chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dysmenorrhoea, Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: My periods are VERY regular.  This was my booster. Received Pfizer for all doses - experienced heavy periods (but at normal/expected time) after my first dose in April and my second in May.  This month, I started my period on 1/11 - expected time, bled a bit heavier, but pretty normal over all. I noticed spotting the evening of 1/24 and have been experiencing a full blown period for the second time this month. Currently On my 3rd day of full bleeding. My period Normally tapers off by third day and have light spotting after on 4th day if anything. Current Bleeding /period has not stopped and more blood clotting ontampons than a normal period for me. I have NEVER had a period and then another 2 weeks later. Very painful cramps and back pain (but that is usual for me). I didn't think I was pregnant and then miscarrying now since I JUST had a period two weeks ago. Not on birth control and trying to conceive. Very fresh red blood on 3rd day.  I don't know if this is related to my booster but this is HIGHLY HIGHLY unusual. Wanted to pass long in case it is related.  I am hoping this restarts my cycle clock and that I don?t have ANOTHER period in 1.5-2 weeks. Periods are always 25-27 data apart. I am due to have an OBGYN appt in a month and will discuss then.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Muscular weakness, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital on 1/23/22 for Lower extremity weakness, discharge planned for 1/27/22 to skilled nursing facility which required COVID test prior to discharge. pt tested COVID+ on 1/27/22, asymptomatic
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient received wrong dose of covid vaccine booster. Vial was diluted by staff, should not have been diluted.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: onset of symptoms 1/21/22
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Colitis, Computerised tomogram abdomen, Computerised tomogram pelvis, Haematochezia, Laboratory test
Clinical narrative: Blood in the stool due to colitis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: 07/23/2021 vaccination at 10:00AM. 07/24/2021 I noticed my L arm was slightly larger, raised. No itching but horrible pain which increased for 7 days. This was localized right around the injection site, the pain peaked at day 7 and then started to subside. Lasted a total of 10 days.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness
Clinical narrative: pt passed out after receiving vaccine. pt said she has history of this. had to call EMS for emts to check her out
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Ear infection, Magnetic resonance imaging, Tinnitus
Clinical narrative: I got ringing in my right ear after getting the 2nd vaccine. # or 4 weeks after getting the vaccine, it started and has not stopped. I went to an emergency clinic and my PCP. The ER clinic prescribed me 10 days of Augmentin to treat an ear infection but that did not work. I was then given levothyroxine antibiotic which also did not work. They were unable to determine what was causing the ringing, The ringing varies in intensity. I am still in the process of finding a resolution. I am getting a blood test to determine is there is a vitamin deficiency.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Adhesiolysis, Explorative laparotomy, Ileocaecal resection, Incisional hernia repair, Intestinal anastomosis
Clinical narrative: Patient transferred from facility with  Exploratory laparotomy,  Lysis of adhesions,  Ileocecectomy with anastomosis,  Mid-jejunal small bowel resection with anastomosis, and  Ventral incisional hernia repair with biologic mesh related to chronic bowel obstructions
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Medical device implantation, Small intestinal anastomosis, Small intestinal obstruction
Clinical narrative: Patient transferred from facility with  Exploratory laparotomy,  Lysis of adhesions,  Ileocecectomy with anastomosis,  Mid-jejunal small bowel resection with anastomosis, and  Ventral incisional hernia repair with biologic mesh related to chronic bowel obstructions
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: WRONG COVID 19 VACCINES ADMINISTERED,  PFIZER 5-11 FORMULATION ORANGE CAP WAS ADMINITER TO THE PATIENT WHICH IS 12 YRS OLD.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Neuralgia
Clinical narrative: Intermittent sharp pain in nerve in left side of neck.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Fall, Loss of consciousness, Pallor, Syncope
Clinical narrative: Fainted, fell and lost consciousness for about 5-10 seconds, became pale and a cold sweat for about 30 minutes. Laid down and mother monitored symptoms and showed improvement after rest.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Peripheral swelling
Clinical narrative: Almost immediate pain at injection site. Over the next couple of days there was a lot of swelling in my arm; a large, red circle around the injection site and a lot of pain.  The swelling, redness and pain lasted over 2 weeks. My arm is currently back to normal.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Vascular pain
