chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Severe chills that last hours, fever of 101.1, full body aches, sore throat, exhaustion.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Feeling cold, Headache, Limb discomfort, Pain
Clinical narrative: BODY ACHES, HEADACHE, COLD. PRESSURE ON LEFT ARM AND PRESSURE ON LEFT CHEST. UTILIZED HEATING PADS FOR ARM AND CHEST.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Eyelid rash, Oropharyngeal pain, Pharyngeal swelling, Pulmonary oedema
Clinical narrative: 1/1/21 sore throat lung pain in back . F/U with Dr antibiotic Amoxicillin Strep diagnosis, swollen pressure in lungs, antibiotic  has provided some relief to lungs but pain continues, feels lungs are fatigue and worked. 20 days swollen throat has continued, and small  rashes with no itch come and go on eyelid, chin, shoulder.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary pain, Rash, Respiratory fatigue, Streptococcus test positive
Clinical narrative: 1/1/21 sore throat lung pain in back . F/U with Dr antibiotic Amoxicillin Strep diagnosis, swollen pressure in lungs, antibiotic  has provided some relief to lungs but pain continues, feels lungs are fatigue and worked. 20 days swollen throat has continued, and small  rashes with no itch come and go on eyelid, chin, shoulder.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Back pain, Infection, Oropharyngeal pain, Pulmonary pain
Clinical narrative: 1/1/21 sore throat lung pain in back . F/U with Dr antibiotic Amoxicillin Strep diagnosis, swollen pressure in lungs, antibiotic  has provided some relief to lungs but pain continues, feels lungs are fatigue and worked. 20 days swollen throat has continued, and small  rashes with no itch come and go on eyelid, chin, shoulder.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pain in extremity, Pyrexia
Clinical narrative: sore arm, chills, low grade fever, body aches, fatigue
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: pain and swelling at the injection site for a week and a half. Tiredness, headache, muscle pain, chills, joint pain, nausea, vomiting, dizzy, and fever of 104.00
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Myalgia, Nausea, Pyrexia
Clinical narrative: pain and swelling at the injection site for a week and a half. Tiredness, headache, muscle pain, chills, joint pain, nausea, vomiting, dizzy, and fever of 104.00
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: pain and swelling at the injection site for a week and a half. Tiredness, headache, muscle pain, chills, joint pain, nausea, vomiting, dizzy, and fever of 104.00
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on limbs.  Saw PCP. Taking PO Benadryl, and doubled Zyrtec
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Fatigue, Myalgia, Pain
Clinical narrative: Hives rash all over chest, stomach, and arms. Started about 3 hours after vaccine. They were big, red, hot blotchy spots.  Also developed a fever, along with extreme body aches and chills.  Hives lasted for about 2 hours. Fever was gone by this morning. Muscle aches and fatigue have continued into this morning.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash macular, Skin warm, Urticaria
Clinical narrative: Hives rash all over chest, stomach, and arms. Started about 3 hours after vaccine. They were big, red, hot blotchy spots.  Also developed a fever, along with extreme body aches and chills.  Hives lasted for about 2 hours. Fever was gone by this morning. Muscle aches and fatigue have continued into this morning.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiovascular evaluation, Chest X-ray, Chest discomfort, Cold sweat, Confusional state
Clinical narrative: Client was administer 2nd dose of Moderna COVID-19 vaccine at 1:32pm.  Client reported has "sore arm from first dose", but denied any other issues from 1st dose.  At 1:44pm, client reported was feeling flushed and slightly dizzy/light headed.  Client appeared flushed, clammy and was slightly confused.  Client was sitting in chair and was assisted to the floor and clinical assist code was called.  VS were: BP: 149/84 and pulse ox was 97% on RA.  Initially, HR was in the low 30's, but after lying down, came up to 86 and stayed in the 80-90's during assist.  Client began to report chest tightness and feeling foggy and remained slightly confused and at times speech was garbled.  Client denies sensation of throat closing and denied shortness of breath.  Client was assisted to a cot and transported by ER staff and MD to the ER for evaluation.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Flushing, Heart rate decreased, Heart rate irregular
Clinical narrative: Client was administer 2nd dose of Moderna COVID-19 vaccine at 1:32pm.  Client reported has "sore arm from first dose", but denied any other issues from 1st dose.  At 1:44pm, client reported was feeling flushed and slightly dizzy/light headed.  Client appeared flushed, clammy and was slightly confused.  Client was sitting in chair and was assisted to the floor and clinical assist code was called.  VS were: BP: 149/84 and pulse ox was 97% on RA.  Initially, HR was in the low 30's, but after lying down, came up to 86 and stayed in the 80-90's during assist.  Client began to report chest tightness and feeling foggy and remained slightly confused and at times speech was garbled.  Client denies sensation of throat closing and denied shortness of breath.  Client was assisted to a cot and transported by ER staff and MD to the ER for evaluation.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Speech disorder
