chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, Cardiolipin antibody, Condition aggravated, Dysstasia, Gait disturbance
Clinical narrative: IMMEDIATELY FOLLOWING FIRST SHOT, PATIENT GOT MENSTRAL CYCLE AFTER NOT HAVING IT FOR 8 MONTHS.  THE SAME THING OCCURED IMMEDIATELY AFTER SECOND SHOT.  ADDITIONAL SYMPTOMS INCLUDE MAJOR MUSCLE AND JOINT PAIN TO THE POINT WHERE PATIENT HAD DIFFICULTY WALKING AND PUTTING PRESSURE ON FEET.  PAIN IS NEARLY DEBILITATING FOR PATIENT.  PRIOR TO GETTING VACCINATIONS, PATIENT PARTICIPATED IN DAILY CARDIO AND STRENGTH CONDITIONING AS WELL AS YOGA AT LEAST 2-3 TIMES PER WEEK.  PATIENT IS NO LONGER PHYSICALLY ABLE TO DO ANY EXERCISE DUE TO SEVERE PAIN.  BASIC LIFE ACTIVITIES ARE ALSO PAINFUL (SLEEPING, GOING  UP AND DOWN STAIRS, PICKING UP HEAVY ITEMS, ETC.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lipase, Lipids, Loss of personal independence in daily activities, Menstrual disorder, Myalgia
Clinical narrative: IMMEDIATELY FOLLOWING FIRST SHOT, PATIENT GOT MENSTRAL CYCLE AFTER NOT HAVING IT FOR 8 MONTHS.  THE SAME THING OCCURED IMMEDIATELY AFTER SECOND SHOT.  ADDITIONAL SYMPTOMS INCLUDE MAJOR MUSCLE AND JOINT PAIN TO THE POINT WHERE PATIENT HAD DIFFICULTY WALKING AND PUTTING PRESSURE ON FEET.  PAIN IS NEARLY DEBILITATING FOR PATIENT.  PRIOR TO GETTING VACCINATIONS, PATIENT PARTICIPATED IN DAILY CARDIO AND STRENGTH CONDITIONING AS WELL AS YOGA AT LEAST 2-3 TIMES PER WEEK.  PATIENT IS NO LONGER PHYSICALLY ABLE TO DO ANY EXERCISE DUE TO SEVERE PAIN.  BASIC LIFE ACTIVITIES ARE ALSO PAINFUL (SLEEPING, GOING  UP AND DOWN STAIRS, PICKING UP HEAVY ITEMS, ETC.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red blood cell sedimentation rate, Rheumatoid factor, Stool analysis, Thyroxine, Vitamin B12
Clinical narrative: IMMEDIATELY FOLLOWING FIRST SHOT, PATIENT GOT MENSTRAL CYCLE AFTER NOT HAVING IT FOR 8 MONTHS.  THE SAME THING OCCURED IMMEDIATELY AFTER SECOND SHOT.  ADDITIONAL SYMPTOMS INCLUDE MAJOR MUSCLE AND JOINT PAIN TO THE POINT WHERE PATIENT HAD DIFFICULTY WALKING AND PUTTING PRESSURE ON FEET.  PAIN IS NEARLY DEBILITATING FOR PATIENT.  PRIOR TO GETTING VACCINATIONS, PATIENT PARTICIPATED IN DAILY CARDIO AND STRENGTH CONDITIONING AS WELL AS YOGA AT LEAST 2-3 TIMES PER WEEK.  PATIENT IS NO LONGER PHYSICALLY ABLE TO DO ANY EXERCISE DUE TO SEVERE PAIN.  BASIC LIFE ACTIVITIES ARE ALSO PAINFUL (SLEEPING, GOING  UP AND DOWN STAIRS, PICKING UP HEAVY ITEMS, ETC.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin D, X-ray limb
Clinical narrative: IMMEDIATELY FOLLOWING FIRST SHOT, PATIENT GOT MENSTRAL CYCLE AFTER NOT HAVING IT FOR 8 MONTHS.  THE SAME THING OCCURED IMMEDIATELY AFTER SECOND SHOT.  ADDITIONAL SYMPTOMS INCLUDE MAJOR MUSCLE AND JOINT PAIN TO THE POINT WHERE PATIENT HAD DIFFICULTY WALKING AND PUTTING PRESSURE ON FEET.  PAIN IS NEARLY DEBILITATING FOR PATIENT.  PRIOR TO GETTING VACCINATIONS, PATIENT PARTICIPATED IN DAILY CARDIO AND STRENGTH CONDITIONING AS WELL AS YOGA AT LEAST 2-3 TIMES PER WEEK.  PATIENT IS NO LONGER PHYSICALLY ABLE TO DO ANY EXERCISE DUE TO SEVERE PAIN.  BASIC LIFE ACTIVITIES ARE ALSO PAINFUL (SLEEPING, GOING  UP AND DOWN STAIRS, PICKING UP HEAVY ITEMS, ETC.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Drug hypersensitivity, Grip strength decreased, Joint swelling, Magnetic resonance imaging abnormal
Clinical narrative: Started with Right ankle pain and swelling. Went to specialist MRI showed degenerative disease. Dr. Gave steroid injection and recommended Rheumatologist.  Hands swelled and  lost grip with pain bilaterally. Saw Rheumatologist failed NSAID therapy for Sero-negative  OA. ON DMARD and other medications therapy.   Will be doing ongoing therapy.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Osteoarthritis, Pain, Peripheral swelling
Clinical narrative: Started with Right ankle pain and swelling. Went to specialist MRI showed degenerative disease. Dr. Gave steroid injection and recommended Rheumatologist.  Hands swelled and  lost grip with pain bilaterally. Saw Rheumatologist failed NSAID therapy for Sero-negative  OA. ON DMARD and other medications therapy.   Will be doing ongoing therapy.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: client was given his first vaccine on 6/23/2021 and it was a Pfizer vaccine.  He was accidently given his second vaccine shot on 7/29/2021 of Moderna
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID0-19 positive.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Panic attack
Clinical narrative: Patient had panic attack after receiving vaccination becoming hot and shortness of breath. Throat did not swell up
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Chest X-ray, Computerised tomogram, Fibrin D dimer
Clinical narrative: CVA
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Atelectasis, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient is a 89y.o. year old Caucasian female who presents to BFHER due to cough, myalgias, fever for approximately 1 week. Patient saw PCP and sent home with ZPAK. She did not improve and he advised going to ER. COVID test + 8/2. FIO2 2L/NC. 8/2 CXR with bibasilar atelectasis; procal 0.18; Patient counseled regarding COVID and discussed Remdesivir and Decadron. AST/ALT WNL; Chronic renal insufficiency noted CRCL 15.9
