chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 10/7/21 after being fully vaccinated.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive, Sickle cell anaemia with crisis
Clinical narrative: Patient presented to emergency department on 10/1/2021 with worsening shortness of breath. She was found to COVID-19 positive at  an outlying facility on 9/27/2021. She was admitted for further management of COVID-19 infection and sickle cell crisis. She was discharged home on 10/7/2021.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Pyrexia, Tachycardia
Clinical narrative: On 03/02/2021, I had no local symptoms from the injection. The evening of my vaccination, I started to get extreme fever somewhere between 100 and 101. I went to sleep and the next morning the tachycardia kicked in. I could not control it after an hour to 1 1/2 hours. That's when I went to the emergency room. At the Hospital, they gave me IV fluids and the tachycardia stopped on it's own.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Injection site pain, Intentional product use issue, Laboratory test, Poor peripheral circulation
Clinical narrative: Prior to receiving the Moderna vaccination, I have had ongoing pain in both knees due to a fall years ago.  Post-vaccination, aside from experiencing soreness in upper left arm and other symptoms , I have began to notice less blood circulation in my lower extremities between my knees and ankles.  I have also experienced rapid heart beats at times while performing my work duties.  I realized CIPRO has at least one ingredient that is the same as what is in the other vaccines, to include the Moderna vaccine.  I have hesitated receiving the second dose of the Moderna vaccination because of these concerns.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Vulvovaginal mycotic infection
Clinical narrative: Vaginal yeast infection beginning on day 3 after vaccine
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: chest pain/tightness, tough to take deep breath, racing heart, out of breath more easily, constant fatigue
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue, Palpitations
Clinical narrative: chest pain/tightness, tough to take deep breath, racing heart, out of breath more easily, constant fatigue
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered 10/07/2021 and expired on 10/03/2021
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: No adverse events; staff member received Moderna for first 2 doses
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Anticoagulant therapy, Back pain, Chest X-ray abnormal, Chest pain, Computerised tomogram abnormal
Clinical narrative: 10/4/2021 - Sudden stabbing pain in upper right chest.  Radiates to neck and back, right side 10/5-10/6 - pain subsides, but coughing  10/7 - Stabbing pain in upper right chest more severe, scheduled appointment with PCP 10/7 - PCP (Primary Care Physician) did EKG, D-Dimer and Chest X-ray.  D-Dimer positive; X-ray shows fluid in bottom of right lung.  PCP orders CAT scan 10/8 CAT scan shows pulmonary embolism.  EKG and other heart health tests come back normal.  Sent home with 20mg/day apixaban (blood thinner). NOTE:  no history of clotting, no risk factors for clotting.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Cough, Electrocardiogram normal, Fibrin D dimer increased, Laboratory test normal, Neck pain
Clinical narrative: 10/4/2021 - Sudden stabbing pain in upper right chest.  Radiates to neck and back, right side 10/5-10/6 - pain subsides, but coughing  10/7 - Stabbing pain in upper right chest more severe, scheduled appointment with PCP 10/7 - PCP (Primary Care Physician) did EKG, D-Dimer and Chest X-ray.  D-Dimer positive; X-ray shows fluid in bottom of right lung.  PCP orders CAT scan 10/8 CAT scan shows pulmonary embolism.  EKG and other heart health tests come back normal.  Sent home with 20mg/day apixaban (blood thinner). NOTE:  no history of clotting, no risk factors for clotting.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pain, Pulmonary embolism, Pulmonary oedema
Clinical narrative: 10/4/2021 - Sudden stabbing pain in upper right chest.  Radiates to neck and back, right side 10/5-10/6 - pain subsides, but coughing  10/7 - Stabbing pain in upper right chest more severe, scheduled appointment with PCP 10/7 - PCP (Primary Care Physician) did EKG, D-Dimer and Chest X-ray.  D-Dimer positive; X-ray shows fluid in bottom of right lung.  PCP orders CAT scan 10/8 CAT scan shows pulmonary embolism.  EKG and other heart health tests come back normal.  Sent home with 20mg/day apixaban (blood thinner). NOTE:  no history of clotting, no risk factors for clotting.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Flushing, Hypoaesthesia, Palpitations
Clinical narrative: Moderna arm, heart racing, palpitation,flushing face numb side of face,   Racing heart and palpating lasting on and off.  Stomach problems. Flushing. Two hospital visits
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Inflammation, Lymph node pain, Mass, Ovarian cyst
