/2025
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Angiopathy, Arthralgia, Chest pain, Computerised tomogram, Eye pain
Clinical narrative: Same as what I reported after 1st dose of Pfizer vaccine.  103 degree fever, blood vessels felt like they were constricting which resulted in severe chest pain. Additionally, throbbing pain behind my right knee. Also, had pain in my eyes, gums, and toes.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Gingival pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Same as what I reported after 1st dose of Pfizer vaccine.  103 degree fever, blood vessels felt like they were constricting which resulted in severe chest pain. Additionally, throbbing pain behind my right knee. Also, had pain in my eyes, gums, and toes.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Blood test abnormal, Chest pain, Computerised tomogram thorax normal, Dizziness
Clinical narrative: I was pregnant (unknown) at time of vaccine. I had positive HCG on 09/18/2022 and miscarried on 10/26/2022. I have had recurrent miscarriages since then. Major adverse event: 11/2/2022 I was seen in ER for chest pain, near fainting, and painful breathing at sternum. Bloodwork showed extremely elevated white cell count (24.9 K/CUMM). Antibiotics were given to help with infection. I was sent home with verbal diagnosis of pericarditis/myocarditis with pleuritic event.  Secondary possible adverse event: 09/02/2022 I was sent by ambulance to ER for near fainting and inability to obtain blood pressure reading. I was diagnosed with long QT syndrome. At this time I was 19 weeks pregnant and currently I am 23 weeks pregnant.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Exposure during pregnancy, Human chorionic gonadotropin positive, Hypotension, Infection
Clinical narrative: I was pregnant (unknown) at time of vaccine. I had positive HCG on 09/18/2022 and miscarried on 10/26/2022. I have had recurrent miscarriages since then. Major adverse event: 11/2/2022 I was seen in ER for chest pain, near fainting, and painful breathing at sternum. Bloodwork showed extremely elevated white cell count (24.9 K/CUMM). Antibiotics were given to help with infection. I was sent home with verbal diagnosis of pericarditis/myocarditis with pleuritic event.  Secondary possible adverse event: 09/02/2022 I was sent by ambulance to ER for near fainting and inability to obtain blood pressure reading. I was diagnosed with long QT syndrome. At this time I was 19 weeks pregnant and currently I am 23 weeks pregnant.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Long QT syndrome, Myocarditis, Painful respiration, Pericarditis, Pleural disorder
Clinical narrative: I was pregnant (unknown) at time of vaccine. I had positive HCG on 09/18/2022 and miscarried on 10/26/2022. I have had recurrent miscarriages since then. Major adverse event: 11/2/2022 I was seen in ER for chest pain, near fainting, and painful breathing at sternum. Bloodwork showed extremely elevated white cell count (24.9 K/CUMM). Antibiotics were given to help with infection. I was sent home with verbal diagnosis of pericarditis/myocarditis with pleuritic event.  Secondary possible adverse event: 09/02/2022 I was sent by ambulance to ER for near fainting and inability to obtain blood pressure reading. I was diagnosed with long QT syndrome. At this time I was 19 weeks pregnant and currently I am 23 weeks pregnant.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus tachycardia, White blood cell count increased
Clinical narrative: I was pregnant (unknown) at time of vaccine. I had positive HCG on 09/18/2022 and miscarried on 10/26/2022. I have had recurrent miscarriages since then. Major adverse event: 11/2/2022 I was seen in ER for chest pain, near fainting, and painful breathing at sternum. Bloodwork showed extremely elevated white cell count (24.9 K/CUMM). Antibiotics were given to help with infection. I was sent home with verbal diagnosis of pericarditis/myocarditis with pleuritic event.  Secondary possible adverse event: 09/02/2022 I was sent by ambulance to ER for near fainting and inability to obtain blood pressure reading. I was diagnosed with long QT syndrome. At this time I was 19 weeks pregnant and currently I am 23 weeks pregnant.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: IN ERROR, WAS GIVEN ADULT BOOSTER DOSE ONLY MODERNA COVID-19 VACCINE 0.25ML NO ILL EFFECTS
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/10/2022 - 9/14/2022 Presentation to the ED: ABDOMINAL PAIN. COVID-19 + date: 9/10/22 Treatment: PAXLOVID. Discharge to: HOME.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Nausea, SARS-CoV-2 test positive, Seizure like phenomena
Clinical narrative: Hospitalization: 9/13/2022 - 9/15/2022 Presentation to the ED: seizure-like activity in setting of testing positive for COVID-19 associated with generalized weakness, nausea and vomiting. COVID-19 + date: 9/13/22 Treatment: NO THERAPY GIVEN.  Discharge to: Skilled Nursing Facility (SNF) with insurance Certification in Anticipation of Skilled Care.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Hospitalization: 9/13/2022 - 9/15/2022 Presentation to the ED: seizure-like activity in setting of testing positive for COVID-19 associated with generalized weakness, nausea and vomiting. COVID-19 + date: 9/13/22 Treatment: NO THERAPY GIVEN.  Discharge to: Skilled Nursing Facility (SNF) with insurance Certification in Anticipation of Skilled Care.
