chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation normal
Clinical narrative: 28 minutes after PT. received vaccine she told RN on duty she felt funny"heart fluttery", , light headed, dizzy B/P 190/110 HR 70-80,98-99% RA per facility RN. 0932 182/105, HR 60-70, 99% RA per RN 0945 Continue to monitor  180/95, HR 60-72, 99%RA blood glucose 90( PT ate breakfast) RN @ bedside chair 0954 119/91, 99% RA , 60-73 HR feels better but has headache 10:00 ambulance called10:08 208/96,  68-76 HR 99.24% 10:13 Ambulance arrives,report given  40 Medic 10:20 210/112 per EMS monitor HR80 100% RA  10:28 Loaded onto stretcher left with EMS
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 40 hours after receiving the vaccine I am experiencing dizziness.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, HIV antibody negative, Headache, Heart rate increased
Clinical narrative: On 12/18/20 @ 2:58 PM,  the patient experienced a really bad headache directly after received the vaccine. Her heart rate elevated 135 with heart palpation. Her BP was 178/92. She was very dizziness, short of breath, her had a hives all over her chest.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Palpitations
Clinical narrative: On 12/18/20 @ 2:58 PM,  the patient experienced a really bad headache directly after received the vaccine. Her heart rate elevated 135 with heart palpation. Her BP was 178/92. She was very dizziness, short of breath, her had a hives all over her chest.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oropharyngeal discomfort, Rash, Rash macular
Clinical narrative: Approximately softball sized rash developed on LUQ and with additional around left flank area approximately 2 hours after injection.  The redness/rashes went away spontaneously after another 2 hours. During that time, a little discomfort in left side of throat, but no change in lung sounds, uvula or any other respiratory concerns. Later in the day (approximately 4-6 hours), baseball sized redness presented on triceps bilaterally and splotchy redness on lumbar area (about 2-3 areas). Redness/rash is still present on both triceps the next day 22 hours after injection.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever of 102 F that developed within 12 hours of vaccination and resolved within 24 hours of onset.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pain, Pyrexia, Rhinorrhoea, Sinus congestion
Clinical narrative: Fever 102 Sinus congestion dry cough runny nose body aches
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Comminuted fracture, Epistaxis, Facial bones fracture, Haemorrhage, Loss of consciousness
Clinical narrative: Patient is a pleasant 83 y.o. female pediatrician with history of Sjogren's, hypothyroidism, hyperlipidemia, hypertension who had been at Hospital to get her Covid vaccine.  30 minutes after doing so she reports being in the lobby and about to walk upstairs and feeling fine. The next thing she knows she wakes up on the stairs with her nose and face bleeding surrounded by healthcare team. She denies any precipitating symptoms such as chest pain, shortness of breath, fevers dizziness, headache.  She reports feeling well otherwise in the last few days.  I did a thorough bony palpation exam including spine and he only point of tenderness besides on her face was the area above her right ankle. She does not have a history of syncope or collapse
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Subcutaneous haematoma, Tenderness
Clinical narrative: Patient is a pleasant 83 y.o. female pediatrician with history of Sjogren's, hypothyroidism, hyperlipidemia, hypertension who had been at Hospital to get her Covid vaccine.  30 minutes after doing so she reports being in the lobby and about to walk upstairs and feeling fine. The next thing she knows she wakes up on the stairs with her nose and face bleeding surrounded by healthcare team. She denies any precipitating symptoms such as chest pain, shortness of breath, fevers dizziness, headache.  She reports feeling well otherwise in the last few days.  I did a thorough bony palpation exam including spine and he only point of tenderness besides on her face was the area above her right ankle. She does not have a history of syncope or collapse
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, Chest X-ray, Computerised tomogram head, Computerised tomogram neck, Echocardiogram
Clinical narrative: Patient is a pleasant 83 y.o. female pediatrician with history of Sjogren's, hypothyroidism, hyperlipidemia, hypertension who had been at Hospital to get her Covid vaccine.  30 minutes after doing so she reports being in the lobby and about to walk upstairs and feeling fine. The next thing she knows she wakes up on the stairs with her nose and face bleeding surrounded by healthcare team. She denies any precipitating symptoms such as chest pain, shortness of breath, fevers dizziness, headache.  She reports feeling well otherwise in the last few days.  I did a thorough bony palpation exam including spine and he only point of tenderness besides on her face was the area above her right ankle. She does not have a history of syncope or collapse
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram, Face injury, Facial bones fracture, Fall, Full blood count
Clinical narrative: Patient is a pleasant 83 y.o. female pediatrician with history of Sjogren's, hypothyroidism, hyperlipidemia, hypertension who had been at Hospital to get her Covid vaccine.  30 minutes after doing so she reports being in the lobby and about to walk upstairs and feeling fine. The next thing she knows she wakes up on the stairs with her nose and face bleeding surrounded by healthcare team. She denies any precipitating symptoms such as chest pain, shortness of breath, fevers dizziness, headache.  She reports feeling well otherwise in the last few days.  I did a thorough bony palpation exam including spine and he only point of tenderness besides on her face was the area above her right ankle. She does not have a history of syncope or collapse