Clinical narrative: Client was administer 2nd dose of Moderna COVID-19 vaccine at 1:32pm.  Client reported has "sore arm from first dose", but denied any other issues from 1st dose.  At 1:44pm, client reported was feeling flushed and slightly dizzy/light headed.  Client appeared flushed, clammy and was slightly confused.  Client was sitting in chair and was assisted to the floor and clinical assist code was called.  VS were: BP: 149/84 and pulse ox was 97% on RA.  Initially, HR was in the low 30's, but after lying down, came up to 86 and stayed in the 80-90's during assist.  Client began to report chest tightness and feeling foggy and remained slightly confused and at times speech was garbled.  Client denies sensation of throat closing and denied shortness of breath.  Client was assisted to a cot and transported by ER staff and MD to the ER for evaluation.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: 7 days after injection I started having pains under my left breast. This morning (9 days after injection) my left arm in swollen, red, hot to the touch and hard where the injection was.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Feeling abnormal, Injection site erythema, Paraesthesia
Clinical narrative: Patient reports feeling lightheaded initially. She expressed that her face and lips were tingling. Her injection site on her left deltoid was red as well as her chest. She was sitting down and drinking water. We asked her to lie down onto a bed. Her head felt foggy she stated. She received one dose of Diphenhydramine 50mg IM one time dose. She has improved after receiving the dose.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient reports feeling lightheaded initially. She expressed that her face and lips were tingling. Her injection site on her left deltoid was red as well as her chest. She was sitting down and drinking water. We asked her to lie down onto a bed. Her head felt foggy she stated. She received one dose of Diphenhydramine 50mg IM one time dose. She has improved after receiving the dose.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, Nausea, headache, muscle aches
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: VIth nerve paralysis, Vision blurred
Clinical narrative: Pt developed Blurred vision- was seen by Dr on 01/18/2021 and given eye exam.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diplopia, Mydriasis, Ophthalmological examination
Clinical narrative: Pt developed Blurred vision- was seen by Dr on 01/18/2021 and given eye exam.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Local reaction, Pain, Skin warm
Clinical narrative: Eight days following vaccine, large localized cellulitis type reaction. Gradually increased in size of 2 in diameter to 6.5 in diameter over 72 hours. Painful, red, hot to touch, and hard. Keflex and steroids given which subsided pain and hardness. Still red and warm to touch on day 15.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Vomiting
Clinical narrative: body aches, nausea, vomiting, and chills
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Pain in extremity
Clinical narrative: sore arm, redness at vaccine site.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Paraesthesia oral
Clinical narrative: mild tingling of lips after injection - within 1st hour. Fever-   up to 101.6 degrees- noticable after 15 hours of the vaccine Chills- off and on after about 15 hours of vaccine Body aches and pains/ fatigue Headache- severe
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: mild tingling of lips after injection - within 1st hour. Fever-   up to 101.6 degrees- noticable after 15 hours of the vaccine Chills- off and on after about 15 hours of vaccine Body aches and pains/ fatigue Headache- severe
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Lip swelling, Swelling face
Clinical narrative: Patient developed angioedema 15 min after receiving vaccine, swelling located to the lips and lower jaw
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site bruising, Vaccination site pain, Vaccination site warmth
Clinical narrative: only had a sore arm and bruise @ site of vaccination for the first week.  Yesterday started with red area, itching and hot to the touch @ IM vaccine site left arm
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bone pain, Chills, Decreased appetite, Headache
Clinical narrative: Woke up at 1am with fever of 103 and unable to get out of bed due to muscle weakness. Continued with fever and chills until 7pm. Had a throbbing headache from 2pm until midnight. Severe muscle weakness and bone pain. No appetite at all. Next day still weak and sore but fever gone and about 75% better.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness, Pain, Pyrexia
Clinical narrative: Woke up at 1am with fever of 103 and unable to get out of bed due to muscle weakness. Continued with fever and chills until 7pm. Had a throbbing headache from 2pm until midnight. Severe muscle weakness and bone pain. No appetite at all. Next day still weak and sore but fever gone and about 75% better.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Rash
Clinical narrative: ACHINESS AND HEADACHE- A LITTLE OVER 24 HRS STARTING THE NIGHT VACCINE WAS RECEIVED. RASH ON NEC, CHEST, UPPER BACK AND STOMACH STARTING 2ND DAY AFTER VACCINE. LASTED A LITTLE LESS THAN 24 HRS. TOOK TYLENOL AND MOTRIN
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Hypoaesthesia, Pharyngeal hypoaesthesia, Sensory loss, Vision blurred
