chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Suicidal ideation, Systemic candida, Vomiting
Clinical narrative: Incidental COVID +. Admitted 12/18 for suicide ideation with n/v diarrhea. COVID negative on admission. Treated for pneumonia and other bacteremia and candidemia. Found to have thickening of mitral valve with endocarditis. Plan for surgery when COVID +.  Mental and functional status declined prior to scheduled surgery.  Previous wishes for DNR/DNI.  Comfort measures initiated 1/16.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID-19 HOSPITALIZATION, SHORTNESS OF BREATH AND HYPOXIA
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Body temperature increased, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/25/2021.  65 y/o PMH HTN, COPD, Hepatitis C, Asthma, DM, Prostate CA presents to ED with hx of positive Covid test on 01/13/2022 and worsening symptoms of generalized weakness, fatigue, cough and fevers.  Pt had to increase home O2 usage from nighttime only to around the clock.  Upon arrival, O2 sats 80's, placed on 15L NRB/15L high flow.  CXR-multifocal airspace dz.  low grade temps. Treated with IV Steroids/ IV AbX and Tocilizumb.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Lung disorder, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/25/2021.  65 y/o PMH HTN, COPD, Hepatitis C, Asthma, DM, Prostate CA presents to ED with hx of positive Covid test on 01/13/2022 and worsening symptoms of generalized weakness, fatigue, cough and fevers.  Pt had to increase home O2 usage from nighttime only to around the clock.  Upon arrival, O2 sats 80's, placed on 15L NRB/15L high flow.  CXR-multifocal airspace dz.  low grade temps. Treated with IV Steroids/ IV AbX and Tocilizumb.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fluid retention, Headache, Inflammation
Clinical narrative: headache, severe arm pain, diarrhea, full body water retention and inflammation, joint pains, tingling in hands and fingers, severe bleeding from vagina to date still has water retention, inflammation, tingling in fingers, arm pain
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Vaginal haemorrhage
Clinical narrative: headache, severe arm pain, diarrhea, full body water retention and inflammation, joint pains, tingling in hands and fingers, severe bleeding from vagina to date still has water retention, inflammation, tingling in fingers, arm pain
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Mechanical urticaria, Pruritus, Swelling
Clinical narrative: I received my booster shot (moderna) on 11/18/21.  Exactly two weeks after, I started getting chronic hives: flare-ups that would occur spontaneously anywhere on my body (arms, legs, torso, back, face, neck, even head).  The hives show up as either red patches or lines (dermatographia).  On bad days, my back would look like I have been whipped - with lines of red welts.  Hives feel hot and itchy.  They keep me up at night.  If pressure is applied, I will also get hives.  For example, if I wash my face with pressure, my entire face will red and swollen looking.I have never had hives in my entire life prior to this and have no known allergies at all.  I did not introduce anything new to my diet nor exposed myself to new allergans.  To this day (approximately a month and a half later), I still have chronic hives.  I have been taking claritan once a day every day to control it but I still get flare ups.  Flare ups are particularly bad when I eat foods high in histamines (fermented foods like kimchi) although these are not new foods to my diet.  Flare ups are also bad when I'm hot.Note that I did not get hives after my first two moderna shots (in April and May 2021).
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I received my booster shot (moderna) on 11/18/21.  Exactly two weeks after, I started getting chronic hives: flare-ups that would occur spontaneously anywhere on my body (arms, legs, torso, back, face, neck, even head).  The hives show up as either red patches or lines (dermatographia).  On bad days, my back would look like I have been whipped - with lines of red welts.  Hives feel hot and itchy.  They keep me up at night.  If pressure is applied, I will also get hives.  For example, if I wash my face with pressure, my entire face will red and swollen looking.I have never had hives in my entire life prior to this and have no known allergies at all.  I did not introduce anything new to my diet nor exposed myself to new allergans.  To this day (approximately a month and a half later), I still have chronic hives.  I have been taking claritan once a day every day to control it but I still get flare ups.  Flare ups are particularly bad when I eat foods high in histamines (fermented foods like kimchi) although these are not new foods to my diet.  Flare ups are also bad when I'm hot.Note that I did not get hives after my first two moderna shots (in April and May 2021).
