chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Foaming at mouth, Hyperhidrosis, Malaise, Muscle spasms, Musculoskeletal stiffness
Clinical narrative: Patient came in to receive his first Pfizer vaccination. The patient was signed up and vaccinated like normal. About 5 minutes after administering the vaccine to the patient, he stood up and came to the window to tell the technician on duty that he was not feeling well. He appeared sweaty and pale. The technician immediately advised the patient to sit down and called for the pharmacist on duty. The pharmacist went into the vaccine area and when she reached him, he went into a seizure-like state. He was foaming at the mouth, his hands were spasming, and he went stiff. The technician immediately called 911 and advised them of the situation. The employees stayed with the patient until the emergency services arrived approximately 7 minutes later.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Seizure like phenomena
Clinical narrative: Patient came in to receive his first Pfizer vaccination. The patient was signed up and vaccinated like normal. About 5 minutes after administering the vaccine to the patient, he stood up and came to the window to tell the technician on duty that he was not feeling well. He appeared sweaty and pale. The technician immediately advised the patient to sit down and called for the pharmacist on duty. The pharmacist went into the vaccine area and when she reached him, he went into a seizure-like state. He was foaming at the mouth, his hands were spasming, and he went stiff. The technician immediately called 911 and advised them of the situation. The employees stayed with the patient until the emergency services arrived approximately 7 minutes later.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: dizziness daily since vaccination
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest pain, Differential white blood cell count normal, Echocardiogram normal, Electrocardiogram abnormal
Clinical narrative: Developed chest pain on 6/23 x 1 day, worse lying down/breathing in, relieved by being upright. Episodic in nature. no interventions done. Seen in primary care clinic on 6/24 - ECG should findings c/w pericarditis, so referred to cardiology for evaluation. Normal ECHO without pericardial effusion, good function. Labs notable for HS troponin of 3378 pg/mL. CRP and ESR mildly eleated (17.8 and 20 respectively). BNP normal. CBC w differential all WNL for age. COVID IgG negative.  Started on ibuprofen TID with close clinical follow-up planned.  no associated fever/chills/URI sx/GI sx/rash.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Metabolic function test normal, Pain, Painful respiration, Pericarditis
Clinical narrative: Developed chest pain on 6/23 x 1 day, worse lying down/breathing in, relieved by being upright. Episodic in nature. no interventions done. Seen in primary care clinic on 6/24 - ECG should findings c/w pericarditis, so referred to cardiology for evaluation. Normal ECHO without pericardial effusion, good function. Labs notable for HS troponin of 3378 pg/mL. CRP and ESR mildly eleated (17.8 and 20 respectively). BNP normal. CBC w differential all WNL for age. COVID IgG negative.  Started on ibuprofen TID with close clinical follow-up planned.  no associated fever/chills/URI sx/GI sx/rash.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, Troponin
Clinical narrative: Developed chest pain on 6/23 x 1 day, worse lying down/breathing in, relieved by being upright. Episodic in nature. no interventions done. Seen in primary care clinic on 6/24 - ECG should findings c/w pericarditis, so referred to cardiology for evaluation. Normal ECHO without pericardial effusion, good function. Labs notable for HS troponin of 3378 pg/mL. CRP and ESR mildly eleated (17.8 and 20 respectively). BNP normal. CBC w differential all WNL for age. COVID IgG negative.  Started on ibuprofen TID with close clinical follow-up planned.  no associated fever/chills/URI sx/GI sx/rash.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Musculoskeletal stiffness
Clinical narrative: She had COVID-19 vaccine and had shoulder soreness and stiffness afterward which has not resolved but has in fact worsened. She has previously had frozen shoulder and this feels the same. She has tried exercises at home from previous PT but she is not improving and pain is worsening.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Crying, Dizziness, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Anxiety attack, 30 seconds after shot was administered Frantic crying and behavior Light headed Patient appeared to pass out, but responsive to commands and words, required assistance, was supported, no injuries. Heart rate and pulse was present The following was an experience of 30 minutes