Clinical narrative: On 4/15, I had a telehealth visit with a doctor to see what I can do for the pain and lymph nodes. I was told to take ibuprofen, but the pain was getting worse. On 4/16, I called nurse line to see what more I could do. They suggest I be seen in person. I saw a doctor who said this was a normal side effect of the vaccine. The lump had resolved by the afternoon. I was prescribed a higher dose of NSAID. He said the regular bottle was not strong enough. I was also prescribed 15mg meloxicam 1x.day for inflammation. I took this for 3-4 days and things resolved. I started having pretty severe abdominal on 6/10 on my left side. I called the doctors. While speaking with the nurse the pain resolved. The deemed it unnecessary to be seen by a doctor immediately so I scheduled an appointment with my OB/Gyn on 6/21. I was sent for an ultrasound a few days later where it was determined on my left side, I had a large, complicated cyst on my ovaries. I was seen again about 8 weeks later on 8/30 I had a follow up ultrasound that showed the left complicated cyst had resolved but the right side has cysts remaining. I was diagnosed with poly cystic ovarian syndrome which I did not have before. I also had an IUD placed in but the symptoms occurred prior to getting this.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Polycystic ovaries, Ultrasound scan abnormal
Clinical narrative: On 4/15, I had a telehealth visit with a doctor to see what I can do for the pain and lymph nodes. I was told to take ibuprofen, but the pain was getting worse. On 4/16, I called nurse line to see what more I could do. They suggest I be seen in person. I saw a doctor who said this was a normal side effect of the vaccine. The lump had resolved by the afternoon. I was prescribed a higher dose of NSAID. He said the regular bottle was not strong enough. I was also prescribed 15mg meloxicam 1x.day for inflammation. I took this for 3-4 days and things resolved. I started having pretty severe abdominal on 6/10 on my left side. I called the doctors. While speaking with the nurse the pain resolved. The deemed it unnecessary to be seen by a doctor immediately so I scheduled an appointment with my OB/Gyn on 6/21. I was sent for an ultrasound a few days later where it was determined on my left side, I had a large, complicated cyst on my ovaries. I was seen again about 8 weeks later on 8/30 I had a follow up ultrasound that showed the left complicated cyst had resolved but the right side has cysts remaining. I was diagnosed with poly cystic ovarian syndrome which I did not have before. I also had an IUD placed in but the symptoms occurred prior to getting this.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure during pregnancy, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/21/2021: Fever, Sore Throat, Fatigue or tiredness, Chills. Symptoms resolved 8/29/2021. Went to hospital 9/3/2021 for pre-scheduled C-section. No additional pregnancy or birth weight data available.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department from skilled nursing facility for shortness of breath and hypoxia. Patient also reported shoulder pain. Patient reported she tested positive for COVID-19 on 10/1/2021. Due to patient's current treatment for osteosarcoma, she was transferred to a different facility to be cared for by her current care team.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Peripheral swelling, Pyrexia, Swelling
Clinical narrative: Well I did get Covid arm. I got a big swollen spot on my arm, that happened about 9 days after the vaccine. I want to tell you, I did run a fever and was very tired for four weeks following the vaccine. I seemed to have a little bit of a temperature as well. Well in July I also went to the DR because I had noticed a protruding bump in my neck. It doesn't hurt, but at urgent care the DR said it just can come and go and they said bodies are asymmetrical and it is fine they said.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Lymphadenitis
Clinical narrative: Lymphadenitis-  large ( about 7cm x 5cm) axillary on the same side of the injection site. Received my vaccine on the right arm. This was my third dose and didn?t experience any of this with the first 2.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 10/7/21 after being fully vaccinated.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bell's palsy, Decreased appetite, Eyelid function disorder, Facial paralysis
Clinical narrative: Bells Palsy. Partial pacial paralysis.  All effects happened on the left side, where vaccine was taken.   Debilitating job pain. Affects my work as well as eating and consuming beverages. Loss of function of left eye (Manually close eye lid)   Affects looking at work computer for extensive periods of time.   Other side effects: headaches, trouble sleeping, facial twitching.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Insomnia, Muscle twitching, Pain
Clinical narrative: Bells Palsy. Partial pacial paralysis.  All effects happened on the left side, where vaccine was taken.   Debilitating job pain. Affects my work as well as eating and consuming beverages. Loss of function of left eye (Manually close eye lid)   Affects looking at work computer for extensive periods of time.   Other side effects: headaches, trouble sleeping, facial twitching.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Pyrexia
Clinical narrative: The clinic was giving Pfizer 3rd doses.  This patient accidently received a Pfizer 3rd dose but had received Moderna for her 1st and 2nd doses.  Patient is feeling feverish (a typical side effect of getting a booster vaccine).  No other issues reported.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Tenderness
Clinical narrative: Patient reports feeling ongoing severe pain and tenderness in left arm from 9-29-21.  Has been 10 days after the vaccine was given.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Headache
Clinical narrative: headache and right eye swelling
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Headache, Nausea, Pyrexia, Tremor
Clinical narrative: Fever of 102.3 for 16 hours, chills, headache, uncontrollable shaking, nausea