Clinical narrative: About 20 min after receiving my Covid 19 vaccine, I left Hospital and began to feel numb in my throat, my lower face, and the tops of my shoulders. I had reduced sensation, but also felt as though I had no muscle control with movement. Examples of this are when I tried to flex my head forward as if in a nodding motion, or to elevate my shoulders like a shrug, or clench my jaw like when chewing. These were all extremely difficult and I felt as though I had no awareness of if I was even moving these parts of my body whatsoever when I tried to voluntarily do so. It was very strange and also upsetting. I also began to have blurred vision; it was difficult to focus or see properly, such as when you visit the eye doctor and they dilate your pupils and everything seems blurry and out of focus for a period of time afterwards. This all lasted for about exactly 1 hour post.  I did not seek medical attention for this as it did not worsen. I never had any difficulty breathing. It then completely went away.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort
Clinical narrative: at 1:36pm client started c/o heaviness in chest, denies SOB.Client had taken Benadryl 50mg po and 2 Zyrtec at 12:30pm to offset a reaction. Bp was elevated. Taken to triage area. no medications given. 2:35 pm client reports improvement is chest heaviness. Her husband was with her to drive her home.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Minor rash on trunk of body and itching last two days. Lortadine 10 Mg every 24 hours last two days.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Fatigue, Immediate post-injection reaction, Impaired work ability
Clinical narrative: Pain at the injection site was experienced immediately, but also was expected. Around 9:00 pm started experiencing fatigue. About midnight began to experience all-over muscle aches, fever, chills, shaking, and nausea. The symptoms were such that I had to stay home from work on Tuesday, January 19th. Today, Wednesday 20th, fever, chills, shaking and nausea are gone. Still feeling fatigued and generally weak.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Myalgia, Nausea, Pyrexia, Tremor
Clinical narrative: Pain at the injection site was experienced immediately, but also was expected. Around 9:00 pm started experiencing fatigue. About midnight began to experience all-over muscle aches, fever, chills, shaking, and nausea. The symptoms were such that I had to stay home from work on Tuesday, January 19th. Today, Wednesday 20th, fever, chills, shaking and nausea are gone. Still feeling fatigued and generally weak.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Very sore left arm.  Feels like someone hit it with a pipe.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Pyrexia
Clinical narrative: Fever, chills, pain at injection site, fatigue, headache. Unable to sleep well for a night.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Fever, chills, pain at injection site, fatigue, headache. Unable to sleep well for a night.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site paraesthesia
Clinical narrative: 1. mild burning at the site when vaccine administered, 4 seconds. tingling on side of body where injection was given, noted at 4:30 pm and was on and off throughout night.  2. Day after vaccine with "lazy feeling" on the side of vaccine. Full ROM, all extremities moving equally, no gross motor deficit noted
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Axillary pain, Diarrhoea, Fatigue
Clinical narrative: Dates 1/1 - 1/4 experienced arm soreness and pain Dates 1/6-1/11: 1/6 experienced onset of soreness and tenderness around L axillary lymph node. 1/7 lymph node began swelling up. 1/8-1/10 experienced swelling and tenderness of lymph node, fatigue, GI upset including abdominal pain and diarrhea, and general malaise, along with redness and itching where the injection site was the week prior. Every symptom except the swollen lymph node faded after 1/11, and the lymph node has gradually and steadily decreased in size up to today. It is still slightly swollen.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Lymph node pain, Lymphadenopathy, Malaise
Clinical narrative: Dates 1/1 - 1/4 experienced arm soreness and pain Dates 1/6-1/11: 1/6 experienced onset of soreness and tenderness around L axillary lymph node. 1/7 lymph node began swelling up. 1/8-1/10 experienced swelling and tenderness of lymph node, fatigue, GI upset including abdominal pain and diarrhea, and general malaise, along with redness and itching where the injection site was the week prior. Every symptom except the swollen lymph node faded after 1/11, and the lymph node has gradually and steadily decreased in size up to today. It is still slightly swollen.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Dates 1/1 - 1/4 experienced arm soreness and pain Dates 1/6-1/11: 1/6 experienced onset of soreness and tenderness around L axillary lymph node. 1/7 lymph node began swelling up. 1/8-1/10 experienced swelling and tenderness of lymph node, fatigue, GI upset including abdominal pain and diarrhea, and general malaise, along with redness and itching where the injection site was the week prior. Every symptom except the swollen lymph node faded after 1/11, and the lymph node has gradually and steadily decreased in size up to today. It is still slightly swollen.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Chills, Cough, General symptom
Clinical narrative: Moderna COVID-19 Vaccine EUA. After about 12 hours of injection, extreme chills unrelieved by heat application started which extended to about 30 hours after injection. Chest pain (sometimes sharp, sometimes a fluttering/tickling feeling) with heart rate up to low 100's, weakness, full body aches, coughing, and general side effects for approximately 36 hours. Symptoms able to be resolved on own after 36 hours of injection. Altered sense of smell only remaining symptom at time of this entry.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Pain, Parosmia