Clinical narrative: Pain in right arm since 5 days after receiving the Booster vaccine on 12/16/2022. Veins and muscles and painful when I move my arm and ongoing irritation.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Fatigue, Headache, Paraesthesia, Tenderness
Clinical narrative: arm tenderness, headache, fatigue, upset stomach, tiggling down arm (all have subsided per patient)
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Dyspnoea, Lymphadenopathy, Oropharyngeal pain, Rash
Clinical narrative: sore throat, lost voice  lymph node swelling,  rash  sob
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Eustachian tube obstruction, Hypoacusis, Lymphadenopathy
Clinical narrative: Approximately one week after the booster, I began experiencing a decrease in hearing (both ears), with a muffled sound. My glands under my jaw were slightly swollen. I took a Medrol Dospak for 6 days starting January 2nd. The symptoms came back. I saw Dr. on 1/26/22, and her exam revealed blocked eustachian tubes bilaterally and mild swelling in the glands below my jaw. Otherwise the rest of my ENT exam was normal. I had no other symptoms. My ears are still muffled, although getting better on a second round of steroids.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 5-year-old child received adult dose of Pfizer (batch/lot# FL3197) as first dose.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Member received wrong dose of covid vaccine booster. Vial was diluted by staff, should not have been diluted.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I got Covid in January - 2 months after receiving the Booster
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Intensive care
Clinical narrative: Admitted to hospital with COVID on 1/21/22 requiring ICU admission
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Stated to have redness, warmth, swelling, around the site of administration of her Moderna Booster on 11/6/21. SHe stated to have had same reaction to the Moderna vaccine prior. Symptoms improving but not resolved at the time of the form being completed on 11/9/21.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Decreased appetite, Somnolence, Vomiting
Clinical narrative: Started vomiting at 4:00AM for a few hours, ran a 101.3 temperature and slept all day with no appetite. Mother monitored throughout the day.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Tachycardia
Clinical narrative: since having the vaccine i have been experiencing, SOB with chest tightness, tachycardia.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Fall, Influenza A virus test positive, Influenza B virus test positive
Clinical narrative: found to be covid positive when admitted s/p fall, unwitnessed fall down stairs at home with prolonged downtime, lives alone, unable to obtain history. Mental status changes. NO other symptoms present. CXR lungs clear
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Living alone, Mental status changes, Nucleic acid test, SARS-CoV-2 test positive
Clinical narrative: found to be covid positive when admitted s/p fall, unwitnessed fall down stairs at home with prolonged downtime, lives alone, unable to obtain history. Mental status changes. NO other symptoms present. CXR lungs clear
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection after completion of primary vaccine series and booster.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Hospitalization
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: about 12 days after booster developed diffuse migratory hives.  This has persisted for 4+ weeks and continues to be present.  Hives have affected nearly all parts of my body at various times including face, hands and feet.  Initially not relieved by anything including antihistamines.  Now as things have improved, yet are still present the hives and itching seem to respond to OTC antihistamine.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: admitted to hospital for altered mental status, found covid + upon admission on 1/26/22
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Throat irritation, Throat tightness
Clinical narrative: Itchy throat, feeling uneasy, slight tightness in throat @ 1135 Emergency zertec given @ 1140  Patient reports feeling better @ 1150 Patient observation time extended from 30 minutes to 1 hour with constant monitoring  Patient leaves @ 1234 and states he feels better
Age: 50.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Insomnia, Pruritus, Rash
Clinical narrative: After 2-3 days. hands and feet began to itch  at night and turn red, this progressed every night for about 10 nights to include generalized itching and redness with bumps on torso, chest, head, ears, neck  and face.  Also hands and feet.  Somewhat acutely relieved with hydrocortisone and benadryl.  Visited my internist this morning after bring unable to sleep at all due to itching.  Received a steroid shot and am hoping for the best!  She thinks it must be the shingles shot as I take no meds, have no dietary changes and no new soaps, detergents, etc. that could be irritants.
