chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Loss of consciousness, Seizure, Skin laceration
Clinical narrative: Patient fell from chair to floor hitting head and sustaining small laceration above left eye.  He also experienced mild seizure activity that lasted approx 10 seconds. Patient quickly regained consciousness and was assisted to triage area. BP 140/86, HR 82, O2 sat 97%RA. EMT came and assessed client and cleared him to leave. Client ambulated out of facility without difficulty
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: Chills, body ache, headache, possible fever.  All except headache  were from 12a - 4a.   Headache and "run over by a Mac truck" feeling continued throughout March 9.  Feeling 95% normal on morning of March 10.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Paraesthesia, Rash erythematous, Skin ulcer, Swelling face
Clinical narrative: Open sore left side of face. Tingling Left Side of Face. Porcupine needle pricks all over body. Swollen face left side. Red Rash lower back, left side torso, thighs, upper back. THis started 2 days after the shot. It is now 1 week later and my left face is hurting around site of open sore that popped up. I have never had an open sore on my face. This is NEW.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia, Throat tightness
Clinical narrative: Complained of tingling and throat tighness.  Stretcher,v/s150/88,HR89, O2sat 100 on RA. Color, pink, warm and   dry.  reassurance offered. Discharged without issue.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia
Clinical narrative: this morning she noted a red blotch on her left eye sclera. her right eye is fine. she denies rubbing her eye, foreign body, or coughing or sneezing or force. instructed not likely related but asked to call back if worsening, vision loss, or blurred vision. wash hands well after touching face. call back prn.Followed up with patient today. She said that the red blotch in her eye is still there but not as red and can tell that it is going away. It doesn't bother her. She did contact her PCP and they told her that it is likely not related. She thanked me for my call. Will close case.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased
Clinical narrative: 60 year old female experienced increasednheart rate and SOB 8 minute after receiving vaccine, Patient is on 4 liters of 02. History of COPD & pulmonary hypertension, on list for lung transplant. EMS called
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Mobility decreased
Clinical narrative: First two days, typical injection site soreness; third day my left shoulder joint had a tendonitis feel to it and it has progressively worsened such that range of motion is limited and certain movements very painful
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angioedema, Dyspnoea, Swelling face, Urticaria
Clinical narrative: Angioedema, Urticaria, hives, shortness of breath  Developed facial swelling approx 3h after receipt of 1st-dose Moderna COVID-19 vaccine.  Subsequently developed hives and trouble breathing.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Dyspnoea, Swelling face, Urticaria
Clinical narrative: Angioedema, Urticaria, hives, shortness of breath  Developed facial swelling approx 3h after receipt of 1st-dose Moderna COVID-19 vaccine.  Subsequently developed hives and trouble breathing.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Foetal death, Ultrasound antenatal screen abnormal, Uterine dilation and curettage
Clinical narrative: I received my second vaccination in the morning on 02-04-21. I visited my OBGYN that afternoon learned that I was approximately seven weeks pregnant, and that my baby was healthy with a heartbeat,  I returned to the OBGYN four weeks later for my routine visit and leaned that the fetus had died around week 8, which was approximately one week after receiving the vaccine. I had no other issues or complications that would have contributed to my miscarriage.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Hives and rash on torso.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: all over body aches, extreme exhaustion and headache - tiredness noticed late afternoon - gradual progression to exhaustion - fever of 99.2 in the night and a residual head throb in the morning
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pain
Clinical narrative: General muscle soreness and body aches, chills and headaches, similar to ?coming down with the flu? - lasted 36 hours
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash macular, Rash papular
Clinical narrative: "She is a 28 year-old female calling today with a chief complaint of a rash. Her symptoms started about three days ago. She got her first Pfizer covid-19 vaccine last Thursday, 5 days ago. 2 days later she started to develop some itching on the bottom of her foot and then shortly after started to develop a blotchy rash on the foot. She woke up today and now has a rash over the majority of her body, it is under her arms, on her chest, her knees, her sides, upper back, inguinal area and legs. She is not having any trouble breathing or swallowing. There is no chance she is pregnant. The rash is not itchy except for the small area on her foot. She took Benadryl once the first night she had some itching which helps."