Clinical narrative: Moderna COVID-19 Vaccine EUA. After about 12 hours of injection, extreme chills unrelieved by heat application started which extended to about 30 hours after injection. Chest pain (sometimes sharp, sometimes a fluttering/tickling feeling) with heart rate up to low 100's, weakness, full body aches, coughing, and general side effects for approximately 36 hours. Symptoms able to be resolved on own after 36 hours of injection. Altered sense of smell only remaining symptom at time of this entry.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Muscular weakness, Nasal congestion, Paraesthesia
Clinical narrative: Tingling in left face check..legs very weak .. congestion..very tired for 4 days
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Cough, Headache
Clinical narrative: Fever of 103, severe chills, body aches, joint pain, weakness, cough, headache, sore throat
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever of 103, severe chills, body aches, joint pain, weakness, cough, headache, sore throat
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient phone the office on 01-20-2021 to report that has had increasing nausea since 01-18-2021
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Noticed a red rash on her left arm the day after vaccine. Did not look again until 8 days later and noticed the reddened area  got bigger. Has tried putting ice on it, as my daughter recommended her to do 2 days ago in 15 minutes intervals 3 times a day. Slowly fading now since been placing ice on it.   Spoke to my doctor yesterday who recommended her to call VAERS and make a report and then call back and make an appointment to get checked out once I spoke with you (VAERS).
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injection site bruising
Clinical narrative: Pfizer vaccine was administered subcutaneously, rather than IM.  No local reaction versus bruising at site of injection and no post-vaccine systemic symptoms such as fever, HA, myalgias, etc.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Pain in extremity
Clinical narrative: Just left arm soreness, just wanted to let you know I was 9 weeks pregnant when I got the vaccine, EDD is 8/3/2021, I knowingly got the vaccine, but wanted to let you know for tracking purposes.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: sore arm for a day
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site reaction, Lethargy
Clinical narrative: Generalized muscle weakness, lethagy, body aches, headache, injection site erythema, redness, and moderate pain. Injection site reaction is approximately 2cm x 3cm.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain
Clinical narrative: Generalized muscle weakness, lethagy, body aches, headache, injection site erythema, redness, and moderate pain. Injection site reaction is approximately 2cm x 3cm.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Mobility decreased, Musculoskeletal stiffness, Tenderness
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA On the evening of 1/19/21 I noticed my arm in the area of my vaccine was sore to the touch.   As the evening progressed,  my shoulder joint became sore and got worse throughout the evening and became very sore to lift my arm.  This morning it is still very sore, and now my neck feels ?stiff? and also it?s tender to move.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pain
Clinical narrative: Woke up the next morning with fatigue, body/muscle aches, and headache. Took Tylenol. Symptoms gone the following morning. Symptoms started 12-16 hours after dose and lasted 24 hours.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Nausea, Vital signs measurement, Vomiting
Clinical narrative: Patient complained of Nausea and dizziness on following evening and and vomited few times after that and symptoms were relieved after that.  on January 19th , about 80 hours after the vaccination patient complained of being very weak and lost strength to move which lasted for about 30 minutes and family called ambulance.  They checked  vitals. They were okay.  After that patient felt better and went to rest.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Swollen tongue, Throat tightness
Clinical narrative: Tongue swelling, throat and chest tightness
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cardiac arrest, Confusional state, Death, Electrocardiogram
Clinical narrative: Presented to Urgent Care for weakness and confusion, transferred to ED, patient had a cardiac arrest and was unable to be resuscitated
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Metabolic function test, Troponin normal
Clinical narrative: Presented to Urgent Care for weakness and confusion, transferred to ED, patient had a cardiac arrest and was unable to be resuscitated
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal dreams, Nightmare, Sleep terror
Clinical narrative: Night terrors, vivid, confusing, and terrifying dreams.  Animals, bugs, etc. Occurs everynight since vaccine at about 4 AM
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: SYMPTOMS STARTED MORNING OF 1/18: BODY ACHES, CHILLS. 12MD FEVER (101);2PM NAUSEA; AT NIGHT, HEADACHE AND NAUSEA. TUESDAY 1/19, MORNING NAUSEA. FELT BETTER TUESDAY AFTERNOON.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, No reaction on previous exposure to drug, Rash, Urticaria