Age: 50.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Hypersensitivity, Pruritus
Clinical narrative: After 2-3 days. hands and feet began to itch  at night and turn red, this progressed every night for about 10 nights to include generalized itching and redness with bumps on torso, chest, head, ears, neck  and face.  Also hands and feet.  Somewhat acutely relieved with hydrocortisone and benadryl.  Visited my internist this morning after bring unable to sleep at all due to itching.  Received a steroid shot and am hoping for the best!  She thinks it must be the shingles shot as I take no meds, have no dietary changes and no new soaps, detergents, etc. that could be irritants.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Heart rate decreased, Impaired driving ability, Laboratory test normal, Limb discomfort
Clinical narrative: 2 days after taking 2nd pfizer shot my dad woke up saying something was wrong with his legs.  He said they were like noodles and he had no strength in them.  He had trouble walking as they were giving away on him.  He continued to have good days and bad days.  Bad days gradually worsened.  He had to stop driving as he doesn't know when his legs will give out.  In fact, 2 men had to carry him back from the gas station restroom to the car where my mom was waiting as his legs totally gave out on him one day in September 2021.  He went to his primary care dr but he did not do anything to help and refused to report the vaccine injury.  My parents  pushed primary care dr more and he finally sent my dad to physical therapy.  Physical therapy did not help very much.  My mom decided he needed to see a neurologist.  She made the appointment directly as his primary care dr approval was not required.  He went to neurologist, Dr, on 9/27/21.  She ran lots of tests.  Results of wrap up visit to Dr in Jan 2022 -  Dr said he should have plenty of strength in his legs and she is not sure why he is having problems given nothing unusual in his test results.  She said she could send him to Hospital for further testing but he refused as it is too hard on him to get around to doctors offices and hard on my mom to take him.  He still has problems walking and we feel this needs to be reported as a vaccine injury.  Dr did say his heart rate was low so he is going to a cardiologist now for further help with his heart.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Muscular weakness, Psychiatric evaluation normal
Clinical narrative: 2 days after taking 2nd pfizer shot my dad woke up saying something was wrong with his legs.  He said they were like noodles and he had no strength in them.  He had trouble walking as they were giving away on him.  He continued to have good days and bad days.  Bad days gradually worsened.  He had to stop driving as he doesn't know when his legs will give out.  In fact, 2 men had to carry him back from the gas station restroom to the car where my mom was waiting as his legs totally gave out on him one day in September 2021.  He went to his primary care dr but he did not do anything to help and refused to report the vaccine injury.  My parents  pushed primary care dr more and he finally sent my dad to physical therapy.  Physical therapy did not help very much.  My mom decided he needed to see a neurologist.  She made the appointment directly as his primary care dr approval was not required.  He went to neurologist, Dr, on 9/27/21.  She ran lots of tests.  Results of wrap up visit to Dr in Jan 2022 -  Dr said he should have plenty of strength in his legs and she is not sure why he is having problems given nothing unusual in his test results.  She said she could send him to Hospital for further testing but he refused as it is too hard on him to get around to doctors offices and hard on my mom to take him.  He still has problems walking and we feel this needs to be reported as a vaccine injury.  Dr did say his heart rate was low so he is going to a cardiologist now for further help with his heart.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: ON JANUARY 18TH PATIENT WAS BROUGHT IN BY MOTHER ALONG WITH A FEW OF HER SIBLINGS AND COUSINS. PT WAS GIVEN THE PFIZER 5-11 YR OLD VACCINE MISTAKENLY DUE TO MOTHER SHUFFLING KIDS AND NOT LETTING ME GO IN ORDER OF THE FORMS I HAD. MOTHER WAS NOTIFIED THAT PATIENT WASN'T SUPPOSED TO GET THE VACCINE. MOTHER BRUSHED IT OFF AND SAID IT WAS FINE, STATED THAT THE PATIENT WOULD INDEED BE ALRIGHT.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Incomplete course of vaccination
Clinical narrative: unknown
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Member received wrong dose of covid vaccine booster. Vial was diluted by staff, should not have been diluted.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: pt admitted for removal of a spinal stiumulator and post op found to be COVID positive. has a slight cough no shortness of breath. no treatment
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to complications of COVID-19 infection
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Influenza A virus test, Influenza B virus test, Lung consolidation
Clinical narrative: presented w generalized weakness over last 8 days on 1/26/22
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Nucleic acid test, SARS-CoV-2 test positive
Clinical narrative: presented w generalized weakness over last 8 days on 1/26/22
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Pulmonary embolism