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemorrhage, Loss of consciousness, Metabolic function test, Skin laceration, Thyroxine free
Clinical narrative: Patient is a pleasant 83 y.o. female pediatrician with history of Sjogren's, hypothyroidism, hyperlipidemia, hypertension who had been at Hospital to get her Covid vaccine.  30 minutes after doing so she reports being in the lobby and about to walk upstairs and feeling fine. The next thing she knows she wakes up on the stairs with her nose and face bleeding surrounded by healthcare team. She denies any precipitating symptoms such as chest pain, shortness of breath, fevers dizziness, headache.  She reports feeling well otherwise in the last few days.  I did a thorough bony palpation exam including spine and he only point of tenderness besides on her face was the area above her right ankle. She does not have a history of syncope or collapse
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: X-ray limb
Clinical narrative: Patient is a pleasant 83 y.o. female pediatrician with history of Sjogren's, hypothyroidism, hyperlipidemia, hypertension who had been at Hospital to get her Covid vaccine.  30 minutes after doing so she reports being in the lobby and about to walk upstairs and feeling fine. The next thing she knows she wakes up on the stairs with her nose and face bleeding surrounded by healthcare team. She denies any precipitating symptoms such as chest pain, shortness of breath, fevers dizziness, headache.  She reports feeling well otherwise in the last few days.  I did a thorough bony palpation exam including spine and he only point of tenderness besides on her face was the area above her right ankle. She does not have a history of syncope or collapse
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Chest X-ray, Computerised tomogram, Echocardiogram, Electrocardiogram
Clinical narrative: Patient is a pleasant 83 y.o. female pediatrician with history of Sjogren's, hypothyroidism, hyperlipidemia, hypertension who had been at Hospital to get her Covid vaccine.  30 minutes after doing so she reports being in the lobby and about to walk upstairs and feeling fine. The next thing she knows she wakes up on the stairs with her nose and face bleeding surrounded by healthcare team. She denies any precipitating symptoms such as chest pain, shortness of breath, fevers dizziness, headache.  She reports feeling well otherwise in the last few days.  I did a thorough bony palpation exam including spine and he only point of tenderness besides on her face was the area above her right ankle. She does not have a history of syncope or collapse
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Facial bones fracture, Fall, Inappropriate schedule of product administration, Loss of consciousness, Skin laceration
Clinical narrative: Patient is a pleasant 83 y.o. female pediatrician with history of Sjogren's, hypothyroidism, hyperlipidemia, hypertension who had been at Hospital to get her Covid vaccine.  30 minutes after doing so she reports being in the lobby and about to walk upstairs and feeling fine. The next thing she knows she wakes up on the stairs with her nose and face bleeding surrounded by healthcare team. She denies any precipitating symptoms such as chest pain, shortness of breath, fevers dizziness, headache.  She reports feeling well otherwise in the last few days.  I did a thorough bony palpation exam including spine and he only point of tenderness besides on her face was the area above her right ankle. She does not have a history of syncope or collapse
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Palpitations, Sinus tachycardia, Supraventricular tachycardia
Clinical narrative: Patient had vaccine at 1330 on 12/20. At around 1815 she began experiencing heart palpitations. She presented to the ED and she was found to have a heart rate in the 130s. EKG showed junctional tachycardia. She was given 6mg of adenosine and an EKG was repeated and showed sinus tachycardia. Eventually her heart rate decreased to the 70s-90s. She was noted to have a potassium of 3.4 which was repleted. She was admitted overnight for observation. In the morning her potassium was normal and she remained in sinus rhythm. She was discharged later that afternoon.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Headache, Myalgia
Clinical narrative: Headache, fatigue, nausea, tachycardia, muscle pains, chills, subjective fever and subjective shortness of breath
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Tachycardia
Clinical narrative: Headache, fatigue, nausea, tachycardia, muscle pains, chills, subjective fever and subjective shortness of breath
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy, SARS-CoV-2 test negative
Clinical narrative: Swelling and redness at injection site, swelling of lymph nodes in the same arm as injection site, painful
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling abnormal, Tremor
Clinical narrative: Employee reported chills, shaking, dizziness "like you feel after you faint, spacey".
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Oxygen saturation normal, Palpitations
Clinical narrative: Patient became lightheaded.  Felt palpatations.  No shortness of breath.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: Metallic Taste
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Injection site swelling, Myalgia, Pyrexia
Clinical narrative: ?Pfizer-BioNTech COVID-19 Vaccine EUA"  Fever of 101, generalized myalgias, injection site swelling and pain
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling throughout body
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Injection site erythema, Injection site swelling
Clinical narrative: The patient experience tightness of her chest. She was hook up to be monitored. Her BP was 185/91. Her heart rate was 122. Her O2 level was 100. The nusre notice swelling at the area of the site with mild erythema (redness).