Clinical narrative: Patient received first COVID vaccination dose without any allergic reaction. However, due to patient's nut and penicillin allergy she met criteria for a 30 minute observation period following both doses. With her 2nd COVID dose, no allergic symptoms developed within the 30 minutes observation period and she was released from the clinic. After leaving the vaccination clinic she presented to the Emergency Department with rash/flushing of her face and developing hives. She was not short of breath and was not developing throat tightness but she was given 1 dose of epinephrine 0.3 mg intramuscular. Her allergy symptoms quickly resolved.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Fever (101), chills, body aches and headache started approximately 20 hours after the dose was given. Acetaminophen taken.  Fever and chills resolved by next day;  mild body aches persisting next day.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sensation in eye, Eye swelling, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Severe L arm pain, L face tingling, numbness, and warm to touch including eye area and eye swelling
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Severe L arm pain, L face tingling, numbness, and warm to touch including eye area and eye swelling
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Fever , t max 101.8- started 20 hours after vaccine, lasted over 24 hours. Minor symptoms of chills and headache and myalgia
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Pain on axillary region and swelling of ganglia on left supraclavicular region. Pain scale 7/10. Symptoms started 1/19/2021.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Palpitations, Pruritus, Vital signs measurement
Clinical narrative: Approximately 10 minutes after receiving 2nd dose of Moderna vaccine, pt c/o flushing, dizziness, heart "racing", and itchiness to left hand; VS taken; physician notified.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Pain
Clinical narrative: Fever of 101.5 Headache  Pain at injection site Body aches Chills, extreme fatigue
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever of 101.5 Headache  Pain at injection site Body aches Chills, extreme fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea
Clinical narrative: Patient received vaccine. Patient in monitoring area and started complaining of not feeling well and becoming nauseated. Rapid Response called. VS taken and doctors arrived. Determined patient did not need further treatment and just to monitor patient for another 15 minutes before patient left. Patient alert and talking, and states she is feeling better.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Fatigue, Nausea
Clinical narrative: Diarrhea, nausea, extreme fatigue, chills, fever, body aches, weakness.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Diarrhea, nausea, extreme fatigue, chills, fever, body aches, weakness.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient called on 1/19/21 and stated that she starting to fill soreness at the injection site later that afternoon on 1/15/2021.  She also  stated that she notice a red line going down her arm and warmness at the site. She told her daughter and her daughter told her to call us so she called 1/19/2021.  She stated that the redness was almost flesh color today and that it was still a little warm but nothing that she can't handle. Advised to use a warm compress on the arm for soreness and to call her medical doctor to see if he would like to prescribe any antihistamine. Also advised to ask medical doctor do she needs to take a second dose.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chills, Drug hypersensitivity, Flushing
Clinical narrative: The vaccine itself was well tolerated with just some injection site pain and minor body aches the next day. Then, last night I took miralax and had an allergic reaction to it. I have taken miralax in the past and I have tolerated it well. This is my first time taking miralax since the Covid vaccine and I suspect it is related since there is polyethylene glycol in the vaccine. About 10 minutes after taking the miralax (in water) I had chest and throat tightness, rash on my chest and face, severe facial flushing, and itching. After that began to resolve I had chills, rigors, and aches in every joint. I had not eaten or consumed anything else and had no exposure to any other potential allergens.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pruritus, Rash, Throat tightness
Clinical narrative: The vaccine itself was well tolerated with just some injection site pain and minor body aches the next day. Then, last night I took miralax and had an allergic reaction to it. I have taken miralax in the past and I have tolerated it well. This is my first time taking miralax since the Covid vaccine and I suspect it is related since there is polyethylene glycol in the vaccine. About 10 minutes after taking the miralax (in water) I had chest and throat tightness, rash on my chest and face, severe facial flushing, and itching. After that began to resolve I had chills, rigors, and aches in every joint. I had not eaten or consumed anything else and had no exposure to any other potential allergens.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Red blood cell abnormality
Clinical narrative: Area of vaccination became red and lump at site of injection.  Resolved on own.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Heart rate increased, Taste disorder
