chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Vaccination site reaction
Clinical narrative: A little touchy; Sore muscle; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE REACTION (A little touchy) and MYALGIA (Sore muscle) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038K20A and 029L20A) for COVID-19 vaccination.     Previously administered products included for Product used for unknown indication: Shingles vaccine; for an unreported indication: FLU. Past adverse reactions to the above products included No adverse reaction with Shingles vaccine.   On 23-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In February 2021, the patient experienced VACCINATION SITE REACTION (A little touchy) and MYALGIA (Sore muscle). At the time of the report, VACCINATION SITE REACTION (A little touchy) and MYALGIA (Sore muscle) outcome was unknown.            It was reported that patient is taking some unspecified concomitant medications. Treatment information was not provided.   This case was linked to MOD-2021-361511, MOD-2021-361528 (Patient Link).
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: After booster she had a sore arm, a little touchy when she rolled on the right side; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (After booster she had a sore arm, a little touchy when she rolled on the right side) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038K20A and 029L20A) for COVID-19 vaccination.     Previously administered products included for an unreported indication: SHINGRIX and FLU VACCINE VII.   On 23-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (After booster she had a sore arm, a little touchy when she rolled on the right side). At the time of the report, PAIN IN EXTREMITY (After booster she had a sore arm, a little touchy when she rolled on the right side) outcome was unknown.            Concomitant medication also included a lot of medication which are not specified by the reporter. No treatment information was provided.   This case was linked to MOD-2021-361527, MOD-2021-361511 (Patient Link).
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Extended interval between 1st and 2nd dose; This spontaneous case was reported by a consumer and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Extended interval between 1st and 2nd dose) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.   In December 2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In February 2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. In February 2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Extended interval between 1st and 2nd dose). In February 2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Extended interval between 1st and 2nd dose) had resolved.            Lab test data included antibody test which showed no antibodies. No concomitant medications were reported.  Treatment information was not provided.   Reporter did not allow further contact
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Accidental overdose, Body temperature, Pyrexia
Clinical narrative: 102 Fever; He got a double dose/ For his second dose he received 2 doses; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (102 Fever) and ACCIDENTAL OVERDOSE (He got a double dose/ For his second dose he received 2 doses) in a 60-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.   In January 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In February 2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In February 2021, the patient experienced PYREXIA (102 Fever) and ACCIDENTAL OVERDOSE (He got a double dose/ For his second dose he received 2 doses). The patient was treated with PARACETAMOL (TYLENOL) in February 2021 for Fever, at an unspecified dose and frequency. In February 2021, PYREXIA (102 Fever) and ACCIDENTAL OVERDOSE (He got a double dose/ For his second dose he received 2 doses) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In February 2021, Body temperature: 102 (High) 102.         No concomitant medications were reported. The next day after the second dose of vaccination, when he was called, the patient stated that he was fine other than the typical 102 fever for 2 hours. Also the patient states he was healthy.
Sex: U
Vaccine: COVID19
Symptoms: Device connection issue, Underdose
Clinical narrative: Needle dislodged as 3rd dose was being administered, full dose was not given; Needle dislodged as 3rd dose was being administered, full dose was not given, Regarding the dose "part went in and part went out"; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a pharmacist and describes the occurrence of DEVICE CONNECTION ISSUE (Needle dislodged as 3rd dose was being administered, full dose was not given) and UNDERDOSE (Needle dislodged as 3rd dose was being administered, full dose was not given, Regarding the dose "part went in and part went out") in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     Concurrent medical conditions included Immunocompromised.    On 21-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Oct-2021, the patient experienced DEVICE CONNECTION ISSUE (Needle dislodged as 3rd dose was being administered, full dose was not given) and UNDERDOSE (Needle dislodged as 3rd dose was being administered, full dose was not given, Regarding the dose "part went in and part went out"). On 21-Oct-2021, DEVICE CONNECTION ISSUE (Needle dislodged as 3rd dose was being administered, full dose was not given) and UNDERDOSE (Needle dislodged as 3rd dose was being administered, full dose was not given, Regarding the dose "part went in and part went out") had resolved.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   It was reported that patient was immunocompromised. No concomitant product information was provided. No treatment information was provided.