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic kidney disease, Condition aggravated, Cough, Creatinine renal clearance increased, Differential white blood cell count
Clinical narrative: Patient is a 89y.o. year old Caucasian female who presents to BFHER due to cough, myalgias, fever for approximately 1 week. Patient saw PCP and sent home with ZPAK. She did not improve and he advised going to ER. COVID test + 8/2. FIO2 2L/NC. 8/2 CXR with bibasilar atelectasis; procal 0.18; Patient counseled regarding COVID and discussed Remdesivir and Decadron. AST/ALT WNL; Chronic renal insufficiency noted CRCL 15.9
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Hiatus hernia, Myalgia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 89y.o. year old Caucasian female who presents to BFHER due to cough, myalgias, fever for approximately 1 week. Patient saw PCP and sent home with ZPAK. She did not improve and he advised going to ER. COVID test + 8/2. FIO2 2L/NC. 8/2 CXR with bibasilar atelectasis; procal 0.18; Patient counseled regarding COVID and discussed Remdesivir and Decadron. AST/ALT WNL; Chronic renal insufficiency noted CRCL 15.9
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal osteoarthritis
Clinical narrative: Patient is a 89y.o. year old Caucasian female who presents to BFHER due to cough, myalgias, fever for approximately 1 week. Patient saw PCP and sent home with ZPAK. She did not improve and he advised going to ER. COVID test + 8/2. FIO2 2L/NC. 8/2 CXR with bibasilar atelectasis; procal 0.18; Patient counseled regarding COVID and discussed Remdesivir and Decadron. AST/ALT WNL; Chronic renal insufficiency noted CRCL 15.9
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Nausea
Clinical narrative: Patient received dose 1 of the Pfizer COVID-19 vaccination at 2pm on 8/3/21. Within 5 minutes of receiving the vaccination she began feeling nauseous and experienced difficulty breathing. Staff at the facility contacted 911 while the administering pharmacist began checking vitals and advised the patient to attempt slow consistent breathing. After several minutes with no improvement in breathing the pharmacist administered 0.3mg of epinephrine intramuscularly. Shortly after administration EMT staff arrived and placed patient on to a stretcher. As patient entered the ambulance her breathing began to improve and she was transported to a local hospital ER for observation and released later in the day.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Chapped lips, Lip swelling, Muscle spasms, Oral discomfort
Clinical narrative: 6 weeks starting getting swollen,extremely chapped and burning lips.Tongue feels like it's on fire and very sensitive to taste.The 3 center fingers in my right hand were very achy.  Now they went into spasm and are swollen.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Peripheral swelling, Taste disorder, Tongue discomfort
Clinical narrative: 6 weeks starting getting swollen,extremely chapped and burning lips.Tongue feels like it's on fire and very sensitive to taste.The 3 center fingers in my right hand were very achy.  Now they went into spasm and are swollen.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Product administered to patient of inappropriate age
Clinical narrative: This patient has a two doses of vaccine Pfizer for Covid-19.. First dose was on June 16, 2021 and the second dose was on july 8, 2021. When the personnel was working in Emergency room they saw that the girls don't have 12 yrs and the mother  was filing false information about the birthdate. The mother fill all the blanks that required birthdate put in march,23,2008 when the girl born on march 23, 2010.  We call to Health Department and inform the incident
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Electrocardiogram normal, Fatigue, Headache
Clinical narrative: Beginning about six hours after injection, and continuing into the morning, began to experience mild headache (2-3 on 1-10 pain scale), chills, general body aches, and some minor joint pain, along with a feeling of feverishness. Did not have a thermometer to take temperature. Blood O2 and single-lead ECG via Smart Watch were both unremarkable apart from elevated heart rate (mid 90s versus normally low 60s when in bed). Took 400mg ibuprofen OTC at about 7:00 AM with my regular morning medications and started feeling better within a couple of hours afterward. Overall experience consistent with side effects reported  in detailed prescribing information.  As of 3:53 PM day after injection, still experiencing minor chills and overall tiredness but nothing critical that I feel would require professional intervention. Left upper arm muscle is sore consistent with typical vaccine experience (have had worse).