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Dizziness, Headache, Myalgia, Nausea
Clinical narrative: headache, nausea, lightheaded, chills, tired, muscle bone pain (lower back and pelvis) lasted 10 days
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Rash erythematous, Rash pruritic
Clinical narrative: About 7am 6 Mar 21, about 20hours after injection severe joint pain, in all my joints fingers, toes, up to knees elbows, and even back and neck. I used Aleve for this and heating pad.  Severe headache as well.  No Fever. These symptoms lasted about 24 hours. On Monday about 8am I discovered red rash, 1/4 inch in diameter on face, back, arms and legs. which were widely dispersed and were itchy. Benadryl was used to relieve itching and ease clothing rubbing against the pustule like areas. Appear similar to an insect bite.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Feeling abnormal, Flushing, Sinus congestion, Skin warm
Clinical narrative: I became warm and flushed  all over a few minutes after shot , then foggy feeling with congestion in sinus. I waited about 20 minutes and left  I spoke to my allergist and he said that I had experienced mild anaphylaxis and should not take dose 2 of the vaccine
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Dyspnoea
Clinical narrative: THURSDAY STARTED WITH CHILLS AND SEVERE BACK PAIN ALONG THE BELT LINE.  HE CALLED (PCP).  COMPLAINED OF SOB (SHORTNESS OF BREATH).  NO FEVER.  AUDIBLE SOB SO HEALTHCARE PROVIDER INSTRUCTED THE PATIENT TO GO TO THE URGENT CARE OR CALL DR. ASAP.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Mom states pt woke up on 3/9 complaining of pain in left leg. Mom noted swelling, redness and warmth to touch on left anterior thigh. Mom called office and spoke with RN. RN advised to mark reddened area, apply cool compress and give Motrin. Mom had given Motrin and taken pt to daycare. Advised if worsening symptoms, have pt seen.  Mom presented to office with pt the afternoon of 3/9. Pt complained of pain in left leg. Left thigh was notably larger in girth than the right thigh. There was dispersed light redness noted on anterior  of left thigh with warmth to the touch.  No fever noted. Pt was assessed by Dr. Pt was seen walking around office without issue.  Called mom om 3/10/2021. Mom says the thigh continues to be a little swollen, but less than the day before. No other symptoms. Pt is walking and playing.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Urticaria, Vomiting
Clinical narrative: Headache, chills and vomiting twelve hours after my shot. Eight hours later I broke out in hives.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Flatulence, Headache, Hyperhidrosis
Clinical narrative: Headache and injection site pain day 1-3, Body ache, fever, chills, sweats, diarrhea, vomiting's, and gas day 3-5.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pyrexia, Vomiting
Clinical narrative: Headache and injection site pain day 1-3, Body ache, fever, chills, sweats, diarrhea, vomiting's, and gas day 3-5.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Eye swelling, Lip swelling, Pruritus, Urticaria
Clinical narrative: Severe itching, welps, lips and eye swelled slighty.  Most of my body was red. Looked like I was subnurnt.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: At the shot site in my arm a week later it became red and feverish and hard for about two or three days also itching and then it was gone I understand that it was is now called covid-19 on
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: body pain immediately following vaccine--left side of body--same side as vaccine: neck, sides, hips, back. That ended within a half an hour. Felt ok for a few hours. Headache starting around 2:30. Neck and back pain around 8.  Chills, body aches, fever throughout the night and into the next day. Chills subsided. Body aches continued. Side/rib pain noted for 2 days. Sweats continued on and off. Localized arm pain for 4 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: body pain immediately following vaccine--left side of body--same side as vaccine: neck, sides, hips, back. That ended within a half an hour. Felt ok for a few hours. Headache starting around 2:30. Neck and back pain around 8.  Chills, body aches, fever throughout the night and into the next day. Chills subsided. Body aches continued. Side/rib pain noted for 2 days. Sweats continued on and off. Localized arm pain for 4 days.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: patient received moderna covid vaccine via im route started experiencing shortness of breath pharmacist administered benedryl and epi pen
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient is 17 not 18
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Asthenia, Blood chloride increased, Blood creatinine normal, Blood glucose normal
Clinical narrative: High blood pressure, tachycardia,  difficulty breathing air, mental confusion, dizziness, nausea, asthenia, numbness arms hands and legs, couldn't move arms, flushing facial on neck and arms, hyporexia.. applied hydrocortisone and medication to reduce blood pressure.. I was hospitalized for 3 hours and they sent me home.. reoccurance 12 hours later but with greater intensity and I was hospitalized again.. I am the patient and I am a medical doctor..
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea normal, Confusional state, Decreased appetite
Clinical narrative: High blood pressure, tachycardia,  difficulty breathing air, mental confusion, dizziness, nausea, asthenia, numbness arms hands and legs, couldn't move arms, flushing facial on neck and arms, hyporexia.. applied hydrocortisone and medication to reduce blood pressure.. I was hospitalized for 3 hours and they sent me home.. reoccurance 12 hours later but with greater intensity and I was hospitalized again.. I am the patient and I am a medical doctor..