Age: 12.0
Sex: M
Vaccine: DTAP, HPV9, MNQ
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient is 12 years old and received Dtap.  Should have received Tdap
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: I received my Covid- 19 vaccine on 09/27/2021. 12 hours after dose I started getting achy feeling, fever and headache. Symptoms lasted  for 24 hours and went away. Took TYLENOL.
Age: 43.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Herpes zoster, Skin lesion
Clinical narrative: Pt came in today for 2nd MPX vaccine. Per pt, received 1st dose on 8.31.22 & was diagnosed with shingles 1 week post vaccination. Pt given 10 days valgancyclovir and resolved. Pt immuncompromised, + HIV. Pt with cleared up lesions today and no pain. Ok per physician to give vaccine today.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Antinuclear antibody positive, Raynaud's phenomenon, Skin discolouration
Clinical narrative: On April 21, 2022 I had my first episode of Raynaud's phenomenon where my fingers turned white, pink and purple. On April 23, 2022 it happened to my 1st digits on both of my feet. I had other similar episodes subsequently. In July, prior to my next internal medicine appointment, I informed my internist,  Dr., that this had occurred. He recommended further testing and found that I had a highly positive ANA and referred me to the rheumatologist. I am awaiting the results of further more detailed testing. I mention this as a potential vaccine adverse effect solely because I did not have COVID (that I am aware of) and I read today that autoimmune disorders can be a part of long term COVID.  As this is a new problem for me, I thought that you might be interested in it in order to monitor others who have a potential autoimmune disease without COVID infection yet had the COVID vaccines and booster. In essence, I wanted to make you aware of what is happening to one of the people who obtained the vaccine. Thank you.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/14/2022 - 9/17/2022 Presentation to the ED: COVID-19 + date: 9/15/22.  Treatment: SUPPLEMENTAL O2. NO REMDESIVIR OR DECADRON.  Discharge to: Home or Self Care.
Age: 75.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered, Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given the Original Moderna vaccine booster vs the Moderna Bivalent booster on accident. No treatment and no adverse reaction to the additional original moderna booster.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered the Bivalent by MA. Patient was due for the second dose in initial series.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Fatigue, Rhinorrhoea
Clinical narrative: Sneezing, running nose, tight chest, no fever, painful coughing, and tiredness. Symptoms were mild. I contacted the doctor and she wrote me a script for PAXLOVID for 5 days. I've completed the meds and feel normal.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: Sneezing, running nose, tight chest, no fever, painful coughing, and tiredness. Symptoms were mild. I contacted the doctor and she wrote me a script for PAXLOVID for 5 days. I've completed the meds and feel normal.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood glucose abnormal, Lymphadenopathy, Menstruation irregular, Urticaria
Clinical narrative: Swollen lymph node in left armpit; Hives lasting more than 5 days; irregular menstrual onset; blood sugar instability
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chills, Fatigue, Hypophagia
Clinical narrative: Hospitalization: 9/17/2022 - 9/25/2022 Presentation to the ED: fatigue/generalized weakness associated with chills and decreased p.o. intake.  COVID-19 + date: 9/17/22. Treatment: dexamethasone, remdesivir.  discharge to: Home or Self Care
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/17/2022 - 9/25/2022 Presentation to the ED: fatigue/generalized weakness associated with chills and decreased p.o. intake.  COVID-19 + date: 9/17/22. Treatment: dexamethasone, remdesivir.  discharge to: Home or Self Care
Age: 73.0
Sex: M
Vaccine: FLUC4
Symptoms: Cutaneous vasculitis
Clinical narrative: leucocytoclastic vasculitis
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: COVID-19 Pfizer BioNTech was administered as a booster instead of COVID-19 Pfizer BioNTech Bivalent. No adverse reaction reported.