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Haematemesis, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: The individual tested positive for COVID-19 on 6/23 with a PCR test that was done at Medical Center, when the case arrived because he was experiencing nausea and vomiting and there was blood in his vomit. He vomited twice and the first time the blood was lighter, and the second time it was darker, so he decided to seek emergency medical treatment at the hospital. The patient continues to be currently hospitalized (today is 6/25/21). His primary care doctor. And the Hospital Doctor seeing him is a GI specialist.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness
Clinical narrative: Pt reported dizziness/. BP  8548. wet & clammy. waited 30 minutes to leave, no dizziness or clammy BP 104/66 hr80
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Pulmonary embolism
Clinical narrative: Notified on 6/16 /2021 patient died. Death by PE 1 month after prime dose of Moderna-since unexpected- reported to VAERS
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: PT STATES THAT HIS ARM FELT WEAK AND HE COULD NOT WORK OUT LIKE HE NORMALLY DOES. HE CAN BARELY BENCH PRESS OR DO PULL UPS WITH HIS LEFT ARM WHERE HE GOT THE SHOT. IT HAS BEEN A WEEK SINCE HE GOT THE VACCINE AND IT DID NOT GO AWAY. WE RECOMMENDED HE GETS HIS ARM CHECK OUT BY THE DOCTOR.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Acne, Hormone level abnormal, Menstrual disorder, Mood altered
Clinical narrative: Hormonal irregularities including a delayed menstrual period of 7-9 days, acne, bloating, and mood changes. After two months, menstrual cycle normalized and returned to baseline.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Throat tightness
Clinical narrative: Constriction of my throat Difficulty swallowing
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Haematochezia, Hot flush
Clinical narrative: Pt states day of 06/24/2021 after vaccination about 8:30 experiencing hot flashes, sweating, fatigued, loose stool, numbness in the leg, swollen feet tenderness. 06/25/2021 morning bloody stool, low appetite, very fatigued. States Monday 06/28/2021 plans to make an appt. with Primary.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoaesthesia, Peripheral swelling, Tenderness
Clinical narrative: Pt states day of 06/24/2021 after vaccination about 8:30 experiencing hot flashes, sweating, fatigued, loose stool, numbness in the leg, swollen feet tenderness. 06/25/2021 morning bloody stool, low appetite, very fatigued. States Monday 06/28/2021 plans to make an appt. with Primary.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was inadvertently given a dose of Moderna 22 days after a dose of Pfizer. Patient presented to clinic to receive second dose of Pfizer but Moderna was administered through fault of human error.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pain in extremity
Clinical narrative: dizziness, soar harm
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chronic obstructive pulmonary disease, Computerised tomogram, Condition aggravated, Dysphonia
Clinical narrative: I received my vaccine, I was monitored for 15 min with no effects.  I walked outside to my truck when I got in I could  not breathe, I was gasping for air. I am on 02 for my Copd and had to turn it up and sit for 30 minutes until I could drive because I could not catch my breathe.  I lost my voice it is raspy and have had a COPD exacerbation  since my vaccination. I have been hospitalized  twice since receiving the vaccine, and still have no voice. No treatments are working.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: I received my vaccine, I was monitored for 15 min with no effects.  I walked outside to my truck when I got in I could  not breathe, I was gasping for air. I am on 02 for my Copd and had to turn it up and sit for 30 minutes until I could drive because I could not catch my breathe.  I lost my voice it is raspy and have had a COPD exacerbation  since my vaccination. I have been hospitalized  twice since receiving the vaccine, and still have no voice. No treatments are working.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Road traffic accident
Clinical narrative: i had an accident after 30 minutes of the vaccination and i don't remember anything. The officers kept asking me about the accident but i don't remember anything. I think it's because of the vaccination cuz my blood sugar was normal.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administered to patient of inappropriate age
Clinical narrative: Client was given a Moderna instead of Pzifer Covid Vaccine  and the client was 16 years which is too ypung.Pfizer can be given at 16 years and Moderna is 18 years old .