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Flushing, Full blood count, Haematocrit normal
Clinical narrative: High blood pressure, tachycardia,  difficulty breathing air, mental confusion, dizziness, nausea, asthenia, numbness arms hands and legs, couldn't move arms, flushing facial on neck and arms, hyporexia.. applied hydrocortisone and medication to reduce blood pressure.. I was hospitalized for 3 hours and they sent me home.. reoccurance 12 hours later but with greater intensity and I was hospitalized again.. I am the patient and I am a medical doctor..
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Hypertension, Hypoaesthesia, International normalised ratio increased, Joint range of motion decreased
Clinical narrative: High blood pressure, tachycardia,  difficulty breathing air, mental confusion, dizziness, nausea, asthenia, numbness arms hands and legs, couldn't move arms, flushing facial on neck and arms, hyporexia.. applied hydrocortisone and medication to reduce blood pressure.. I was hospitalized for 3 hours and they sent me home.. reoccurance 12 hours later but with greater intensity and I was hospitalized again.. I am the patient and I am a medical doctor..
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count, Monocyte count, Nausea, Neutrophil count, Platelet count normal
Clinical narrative: High blood pressure, tachycardia,  difficulty breathing air, mental confusion, dizziness, nausea, asthenia, numbness arms hands and legs, couldn't move arms, flushing facial on neck and arms, hyporexia.. applied hydrocortisone and medication to reduce blood pressure.. I was hospitalized for 3 hours and they sent me home.. reoccurance 12 hours later but with greater intensity and I was hospitalized again.. I am the patient and I am a medical doctor..
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Prothrombin time prolonged, Tachycardia, White blood cell count increased
Clinical narrative: High blood pressure, tachycardia,  difficulty breathing air, mental confusion, dizziness, nausea, asthenia, numbness arms hands and legs, couldn't move arms, flushing facial on neck and arms, hyporexia.. applied hydrocortisone and medication to reduce blood pressure.. I was hospitalized for 3 hours and they sent me home.. reoccurance 12 hours later but with greater intensity and I was hospitalized again.. I am the patient and I am a medical doctor..
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: Patient returns to vaccine location two hours after vaccine, stating within minutes she had sensation of tingling on the left side of her face and tongue. No other symptoms. Vaccine clinic was closed for the day, encouraged to seek care at an acute care. Confirms understanding.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever chills headache
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Pain
Clinical narrative: Pain runs from pelvis to clavicle, dry cough, fatigued, aching(most noticeable), happens in 2-3 hour spurts, headache on front left lobe, happened once Thursday twice yesterday, through the night, and this morning. Not as strong as before but still going. Has tried to self medicate with extra Norco, and tylenol but did not help  For many people the headache, fatigue, and aches tend to happen after receiving the vaccine.  The pain radiating from your pelvis to your clavicle is not a symptom I have seen and can be something unrelated to the vaccine or COVID, if symptoms persist check with PCP or go to ED.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Continuing pain in left arm from date of vaccination on 2/24/2021.  No other side effects like fever. Took ibuprofen and used a heating pad. Went to PCP today and have prescription for MOBIC to help with discomfort and suggested icing and  movement of affected arm. Will get next vaccine shot 03/20/2021 at 8:20 am in right arm and hope that I don't the same side effect in that arm.  Is it possible to get the injection in a different muscle site?
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Heart rate increased
Clinical narrative: I felt no immediate side effects of the shot, but 2 hours later, while sitting calmly, my heart rate suddenly elevated and I began to feel light headed. My home blood pressure monitoring kit provided a reading of 149/99 and a resting heart rate of 108. Normally, my blood pressure is very well maintained with my meds and hovers in the 118/75 range. My resting heart rate is usually below 70. I was going to dial 911 but within 5 minutes, my heart rate began to slow down and I felt better. When I rechecked my numbers at 8 pm, BP was down to 118/80 and resting heart rate was 70.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Fatigue, Headache, Pain
Clinical narrative: Triggered periodic Fever sydrome, chronic fatigue headaches body aches joint pain hives - took steroids
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urticaria
Clinical narrative: Triggered periodic Fever sydrome, chronic fatigue headaches body aches joint pain hives - took steroids
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Limb discomfort, Loss of personal independence in daily activities, Pain in extremity, Sleep disorder
Clinical narrative: Heavy, aching legs from the knee down. Knees throb. Right shoulder intermittent aching. Walking affected in that the aching reduced distance I could comfortably cover. Dragging body after a walk beyond a quarter of a mile. worst symptoms in the evening and night. Sleep disturbed on many nights. tylenol helped but did not always allow for a good sleep.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: Pain, but not as bad as day 1. Warm, red patch with one bump in the center, about 5 in long and 3 in across. The bump is sometimes itchy.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Heart rate increased
