chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Peripheral swelling, Skin tightness
Clinical narrative: PT STATED SHE HAD SWELLING IN RIGHT ARM AND UNDER RIGHT ARM, UPON EXAM NOTHING APPEARED TO BE SWOLLEN, PT STATED IT WAS SWOLLEN BC IT FELT "TIGHT".  AFTER WAITING 5 ADDTIONAL MINS, PT STATED ALL SWELLING HAD RESOLVED AND SHE WAS FINE NOW AND  WANTED TO LEAVE THE PHARMACY WITH PERSON THAT ACCOMPANIED HER TO HER IMMUNIZATION
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Seizure, Tongue biting
Clinical narrative: PT STATED SHE HAD SWELLING IN RIGHT ARM AND UNDER RIGHT ARM, UPON EXAM NOTHING APPEARED TO BE SWOLLEN, PT STATED IT WAS SWOLLEN BC IT FELT "TIGHT".  AFTER WAITING 5 ADDTIONAL MINS, PT STATED ALL SWELLING HAD RESOLVED AND SHE WAS FINE NOW AND  WANTED TO LEAVE THE PHARMACY WITH PERSON THAT ACCOMPANIED HER TO HER IMMUNIZATION
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: PT STATED SHE HAD SWELLING IN RIGHT ARM AND UNDER RIGHT ARM, UPON EXAM NOTHING APPEARED TO BE SWOLLEN, PT STATED IT WAS SWOLLEN BC IT FELT "TIGHT".  AFTER WAITING 5 ADDTIONAL MINS, PT STATED ALL SWELLING HAD RESOLVED AND SHE WAS FINE NOW AND  WANTED TO LEAVE THE PHARMACY WITH PERSON THAT ACCOMPANIED HER TO HER IMMUNIZATION
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Deafness unilateral, Headache, Magnetic resonance imaging, Sleep disorder
Clinical narrative: On May 17 noticed some hearing loss in my right ear by May 18 lost most of my hearing out of my right ear. The extremely loud ringing prevents sleep and gives me headache   Went to MD and he referred me to ENT.  Dr. stated that this acute event happened due to a virus.  The only virus that I know I was exposed to was the J&J shot.  Dr. stated I should report this to VAERS
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test abnormal, Tinnitus
Clinical narrative: On May 17 noticed some hearing loss in my right ear by May 18 lost most of my hearing out of my right ear. The extremely loud ringing prevents sleep and gives me headache   Went to MD and he referred me to ENT.  Dr. stated that this acute event happened due to a virus.  The only virus that I know I was exposed to was the J&J shot.  Dr. stated I should report this to VAERS
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: felt mild chest tightness and shortness of breath for 2 days post vaccine (1st dose) that self resolved
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Unevaluable event
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: magnetized-Medium, Additional Details: Patient states after her vaccine her arms became magnetized 4 days post shot. Noticed her left arm was actually more magnetized then her right although shot was on the right arm. Right neck area also noticed some magnetism. Patient states magnetism still occuring
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: I received my first COVID vaccine 01/18/2021.  I was told it would be MODERNA, and that was entered on my COVID-19 Vaccination Record Card as LOT # 025L20A. I received my second vaccination on 2/15/2021 and my VRC was noted as MODERNA LOT# 006M20A.  My Medical record indicates that I received a PFIZER COVID-19 VACCINE  on 01/18/2021 LOT # EL3246 , NDC:59267-1000-1 and  on 02/15/2021 I received a COVID-19, mRNA, LNP-S, PF (MODERNA)  Lot #:006M20A, NDC:80777-273-10.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: tingling in lips and he states he feels swelling in lips, but no visible swelling noted
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Electrocardiogram, Injection site hypoaesthesia, Injection site paraesthesia
Clinical narrative: 37-year-old foreign-speaking patient walked into the vaccination site accompanied by wife at about 11:45am. They requested the Janssen Covid-19 vaccines for the both of them. Patient signed all necessary consent forms and pre-vaccination checklist requirements, and entered the vaccination section at around 11:50am. The Janssen vaccine was administered at 11:57am. At 12pm patient started to experience light-headedness, dizziness, and change of LOC. At 12:01pm charge nurse  called 911. Patient?s wife and observation nurse asked patient how he was feeling but patient was unresponsive and disoriented for about 30-60 seconds. Soon after patient was able to speak and started complaining of being nauseous and observation nurse handed patient a garbage bag to throw up. Charge nurse hooked up patient with pulse oximetry at 12:02pm with a reading of 98. Nurse assessed if patient is experiencing any symptoms of hives or redness, shortness of breath or any difficulty breathing or swallowing, and patient denied any symptoms. Administering RN hooked up patient with the blood pressure machine and BP reading was 167/156 with a pulse of 56. At 12:03pm BP reading was 139/75 with a pulse of 62 and pulse ox reading of 95. At 12:06pm BP reading was 153/115 with a pulse of 67 and pulse ox of 95. Patient also stated that his left arm started to get numb and tingly feeling. At 12:07pm first responder 911 came and took over. Patient was hooked up to EKG and found some arrhythmia and was advised to go to the hospital to further evaluate. Patient agreed and was taken to the nearest hospital at about 12:20pm. Action taken: Charge nurse called 911 for help and hooked up patient with pulse oximetry and assessed patient for any sign and symptoms of any allergic reactions to Janssen Covid-19 vaccine. Administering RN and observation nurse continuously monitored patient?s B/P, Pulse, Pulse oximetry, and LOC until first responder paramedics came.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Unresponsive to stimuli