Sex: U
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: vaccine potentially administered subcutaneously; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a pharmacist and describes the occurrence of INCORRECT ROUTE OF PRODUCT ADMINISTRATION (vaccine potentially administered subcutaneously) in a  patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported.  On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced INCORRECT ROUTE OF PRODUCT ADMINISTRATION (vaccine potentially administered subcutaneously). At the time of the report, INCORRECT ROUTE OF PRODUCT ADMINISTRATION (vaccine potentially administered subcutaneously) had resolved.  For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication details was provided. No treatment medication details was provided. Most recent FOLLOW-UP information incorporated above includes: On 23-Oct-2021: Follow received and contain no new information.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site reaction
Clinical narrative: felt like he got wallaped in the left injection site arm with both Moderna Covid-19 vaccines.; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE REACTION (felt like he got wallaped in the left injection site arm with both Moderna Covid-19 vaccines.) in a 55-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     No Medical History information was reported.    In May 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In May 2021, the patient experienced VACCINATION SITE REACTION (felt like he got wallaped in the left injection site arm with both Moderna Covid-19 vaccines.). At the time of the report, VACCINATION SITE REACTION (felt like he got wallaped in the left injection site arm with both Moderna Covid-19 vaccines.) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.   For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   No concomitant and treatment medications were provided by the reporter.   This case was linked to MOD-2021-361616 (Patient Link).
Age: 20.0
Sex: M
Vaccine: MENB
Symptoms: Eye swelling, Rash, Urticaria
Clinical narrative: Breakout in Hives eyes swelling  out for two days taking benadryl hives and rash continued over couple of days
Age: 98.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Malaise, Myocardial infarction
Clinical narrative: After receiving both doses of Moderna COVID vaccine in January 2021 and February 2021, my mother started becoming ill. Previous to this she was active, could drive, go to the store, the hair salon and family functions. She started not feeling well in March 2021 and May 2021. In July 2021 she was admitted to the hospital for 3 days having trouble breathing. August 2021 she was admitted again for 5 days with the same breathing issues. She was released and taken to the Emergency room again within 36 hours. She was admitted to hospital for 3 days and released to a nursing home August 25,2021. Her prognosis is not good and she will probably die soon. These COVID shots have seriously injured my mother. UPDATE: Your gene therapy KILLED my mom. She died of myocardial infarction caused by this shot you call a vaccine. STOP THE LIES, STOP THE DEATH, STOP THE VAX!!  Serious Adverse Events Serious adverse events were defined as any untoward medical occurrence that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, or resulted in persistent disability or incapacity. The proportions of participants who reported at least one serious adverse event were 1% in the vaccine group and 1% in the placebo group. The most common serious adverse events occurring at higher rates in the vaccine group than the placebo group were myocardial infarction (5 cases in vaccine group vs. 3 cases in placebo group), cholecystitis (3 vs. 0), and nephrolithiasis (3 vs. 0). Three serious adverse events were considered by the U.S. Food and Drug Administration (FDA) as possibly related to vaccine: the one report of intractable nausea/vomiting and two reports of facial swelling in persons who had a previous history of cosmetic filler injections. The possibility that the vaccine contributed to the serious adverse event reports of rheumatoid arthritis (n=1), peripheral edema/dyspnea with exertion (n=1), and autonomic dysfunction (n=1) cannot be excluded. Data source: FDA briefing document external
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Feeling cold, Malaise, Respiratory rate increased
Clinical narrative: After patient received the vaccine, he reported not feeling well. He was placed on a cot. Initial BP with large cuff was 88/44. On insulin and has not eaten since am. Given a snack bar. BP rechecked with large cuff and was 112/58.  Pulse 84. resp-20, Pulse ox 100. Patient started to complain of pain in his shoulders, resp increased to 32, c/o cold and chills.  EMS called and transported to hospital.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Vomiting
Clinical narrative: Severe chills, headache, vomit
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: observed resident to be passed away
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: Patient presented to emergency department on 10/6/2021 with worsening shortness of breath, loss of taste and smell, congestion, and cough that started 9/24/2021. He was found to be COVID-19 positive on 9/27/2021. He was found to be hypoxic and tachypneic in the ED and was admitted for further management. Patient was treated with dexamethasone and required 4L of oxygen. He was discharged home on 10/11/2021 without need for additional supplemental oxygen.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Respiratory tract congestion, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: Patient presented to emergency department on 10/6/2021 with worsening shortness of breath, loss of taste and smell, congestion, and cough that started 9/24/2021. He was found to be COVID-19 positive on 9/27/2021. He was found to be hypoxic and tachypneic in the ED and was admitted for further management. Patient was treated with dexamethasone and required 4L of oxygen. He was discharged home on 10/11/2021 without need for additional supplemental oxygen.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest discomfort, Fatigue, Feeling abnormal, Headache
Clinical narrative: Extreme fatigue, nausea, headache, joint and muscle pain, tightness in chest   I am still experiencing fatigue, joint/muscle pain, tightness in chest (breathing) brain fog, swelling in feet/hands
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nausea, Pain in extremity, Peripheral swelling, Ultrasound abdomen