Clinical narrative: About 9 hours after the injection, I experienced chills, increased heart rate, and headache. I began taking alternate doses of aspirin and acetaminophen.  By 5 a.m., chills were gone.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Epistaxis, Erythema, International normalised ratio increased
Clinical narrative: Following the vaccine she was at the grocery store around 5:00 PM, her granddaughter asked her why her mask was red, and she noticed that she had a dripping nose bleed, and left and by the time she got home it was done.   Then, 2/21/21, she had another nose bleed, was at a pizza place in the car, and felt like she had to spit and it was blood and had a smaller nose bleed that did not last night.  The next one 2/26/21, was in the store and had a dripping nose bleed again, took a while to get it stopped, but by the time she left the store she was fine.  Then Saturday 2/27/21, she kept getting up in the night and had nose bleeds off and on, and managed through the night and the morning.  She went to the ER in the morning on 2/28/21, and her nose was packed with dissolving packing and gave her a prescription for 3 pills to take to prevent her from getting an infection.    During the night Sunday night she had a very bad night and went to the ER again on 3/1/21 at around 5:00 AM.  They then packed her nose with a balloon and then got the first prescription filled that she took.  On Wednesday she went back to the ER and they removed the balloon and now has been fine.  Her Coumadin has been up and down during this period of time.  Her INR reading was 4.5 on 2/28/21, and subsequently has gone down to where it is quite low.  No issues with the injection site.  She has never had nosebleeds prior to the vaccine.   In October/November she had a procedure she had a hernia repair and had a COVID test and since then she has had a tinge on tissue, but not a nose bleed.   These were mainly on the right until she had the profuse one, and then it was both nostrils as well as coming out of her mouth.   Has an appointment with the ENT on 3/18/21.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia, Injection site mass, Injection site swelling, Pain in extremity
Clinical narrative: One week after my vaccination my left arm felt sore down to my hand and my hand felt a little numb.  The day after on March 5 in the afternoon my arm felt hot and there was a sort or lump just below the injection area and it was swollen and red about a 3 inch circle.   This lasted Friday, then the swelling began to go down and was hardly noticeable the next evening except for a some redness that lasted for a few more days.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: One week after my vaccination my left arm felt sore down to my hand and my hand felt a little numb.  The day after on March 5 in the afternoon my arm felt hot and there was a sort or lump just below the injection area and it was swollen and red about a 3 inch circle.   This lasted Friday, then the swelling began to go down and was hardly noticeable the next evening except for a some redness that lasted for a few more days.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Throat tightness, Wheezing
Clinical narrative: Pt received dose 1 of PfizerBiontech COVID Vaccine AT 1318. He was observed 30min without complaint and left without incident. He returned at 1356 c/o" throat and chest tightness." Upon assessment, wheezing is noted bilaterally. Resp Rate and Work of Breathing Within Normal Limits. Denies any other complaints and exhibits no further signs or symptoms. Albuterol/Atrovent Neb as well as IV Benaryl 50mg administered on scene and patient states his tightness is improving/resolving. Continues to denye further Complaints. Responding units Fire Department  and Ambulance arrive on scene and care handed over to crew. Assessments, care, and treatment continued enroute and patient transported to ED
Age: 81.0
Sex: M
Vaccine: UNK
Symptoms: Body temperature increased, Chills
Clinical narrative: On March 8 at 6 pm started getting chills. At 3 am temperature was 103.7.  Took an extra strength Tyneol.  On March 9 during day fever came . At 2 am on March 10 temperature was 102.5. At 8 am on Marc 10 . Temperature 101.4.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy
Clinical narrative: Miscarriage following COVID vaccine.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Oropharyngeal discomfort, Paranasal sinus discomfort, Throat tightness
Clinical narrative: 32 y/o male with history of allergic rhinitis here for first COVID vaccine (Pfizer).  Within 20 minutes or so of being vaccinated (the patient was observed for 15 minutes and then left as per normal procedure, went upstairs to get medications at the pharmacy when started to have symptoms) - throat tightness/fullness/feeling of constriction but no inability to swallow or breathe.  Walked back to the vaccination area for evaluation.  No prior reactions to medications or vaccines.  No rash, itching, dyspnea, lightheadedness.   Symptoms coincident to vaccination with COVID-19 Pfizer vaccine - throat tightness, sinus fullness and chest heaviness.  No abnormalities on physical exam or vitals other than slight elevation in BP.  Due to progression of symptoms, lack of resolution treated with antihistamine and epinephrine 0.3mg IM left thigh.  Called 911 to transport patient for observation in the ED.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus, Rash, Rash erythematous, Rash papular