Clinical narrative: 37-year-old foreign-speaking patient walked into the vaccination site accompanied by wife at about 11:45am. They requested the Janssen Covid-19 vaccines for the both of them. Patient signed all necessary consent forms and pre-vaccination checklist requirements, and entered the vaccination section at around 11:50am. The Janssen vaccine was administered at 11:57am. At 12pm patient started to experience light-headedness, dizziness, and change of LOC. At 12:01pm charge nurse  called 911. Patient?s wife and observation nurse asked patient how he was feeling but patient was unresponsive and disoriented for about 30-60 seconds. Soon after patient was able to speak and started complaining of being nauseous and observation nurse handed patient a garbage bag to throw up. Charge nurse hooked up patient with pulse oximetry at 12:02pm with a reading of 98. Nurse assessed if patient is experiencing any symptoms of hives or redness, shortness of breath or any difficulty breathing or swallowing, and patient denied any symptoms. Administering RN hooked up patient with the blood pressure machine and BP reading was 167/156 with a pulse of 56. At 12:03pm BP reading was 139/75 with a pulse of 62 and pulse ox reading of 95. At 12:06pm BP reading was 153/115 with a pulse of 67 and pulse ox of 95. Patient also stated that his left arm started to get numb and tingly feeling. At 12:07pm first responder 911 came and took over. Patient was hooked up to EKG and found some arrhythmia and was advised to go to the hospital to further evaluate. Patient agreed and was taken to the nearest hospital at about 12:20pm. Action taken: Charge nurse called 911 for help and hooked up patient with pulse oximetry and assessed patient for any sign and symptoms of any allergic reactions to Janssen Covid-19 vaccine. Administering RN and observation nurse continuously monitored patient?s B/P, Pulse, Pulse oximetry, and LOC until first responder paramedics came.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received a dose of Janssen COVID-19 vaccine on 3/9/21 but did not inform pharmacy staff, nor did she report this on the screening and consent form. Pharmacist gave 1 dose of Pfizer COVID-19 vaccine on 5/21/21. Patient was accompanied by daughter. Neither reported any adverse effects to the pharmacy after receiving Pfizer dose.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: 5 TO 10 MINS AFTER RECEIVING THE VACCINATION PATIENT FELT DIZZY AND VOMITED.
Age: 39.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Arthralgia, Chest pain, Hypoaesthesia, Myalgia, Pain in extremity
Clinical narrative: I?m experiencing Side effect from my 2nd vaccine that I?m worried and it has been bothering me  since. I woke up with a sore arm where the vaccine site was it was very sore feels like I have a bruises on that spot. I have some pain and tingling sensation behind my left leg tingling feel on left arms like it was falling asleep feel some numbness and fingers hurts. and burning sensation on knee feels mostly in my legs. join pain muscle pain some chest pain some pins and needles on foot.
Age: 39.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Paraesthesia, Vaccination site bruising, Vaccination site pain
Clinical narrative: I?m experiencing Side effect from my 2nd vaccine that I?m worried and it has been bothering me  since. I woke up with a sore arm where the vaccine site was it was very sore feels like I have a bruises on that spot. I have some pain and tingling sensation behind my left leg tingling feel on left arms like it was falling asleep feel some numbness and fingers hurts. and burning sensation on knee feels mostly in my legs. join pain muscle pain some chest pain some pins and needles on foot.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site injury, Injection site pain, Injection site paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amnesia, Dizziness, Feeling abnormal, Headache
Clinical narrative: Brain fog, loss of memory, dizziness, chronic headache
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Dyspnoea, Pharyngeal swelling
Clinical narrative: Anaphylaxis, trouble breathing, throat swelling
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Cellulitis
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dyskinesia, Loss of consciousness, Memory impairment, Musculoskeletal stiffness, Seizure
Clinical narrative: Patient had an adverse reaction to the Janssen COVID vaccination. After vaccination, patient was told to wait 15 minutes in this chair and we would observe. I prepare their COVID card and went back out to give card and ask if the patient had any other questions. Patient was scared of shots, so some anxiety was expected, however after a few minutes while I was talking to the patient, I noticed he got stiff, and started to seize. His family was near by and we immediately put him onto the floor with head on a cushion and called EMS/911 CODE WHITE. He did not hit anything while seizing/convulsing. Once he laid down, within a few seconds, He stopped jerking, became conscious, and asked what happened. He lost consciousness and only remembered me talking to him about his questions about the vaccine. He was fully aware of his surroundings afterwards and said he never had a reaction like that to a shot before. Some anxiety, but not a seizure. EMS arrived shortly there after and he was taken to the hospital after inspection from EMS just to make sure everything was okay. We had to make a report to management per Store Policy. VAERS was reported