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Injection site pain, Pain, Pyrexia
Clinical narrative: Beginning about six hours after injection, and continuing into the morning, began to experience mild headache (2-3 on 1-10 pain scale), chills, general body aches, and some minor joint pain, along with a feeling of feverishness. Did not have a thermometer to take temperature. Blood O2 and single-lead ECG via Smart Watch were both unremarkable apart from elevated heart rate (mid 90s versus normally low 60s when in bed). Took 400mg ibuprofen OTC at about 7:00 AM with my regular morning medications and started feeling better within a couple of hours afterward. Overall experience consistent with side effects reported  in detailed prescribing information.  As of 3:53 PM day after injection, still experiencing minor chills and overall tiredness but nothing critical that I feel would require professional intervention. Left upper arm muscle is sore consistent with typical vaccine experience (have had worse).
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Product quality issue
Clinical narrative: Dose of Moderna was possibly drawn from a vial that was previously punctured a few days before, but had been refrigerated in between.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Severe case of SHINGLES
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injection site cellulitis, Product administered at inappropriate site, Underdose
Clinical narrative: Patient was inadvertently given 0.1ml of Janssen Covid 19 vaccine intradermally left lower forearm. 2 days later patient has cellulitis symptoms at area of injection, and reports worsening daily. Treated with antibiotic course, started today, Keflex 500mg PO 4x daily x 10 days. No other systemic issues, only localized.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Diarrhoea, Headache
Clinical narrative: Fever shaking chills , severe headache, body aches, joint aches, weak, nassea, sweating,  muscle pain, injection site pain and swelling, loose bowels
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injection site pain, Injection site swelling, Myalgia, Nausea
Clinical narrative: Fever shaking chills , severe headache, body aches, joint aches, weak, nassea, sweating,  muscle pain, injection site pain and swelling, loose bowels
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tremor
Clinical narrative: Fever shaking chills , severe headache, body aches, joint aches, weak, nassea, sweating,  muscle pain, injection site pain and swelling, loose bowels
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient expired 19 days after receiving her first shot of Moderna.  Patients family is convinced the shot killed her and wants it reported.  patient has a history of vasculitis. Primary provider believes the vaccine could have contributed to her death.  Patient was on the transplant list and was told it was a requirement to receive this shot.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling cold, Nausea
Clinical narrative: Extreme dizziness, nausea, committing followed by cold chills.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: COVID19 pneumonia
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Dysuria, Urine analysis normal
Clinical narrative: Painful and difficult urinating, similar to UTI. Burning sensation amplified after urinating. Prescribed in Urgent Care antibiotics on 07/18/2021 did not help. Prescribed on 07/21/2021 Fluconazole treated the infection, felt the relief after 1 day.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: Patient reported itch the night of the immunization which was relieved by Benadryl but reported anaphylaxis about 24 hours after immunization
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Hypersensitivity, Mouth swelling, Pharyngeal paraesthesia, Swollen tongue
Clinical narrative: Patient reported itch the night of the immunization which was relieved by Benadryl but reported anaphylaxis about 24 hours after immunization
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Patient reported itch the night of the immunization which was relieved by Benadryl but reported anaphylaxis about 24 hours after immunization
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient reported itch the night of the immunization which was relieved by Benadryl but reported anaphylaxis about 24 hours after immunization
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: Patient received vaccine in the counseling room, waited on chair out of the pharmacy in front of the pharmacist watch. after 15 minutes patient walked to the pharmacist to let me know that her throat feels sore, she can breath fine fine but she feels pain when she swallows. the patient called earlier very nervous and concerned about get in the vaccine.  She seemed calmer when she arrived to get her vaccine at the pharmacy. She wanted me to check if necessary to adiminster an Epipen. so we called 911 who came to check her in case she quickly deteriorated. once they arrived they checked her blood pressure and other vitals and determined that she wasn't having an allergic reaction.