Clinical narrative: Pulmonary embolism,
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Occupational exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid positive through work contact. Up to date on booster
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: CSF test, Encephalitis meningococcal, Vocal cord paralysis
Clinical narrative: Meningo encephailitis left vocal cord paralysis
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Labour induction, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital on 1/27/22 for medication induction of labor, found COVID+ test upon admission (reported possible COVID exposure over 2 weeks ago but not tested at that time), asymptomatic. pt is currently in delivery room, have not delivered yet
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic, Sleep disorder, Urticaria
Clinical narrative: Hives began three days after booster shot. They have continued to this day. The hives move to new location daily. Legs, arms, back, chest, belly, neck, head, feet, earlobes, etc. Red, itchy bumps. I took a course of steroids for 1 week prescribed by my doctor. That didn't help. I now take Allegra every morning and Benadryl at night when the itching is too bad to sleep.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Anxiety, Dizziness, Mobility decreased, Palpitations
Clinical narrative: Woke up at 3:00am and could barely move legs. Entire body was frozen and I had to have help to move. I felt dizzy all day (the 26th) and was sick to my stomach. Light heart palpitations and general anxiety since receiving vaccine. Today (27th) most symptoms are gone
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Hyperhidrosis, Joint lock, Pyrexia
Clinical narrative: Knees locked up a couple of hours after shot and lasted till the next day.  Weaken condition, sweats and fever.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Balance disorder, Chest pain, Chills
Clinical narrative: PATIENT EXPERIENCED A LOW GRADE FEVER (101.4), HEADACHE, CHILLS, CHEST PAIN (PRESSURE), JABBING PAIN IN THE EAR AND JAW, BODY ACHES/PAINS AND STOMACH CRAMPING. ALL SYMPTOMS BEGAN AT APPROXIMATELY 11:30PM ON 1/24/22. PT ALSO REPORTED STAGGERING. SHE GOT UP IN THE MIDDLE OF THE NIGHT TO GET AN ICE PACK FOR HER NECK AND FELT OFF BALANCE. HER KNEES FELT LIKE THEY WERE GOING TO BUCKLE AND PT COULD NOT WALK STRAIGHT. PT WAS UNAWARE OF THE TIME OF THIS INCIDENT.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Headache, Pain, Pain in jaw, Pyrexia
Clinical narrative: PATIENT EXPERIENCED A LOW GRADE FEVER (101.4), HEADACHE, CHILLS, CHEST PAIN (PRESSURE), JABBING PAIN IN THE EAR AND JAW, BODY ACHES/PAINS AND STOMACH CRAMPING. ALL SYMPTOMS BEGAN AT APPROXIMATELY 11:30PM ON 1/24/22. PT ALSO REPORTED STAGGERING. SHE GOT UP IN THE MIDDLE OF THE NIGHT TO GET AN ICE PACK FOR HER NECK AND FELT OFF BALANCE. HER KNEES FELT LIKE THEY WERE GOING TO BUCKLE AND PT COULD NOT WALK STRAIGHT. PT WAS UNAWARE OF THE TIME OF THIS INCIDENT.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: case was tested prior to having leg surgery on 1/20. tested positive but still admitted to hospital for leg surgery on 1/20. still in hospital as of 1/27
Age: 58.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pruritus
Clinical narrative: Pt. states that after receiving the 3rd dose of Moderna 12/20/2021 (Influenza Quad Right Arm), started experiencing symptoms 12/29/2021 on itchiness on the soles of both feet and itchiness in both palms of hands. Also itchiness continuing to spread throughout the Left thigh, back area, and Left arm. No noted Primary visit/communications.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Skin discolouration
Clinical narrative: ON THE ABOVE DATE AND TIME, THE ABOVE NAMED GUEST FELT WEAK AND DIZZY AFTER RECEIVING HER VACCINATION.  GUEST WAS ASHEN IN COLOR.  HER VITALS WERE TAKEN HR:79/SPO2:99%RA/BP: 68\44/RESP:18-NON LABORED.  GUEST WAS ALSO CHECKED BY ON-SCENE PARAMEDIC.   THE GUESTS' MOTHER OF SAME ADDRESS MENTIONED ABOVE, STATED THAT THIS IS A COMMON OCCURANCE FOR THE GUEST AFTER RECEIVING INOCULATIONS.  AFTER A FEW MINUTES, THE GUEST WAS FEELING BETTER STATING SHE WAS NO LONGER DIZZY.  SHE WAS WARM, PINK , DRY, EYES WERE EQUAL AND RESPONSIVE.   PATIENT REFUSED FURTHER TREATMENT OR TRANSPORT FOR HER DUAGHTER TO THE HOSPITAL.  GUEST WAS ESCORTED TO HER VEHICLE WITHOUT FURTHER ISSUE OR INCIDENT.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure during pregnancy, SARS-CoV-2 test positive
Clinical narrative: 1/7/22 Telephone call from PCP office, positive for COVID OB-GYN visit 1/27/22 She is currently 15 weeks EGA Patient's last menstrual period was 06/10/2021 (exact date). of which patient is Sure:  Yes.  COVID at 11 wks - minimal sx - vaccinated and boosted REVIEW OF SYSTEMS:  Constitutional: Oriented, no unexpected weight loss/gain, or fatigue  Gastrointestinal: No nausea, vomiting, constipation, diarrhea, bloody stool  Genitourinary: No pelvic pain or incontinence, no vaginal bleeding Psychiatric: No depression or anxiety
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Arthralgia, Asthenia, Balance disorder, Cough