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Biopsy breast, Haemangioma of breast, Mammogram abnormal, Ultrasound breast abnormal
Clinical narrative: 5/12/21 annual  mammogram screening came back abnormal.  First time I had an abnormal mammogram
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Cough, Fatigue, Headache, Pain in extremity
Clinical narrative: Fatigue, headache, cough, left arm and armpit pain; starting on the evening of the 18th, ongoing on the 19th. Treated with Tylenol and ibuprofen.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Femur fracture
Clinical narrative: Intertrochanteric fx-closed, left, initial encounter. ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Paraesthesia oral, Throat tightness
Clinical narrative: Mouth started tingling, throat had feeling of tightness, voice changed. 50mg of liquid Benadryl, EpiPen. Observed in emergency department.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cough, Electrocardiogram normal, Eye swelling, Fatigue
Clinical narrative: Continuous and followed by blows between palpitations in the heart, loss of sleep, exhaustion in the events and cough followed. Visit the Clinic of cardiovascular. They did a blood sample and EKG and everything was negative. They gave me an appointment for many studies in March. I need help sooner and I am looking for a cardiologist to see me sooner because these events are very frequent and constant and I haven't been able to sleep. Today, January 19, I had an episode of bleeding in my left leg and I woke up with a swollen left eye and throbbing in my head at night. I need help before March 11 which is the appointment.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Head discomfort, Palpitations, Sleep disorder
Clinical narrative: Continuous and followed by blows between palpitations in the heart, loss of sleep, exhaustion in the events and cough followed. Visit the Clinic of cardiovascular. They did a blood sample and EKG and everything was negative. They gave me an appointment for many studies in March. I need help sooner and I am looking for a cardiologist to see me sooner because these events are very frequent and constant and I haven't been able to sleep. Today, January 19, I had an episode of bleeding in my left leg and I woke up with a swollen left eye and throbbing in my head at night. I need help before March 11 which is the appointment.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: patient presented to emergency department on 10/28/21 with fever, cough and weakness patient was admitted for further management of covid-19 patient was found to be covid-19 positive on 10/28/21 patient did require treatment for symptoms associated with covid-19 infection. treatment included dexamethasone and remdesivir patient was discharged to home on 10/30/21
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest pain, Dyspnoea
Clinical narrative: Chest pain, shortness of breath, heart flutters
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Death, Dyspnoea, Fatigue, Headache
Clinical narrative: The following day after the receiving the vaccine,  patient complained of feeling run down with a headache.  Took some tylenol for the headache.  In the proceeding days, the patient complained of body aches and feeling unwell.  Day 3-4, patient reported having shortness of breath and feeling exhausted.  Patient woke up on day 5 after the vaccine, breathing heavily.  Patient died shortly thereafter.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pain, Respiration abnormal
Clinical narrative: The following day after the receiving the vaccine,  patient complained of feeling run down with a headache.  Took some tylenol for the headache.  In the proceeding days, the patient complained of body aches and feeling unwell.  Day 3-4, patient reported having shortness of breath and feeling exhausted.  Patient woke up on day 5 after the vaccine, breathing heavily.  Patient died shortly thereafter.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Retching, Vomiting
Clinical narrative: I was experiencing vomiting, dry heaving, couldn't keep any solid or liquids down. This lasted for about two in a half weeks.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diplopia, Photopsia, Serpiginous choroiditis, Vision blurred, Vitreous floaters
Clinical narrative: Left eye start with black floating objects progressed to flashing white lights and grey matter.  Double vision and blurriness in left eye.   Treatment started with 60mg of Prednisone then Humira.  Had side of effects with both drugs.  Had stop treatment.  Currently on Methotrexate and Leucovorin.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: 01/05/2022- runny nose,  sore throat, cough. I work for a hospital and I called the Hotline and they told me to get tested and I messaged my PCP through their chart and asked her some questions. Treatment- over the counter Mucinex DM.  I took an at home test on Wednesday, 01/05/2022- and it was negative 01/06/2022 - I had a COVID-19 test- positive  01/19/2022-I still have a slight cough and a runny nose, other than that I feel fine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 01/05/2022- runny nose,  sore throat, cough. I work for a hospital and I called the Hotline and they told me to get tested and I messaged my PCP through their chart and asked her some questions. Treatment- over the counter Mucinex DM.  I took an at home test on Wednesday, 01/05/2022- and it was negative 01/06/2022 - I had a COVID-19 test- positive  01/19/2022-I still have a slight cough and a runny nose, other than that I feel fine.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriosclerosis coronary artery, Catheterisation cardiac abnormal, Chest discomfort, Coronary artery disease, Coronary artery thrombosis
Clinical narrative: admission after having an acute episode of chest tightness accompanied by SOB, found to have 2 mm inferior ST segment elevation on EKG in the ER.  He was emergently transferred where he was brought to the cath lab with finding of 99% heavily calcified mRCA lesion with thrombus noted to the rest of the RCA distal to the lesion.  ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram ST segment elevation
Clinical narrative: admission after having an acute episode of chest tightness accompanied by SOB, found to have 2 mm inferior ST segment elevation on EKG in the ER.  He was emergently transferred where he was brought to the cath lab with finding of 99% heavily calcified mRCA lesion with thrombus noted to the rest of the RCA distal to the lesion.  ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Peripheral swelling, Rash
Clinical narrative: My hands and feet began to swell. My hands became so swollen that I could not make a fist. I then broke out into a full body rash that is indicative of when I am having an allergic reaction (the same as what happens when I take amoxicillin. The doctor gave me a high dose of Benadryl with no relief and then prednisone and a steroid cream. The rash still continues and there is nothing new that I ate or that touched my skin to cause this reaction.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Ultrasound scan
Clinical narrative: Lower calf pain. Really tight and painful. Happened with dose 2 as well. With dose 2 is started 12 hours post shot. Did not resolve for weeks. Had ultrasound  and doctors apts in regard to the issue. After 5-6 weeks it went away. Dose 3 12 hours post leg pain same exact spot. Only left leg opposite vaccine arm. Sharp deep soreness and pain in calf below knee. Exact same side effect as dose 2.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Lethargy, Pyrexia
Clinical narrative: Patient came to ED lethargic with chest congestion, cough, fever, and SOB.  Patient admitted to hospital with Covid.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: Patient came to ED lethargic with chest congestion, cough, fever, and SOB.  Patient admitted to hospital with Covid.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypernatraemia, Hyperosmolar state
Clinical narrative: Hyperosmolality and/or hypernatremia - ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Chills, Diarrhoea, Lethargy
Clinical narrative: Fever, diarrhea,  vomiting,  chills, no smell or taste for 3 days and extremely lethargic (I literally could not get up off the floor).