Age: 28.0
Sex: F
Vaccine: RAB
Symptoms: Rash
Clinical narrative: Contacted the patient by telephone regarding possible reaction to the rabies vaccine that she received on 5/25/2021. Pt reports rash to bilateral chest, arms, and thighs and states that the rash is not itchy or swollen, and that she is not short of breath or having any difficulty breathing. Pt was advised that she could take benadryl and to please also report this to her PMD. Pt was advised that she should still try the benadryl but that she could also take a non-drowsy antihistamine for relief as well. Patient visited an urgent care where she received a steroid pack which cleared up the reaction
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular
Clinical narrative: Irregular heartbeat
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Extreme site reaction. Noticed a bit of redness the morning of 7/31/2021 which was the morning after my vaccine. By the evening of 7/31/2021, I had started running a fever, having chills and a headache. The fever, chills, headache and overall fatigue continued through today, 8/4/2021. In addition, the injection site reaction continued to spread across most of my upper left arm. The site was red, feverish and sore. The area was as large as 4 inches by 6 inches. I do have progressive pictures of the site. I have taken Tylenol almost every 4 hours since my initial reaction on 7/31/2021 and today is 8/4/2021. I have also taken 3 days of sick leave due to the pain, fever, headache and overall fatigue.  As of today, the site is still red and feverish but not as sore as the past several days. My fever, headache and fatigue are finally getting better it seems. In block 20, I am marking that I have recovered because the site reaction has seemed to stop spreading, however it?s still red and feverish.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Injection site warmth, Pyrexia
Clinical narrative: Extreme site reaction. Noticed a bit of redness the morning of 7/31/2021 which was the morning after my vaccine. By the evening of 7/31/2021, I had started running a fever, having chills and a headache. The fever, chills, headache and overall fatigue continued through today, 8/4/2021. In addition, the injection site reaction continued to spread across most of my upper left arm. The site was red, feverish and sore. The area was as large as 4 inches by 6 inches. I do have progressive pictures of the site. I have taken Tylenol almost every 4 hours since my initial reaction on 7/31/2021 and today is 8/4/2021. I have also taken 3 days of sick leave due to the pain, fever, headache and overall fatigue.  As of today, the site is still red and feverish but not as sore as the past several days. My fever, headache and fatigue are finally getting better it seems. In block 20, I am marking that I have recovered because the site reaction has seemed to stop spreading, however it?s still red and feverish.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Anticoagulant therapy, Bilevel positive airway pressure, Blood gases abnormal, Blood potassium increased
Clinical narrative: Patient is a 72 yo F w/ PMH of  DM, HTN, CKD, and asthma who presents to the ED for shortness of breath and myalgias. She reported cough for the past week with worsening difficulty breathing. Positive covid exposure as she recently had two aunts pass away 2/2 Covid. Previously received the J&J vaccine. Patient was initially hesitant to be evaluated in the ED but daughter was able to convince her to be evaluated today due to her worsening symptoms.    In the ED, patient had SpO2 of 60% on RA. She was placed on supplemental O2 and eventually BiPAP 100%. She remained tachypneic with increased work of breathing despite BiPAP. Covid swab positive. Inflammatory markers elevated. ABG showed 7.31/36/69/17. Heparin gtt started due to d-dimer >10,000 but unable to obtain CTA PE 2/2 AKI. Patient also found to be hyperkalemic w/ K 6.0. Medical management for hyperkalemia started with insulin and albuterol. Was unable to give lokelma as patient could not tolerate taking off BiPAP for PO intake.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiomegaly, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: Patient is a 72 yo F w/ PMH of  DM, HTN, CKD, and asthma who presents to the ED for shortness of breath and myalgias. She reported cough for the past week with worsening difficulty breathing. Positive covid exposure as she recently had two aunts pass away 2/2 Covid. Previously received the J&J vaccine. Patient was initially hesitant to be evaluated in the ED but daughter was able to convince her to be evaluated today due to her worsening symptoms.    In the ED, patient had SpO2 of 60% on RA. She was placed on supplemental O2 and eventually BiPAP 100%. She remained tachypneic with increased work of breathing despite BiPAP. Covid swab positive. Inflammatory markers elevated. ABG showed 7.31/36/69/17. Heparin gtt started due to d-dimer >10,000 but unable to obtain CTA PE 2/2 AKI. Patient also found to be hyperkalemic w/ K 6.0. Medical management for hyperkalemia started with insulin and albuterol. Was unable to give lokelma as patient could not tolerate taking off BiPAP for PO intake.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hyperkalaemia, Inflammatory marker increased, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Patient is a 72 yo F w/ PMH of  DM, HTN, CKD, and asthma who presents to the ED for shortness of breath and myalgias. She reported cough for the past week with worsening difficulty breathing. Positive covid exposure as she recently had two aunts pass away 2/2 Covid. Previously received the J&J vaccine. Patient was initially hesitant to be evaluated in the ED but daughter was able to convince her to be evaluated today due to her worsening symptoms.    In the ED, patient had SpO2 of 60% on RA. She was placed on supplemental O2 and eventually BiPAP 100%. She remained tachypneic with increased work of breathing despite BiPAP. Covid swab positive. Inflammatory markers elevated. ABG showed 7.31/36/69/17. Heparin gtt started due to d-dimer >10,000 but unable to obtain CTA PE 2/2 AKI. Patient also found to be hyperkalemic w/ K 6.0. Medical management for hyperkalemia started with insulin and albuterol. Was unable to give lokelma as patient could not tolerate taking off BiPAP for PO intake.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Lung opacity, Myalgia, Nucleic acid test, Polymerase chain reaction
