chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Culture stool negative, Dehydration, Hyperhidrosis, Influenza virus test negative
Clinical narrative: I was extremely sick already had COVID before. I'm asymptomatic when I took the vaccine, I became sicker than before. My symptoms lasted for about a week. I was hospitalized and given fluids for dehydration cause of sweating and vomiting. I experienced altered mental status, body aches and fever.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Mental status changes, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I was extremely sick already had COVID before. I'm asymptomatic when I took the vaccine, I became sicker than before. My symptoms lasted for about a week. I was hospitalized and given fluids for dehydration cause of sweating and vomiting. I experienced altered mental status, body aches and fever.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I was extremely sick already had COVID before. I'm asymptomatic when I took the vaccine, I became sicker than before. My symptoms lasted for about a week. I was hospitalized and given fluids for dehydration cause of sweating and vomiting. I experienced altered mental status, body aches and fever.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cholecystitis acute, Computerised tomogram, SARS-CoV-2 test positive
Clinical narrative: Acute cholecystitis, non -toxic on overall appearance and exam. Plan for lap choley in AM 12/28/2021 was canceled due to Covid-19 PCR was also positive.  Pt was moved to the isolation ward, OR was postponed. Conservative tx with supportive care and antibiotics help alleviate symptoms.  Pt was discharged 12/29/2021 with plans to schedule surgery as an outpatient.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for covid 12/29/21
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Seizure, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium, Systemic: Seizure-Severe, Additional Details: Pt looked like a seizure and was unresponsive for about 2 minutes. Pt walked out of own accord against medical advice to stay for an ambulance. EMS was called and patient left before they arrived.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Gave patient a pediatric Pfizer vaccine #2 that was potentially not as effective due to temperature excursion.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Laboratory test, Pruritus, Rash, Urticaria
Clinical narrative: 8 days after receiving the Moderna booster shot I began to break out in hives. By the following day, 9 days after receiving the booster, I was completely covered in hives (raised, itchy, red) that were so large they melded into one huge hive/rash that was covering my entire body. This lasted for about 8 days. When I was finally able to see a good doctor I was prescribed steroids, a topical steroid cream, & anti itch medication that helped. The hives and rashes diminished at a very slow pace & I am still getting some red spots. I now have an allergist that's helping me try to figure out what could've happened but I believe the booster is mostly responsible because I know 4 other people that have had the same experience in the same timeframe after receiving the  Moderna booster.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Swelling, Vomiting
Clinical narrative: Chills fever vomiting swelling
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral herpes
Clinical narrative: PATIENT HAD 'SEVERE' COLD SORE BREAKOUT ON LIPS
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: The tech thought the pt got Johnson and Johnson as his primary dose.  The tech told the pt we had Moderna for the booster.  At counseling the pharmacist confirmed with pt that he was expecting the Moderna booster.  After the half dose was given to the pt , the pt said he wanted the Johnson and Johnson and he never received the first dose.  We verified with Moderna ok to give him the other half dose to get him to a full primary dose.  No adverse reactions were reported by patient.  The reason this report was made because pt wanted J&J but got Moderna instead.  Pt wanted J&J becasue he only wanted one dose since he is a truck driver.  After speaking with the pt he wasn't overly upset and we explained he will need a second dose in 28 days.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: 1st vaccine no side effects 2nd Vaccine- body aches , fatigue, covid arm 3rd vaccine booster- Fever, fatigue, body aches, headache , severe swelling , pain, redness and heat under injection site. Also has welp at injection site.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Injection site swelling, Injection site warmth, Pain, Pyrexia, Urticaria
Clinical narrative: 1st vaccine no side effects 2nd Vaccine- body aches , fatigue, covid arm 3rd vaccine booster- Fever, fatigue, body aches, headache , severe swelling , pain, redness and heat under injection site. Also has welp at injection site.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: Patient self reported to pharmacy on 12/29/21 - patient has been treating it with benadryl and triamcinolone
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Angiogram, Asthenia, Computerised tomogram head, Confusional state
Clinical narrative: Patient reports intermittent transient episodes beginning with witnessed event at work 6/2/21 of right sided weakness, confusion , difficulty speaking, memory loss and fatigue.  He was evaluated at ED 9/29/2021, ED 10/2/2021 and saw neurologistlogist 10/5/2021 who determined he was likely having ischemic events and put him on Plavix,  Atorvastatin and ordered MRI.  When he went for his Covid booster and mentioned this to the pharmacist, he was given Pfizer vaccine and told to follow up with his PCP to report adverse event.  He continues to have fatigue and memory loss.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Ischaemia, Magnetic resonance imaging head, Speech disorder