Clinical narrative: Became light headed within approx 5 min. It got worse and walking to observation room felt faint. Pulse rate elevated but attendant said not "critically high." Breathing was normal. After about 20 minutes I started feeling better. Oddly, while sitting in observation room, my sinuses cleared up, and I detected an odd taste at the back of my throat. Developed  frontal headache about same time; took acetaminophen and it went away after 12 hours.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria, Dysstasia, Exposure during pregnancy, Hot flush
Clinical narrative: approximately 10 minutes after she received her vaccine she became dizzy,  shaky, diaphoretic, couldn't stand up, pallor, hot flashes through entire body, speech slightly slurred.  50mg PO benadryl given, and took her to ED to be seen, as symptoms did not improve.    She is  approximately 9 weeks pregnant.    ED gave her: Diphenhydramine 25mg IV once Famotidine 20mg IV once Methylprednisolone Sodium Succinate 125mg IV once Onedansteron 4mg PO once  Symptoms improved, Discharged home stable Instructed to follow up with her OB and PCP 1/20/21.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nervousness, Pallor
Clinical narrative: approximately 10 minutes after she received her vaccine she became dizzy,  shaky, diaphoretic, couldn't stand up, pallor, hot flashes through entire body, speech slightly slurred.  50mg PO benadryl given, and took her to ED to be seen, as symptoms did not improve.    She is  approximately 9 weeks pregnant.    ED gave her: Diphenhydramine 25mg IV once Famotidine 20mg IV once Methylprednisolone Sodium Succinate 125mg IV once Onedansteron 4mg PO once  Symptoms improved, Discharged home stable Instructed to follow up with her OB and PCP 1/20/21.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: pain, swelling, redness, lump on arm at the sight of injection lasting for days
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: Headache, body aches, low grade fever (100.6), fatigue, injection site tenderness
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Pyrexia
Clinical narrative: Fever 100.6 Chills Joint aches Headache
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site pruritus, Pain in extremity, Rash
Clinical narrative: Rash, pain, itching to left upper arm. She had soreness on the site of infection after few days.  It feels hard and very itchy. Applied ice with mild relief of symptoms.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red swollen arm hot to the touch at site of injection it is day 9 and still there, maybe worse.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Mobility decreased, Pain, SARS-CoV-2 test negative
Clinical narrative: Extreme weakness. Not enough strength to walk or lift head. Went to emergency room for evaluation. Was given a ketorolac injection to help ease pain. Had a negative COVID-19 test. After roughly 3 hours in the ER, strength had mostly recovered and she was discharged.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia
Clinical narrative: Reaction site pain and muscle aches
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site inflammation, Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: On the 9th day after vaccination injection site became itchy, hive like, inflamed, hard and swollen.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Developed large red lump on arm with injection site, 9 days out from injection still red, hot and swollen, itchy as well.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Inflammation
Clinical narrative: Redness and inflammation down to the elbow. Using Ice/heat combo as treatment. Symptoms resolving slowly over days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Tachycardia
Clinical narrative: tachycardia, dizziness increase BP. Lasted around 90 Minutes
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Nausea, Paraesthesia
Clinical narrative: more than 30 min after vaccine I felt light headed, weak, nauseous, and tingles in my legs and hands and jaw
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hyperhidrosis, Hypoaesthesia, Nervousness, Palpitations
Clinical narrative: 37y female with history of anxiety disorder who presents to ED with chief complaint of feeling shaky, hot, and racing heart after receiving 1st dose of Moderna COVID-19 vaccine. Patient reports receiving injection, subsequently walking to the check out line and suddenly feeling hot, tremulous, and tachy. She endorses tingling and numbness in bilateral upper extremities, diaphoresis, heart palpitations, and blurry vision. She denies HA, n/v chest pain, SOB, hemoptysis, syncope, loss of consciousness, bowel incontinence, and bladder incontinence, HR improved, patient left ED with no concerns
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Tremor, Vision blurred
Clinical narrative: 37y female with history of anxiety disorder who presents to ED with chief complaint of feeling shaky, hot, and racing heart after receiving 1st dose of Moderna COVID-19 vaccine. Patient reports receiving injection, subsequently walking to the check out line and suddenly feeling hot, tremulous, and tachy. She endorses tingling and numbness in bilateral upper extremities, diaphoresis, heart palpitations, and blurry vision. She denies HA, n/v chest pain, SOB, hemoptysis, syncope, loss of consciousness, bowel incontinence, and bladder incontinence, HR improved, patient left ED with no concerns
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pain