Clinical narrative: Extreme fatigue, nausea, headache, joint and muscle pain, tightness in chest   I am still experiencing fatigue, joint/muscle pain, tightness in chest (breathing) brain fog, swelling in feet/hands
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Symptomatic COVID
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Feeling cold, Pain in extremity
Clinical narrative: Shot Received 4:45 pm Wed the 27th; Arm pain 9:30 pm; receded ~8 am; Cold feeling/tiredness/ mild chills 6:45 am; Joint pain 7:30am - focused in ankles; Moderate chills around 9:30 am; Everything sans chills resolved 1030; Chills resolved 11:40; Chills return, moderate 1645; Chills partially recede 1730; Fever spike - 101.62 @ 1735; Chills gone 1800; Fever breaking - 100.5 @1846; Cold sensitivity 2010; Side effects fully resolved overnight
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Shot Received 4:45 pm Wed the 27th; Arm pain 9:30 pm; receded ~8 am; Cold feeling/tiredness/ mild chills 6:45 am; Joint pain 7:30am - focused in ankles; Moderate chills around 9:30 am; Everything sans chills resolved 1030; Chills resolved 11:40; Chills return, moderate 1645; Chills partially recede 1730; Fever spike - 101.62 @ 1735; Chills gone 1800; Fever breaking - 100.5 @1846; Cold sensitivity 2010; Side effects fully resolved overnight
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Dysgeusia, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Imediate taste of metal after injection. Within 2 hours I had numbness, burning and tingling in the left arm and left hand. Intense joint pain in left shoulder.  Almost 72 hours later and the symptoms have gone down leaving just some burning in the left hand and occasional burning sensation in the shoulder.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Imediate taste of metal after injection. Within 2 hours I had numbness, burning and tingling in the left arm and left hand. Intense joint pain in left shoulder.  Almost 72 hours later and the symptoms have gone down leaving just some burning in the left hand and occasional burning sensation in the shoulder.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Movement disorder, Pain, Pain in extremity
Clinical narrative: Joint pain that lasted for a few days but has resulted in the swelling in my right hand and inability to extend my fingers, clench my fist it close my fingers, and palm pain. This worsens at night. Extension of my fingers is the greatest concern, inability to hold objects or open doors.  This started the night of the vaccine, the same time when my injection site started to ache.  I felt pain in most joints, but the right hand got worse each day since the vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Joint pain that lasted for a few days but has resulted in the swelling in my right hand and inability to extend my fingers, clench my fist it close my fingers, and palm pain. This worsens at night. Extension of my fingers is the greatest concern, inability to hold objects or open doors.  This started the night of the vaccine, the same time when my injection site started to ache.  I felt pain in most joints, but the right hand got worse each day since the vaccine.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough COVID-19 case
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough COVID-19 case
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Headache, Injection site pain
Clinical narrative: Ever since I have gotten the vaccine I have had several events of fever, headache, chills, joint pain and overall weakness.  I have never had this happen before the vaccine.  Also the injection site is still sore like I have a charlie horse that won't go away.  I get the flu shot ever year and this has never happened before either.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Pyrexia
Clinical narrative: Ever since I have gotten the vaccine I have had several events of fever, headache, chills, joint pain and overall weakness.  I have never had this happen before the vaccine.  Also the injection site is still sore like I have a charlie horse that won't go away.  I get the flu shot ever year and this has never happened before either.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough COVID-19 case
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Chest X-ray, Chest pain, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: rapid heart rate, chest pain, fainting, low grade fever (100.5). Went to ER 9-9-21 @ Medical Center.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Heart rate increased, Metabolic function test, Pyrexia, Syncope
Clinical narrative: rapid heart rate, chest pain, fainting, low grade fever (100.5). Went to ER 9-9-21 @ Medical Center.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I
Clinical narrative: rapid heart rate, chest pain, fainting, low grade fever (100.5). Went to ER 9-9-21 @ Medical Center.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: I never have two periods a month I just ended mine over a week ago and today I am bleeding again and not a normal amount. This has never happened before and I was perfectly healthy doing 75 hard before these ridiculous shots that were forced on us.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Asthenia, Blood creatinine increased, Blood glucose increased, COVID-19
Clinical narrative: Patient is a 86 y.o. male who presents today with weakness . pmh dm2, htn, cad, afib anticoagulated with Eliquis. Presented to ed with dtr ( not currently present) . Hx obtained from medical record. Noted wife and primary care provider of patient ill at home dx with covid x7 days ago. Both ill for extended time frame for several weeks prior. Dtr brought in due to progressive generalized weakness and fatigue. Notes now unable to stand or get to bathroom. Notes of urinating on self in chair due to inability to get to br . He denies cough or sputum production . Denies shortness of breath. No co chest pian , dizziness . Denies n,v, no diarrhea or constipation ,no melena or hematochezia . States one week ago thinks he had food poisoning with n,v, and some diarrhea though all now improved. States since then has progressively become weak . Denies focal weakness , numbness or tingling .    In ed cxr with no infiltrate, was not hypoxic and continued on room air. Found to be at baseline renal function of creat near 2.00. anemia also noted appearing chronic with stable hemoglobin . Glucose elevated at 246 . Notes was unable to stand in ed .