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Myalgia
Clinical narrative: Most severe symptoms was injection site soreness initially, followed by overall myalgias, chills, and fatigue. Recovered in 2 days.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Nausea, initial SBP is 155/87 and heart rate 101.  Repeat BP was 134/84 and heart rate 94.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactoid reaction, Oxygen therapy, Stridor
Clinical narrative: Anaphylaxis type reaction, stridor, treated with 02, epi pen, moved to hospitals ED
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Hypoaesthesia, Oxygen saturation normal, Palpitations
Clinical narrative: 8am EE noted fanning herself, states she feels warm but just got off nights.  Ice pack given for neck. 8:03 C/O itchiness on chest, heart racing, neck and chest with mild redness.  No SOB or tightness in throat.  RN notified and came to assist.  Left arm vaccine injection site asymptomatic.  EE refused Benadryl. BP 143/105, P81 PO 100% 8:08am Continue to feel itchy on chest and neck BP 153/91 P-76 PO 100% continue to refuse Benadryl 8:10am Benadryl 25mg po given, juice and crackers 8:14am BP 151/86 P-65 PO 100% changed to reclining chair to elevate feet, no tightness in chest or throat. 8:20am EE c/o left arm tingling/numbness down to fingers, denies CP no SOB, states it is like she hit her funny bone. BP 151/86 P75 PO 100% RN notified and evaluated her. 8:35am EE feeling cool. BP 131/88 P-69 PO 100%.  EE states she feels like the Benadryl is working , redness less on neck and states she feels more relaxed, continues to have left arm numbness. 9am EE states she feels better, a little itchy on neck but no redness.  BP 123/87 P 73 numbness decreased and almost gone.  OK to go home per RN and instructed to take Benadryl when she gets home and to call the Covid vaccine hotline if needed or 911 if any resp. distress or CP.  Requested her to text or email RN when she arrives home. EE states she understands.  RN states she heard from EE and she is home.  RN
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus
Clinical narrative: 8am EE noted fanning herself, states she feels warm but just got off nights.  Ice pack given for neck. 8:03 C/O itchiness on chest, heart racing, neck and chest with mild redness.  No SOB or tightness in throat.  RN notified and came to assist.  Left arm vaccine injection site asymptomatic.  EE refused Benadryl. BP 143/105, P81 PO 100% 8:08am Continue to feel itchy on chest and neck BP 153/91 P-76 PO 100% continue to refuse Benadryl 8:10am Benadryl 25mg po given, juice and crackers 8:14am BP 151/86 P-65 PO 100% changed to reclining chair to elevate feet, no tightness in chest or throat. 8:20am EE c/o left arm tingling/numbness down to fingers, denies CP no SOB, states it is like she hit her funny bone. BP 151/86 P75 PO 100% RN notified and evaluated her. 8:35am EE feeling cool. BP 131/88 P-69 PO 100%.  EE states she feels like the Benadryl is working , redness less on neck and states she feels more relaxed, continues to have left arm numbness. 9am EE states she feels better, a little itchy on neck but no redness.  BP 123/87 P 73 numbness decreased and almost gone.  OK to go home per RN and instructed to take Benadryl when she gets home and to call the Covid vaccine hotline if needed or 911 if any resp. distress or CP.  Requested her to text or email RN when she arrives home. EE states she understands.  RN states she heard from EE and she is home.  RN
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Pain
Clinical narrative: slightly elevated temp (99 deg), chills, body aches, headache over 18 hrs period
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Immediate post-injection reaction, Influenza virus test negative, Pain, Pain in extremity
Clinical narrative: Immediately after the vaccination my arm got super sore. On, 12/17 at 10am  while at work I developed a  99.1 fever, chills and severe body aches all over called Employee Health and management and was given a COVID test which was neg and was sent home.  I took 600 mg motrin and around 8pm that night I began to feel better. I previously had symptomatic COVID in July.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Immediately after the vaccination my arm got super sore. On, 12/17 at 10am  while at work I developed a  99.1 fever, chills and severe body aches all over called Employee Health and management and was given a COVID test which was neg and was sent home.  I took 600 mg motrin and around 8pm that night I began to feel better. I previously had symptomatic COVID in July.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pain in extremity
Clinical narrative: 12/19- nausea & headache.  12/20- bodyache, sore arm & headache
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Oxygen saturation normal, Palpitations, Rash
Clinical narrative: 8:33am EE states she feels flushed and heart racing.  BP 141/83 P-96 PO 100% Refused Benadryl.  Denies SOB, chest or throat tightness, no itchiness.   RN notified. 8:40am C/O warmth, no itchiness, no SOB, no tightness in chest or throat. BP 137/81 P-77 PO 100%. 8:50am 138/83 P-65 PO 98% abdomen with some light rash. 8:55am Benadryl 25mg given per RN 9:05am BP 129/87 P68 PO 100% c/o left eye feeling warm, no redness. 9:30am BP 127/84 P69 PO 100% denies heart racing, feels fine, Instructed to take Benadryl again if has reoccurrence and to call the Covid vaccine line or 911 if any resp distress.  EE states she understands. RN
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Oxygen saturation normal
Clinical narrative: Patient states my lip feels like it is swelling, patient lower lip with swelling noted. Patient assisted to Emergency Dept via W/C 02 sat 99%, B/P 150/88, HR 99
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Feeling hot, Headache, Hypersomnia, Impaired work ability