Clinical narrative: - covid shot Thursday at 1445 - upper lip swelling at 1730 Thursday - Friday fine til evening and was complaining of itching - Saturday morning red raised areas that were itchy on back, buttocks, and back of thighs. Denies discharge. - today better, areas still there, but lighter in color and has not complained of itching so far.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Dysstasia, Gait disturbance, Headache, Hypoaesthesia
Clinical narrative: 4 days fever over 102, vomiting, day 2 unable to stand or walk, shortness of breath for 3 days to the point it was hard to talk. day 3, delayed skin reaction hive at injection site, along with hives on chest, back, thighs. both feet and both hands fully numb for 3 days. severe headache.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Pyrexia, Speech disorder, Urticaria, Vomiting
Clinical narrative: 4 days fever over 102, vomiting, day 2 unable to stand or walk, shortness of breath for 3 days to the point it was hard to talk. day 3, delayed skin reaction hive at injection site, along with hives on chest, back, thighs. both feet and both hands fully numb for 3 days. severe headache.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chills, Computerised tomogram head, Dizziness, Generalised tonic-clonic seizure
Clinical narrative: Received vaccine at 825 am, low grade temp, chills, body aches, temp never over 100.4, at approximately 1:00am woke up to use restroom, felt lightheaded, nauseated.  Passed out, hit head and had tonic-clonic seizure.  No history of syncope or seizures.  Transported to ER by EMS.  given fluids, completed labwork and CT head, given concussion protocol.  Discharged and arrived home by 5:00am.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Loss of consciousness, Nausea, Pain, Pyrexia
Clinical narrative: Received vaccine at 825 am, low grade temp, chills, body aches, temp never over 100.4, at approximately 1:00am woke up to use restroom, felt lightheaded, nauseated.  Passed out, hit head and had tonic-clonic seizure.  No history of syncope or seizures.  Transported to ER by EMS.  given fluids, completed labwork and CT head, given concussion protocol.  Discharged and arrived home by 5:00am.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Computerised tomogram abnormal, Fatigue, Nausea, Pancreatitis acute
Clinical narrative: Onset of pain in mid/lower right quadrant of abdomen, fever, nausea, fatigue roughly 60 hours after injection.  Vomiting began 75 hours after injection.  Symptoms lasted 96 hours.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Onset of pain in mid/lower right quadrant of abdomen, fever, nausea, fatigue roughly 60 hours after injection.  Vomiting began 75 hours after injection.  Symptoms lasted 96 hours.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Impaired work ability, Pyrexia
Clinical narrative: I exp low grade fever 100.5 on Saturday, diarrhea and severe joint pain.On Wed/Thurs I had to miss work due symptoms.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Malaise, Nausea, Pyrexia
Clinical narrative: General malaise within 1 hour of injection. Worsening to fever, chills, severe headache, and nausea within 6 hours of injection. No medication taken. Symptoms returned to general malaise 30 hours after injection.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is younger than 18. No other side effects from shot. She works at the pharmacy on register and the patient and her parents wanted her to get the vaccine
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Nausea, Pyrexia
Clinical narrative: Fever up to 102 Severe headache for 24 hours Nausea Chills Severe joint pain - felt like I was in fire
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram, Diarrhoea, Fatigue, Headache
Clinical narrative: Vomit 2/18/21 12 hours Diarrhea 2/18/21  8 hours Sore muscles 2/18/21 - 2/19/21 48 hours, Advil Fatigue 2/18/21 - Current date Ache in the back of my head, lower right side 2/18/21 - Current date, Aleve helps it for short periods Bell's Palsy 2/25/21 - Current date, no medication
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Myalgia, Vomiting
Clinical narrative: Vomit 2/18/21 12 hours Diarrhea 2/18/21  8 hours Sore muscles 2/18/21 - 2/19/21 48 hours, Advil Fatigue 2/18/21 - Current date Ache in the back of my head, lower right side 2/18/21 - Current date, Aleve helps it for short periods Bell's Palsy 2/25/21 - Current date, no medication
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Dizziness, Syncope, Tremor
Clinical narrative: Pt felt dizzy and started shaking, and then fainted. awoke on the floor had been passed out for greater than 30 minutes per patient.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling cold
Clinical narrative: chills (woke up cold in middle of the night and couldn't stop shivering)
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pyrexia, Sleep disorder
Clinical narrative: Low grade fever  Muscle aches Loss of sleep General malaise
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Interchange of vaccine products, Musculoskeletal stiffness, Nausea, Neck pain