Clinical narrative: Patient is a 72 yo F w/ PMH of  DM, HTN, CKD, and asthma who presents to the ED for shortness of breath and myalgias. She reported cough for the past week with worsening difficulty breathing. Positive covid exposure as she recently had two aunts pass away 2/2 Covid. Previously received the J&J vaccine. Patient was initially hesitant to be evaluated in the ED but daughter was able to convince her to be evaluated today due to her worsening symptoms.    In the ED, patient had SpO2 of 60% on RA. She was placed on supplemental O2 and eventually BiPAP 100%. She remained tachypneic with increased work of breathing despite BiPAP. Covid swab positive. Inflammatory markers elevated. ABG showed 7.31/36/69/17. Heparin gtt started due to d-dimer >10,000 but unable to obtain CTA PE 2/2 AKI. Patient also found to be hyperkalemic w/ K 6.0. Medical management for hyperkalemia started with insulin and albuterol. Was unable to give lokelma as patient could not tolerate taking off BiPAP for PO intake.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary oedema, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: Patient is a 72 yo F w/ PMH of  DM, HTN, CKD, and asthma who presents to the ED for shortness of breath and myalgias. She reported cough for the past week with worsening difficulty breathing. Positive covid exposure as she recently had two aunts pass away 2/2 Covid. Previously received the J&J vaccine. Patient was initially hesitant to be evaluated in the ED but daughter was able to convince her to be evaluated today due to her worsening symptoms.    In the ED, patient had SpO2 of 60% on RA. She was placed on supplemental O2 and eventually BiPAP 100%. She remained tachypneic with increased work of breathing despite BiPAP. Covid swab positive. Inflammatory markers elevated. ABG showed 7.31/36/69/17. Heparin gtt started due to d-dimer >10,000 but unable to obtain CTA PE 2/2 AKI. Patient also found to be hyperkalemic w/ K 6.0. Medical management for hyperkalemia started with insulin and albuterol. Was unable to give lokelma as patient could not tolerate taking off BiPAP for PO intake.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received a 2nd dose of Moderna only 22 days after the 1st dose. 1st dose on 6/1/21 and 2nd dose on 6/23/21.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Feeling abnormal, Nausea, Pain
Clinical narrative: adverse reaction began within 2-4hrs of vaccine lasted a full 24 hours post vaccine Blurred vision/difficulty seeing balance "off" Nausea and vomiting unable to remain "awake' mental fog body aches chills
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Vision blurred, Visual impairment, Vomiting
Clinical narrative: adverse reaction began within 2-4hrs of vaccine lasted a full 24 hours post vaccine Blurred vision/difficulty seeing balance "off" Nausea and vomiting unable to remain "awake' mental fog body aches chills
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received a Johnson & Johnson Covid vaccine earlier in the year.  A Moderna was administered to the patient as a booster on 7/27/21
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pyrexia
Clinical narrative: I got was getting a CT scan and had the dye in my system.  Then on the same day I got my Covid-19 shot.  I got super sick for about a week.  I was running a fever.  I went to the doctor about this.  She said that I should have not combine the two.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Viral titre increased
Clinical narrative: pt  claims she has high covid antibodies  titer and have really serious inflammatory reaction to covid vaccine.  her md believes its sequelae from vaccine and wanted us to report it
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood glucose increased, Chills, Cough, Fatigue
Clinical narrative: That night after getting the first vaccine, I started feeling really sick. I felt like I had a fever of about 99. When I checked it, it was 99. I was exhausted and had a headache. The next night, I was so sick and felt so tired. I started having sinus drainage. I started having yellow mucus. I felt fluid in my head. I started thinking that maybe I should go to the doctor. On Feb 5, I was feeling a slightly scratchy throat. I still had the headache, still had sneezing and coughing, still had stomach issues, and I still had sinus drainage. Over the weekend, I started feeling extreme pain and chills. All of a sudden, I started getting night chills. I was having constant pain and chills. I couldn't get any sleep. I found blood in my mucus. On Feb 9, I started feeling a fever. I went to see the Dr. and I was told that my blood sugar was around 600. My fever went up to 99.7. I have fever and chills until about Feb. 15th. I was written a note to be off work Feb 12th-15th. I do virtual teaching at home. I went to see a few physicians. I went to my physicians on Feb 16. I told them I was feeling fever and chills. I was diagnosed with Type 2 Diabetes. I did not have any blood sugar problems until after the vaccination. At one point, my fever went up to 102. I was having trouble moving so I gained some weight. I couldn't keep down some of the food I was eating. I was not eating that much during that time frame though. I was throwing up some because I couldn't stomach the food I was eating. I sat and waited it out for about a week. Around Feb 28th, things started to get better. I finally was feeling a little better, but I knew I was having to go get my second vaccine. I sought advice on what I could do to help protect myself for the 2nd shot. I had to get it for my job. I just felt too sick to do anything. I could barely teach. This whole thing has been very annoying and frustrating for me. I fight every single day because of my injuries to get through my regular days. This has also now caused a lot of stress.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Malaise, Mobility decreased, Pain, Pyrexia