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Pyrexia, Vomiting
Clinical narrative: Fever, diarrhea,  vomiting,  chills, no smell or taste for 3 days and extremely lethargic (I literally could not get up off the floor).
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH/ BREAKTHROUGH CASE
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Product preparation error
Clinical narrative: Patient was given vaccine that was not at right concentration.  Vaccine was supposed to be diluted with 1.3ml of saline which did not occur.  She experienced increased side effects from the vaccine such as tiredness and fatigue.  She is now back to normal as of today and feeling much better.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Back pain, Body temperature increased, COVID-19, Chest X-ray normal
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 05/31/2021.  20 y/o PMH sickle cell presents to ED with c/o sickle cell pain, lower abdominal pain and left leg pain that is consistent with sickle cell pain.  Pain is now radiating to back and pt also c/o cough, congestion and HA x4 days.  CXR no acute dz, temp 101.8.  Room air sat 99%.  Treated with IV Abx.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cough, Headache, Pain, Pain in extremity
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 05/31/2021.  20 y/o PMH sickle cell presents to ED with c/o sickle cell pain, lower abdominal pain and left leg pain that is consistent with sickle cell pain.  Pain is now radiating to back and pt also c/o cough, congestion and HA x4 days.  CXR no acute dz, temp 101.8.  Room air sat 99%.  Treated with IV Abx.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sickle cell disease, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 05/31/2021.  20 y/o PMH sickle cell presents to ED with c/o sickle cell pain, lower abdominal pain and left leg pain that is consistent with sickle cell pain.  Pain is now radiating to back and pt also c/o cough, congestion and HA x4 days.  CXR no acute dz, temp 101.8.  Room air sat 99%.  Treated with IV Abx.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Inappropriate schedule of product administration, Nausea, Skin warm, Swelling
Clinical narrative: Severe swelling, hot and red, hive along arm, and nausea.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Severe swelling, hot and red, hive along arm, and nausea.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: Acute hypoxemic respiratory failure. ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Brain natriuretic peptide increased, COVID-19 pneumonia, Cardiac failure congestive
Clinical narrative: Hospitalized 01/11/2022-still currently admitted; COVID-19 positive 01/11/2022; fully vaccinated plus booster  CHIEF COMPLAINT: Acute respiratory failure with hypoxia (HCC)     Assessment/Plan     ASSESSMENT / PLAN: Acute Respiratory failure with hypoxia  Pneumonia due to COVID 19 Virus Immunosuppressed status Vaccinated: 2 doses and booster Symptom onset: 1/4 CXR w/ scattered scattered left peripheral infiltrates and vascular congestion with possible small bilateral effusions Decadron Check procal, consider abx if elevated Not candidate for remdisivr due to renal disease Already on coumadin, check INR to ensure therapeutic Wean O2 as tolerated    Acute CHF exacerbation, unspecified type and chronicity  Elevated Troponins Hx of CAD s/p stenting Hx of Aortic Valve stenosis s/p TAVR (bioprosthetic) Hx of Complete Heart Block s/p PPM Hx of Subclavian Veinoplasty  Trop 143-- >142 BNP 5790 ECG is ventricular paced but does appear to have some increased ST elevation  No previous Hx of CHF Will obtain Echo, Consider cardiology consult pending results He was started on coumadin after TAVR, although it is bioprosthetic valve Will monitor off lasix tonight due to AKI. Low threshold to initiate if decompensates overnight Continue Toprol, ASA, statin, coumadin (pharmacy to dose) 01/14/2022 notes: Assessment and Plan Severe acute respiratory failure with hypoxia COVID19 PNA Immunosuppressed state -Currently O2 need increased from 6L-> HFNC @ 95% and 45L to maintain sats -is s/p vaccination and booster but immunosuppressed from transplant meds -procal normal  -supra therapeutic INR makes suspicion for clot low  -patient confirmed to be full code   Plan: -decadron -> solumedrol 60mg BID with eventual slow taper if he improves  -titrate O2 as able -warfarin for anticoagulation  -repeat CXR   01/18/2022 notes:  Severe acute respiratory failure with hypoxia COVID19 PNA Immunosuppressed state -Currently O2 need stable today at 80% FIO2 @ 50L/min -is s/p vaccination and booster but immunosuppressed from transplant meds -procal normal  -supra therapeutic INR makes suspicion for clot low  -patient confirmed to be full code   Plan: -solumedrol 60mg BID for 7-14 days (day 5 today) with slow prednisone taper afterwards  -titrate O2 as able -warfarin for anticoagulation  -repeat CXR  Disposition:  DC timing unclear given severe hypoxia though hopefully DC in next week given lack of improvement over last few days
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Electrocardiogram abnormal, Lung infiltration, Pulmonary congestion, Troponin