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular, Pain
Clinical narrative: Extreme menstrual irregularities, pain almost to the point of goin to the ER,  Flow so heavy that mentrual pads/tampon products have to be used hourly.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Cough, Feeding disorder
Clinical narrative: overnight woke up with arm pain, chills, cough, sore throat, joint pain, weak, cant eat
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity
Clinical narrative: overnight woke up with arm pain, chills, cough, sore throat, joint pain, weak, cant eat
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Melanocytic naevus
Clinical narrative: This past Sunday on 10/3/2021 I noticed the return of a mole over my right eye. I have an upcoming appointment for it.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dizziness, Electrocardiogram, Pain, Paraesthesia
Clinical narrative: Patient feels like her entire body is heavy and tingling.  She is very dizzy.  She is having some mile check pain that she rates as a 1 out of 10.  She denies any fevers.  She is otherwise healthy.  BP 97/83 at 1014, 114/74 at 1030, HR 95 at 1014, 82 at 1030.  She got 1 L of NaCl and felt better, discharged home.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dysphagia, Nasal pruritus, Rhinitis allergic, Rhinorrhoea
Clinical narrative: 7Oct21 30 y/o male referred for history of adverse event following Pfizer COVID-19 vaccination on 8Sep21 with Pfizer vaccination.  The member reports that received the Pfizer COVID 19 vaccine at the MTF and within 8 minutes noticed profuse nasal drainage, notified the RN who brought to a treatment area for observation and observed then within a few minutes throat became extremely itchy and felt like was hard to swallow, not necessarily hard to breathe.  Was administered epi pen and EMS called to transport him to the ED.  Gave him steroids and discharged home.  Did not have any rash or itching outside of the throat.  In the morning after the vaccination, when woke felt better but had sneezing, itchy nose, itchy throat, nasal drainage, and in the afternoon morning noted had puffiness in his face which lasted for 24 hours.  Then had a flare of what seemed like typical allergy symptoms for him (in terms of allergic rhinitis) e allergy symptoms ever for about a week (has established severe seasonal allergies).  No history of any type of reaction to other medications, vaccines or foods.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing, Swelling face, Throat irritation
Clinical narrative: 7Oct21 30 y/o male referred for history of adverse event following Pfizer COVID-19 vaccination on 8Sep21 with Pfizer vaccination.  The member reports that received the Pfizer COVID 19 vaccine at the MTF and within 8 minutes noticed profuse nasal drainage, notified the RN who brought to a treatment area for observation and observed then within a few minutes throat became extremely itchy and felt like was hard to swallow, not necessarily hard to breathe.  Was administered epi pen and EMS called to transport him to the ED.  Gave him steroids and discharged home.  Did not have any rash or itching outside of the throat.  In the morning after the vaccination, when woke felt better but had sneezing, itchy nose, itchy throat, nasal drainage, and in the afternoon morning noted had puffiness in his face which lasted for 24 hours.  Then had a flare of what seemed like typical allergy symptoms for him (in terms of allergic rhinitis) e allergy symptoms ever for about a week (has established severe seasonal allergies).  No history of any type of reaction to other medications, vaccines or foods.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Balance disorder, Blood pressure increased, Dizziness
Clinical narrative: Slight-moderate dizziness; balance/equilibrium off; benefited by to holding or bracing while standing, turning, descending.   No other anaphylactic symptoms . Slight raised BP (153/84 vs normal 120s/70s.  More noticeable earlier AM 1st day after shot - but less noticeable later in day. Somewhat reduced in degree of dizziness 2nd AM but a bit more persistent through the AM.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Gingival swelling, Infectious mononucleosis, Leukoplakia, Lymphadenopathy
Clinical narrative: fever, white patches in mouth and mouth lesions inside mouth and on lips, gum swelling, swollen lymph nodes difficulty swallowing and talking. extreme pain two urgent care visits and a PCP visit.  Amoxicillin, prednisone, Tylenol, ibuprofen, magic mouth wash, and cream for ulcers inside and outside of mouth.  mouth lesions, gum swelling, and sore throat present 48 hours after first Pfizer vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth ulceration, Oral disorder, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: fever, white patches in mouth and mouth lesions inside mouth and on lips, gum swelling, swollen lymph nodes difficulty swallowing and talking. extreme pain two urgent care visits and a PCP visit.  Amoxicillin, prednisone, Tylenol, ibuprofen, magic mouth wash, and cream for ulcers inside and outside of mouth.  mouth lesions, gum swelling, and sore throat present 48 hours after first Pfizer vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Speech disorder, Streptococcus test negative
Clinical narrative: fever, white patches in mouth and mouth lesions inside mouth and on lips, gum swelling, swollen lymph nodes difficulty swallowing and talking. extreme pain two urgent care visits and a PCP visit.  Amoxicillin, prednisone, Tylenol, ibuprofen, magic mouth wash, and cream for ulcers inside and outside of mouth.  mouth lesions, gum swelling, and sore throat present 48 hours after first Pfizer vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 10/7/21 after being fully vaccinated.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: chills, body aches, headaches