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: Patient had an adverse reaction to the Janssen COVID vaccination. After vaccination, patient was told to wait 15 minutes in this chair and we would observe. I prepare their COVID card and went back out to give card and ask if the patient had any other questions. Patient was scared of shots, so some anxiety was expected, however after a few minutes while I was talking to the patient, I noticed he got stiff, and started to seize. His family was near by and we immediately put him onto the floor with head on a cushion and called EMS/911 CODE WHITE. He did not hit anything while seizing/convulsing. Once he laid down, within a few seconds, He stopped jerking, became conscious, and asked what happened. He lost consciousness and only remembered me talking to him about his questions about the vaccine. He was fully aware of his surroundings afterwards and said he never had a reaction like that to a shot before. Some anxiety, but not a seizure. EMS arrived shortly there after and he was taken to the hospital after inspection from EMS just to make sure everything was okay. We had to make a report to management per Store Policy. VAERS was reported
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fatigue
Clinical narrative: Diarrhea, joint pain, fatigue.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Hyperhidrosis, Pain
Clinical narrative: Patient received the vaccine and went to sit in the observation area.  About 2 minutes later, she became pale, dizzy, sweaty, and claimed she might have diarrhea.  She was given cold water, a cold compress, helped to the bathroom.  She declined having us call 911.  We took her blood pressure.  We moved her to the vaccination area where she sat with a fan on her.  After about 40 minutes, she stated she was just tired and achy, but she wasn't dizzy any more and she wanted her son to drive her home.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: Patient received the vaccine and went to sit in the observation area.  About 2 minutes later, she became pale, dizzy, sweaty, and claimed she might have diarrhea.  She was given cold water, a cold compress, helped to the bathroom.  She declined having us call 911.  We took her blood pressure.  We moved her to the vaccination area where she sat with a fan on her.  After about 40 minutes, she stated she was just tired and achy, but she wasn't dizzy any more and she wanted her son to drive her home.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pelvic pain
Clinical narrative: Periodic uterine & ovary pain that started after the night of the second shot. It is now periodic (happening mid-cycle) and lasts a few hours
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear pain
Clinical narrative: Chills for 1 hour at 11pm, 12 hours after shot.  Ear pain in left ear 27 hours after shot
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Adnexa uteri pain, Menstruation irregular, Thrombosis
Clinical narrative: Irregular menstrual period, blood clots, Abdominal and ovarian pain.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Pt states that beginning approximately one week after her vaccine, she experiences low grade fevers of 99-100 degress F every 5 to 7 days. By the 4th week after vaccination, they had increased in frequency to every 3 to 5 days. She had no other adverse reactions. She treated sometimes with ibuprofen. She also states she had COVID in early 12/2020.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Tachycardia
Clinical narrative: Systemic: Tachycardia-Severe, Additional Details: HR was about 190. happened on different days up to 5 days after vaccine lasting anywhere from 15min-3 hours. no issues observed during post- vaccination period
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Patient received first dose COVID vaccine (Pfizer, lot#EW0185) in the left arm on 05/22/21 at 11am from vaccinator, RN. During the client's  second dose appointment on 06/12/2021, client reported to vaccinator RN that he experienced intermittent chest pain with mild SOB approximately 2.5 weeks after receiving the first dose and persisting for 5 days. RN reported information to, Lead RN. RN completed a medical consult. Client reported pain level 3/10, denied radiating pain, denied lightheadedness, dizziness, difficulty swallowing, slurred speech, and numbness or tingling to the extremities. RN received clearance by MD to vaccinate for second dose Pfizer on 06/12/2021.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Pain in extremity
Clinical narrative: Patient said her arm was in a lot of pain, said there was some bleeding around the area (unclear if bleeding persisted after the patient left the pharmacy)
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Early
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Hyperhidrosis, Nausea
Clinical narrative: The patient reported SOB, chest tightness, sweaty, nausea, dizziness. The symptoms were reported 30mins after vaccine administration. We checked blood pressure 151/91 and pulse <100. The EMT checked  vitals again and everything was in range, The patient went home with mother and she will take him to hospital if needed.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Vision blurred
Clinical narrative: Client reported feeling like he was going to "pass out" and had blurry vision. Client lost consciousness for approximately 5 seconds and was assisted into gravity chair for observation. Client was provided bottled water and education on vaccine side-effects. Client was advised to seek emergency medical attention, but refused. Client was advised to follow-up with primary care provider. Client left site unassisted with steady gaitafter approximately 40 minutes observation with mother, who advised she will take client to urgent care or emergency room if symptoms persist.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Heart rate increased, Hypoaesthesia, Vasodilatation