Clinical narrative: Hospitalized 01/11/2022-still currently admitted; COVID-19 positive 01/11/2022; fully vaccinated plus booster  CHIEF COMPLAINT: Acute respiratory failure with hypoxia (HCC)     Assessment/Plan     ASSESSMENT / PLAN: Acute Respiratory failure with hypoxia  Pneumonia due to COVID 19 Virus Immunosuppressed status Vaccinated: 2 doses and booster Symptom onset: 1/4 CXR w/ scattered scattered left peripheral infiltrates and vascular congestion with possible small bilateral effusions Decadron Check procal, consider abx if elevated Not candidate for remdisivr due to renal disease Already on coumadin, check INR to ensure therapeutic Wean O2 as tolerated    Acute CHF exacerbation, unspecified type and chronicity  Elevated Troponins Hx of CAD s/p stenting Hx of Aortic Valve stenosis s/p TAVR (bioprosthetic) Hx of Complete Heart Block s/p PPM Hx of Subclavian Veinoplasty  Trop 143-- >142 BNP 5790 ECG is ventricular paced but does appear to have some increased ST elevation  No previous Hx of CHF Will obtain Echo, Consider cardiology consult pending results He was started on coumadin after TAVR, although it is bioprosthetic valve Will monitor off lasix tonight due to AKI. Low threshold to initiate if decompensates overnight Continue Toprol, ASA, statin, coumadin (pharmacy to dose) 01/14/2022 notes: Assessment and Plan Severe acute respiratory failure with hypoxia COVID19 PNA Immunosuppressed state -Currently O2 need increased from 6L-> HFNC @ 95% and 45L to maintain sats -is s/p vaccination and booster but immunosuppressed from transplant meds -procal normal  -supra therapeutic INR makes suspicion for clot low  -patient confirmed to be full code   Plan: -decadron -> solumedrol 60mg BID with eventual slow taper if he improves  -titrate O2 as able -warfarin for anticoagulation  -repeat CXR   01/18/2022 notes:  Severe acute respiratory failure with hypoxia COVID19 PNA Immunosuppressed state -Currently O2 need stable today at 80% FIO2 @ 50L/min -is s/p vaccination and booster but immunosuppressed from transplant meds -procal normal  -supra therapeutic INR makes suspicion for clot low  -patient confirmed to be full code   Plan: -solumedrol 60mg BID for 7-14 days (day 5 today) with slow prednisone taper afterwards  -titrate O2 as able -warfarin for anticoagulation  -repeat CXR  Disposition:  DC timing unclear given severe hypoxia though hopefully DC in next week given lack of improvement over last few days
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Feeling cold
Clinical narrative: After several hours my heart rate reached 150bps at a resting state. My heart was popping out of my chest and I felt really bad  chest tightness and pressure very cold.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Mechanical ventilation, Thrombectomy, Thrombosis
Clinical narrative: Blood clot formation resulting in a massive stroke.  Thrombectomy performed.  On a ventilator for 4 days.  Neuro floor for 4 days.  In=patient rehab for 14 days.  Continued therapy, physical, occupational and occular.  Neuro psychology and pain management.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Atrial fibrillation, Bradycardia, COVID-19, Cardiac arrest
Clinical narrative: Patient admitted to hospital with c/o increasing SOB, increase in LE edema, weight gain, cough; CHF exacerbation; acute heart failure; positive for COVID; A Fib; AKI and worsening renal failure; CHF exacerbation worsened; increase for O2 therapy; multiorgan failure; transferred to ICU; worsening hypoxia, bradycardia, asystole; ACLS protocols with chest compressions performed; family decided to stop compressions and patient died at the hospital.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure acute, Cardiac failure congestive, Condition aggravated, Cough, Death
Clinical narrative: Patient admitted to hospital with c/o increasing SOB, increase in LE edema, weight gain, cough; CHF exacerbation; acute heart failure; positive for COVID; A Fib; AKI and worsening renal failure; CHF exacerbation worsened; increase for O2 therapy; multiorgan failure; transferred to ICU; worsening hypoxia, bradycardia, asystole; ACLS protocols with chest compressions performed; family decided to stop compressions and patient died at the hospital.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Intensive care, Multiple organ dysfunction syndrome, Oedema peripheral
Clinical narrative: Patient admitted to hospital with c/o increasing SOB, increase in LE edema, weight gain, cough; CHF exacerbation; acute heart failure; positive for COVID; A Fib; AKI and worsening renal failure; CHF exacerbation worsened; increase for O2 therapy; multiorgan failure; transferred to ICU; worsening hypoxia, bradycardia, asystole; ACLS protocols with chest compressions performed; family decided to stop compressions and patient died at the hospital.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Renal failure, Resuscitation, SARS-CoV-2 test positive, Weight increased