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Sunburn rash on chest, upper back, face, neck and arms. Going to be evaluated by PCP today.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Blood iron, Blood test, Body temperature increased, C-reactive protein
Clinical narrative: symptoms started at 1530- achy, sharp shooting left sided chest pain, HA, nausea, and dizziness. Progressed throughout evening, CP became more progressive, increase in HR, shaky uncontrollable all over, temp. 101.5 (9:15pm). Started vomiting and diarrhea by 9:26pm. CP, HA progressed throughout evening and into the next day. I was unable to get out of bed at on 10/3/21, couldn't eat or drink. Called PCP 10/4/21 due to still having symptoms of CP, HA, severe dizziness and fatigue. Was seen by 9am on 10/4/21. PCP did labs and EKG which showed changes from baseline in 7/2021. Started on 325mg of ASA, decadron, zofran, and tramadol for HA.  Dizziness, CP, and HA have persisted along with intermittent left calf pain. Currently under care of PCP, which was seen 10/7/21 for follow up and further lab testing as there have been changes to EKG, and clotting studies.  Will continue to be monitored and further tests to come such as ECHO and blood work. Was started on Plavix 10/7/21 in addition to ASA.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Coagulation test abnormal, Diarrhoea, Dizziness, Electrocardiogram abnormal
Clinical narrative: symptoms started at 1530- achy, sharp shooting left sided chest pain, HA, nausea, and dizziness. Progressed throughout evening, CP became more progressive, increase in HR, shaky uncontrollable all over, temp. 101.5 (9:15pm). Started vomiting and diarrhea by 9:26pm. CP, HA progressed throughout evening and into the next day. I was unable to get out of bed at on 10/3/21, couldn't eat or drink. Called PCP 10/4/21 due to still having symptoms of CP, HA, severe dizziness and fatigue. Was seen by 9am on 10/4/21. PCP did labs and EKG which showed changes from baseline in 7/2021. Started on 325mg of ASA, decadron, zofran, and tramadol for HA.  Dizziness, CP, and HA have persisted along with intermittent left calf pain. Currently under care of PCP, which was seen 10/7/21 for follow up and further lab testing as there have been changes to EKG, and clotting studies.  Will continue to be monitored and further tests to come such as ECHO and blood work. Was started on Plavix 10/7/21 in addition to ASA.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeding disorder, Fibrin D dimer, Full blood count, Headache
Clinical narrative: symptoms started at 1530- achy, sharp shooting left sided chest pain, HA, nausea, and dizziness. Progressed throughout evening, CP became more progressive, increase in HR, shaky uncontrollable all over, temp. 101.5 (9:15pm). Started vomiting and diarrhea by 9:26pm. CP, HA progressed throughout evening and into the next day. I was unable to get out of bed at on 10/3/21, couldn't eat or drink. Called PCP 10/4/21 due to still having symptoms of CP, HA, severe dizziness and fatigue. Was seen by 9am on 10/4/21. PCP did labs and EKG which showed changes from baseline in 7/2021. Started on 325mg of ASA, decadron, zofran, and tramadol for HA.  Dizziness, CP, and HA have persisted along with intermittent left calf pain. Currently under care of PCP, which was seen 10/7/21 for follow up and further lab testing as there have been changes to EKG, and clotting studies.  Will continue to be monitored and further tests to come such as ECHO and blood work. Was started on Plavix 10/7/21 in addition to ASA.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, International normalised ratio, Laboratory test, Mobility decreased, Nausea
Clinical narrative: symptoms started at 1530- achy, sharp shooting left sided chest pain, HA, nausea, and dizziness. Progressed throughout evening, CP became more progressive, increase in HR, shaky uncontrollable all over, temp. 101.5 (9:15pm). Started vomiting and diarrhea by 9:26pm. CP, HA progressed throughout evening and into the next day. I was unable to get out of bed at on 10/3/21, couldn't eat or drink. Called PCP 10/4/21 due to still having symptoms of CP, HA, severe dizziness and fatigue. Was seen by 9am on 10/4/21. PCP did labs and EKG which showed changes from baseline in 7/2021. Started on 325mg of ASA, decadron, zofran, and tramadol for HA.  Dizziness, CP, and HA have persisted along with intermittent left calf pain. Currently under care of PCP, which was seen 10/7/21 for follow up and further lab testing as there have been changes to EKG, and clotting studies.  Will continue to be monitored and further tests to come such as ECHO and blood work. Was started on Plavix 10/7/21 in addition to ASA.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Prothrombin time, Tremor, Troponin