Clinical narrative: That night after getting the first vaccine, I started feeling really sick. I felt like I had a fever of about 99. When I checked it, it was 99. I was exhausted and had a headache. The next night, I was so sick and felt so tired. I started having sinus drainage. I started having yellow mucus. I felt fluid in my head. I started thinking that maybe I should go to the doctor. On Feb 5, I was feeling a slightly scratchy throat. I still had the headache, still had sneezing and coughing, still had stomach issues, and I still had sinus drainage. Over the weekend, I started feeling extreme pain and chills. All of a sudden, I started getting night chills. I was having constant pain and chills. I couldn't get any sleep. I found blood in my mucus. On Feb 9, I started feeling a fever. I went to see the Dr. and I was told that my blood sugar was around 600. My fever went up to 99.7. I have fever and chills until about Feb. 15th. I was written a note to be off work Feb 12th-15th. I do virtual teaching at home. I went to see a few physicians. I went to my physicians on Feb 16. I told them I was feeling fever and chills. I was diagnosed with Type 2 Diabetes. I did not have any blood sugar problems until after the vaccination. At one point, my fever went up to 102. I was having trouble moving so I gained some weight. I couldn't keep down some of the food I was eating. I was not eating that much during that time frame though. I was throwing up some because I couldn't stomach the food I was eating. I sat and waited it out for about a week. Around Feb 28th, things started to get better. I finally was feeling a little better, but I knew I was having to go get my second vaccine. I sought advice on what I could do to help protect myself for the 2nd shot. I had to get it for my job. I just felt too sick to do anything. I could barely teach. This whole thing has been very annoying and frustrating for me. I fight every single day because of my injuries to get through my regular days. This has also now caused a lot of stress.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Sinus operation, Sleep apnoea syndrome, Sneezing, Throat irritation
Clinical narrative: That night after getting the first vaccine, I started feeling really sick. I felt like I had a fever of about 99. When I checked it, it was 99. I was exhausted and had a headache. The next night, I was so sick and felt so tired. I started having sinus drainage. I started having yellow mucus. I felt fluid in my head. I started thinking that maybe I should go to the doctor. On Feb 5, I was feeling a slightly scratchy throat. I still had the headache, still had sneezing and coughing, still had stomach issues, and I still had sinus drainage. Over the weekend, I started feeling extreme pain and chills. All of a sudden, I started getting night chills. I was having constant pain and chills. I couldn't get any sleep. I found blood in my mucus. On Feb 9, I started feeling a fever. I went to see the Dr. and I was told that my blood sugar was around 600. My fever went up to 99.7. I have fever and chills until about Feb. 15th. I was written a note to be off work Feb 12th-15th. I do virtual teaching at home. I went to see a few physicians. I went to my physicians on Feb 16. I told them I was feeling fever and chills. I was diagnosed with Type 2 Diabetes. I did not have any blood sugar problems until after the vaccination. At one point, my fever went up to 102. I was having trouble moving so I gained some weight. I couldn't keep down some of the food I was eating. I was not eating that much during that time frame though. I was throwing up some because I couldn't stomach the food I was eating. I sat and waited it out for about a week. Around Feb 28th, things started to get better. I finally was feeling a little better, but I knew I was having to go get my second vaccine. I sought advice on what I could do to help protect myself for the 2nd shot. I had to get it for my job. I just felt too sick to do anything. I could barely teach. This whole thing has been very annoying and frustrating for me. I fight every single day because of my injuries to get through my regular days. This has also now caused a lot of stress.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus, Vomiting
Clinical narrative: That night after getting the first vaccine, I started feeling really sick. I felt like I had a fever of about 99. When I checked it, it was 99. I was exhausted and had a headache. The next night, I was so sick and felt so tired. I started having sinus drainage. I started having yellow mucus. I felt fluid in my head. I started thinking that maybe I should go to the doctor. On Feb 5, I was feeling a slightly scratchy throat. I still had the headache, still had sneezing and coughing, still had stomach issues, and I still had sinus drainage. Over the weekend, I started feeling extreme pain and chills. All of a sudden, I started getting night chills. I was having constant pain and chills. I couldn't get any sleep. I found blood in my mucus. On Feb 9, I started feeling a fever. I went to see the Dr. and I was told that my blood sugar was around 600. My fever went up to 99.7. I have fever and chills until about Feb. 15th. I was written a note to be off work Feb 12th-15th. I do virtual teaching at home. I went to see a few physicians. I went to my physicians on Feb 16. I told them I was feeling fever and chills. I was diagnosed with Type 2 Diabetes. I did not have any blood sugar problems until after the vaccination. At one point, my fever went up to 102. I was having trouble moving so I gained some weight. I couldn't keep down some of the food I was eating. I was not eating that much during that time frame though. I was throwing up some because I couldn't stomach the food I was eating. I sat and waited it out for about a week. Around Feb 28th, things started to get better. I finally was feeling a little better, but I knew I was having to go get my second vaccine. I sought advice on what I could do to help protect myself for the 2nd shot. I had to get it for my job. I just felt too sick to do anything. I could barely teach. This whole thing has been very annoying and frustrating for me. I fight every single day because of my injuries to get through my regular days. This has also now caused a lot of stress.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: pt admitted to the hospital for COVID 19 symptoms post vaccination.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose of Moderna was possibly drawn from a vial that was previously punctured a few days before, but had been refrigerated in between.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Computerised tomogram, Diarrhoea, Electrocardiogram, Fatigue