Clinical narrative: 12/17/2020 Woke up at about 7am, pain at injection  site, swelling.  At end of day, started to have extreme HA and joint pain. Tried to sleep as much as possible. But 12/18/2020 felt even worse.  Was unable to report to work. Mgr recommended the rapid test for Covid on 12/18/2020.  *drive up test.  Didn't want to take tylenol to mask fever. Rested friday and sat. Felt better 12/19/2020. Symptoms were mild to moderate.  Temp highest was 37.9  12/20/2020 'still feel warm', body aches, joint pain, headache are 'still there' but 'more tolerable'.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pyrexia, SARS-CoV-2 test negative, Swelling
Clinical narrative: 12/17/2020 Woke up at about 7am, pain at injection  site, swelling.  At end of day, started to have extreme HA and joint pain. Tried to sleep as much as possible. But 12/18/2020 felt even worse.  Was unable to report to work. Mgr recommended the rapid test for Covid on 12/18/2020.  *drive up test.  Didn't want to take tylenol to mask fever. Rested friday and sat. Felt better 12/19/2020. Symptoms were mild to moderate.  Temp highest was 37.9  12/20/2020 'still feel warm', body aches, joint pain, headache are 'still there' but 'more tolerable'.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Productive cough
Clinical narrative: Recurrence of the exact symptoms I had when I had COVID in March, 2020, but less intense and for only one day.  These were severe fatigue and wet cough.  No fever. It was like deja vu, but only lasted 24 hours.  No other new symptoms.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Confusional state, Dizziness, Feeling drunk, Nausea
Clinical narrative: Started feeling confused. Stated felt like she was drunk.  laid her down on the gurney progressed to abdominal pain, nausea and vomiting.  Light headed confused, tingling in legs.  Sent to the Emergency room
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Vomiting
Clinical narrative: Started feeling confused. Stated felt like she was drunk.  laid her down on the gurney progressed to abdominal pain, nausea and vomiting.  Light headed confused, tingling in legs.  Sent to the Emergency room
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Injection site swelling, Myalgia, Pyrexia
Clinical narrative: swelling at site of injection, fever 102.3F, muscle ache, chills
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Oxygen saturation normal
Clinical narrative: 30 min, c/o feeling light headed, BP 129/71, 98% RA, HR 66, R 16. Sx resolved.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Fatigue, Lymph node pain, Lymphadenitis, Lymphadenopathy
Clinical narrative: Increased Fatigue on day one after 1st dose.  mild Left axillary lymphadenopathy.  Axillary swelling, and tenderness radiating into left breast and very mild into left anterior neck. . 2/10 on pain scale. Constant Dull discomfort. Not really worse with movement.  Axillary lymphadenopathy and tenderness more noticeable on day 2 after receiving 1st dose of vaccine. NO SOB, dyspnea, fever, change in heart rate.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Flushing, Malaise, Rash, Rash erythematous
Clinical narrative: Patient became very flushed and ee stated she was not feeling well. BP: 156/96-176-96 HR: 80-98. Patient states this was not normal bp. continued to monitor pt and noted to have reddened rash on face. Patient to ED for further evaluation.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Ocular hyperaemia, Oxygen saturation normal, Palpitations
Clinical narrative: 9:50 am patient states she does not feel right, feels funny, leaning over in chair,  denies SOB no CP c/o of heart racing, NKA RN and RN summoned to help.  Patient laid down on floor. BP 192/103 P-112 PO 100%.  Eyes noted to be pink, denies itchiness. RN called 911, advised not to give Benadryl.  9:55am BP 178/99 P-119 PO 100% patient continue to feel heart racing but no SOB, chest or throat tightness.  10am BP 177/100 P-114 PO 100% continues to be A&O x3 no resp. distress 10:03 EMS arrived and took her to the ER. Patient states her 15 min observation time was up at 10:05am. RN
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Paraesthesia
Clinical narrative: Woke up out of sleep and felt very warm, and a tingling sensation which started mid thoracic region which then traveled up to base of my neck and then spread bilaterally to both arms and hands; was brief and then just dissipated
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: 30 min, c/o L hand (btw 2nd and 3rd finger) swelling, no pain, no itching.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Motion sickness, Nausea, Vomiting
Clinical narrative: Nausea- started about 48 hours after injection.  Began with a feeling of slight motion sickness and progressed over the next 12 hours to be severe enough to cause vomiting.  Nausea only present when standing and improves when laying down.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache
Clinical narrative: Patient reports having experienced a headache the evening after vaccine administration. This was shot number 2 in her Shingrix series. The patient reported no headache with the first vaccine. The patient does have a history of headaches/migraines, so the patient was unsure if the vaccine triggered the vaccine or not. The patient tried Tylenol Sinus with no relief, so then she tried taking Zomig before bedtime, still with no relief. The next morning, the patient tried taking Fioricet, still with no relief. After trying those three medications, the patient called the pharmacy to report her symptoms and potential reaction. At the time of this submission, the patient has not sought out any additional medical attention.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site paraesthesia