Clinical narrative: Patient admitted to hospital with c/o increasing SOB, increase in LE edema, weight gain, cough; CHF exacerbation; acute heart failure; positive for COVID; A Fib; AKI and worsening renal failure; CHF exacerbation worsened; increase for O2 therapy; multiorgan failure; transferred to ICU; worsening hypoxia, bradycardia, asystole; ACLS protocols with chest compressions performed; family decided to stop compressions and patient died at the hospital.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Vomiting
Clinical narrative: At 1250 pm mom called a nurse over.  It was not the nurse who administered the vaccine as she as busy with another client.  Patient had vomited and was lying on the floor.  Pale.  BP 80/58  At 1254 BP up to 86/58  Pt stated he felt better and color improved in cheeks.  Pulse 92  At 1301 Pt sitting up.  BP 90/70  Pt wanted to go to the playgroud to play and said he felt much better.  Nurse advised mom to cal PCP if anything changed.  Nurse did offer EMT, and mom refused  I talked with mom today and pt. has been completely fine.  Did play outside that day, dank plenty of fluids.  Mom did not need to call PCP.  Pt returned to school Tuesday 1/18/22.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: Hives and terrible itching and swelling
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Atelectasis, Blood bilirubin increased, Blood creatinine normal
Clinical narrative: Male with a history of alcoholic cirrhosis, continued ETOH use, MDD, anxiety, and intracranial meningioma presents for evaluation of dyspnea. Patient reports 3 days ago he began to experience dyspnea and non-productive cough with activity as well as subjective fever, chills, headache, sore throat, loose stools, and body aches. He denies any chest pain or abdominal pain at this time. These symptoms have all been relatively constant through the past 3 days, but this morning, patient developed new onset of nausea and vomiting. This coupled with the persistence of his other symptoms prompted him to present to the ED for evaluation. In the ED he was found to be hypoxic but stable. He was placed on 2L nasal cannula with  improvement of his SATS. His labs were significant for WBC 7.2, Procal 0.22, D-Dimer 457, bili 2.1, AST 230, ALT 64, Cr 0.6. A CXR was significant for atelectasis at the bilateral lung bases but no consolidation. Patient is vaccinated x 2 with Pfizer vaccine.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Male with a history of alcoholic cirrhosis, continued ETOH use, MDD, anxiety, and intracranial meningioma presents for evaluation of dyspnea. Patient reports 3 days ago he began to experience dyspnea and non-productive cough with activity as well as subjective fever, chills, headache, sore throat, loose stools, and body aches. He denies any chest pain or abdominal pain at this time. These symptoms have all been relatively constant through the past 3 days, but this morning, patient developed new onset of nausea and vomiting. This coupled with the persistence of his other symptoms prompted him to present to the ED for evaluation. In the ED he was found to be hypoxic but stable. He was placed on 2L nasal cannula with  improvement of his SATS. His labs were significant for WBC 7.2, Procal 0.22, D-Dimer 457, bili 2.1, AST 230, ALT 64, Cr 0.6. A CXR was significant for atelectasis at the bilateral lung bases but no consolidation. Patient is vaccinated x 2 with Pfizer vaccine.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Headache, Hypoxia, Nausea, Oropharyngeal pain
Clinical narrative: Male with a history of alcoholic cirrhosis, continued ETOH use, MDD, anxiety, and intracranial meningioma presents for evaluation of dyspnea. Patient reports 3 days ago he began to experience dyspnea and non-productive cough with activity as well as subjective fever, chills, headache, sore throat, loose stools, and body aches. He denies any chest pain or abdominal pain at this time. These symptoms have all been relatively constant through the past 3 days, but this morning, patient developed new onset of nausea and vomiting. This coupled with the persistence of his other symptoms prompted him to present to the ED for evaluation. In the ED he was found to be hypoxic but stable. He was placed on 2L nasal cannula with  improvement of his SATS. His labs were significant for WBC 7.2, Procal 0.22, D-Dimer 457, bili 2.1, AST 230, ALT 64, Cr 0.6. A CXR was significant for atelectasis at the bilateral lung bases but no consolidation. Patient is vaccinated x 2 with Pfizer vaccine.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Procalcitonin, Pyrexia, Vomiting, White blood cell count normal
Clinical narrative: Male with a history of alcoholic cirrhosis, continued ETOH use, MDD, anxiety, and intracranial meningioma presents for evaluation of dyspnea. Patient reports 3 days ago he began to experience dyspnea and non-productive cough with activity as well as subjective fever, chills, headache, sore throat, loose stools, and body aches. He denies any chest pain or abdominal pain at this time. These symptoms have all been relatively constant through the past 3 days, but this morning, patient developed new onset of nausea and vomiting. This coupled with the persistence of his other symptoms prompted him to present to the ED for evaluation. In the ED he was found to be hypoxic but stable. He was placed on 2L nasal cannula with  improvement of his SATS. His labs were significant for WBC 7.2, Procal 0.22, D-Dimer 457, bili 2.1, AST 230, ALT 64, Cr 0.6. A CXR was significant for atelectasis at the bilateral lung bases but no consolidation. Patient is vaccinated x 2 with Pfizer vaccine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Cardiac arrest, Cardio-respiratory arrest, Echocardiogram, Lethargy