Clinical narrative: On day one I had a fever 100, 100.3 lasted for 36 hours, treated with Tylenol and cold therapy. On the 3rd day of vaccination, I had whole body sever pain, joint pain, and weakness. Headaches, shortness of breath treated with inhaler and breathing exercise. Still have body and joint pain not tolerable, cough and shortness of breath. Starting January 25th, I had slight numbness and weakness on my lower extremity mainly on the Right side radiating to my back and hands. Couple of incidents tripping and loosing my balance due to the weakness and dragging my right leg lasting for a second or so. I still have the weakness and pain, intermittent lightning headache and continuous pain on my joints. Loss of focus and short memory while having the sudden headache.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Dyspnoea, Gait disturbance, Headache, Hemiparesis
Clinical narrative: On day one I had a fever 100, 100.3 lasted for 36 hours, treated with Tylenol and cold therapy. On the 3rd day of vaccination, I had whole body sever pain, joint pain, and weakness. Headaches, shortness of breath treated with inhaler and breathing exercise. Still have body and joint pain not tolerable, cough and shortness of breath. Starting January 25th, I had slight numbness and weakness on my lower extremity mainly on the Right side radiating to my back and hands. Couple of incidents tripping and loosing my balance due to the weakness and dragging my right leg lasting for a second or so. I still have the weakness and pain, intermittent lightning headache and continuous pain on my joints. Loss of focus and short memory while having the sudden headache.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Interchange of vaccine products, Muscular weakness, Pain
Clinical narrative: On day one I had a fever 100, 100.3 lasted for 36 hours, treated with Tylenol and cold therapy. On the 3rd day of vaccination, I had whole body sever pain, joint pain, and weakness. Headaches, shortness of breath treated with inhaler and breathing exercise. Still have body and joint pain not tolerable, cough and shortness of breath. Starting January 25th, I had slight numbness and weakness on my lower extremity mainly on the Right side radiating to my back and hands. Couple of incidents tripping and loosing my balance due to the weakness and dragging my right leg lasting for a second or so. I still have the weakness and pain, intermittent lightning headache and continuous pain on my joints. Loss of focus and short memory while having the sudden headache.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chills, Eye swelling, Lip swelling, Mast cell degranulation present
Clinical narrative: Chills, fever, body aches less than 24 hours, that lasted about 2 weeks. Around end of April, both hands developed a rash and within a week, skin completely peeled off, like a snake shedding its skin. Hives/welts came out on torso and arms; lips and eyes swelled.  Treated w/Prednisone  Followed up w/Primary Care Dr., Cardiologist, Allergist, Dermatologist and Rheumatologist
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash, Skin exfoliation, Urticaria
Clinical narrative: Chills, fever, body aches less than 24 hours, that lasted about 2 weeks. Around end of April, both hands developed a rash and within a week, skin completely peeled off, like a snake shedding its skin. Hives/welts came out on torso and arms; lips and eyes swelled.  Treated w/Prednisone  Followed up w/Primary Care Dr., Cardiologist, Allergist, Dermatologist and Rheumatologist
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Medical Assistant, mistakenly diluted the pfizer vaccine at 2:00pm, January 27th, 2022. The new Pfizer formula is not to be diluted. It was our 1st shipment of the new pfizer tris-sucrose formula. I made the mistake out of the habit of previously having to dilute pfizer vaccine formula. There were no adverse reactions following the 15 minute observation time with the patient.  I was reading through information on the CDC about what to do in this situation. The information took some time to find so I let the patient leave the office after the 15 minute observation time since they were not experiencing any adverse reactions. I explained to them that the administration of this particular vaccination was more than likely invalid because it was diluted. I told the patient we would call to reschedule as soon as we knew more information. We are attempting to reach the patient now to reschedule a pfizer booster shot as soon as possible.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nausea, Pyrexia, Respiratory tract congestion
Clinical narrative: cough, congestion, fever, nausea
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: cough, congestion, fever, nausea
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was 17 years of age at the time the 1st dose of Moderna vaccine was given.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough infection in patient that completed primary 2-dose series
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine not licensed for this age group
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives(Urticaria)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia, Pruritus
Clinical narrative: 52 Y.O. female patient received Pfizer booster vaccine Lot# FK9729 on 1/27/22 at 1150. at 1155 patient started having tingling throat and itchiness. Patient's BP: 126/86 HR: 77, O2: 98%. Patient didn't complain from any shortness of breath. Benadryl 50mg/1ml IM administered on her right deltoid. Patient monitored for 30 min and stated that she doesn't have a tingling sensation or itchiness. Patient was instructed to seek an emergency services if her symptoms gets worse. Patient lefty the clinic with a family member at 1230.