Clinical narrative: Patient was given her first COVID vaccine on 2/1/21 and received Pfizer (EL3302). Upon returning for her second dose on 2/23/21 she did not bring her vaccine card and mistakenly told the vaccination site that her first dose was Moderna. The vaccine site did not confirm this and gave her a Moderna vaccination for her second shot. She had mild headache and neck pain after vaccination which resolved within 1 day. She does complain of intermittent nausea and neck stiffness since vaccination but states it is unknown if this is related to vaccination.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Client c/o swelling to the site of vaccination.  Client seen and assessed by EMT and vital signs are:  BP 210/90, O2 98, HR 78.  Vital signs were reassessed and client was advised to go to the ER but refused to be transported by EMT.  Pt. stated that she would drive herself but advised to call someone to take her and she called her son to come meet with her and accompany her to the ER.  Client cleared but strongly advised to go to the ER.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Headache, Pain, Pyrexia
Clinical narrative: pt stated that she started getting a sore left shoulder the night of getting the vax.  Pt woke up w/ headache, body aches, and fever (100.4), loss of appetite.  Pt will contact her PCP is her fever doesnt subside.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash, Skin discolouration
Clinical narrative: Although it was fine on 2/24/2021 it became sore on 2/25 and stayed sore. I would see a yellow mark and that was all, but today, I looked in the mirror and there was a rash surrounding the yellow mark.  I don't know how long the rash has been there.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Pain, Pyrexia, Vomiting
Clinical narrative: Fever up 100.6 for 12 hours, headache, body ache, joint ache, lethargic, vomiting.  Started 12 hours after the vaccine was received and lasted for the next 24 hours.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Site of vaccine is swollen, warm, itchy, skin has a red circle around the site
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Headache, Tremor
Clinical narrative: Shaking, Confusion, Head Ache
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Myalgia
Clinical narrative: Headache, muscle ache near the chest, no cough, general malaise
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Myalgia, Neck pain, Pyrexia
Clinical narrative: High fever, headache, muscle pain, neck pain, dizziness, tremors starting with in 7 hours of injection lasting all night and next day
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: High fever, headache, muscle pain, neck pain, dizziness, tremors starting with in 7 hours of injection lasting all night and next day
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular
Clinical narrative: Red swollen spots on arm of injection site
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Itchy rash came 7 days after shot
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Developed full blown rash on my lower back probably the size of a fist now.  I now have a rash across the back of my neck and scattered bumps on my arms and thighs.  Extremely itchy...
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives all over my body including my eyelids
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Caller is a M of unknown age reporting he has just called PC. He took the first dose of the Johnson and Johnson COVID-19 vaccine at 1000 on 3/5 and wants to know if he can take ibuprofen or acetaminophen for a headache. Advised caller would need to contact MD or pharmacist for advice.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Headache, Vomiting
Clinical narrative: :Took vaccine at 1:15pm March 9 then 12 hours later at 1:15 am March  she started shivering and threw up once. Felt lousy. Headache No rashes, injection site clear. No fever Took Tylenol 9:30 am for headache
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity
Clinical narrative: Janssen COVID-19 Vaccine EUA Sore arm, woke up at 1:00am with chills but no fever. I went back to sleep. When I got up at 5:40am, I had a headache and my body was aching. I took ibuprofen. After a few hours, those symptoms are much milder.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Rash
Clinical narrative: fatigue and headache starting 1 day after injection. Mild rash on torso 4 days post infection.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Resident recieved 2nd dose of Moderna vaccine 2/13/2021.  During routine testing, resident tested positive for COVID-19 on 3/8/2021 -- 24 days out from last dose of vaccine.  Resident is asymptomatic.  Resident previously tested positive for COVID-19 on 11/30/2020.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain, swelling and redness x 3 days Tiredness x 2 days Headache x 2 days Muscle pain x 2 days Chills x 2 days Joint Pain x 2 days Fever up to 104.0 degrees x 2 days Nausea x 2 days Feeling Unwell x 2 days Swollen Lymph node left collarbone x 4 days
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Lymphadenopathy, Malaise, Myalgia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain, swelling and redness x 3 days Tiredness x 2 days Headache x 2 days Muscle pain x 2 days Chills x 2 days Joint Pain x 2 days Fever up to 104.0 degrees x 2 days Nausea x 2 days Feeling Unwell x 2 days Swollen Lymph node left collarbone x 4 days
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain, swelling and redness x 3 days Tiredness x 2 days Headache x 2 days Muscle pain x 2 days Chills x 2 days Joint Pain x 2 days Fever up to 104.0 degrees x 2 days Nausea x 2 days Feeling Unwell x 2 days Swollen Lymph node left collarbone x 4 days
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia
Clinical narrative: Strong Headache for about 18 hours, and full body muscle ache for about 24-36 hours.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Retching, SARS-CoV-2 test negative, Vomiting
Clinical narrative: sudden fever spike followed by intense vomiting/dry heaves which lasted most of the day but has eased in the day following...