Clinical narrative: 30 min, c/o slight numbness, tingling at injection site arm (L) vitals taken WNL. Sx resolved.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Oxygen saturation normal, Pain, Pain in extremity
Clinical narrative: shortly after receiving COVID vaccine, patient complained of arm hurting with shooting pains down to her elbow and fingers. Patient started shivering, HR 129, BP 131/78 o2 sat 98%. continued to monitor employee. physician at side 800mg ibuprofen given. Patient hr down to 111 and bp 135/97. Patient refused evaluation in ED. was released and escorted by physician out of department.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Flushing, Hyperhidrosis, Injection site pain
Clinical narrative: Very painful to injection site that woke me up the night of 12/17 into 12/18. Became febrile at 100.5F oral Friday 12/18 with body aches, joint pain, extreme fatigue, skin hurt between 4-5pm. 600 mg ibuprofen helped, however became flushed and sweaty.   Saturday 12/19 woke up feeling fine. Around 3pm, body aches started again with bilateral hip pain, extreme fatigue, sweating. Temp was 101.1F oral at 7:15pm. I took 500mg acetaminophen and 600mg ibuprofen.   Today, again woke up feeling fine at 9am, felt asymptotic. On the way to work at 10am, became sweaty/fatigued/body aches again. At work, 10:45am temp was 99.6F oral. I took 500/600 of Tylenol and ibuprofen.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain of skin, Pyrexia
Clinical narrative: Very painful to injection site that woke me up the night of 12/17 into 12/18. Became febrile at 100.5F oral Friday 12/18 with body aches, joint pain, extreme fatigue, skin hurt between 4-5pm. 600 mg ibuprofen helped, however became flushed and sweaty.   Saturday 12/19 woke up feeling fine. Around 3pm, body aches started again with bilateral hip pain, extreme fatigue, sweating. Temp was 101.1F oral at 7:15pm. I took 500mg acetaminophen and 600mg ibuprofen.   Today, again woke up feeling fine at 9am, felt asymptotic. On the way to work at 10am, became sweaty/fatigued/body aches again. At work, 10:45am temp was 99.6F oral. I took 500/600 of Tylenol and ibuprofen.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: Experiencing decreased sensation in bottom lip. No decrease in function. No facial droop. Just decreased sensation/numbness. Started on the second morning after the vaccine. No exposure to known allergies.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis, Pallor
Clinical narrative: Injection given 07:58 am, at 08:12 Patient described feeling dizzy, was diaphoretic V/S at 0812 178/99 Temp 97.0,  0813- 182/101 P-112, O2 Sat 98% on room air Respirations within normal limits, alert oriented,  patient described feeling a little shortness of breath able to speak in full sentences, transferred to gurney and taken to Emergency Room, skin pale. While waiting for intake patient stated shortness of breath was feeling a little better, repeated BP 0827- 146/94 care transferred to Emergency Room
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Tachycardia, Tremor
Clinical narrative: Within 5 minutes of receiving vaccine, Pt.t started to feel shaky and nauseous, became tachycardic, however patient stated she rushed to get here and was not sure if that was the reason. Pulse at this time was 100.   She felt she was going to pass out. I got water for the patient and also gave her peppermint candy, after about 10 minutes she didn't feel she was getting worse but she didn't feel much better. She did not want RRT called. I gave 25mg of Benadryl.  Within 5-10 minutes after the Benadryl she started to notice symptoms improving. After 20 minutes patient is standing and no longer feels she is going to pass out.  Patient called her husband to pick her up.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal discomfort
Clinical narrative: Patient stated he didn't feel well after receiving vaccine. Patient stated his throat felt funny, BP 186/94, HR: 117, o2 99%. Patient went to ED for further evaluation.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Body temperature increased, COVID-19, Chills
Clinical narrative: at 1am after vaccination, woke up with body aches, couldn't sleep, restless till 0430. Woke up with mild congestion, cough, fatigue, lt. arm sore at site.  Body aches continued throughout day.  Contributed it to shot. Slept good Friday night, woke up Friday with mild cough, congestion, fatigue, runny nose, sore throat.  Tested for COVID Friday morning with Binax and was positive.  Symptoms have worsened since then; loss of taste and smell.  Has had temp as high as 101 on Saturday, low 99's on Friday.  Chills, SOB, and fatigue. on Saturday
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Injection site pain, Insomnia
Clinical narrative: at 1am after vaccination, woke up with body aches, couldn't sleep, restless till 0430. Woke up with mild congestion, cough, fatigue, lt. arm sore at site.  Body aches continued throughout day.  Contributed it to shot. Slept good Friday night, woke up Friday with mild cough, congestion, fatigue, runny nose, sore throat.  Tested for COVID Friday morning with Binax and was positive.  Symptoms have worsened since then; loss of taste and smell.  Has had temp as high as 101 on Saturday, low 99's on Friday.  Chills, SOB, and fatigue. on Saturday
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Respiratory tract congestion, Restlessness, Rhinorrhoea
Clinical narrative: at 1am after vaccination, woke up with body aches, couldn't sleep, restless till 0430. Woke up with mild congestion, cough, fatigue, lt. arm sore at site.  Body aches continued throughout day.  Contributed it to shot. Slept good Friday night, woke up Friday with mild cough, congestion, fatigue, runny nose, sore throat.  Tested for COVID Friday morning with Binax and was positive.  Symptoms have worsened since then; loss of taste and smell.  Has had temp as high as 101 on Saturday, low 99's on Friday.  Chills, SOB, and fatigue. on Saturday