Age: 102.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Hospitalization
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Nausea, SARS-CoV-2 test positive
Clinical narrative: fatigue, chest tightness, short of breath, nausea
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose normal, Dizziness, Dyspnoea, Feeling abnormal
Clinical narrative: INCIDENT REPORT .  A 50 year-old male walked in at 11:59am to get vaccinated ( Pfizer 2nd dose). After 6 mins in the observation area, he started complaining of lightheadedness, weakness, ?feeling funny? and short of breath?.  He admitted he hasn't had anything to eat nor drink for the day and has been working all morning with this being his first experience of such symptoms post-vaccination.  PMH-nil. Meds- Ibuprofen. Psh-nil  Precautions taken : - -the patient was instructed to lay on the yoga mat while his Bp, pulse, and HR were taken.   -the patient was also given water, apple juice, and some snacks.  -Initial Bp range was between 160/100-160/96 after consecutive checks within the first 5 mins . No rigors or chills were noted.  -After 10 mins, blood pressure reading went down to 140/84 and finally 137/82 with a pulse ox  reading of 98%.  - He admitted to feeling better and resumed his duty at work. Patient was advised to see his Primary Care Physician for better health evaluation as well.   - Aprroximately , 4hours later , the patient came back in to the discharge unit and complained of extreme weakness, and dyspnea. Blood pressure reading stands at 160/104 mmhg and patient admitted to feeling worse.   -911 was called , on arrival they also got detailed history form the patient and checked his Bp, pulse and blood sugar which turned out to be 162/100, 98%, and 67 respectively.  - However, on request patient refused to go to the hospital despite pertinent findings. He was signed the refusal form and advised to go home and rest.  P.S- I got his contact for subsequent checking in.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown.  Up to date on Booster
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Wheezing
Clinical narrative: Patient was admitted with loss of appetite and wheezing. Patient received 6 mg daily for 8 doses from January 20-January 27.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Limb mass, Pruritus
Clinical narrative: 3 days itching, used hydrocortisone after  lump under arm
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymph node palpable, Lymphadenopathy
Clinical narrative: Less than 24 hours-pain in left arm pit.  Lymphnode palpable and enlarged
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Induration, Injection site erythema, Injection site induration, Injection site vesicles
Clinical narrative: Red hardened area to bilateral legs. Right leg worse than left. Right leg blister at site of injection. Daycare and caregiver administered children's Benadryl and motrin. Applied ice to bilateral legs.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Dizziness, Electrocardiogram, Heart rate increased
Clinical narrative: April 5 ,2021 I developed palpitations, light headedness, and a fast heart rate. I was in atrial fibrillation. I went to the ER at Hospital, and I saw an electrophysiology cardiologist. I was prescribed Eliquis 5mg, Diltiazem 180mg 1xday, and flecainide 15mg 2xday. My thyroid was low so I was referred to an endocrinologist. On 12/17/2021 and 12/30/2021 I had another episode of atrial fibrillation. I stopped taking Eliquis because I was prescribed to take Xarelto and my flecainide was increased to 100mg. I do have family history of heart disease and atrial fibrillation. My doctor will decide if I need an ablation. I am starting on a new medication tomorrow through ivn infusion my osteoporosis which is Reclast.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: April 5 ,2021 I developed palpitations, light headedness, and a fast heart rate. I was in atrial fibrillation. I went to the ER at Hospital, and I saw an electrophysiology cardiologist. I was prescribed Eliquis 5mg, Diltiazem 180mg 1xday, and flecainide 15mg 2xday. My thyroid was low so I was referred to an endocrinologist. On 12/17/2021 and 12/30/2021 I had another episode of atrial fibrillation. I stopped taking Eliquis because I was prescribed to take Xarelto and my flecainide was increased to 100mg. I do have family history of heart disease and atrial fibrillation. My doctor will decide if I need an ablation. I am starting on a new medication tomorrow through ivn infusion my osteoporosis which is Reclast.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Ear pain, Myalgia, SARS-CoV-2 test positive
Clinical narrative: chills, ear pain, myalgias
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered with vaccine - post puncture that was exposed to non suitable temperature for over 24 hours.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid positive no known contact Up to date on booster
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Pt was provided with covid vaccine, purple top vial. Incorrect amount of diluent 0.9mL instead of 1.8mL. Higher concentration of vaccine provided to patient. No adverse effects at this time. Normal side effects.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Anxiety, Blood test, Cardiac stress test, Decreased appetite
Clinical narrative: As reported and diagnosed by Cardiologist, following the 3rd (Booster) Injection of Pfizer Vaccine, problems began with Anxiety, Shortness of Breath, Loss of Appetite, Loss of Sleep, Decreased motivation to exercise, walk any distance, heart pain.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Insomnia, Mobility decreased
Clinical narrative: As reported and diagnosed by Cardiologist, following the 3rd (Booster) Injection of Pfizer Vaccine, problems began with Anxiety, Shortness of Breath, Loss of Appetite, Loss of Sleep, Decreased motivation to exercise, walk any distance, heart pain.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain
Clinical narrative: As I recall I felt very fatigued and had some nausea but not sure about that. I had some body aches. I took ibuprofen for body aches, promethazine 25mg.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Dyspnoea, Electrocardiogram ST segment elevation, Electrocardiogram abnormal