Clinical narrative: Vertigo, nausea, diarrhea, fatigue,  mantel cell lymphoma, anemia, puncture of colon wall
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Large intestine perforation, Mantle cell lymphoma, Nausea, Positron emission tomogram, Stool analysis
Clinical narrative: Vertigo, nausea, diarrhea, fatigue,  mantel cell lymphoma, anemia, puncture of colon wall
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Vertigo, X-ray
Clinical narrative: Vertigo, nausea, diarrhea, fatigue,  mantel cell lymphoma, anemia, puncture of colon wall
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Pt reported menstrual bleeding (suspected related to D&C) resumed 90 minutes post vaccine admin.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received their 2nd dose of Moderna after only 22 days after their 1st dose.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nightmare
Clinical narrative: Serve headaches, vivid nightmares
Age: 67.0
Sex: F
Vaccine: TD
Symptoms: Burning sensation, Injection site bruising, Neuralgia
Clinical narrative: Nerve pain, burning, bruising at site
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Breast discolouration, Breast swelling, Breast tenderness, Ear discomfort, Facial pain
Clinical narrative: 5 days after getting the second dose I had some issues with headaches, I took Tylenol for that, then my ears were clogged and developed a painful growth behind my ear like a nodule. Also, my face swelled up and that lasted for about a week and a half. 30 minutes after getting the dose my breasts change color to pink and they were swollen and tender. Both underneath my armpits are very tender. My feet swelled up the same night. They are still swollen on and off. After taking both doses I noticed that there was an increase of floaters but that lasted only the first day. Moderate headaches on and off. My face was sore. I went to urgent care to take care of the nodule behind my ear. I had problems hearing with that right ear. They had trouble seeing anything on the outside so they said that it must be something on the inside. They told me to take Ibuprofen sodium for the nodule behind the ear.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoacusis, Nodule, Peripheral swelling, Swelling face
Clinical narrative: 5 days after getting the second dose I had some issues with headaches, I took Tylenol for that, then my ears were clogged and developed a painful growth behind my ear like a nodule. Also, my face swelled up and that lasted for about a week and a half. 30 minutes after getting the dose my breasts change color to pink and they were swollen and tender. Both underneath my armpits are very tender. My feet swelled up the same night. They are still swollen on and off. After taking both doses I noticed that there was an increase of floaters but that lasted only the first day. Moderate headaches on and off. My face was sore. I went to urgent care to take care of the nodule behind my ear. I had problems hearing with that right ear. They had trouble seeing anything on the outside so they said that it must be something on the inside. They told me to take Ibuprofen sodium for the nodule behind the ear.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness, Vitreous floaters
Clinical narrative: 5 days after getting the second dose I had some issues with headaches, I took Tylenol for that, then my ears were clogged and developed a painful growth behind my ear like a nodule. Also, my face swelled up and that lasted for about a week and a half. 30 minutes after getting the dose my breasts change color to pink and they were swollen and tender. Both underneath my armpits are very tender. My feet swelled up the same night. They are still swollen on and off. After taking both doses I noticed that there was an increase of floaters but that lasted only the first day. Moderate headaches on and off. My face was sore. I went to urgent care to take care of the nodule behind my ear. I had problems hearing with that right ear. They had trouble seeing anything on the outside so they said that it must be something on the inside. They told me to take Ibuprofen sodium for the nodule behind the ear.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid-19
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Skin discolouration, Syncope, Visual impairment
Clinical narrative: Pt had brief syncopated event roughly 5 minutes post vaccination.  Lost color in face, pt stated visual changes.  Pt mother was seated next to patient and supported pt as she fell to one side while seated.  Pt came to within one minute.  Gave pt ice water, nuts and a snickers bar, offered to have pt lie down with elevated feet, but pt declined.  Ice water and nutrition helped pt feel better and color returned.  Pt stated they ate breakfast, but little to no lunch prior to vaccination at 3:30pm.  Pt sat upright until snacks and water were consumed, pt felt well enough to stand on her own after roughly 15 minutes of being seated.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Lip discolouration, Pallor, Skin warm, Tinnitus
Clinical narrative: Patient did not initially wait in waiting room after shot like instructed. Patient went with mother to check out groceries and suddenly felt faint. The mother brought her back to the pharmacy and very pale, warm, loss of color in lips. We had her lay down, with feet elevated and cold pack to forehead.  After 5-10 minutes started feeling "better". She reported that she hadn't eaten anything all day. We gave her a can of cold punch of which she did drink.  Patient reported buzzing in ears but it went away.  Lip color returned, pt was not warm to touch, and felt "good enough" to walk to the car.   The Mother took the punch, cold pack, and a bottled water with her.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Throat irritation
Clinical narrative: 1530-C/0 of "pounding H/A, itchy throat & fast heart " VS:146/93 HR:118,RR 14, SAT 100%, T. 97.7 Doctor phoned order for Benadryl 25 mg PO , given at 1545. 1615- BP 133/95, HR91, SAT99% RR15 T 98.1 1620- Patient states- itchy throat is gone & headache is off & on 1625-Patient leaves with daughter to husband in waiting car.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Presyncope, Syncope, Tetany