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: at 1am after vaccination, woke up with body aches, couldn't sleep, restless till 0430. Woke up with mild congestion, cough, fatigue, lt. arm sore at site.  Body aches continued throughout day.  Contributed it to shot. Slept good Friday night, woke up Friday with mild cough, congestion, fatigue, runny nose, sore throat.  Tested for COVID Friday morning with Binax and was positive.  Symptoms have worsened since then; loss of taste and smell.  Has had temp as high as 101 on Saturday, low 99's on Friday.  Chills, SOB, and fatigue. on Saturday
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Pain, Penile rash, Rash, Scrotal dermatitis
Clinical narrative: 12/18/2020 scrotal pain. Evening onset of rash 12/19/2020 Rash lower lumber, left butt cheek, scrotum and penis. Took picture and sent to Consult with infectious disease. Doctor deemed rash to be SHINGLES and prescribed Valtrex. By evening, rash had progressed all over and pain associated with shingles.  12/20/2020  Stable but rash is still prominent.  Consult over tele
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Scrotal pain
Clinical narrative: 12/18/2020 scrotal pain. Evening onset of rash 12/19/2020 Rash lower lumber, left butt cheek, scrotum and penis. Took picture and sent to Consult with infectious disease. Doctor deemed rash to be SHINGLES and prescribed Valtrex. By evening, rash had progressed all over and pain associated with shingles.  12/20/2020  Stable but rash is still prominent.  Consult over tele
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Groin pain, Lymphadenopathy, Pain, Penile rash, Rash
Clinical narrative: 12/18/2020 scrotal pain. Evening onset of rash 12/19/2020 Rash lower lumber, left butt cheek, scrotum and penis. Took picture and sent to Consult with infectious disease. Doctor deemed rash to be SHINGLES and prescribed Valtrex. By evening, rash had progressed all over and pain associated with shingles.  12/20/2020  Stable but rash is still prominent.  Consult over tele
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash vesicular, Scab, Scrotal dermatitis, Scrotal pain
Clinical narrative: 12/18/2020 scrotal pain. Evening onset of rash 12/19/2020 Rash lower lumber, left butt cheek, scrotum and penis. Took picture and sent to Consult with infectious disease. Doctor deemed rash to be SHINGLES and prescribed Valtrex. By evening, rash had progressed all over and pain associated with shingles.  12/20/2020  Stable but rash is still prominent.  Consult over tele
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Galactostasis
Clinical narrative: Pt  is currently breastfeeding. Pt reported having 4 clogged milk ducts. 3 on the same side as injection and one on the other. All have resolved at this time through breastfeeding and pumping. No other symptoms.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Myalgia, Nausea, Pain in extremity
Clinical narrative: I had aching muscles, headaches, diarrhea, nausea, pain in my arms and legs and vomitting.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Vomiting
Clinical narrative: I had aching muscles, headaches, diarrhea, nausea, pain in my arms and legs and vomitting.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: 12/19 1000 developed chills, 1230-body aches, nausea, and headache, fever 101.5 (self reported), 1300 fever increased to 102 (self reported), fever then increased to 106 (self reported).  Pt reported dizziness.  Visited ER.  Fever 100.8 on arrival.  Patient reports taking PO advil, tylenol, and benadryl.  Used ice packs at home to decrease fever.  TX in ER with IVF, tylenol, and zofran.  D/c from ER.  OHN f/u 12/20-patient feeling better, resting at home, denies fever.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 12/19 1000 developed chills, 1230-body aches, nausea, and headache, fever 101.5 (self reported), 1300 fever increased to 102 (self reported), fever then increased to 106 (self reported).  Pt reported dizziness.  Visited ER.  Fever 100.8 on arrival.  Patient reports taking PO advil, tylenol, and benadryl.  Used ice packs at home to decrease fever.  TX in ER with IVF, tylenol, and zofran.  D/c from ER.  OHN f/u 12/20-patient feeling better, resting at home, denies fever.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Flushing, Headache, Heart rate increased
Clinical narrative: 4 minutes after injection I felt flushed and shaky, my resting heart rate went from 64-135 in <1 min and stayed over 130 for 16 minutes. It dropped to 100-111 after that and I felt fine. I was released after 20 min. It remained elevated 90-110 all day. I was able to see it all on my Apple Watch and pulse rate palpated at same number. 11hrs after injection my face became incredibly hot, it felt like a sunburn and I was red and flushed (face only) for 4hrs. I took naproxen and went to bed. Only myalgia and headache next morning. It resolved by 12/19/20
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nervousness
Clinical narrative: 4 minutes after injection I felt flushed and shaky, my resting heart rate went from 64-135 in <1 min and stayed over 130 for 16 minutes. It dropped to 100-111 after that and I felt fine. I was released after 20 min. It remained elevated 90-110 all day. I was able to see it all on my Apple Watch and pulse rate palpated at same number. 11hrs after injection my face became incredibly hot, it felt like a sunburn and I was red and flushed (face only) for 4hrs. I took naproxen and went to bed. Only myalgia and headache next morning. It resolved by 12/19/20
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: headache and nausea around 2am...throwing up...reso;ved by 2:30am