Clinical narrative: chest tightness and shortness of breath with abnormal EKG, symptoms lasted 24 hours and in the process of further evaluation by cardiologist. Pt reports similar symptoms after the first dose, but did not seek medical attention at the time.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Right ventricular hypertrophy
Clinical narrative: chest tightness and shortness of breath with abnormal EKG, symptoms lasted 24 hours and in the process of further evaluation by cardiologist. Pt reports similar symptoms after the first dose, but did not seek medical attention at the time.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: cough, nasal congestion
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Patient was hospitalized on 01/25 d/t non-productive cough, fever, runny nose, & upper respiratory infection
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Upper respiratory tract infection
Clinical narrative: Patient was hospitalized on 01/25 d/t non-productive cough, fever, runny nose, & upper respiratory infection
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Hypotension, Hypotonia
Clinical narrative: Patient vaccinated t 11:30 am.  At 11:33 I gave her a photocopy of her vaccine record and she told me she felt  lightheaded.  I offered her cold bottled water which she took and also offered to raise her legs onto a 2nd chair which she did not want to do.  At 11:40 am 2nd RPh on duty was called to the front lobby - patient was slumped over onto a 2nd chair.   Rph raised patient's legs onto chair, waited with patient in lobby then asked me to assist her with getting patient into counsel room and elevating legs again.  Rph took BP - 78/49  I requested patient call someone, remain seated with legs up, and we would retake BP.  Rph stayed with patient, redid BP at 11:46, was 104/60    Patient said she normally runs low and she gets lightheaded easily, but felt much better.  She went to sit in the lobby a few minutes later.   I checked on her at 11:58 am and patient was standing - said she felt much better and was going to go home.    She left.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Loss of consciousness, Pyrexia, Tremor
Clinical narrative: fever, chills, loss consciousness, diarrhea,  shaking
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Loss of consciousness, Nausea, Syncope, Urinary incontinence
Clinical narrative: about 3-4 hours after receiving 3rd dose of moderna vaccine for covid 19 at appropriate booster time, pt began feeling  nauseated/weak and felt she needed to sit down.   she then fainted with LOC and loss of bladder control.    unsure how long she was out.  she laid down for a while  and felt a little better.      she did not have these issues with doses 1 and 2 of moderna.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient was not of age to receive vaccine at the time of vaccination; mom denies any side effects following vaccination or at the time of vaccination.
Age: 71.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling in both hands. ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyskinesia, Electrocardiogram, Facial discomfort
Clinical narrative: 12/06/2021  COVID19 Booster Vaccination 12/08/2021  Intermittent Chest heaviness, L chest aching increased by leaning forward & palpitations limiting                                exercise. Intermittent nocturnal transient hand and foot paresthesia started.  12/15/2021  Routine negative covid 19 pcr 12/17/2021 Cardiology consultation for improving cardiac symptoms with ecg, hscrp, troponin & esr. 12/22/2021 16 days after the Covid 19 Booster Vaccination he awoke with prominent finger tremulousness that                              interfered with typing. The night before he had the onset of a Left Mid-Scapular Para-Spinal Ache and                              tingling.  01/23/2022   The finger tremulousness has persisted --  and in the previous week he noted the onset of a Vibratory Perception                               on the lower half of his face and on the back of his head and neck. He has also noted a daily spontaneous leg "kick"                              out.  01/27/2022  The intermittent vibration perception on the cheeks of his face and at the back of his head and neck has worsened                            and the finger tremulousness has persisted.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Head discomfort, Laboratory test, Musculoskeletal discomfort, Musculoskeletal pain, Paraesthesia
Clinical narrative: 12/06/2021  COVID19 Booster Vaccination 12/08/2021  Intermittent Chest heaviness, L chest aching increased by leaning forward & palpitations limiting                                exercise. Intermittent nocturnal transient hand and foot paresthesia started.  12/15/2021  Routine negative covid 19 pcr 12/17/2021 Cardiology consultation for improving cardiac symptoms with ecg, hscrp, troponin & esr. 12/22/2021 16 days after the Covid 19 Booster Vaccination he awoke with prominent finger tremulousness that                              interfered with typing. The night before he had the onset of a Left Mid-Scapular Para-Spinal Ache and                              tingling.  01/23/2022   The finger tremulousness has persisted --  and in the previous week he noted the onset of a Vibratory Perception                               on the lower half of his face and on the back of his head and neck. He has also noted a daily spontaneous leg "kick"                              out.  01/27/2022  The intermittent vibration perception on the cheeks of his face and at the back of his head and neck has worsened                            and the finger tremulousness has persisted.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Troponin