Clinical narrative: She received her 1st dose of the Moderna vaccine on 1/12/2021 in her left deltoid.  She had typical pain and swelling for a couple days after, which resolved, no other side effects or symptoms.  She developed redness and swelling at the injection site approx 5 days after vaccination, which has become increasingly itchy and burning, which woke her from sleep last night.  Denies any fever/body aches/chills, no pain at the injection site.  She has tried ice packs, which helped with the itching.  She takes Zyrtec daily for environmental allergies.  Denies any previous reactions to any vaccines.  She does have an allergy to contrast dye and latex.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Swelling
Clinical narrative: She received her 1st dose of the Moderna vaccine on 1/12/2021 in her left deltoid.  She had typical pain and swelling for a couple days after, which resolved, no other side effects or symptoms.  She developed redness and swelling at the injection site approx 5 days after vaccination, which has become increasingly itchy and burning, which woke her from sleep last night.  Denies any fever/body aches/chills, no pain at the injection site.  She has tried ice packs, which helped with the itching.  She takes Zyrtec daily for environmental allergies.  Denies any previous reactions to any vaccines.  She does have an allergy to contrast dye and latex.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site red, warm and with significant swelling
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient experienced difficulty swallowing 45 minutes following 1st dose (12/21/20 Pfizer Lot#EH9899 NDC#59267-1000-1).  No treatment needed, resolved on its own.  Patient would like to receive 2nd dose despite prior reaction.  Physician on -site providing oversight of 2nd dose administration and post administration observations.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dissociation, Disturbance in attention, Feeling abnormal, Hallucination, visual
Clinical narrative: 1/19 4:30 PM- extreme body soreness (especially injection site/left arm), headache, chills, and felt like I had a fever (with no fever). 1/19 8:00 PM- Hallucinations began (with eyes closed and open) - started seeing unfamiliar people (faces and outlines), black and white strobing along with seeing pure red light at certain points, I could not control the hallucinations, extreme paranoia (like I was being controlled and watched), physical symptoms magically went away; however, I had pressure in my head that did not hurt like a headache. I was talking to people that were not there. I felt completely out of control. The only thing that helped was forcing myself to focus on the TV, which was extremely difficult. Symptoms started to die down around 3 AM, but did not go away. I slept for 4 hours.  1/20 8 AM- felt like and still feel like I am not in reality, I feel disassociated with my body (like its not mine), slightly out of control of my thoughts, I see subtle black and white flashing like last night but not as intense, paranoia like last night/not as intense, cant concentrate.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucinations, mixed, Head discomfort, Headache, Injection site pain, Pain
Clinical narrative: 1/19 4:30 PM- extreme body soreness (especially injection site/left arm), headache, chills, and felt like I had a fever (with no fever). 1/19 8:00 PM- Hallucinations began (with eyes closed and open) - started seeing unfamiliar people (faces and outlines), black and white strobing along with seeing pure red light at certain points, I could not control the hallucinations, extreme paranoia (like I was being controlled and watched), physical symptoms magically went away; however, I had pressure in my head that did not hurt like a headache. I was talking to people that were not there. I felt completely out of control. The only thing that helped was forcing myself to focus on the TV, which was extremely difficult. Symptoms started to die down around 3 AM, but did not go away. I slept for 4 hours.  1/20 8 AM- felt like and still feel like I am not in reality, I feel disassociated with my body (like its not mine), slightly out of control of my thoughts, I see subtle black and white flashing like last night but not as intense, paranoia like last night/not as intense, cant concentrate.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Paranoia, Pyrexia, Sleep disorder, Visual impairment
Clinical narrative: 1/19 4:30 PM- extreme body soreness (especially injection site/left arm), headache, chills, and felt like I had a fever (with no fever). 1/19 8:00 PM- Hallucinations began (with eyes closed and open) - started seeing unfamiliar people (faces and outlines), black and white strobing along with seeing pure red light at certain points, I could not control the hallucinations, extreme paranoia (like I was being controlled and watched), physical symptoms magically went away; however, I had pressure in my head that did not hurt like a headache. I was talking to people that were not there. I felt completely out of control. The only thing that helped was forcing myself to focus on the TV, which was extremely difficult. Symptoms started to die down around 3 AM, but did not go away. I slept for 4 hours.  1/20 8 AM- felt like and still feel like I am not in reality, I feel disassociated with my body (like its not mine), slightly out of control of my thoughts, I see subtle black and white flashing like last night but not as intense, paranoia like last night/not as intense, cant concentrate.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: sore arm, body aches
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Pyrexia