Clinical narrative: Patient reports intermittent transient episodes beginning with witnessed event at work 6/2/21 of right sided weakness, confusion , difficulty speaking, memory loss and fatigue.  He was evaluated at ED 9/29/2021, ED 10/2/2021 and saw neurologistlogist 10/5/2021 who determined he was likely having ischemic events and put him on Plavix,  Atorvastatin and ordered MRI.  When he went for his Covid booster and mentioned this to the pharmacist, he was given Pfizer vaccine and told to follow up with his PCP to report adverse event.  He continues to have fatigue and memory loss.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Musculoskeletal stiffness, Myalgia, Pyrexia
Clinical narrative: The patient received the Pfizer booster on Sunday 12/26/21. She woke up on Monday 12/27/21 with a severe headache that was not alleviated with Ibuprofen. She also has had fever, chills, muscle aches, and a stiff neck. These symptoms have persisted since Monday morning.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chapped lips, Lip erythema, Lip swelling, Vaccine positive rechallenge
Clinical narrative: Patient reported swollen, red, chapped lips after both doses of Covid-19, commencing one day after each vaccine. Condition improved several days after first dose, then recurred and improved again before second dose, after which it once again flared. Doctor prescribed triamcinolone to treat.  Second dose administered 12/10/21 lot FD7218.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: VR just turned 12 years old but was administered 5-11 year old dose
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Increased menstrual bleeding. Normal menstrual period lasts 5 days; currently on day 10.of menstruation with no end in sight.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac disorder, Cardiac imaging procedure abnormal, Chest pain, Dyspnoea
Clinical narrative: Son came up to my room states he said that his chest was hurting and had a hard time breathing. Feeling heart palpitations. GI Cocktail given to him for heart palpitations. Dr. stated that he had a heart event but did not know what it was. He was transferred to Hospital via ambulance. Diagnosed with Myocarditis
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram normal, Myocarditis, Palpitations
Clinical narrative: Son came up to my room states he said that his chest was hurting and had a hard time breathing. Feeling heart palpitations. GI Cocktail given to him for heart palpitations. Dr. stated that he had a heart event but did not know what it was. He was transferred to Hospital via ambulance. Diagnosed with Myocarditis
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted while waiting for 15 min required observation period, became alert a few seconds later, declined going to ER. Patient reported being  tired and dizzy a few hours after receiving 1st dose.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Dyspnoea, Nausea, Pain, Pyrexia
Clinical narrative: Body aches; Fever- 109.1; Nausea- vomiting for 6hours; Difficulty breathing; Right armpit was very sore
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Body aches; Fever- 109.1; Nausea- vomiting for 6hours; Difficulty breathing; Right armpit was very sore
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram, Facial paralysis, Facial paresis, Laboratory test
Clinical narrative: Blurred vision, dilated pupils, right facial droop, nuscle weakness in face, told i have mold bells palsy.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Mydriasis, Vision blurred
Clinical narrative: Blurred vision, dilated pupils, right facial droop, nuscle weakness in face, told i have mold bells palsy.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Pt was given the Pediatric formulation of the Pfizer Vaccine at the time of vaccination. Pt was 12y.o at time of vaccination. No adverse reaction noted or reported.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Started with hives on chest, after a few minutes hives and welts started to appear on face, neck, chest, and arms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Client received the Booster COVID vaccine (Moderna, Lot #070H21A and expiration date 1/14/2022) at 1648.  Client  reported history of vasovagal syncope with vaccinations and needles.  Vaccinator,  offered the zero gravity chair as an option for vaccination.  Client  declined the accommodation and would prefer to be vaccinated in a timely manner in the chair at the vaccination table.  Approximately 1 minute following vaccination client started to feel nauseas and lightheaded and sat on the floor. At 1652 EMT, began vital assessment BP 89/66, P 73, O2 98%, R 16.  EMT, reported client was sweating with gray coloring.   Client  was provided juice.  At 1653 Client  reports feeling better and was comfortable sitting up. At 1657 EMT completed another vital sign assessment (BP 113/83, P 63, O2 99%, R 16). Client  denies any allergies and currently taking zoloft for anxeity. At 1602 Lead RN counseled Vaccinator  on safety of client care.  At 1707 EMT  completed final set of vitals while  rested in anti-gravity chair (BP 115/81, P 69, O2 100%, R 18).  Client  was educated on signs and symptoms of when to seek follow up care.  At 1718 Client  felt better and left facility with steady gate and without complaint.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Blood pressure increased, Feeling abnormal, Heart rate increased, Laboratory test
Clinical narrative: After receiving the 1st dose of The Pfizer vaccine, I was caring for my mother at the time and started to feel very different. I decided to take my blood pressure and it read 240/128. I contacted the paramedics and was admitted to the hospital for a 24-hour observation. After 2 weeks I then had to be admitted again to the hospital after my blood pressure dropped to low. A full cardiac workup was performed and found no abnormalities. To this day my heart rate is still high.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: This patient received there 2nd dose 3 weeks after their 1st dose which was too soon. This patient should have received their 2nd dose 4 weeks after their 1st dose. No other adverse events have been reported.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH CASE : Pt. states that after receiving the 3rd dose of Moderna 08/16/2021 (Prior 1st and 2nd dose given) Covid + 12/27/2021