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Tachycardia
Clinical narrative: Patient complained of tachycardia. Dr. examined the patient who stated he had a regular rhythm. After one minute of sitting, he felt better. After sitting for another 5 minutes the patient stated he was feeling tachycardia again. Denied any dizziness or lightheadedness. Dr called down to the ED. Patient escorted down to ED where they did an EKG and discharged him.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Approx 45 minutes after injection, patient reported generalized itching.  Patient was given Zyrtec 10mg.  Itching continued.  Patient was given Diphenhydramine oral.  Itching resolved.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Flank pain, Herpes simplex, Herpes simplex reactivation, Lymph node pain, Malaise
Clinical narrative: Reactivation of HSV2 virus, outbreak on left buttock/flank and related lymphnode tenderness, flank pain, body aches, malaise.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Reactivation of HSV2 virus, outbreak on left buttock/flank and related lymphnode tenderness, flank pain, body aches, malaise.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase normal, Aspartate aminotransferase normal, Atrial fibrillation, Blood albumin normal
Clinical narrative: The patient was well prior to vaccination (12/17). The day after, he felt mildly unwell and had a low grade fever. The following day, he had a fever of 102.  He received 1L of fluid at Urgent Care and had a BP ion the 80s. Shortly thereafter, he felt palpitations and developed AF. He came to the hospital where he was tachycardia to 200 bpm and hypotensive to SBP70s. He received aggressive fluid resuscitation (4L), IV metoprolol and was started on empiric Abx. Within several hours, the HR lowered, BP increased, and AF spontaneously converted to sinus. He had no dysuria. Curtures so far have not shown growth at our hospital. Urinary culture from urgent care has reportedly shows 20k gram positive cocci.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood creatinine normal, Blood culture negative, Blood lactic acid decreased, Blood potassium decreased
Clinical narrative: The patient was well prior to vaccination (12/17). The day after, he felt mildly unwell and had a low grade fever. The following day, he had a fever of 102.  He received 1L of fluid at Urgent Care and had a BP ion the 80s. Shortly thereafter, he felt palpitations and developed AF. He came to the hospital where he was tachycardia to 200 bpm and hypotensive to SBP70s. He received aggressive fluid resuscitation (4L), IV metoprolol and was started on empiric Abx. Within several hours, the HR lowered, BP increased, and AF spontaneously converted to sinus. He had no dysuria. Curtures so far have not shown growth at our hospital. Urinary culture from urgent care has reportedly shows 20k gram positive cocci.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Gram stain positive, Haematocrit decreased, Hypotension, International normalised ratio increased
Clinical narrative: The patient was well prior to vaccination (12/17). The day after, he felt mildly unwell and had a low grade fever. The following day, he had a fever of 102.  He received 1L of fluid at Urgent Care and had a BP ion the 80s. Shortly thereafter, he felt palpitations and developed AF. He came to the hospital where he was tachycardia to 200 bpm and hypotensive to SBP70s. He received aggressive fluid resuscitation (4L), IV metoprolol and was started on empiric Abx. Within several hours, the HR lowered, BP increased, and AF spontaneously converted to sinus. He had no dysuria. Curtures so far have not shown growth at our hospital. Urinary culture from urgent care has reportedly shows 20k gram positive cocci.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Palpitations, Platelet count normal, Procalcitonin increased, Protein total normal
Clinical narrative: The patient was well prior to vaccination (12/17). The day after, he felt mildly unwell and had a low grade fever. The following day, he had a fever of 102.  He received 1L of fluid at Urgent Care and had a BP ion the 80s. Shortly thereafter, he felt palpitations and developed AF. He came to the hospital where he was tachycardia to 200 bpm and hypotensive to SBP70s. He received aggressive fluid resuscitation (4L), IV metoprolol and was started on empiric Abx. Within several hours, the HR lowered, BP increased, and AF spontaneously converted to sinus. He had no dysuria. Curtures so far have not shown growth at our hospital. Urinary culture from urgent care has reportedly shows 20k gram positive cocci.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Tachycardia, White blood cell count increased
Clinical narrative: The patient was well prior to vaccination (12/17). The day after, he felt mildly unwell and had a low grade fever. The following day, he had a fever of 102.  He received 1L of fluid at Urgent Care and had a BP ion the 80s. Shortly thereafter, he felt palpitations and developed AF. He came to the hospital where he was tachycardia to 200 bpm and hypotensive to SBP70s. He received aggressive fluid resuscitation (4L), IV metoprolol and was started on empiric Abx. Within several hours, the HR lowered, BP increased, and AF spontaneously converted to sinus. He had no dysuria. Curtures so far have not shown growth at our hospital. Urinary culture from urgent care has reportedly shows 20k gram positive cocci.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Scalloped tongue, Swollen tongue, Tongue discomfort