Clinical narrative: symptoms started at 1530- achy, sharp shooting left sided chest pain, HA, nausea, and dizziness. Progressed throughout evening, CP became more progressive, increase in HR, shaky uncontrollable all over, temp. 101.5 (9:15pm). Started vomiting and diarrhea by 9:26pm. CP, HA progressed throughout evening and into the next day. I was unable to get out of bed at on 10/3/21, couldn't eat or drink. Called PCP 10/4/21 due to still having symptoms of CP, HA, severe dizziness and fatigue. Was seen by 9am on 10/4/21. PCP did labs and EKG which showed changes from baseline in 7/2021. Started on 325mg of ASA, decadron, zofran, and tramadol for HA.  Dizziness, CP, and HA have persisted along with intermittent left calf pain. Currently under care of PCP, which was seen 10/7/21 for follow up and further lab testing as there have been changes to EKG, and clotting studies.  Will continue to be monitored and further tests to come such as ECHO and blood work. Was started on Plavix 10/7/21 in addition to ASA.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: symptoms started at 1530- achy, sharp shooting left sided chest pain, HA, nausea, and dizziness. Progressed throughout evening, CP became more progressive, increase in HR, shaky uncontrollable all over, temp. 101.5 (9:15pm). Started vomiting and diarrhea by 9:26pm. CP, HA progressed throughout evening and into the next day. I was unable to get out of bed at on 10/3/21, couldn't eat or drink. Called PCP 10/4/21 due to still having symptoms of CP, HA, severe dizziness and fatigue. Was seen by 9am on 10/4/21. PCP did labs and EKG which showed changes from baseline in 7/2021. Started on 325mg of ASA, decadron, zofran, and tramadol for HA.  Dizziness, CP, and HA have persisted along with intermittent left calf pain. Currently under care of PCP, which was seen 10/7/21 for follow up and further lab testing as there have been changes to EKG, and clotting studies.  Will continue to be monitored and further tests to come such as ECHO and blood work. Was started on Plavix 10/7/21 in addition to ASA.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Patient hospitalized after receiving one dose of Covid-19 vaccination with Covid symptoms.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Blood test, Colonoscopy, Pain
Clinical narrative: -Digestive/Intestinal discomfort and pain -sharp upper abdominal pains  -inflamed kidneys (both left and right)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, Urinary tract inflammation
Clinical narrative: -Digestive/Intestinal discomfort and pain -sharp upper abdominal pains  -inflamed kidneys (both left and right)
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present
Clinical narrative: Blood in urine. This occured with both doses
Age: 31.0
Sex: F
Vaccine: FLUC4
Symptoms: Chills
Clinical narrative: Developed chills post vaccine
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Bone pain, Magnetic resonance imaging, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: In September, I started waking up every day with stiff painful fingers and it has continued.  At about that time, I also developed sever tail bone pain.  I am currently under the care of a Rheumatologist to determine if I have an autoimmune disease.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Paraesthesia
Clinical narrative: Having tingling in right lower arm and right lower leg after the second covid shot, which took place 8/19/2021
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cardiac arrest, Death
Clinical narrative: Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypoxia, Intensive care, SARS-CoV-2 test positive
Clinical narrative: Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Intensive care
Clinical narrative: Patient came to the emergency room on 09/17/2021 with complaints of shortness of breath after testing positive for COVID-19 on 09/11/2021. Patient was transferred to the ICU on 09/17/2021 later in the day due to acute hypoxemic respiratory failure. The patient was in the ICU for a total of 9 days before passing away due to acute hypoxic respiratory failure secondary to COVID-19 pneumonia. Patient was hypoxic and eventually went to asystole and died at 5:30 PM on 9/26/2021.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram abnormal, Asthenia, Ataxia, Brain stem haemorrhage, Central nervous system lesion
Clinical narrative: Dose 1 given on 5/28/21 and dose 2 given on 6/22/2021. By report the patient developed weakness which progressed to ataxia over the ensuing 3 months. This was also associated with tinnitus. He was noted about 2 months after his second dose to have progression of symptoms with abnormal neurologic exam which prompted inpatient admission. MRI brain showed multifocal hemorrhagic lesions in the cerebral white matter, brainstem and cerebellum with greatest involvement in the left pons.  Multifocal short segment enhancing lesions throughout the spinal cord. Patient was admitted for diagnostic work up and initiated on steroids with some symptomatic improvement when on hospital day 10  he had an acute event thought to be a stroke. CTA showed new areas of brainstem intraparenchymal hemorrhage including the dorsal right pons and right-sided cerebellar peduncles.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebral haemorrhage, Cerebrovascular accident, Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram thorax
Clinical narrative: Dose 1 given on 5/28/21 and dose 2 given on 6/22/2021. By report the patient developed weakness which progressed to ataxia over the ensuing 3 months. This was also associated with tinnitus. He was noted about 2 months after his second dose to have progression of symptoms with abnormal neurologic exam which prompted inpatient admission. MRI brain showed multifocal hemorrhagic lesions in the cerebral white matter, brainstem and cerebellum with greatest involvement in the left pons.  Multifocal short segment enhancing lesions throughout the spinal cord. Patient was admitted for diagnostic work up and initiated on steroids with some symptomatic improvement when on hospital day 10  he had an acute event thought to be a stroke. CTA showed new areas of brainstem intraparenchymal hemorrhage including the dorsal right pons and right-sided cerebellar peduncles.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal, Neurological examination abnormal, Scan with contrast