Clinical narrative: Headache 3 weeks, severe fatigue 3 weeks.  Immediate reaction numbness in extremities, bulging veins in hands, increased heart rate.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient felt dizzy about 15 mins after her vaccine was administered. Initially her Heart rate was 70, oxygen 99, and blood pressure 163/120. Patient was given water. Patient was asked to lay down and her feet were elevated on a chair. after about 15-20 mins patient felt better so was asked to sit up, given water and after few mins of sitting her blood pressure was 133/112. patient was feel good  not too dizzy. Patient left he pharmacy with a friend.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Additional Details: Patient never lost consciousness just felt extremely dizzy and light headed.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt received only half dose. Pt is autistic and pulled syringe out of arm half way through the shot.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: lightheadedness
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: GOT THE SECOND DOSE ONLY 15 DAYS FROM THE FIRST DOSE
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram abnormal, Chest pain, Dyspnoea, Pulmonary embolism
Clinical narrative: Patient stated she had the Pfizer #2 vaccination end of April (unsure of date) and 1 week later became symptomatic with SOB.  For 3 weeks she felt SOB with CP.  She presented to hospital and found to have bilateral pulmonary embolisms.  Please contact patient for further details.  She states she is very healthy and does not have risk factors for clots.  She requested I fill out this form for her.  I spoke to our pharmacy and they directed me here.  I do not know all of the details therefore more investigation should be performed.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: per pt - arm pit swollen, arm pit pain
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives covering arms, legs and torso - lasting for about 45 minutes once or twice per day. They went away on their own. Happened for a few days, and then started happening less frequently - once every few days, once every week, and now (months later) not happening anymore.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pruritus, Pyrexia, Rash
Clinical narrative: 47 yr old client presented to site for second dose and reported Pfizer 1st dose reaction of chills, fever, itching, and break out of rash in the LLE. Client presented with open circular lesion on the left lower leg with no c/o pain or discomfort at this time. Vital signs WNL. Left vaccine site in stable condition.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: 3 days after 2nd Pfizer COVID vaccine- developed tinnitus in left ear. Peaked 2 weeks after shot. Still present 7 weeks post vaccine. Joined a tinnitus group on social media that has been very informative and helpful. Time seems to be the most common advice.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness, Seizure
Clinical narrative: PT DID FINE IMMEDIATELY, ATER VACCINE WITHIN A FEW MINUTES HE PASSED OUT, FELL OUT OF HIS CHAIR AND STARTED SEIZING. I RUSHED OUT OF THE PHARMACY PUT A SOFT PAD UNDER HIS HEAD AND PREVENTED HIM FROM HITTING IT ON THE FLOOR. I TOLD A CUSTOMER TO CALL 911, SHOTRLY AFTER PATIENT WOKE UP AND ASKED US TO CALL HIS PARENTS. ANOTHER CUSTOMER DID THAT AND THEN THE EMS ARRIVED. THEY CHECKED ALL HIS VITALS WHICH WERE WITHIN NORMAL LIMITS AND HE CHOSE TO NOT GO WITH THEM. HIS SISTER PICKED HIM UP TO GO HOME. PT STATED HE HAD NOT EATEN THAT DAY AND HAD TAKEN IBUPROFEN BEFORE ARRIVING.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Heart rate increased, Nausea, Pyrexia
Clinical narrative: fever, nausea, difficulty breathing, chest pain, fast heart beat 125
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary normal, Arteriogram coronary normal, Chest pain, Echocardiogram normal, Ejection fraction normal
Clinical narrative: fever, nausea, difficulty breathing, chest pain, fast heart beat 125
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test, Myocarditis, Troponin
Clinical narrative: fever, nausea, difficulty breathing, chest pain, fast heart beat 125
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Chest X-ray normal, Cold sweat, Differential white blood cell count normal, Electrocardiogram normal
Clinical narrative: Racing heart, blood pressure drops feel clammy. 2 severe events many smaller events. Heart rate gets to near 100. My idle heart rate is in the mid 50's.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Liver function test normal, Metabolic function test, Palpitations, Troponin normal
Clinical narrative: Racing heart, blood pressure drops feel clammy. 2 severe events many smaller events. Heart rate gets to near 100. My idle heart rate is in the mid 50's.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Pallor
Clinical narrative: Pale, light headed, low blood pressure
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Hypoaesthesia, Pain in extremity, Pruritus, Urticaria