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Pruritus, Urticaria
Clinical narrative: Hives anywhere clothing touches skin to where I scratch. Affected areas raise and burn for about 10 minutes and then subside in that spot but itch is constant.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt given Pfizer covid-19 vaccine for age 5-11 yrs
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac monitoring abnormal, Electrocardiogram normal, Extrasystoles, Palpitations
Clinical narrative: Heart palpitations: sudden bursts of racing heatbeat, and the sensation of sudden pause of heartbeat followed by one very hard beat. I went to a local ER after experiencing several instances of these symptoms over a 12-16 hour period. They performed an EKG at the ER that did not capture anything. I was on a continuous heart monitor for a couple of hours while I was there (can't recall how long). The doctor mentioned seeing one example of a "multifocal heart palpitation" come up on the monitor during that time--while he was actually talking to me at the bedside with me, in fact--but I don't see it mentioned in my discharge summary. Bloodwork was done, and looking at my discharge summary, everything apparently came back within normal range.   The doctor did note in the discharge summary that the vaccine was suspected as a possible cause of my complaint. The occasional symptom(s) persisted on and off for a few days, becoming fewer and further apart until they resolved. I can't recall exactly how many days the symptoms lasted in total.   According to the discharge summary, the doctor appears to have been MD, but I recall seeing two different male doctors over the course of my visit (shift change?).
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site bruising, Pain
Clinical narrative: Bruising at vacccine injection shot site (left arm). No treatment has been performed. As of today, bruising is still there however associated pain has subsided. In addition to this report, bruising (side effect) has been shown and reported to the pharmacy manager.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Patient complains of radiating numbness/tingling down left arm and up the left/back side of her neck, often followed by pain. Review of injection site reveals the poke was not too low or high. Started 12/28 (day after injection) and continuing into today 12/29.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Haematuria, Urine analysis abnormal, Vasculitic rash
Clinical narrative: gross hematuria and vasculitic rash  48 hours after vaccines received she got both Pfizer booster and shingrix at same time
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Audiogram, Ear discomfort, Magnetic resonance imaging head, Tinnitus, Tympanometry
Clinical narrative: Within 12 hours of all three shots tinnitus in both ears - a roaring sound like a waterfall, fullness in ears, fluttering feeling in both ears
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Within 12 hours of all three shots tinnitus in both ears - a roaring sound like a waterfall, fullness in ears, fluttering feeling in both ears
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Hypertension-Severe, Systemic: Tachycardia-Severe
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Lethargy, Pain, Tachycardia
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Hypertension-Severe, Systemic: Tachycardia-Severe
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Pediatric Pfizer vaccine was left out at room temperature for more than 36 hours / temperature excursion happened the previous day. However, vaccine was placed back in the fridge by accident and the following day a second pharmacist gave a dose of the vaccine to the patient not knowing that the vaccine might have been spoiled previously. Patient was not harmed however a less effective vaccine was given to patient. Market director contacted the parents for revaccination and to re-assure the no harm is done for the child who received the vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Eye infection, Eye pain, Eye swelling, Hordeolum, Ocular discomfort
Clinical narrative: Started having eye pressure pain swelling and a sty developed inside lower left eye next morning pain got worse every day  by 3 day the eye was was like infected and the stye was pushing to the outside with lots of pain this took place over the holiday so couldn't call anybody till the 6th day to get a medicated drop from my doctor
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site bruising, Injection site erythema, Injection site pain, Vaccination site rash
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Additional Details: Patient states after receiving vaccine she noticed rash around the vaccine site shortly after. She then reported to the hospital, where she was diagnosed and treated for cellulitis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Blood thyroid stimulating hormone, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: 1 week after vaccine, had heaviness and sharp upper chest pain without radiation. Exacerbated by deep inspiration.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Human chorionic gonadotropin, Immune system disorder, Lymphadenopathy, Metabolic function test
Clinical narrative: 1 week after vaccine, had heaviness and sharp upper chest pain without radiation. Exacerbated by deep inspiration.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Painful respiration, Troponin
Clinical narrative: 1 week after vaccine, had heaviness and sharp upper chest pain without radiation. Exacerbated by deep inspiration.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: B-cell lymphoma, COVID-19, Leukocytosis, Thrombocytopenia
Clinical narrative: Hospitalized with thrombocytopenia and leukocytosis diagnosed with high grade B cell lymphoma. (pt had mild covid on 12/10/2021).