Clinical narrative: 12/06/2021  COVID19 Booster Vaccination 12/08/2021  Intermittent Chest heaviness, L chest aching increased by leaning forward & palpitations limiting                                exercise. Intermittent nocturnal transient hand and foot paresthesia started.  12/15/2021  Routine negative covid 19 pcr 12/17/2021 Cardiology consultation for improving cardiac symptoms with ecg, hscrp, troponin & esr. 12/22/2021 16 days after the Covid 19 Booster Vaccination he awoke with prominent finger tremulousness that                              interfered with typing. The night before he had the onset of a Left Mid-Scapular Para-Spinal Ache and                              tingling.  01/23/2022   The finger tremulousness has persisted --  and in the previous week he noted the onset of a Vibratory Perception                               on the lower half of his face and on the back of his head and neck. He has also noted a daily spontaneous leg "kick"                              out.  01/27/2022  The intermittent vibration perception on the cheeks of his face and at the back of his head and neck has worsened                            and the finger tremulousness has persisted.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia
Clinical narrative: Patient fully vaccinated (Moderna) but not boosted, admitted to the hospital on 1/14/22 with COVID-19 and associated hypoxia. Patient was discharged on 1/17/22.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Dyspnoea, Headache, Pain in extremity
Clinical narrative: My arm felt sore, but not as bad as the first dose.  The next day I developed a severe headache, very weak and shaky, and terrible chest pain. by evening on the day after the shot I had trouble breathing. I went to bed expecting to die because I could barely breathe. The next morning I felt better than ever! I went to work. I'm afraid to get the booster shot now.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: My arm felt sore, but not as bad as the first dose.  The next day I developed a severe headache, very weak and shaky, and terrible chest pain. by evening on the day after the shot I had trouble breathing. I went to bed expecting to die because I could barely breathe. The next morning I felt better than ever! I went to work. I'm afraid to get the booster shot now.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event, Arthralgia, Axillary pain, Lymphadenopathy, Musculoskeletal pain
Clinical narrative: Lymphadenopathy - Right side glands in neck swollen, sore throat on right side only, Axillary swelling & pain. Pain across right shoulder down to right shoulder  blade.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Oropharyngeal pain, Pain
Clinical narrative: Lymphadenopathy - Right side glands in neck swollen, sore throat on right side only, Axillary swelling & pain. Pain across right shoulder down to right shoulder  blade.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for covid, has had initial 2 vaccines
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Pain in extremity, Paraesthesia, Raynaud's phenomenon, Spinal X-ray
Clinical narrative: Left arm paresthesias, Raynaud's bilateral feet, R leg pain, R foot pain, Left foot paresthesias
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Agoraphobia, Aphasia, Blood test normal, Depression, Disturbance in attention
Clinical narrative: By the first week of September, I realized I had gained a lot of issues. My clothes no longer fit me, my pain levels increased exponentially. Everything that I had previously was worse. I have been taking more Aspirin because of the pain. I went from a 2X t-shirt to a 4X t-shirt, around the shoulders is a little loose but it is a little tight around the hips. I had to go to a 6x pants to go around my hips. I have gained weight that I have not loose and I do not know if I will lose it. It is so frustrating and my depression has gotten worse. I am afraid to go out of the house. I have trouble concentrating. If I talk very long I get to the point where I have to search for words because my breathing is not good. I had some problems with my breathing before and I do not know if I have 2 breathing stuff going on or just 1. I do not know how to check on it. None of the doctors I have talked to seem to diagnose this other than by trial and error. It seems like this vaccine affected my life. I only did it because I was coerce into it by other people and my doctors. I am not planning on getting near the third dose. I was already overweight before but now I feel more insecure. My pain gets to a 9 and occasionally to a 10. It stays up in the 8-9 area almost all the time which is why I have to take more Aspirin. It is greatly interfering with my sleep a lot worse than it did before. The doctors did blood work because I told them to. I decided to not have a chest x-ray because if there was a problem then it would not show on the chest x-ray, it would show in an MRI or CAT scan. They have been ignoring me basically. They say they cannot find anything wrong with me.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Insomnia, Pain, Weight increased
Clinical narrative: By the first week of September, I realized I had gained a lot of issues. My clothes no longer fit me, my pain levels increased exponentially. Everything that I had previously was worse. I have been taking more Aspirin because of the pain. I went from a 2X t-shirt to a 4X t-shirt, around the shoulders is a little loose but it is a little tight around the hips. I had to go to a 6x pants to go around my hips. I have gained weight that I have not loose and I do not know if I will lose it. It is so frustrating and my depression has gotten worse. I am afraid to go out of the house. I have trouble concentrating. If I talk very long I get to the point where I have to search for words because my breathing is not good. I had some problems with my breathing before and I do not know if I have 2 breathing stuff going on or just 1. I do not know how to check on it. None of the doctors I have talked to seem to diagnose this other than by trial and error. It seems like this vaccine affected my life. I only did it because I was coerce into it by other people and my doctors. I am not planning on getting near the third dose. I was already overweight before but now I feel more insecure. My pain gets to a 9 and occasionally to a 10. It stays up in the 8-9 area almost all the time which is why I have to take more Aspirin. It is greatly interfering with my sleep a lot worse than it did before. The doctors did blood work because I told them to. I decided to not have a chest x-ray because if there was a problem then it would not show on the chest x-ray, it would show in an MRI or CAT scan. They have been ignoring me basically. They say they cannot find anything wrong with me.