Clinical narrative: Initially, all I felt was extreme pain in my left arm. I was advised by the medical staff that my reaction was normal.  During the middle of the night, my left arm felt as if it was burning. It woke me up out of my sleep. From the injection site down mid-elbow, my arm was filled with hives & welts and it was extremely itchy. The arm also felt as if it was on fire.  I applied some Benadryl ointment on my arm and tried to go back to sleep. When I got up, both of my legs felt extremely numb. I felt as if I was walking on air. I attempted to walk around and fell in the street because I was not able to feel my legs. The numbness remained for the balance of the day.  I stayed in bed because I injured myself quite a bit. Every time I tried to move around, I felt as if I was walking on air and was not in a position to stabilize myself. This numbness feeling did not subside until Sunday evening, as well as the issue with my arm.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Tachycardia
Clinical narrative: heart fluttering and tachycardia
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Rash, Rash pruritic
Clinical narrative: The patient presented to our pharmacy on 6/12/21 to pick up a prescription for Ketoconazole 2% topical cream.  At the consultation window the patient mentioned that this was to treat a rash on her neck that she believes was caused by the Moderna vaccine.  She received her first dose on 1/29/21 and reported that two days later she had a rash on her neck. She stated that the rash burned and was itchy, and that it gradually spread to her inner left forearm and face.  At the pharmacy on 6/12/21, her neck was visibly red, along with her face and left forearm.  The patient saw her primary care doctor in Februrary, but she states that she was not given any thing for the rash and was told by her doctor to monitor the rash.  The patient saw Doctor again in May and was prescribed a cream for the rash, but the patient does not recall the name of the cream and there is no history of that prescription at our pharmacy. The patient reports that the cream did not help, so she saw her allergist in June.   She saw Provider and was prescribed ketoconazole 2%.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Hyperchlorhydria, Pain in extremity
Clinical narrative: Arm soreness, really painful heart burn and acidity that lasted 24 hours
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebral venous sinus thrombosis, Headache, Magnetic resonance imaging head abnormal
Clinical narrative: pt with very bad headache two weeks ago. now in hospital with very large cerebral sinus thrombosis
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebral venous sinus thrombosis, Diplopia, Headache, Magnetic resonance imaging abnormal, Nausea
Clinical narrative: pt with very bad headache two weeks ago. now in hospital with very large cerebral sinus thrombosis
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Venogram, Vomiting
Clinical narrative: pt with very bad headache two weeks ago. now in hospital with very large cerebral sinus thrombosis
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose was administered on 6-2-21. It was supposed to be given 6-12-21
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Eye movement disorder, Musculoskeletal stiffness, Unresponsive to stimuli
Clinical narrative: The patient became very weak, unable to follow commands and was alert and oriented x1.  Within 1 minute of the event the patient became very stiff, his eyes started to roll in the back of his head and he was unresponsive.  Pt was placed in a wheelchair, full set of vitals obtained,sternum rub performed, cold compress applied to the forehead, and the nurse begin to ask a series of questions to try and keep the patient conscious. Patient begin to respond, no food or drinks given, EMS arrived and took control of the scene.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Pain, Pyrexia
Clinical narrative: The night of my vaccine dose (5/26/2021), I experienced chills, aches, and a low grade fever. The next day, the symptoms continued but lessened. However, beginning on 5/28/2021, I was experiencing shortness of breath. I would feel like I would need to catch my breath even when I was just sitting down. For the following two days (5/29 and 5/30), I experienced shortness of breath but it slowly lessened with each passing day. I'm feeling fine now but it was scary especially since shortness of breath isn?t listed as a common symptom. I also wanted to mention that I did have momentary bouts of  shortness  of breath with my first covid-19 moderna dose (4/28/2021) but it was much less severe and went away quickly.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Headache, Myalgia
Clinical narrative: Fever, chills, muscle aches, fatigue, headache, chest congestion, cough. All symptoms lasted 4 days, chest congestion and cough still present today
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: Fever, chills, muscle aches, fatigue, headache, chest congestion, cough. All symptoms lasted 4 days, chest congestion and cough still present today
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac failure
Clinical narrative: PT REPORTS BEING PREVIOUSLY ACTIVE AND HEALTHY, 4 DAYS AFTER RECEIVING VACCINE SHE PRESENTED TO ER WITH A. FIB AND HEART FAILURE. PT UNDERWENT CARDIOVERSION ON 3/15 AND REPORTS 4 NORMAL EKG'S SINCE.  PT DOES NOT REPORT A RE-EVALUATION OF INJECTION FRACTION SINCE.  PT RECEIVED 2ND DOSE ON 3/4 BUT THOUGHT THEY MIGHT BE RELATED SINCE SEEING REPORTS OF HEART ISSUES FOLLOWING VACCINATION
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received second dose on 06/01/2021 of the vaccine 14 days after receiving the first dose on 05/18/2021. Patient did not report any adverse events.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram abnormal, Blood test, Chest X-ray, Chest discomfort, Electrocardiogram
Clinical narrative: Extreme pressure on chest, worse on lying down. Angiogram and EKG slightly abnormal. Troponin elevated. MRI suggest no evidence of heart attack, but possible pericarditis