Clinical narrative: Dose 1 given on 5/28/21 and dose 2 given on 6/22/2021. By report the patient developed weakness which progressed to ataxia over the ensuing 3 months. This was also associated with tinnitus. He was noted about 2 months after his second dose to have progression of symptoms with abnormal neurologic exam which prompted inpatient admission. MRI brain showed multifocal hemorrhagic lesions in the cerebral white matter, brainstem and cerebellum with greatest involvement in the left pons.  Multifocal short segment enhancing lesions throughout the spinal cord. Patient was admitted for diagnostic work up and initiated on steroids with some symptomatic improvement when on hospital day 10  he had an acute event thought to be a stroke. CTA showed new areas of brainstem intraparenchymal hemorrhage including the dorsal right pons and right-sided cerebellar peduncles.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus, White matter lesion
Clinical narrative: Dose 1 given on 5/28/21 and dose 2 given on 6/22/2021. By report the patient developed weakness which progressed to ataxia over the ensuing 3 months. This was also associated with tinnitus. He was noted about 2 months after his second dose to have progression of symptoms with abnormal neurologic exam which prompted inpatient admission. MRI brain showed multifocal hemorrhagic lesions in the cerebral white matter, brainstem and cerebellum with greatest involvement in the left pons.  Multifocal short segment enhancing lesions throughout the spinal cord. Patient was admitted for diagnostic work up and initiated on steroids with some symptomatic improvement when on hospital day 10  he had an acute event thought to be a stroke. CTA showed new areas of brainstem intraparenchymal hemorrhage including the dorsal right pons and right-sided cerebellar peduncles.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Dyspnoea, Fatigue
Clinical narrative: Breakthrough COVID-19 case with unknown symptom onset: Fever, Aches, Shortness of breath/difficulty breathing, Fatigue or tiredness, Cough. Hospitalized 9/2/2021-9/17/2021. Death 9/17/2021. Vital Records data not available yet. Patient was hospitalized for UTI and was diagnosed with pneumonia. Patient was retired.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pneumonia, Pyrexia, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Breakthrough COVID-19 case with unknown symptom onset: Fever, Aches, Shortness of breath/difficulty breathing, Fatigue or tiredness, Cough. Hospitalized 9/2/2021-9/17/2021. Death 9/17/2021. Vital Records data not available yet. Patient was hospitalized for UTI and was diagnosed with pneumonia. Patient was retired.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 case with unknown symptom onset: Fever, Aches, Shortness of breath/difficulty breathing, Fatigue or tiredness, Cough. Hospitalized 9/2/2021-9/17/2021. Death 9/17/2021. Vital Records data not available yet. Patient was hospitalized for UTI and was diagnosed with pneumonia. Patient was retired.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Pain in extremity, Peripheral swelling
Clinical narrative: right arm pain that continued up until next vaccine date. pain was with use of arm . Some swelling and alot of discomfort
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Patient hospitalized with COVID symptoms after received the COVID-19 vaccines.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Seizure
Clinical narrative: Lady came in and got her Covid vaccine at 11 AM. After waiting 10 minutes, she proceeded to go shopping in the store.  About 15 minutes later, she came to the pharmacy and stated she didn't feel well. She sat down.... then her seizure alert dog allerted her of an upcoming seizure. A few minutes later, patient had a mild seizure.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Formication, Hand dermatitis, Influenza like illness, Lacrimation increased
Clinical narrative: - eczema on my right hand (have seen a dermatologist and my doctor 4 times and gone through 4 tubes of cream to include a steroid ..still there.  never before in my life) - right eye tears up for no reason every few days - formication along my side rib cage and hips on each side, tickles like there is a hair or phone in pocket is buzzing - fatigue - just after shot I was sick like the flu for a day and tired for a few days
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Malaise, Sensory disturbance
Clinical narrative: - eczema on my right hand (have seen a dermatologist and my doctor 4 times and gone through 4 tubes of cream to include a steroid ..still there.  never before in my life) - right eye tears up for no reason every few days - formication along my side rib cage and hips on each side, tickles like there is a hair or phone in pocket is buzzing - fatigue - just after shot I was sick like the flu for a day and tired for a few days
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Atrial fibrillation, Body temperature increased, COVID-19, Cardiac failure congestive
Clinical narrative: Breakthrough COVID-19 case with unknown symptom onset: low grade temp and diarrhea. Death 8/28/2021. From Vital Records COD = CHRONIC COMBINED SYSTOLIC CONGESTIVE AND DIASTOLIC CONGESTIVE HEART FAILURE, UNSPECIFIED DEMENTIA WITHOUT BEHAVIORAL DISTURBANCE. HTN, anxiety CHF Afib . Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: UNSPECIFIED ATRIAL FIBRILLATION. place of death: NURSING HOME-LONG TERM CARE FACILITY; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: EDUCATOR, EDUCATION