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Rheumatoid arthritis
Clinical narrative: 2 weeks after receiving the Moderna vaccine I started to have rheumatoid arthritis (RA) joint pain in my hands, shoulders, feet, knees, elbows. My RA has been stable for over a year. The only change was getting the vaccine. I started taking prednisone to help with the flare ups at the instruction of my doctor - . I am currently taking 10mg a day. I started taking prednisone on 2/18/21.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Throat irritation
Clinical narrative: Patient received a COVID-19 vaccine on 07MAR21 @ 1900.  At 2111, he complained of a scratchy throat and shortness of breath.  He has a history of asthma and uses Prednisone and nebulizers at home.  He was given Benadryl 25 mg po at 2111 by our onsite nurse and was monitored an additional 30 minutes.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Patient experienced a seizure lasting 2-3 minutes approximately 1-2 minutes after receiving the vaccine. patient has a history of seizures/epilepsy.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pain, Pain in extremity
Clinical narrative: I felt pain in my left arm where the vaccine was injected, but not limited to the site, but also under the arm and in the full arm till the arm wrest.  Also, it included pain in the arm pit.  I didn't go to a doctor.  The pain was reduced after taking two 500 mg Tylenol, but there I still feel my left arm heavy and not normal.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Swelling on right arm near the shot but below it, hot to touch, painful, very itchy.  Tightness in chest for one day after shot; a little difficulty breathing
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Swelling on right arm near the shot but below it, hot to touch, painful, very itchy.  Tightness in chest for one day after shot; a little difficulty breathing
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Patient received Moderna Vaccine from Health Clinic at local spot on 03/05/2021.  Patient had low grade fever, for a couple of days after vaccine and has improved.  Patient noticed a small amount of redness at vaccine site on 03/07/2021 when bandaid was removed.  Patient stated that she had increased redness, swelling, pain and heat to left upper arm vaccine site and was seen to be sure it wasn't cellulitis.  Patient informed that this can be an adverse reaction of the vaccine.  Patient denies any further fever, fatigue or other signs or symptoms of infection.  Erythema, edema, and heat to 3.5 x 4 " to left upper arm.  Patient informed that a report would be made and to apply warm moist compresses to site and to take Tylenol and/or Ibuprofen for pain.  Patient notified to call clinic if symptoms worsen or a fever occurs.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Chills, headache, body aches and very tired for about 24 hours.  Took Tylenol every 6 hours.  Redness and raised area where shot was administered and is still that way.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Chills, headache, body aches and very tired for about 24 hours.  Took Tylenol every 6 hours.  Redness and raised area where shot was administered and is still that way.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: I had a head-splitting headache and body aches. I would not take this vaccine again.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Injection site paraesthesia
Clinical narrative: Patient felt tigling in left arm the injection arm. Patient has Anxiety issues . Anxious wanted to be checked.
Age: 100.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Client complained of slight headache and seen by EMT.  Vital signs are 118/66, BS 118, HR 90, O2 98.  Client voice that she had not eaten but decrease was felt in symptom and client cleared to go home by EMT.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Migraine, Pyrexia
Clinical narrative: Extreme tiredness, fever over 103 for 2 days, migraine headache day of and 3 days afterwards. Extreme sweating and chills
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea
Clinical narrative: Chills Nausea Fatigue
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Nausea, Pyrexia
Clinical narrative: Nausea, Ice Pick headaches behind eyes, fever , joint soreness
Age: 82.0
Sex: M
Vaccine: UNK
Symptoms: Computerised tomogram, Dyspnoea, Pain, Pain in extremity, X-ray limb normal
Clinical narrative: The vaccine was Moderna.  I have pain from shoulders to toes.  It is better but up until 2 days ago if i sneezed my whole upper torso was in pain.  My right thumb is sore and turning out(No pain before or turning out). I wake up with both hands fingers up inch very painful.  I have shortness of breath when I exert myself or bend over.  My legs hurt. when climbing stairs.  I had none of these before the vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 3/1/2021  moderna, #1 shot,  fine initially , slight discomfort in L arm  , resolved in few days, Day7 3/8/2021  noticed L arm tender ,   Day 8    3/9/ 21  noticed redness  at site, approx 2 inch diameter.. not a real circle.. area tender, slightly swollen  as day progressed overall feeling of fatigue, chills, aches .... took ibuprofen   3:00 PM,   benedryl @ 9:00 pm Day 9,   injection area remains swollen , pink area more than red,   feel better than yesterday not quite normal yet,
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Tenderness