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Troponin increased, Ultrasound scan
Clinical narrative: Extreme pressure on chest, worse on lying down. Angiogram and EKG slightly abnormal. Troponin elevated. MRI suggest no evidence of heart attack, but possible pericarditis
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Palpitations, Paraesthesia
Clinical narrative: I have had about 6 episodes of heart palpitations, shortness of breath,  dizziness/ lightheadedness, and  at times accompanying tingling in leg limbs starting a few days after first dose of the  COVID19 Moderna vaccine on 1/27/21 until about April 2021.  I got my second dose 2/23/21. I am a healthy and active 29 year old female, and have not had heart palpitations or dizziness in the past. I was not on any medications or supplements. I made an appointment to see my primary care physician regarding this issue, but can't get an appointment until July 20, 2021.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest X-ray, Computerised tomogram abnormal, Cough, Dyspnoea exertional
Clinical narrative: Started experiencing shortness of breath and coughing on May 27, 2021.  Noticed shortness of breath as walking up hill.  Breathing issues continues to get worse over time.  Went to urgent care doctor on June 4th.  They said my oxygen level was low and could hear wheezing in chest.  They did a chest x-ray and thought I might have pneumonia.  Gave me antibiotics.  Recommended to see primary care doctor.  Went to HCF on 6/7/2021.  Saw FNP.  She did blood work.  Scheduled me for a cat scan on  6/8.  Blood tests indicated d-dimer level was high.  Cat scan showed pulmonary embolisms in both lungs.  Went to hospital.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Fibrin D dimer increased, Myocardial strain, Oxygen saturation decreased, Pulmonary embolism
Clinical narrative: Started experiencing shortness of breath and coughing on May 27, 2021.  Noticed shortness of breath as walking up hill.  Breathing issues continues to get worse over time.  Went to urgent care doctor on June 4th.  They said my oxygen level was low and could hear wheezing in chest.  They did a chest x-ray and thought I might have pneumonia.  Gave me antibiotics.  Recommended to see primary care doctor.  Went to HCF on 6/7/2021.  Saw FNP.  She did blood work.  Scheduled me for a cat scan on  6/8.  Blood tests indicated d-dimer level was high.  Cat scan showed pulmonary embolisms in both lungs.  Went to hospital.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan normal, Wheezing
Clinical narrative: Started experiencing shortness of breath and coughing on May 27, 2021.  Noticed shortness of breath as walking up hill.  Breathing issues continues to get worse over time.  Went to urgent care doctor on June 4th.  They said my oxygen level was low and could hear wheezing in chest.  They did a chest x-ray and thought I might have pneumonia.  Gave me antibiotics.  Recommended to see primary care doctor.  Went to HCF on 6/7/2021.  Saw FNP.  She did blood work.  Scheduled me for a cat scan on  6/8.  Blood tests indicated d-dimer level was high.  Cat scan showed pulmonary embolisms in both lungs.  Went to hospital.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Mental impairment, Pain, Pyrexia
Clinical narrative: Within 6 hours, I developed a fever, all over body aches (from neck to toes), headache, inability to think clearly, difficulty speaking.  This lasted for approximately 48 hours until the fever broke.  Fogginess and headache lasted for another 48 hours.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder
Clinical narrative: Within 6 hours, I developed a fever, all over body aches (from neck to toes), headache, inability to think clearly, difficulty speaking.  This lasted for approximately 48 hours until the fever broke.  Fogginess and headache lasted for another 48 hours.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash papular
Clinical narrative: Large raised rectangular red rash around injectjon site. NA
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injury associated with device, Laboratory test
Clinical narrative: a registered nurse at the vaccination site was stuck with a used needle to her left hand as she was trying to pull back the plunger to activate the safety component. She washed her hands wit soap and water and as soon as she notified the clinical lead she was sent to Hospital for evaluation
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Nodule, Pain, Pain in extremity, Palpitations
Clinical narrative: reports 2 days following her 1st Covid 19 vaccine she had left leg ache and small nodule/lump on her left leg, reports she "massaged it out", denies redness or swelling but states leg feels sore. Also reports palpitations beginning on 6/4, full body pain, fever, nausea. She presented to the pharmacy today and appeared in no acute distress and arrived with her husband to report the event.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: reports 2 days following her 1st Covid 19 vaccine she had left leg ache and small nodule/lump on her left leg, reports she "massaged it out", denies redness or swelling but states leg feels sore. Also reports palpitations beginning on 6/4, full body pain, fever, nausea. She presented to the pharmacy today and appeared in no acute distress and arrived with her husband to report the event.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dyspepsia, Lip swelling, Somnolence
Clinical narrative: Excess stomach acid within 5-10 minutes.  At 1 hour, upper lip swelling. I took 50mg Benadryl and the swelling went down after an hour. At 3 hours I became overly sleepy, and elbow and knees began to ache.