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dehydration, Pneumonia, Productive cough, Respiratory tract congestion
Clinical narrative: Covid19 breakthrough.  1st vaccine given 8/23/21.  Pt presented with c/o productive cough, congestion, PNA, dehydration.  Covid+.  Treated with IV steroids and Abx.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine given 8/23/21.  Pt presented with c/o productive cough, congestion, PNA, dehydration.  Covid+.  Treated with IV steroids and Abx.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blepharospasm, Chest pain, Gastritis, Gastrooesophageal reflux disease
Clinical narrative: Numbness, swelling to right upper lip, resolved after 2 hours but paraesthia to area continues.  Severe GERD,  nausea & vomiting, gastritis have persisted since.  I have no prior history  Sudden, intermittent sharp left chest pain Migratory joint and muscle pain intermittent  Left infra orbital blephrospasms
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral, Lip swelling, Myalgia, Nausea, Paraesthesia oral
Clinical narrative: Numbness, swelling to right upper lip, resolved after 2 hours but paraesthia to area continues.  Severe GERD,  nausea & vomiting, gastritis have persisted since.  I have no prior history  Sudden, intermittent sharp left chest pain Migratory joint and muscle pain intermittent  Left infra orbital blephrospasms
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Numbness, swelling to right upper lip, resolved after 2 hours but paraesthia to area continues.  Severe GERD,  nausea & vomiting, gastritis have persisted since.  I have no prior history  Sudden, intermittent sharp left chest pain Migratory joint and muscle pain intermittent  Left infra orbital blephrospasms
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Pain in extremity, Peripheral swelling
Clinical narrative: PAIN, REDNESS, INDURATION, AND SWELLING OF LEFT ARM
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral infarction, Echocardiogram, Hypoaesthesia, Laboratory test, Magnetic resonance imaging head abnormal
Clinical narrative: Right upper extremity numbness/weakness onset 48 hours after J&J Covid booster.  Had received initial J&J vaccination prior.  Brain MRI showed cerebral infarctions in LEFT middle cerebral artery (MCA) distribution.  No prior history of HTN, hyperlipidemia.  Non-smoker.  As of today, 12/29/21, symptoms have IMPROVED but not completely resolved.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: Right upper extremity numbness/weakness onset 48 hours after J&J Covid booster.  Had received initial J&J vaccination prior.  Brain MRI showed cerebral infarctions in LEFT middle cerebral artery (MCA) distribution.  No prior history of HTN, hyperlipidemia.  Non-smoker.  As of today, 12/29/21, symptoms have IMPROVED but not completely resolved.
Age: 55.0
Sex: F
Vaccine: FLUC4
Symptoms: Pain in extremity
Clinical narrative: left arm became sore after event and is still sore since 11-3-2021 and today is 12-29-2021. she said it feels like a charlie horse in her left arm is still very sore.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Loss of consciousness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Additional Details: Patient received Moderna booster. RN gave the vaccine and reported the patient fainted and was unconcious for around 2 seconds. Rescue was called. Patient was cleared to go home
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Electrocardiogram, Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Chronic upper left arm, left shoulder and blade, and left arm down to wrist ?.the injection site area pain is the most profound. Over 2 months now. Left arm has limited range of motion and limited use without further aggravation of the pain. Sleep is restricted to laying on my back with my left arm at my side
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Sleep disorder, Troponin, X-ray
Clinical narrative: Chronic upper left arm, left shoulder and blade, and left arm down to wrist ?.the injection site area pain is the most profound. Over 2 months now. Left arm has limited range of motion and limited use without further aggravation of the pain. Sleep is restricted to laying on my back with my left arm at my side
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival pain, Headache, Pain in jaw
Clinical narrative: After I received my second vaccine I started having problems with my gums and jaw aching and hurting and it hurts up into my head and gives me a headache
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Syringe issue
Clinical narrative: Used Vanish point syringe to inject vaccine. After inserting needle into arm and pushing plunger, the plunger stopped or locked midway through injecting. Immediately removed syringe and the syringe proceeded to inject rest of vaccine without touching plunger, resulting in vaccine spraying onto the ground. Patient received unknown, lower than recommended dose. Patient reported no pain or discomfort. Per CDC Interim Revaccination on Guidance (12/14) dose was repeated immediately, 0.3ml IM left arm. Patient was advised to wait 15min after re-administration.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Urticaria
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: I've had a red rash (1/2 inch) pop up on my left forearm and both legs. It looks like a patch of dry skin, but it does not itch or burn.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: breakthrough COVID case in fully vaccinated person