Clinical narrative: Fever of 99.6 and 99.4 which likely began overnight (but first logged at 5:00 am) and ended by afternoon of 1/19/21. Arm pain and body aches resolved around same time. Significant left jaw pain which began evening of 1/19/21 and continue into 1/20/21. All symptoms alleviated by ibuprofen.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red, warm "hot spot" on skin, approximately 4 inches wide and 4 inches long located on anterior, upper, bicep on the right arm with irregular borders. Took a week to fade almost completely, but came back two days later and is still there. Does not itch and has not gotten larger.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin warm
Clinical narrative: Red, warm "hot spot" on skin, approximately 4 inches wide and 4 inches long located on anterior, upper, bicep on the right arm with irregular borders. Took a week to fade almost completely, but came back two days later and is still there. Does not itch and has not gotten larger.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Lip swelling, Pruritus, Urticaria
Clinical narrative: swelling of left eye on Friday 1/15/21 took Benadryl and came down by next morning.  Sunday 1/17/21 swelling of upper lip took Benadryl and it went away on its own a few hours later.  Random hives all over body all weekend From 1/15/21 to 1/18/21.  Generalized itchy feeling of skin.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: EXTREME STIFFNESS PAIN IN RIGHT HIP, LOWER BACK, PAIN SHOOTING DOWN LEG.   RECEIVED 2 PAIN INJECTIONS, MUSCLE RELAXATION PILLS, AND PAIN MEDS. DAY AFTER INJECTION, AND ALSO AGAIN 2 WEEKS LATER
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: Headache, body aches and chills
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: diarrhea
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Throat irritation, Vital signs measurement
Clinical narrative: Patient received Moderna COVID vaccine IM to left arm. Patient reports tingling sensation to left arm radiating to the back of neck. Patient stated she waited the 30 minutes and began to feel like her throat was itchy. Patient denies SOB, dizziness, chest pain or severe headache. Vital signs taken BP 186/91 P 79 o2 sat 97% on room air. Retook patient VS BP 177/82 P 82 o2 sat 98% on room air. Patient transported via wheelchair to Walkin Clinic for further evaluation. Patient transported via wheelchair to Walkin Clinic for further evaluation. Report given to healthcare worker, ARNP, advised patient to be  evaluated for further treatment.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Nausea, Pain
Clinical narrative: General fatigue x 72 hours, nausea without vomiting x 48 hours, diarrhea x 48 hours, body aches x 48 hours, lightheadedness/dizziness x 72 hours, fever > 100F x 24 hours, conservative treatment at home - returned to baseline at 4 dats post vaccine.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: General fatigue x 72 hours, nausea without vomiting x 48 hours, diarrhea x 48 hours, body aches x 48 hours, lightheadedness/dizziness x 72 hours, fever > 100F x 24 hours, conservative treatment at home - returned to baseline at 4 dats post vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pain in extremity, Pyrexia
Clinical narrative: Arm pain, body muscle aches, fever, fatigue.  48 hours
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Injection site pruritus, Injection site swelling
Clinical narrative: Raised swollen red knot at site of injection accompanied by severe itching at site over past 3 days after vaccination received one week ago.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Fatigue, headache, fever (99.9- 100.9), body aches Fatigue started 5 hours after receiving vaccine; Fever, body aches  & headache started  about 8- 10 hours after receiving vaccine. Lasted until 36 hours after receiving vaccine
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pain
Clinical narrative: Headache, fatigue, body ache, injection sore soreness
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Pruritus
Clinical narrative: I have developed four hive-like areas around my injection. They itch, but I do not have any other symptoms.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Urticaria
Clinical narrative: Small hives around neck, face, tingling in lips.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, International normalised ratio normal, Petechiae, Prothrombin time normal, Pruritus
Clinical narrative: Papular rash with petechiae and itching 10 days after vaccine
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, SARS-CoV-2 test negative, Streptococcus test, Streptococcus test negative
Clinical narrative: Papular rash with petechiae and itching 10 days after vaccine
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Reddened raised area at injection site. Warm to touch. Itchy. Looks like hive. Did not get this with the first shot. Appeared sometime after shot but after 8 hours. Unsure of exact timing because I went to sleep and woke up with it at 0200.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient reported on 01/19/2021 that she was having a possible adverse event to our office. The vaccine coordinator spoke to the patient and she stated that her arm was still swollen, warm to touch, itching, and painful at injection site. The vaccine coordinator advised if pt has taken any medication for the symptoms and she stated that she took Ibuprofen x2-3 days after injection without relief. Pt. states that symptoms started later after the vaccine administration on 01/14/2021 and are still current. The vaccine coordinator but pt. on the schedule to see the provider the same day. Pt. was seen on 01/19/2021 and was dx with Cellulitis to L arm and treated with a rx of Bactrim DS, bid, x10 days.