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray normal, Condition aggravated, Cough, Diarrhoea
Clinical narrative: Patient is a 86 y.o. male who presents today with weakness . pmh dm2, htn, cad, afib anticoagulated with Eliquis. Presented to ed with dtr ( not currently present) . Hx obtained from medical record. Noted wife and primary care provider of patient ill at home dx with covid x7 days ago. Both ill for extended time frame for several weeks prior. Dtr brought in due to progressive generalized weakness and fatigue. Notes now unable to stand or get to bathroom. Notes of urinating on self in chair due to inability to get to br . He denies cough or sputum production . Denies shortness of breath. No co chest pian , dizziness . Denies n,v, no diarrhea or constipation ,no melena or hematochezia . States one week ago thinks he had food poisoning with n,v, and some diarrhea though all now improved. States since then has progressively become weak . Denies focal weakness , numbness or tingling .    In ed cxr with no infiltrate, was not hypoxic and continued on room air. Found to be at baseline renal function of creat near 2.00. anemia also noted appearing chronic with stable hemoglobin . Glucose elevated at 246 . Notes was unable to stand in ed .
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Exposure to SARS-CoV-2, Fatigue, Haemoglobin normal, Incontinence
Clinical narrative: Patient is a 86 y.o. male who presents today with weakness . pmh dm2, htn, cad, afib anticoagulated with Eliquis. Presented to ed with dtr ( not currently present) . Hx obtained from medical record. Noted wife and primary care provider of patient ill at home dx with covid x7 days ago. Both ill for extended time frame for several weeks prior. Dtr brought in due to progressive generalized weakness and fatigue. Notes now unable to stand or get to bathroom. Notes of urinating on self in chair due to inability to get to br . He denies cough or sputum production . Denies shortness of breath. No co chest pian , dizziness . Denies n,v, no diarrhea or constipation ,no melena or hematochezia . States one week ago thinks he had food poisoning with n,v, and some diarrhea though all now improved. States since then has progressively become weak . Denies focal weakness , numbness or tingling .    In ed cxr with no infiltrate, was not hypoxic and continued on room air. Found to be at baseline renal function of creat near 2.00. anemia also noted appearing chronic with stable hemoglobin . Glucose elevated at 246 . Notes was unable to stand in ed .
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient is a 86 y.o. male who presents today with weakness . pmh dm2, htn, cad, afib anticoagulated with Eliquis. Presented to ed with dtr ( not currently present) . Hx obtained from medical record. Noted wife and primary care provider of patient ill at home dx with covid x7 days ago. Both ill for extended time frame for several weeks prior. Dtr brought in due to progressive generalized weakness and fatigue. Notes now unable to stand or get to bathroom. Notes of urinating on self in chair due to inability to get to br . He denies cough or sputum production . Denies shortness of breath. No co chest pian , dizziness . Denies n,v, no diarrhea or constipation ,no melena or hematochezia . States one week ago thinks he had food poisoning with n,v, and some diarrhea though all now improved. States since then has progressively become weak . Denies focal weakness , numbness or tingling .    In ed cxr with no infiltrate, was not hypoxic and continued on room air. Found to be at baseline renal function of creat near 2.00. anemia also noted appearing chronic with stable hemoglobin . Glucose elevated at 246 . Notes was unable to stand in ed .
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Dizziness, Feeling abnormal, Oedema peripheral, Vitreous floaters
Clinical narrative: Soreness under armpit on injection site side. This has been listed as a side effect but it has not subsided. After the second vaccine both armpits are tender and feel swollen. It is intermittent but at times quite painful. I feel dizzy at times especially upon waking up. I also see floaters in my right eye. This is also intermittent.  I honestly have not felt quite right since receiving the vaccines. My complaints are the armpit swelling and tenderness, dizziness, and the floaters. Both symptoms are intermittent but I felt should be recorded somewhere. I am recording that my symptoms have not recovered because they continue to persist.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dyspnoea, Fatigue, Injection site pain
Clinical narrative: Chills, fatigue, shortness of breath, sore arm where injection administered, tightness of chest (like someone is stepping on my chest), worse than my 2nd dose. 2nd dose adverse reaction only lasted one full day after the shot administered.