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Child inadvertently given improperly prepared Pfizer vaccine.  Adult Pfizer vial was mixed as Ped Pfizer (using 1.3 ml diluent) and 0.2 ml dose administered to child age 5-11 year old.  Error discovered after child left clinic.  Steps taken immediately to correct the proglem and prevent it from happening again.  Parent notified of error and to watch for side effects.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received Pediatric dose of Pfizer (orange cap; ages 5-11) instead of regular Pfizer (purple cap; ages 12+). Parents are aware and were told to contact the pediatrician if any unexpected adverse events occur. Patient is scheduled to receive regular Pfizer as second dose per CDC guidelines.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Hospitalized with dyspnea very mild no need for oxygen.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Pain in extremity
Clinical narrative: The day after her 2nd dose on 4/18, she complained to me about severe leg pain in both legs
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Anion gap, Basophil percentage decreased, Blood chloride normal, Blood creatinine normal, Blood glucose normal
Clinical narrative: Patient is a 28 year old male generally healthy,who presented to ER with complaints of lightheadedness,near syncope and hives after Moderna booster 12/27/2021   Previous 2 vaccinations have been Pfizer.  Patient woke up at 3 AM secondary to pruritis and noted whole body hives,no oral lesions. He felt hot,did not check his temp. He felt that he will pass out.    Patient took Benadryl 50 mg orally at about 5 AM today prior to presentation..   He complaints of nausea, mild shortness of breath.  No vomiting.  No diarrhea.   No chest pain or abdominal pain. Per patient he had similar reaction to unknown meds 3 years ago -treated at MGH.     ED COURSE: On arrival patient medicated with Benadryl 50 mg IV, Decadron 10 mg IV, famotidine, epinephrine IM x1   Recheck at 1310 hrs.: Urticaria resolved, patient feeling better, ambulatory without dizziness.   Recheck at 1400 hrs.: Diffuse urticaria, patient reports tight sensation in throat and mid epigastric area. Voice normal.  No respiratory distress.  Will premedicate with additional epinephrine and add hydroxyzine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood prolactin, Blood sodium decreased, Blood urea normal, Carbon dioxide normal
Clinical narrative: Patient is a 28 year old male generally healthy,who presented to ER with complaints of lightheadedness,near syncope and hives after Moderna booster 12/27/2021   Previous 2 vaccinations have been Pfizer.  Patient woke up at 3 AM secondary to pruritis and noted whole body hives,no oral lesions. He felt hot,did not check his temp. He felt that he will pass out.    Patient took Benadryl 50 mg orally at about 5 AM today prior to presentation..   He complaints of nausea, mild shortness of breath.  No vomiting.  No diarrhea.   No chest pain or abdominal pain. Per patient he had similar reaction to unknown meds 3 years ago -treated at MGH.     ED COURSE: On arrival patient medicated with Benadryl 50 mg IV, Decadron 10 mg IV, famotidine, epinephrine IM x1   Recheck at 1310 hrs.: Urticaria resolved, patient feeling better, ambulatory without dizziness.   Recheck at 1400 hrs.: Diffuse urticaria, patient reports tight sensation in throat and mid epigastric area. Voice normal.  No respiratory distress.  Will premedicate with additional epinephrine and add hydroxyzine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Dizziness, Dyspnoea, Electrocardiogram, Eosinophil percentage decreased
Clinical narrative: Patient is a 28 year old male generally healthy,who presented to ER with complaints of lightheadedness,near syncope and hives after Moderna booster 12/27/2021   Previous 2 vaccinations have been Pfizer.  Patient woke up at 3 AM secondary to pruritis and noted whole body hives,no oral lesions. He felt hot,did not check his temp. He felt that he will pass out.    Patient took Benadryl 50 mg orally at about 5 AM today prior to presentation..   He complaints of nausea, mild shortness of breath.  No vomiting.  No diarrhea.   No chest pain or abdominal pain. Per patient he had similar reaction to unknown meds 3 years ago -treated at MGH.     ED COURSE: On arrival patient medicated with Benadryl 50 mg IV, Decadron 10 mg IV, famotidine, epinephrine IM x1   Recheck at 1310 hrs.: Urticaria resolved, patient feeling better, ambulatory without dizziness.   Recheck at 1400 hrs.: Diffuse urticaria, patient reports tight sensation in throat and mid epigastric area. Voice normal.  No respiratory distress.  Will premedicate with additional epinephrine and add hydroxyzine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Epigastric discomfort, Feeling hot, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal
Clinical narrative: Patient is a 28 year old male generally healthy,who presented to ER with complaints of lightheadedness,near syncope and hives after Moderna booster 12/27/2021   Previous 2 vaccinations have been Pfizer.  Patient woke up at 3 AM secondary to pruritis and noted whole body hives,no oral lesions. He felt hot,did not check his temp. He felt that he will pass out.    Patient took Benadryl 50 mg orally at about 5 AM today prior to presentation..   He complaints of nausea, mild shortness of breath.  No vomiting.  No diarrhea.   No chest pain or abdominal pain. Per patient he had similar reaction to unknown meds 3 years ago -treated at MGH.     ED COURSE: On arrival patient medicated with Benadryl 50 mg IV, Decadron 10 mg IV, famotidine, epinephrine IM x1   Recheck at 1310 hrs.: Urticaria resolved, patient feeling better, ambulatory without dizziness.   Recheck at 1400 hrs.: Diffuse urticaria, patient reports tight sensation in throat and mid epigastric area. Voice normal.  No respiratory distress.  Will premedicate with additional epinephrine and add hydroxyzine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Immature granulocyte count, Lymphocyte percentage decreased, Mean cell volume normal, Monocyte percentage increased, Nausea
Clinical narrative: Patient is a 28 year old male generally healthy,who presented to ER with complaints of lightheadedness,near syncope and hives after Moderna booster 12/27/2021   Previous 2 vaccinations have been Pfizer.  Patient woke up at 3 AM secondary to pruritis and noted whole body hives,no oral lesions. He felt hot,did not check his temp. He felt that he will pass out.    Patient took Benadryl 50 mg orally at about 5 AM today prior to presentation..   He complaints of nausea, mild shortness of breath.  No vomiting.  No diarrhea.   No chest pain or abdominal pain. Per patient he had similar reaction to unknown meds 3 years ago -treated at MGH.     ED COURSE: On arrival patient medicated with Benadryl 50 mg IV, Decadron 10 mg IV, famotidine, epinephrine IM x1   Recheck at 1310 hrs.: Urticaria resolved, patient feeling better, ambulatory without dizziness.   Recheck at 1400 hrs.: Diffuse urticaria, patient reports tight sensation in throat and mid epigastric area. Voice normal.  No respiratory distress.  Will premedicate with additional epinephrine and add hydroxyzine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Nucleated red cells, Platelet count normal, Presyncope
Clinical narrative: Patient is a 28 year old male generally healthy,who presented to ER with complaints of lightheadedness,near syncope and hives after Moderna booster 12/27/2021   Previous 2 vaccinations have been Pfizer.  Patient woke up at 3 AM secondary to pruritis and noted whole body hives,no oral lesions. He felt hot,did not check his temp. He felt that he will pass out.    Patient took Benadryl 50 mg orally at about 5 AM today prior to presentation..   He complaints of nausea, mild shortness of breath.  No vomiting.  No diarrhea.   No chest pain or abdominal pain. Per patient he had similar reaction to unknown meds 3 years ago -treated at MGH.     ED COURSE: On arrival patient medicated with Benadryl 50 mg IV, Decadron 10 mg IV, famotidine, epinephrine IM x1   Recheck at 1310 hrs.: Urticaria resolved, patient feeling better, ambulatory without dizziness.   Recheck at 1400 hrs.: Diffuse urticaria, patient reports tight sensation in throat and mid epigastric area. Voice normal.  No respiratory distress.  Will premedicate with additional epinephrine and add hydroxyzine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Red blood cell count normal, Red cell distribution width normal, SARS-CoV-2 test negative, Sleep disorder
Clinical narrative: Patient is a 28 year old male generally healthy,who presented to ER with complaints of lightheadedness,near syncope and hives after Moderna booster 12/27/2021   Previous 2 vaccinations have been Pfizer.  Patient woke up at 3 AM secondary to pruritis and noted whole body hives,no oral lesions. He felt hot,did not check his temp. He felt that he will pass out.    Patient took Benadryl 50 mg orally at about 5 AM today prior to presentation..   He complaints of nausea, mild shortness of breath.  No vomiting.  No diarrhea.   No chest pain or abdominal pain. Per patient he had similar reaction to unknown meds 3 years ago -treated at MGH.     ED COURSE: On arrival patient medicated with Benadryl 50 mg IV, Decadron 10 mg IV, famotidine, epinephrine IM x1   Recheck at 1310 hrs.: Urticaria resolved, patient feeling better, ambulatory without dizziness.   Recheck at 1400 hrs.: Diffuse urticaria, patient reports tight sensation in throat and mid epigastric area. Voice normal.  No respiratory distress.  Will premedicate with additional epinephrine and add hydroxyzine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness, Urticaria, White blood cell count increased
Clinical narrative: Patient is a 28 year old male generally healthy,who presented to ER with complaints of lightheadedness,near syncope and hives after Moderna booster 12/27/2021   Previous 2 vaccinations have been Pfizer.  Patient woke up at 3 AM secondary to pruritis and noted whole body hives,no oral lesions. He felt hot,did not check his temp. He felt that he will pass out.    Patient took Benadryl 50 mg orally at about 5 AM today prior to presentation..   He complaints of nausea, mild shortness of breath.  No vomiting.  No diarrhea.   No chest pain or abdominal pain. Per patient he had similar reaction to unknown meds 3 years ago -treated at MGH.     ED COURSE: On arrival patient medicated with Benadryl 50 mg IV, Decadron 10 mg IV, famotidine, epinephrine IM x1   Recheck at 1310 hrs.: Urticaria resolved, patient feeling better, ambulatory without dizziness.   Recheck at 1400 hrs.: Diffuse urticaria, patient reports tight sensation in throat and mid epigastric area. Voice normal.  No respiratory distress.  Will premedicate with additional epinephrine and add hydroxyzine.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Burning sensation, COVID-19, Chills, Dehydration