Age: 62.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient to receive Shingrix shot but was given COVID19 shot by mistake. No harm was caused to patient and the patient was given the shingrix vaccine the same day on 6/9/21.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt felt dizzy after administration. Had him lie down with feet elevated for five minutes. Pt was able to sit up again and rest for 30 minutes.  Was able to leave normally
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypokinesia, Nerve injury
Clinical narrative: Patient reported that she has nerve issue in her neck after the Moderna vaccine; She also reported that she can't raise her arm much after the vaccine, and her left arm feels numb
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Muscle spasms
Clinical narrative: Patient had gotten dose 1 of the Pfizer COVID vaccine on 5/27/21 and was accidentally scheduled by pharmacy staff for 2nd dose on 6/10/21.  This was overlooked upon administration of second dose and patient received 2nd dose at 2 week interval instead of 3 week interval.  Spoke with patient on 6/11/21 and she has not experienced any adverse effects other than "muscle spasms" in the vaccinated arm.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Dyspnoea, Electrocardiogram
Clinical narrative: Pain in Heart area, followed by immediate shortness of breath intermittent throughout the day.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Nervousness, Pallor, Syncope
Clinical narrative: within a minute patient felt nervous ..faint, two minutes later he started to sweat, but talkative and I took blood pressure at 1:32 it read 69/41 67 a few minutes later he looked less pale and his demeanor improved I re took the blood pressure at 1:38 and it read 112/85 91 he continued to improve and at 1:45 he stood up said he felt normal, stayed for a few more minutes then  went home
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amniocentesis normal, Exposure during pregnancy, Foetal disorder, Foetal non-stress test, Polyhydramnios
Clinical narrative: On 5/11/21 at a routine growth ultrasound, my baby was diagnosed with hydrops with pericardial effusion, swelling and fluid around the scalp and an abdominal mass that measured estimately 6cmx6cm. EDD: 8/1/21. 2nd pregnancy, no complications with first except spontaneous rupture of membranes at 35w4d. Amniocentesis shows no genetic or chromosomal defects or infections present. No true diagnosis for the occurrence of hydrops fetalis. Diagnosed with polyhydramnios and preeclampsia related secondary to hydrops.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pre-eclampsia, Ultrasound antenatal screen abnormal
Clinical narrative: On 5/11/21 at a routine growth ultrasound, my baby was diagnosed with hydrops with pericardial effusion, swelling and fluid around the scalp and an abdominal mass that measured estimately 6cmx6cm. EDD: 8/1/21. 2nd pregnancy, no complications with first except spontaneous rupture of membranes at 35w4d. Amniocentesis shows no genetic or chromosomal defects or infections present. No true diagnosis for the occurrence of hydrops fetalis. Diagnosed with polyhydramnios and preeclampsia related secondary to hydrops.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient developed light headedness and almost fainted within minutes of receiving the vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Injection site pain, Injection site rash
Clinical narrative: Moderna arm (injection site red rash), chills, fatigue, fever, body aches, migraine, nausea, shortness of breath, injection site pain, and swollen lymph nodes. Fever, shortness of breath, swollen lymph nodes, and moderna arm still persists. All other side effects started to go away after 24 hours.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Migraine, Nausea, Pain, Rash erythematous
Clinical narrative: Moderna arm (injection site red rash), chills, fatigue, fever, body aches, migraine, nausea, shortness of breath, injection site pain, and swollen lymph nodes. Fever, shortness of breath, swollen lymph nodes, and moderna arm still persists. All other side effects started to go away after 24 hours.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Headache, Injection site pain, Pyrexia
Clinical narrative: Patient experienced Myocarditis-like symptoms beginning 05/20/2021, 3 days after Dose 2 vaccination.  See Continuation Page for Item 18 information details. Additional information for Item 18:   Day 1 (5/18) Patient had typical dose 2 reactions of low fever (100-101 degF), headache, soreness at injection site, mild dizziness.  Day 2 (5/19) he felt much better.  On Day 3 (20 May 2021 9:00AM) Patient experienced notable chest pain (level 5-6 on scale of 10) lasting about 30 minutes.  Pain then decreased to level 1-2 for the next several hours.  Patient said this felt exactly like the pain he experienced when he had Myocarditis in Nov 2017, only less severe.  (The 2017 event required 4 days of hospitalization and temporarily left patient with heart failure in one ventricle (Ejection Fraction <40%) although EJ returned to normal after a few months).  patient was seeing his Primary Care Physician on another matter later this same morning (5/20) and mentioned the pain.  PCP listened to his heart and did not note any irregularities. Patient had no additional pain episodes for the next 3 days so we did not worry.  But daily chest pain episodes resumed 5/24, 1 to 3 times a day,  mostly level 1-2, sometimes level 3, typically lasting 30 min to 2 hrs, through 6/3.  From 6/4 and on episodes have been less frequent.   On 5/25 patient contacted his 2017 Cardiologist who ordered a Troponin-I lab.  Labs were done 5/26 and were normal so we were advised to monitor but go to the ER if severe chest pain occurred.  Patient has an office visit scheduled with his Cardiologist July 2.  As of 6/12 (date of report) episodes tend to occur after moderate physical activity but clear after rest.  This pattern is similar to what patient experienced during the first 3 months following his 2017 illness.  Accordingly patient has reduced his physical activity, using chest pain episodes as an indicator of too much activity.  The 2017 illness appeared to be completely resolved after April 2018 with normal ECG, Echo, EJ and no further reports of chest pain even with normal activity levels.  May 20, 2021 was the first time this type of chest pain reoccurred.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I normal