Age: 49.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Erythema, Peripheral swelling, Pyrexia, Staphylococcal infection
Clinical narrative: Starting the day after immunization, patient had significant redness and swelling of his left upper arm that spread towards his elbow, accompanied by fever. Patient presented to his doctor 2 days later, for which his doctor sent him to the hospital emergency room for fear of blood clot. In Emergency Room it was determined patient had Staph infection, he was given IV antibiotics in the hospital and discharged with PO antibiotics. Patient was fully recovered within 2 days after starting antibiotics.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Antiphospholipid antibodies negative, Computerised tomogram abdomen abnormal, Gene mutation identification test negative, Laboratory test normal, Protein C
Clinical narrative: Splenic infarct 2 weeks after 2nd Moderna vaccination. Thrombophilia evaluation negative to date. No clear precipitating risk factor.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Protein S, Scan with contrast abnormal, Splenic infarction
Clinical narrative: Splenic infarct 2 weeks after 2nd Moderna vaccination. Thrombophilia evaluation negative to date. No clear precipitating risk factor.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Exceedingly bad headache and fever of 102 for 2 days following vaccination. After fever subsided, headache also subsided for several days, but then returned five days later. Headache has become recurrent and persistent since that time. This is lasted three months. The headaches are now chronic and they do not respond to typical pain medication such as ibuprofen. The headaches started at the time of the second shot, and are almost daily.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Feeling cold, Headache
Clinical narrative: I felt really cold and could not stop shivering starting at 8:00 pm.  Went to bed and woke up very dizzy with a headache.  General weakness / soreness for 24 hours (next day @ 8:00pm).
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: I felt really cold and could not stop shivering starting at 8:00 pm.  Went to bed and woke up very dizzy with a headache.  General weakness / soreness for 24 hours (next day @ 8:00pm).
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Bacterial infection, COVID-19, Chest pain, Death
Clinical narrative: Patient presented to emergency room on 9/4/2021 with generalized body aches and loss of consciousness. He was found to be COVID-19 positive on 9/3/2021. Patient's symptom were mild at that time and was discharged home with instructions for further management. Patient presented to emergency room again on 9/7/2021 with chest pain and shortness of breath. He was immediately placed on high-flow nasal cannula and admitted for further management. He was treated with dexamethasone and baricitinib and was transferred to the ICU on 9/8/2021. Patient's condition continued to deteriorate and he was intubated on 9/24/2021. Patient's condition was further complicated with bacterial infection, septic shock, acute renal failure requiring CRRT, acute toxic metabolic encephalopathy, and GI bleeding. Patient went into PEA arrest on 10/18/2021 and was unable to be resuscitated. Patient expired on 10/18/2021.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Gastrointestinal haemorrhage, Haemofiltration, Intensive care
Clinical narrative: Patient presented to emergency room on 9/4/2021 with generalized body aches and loss of consciousness. He was found to be COVID-19 positive on 9/3/2021. Patient's symptom were mild at that time and was discharged home with instructions for further management. Patient presented to emergency room again on 9/7/2021 with chest pain and shortness of breath. He was immediately placed on high-flow nasal cannula and admitted for further management. He was treated with dexamethasone and baricitinib and was transferred to the ICU on 9/8/2021. Patient's condition continued to deteriorate and he was intubated on 9/24/2021. Patient's condition was further complicated with bacterial infection, septic shock, acute renal failure requiring CRRT, acute toxic metabolic encephalopathy, and GI bleeding. Patient went into PEA arrest on 10/18/2021 and was unable to be resuscitated. Patient expired on 10/18/2021.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Pain, Pulseless electrical activity, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Patient presented to emergency room on 9/4/2021 with generalized body aches and loss of consciousness. He was found to be COVID-19 positive on 9/3/2021. Patient's symptom were mild at that time and was discharged home with instructions for further management. Patient presented to emergency room again on 9/7/2021 with chest pain and shortness of breath. He was immediately placed on high-flow nasal cannula and admitted for further management. He was treated with dexamethasone and baricitinib and was transferred to the ICU on 9/8/2021. Patient's condition continued to deteriorate and he was intubated on 9/24/2021. Patient's condition was further complicated with bacterial infection, septic shock, acute renal failure requiring CRRT, acute toxic metabolic encephalopathy, and GI bleeding. Patient went into PEA arrest on 10/18/2021 and was unable to be resuscitated. Patient expired on 10/18/2021.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Toxic encephalopathy