Clinical narrative: After my vaccine, I had a severe burning sensation throughout my body, similar feeling after I would have any substance that has casein protein in it due to sensitivity. My right kidney was in severe pain, so I went to the emergency room. I couldn't sit up or walk. I would lose my train of thought and had delayed speech. I couldn't think or speak properly. I was extremely fatigue, had body chills and sweats and a fever. They gave me the COVID-19 antibodies. They gave me fluids to help as I was dehydrated. They only tested me for COVID-19 on 10/13/2021 and I got my results for COVID-19 on 10/15/2021 for positive for the virus. I was discharged the same day and sent home to rest
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait inability, Hyperhidrosis, Mobility decreased, Pyrexia
Clinical narrative: After my vaccine, I had a severe burning sensation throughout my body, similar feeling after I would have any substance that has casein protein in it due to sensitivity. My right kidney was in severe pain, so I went to the emergency room. I couldn't sit up or walk. I would lose my train of thought and had delayed speech. I couldn't think or speak properly. I was extremely fatigue, had body chills and sweats and a fever. They gave me the COVID-19 antibodies. They gave me fluids to help as I was dehydrated. They only tested me for COVID-19 on 10/13/2021 and I got my results for COVID-19 on 10/15/2021 for positive for the virus. I was discharged the same day and sent home to rest
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Renal pain, SARS-CoV-2 test positive, Speech disorder developmental, Thinking abnormal
Clinical narrative: After my vaccine, I had a severe burning sensation throughout my body, similar feeling after I would have any substance that has casein protein in it due to sensitivity. My right kidney was in severe pain, so I went to the emergency room. I couldn't sit up or walk. I would lose my train of thought and had delayed speech. I couldn't think or speak properly. I was extremely fatigue, had body chills and sweats and a fever. They gave me the COVID-19 antibodies. They gave me fluids to help as I was dehydrated. They only tested me for COVID-19 on 10/13/2021 and I got my results for COVID-19 on 10/15/2021 for positive for the virus. I was discharged the same day and sent home to rest
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Myalgia, Nausea, Pyrexia
Clinical narrative: Muscle Pain Tired Nausea  Fever Shivering All resolved in about 24 hrs.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain
Clinical narrative: Lump appeared under armpit (size of a baseball); pain in that area.
Age: 6.0
Sex: M
Vaccine: UNK
Symptoms: Pallor, Rash, Rash maculo-papular, Urticaria
Clinical narrative: 12/5/21: rash, nonpruritic, started in left arm after covid vaccine, but spread over past 2 days. Widespread blanching maculopapular rash with rare urticaria. Reassuring exam. Discharged home.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalized
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine increased, C-reactive protein increased, COVID-19, Cough, Diarrhoea
Clinical narrative: Patient will be admitted to hospitalist for hypoxia related to COVID-19 infection. Patient is a relatively healthy 60-year-old male normally seeks cares.  has been vaccinated not yet received his booster.  Complains of approximately 9-10 days of diffuse viral symptoms including myalgias, cough, nausea, vomiting, and diarrhea.  Has not been keeping up with his fluids.  The last 2-3 days he has noted increasing shortness of breath with activity.  No abrupt changes.  Denies chest pain, pleuritic pain, abdominal pain.   On evaluation in the emergency department patient was found to be hypoxic requiring supplemental oxygen.  Labs showed elevated CRP of 12.0, slightly increased creatinine at 1.36, mildly elated D-dimer of 1235, normal white blood cell count mildly elevated procalcitonin.  COVID positive 12/27/2021.  Patient was given dexamethasone and admitted for further cares.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Fibrin D dimer increased, Fluid intake reduced, Hypoxia
Clinical narrative: Patient will be admitted to hospitalist for hypoxia related to COVID-19 infection. Patient is a relatively healthy 60-year-old male normally seeks cares.  has been vaccinated not yet received his booster.  Complains of approximately 9-10 days of diffuse viral symptoms including myalgias, cough, nausea, vomiting, and diarrhea.  Has not been keeping up with his fluids.  The last 2-3 days he has noted increasing shortness of breath with activity.  No abrupt changes.  Denies chest pain, pleuritic pain, abdominal pain.   On evaluation in the emergency department patient was found to be hypoxic requiring supplemental oxygen.  Labs showed elevated CRP of 12.0, slightly increased creatinine at 1.36, mildly elated D-dimer of 1235, normal white blood cell count mildly elevated procalcitonin.  COVID positive 12/27/2021.  Patient was given dexamethasone and admitted for further cares.