Clinical narrative: 3/1/2021  moderna, #1 shot,  fine initially , slight discomfort in L arm  , resolved in few days, Day7 3/8/2021  noticed L arm tender ,   Day 8    3/9/ 21  noticed redness  at site, approx 2 inch diameter.. not a real circle.. area tender, slightly swollen  as day progressed overall feeling of fatigue, chills, aches .... took ibuprofen   3:00 PM,   benedryl @ 9:00 pm Day 9,   injection area remains swollen , pink area more than red,   feel better than yesterday not quite normal yet,
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling of body temperature change, Headache, Hyperhidrosis, Photophobia
Clinical narrative: I woke up with an excruciating headache (with light sensitivity) that did not initially respond to Tylenol. Although I did not have a fever, I had temperature regulation issues all night - alternating between hot and cold - and woke up sweaty.  Headache responded to Advil in the morning but I still have a minor lingering headache a few hours later.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Eye irritation, Headache, Injection site mass
Clinical narrative: I spiked a 103 temp at 2am. Became nauseated, excruciating headache and neck ache, coughing badly, eyes burning.  By 5:30 am, I decided to take an Aleve to try and bring down the fever.  I also had 1 puff of my inhaler to try and calm the cough with no luck.  I was finally able to sleep for about an hour with my head on an ice bag.  It?s now 9am and my fever is returning and so is my headache.  My whole body is sore from shivering with the fever and my injection site is sore with a hard lump under the skin.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Neck pain, Pain, Pyrexia
Clinical narrative: I spiked a 103 temp at 2am. Became nauseated, excruciating headache and neck ache, coughing badly, eyes burning.  By 5:30 am, I decided to take an Aleve to try and bring down the fever.  I also had 1 puff of my inhaler to try and calm the cough with no luck.  I was finally able to sleep for about an hour with my head on an ice bag.  It?s now 9am and my fever is returning and so is my headache.  My whole body is sore from shivering with the fever and my injection site is sore with a hard lump under the skin.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: I spiked a 103 temp at 2am. Became nauseated, excruciating headache and neck ache, coughing badly, eyes burning.  By 5:30 am, I decided to take an Aleve to try and bring down the fever.  I also had 1 puff of my inhaler to try and calm the cough with no luck.  I was finally able to sleep for about an hour with my head on an ice bag.  It?s now 9am and my fever is returning and so is my headache.  My whole body is sore from shivering with the fever and my injection site is sore with a hard lump under the skin.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: At day 8, saw large, raised, very pink oval at site of injection. Localized fever, sensitive to touch and extremely itchy.  The spot has now spread up to shoulder and is more splotchy, though less pink.  I accidentally scratched it and it hurts like scratching a jelly fish sting for about 30 minutes.  Day 11, still here.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Chills, Dizziness, Headache, Hypertension
Clinical narrative: in less than a minute I had a vasvagal syncope response and my blood pressure got so high that the machine couldn't take it--in the 200's/100 something.  I was taken to the ER and monitored for a few hours and labs.  BP came down slowly, but not perfect.  I was released around 7pm.  Event happened at 3:46pm.  The next day I had chills first, then I had a slight fever, a terrible headache in the back of my head, dizziness and night sweats.  By the 2nd day after I  am feeling better.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Night sweats, Pyrexia, Syncope
Clinical narrative: in less than a minute I had a vasvagal syncope response and my blood pressure got so high that the machine couldn't take it--in the 200's/100 something.  I was taken to the ER and monitored for a few hours and labs.  BP came down slowly, but not perfect.  I was released around 7pm.  Event happened at 3:46pm.  The next day I had chills first, then I had a slight fever, a terrible headache in the back of my head, dizziness and night sweats.  By the 2nd day after I  am feeling better.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Fever Severe muscle pain whole body Headache Pain at injection site
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: I became fatigued that day. Hi progressively became more ill feeling over the weekend. On Sunday morning I awoke with massive diarrhea. I developed a 3° above normal temperature throughout the day. I had chills, nausea, dry heaves, headache, loss of appetite, fatigued. This lasted about 24 hours. I was a little bit better on Monday. I tried to go to work on Tuesday. I left early from work on Tuesday because of nausea, extreme headache, vomiting. It is now Wednesday and I have diarrhea again, no fever. I haven?t had the fever since Monday around noon. I still have a headache, nausea, fatigued.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Malaise, Nausea, Retching
Clinical narrative: I became fatigued that day. Hi progressively became more ill feeling over the weekend. On Sunday morning I awoke with massive diarrhea. I developed a 3° above normal temperature throughout the day. I had chills, nausea, dry heaves, headache, loss of appetite, fatigued. This lasted about 24 hours. I was a little bit better on Monday. I tried to go to work on Tuesday. I left early from work on Tuesday because of nausea, extreme headache, vomiting. It is now Wednesday and I have diarrhea again, no fever. I haven?t had the fever since Monday around noon. I still have a headache, nausea, fatigued.