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dysphagia, Dyspnoea, Flushing
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Nausea-Mild
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Nausea, Pain, Rash
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Nausea-Mild
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Nausea-Mild
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: pt is 15 but recived johnson and johnson covid vaccine
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Face injury, Syncope
Clinical narrative: patient reported not having felt faint before with vaccines and no problems in the past. after received vaccine said was ok and moved to waiting chair for 15 minutes. a few minutes later (while she was sitting) she passed out and hit her face on the floor.  her glasses cut her cheek. 911 was called and they evaluated patient. unsure whether took her to the hospital but she said she was not going to go.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral venous thrombosis
Clinical narrative: Intracranial venous thrombosis
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, C-reactive protein, Cerebral infarction, Cerebral venous sinus thrombosis, Full blood count
Clinical narrative: Intracranial venous thrombosis
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Magnetic resonance imaging, Mental status changes, Metabolic function test, Red blood cell sedimentation rate
Clinical narrative: Intracranial venous thrombosis
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thalamic infarction, Venogram, Vomiting
Clinical narrative: Intracranial venous thrombosis
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Client did not have immediate adverse event following vaccine administration. Client died on 6/11/2021, approximately 8 weeks after receiving COVID19 Janssen vaccine. Cause of death is unknown by this reporter.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dyspnoea, Headache, Injection site reaction, Lymphadenopathy
Clinical narrative: 2nd Dose: Experienced first symptoms around 6:00pm on June 24, including severe headache and moderate general weakness.  Around 9:00pm experienced mild shortness of breath and moderate lymph node swelling under injection arm armpit which carried into June 25.  This report is being submitted on June 25 and the mild shortness of breath and armpit lymph node swelling is still present.    1st Dose:  Mild to moderate weakness and fatigue day after the first shot (June 3, 2021) with no additional symptoms.  Symptoms completely resolved by June 4.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Pain in extremity, Skin burning sensation
Clinical narrative: Burning feeling on skin all over body, tiredness, weakness, pain in legs.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Vomiting-Severe, Systemic: Weakness-Severe
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Syncope, Unresponsive to stimuli, Vomiting
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Vomiting-Severe, Systemic: Weakness-Severe
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Unresponsive to stimuli
Clinical narrative: Prevaccination, patient reported history of anaphylaxis with "cillins".  Asked to stay for 30 minutes observation.  Denied other medical history. 10 minutes after vaccination complained of headache.  Mother present (patient was 17). About 5 minutes later patients head tipped back, limbs posturing (contracted), eyes open but no response to verbal stimulation.  Lowered to floor. 911 called.  BP 132/84; P 52. At this point mom stated "this isn't an unusual response to an injection." Paramedics arrived.  Patient became fully responsive within 3 - 5 minutes of being lowered to floor. BP 106/72; p 56.  After thorough assessment by paramedics, released to care of mom for observation.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dizziness, Nausea, Oropharyngeal pain, Pallor
Clinical narrative: Patient verbalized having dizziness, nausea and sore throat following vaccine administration. Pallor is observed on her face and lips. Measures are taken to control the dizziness, she remains seated under observation. 10:43 AM the patient affirms feeling better, without dizziness or nausea, pale face is no longer observed, patient is active, with energy. Patient leaves the vaccination area stable, ambulating in the company of her legal guardian, mother.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Abdominal pain upper, Injection site pain, Injection site swelling
Clinical narrative: The patient presents to the clinic with c/o left upper arm pain and swelling after receiving a Tenivac TD vaccine Lot # U6669AA exp dtd 15 MAY 2022.  The patient reports pain in the arm on 24 JUN 2021 upon awakening, but did not think anything of it until she woke up on  25 JUN 2021 with increased pain and swelling to the arm and left upper flank pain.  Patient states that she did exercise the arm after receiving the vaccine, and denies any recent injury to the arm or previous reaction to a vaccine, She also reports nothing seems to make the pain better or worse, and admits to taking 200 mg of Ibuprofen by mouth at 0600 this morning to help with the pain, but it did not help. VAERS form submitted and a copy provided to the employee.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted 8 minutes after administration, came to after a few seconds. Patient was laid supine with legs elevated and EMS was called. Patient stated that he was fine, but was taken by EMS for further evaluation.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: After about 5 minutes of administration of the vaccine the patient began to feel tightness in her chest. She was able to breathe and speak freely so I administered benadryl. After about 5 minutes she said she felt better.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Gynaecological examination, Laboratory test, Menstrual disorder, Urine analysis abnormal