Clinical narrative: During echo this afternoon patient became bradycardic and lethargic and rapid response team called, then went asystole and unresponsive and CODE BLUE was called.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: During echo this afternoon patient became bradycardic and lethargic and rapid response team called, then went asystole and unresponsive and CODE BLUE was called.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Product preparation issue
Clinical narrative: Patient was given vaccine that was not at right concentration.  Vaccine was supposed to be diluted with 1.3ml of saline which did not occur.  She experienced increased side effects from the vaccine such as tiredness and fatigue.  She is now back to normal as of today and feeling much better.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever 100.9 F, achey, headache, fatigue
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Injection site pain, Pain
Clinical narrative: This was a booster. Area for the booster sore,  headache, then full body aches, severe chills and dizziness
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Limb discomfort
Clinical narrative: Patient reports lower left leg tightness, along with left knee swelling. Symptom onset started two days after receiving the booster. Patient has a history of acute left knee pain; however unable to rule out if this was due to booster. Patient currently taking Tylenol and meloxicam with much improvement. Symptoms started Saturday 01/15/2022, and now resolved as of Wednesday 01/19/2022.
Age: 37.0
Sex: M
Vaccine: FLU4, HEP, HEP, TDAP
Symptoms: No adverse event
Clinical narrative: No symptoms or reactions
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo, Vision blurred
Clinical narrative: Pt. states that after receiving the 3rd dose of Phizer 01/14/2022, started experiencing symptoms that evening of vertigo, nausea, and blurry vision lasting 4hrs. No noted Primary visit/communications.
Age: 80.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Computerised tomogram thorax, Cough, Decreased appetite
Clinical narrative: Pt fully vaccinated and admitted inpatient for COVID.   * Final Report * General Admission H&P *      Chief Complaint  1/17/2022 11:50 EST      COVID +, increased SOB      History of Present Illness  80-year-old male who is well-known to me he has a complex past medical history which include aortic stenosis congestive heart failure ventricular tachycardia with AICD placement paroxysmal atrial fibrillation COPD polymyalgia rheumatica hypertension hyperlipidemia and diabetes.  Patient first developed symptoms on January 1.  I did a home COVID test on January 4 which was positive he had another COVID test on January 5 was positive.  His prednisone dose was increased to 20 mg a day for 5 days starting on January 10.  He was having a cough shortness of breath and weakness he was also prescribed Robitussin-AC at that time.  He is not eating he has lost more than 11 pounds since he has been sick he is very weak.  He gets out of breath with minimal exertion such as walking across the room.  He was seen in the office today and although he was feeling little bit better he was very weak and needed assistance getting up and walking.  He was noted to have low blood pressure.  As there were no beds for direct admission he was referred to the emergency room.
Age: 80.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Gait disturbance, Hypotension, Illness
Clinical narrative: Pt fully vaccinated and admitted inpatient for COVID.   * Final Report * General Admission H&P *      Chief Complaint  1/17/2022 11:50 EST      COVID +, increased SOB      History of Present Illness  80-year-old male who is well-known to me he has a complex past medical history which include aortic stenosis congestive heart failure ventricular tachycardia with AICD placement paroxysmal atrial fibrillation COPD polymyalgia rheumatica hypertension hyperlipidemia and diabetes.  Patient first developed symptoms on January 1.  I did a home COVID test on January 4 which was positive he had another COVID test on January 5 was positive.  His prednisone dose was increased to 20 mg a day for 5 days starting on January 10.  He was having a cough shortness of breath and weakness he was also prescribed Robitussin-AC at that time.  He is not eating he has lost more than 11 pounds since he has been sick he is very weak.  He gets out of breath with minimal exertion such as walking across the room.  He was seen in the office today and although he was feeling little bit better he was very weak and needed assistance getting up and walking.  He was noted to have low blood pressure.  As there were no beds for direct admission he was referred to the emergency room.