Clinical narrative: Patient presented to emergency room on 9/4/2021 with generalized body aches and loss of consciousness. He was found to be COVID-19 positive on 9/3/2021. Patient's symptom were mild at that time and was discharged home with instructions for further management. Patient presented to emergency room again on 9/7/2021 with chest pain and shortness of breath. He was immediately placed on high-flow nasal cannula and admitted for further management. He was treated with dexamethasone and baricitinib and was transferred to the ICU on 9/8/2021. Patient's condition continued to deteriorate and he was intubated on 9/24/2021. Patient's condition was further complicated with bacterial infection, septic shock, acute renal failure requiring CRRT, acute toxic metabolic encephalopathy, and GI bleeding. Patient went into PEA arrest on 10/18/2021 and was unable to be resuscitated. Patient expired on 10/18/2021.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: Tired,  body aches,   Fever,  chills,  soreness at injection site
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Chest pain, shortness of breath tightness
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Normal pregnancy - 16 weeks + 5 days at the time of vaccine.  Due date estimated as April 9, 2022. Adverse side effects of vaccine include, pain at the injection site lasting 24+ hours, extreme headache, nausea, chills, extreme all over body fatigue.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node right collar bone area
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 10/15/2021 with shortness of breath. She was unsuccess on outpatient treatment. She was found to be COVID-19 positive on 9/29/2021. She was admitted for further management and treated with dexamethasone and supplemental oxygen. She was discharged home on 10/20/2021 with home oxygen.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Concerned about cramped muscle, after receiving vaccination.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Colitis, Computerised tomogram abdomen, Condition aggravated
Clinical narrative: I had fever as high as 102.6, fever, joint pain, fatigue, and nausea  for 2 days following vaccine administration.  On  10/26/21, I developed severe abd pain, fever to 100.6, and diarrhea, which eventually became bloody. I went to ER and abd CT scan was done which showed colitis.  I am on Amoxicillin Clavulanate for 10 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Diarrhoea haemorrhagic, Fatigue, Lipase normal, Nausea
Clinical narrative: I had fever as high as 102.6, fever, joint pain, fatigue, and nausea  for 2 days following vaccine administration.  On  10/26/21, I developed severe abd pain, fever to 100.6, and diarrhea, which eventually became bloody. I went to ER and abd CT scan was done which showed colitis.  I am on Amoxicillin Clavulanate for 10 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I had fever as high as 102.6, fever, joint pain, fatigue, and nausea  for 2 days following vaccine administration.  On  10/26/21, I developed severe abd pain, fever to 100.6, and diarrhea, which eventually became bloody. I went to ER and abd CT scan was done which showed colitis.  I am on Amoxicillin Clavulanate for 10 days.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Chills, fatigue, headache and Sore
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Pain in extremity, Peripheral swelling, Skin discolouration
Clinical narrative: Second vaccine was received on 8/21/21.  On or around 9/06/21, it was noted that toes on both feet became sore.  One toe became discolored and swollen.  All other toes were visibly ok.  However, very painful.  The pain consistently increased to the point where wearing socks or shoes was really bad and walking was painful.  The one discolored toe has eventually lost the nail.  The others are improving but still quiet painful.    The toenails on all other toes seem to be ok right now.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Patient reported on 10/28/2021 that the day after receiving the 1st dose of the Pfizer Covid19 vaccine (08/26/2021) she got an allergic reaction in hives and went to the ER for evaluation.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Stress cardiomyopathy
Clinical narrative: Patient developed Takotsubo cardiomyopathy the day following her vaccine administration
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Computerised tomogram, Fibrin D dimer, Fibrin D dimer increased, Headache
Clinical narrative: Severe, random, quick onset blood pressure spikes and headaches.  Elevated D-dimer.  This has required an urgent care visit, two emergency room visits and a doctor's office visit.  I have never had this happen before.  I am now prescribed Clonidine to bring my blood pressure down quickly when it happens.  None of the healthcare providers have an explanation for it and all have agreed it is most likely from the Moderna vaccine since that is the only thing new or that has changed with my health.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Ultrasound scan
Clinical narrative: Severe, random, quick onset blood pressure spikes and headaches.  Elevated D-dimer.  This has required an urgent care visit, two emergency room visits and a doctor's office visit.  I have never had this happen before.  I am now prescribed Clonidine to bring my blood pressure down quickly when it happens.  None of the healthcare providers have an explanation for it and all have agreed it is most likely from the Moderna vaccine since that is the only thing new or that has changed with my health.