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Procalcitonin increased, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient will be admitted to hospitalist for hypoxia related to COVID-19 infection. Patient is a relatively healthy 60-year-old male normally seeks cares.  has been vaccinated not yet received his booster.  Complains of approximately 9-10 days of diffuse viral symptoms including myalgias, cough, nausea, vomiting, and diarrhea.  Has not been keeping up with his fluids.  The last 2-3 days he has noted increasing shortness of breath with activity.  No abrupt changes.  Denies chest pain, pleuritic pain, abdominal pain.   On evaluation in the emergency department patient was found to be hypoxic requiring supplemental oxygen.  Labs showed elevated CRP of 12.0, slightly increased creatinine at 1.36, mildly elated D-dimer of 1235, normal white blood cell count mildly elevated procalcitonin.  COVID positive 12/27/2021.  Patient was given dexamethasone and admitted for further cares.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Patient will be admitted to hospitalist for hypoxia related to COVID-19 infection. Patient is a relatively healthy 60-year-old male normally seeks cares.  has been vaccinated not yet received his booster.  Complains of approximately 9-10 days of diffuse viral symptoms including myalgias, cough, nausea, vomiting, and diarrhea.  Has not been keeping up with his fluids.  The last 2-3 days he has noted increasing shortness of breath with activity.  No abrupt changes.  Denies chest pain, pleuritic pain, abdominal pain.   On evaluation in the emergency department patient was found to be hypoxic requiring supplemental oxygen.  Labs showed elevated CRP of 12.0, slightly increased creatinine at 1.36, mildly elated D-dimer of 1235, normal white blood cell count mildly elevated procalcitonin.  COVID positive 12/27/2021.  Patient was given dexamethasone and admitted for further cares.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: breakthrough COVID case in fully vaccinated person
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product preparation issue
Clinical narrative: Child inadvertently given improperly prepared Pfizer vaccine.  Adult Pfizer vial was mixed as Ped Pfizer (using 1.3 ml diluent) and 0.2 ml dose administered to child age 5-11 year old.  Error discovered after child left clinic.  Steps taken immediately to correct the proglem and prevent it from happening again.  Parent notified of error and to watch for side effects.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dehydration, Fatigue, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: admitted thru the ED with congestion, fatigue and rhinorrhea  as well Fatigue, decreased appetite, dehydration
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Nausea, Oropharyngeal pain
Clinical narrative: Severe fatigue, nausea, sore throat
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Erythema, Inflammation, Pain, Peripheral swelling
Clinical narrative: 0n 01/29.2021, about 24- 26 hours post vaccine- it was my right thumb, it swelled up in the whole joint area on my right hand was so swollen I could not use it. In my upper back, just above my shoulder blade, that also hurt. Any place I have arthritis it just attacked those 2 spots on my body. I had nothing else, no fever. Just pain in those 2 areas, redness and swelling. I went to my chiropractor, I showed him my thumb, he said he could not touch it because it was too inflamed. He just gave me an adjustment in my back and that was it. I recovered in about a week, from the swelling and redness to go away.  It went away without any treatment.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: 0n 01/29.2021, about 24- 26 hours post vaccine- it was my right thumb, it swelled up in the whole joint area on my right hand was so swollen I could not use it. In my upper back, just above my shoulder blade, that also hurt. Any place I have arthritis it just attacked those 2 spots on my body. I had nothing else, no fever. Just pain in those 2 areas, redness and swelling. I went to my chiropractor, I showed him my thumb, he said he could not touch it because it was too inflamed. He just gave me an adjustment in my back and that was it. I recovered in about a week, from the swelling and redness to go away.  It went away without any treatment.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: My daughter at the age of 15 was mistakenly given Janseen vaccine for Covid at the Pharmacy
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: the patient received the adult version of the vaccine instead of the pediatric version.  Pt 's mom reported no adverse events, "they're fine."
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid +
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cellulitis, Condition aggravated, SARS-CoV-2 test positive
Clinical narrative: incidental finding of positive covid when pt was hospitalized for cellulitis
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Started feeling shortness of breath and cough 12-14 hours after taking the booster. Ended up being in an urgent care on 10/11/2021. Was put on sever asthma treatment plan. Didn't help much. Ended up being in ER on 10/18/2021 with severe asthma attack. Was given treatment and put on Prednisone and inhalers. This helps as long as I am on these medicines. As soon as I am taken off, shortness of breath and cough starts building back.