Age: 80.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Weight decreased
Clinical narrative: Pt fully vaccinated and admitted inpatient for COVID.   * Final Report * General Admission H&P *      Chief Complaint  1/17/2022 11:50 EST      COVID +, increased SOB      History of Present Illness  80-year-old male who is well-known to me he has a complex past medical history which include aortic stenosis congestive heart failure ventricular tachycardia with AICD placement paroxysmal atrial fibrillation COPD polymyalgia rheumatica hypertension hyperlipidemia and diabetes.  Patient first developed symptoms on January 1.  I did a home COVID test on January 4 which was positive he had another COVID test on January 5 was positive.  His prednisone dose was increased to 20 mg a day for 5 days starting on January 10.  He was having a cough shortness of breath and weakness he was also prescribed Robitussin-AC at that time.  He is not eating he has lost more than 11 pounds since he has been sick he is very weak.  He gets out of breath with minimal exertion such as walking across the room.  He was seen in the office today and although he was feeling little bit better he was very weak and needed assistance getting up and walking.  He was noted to have low blood pressure.  As there were no beds for direct admission he was referred to the emergency room.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Cellulitis
Clinical narrative: Cellulitis was diagnosis by urgent care.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Cerebrovascular accident, Confusional state, Hyperglycaemia, Magnetic resonance imaging head
Clinical narrative: Patient admitted to hospital May 8, 2021, with hyperglycemia and confusion, found to have an acute/subacute left PCA stroke. Onset symptoms 3 days previous, tPA not given.  Also treated for UTI.  He was discharged to acute rehab for 2 weeks, then discharged home.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging neck, Urinary tract infection
Clinical narrative: Patient admitted to hospital May 8, 2021, with hyperglycemia and confusion, found to have an acute/subacute left PCA stroke. Onset symptoms 3 days previous, tPA not given.  Also treated for UTI.  He was discharged to acute rehab for 2 weeks, then discharged home.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Myositis, Sleep disorder
Clinical narrative: Starting in January, I have had joint pain in my left knee as well as swelling behind the knee joint.  It has increasingly got worse to the point it is waking me at night.  I have also had pain in my right elbow that never existed before the vaccine.  The bicep muscle gets inflamed right at the insertion point into the joint.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Blood potassium increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is fully vaccinated.  Vaccinated recently in August.  COVID + on 12/8/2021.  Hospitalized from 12/7-12/14. Admitted with SOB and hypoxia.Hyperkalemia (5.5).+ for Thrombocytopenia.    Patient is a knoVitals: Blood pressure 95/57, pulse 60, temperature 97 °F (36.1 °C), resp. rate 16, height 172.7 cm (5' 8"), weight 61.7 kg (136 lb), SpO2 93 %.wn case of congestive heart failure coronary artery disease and diabetes who presented to the hospital acute.   Respiratory failure related to COVID pneumonia.   Patient is status post been treated with IV steroid and also IV antibiotic for the pneumonia. Lovenox SubQ daily Patient will continue on Breo inhaler daily and albuterol nebuizer.    Patient condition continued to be improving and patient weaned off from high-flow oxygen to nasal cannula. Discussed the case with the brother who opted for the patient to be transitioned to go to subacute rehab.  Discharged to rehab.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hyperkalaemia, Hypoxia, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: Patient is fully vaccinated.  Vaccinated recently in August.  COVID + on 12/8/2021.  Hospitalized from 12/7-12/14. Admitted with SOB and hypoxia.Hyperkalemia (5.5).+ for Thrombocytopenia.    Patient is a knoVitals: Blood pressure 95/57, pulse 60, temperature 97 °F (36.1 °C), resp. rate 16, height 172.7 cm (5' 8"), weight 61.7 kg (136 lb), SpO2 93 %.wn case of congestive heart failure coronary artery disease and diabetes who presented to the hospital acute.   Respiratory failure related to COVID pneumonia.   Patient is status post been treated with IV steroid and also IV antibiotic for the pneumonia. Lovenox SubQ daily Patient will continue on Breo inhaler daily and albuterol nebuizer.    Patient condition continued to be improving and patient weaned off from high-flow oxygen to nasal cannula. Discussed the case with the brother who opted for the patient to be transitioned to go to subacute rehab.  Discharged to rehab.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Decreased appetite, Diarrhoea, Dizziness, Migraine, Nausea
Clinical narrative: Started shaking about 90 minutes after the shot, pain throughout the body, migraine splitting headache, diarrhea and nausea, dizziness, loss of appetite, skin rash and itchiness throughout the body
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pruritus, Rash, Tremor
Clinical narrative: Started shaking about 90 minutes after the shot, pain throughout the body, migraine splitting headache, diarrhea and nausea, dizziness, loss of appetite, skin rash and itchiness throughout the body
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrogh COVID
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for COVID-19 tested positive for COVID-19.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Flushing, Headache, Hypoaesthesia