Clinical narrative: Patient experienced Myocarditis-like symptoms beginning 05/20/2021, 3 days after Dose 2 vaccination.  See Continuation Page for Item 18 information details. Additional information for Item 18:   Day 1 (5/18) Patient had typical dose 2 reactions of low fever (100-101 degF), headache, soreness at injection site, mild dizziness.  Day 2 (5/19) he felt much better.  On Day 3 (20 May 2021 9:00AM) Patient experienced notable chest pain (level 5-6 on scale of 10) lasting about 30 minutes.  Pain then decreased to level 1-2 for the next several hours.  Patient said this felt exactly like the pain he experienced when he had Myocarditis in Nov 2017, only less severe.  (The 2017 event required 4 days of hospitalization and temporarily left patient with heart failure in one ventricle (Ejection Fraction <40%) although EJ returned to normal after a few months).  patient was seeing his Primary Care Physician on another matter later this same morning (5/20) and mentioned the pain.  PCP listened to his heart and did not note any irregularities. Patient had no additional pain episodes for the next 3 days so we did not worry.  But daily chest pain episodes resumed 5/24, 1 to 3 times a day,  mostly level 1-2, sometimes level 3, typically lasting 30 min to 2 hrs, through 6/3.  From 6/4 and on episodes have been less frequent.   On 5/25 patient contacted his 2017 Cardiologist who ordered a Troponin-I lab.  Labs were done 5/26 and were normal so we were advised to monitor but go to the ER if severe chest pain occurred.  Patient has an office visit scheduled with his Cardiologist July 2.  As of 6/12 (date of report) episodes tend to occur after moderate physical activity but clear after rest.  This pattern is similar to what patient experienced during the first 3 months following his 2017 illness.  Accordingly patient has reduced his physical activity, using chest pain episodes as an indicator of too much activity.  The 2017 illness appeared to be completely resolved after April 2018 with normal ECG, Echo, EJ and no further reports of chest pain even with normal activity levels.  May 20, 2021 was the first time this type of chest pain reoccurred.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Headache, Hyperhidrosis, Syncope
Clinical narrative: Patient was feeling light headache and sweaty after 15 minutes of the Pfizer shot. He fainted and felt on the floor. His legs were elevated after 10 seconds he was fine and refused to have any kind of medical treatments.  After 30 minutes of observation he was alert, happy and left.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Computerised tomogram pelvis, Extra dose administered, Oedema peripheral
Clinical narrative: Low Limb Edema.  Legs, ankles, Feet.  Went to Urgent Care, admitted to ER, they did blood work and head CT test. Was given Lasix, (diuretic) to reduce water weight in legs.  Have had to take 2 rounds of Lasix as swelling continues.  Currently not taking Lasix, and swelling seems to be increasing again.  Going in for heart echo (resting) Tuesday June 15 to see if myocardial or pericardial inflammation exists, since leg, ankle, foot swelling is a symptom of those.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Low Limb Edema.  Legs, ankles, Feet.  Went to Urgent Care, admitted to ER, they did blood work and head CT test. Was given Lasix, (diuretic) to reduce water weight in legs.  Have had to take 2 rounds of Lasix as swelling continues.  Currently not taking Lasix, and swelling seems to be increasing again.  Going in for heart echo (resting) Tuesday June 15 to see if myocardial or pericardial inflammation exists, since leg, ankle, foot swelling is a symptom of those.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Patient experienced vasovagal syncope about 4 to 5 minutes after vaccine.  Patient was unresponsive for about 50 seconds and then came back for a minute then was unresponsive for 10 seconds and then came back for good.  the paramedics we called and patient was checked out.  they gave her the ok to leave.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chills, Diarrhoea, Fatigue
Clinical narrative: Pain in arm, fatigue, headache, joint pain, muscle pain, diarrhea, stomach ache, nausea, chills.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Pain in extremity
Clinical narrative: Pain in arm, fatigue, headache, joint pain, muscle pain, diarrhea, stomach ache, nausea, chills.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone normal, C-reactive protein increased, Cardiomegaly, Chest discomfort, Chest pain
Clinical narrative: Woke up with chest pains when breathing, overall tightness with sharp pain in the right pectoral as well as neck pain. Waited a week and then went to an urgent care for symptoms and they sent me to ED. After evaluation I was admitted for more testing and started on treatment. Discharged on 6/10 taking ibuprofen and colchicine with outpatient follow-up on 6/17/2021.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram abnormal, Fibrin D dimer
Clinical narrative: Woke up with chest pains when breathing, overall tightness with sharp pain in the right pectoral as well as neck pain. Waited a week and then went to an urgent care for symptoms and they sent me to ED. After evaluation I was admitted for more testing and started on treatment. Discharged on 6/10 taking ibuprofen and colchicine with outpatient follow-up on 6/17/2021.