Clinical narrative: Syncope 5 minutes after dose. Vasovagal response to pain at injection site. Carpopedal spasms. Patient requested to be transported to hospital via ambulance. Patient evaluated and released from hospital same day
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Amniotic membrane rupture test, Caesarean section, Exposure during pregnancy, Foetal heart rate deceleration abnormality, Premature delivery
Clinical narrative: I had pre-term rupture of membranes. At June 18th - 33 weeks and three days gestation. Admitted (19th) until the delivery of baby at 34 weeks and four days gestation. My baby is healthy and fine. Did have to spend 2 weeks in Neonatal  unit.- Baby fine now. Pregnancy history: Prior to this pregnancy- 2 previous pregnancies - both ended miscarriages. This baby was conceived by IVF. June 26th was the actual date of birth for this baby. Baby was discharged July 8th. I had one doctor's appt to take out my stitches. 6 week postpartum on the 12th of August.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Preterm premature rupture of membranes, Ultrasound antenatal screen
Clinical narrative: I had pre-term rupture of membranes. At June 18th - 33 weeks and three days gestation. Admitted (19th) until the delivery of baby at 34 weeks and four days gestation. My baby is healthy and fine. Did have to spend 2 weeks in Neonatal  unit.- Baby fine now. Pregnancy history: Prior to this pregnancy- 2 previous pregnancies - both ended miscarriages. This baby was conceived by IVF. June 26th was the actual date of birth for this baby. Baby was discharged July 8th. I had one doctor's appt to take out my stitches. 6 week postpartum on the 12th of August.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor, Unresponsive to stimuli
Clinical narrative: Patient ambulated independently  to observation after receiving moderna 1st dose.  Initially sat in chair for 5 min and wife alerted the nurses that her husband became unresponsive.  Nurses came to his aid and guided him to floor.  Patient not responsive, eyes closed, pale, resp nl, sternal rub done with no response.  Ammonia inhalent administered, began to slowly respond.    2:37p vitals 130/80 62; 98 % o2 sat.  Pt became alert and oriented, remained on floor with legs on chair. 2:47p BP 110/68 2:54 Pt states feeling better and was assisted to chair by nurses. While seated in chair vitals were taken 82/40-64-99% and Pt became diaphoretic, pale and stated feeling dizzy.  Assisted to cot from chair, elevated legs. 2:56 84/67-67  99%. Remained alert, diaphoretic. 2:58 Placed 911 call  3:02 100/72-67- 95% 3:03 911 on scene and report given.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No adverse reactions occurred, Moderna vaccine was given instead of Pfizer
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Mydriasis, Tunnel vision
Clinical narrative: After receiving the vaccine, the patient was standing in the immunization room and said he needed to sit down and his pupils were large and he was sweating. He never passed out, but seemed to be going into the "tunnel vision". He talked to me the entire time and was fine after a minute.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness permanent, Deafness unilateral, Ear, nose and throat examination, Fatigue
Clinical narrative: 4/21/21 High fever, fatigue, headache 4/30/21 Sudden hearing loss in right ear and tinnitus  4/30/21 went to walk in clinic. No obstruction in ear. Prescribed Claritin and Flonase  5/4/21 still experiencing hearing loss went back to walk in clinic got referred to ENT 5/19/21 ENT appointment - ENT & Allergy, first intratympanic steroid shot and started pregnazon 5/ 26/21 ENT - 2nd steroid shot 6/2/21 ENT - 3rd steroid shot 8/4/21 ENT - second hearing assessment with no positive results. Sudden hearing loss is permanent
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Sudden hearing loss, Tinnitus
Clinical narrative: 4/21/21 High fever, fatigue, headache 4/30/21 Sudden hearing loss in right ear and tinnitus  4/30/21 went to walk in clinic. No obstruction in ear. Prescribed Claritin and Flonase  5/4/21 still experiencing hearing loss went back to walk in clinic got referred to ENT 5/19/21 ENT appointment - ENT & Allergy, first intratympanic steroid shot and started pregnazon 5/ 26/21 ENT - 2nd steroid shot 6/2/21 ENT - 3rd steroid shot 8/4/21 ENT - second hearing assessment with no positive results. Sudden hearing loss is permanent
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Pain, SARS-CoV-2 test
Clinical narrative: developed body ache and chills but no fever
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient reported feeling slight dizziness after receiving the first Moderna Covid vaccine.  Vitals were taken: BP 120/70, P 78, R 18, T 96.7.  Patient was monitored an additional 10 minutes and the assessed by Dr. after which patient was released from clinic.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Chest discomfort, Palpitations
Clinical narrative: Pressure in chest; fluttering/racing heart; side effects continue to this day. Periodic throughout the day.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: No adverse reactions occurred, Janssen vaccine was given instead of Pfizer
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Fatigue, Laboratory test, Pain in extremity
Clinical narrative: Fever, fatigue, sore arm, chest pain.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, fatigue, sore arm, chest pain.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site joint pain
Clinical narrative: Joint pain in the shoulder that the shot was administered in.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: About 3 hours after injection, I experienced headache and intense fatigue
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram normal, Electrocardiogram normal, Painful respiration
Clinical narrative: L sided chest pain, worse with deep inspiration, no injury
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Consciousness fluctuating, Diplopia, Eye movement disorder, Hyperhidrosis
Clinical narrative: In and out of consciousness, sweating, eye rolled back to head, feeling weak, double vision lasting about 10-15 minutes