Clinical narrative: Fingers/Toes are numb/cold/prickly. Also experienced throbbing Headache, Fever (102.5), Chills, Fatigue, Lethargy since 5 last afternoon. Flushed, swollen face and limbs.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Paraesthesia, Peripheral coldness, Peripheral swelling, Pyrexia
Clinical narrative: Fingers/Toes are numb/cold/prickly. Also experienced throbbing Headache, Fever (102.5), Chills, Fatigue, Lethargy since 5 last afternoon. Flushed, swollen face and limbs.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Fingers/Toes are numb/cold/prickly. Also experienced throbbing Headache, Fever (102.5), Chills, Fatigue, Lethargy since 5 last afternoon. Flushed, swollen face and limbs.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Pruritus, Urticaria
Clinical narrative: Several days after the Moderna Booster, my entire body started to itch - uncontrollably.  When I scratch and dried off with my towel after a shower, welts would appear.  I've been taking an antihistamine to control the itch, but the itching still occurs today - I was hoping it would go away after some time, but has not subsided yet.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope
Clinical narrative: Patient received a booster dose of Pfizer COVID-19 vaccine after previously completing his primary series with Moderna.  After vaccination, patient had a syncopal episode and fell to ground.  LOC lasted ~10-15 seconds.  Upon regaining consiousness, patient was positioned on his back with his legs raised.  Water was provided to patient.  PA at Health Center came and evaluated patient.  Vials: HR 77, BP 94/64, O2 98%.    Patient was then able to get into a seated position and was offered a soda.  Patient remained seated for 25 minutes and felt good enough to return to his room.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 1/2/22 but still given
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test positive, Diabetic ketoacidosis, Insulin C-peptide decreased, Laboratory test abnormal, Type 1 diabetes mellitus
Clinical narrative: Patient admitted to hospital with DKA 1 week after getting 2nd dose of Moderna vaccine.  Subsequent lab workup showed evidence of type 1 diabetes, positive antibodies, low C-peptide
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection
Clinical narrative: Breakthrough COVID
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Chest X-ray abnormal, Death
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/10/2021 and 3/31/201. Presented to ED with complaints of weakness, diarrhea, and altered mental status. Admitted for hepatic encephalopathy and COVID-19 infection. Treated with dexamethasone, remdesivir, antibiotics, ascorbic acid, zinc, vitamin D, paralytics, and pressors. Developed pulmonary edema, respiratory status decompensated requiring mechanical ventilation with proning. On 1/10/2022, patient was made DNAR/COT and hemodialysis was initiated. On 1/11/2022, the patient went in to PEA arrest and expired..
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Haemodialysis, Hepatic encephalopathy, Lung infiltration, Mechanical ventilation
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/10/2021 and 3/31/201. Presented to ED with complaints of weakness, diarrhea, and altered mental status. Admitted for hepatic encephalopathy and COVID-19 infection. Treated with dexamethasone, remdesivir, antibiotics, ascorbic acid, zinc, vitamin D, paralytics, and pressors. Developed pulmonary edema, respiratory status decompensated requiring mechanical ventilation with proning. On 1/10/2022, patient was made DNAR/COT and hemodialysis was initiated. On 1/11/2022, the patient went in to PEA arrest and expired..
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Prone position, Pulmonary oedema, Pulseless electrical activity, SARS-CoV-2 test positive
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/10/2021 and 3/31/201. Presented to ED with complaints of weakness, diarrhea, and altered mental status. Admitted for hepatic encephalopathy and COVID-19 infection. Treated with dexamethasone, remdesivir, antibiotics, ascorbic acid, zinc, vitamin D, paralytics, and pressors. Developed pulmonary edema, respiratory status decompensated requiring mechanical ventilation with proning. On 1/10/2022, patient was made DNAR/COT and hemodialysis was initiated. On 1/11/2022, the patient went in to PEA arrest and expired..
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acidosis, Acute respiratory failure, COVID-19, Cough, Death
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 1/25/2021, and 8/22/2021. Presented to ED on 12/31/2021 with complaints of shortness of breath, cough, and positive COVID test on 12/29/2021. Admitted 12/31/2022 for acute hypoxemic respiratory failure 2/2 Covid-19, intubated in the emergency department and transferred to the ICU. Patient was started on remdesivir and dexamethasone. On 1/10/2022 patient became progressively hypotensive and acidotic, developed septic shock. Expired 1/11/2022.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Hypotension, Inappropriate schedule of product administration, Intensive care
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 1/25/2021, and 8/22/2021. Presented to ED on 12/31/2021 with complaints of shortness of breath, cough, and positive COVID test on 12/29/2021. Admitted 12/31/2022 for acute hypoxemic respiratory failure 2/2 Covid-19, intubated in the emergency department and transferred to the ICU. Patient was started on remdesivir and dexamethasone. On 1/10/2022 patient became progressively hypotensive and acidotic, developed septic shock. Expired 1/11/2022.