Age: 65.0
Sex: M
Vaccine: FLUA4, VARZOS
Symptoms: Bell's palsy, Blood test
Clinical narrative: Patient developed Bell's Palsy
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Chest discomfort, Dizziness, Headache
Clinical narrative: The injection site was hot for a few days and I had a slight headache on 14 September at 1800 hours. 15 September 2021, every joint in my body and my lower spine ached with incredible throbbing pain.  The headaches continued the night of 15 September, and my heart felt like it was being slightly squeezed, but very noticable.   On 16 September I had numbness in my left arm and my index, middle and ring finger on my left hand were numb.  I began to feel light headed and could not regain balance if I bent over to pick something up.  The pain in my joints continued for over two weeks.  The numbness in my left arm and hand continued until 20 October 2021.  As of 29 October, all symptoms have subsided.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site warmth, Pain, Spinal pain
Clinical narrative: The injection site was hot for a few days and I had a slight headache on 14 September at 1800 hours. 15 September 2021, every joint in my body and my lower spine ached with incredible throbbing pain.  The headaches continued the night of 15 September, and my heart felt like it was being slightly squeezed, but very noticable.   On 16 September I had numbness in my left arm and my index, middle and ring finger on my left hand were numb.  I began to feel light headed and could not regain balance if I bent over to pick something up.  The pain in my joints continued for over two weeks.  The numbness in my left arm and hand continued until 20 October 2021.  As of 29 October, all symptoms have subsided.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Immunodeficiency, Inflammation
Clinical narrative: Inflammation in the arm pit
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injected limb mobility decreased, Injection site swelling
Clinical narrative: "Moderna COVID-19Vaccine EUA" Running 103 temperature. Extreme Fatigue. Chills. Body Aches. Headache. Large knot/swelling on the injection site. Can barely lift my right arm.  Have been taking Benadryl and ibuprofen.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: "Moderna COVID-19Vaccine EUA" Running 103 temperature. Extreme Fatigue. Chills. Body Aches. Headache. Large knot/swelling on the injection site. Can barely lift my right arm.  Have been taking Benadryl and ibuprofen.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Right arm pit is completely swollen
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Extra dose administered, Facial paralysis, Hypoaesthesia oral, Taste disorder
Clinical narrative: I received the 3rd Covid Booster on 9/28/2021. On 10/18, i noticed that the left side of my tongue had unusual taste disturbances, and felt as if it were a bit numb. This continued all week, until on 10/22, I woke up that morning to a left sided facial droop. My left eye would not close completely, my mouth could not form a seal, or smile, or pucker. My forehead was frozen anyway because of the Botox recived on 10/15. I started Prednisone 60mgx7 days, then tapering off now for a week and also Famvir 500mg twice daily. The facial droop was determined to be Bells Palsy and as of today has still not resolved.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear pain, Feeling abnormal, Headache, Musculoskeletal stiffness
Clinical narrative: Ear aches Headache Stiff muscle Foggy brain Chills Gaius
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Pruritus, Swelling
Clinical narrative: great deal of itching, kept moving as far as locality, raised itchy sights, intense, went away after a few days, pt had also gotten 2nd shingrix shot and fluzone hd, on that same day
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Death, Endotracheal intubation, Hepatorenal syndrome
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Positive airway pressure therapy, Respiratory failure, SARS-CoV-2 test positive, Sepsis
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness
Clinical narrative: Flu-like symptoms
Age: 55.0
Sex: M
Vaccine: VARCEL
Symptoms: Headache
Clinical narrative: Headache started about 3 hours after injection, 4 regular Advil didn't help me feel better and it persisted all night and into the morning. By 8 am 29th October its better but not completely resolved.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: breakthrough case
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Hypoaesthesia, Paraesthesia