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic left ventricular failure, Condition aggravated, Death, Dementia, Diarrhoea
Clinical narrative: Breakthrough COVID-19 case with unknown symptom onset: low grade temp and diarrhea. Death 8/28/2021. From Vital Records COD = CHRONIC COMBINED SYSTOLIC CONGESTIVE AND DIASTOLIC CONGESTIVE HEART FAILURE, UNSPECIFIED DEMENTIA WITHOUT BEHAVIORAL DISTURBANCE. HTN, anxiety CHF Afib . Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: UNSPECIFIED ATRIAL FIBRILLATION. place of death: NURSING HOME-LONG TERM CARE FACILITY; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: EDUCATOR, EDUCATION
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 case with unknown symptom onset: low grade temp and diarrhea. Death 8/28/2021. From Vital Records COD = CHRONIC COMBINED SYSTOLIC CONGESTIVE AND DIASTOLIC CONGESTIVE HEART FAILURE, UNSPECIFIED DEMENTIA WITHOUT BEHAVIORAL DISTURBANCE. HTN, anxiety CHF Afib . Per vital records, COD ICD Codes include: Not yet coded ; Other Significant Conditions include: UNSPECIFIED ATRIAL FIBRILLATION. place of death: NURSING HOME-LONG TERM CARE FACILITY; certified by: PRONOUNCING AND CERTIFYING PHYSICIAN, occ/ind: EDUCATOR, EDUCATION
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: Patient reports that she received COVID Booster on 9/29/2021. States low grade temp (99) for a few days, mild pain at injection site of left deltoid, body aches and headaches for last 3 days.  Advised to call PCP for appointment. Patient verbalized understanding.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Full blood count, Heart rate increased, Hypersensitivity
Clinical narrative: An hour and 45 minutes after the shot my face and neck became red with a rash and my heart started racing and I felt dizzy.  I went to the emergency room and my heart rate was in the 160s and my blood pressure was 190/ 102 and I almost fainted.  They gave me  120 MG of IV solumedrol,  50 mg Benadryl  and Pepcid through the IV and IV fluids and said I was having an Allergic reaction to the Moderna shot.  I was sent home with another 40 mg of prednisone and to take 50mg of  Benadryl every 6 hours.  Continued to have after shocks of increased heart rate and feeling faint and getting a rash on my face and chest  every 6 to 12 hours for 3 days.  I continue to have heart palpitations to this day.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Palpitations, Presyncope, Rash, Rash erythematous
Clinical narrative: An hour and 45 minutes after the shot my face and neck became red with a rash and my heart started racing and I felt dizzy.  I went to the emergency room and my heart rate was in the 160s and my blood pressure was 190/ 102 and I almost fainted.  They gave me  120 MG of IV solumedrol,  50 mg Benadryl  and Pepcid through the IV and IV fluids and said I was having an Allergic reaction to the Moderna shot.  I was sent home with another 40 mg of prednisone and to take 50mg of  Benadryl every 6 hours.  Continued to have after shocks of increased heart rate and feeling faint and getting a rash on my face and chest  every 6 to 12 hours for 3 days.  I continue to have heart palpitations to this day.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Differential white blood cell count, Fatigue, Feeling abnormal
Clinical narrative: 44-year-old afebrile female patient presents in nontachycardic state with elevated blood pressure for evaluation of possible COVID-19 Johnson & Johnson vaccine related side effects. Patient reports that after her J&J COVID-19 vaccination within 8 hours she developed pain and redness at the site.  She then had a severe headache for 2 days.  That became less severe moderate headache which is persistent.  She reports fever at home to a T-max of 100.8 oral assessment.  She has had extreme fatigue, body wide muscle pain severe low back and pelvic pain.  Abdominal cramping on days 3 4 and 5.  She also is experiencing unexpected early menses. And she reports severe "brain fog " unexpected and early menses
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Headache, Injection site erythema, Injection site pain, Menstruation irregular
Clinical narrative: 44-year-old afebrile female patient presents in nontachycardic state with elevated blood pressure for evaluation of possible COVID-19 Johnson & Johnson vaccine related side effects. Patient reports that after her J&J COVID-19 vaccination within 8 hours she developed pain and redness at the site.  She then had a severe headache for 2 days.  That became less severe moderate headache which is persistent.  She reports fever at home to a T-max of 100.8 oral assessment.  She has had extreme fatigue, body wide muscle pain severe low back and pelvic pain.  Abdominal cramping on days 3 4 and 5.  She also is experiencing unexpected early menses. And she reports severe "brain fog " unexpected and early menses
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Myalgia, Pelvic pain, Pyrexia
Clinical narrative: 44-year-old afebrile female patient presents in nontachycardic state with elevated blood pressure for evaluation of possible COVID-19 Johnson & Johnson vaccine related side effects. Patient reports that after her J&J COVID-19 vaccination within 8 hours she developed pain and redness at the site.  She then had a severe headache for 2 days.  That became less severe moderate headache which is persistent.  She reports fever at home to a T-max of 100.8 oral assessment.  She has had extreme fatigue, body wide muscle pain severe low back and pelvic pain.  Abdominal cramping on days 3 4 and 5.  She also is experiencing unexpected early menses. And she reports severe "brain fog " unexpected and early menses