Clinical narrative: Approximately 15 hours after getting vaccine, the morning after, noticed slight tongue discomfort. Feeling slight swelling of tongue,  noticed scalloped appearance. Noticed for about 24 hours, seems to be mostly normal now. Did not take any medication. Was not in any distress really, just seemed to be an uncommon side effect and thought I should report. Only medication allergy in past was keflex many years ago and was described as serum sickness and treated with Prednisone.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Feeling abnormal, Flushing, Hyperhidrosis, Hypertension
Clinical narrative: 15 minutes after injection. Tachycardia, Diaphoresis, mildly hypertensive, facial flushing, waxing and waning symptoms
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: 15 minutes after injection. Tachycardia, Diaphoresis, mildly hypertensive, facial flushing, waxing and waning symptoms
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Headache, Injection site pain, Oropharyngeal pain, Vision blurred
Clinical narrative: Headache, injection site pain, blurry eyes, hoarseness, sore throat
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Tingling in face shortly after dose for approximately. Symptoms resolved after eating a meal.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Hypertension
Clinical narrative: Symptoms: light headedness persisting 3 days after administration, high BP occasionally
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: 102 temperature started around 11pm on the 17th. Fever went back to normal evening time on the 18th- treated with ibuprofen. Body aches started same time as fever and lasted until the 19th- treated with ibuprofen. Severe fatigue started the night of the 17th  and has lasted until the 20th. Severe headaches started the night of the 19th.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: A slight small itchy rash in left hand that stopped itching  pretty quickly
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Petechiae
Clinical narrative: Petechiae - very mild on proximal area of right thigh.  Noted two days after vaccine.  Appears to be resolving.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Periorbital oedema
Clinical narrative: Periorbital edema upon wakening that resolves throughout the day but reappears the next morning
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction
Clinical narrative: Patient reported onset of mild headache immediately following injection of vaccine. Resolved after 30 min observation.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Flushing, Palpitations
Clinical narrative: The patient expericence lightheadness, flushed, heart palpation, and chest tightness. Her vital are BP 119/54, 62 heart rate, O2 was 99. The patient was monitored until the symptoms went away. It all passed within 20 minutes. The patient was walked to her car by employee.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction
Clinical narrative: Patient reported onset of slight headache immediately following vaccine injection. Resolved at time of dc after 30 min obs.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Urticaria
Clinical narrative: Swollen lymph node on right side of neck the morning after receiving the vaccine. Telehealth appt with PCM who prescribed 800mg ibuprofen.  Took 200mg motrin for swelling because i have not had the chance to pick up prescription. The following day, swollen lymph node continued and broke out in hives approx at 1300. Went to emergency room and was given an oral steroid (dekadone?). Prescribed prednisone, claritin, and Benadryl.  Have taken 1 claritin a day. Hives have disappeared within 5 hrs of oral steroid. Swollen lymph node persists and has enlarged. Painful  and swollen past the jaw line.  Will return to ER today for pain and continued swelling as directed by ER.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dry mouth, Fatigue, Flushing
Clinical narrative: Burning at injection site,  then elevated heart rate, flush, and light headedness. I was kept and observed for another 30 minutes at the hospital and everything returned to normal. Then,  I developed severe dry mouth and congestion, post nasal drip,  headache,  and nausea. I drank 3 liters of water with continued dry mouth,  intermittent feelings of flush and light headedness for the next 3 hours, but no fever.  After that subsided,  I had only chills and headache that were resolved by the next morning.  Now I have only arm soreness and mild fatigue.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Injection site pain, Nausea, Pain in extremity
Clinical narrative: Burning at injection site,  then elevated heart rate, flush, and light headedness. I was kept and observed for another 30 minutes at the hospital and everything returned to normal. Then,  I developed severe dry mouth and congestion, post nasal drip,  headache,  and nausea. I drank 3 liters of water with continued dry mouth,  intermittent feelings of flush and light headedness for the next 3 hours, but no fever.  After that subsided,  I had only chills and headache that were resolved by the next morning.  Now I have only arm soreness and mild fatigue.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Upper-airway cough syndrome
Clinical narrative: Burning at injection site,  then elevated heart rate, flush, and light headedness. I was kept and observed for another 30 minutes at the hospital and everything returned to normal. Then,  I developed severe dry mouth and congestion, post nasal drip,  headache,  and nausea. I drank 3 liters of water with continued dry mouth,  intermittent feelings of flush and light headedness for the next 3 hours, but no fever.  After that subsided,  I had only chills and headache that were resolved by the next morning.  Now I have only arm soreness and mild fatigue.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Immediate post-injection reaction
Clinical narrative: Felt an initial "cool" feeling all over immediately following vaccine injection, this resolved immediately as well.