Clinical narrative: 3 days after vaccine she got  numbness and tingling in feet & legs.  Attempted to walk she felt like she was going to fall.  She could not feel the floor under her feet as she was walking. She sat down for a couple of minutes and then started to walk again it was alittle better.  The symptoms occurred repeat daily for 1 week or 2.  Now when she sits daily her left foot becomes numb and tingles.  When she stands up it goes away.    No treatment.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chills, Computerised tomogram normal, Headache, Migraine
Clinical narrative: Had a severe headache/migraine that began on 3/31/21 along with a fever of 102 degress Fahrenheit, and chills. The headaches have been continuing still today. For about 1 month after the vaccine I had a headache when I woke up every morning and it would last the entire day. After a month the headaches now come in the afternoon daily. I have been to a neurologist, had a ct scan, and lots of blood work done. They cannot find anything wrong, they say all signs point to the vaccine that is the cause.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vaccination complication
Clinical narrative: Had a severe headache/migraine that began on 3/31/21 along with a fever of 102 degress Fahrenheit, and chills. The headaches have been continuing still today. For about 1 month after the vaccine I had a headache when I woke up every morning and it would last the entire day. After a month the headaches now come in the afternoon daily. I have been to a neurologist, had a ct scan, and lots of blood work done. They cannot find anything wrong, they say all signs point to the vaccine that is the cause.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hot flush, Musculoskeletal stiffness, Myalgia
Clinical narrative: Headache, fever(101.2), chills, muscle aches and stiffness hot flashes(night sweats)for about 30 hours.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Night sweats, Pyrexia
Clinical narrative: Headache, fever(101.2), chills, muscle aches and stiffness hot flashes(night sweats)for about 30 hours.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Influenza like illness, Pain, Pyrexia, Tinnitus
Clinical narrative: Day of and Day After: Fever, Chills, Aches. Flu like symptoms  My biggest concern is: Tinnitus. Tinnitus started after second vaccine. Afraid to get booster but had to travel As I feared booster made Tinnitus worse. Hissing sound constant in my left ear with pusatile tinnitus as well.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Dizziness, Dysphagia, Fatigue
Clinical narrative: 9 am- received COVID 19 VACCINATION IN RIGHT DELTOID AREA OF THE ARM. 9:15-16 AM- SLIGHT DIZZINESS EXPERIENCED. I WAS RECLINED IN A RECLINER CHAIR. THIS SUBSIDED. I HAD PREMEDICATED AT 8:20AM WITH BENADRYL 3/4 TAB OF 25MG. TYLENOL 250MG ES 1/2 TAB AND PEPCID 1/2 TAB 20MG ALONG WITH MY DAILY CROMOLYN SODIUM 200MG. I BECAME SLEEPY AND TIRED AT 2PM W/ INTENSE HEADACHE. AT 8:30PM, APPROXIMATELY TO 1145PM, I HAD TO USE A TOTAL  OF BENADRYL 125MG, PEPCID 80MG, TYLENOLES BECAUSE OF EXPERIENCING THROAT TIGHTNESS WITH SOME DIFFICULTY SWALLOWING, TONGUE THICKNESS, WEAKNESS AND PERSISTENT STABBING HEADACHE. EXPERIENCED TONGUE THICKNESS AND LIP SWELLING SWELLING THE FOLLOWING AM.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lip swelling, Somnolence, Swelling, Throat tightness
Clinical narrative: 9 am- received COVID 19 VACCINATION IN RIGHT DELTOID AREA OF THE ARM. 9:15-16 AM- SLIGHT DIZZINESS EXPERIENCED. I WAS RECLINED IN A RECLINER CHAIR. THIS SUBSIDED. I HAD PREMEDICATED AT 8:20AM WITH BENADRYL 3/4 TAB OF 25MG. TYLENOL 250MG ES 1/2 TAB AND PEPCID 1/2 TAB 20MG ALONG WITH MY DAILY CROMOLYN SODIUM 200MG. I BECAME SLEEPY AND TIRED AT 2PM W/ INTENSE HEADACHE. AT 8:30PM, APPROXIMATELY TO 1145PM, I HAD TO USE A TOTAL  OF BENADRYL 125MG, PEPCID 80MG, TYLENOLES BECAUSE OF EXPERIENCING THROAT TIGHTNESS WITH SOME DIFFICULTY SWALLOWING, TONGUE THICKNESS, WEAKNESS AND PERSISTENT STABBING HEADACHE. EXPERIENCED TONGUE THICKNESS AND LIP SWELLING SWELLING THE FOLLOWING AM.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue disorder
Clinical narrative: 9 am- received COVID 19 VACCINATION IN RIGHT DELTOID AREA OF THE ARM. 9:15-16 AM- SLIGHT DIZZINESS EXPERIENCED. I WAS RECLINED IN A RECLINER CHAIR. THIS SUBSIDED. I HAD PREMEDICATED AT 8:20AM WITH BENADRYL 3/4 TAB OF 25MG. TYLENOL 250MG ES 1/2 TAB AND PEPCID 1/2 TAB 20MG ALONG WITH MY DAILY CROMOLYN SODIUM 200MG. I BECAME SLEEPY AND TIRED AT 2PM W/ INTENSE HEADACHE. AT 8:30PM, APPROXIMATELY TO 1145PM, I HAD TO USE A TOTAL  OF BENADRYL 125MG, PEPCID 80MG, TYLENOLES BECAUSE OF EXPERIENCING THROAT TIGHTNESS WITH SOME DIFFICULTY SWALLOWING, TONGUE THICKNESS, WEAKNESS AND PERSISTENT STABBING HEADACHE. EXPERIENCED TONGUE THICKNESS AND LIP SWELLING SWELLING THE FOLLOWING AM.