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Atrial tachycardia, Atrioventricular block first degree, Blood test, Cardiac monitoring
Clinical narrative: not sure if my illness is related to the shot- but I did have a complete heart workup 11/2019 and was told my heart was in optimal condition. Sometime after my 2nd shot I noticed chest palpatations but I did not seek treatment- on JUly 4th I went to urgent care for a severe cold- and as part of their exam they discovered the palpations were from a fast and highy irregulaar heartbeat (EKG) They told me to rush to emergency room-  where I spent 3 days-    I was treated with meds to  slow my heartrate and rhythm
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Defect conduction intraventricular, Echocardiogram, Electrocardiogram abnormal, Heart rate increased, Illness
Clinical narrative: not sure if my illness is related to the shot- but I did have a complete heart workup 11/2019 and was told my heart was in optimal condition. Sometime after my 2nd shot I noticed chest palpatations but I did not seek treatment- on JUly 4th I went to urgent care for a severe cold- and as part of their exam they discovered the palpations were from a fast and highy irregulaar heartbeat (EKG) They told me to rush to emergency room-  where I spent 3 days-    I was treated with meds to  slow my heartrate and rhythm
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Palpitations, Sinus arrhythmia, Supraventricular tachycardia, Ventricular extrasystoles
Clinical narrative: not sure if my illness is related to the shot- but I did have a complete heart workup 11/2019 and was told my heart was in optimal condition. Sometime after my 2nd shot I noticed chest palpatations but I did not seek treatment- on JUly 4th I went to urgent care for a severe cold- and as part of their exam they discovered the palpations were from a fast and highy irregulaar heartbeat (EKG) They told me to rush to emergency room-  where I spent 3 days-    I was treated with meds to  slow my heartrate and rhythm
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: Did have chills, fever, muscle aches and temp Had  no redness but very painful and swelling in the arm pit, side of left breast (felt like a tennis ball under my arm).  No numbness of pain down the arm.  Lasted for 5 days
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Renal scan
Clinical narrative: Rise in blood pressure up to 213/111
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest discomfort, Chest pain, Chills, Dizziness
Clinical narrative: Fever, chills, irregular heart beat, with heart bounding hard and sensation of skipping beats and fluttering. This continued throughout the next day or so and slowly subsided. Pain in chest, feeing like some heavy weighted object on my chest, dizziness and fatigue. Frightening symptoms, it seemed my heartbeat was out of control.  My oxygen meter showing lower than normal rating. Extremely exhausted and fell asleep not long after symptoms started and sleep for hours. I was wrapped in blankets wearing layers of clothes felt freezing cold.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Extrasystoles, Fatigue, Feeling cold, Palpitations, Pyrexia
Clinical narrative: Fever, chills, irregular heart beat, with heart bounding hard and sensation of skipping beats and fluttering. This continued throughout the next day or so and slowly subsided. Pain in chest, feeing like some heavy weighted object on my chest, dizziness and fatigue. Frightening symptoms, it seemed my heartbeat was out of control.  My oxygen meter showing lower than normal rating. Extremely exhausted and fell asleep not long after symptoms started and sleep for hours. I was wrapped in blankets wearing layers of clothes felt freezing cold.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Patient reports sore and swollen axilla lymph nodes. Denies redness and heat to area. Visibly swollen and painful to the touch.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Laboratory test, Pulmonary embolism, Urticaria
Clinical narrative: Unexplained idiopathic hives, pe and dvt blood clots, pulmonary embolism since 06/12/2021. Hives being treated with steroids and xolair injections and still having bad episodes, 3 trips to the ER. Pe and Dvt blood clots being treated with blood thinners  Apixaban till  02/2022
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Investigation, Muscle spasms
Clinical narrative: Patient had severe muscle spasms in right leg the evening following vaccine administration which continued but decreased in severity. He had 5 cm circular area of redness on right inner thigh which started around the same time. Symptoms are decreasing in severity but continue 3 days later
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Diarrhoea haemorrhagic, Fatigue, Feeling abnormal
Clinical narrative: After the first shot I had a lot of pain and sore in my arm and fatigue. It lasted about 3 weeks. After the second shot, it seemed like the pain was more intense. But the fatigue was worse. My diarrhea turned bloody. I have been in this brain fog. I cannot even find words that I want to say. I went to the hospital on 09/30/2021. They did a CT scan of my torso with and without contrast. They did blood work. They gave me IV because I was very dehydrated. I saw a GI specialist yesterday. He is going to scope me. I am supposed to get a stomach X-ray and blood work today.