Clinical narrative: First Pfizer Dose was administered to patient via right arm injection at 3:00pm on June 24,2021. Around 7pm same day patient began experiencing abnormal vaginal bleeding. The bleeding was about the same amount as the start of a menstrual cycle. Patient has not had a  menstrual period since 2015 due to the  surgical removal of all her reproductive organs including uterus , ovaries , fallopian tubes. Cervix was surgically stitched shut. Patient had to have her reproductive system removed due to a diagnosis of breast cancer back in 2013 to her left breast which required her to undergo chemo and hysterectomy of her breast and reproductive organs. Post vaccination patient abnormally experienced vaginal bleeding that cannot be explained being that she has no reproductive system. The bleeding lasted till next day.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage, White blood cells urine positive
Clinical narrative: First Pfizer Dose was administered to patient via right arm injection at 3:00pm on June 24,2021. Around 7pm same day patient began experiencing abnormal vaginal bleeding. The bleeding was about the same amount as the start of a menstrual cycle. Patient has not had a  menstrual period since 2015 due to the  surgical removal of all her reproductive organs including uterus , ovaries , fallopian tubes. Cervix was surgically stitched shut. Patient had to have her reproductive system removed due to a diagnosis of breast cancer back in 2013 to her left breast which required her to undergo chemo and hysterectomy of her breast and reproductive organs. Post vaccination patient abnormally experienced vaginal bleeding that cannot be explained being that she has no reproductive system. The bleeding lasted till next day.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Echocardiogram normal, Electrocardiogram normal, Intensive care
Clinical narrative: 6/22/21 Awoke with chest pain and stomach pain. Chest pain persisted.  Went to Urgent care on 6/23 then seen by cardiology and referred to emergency department and admitted to PICU 6/24 after having positive troponin test.  Chest pain improved on ibuprofen.  Discharged on 6/25/21 on motrin and following with cardiology.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging heart, Troponin increased
Clinical narrative: 6/22/21 Awoke with chest pain and stomach pain. Chest pain persisted.  Went to Urgent care on 6/23 then seen by cardiology and referred to emergency department and admitted to PICU 6/24 after having positive troponin test.  Chest pain improved on ibuprofen.  Discharged on 6/25/21 on motrin and following with cardiology.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient was hospitalized  within 60 days of receiving a COVID vaccine series and later died
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Muscle tightness, Pruritus
Clinical narrative: extreme muscle tightness, particularly behind both knees/hamstrings, but in upper body as well--has continued through current time (3 months) itchy armpits--also has continued
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Computerised tomogram abnormal, Computerised tomogram head, Contusion, Dizziness
Clinical narrative: On 03/18/2021 I had the vaccine and on 3/19/2021 I got very dizzy and passed out and I bruised my ribs on the way down when I fell I felt like I had a stroke because the right side of my face was numb but that may have been from hitting the floor too. I was having breathing problems. I waited a couple of days to see if I could feel better but I was not, so I went to the ER 3 days later. They did a CT scan of my lungs and brain and they found some spots on my lungs, I have to get rechecked in the next couple of days. They also did some blood work and said everything was fine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoaesthesia, Lung disorder, Neurological symptom, Syncope
Clinical narrative: On 03/18/2021 I had the vaccine and on 3/19/2021 I got very dizzy and passed out and I bruised my ribs on the way down when I fell I felt like I had a stroke because the right side of my face was numb but that may have been from hitting the floor too. I was having breathing problems. I waited a couple of days to see if I could feel better but I was not, so I went to the ER 3 days later. They did a CT scan of my lungs and brain and they found some spots on my lungs, I have to get rechecked in the next couple of days. They also did some blood work and said everything was fine.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Dizziness, Fatigue, Lethargy, Pallor
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Pale, bradycardic, slow to respond.  911 was called and responded.  Patient walked out on his own and left with family
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Pale, bradycardic, slow to respond.  911 was called and responded.  Patient walked out on his own and left with family
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Blood test, Chest X-ray, Cough, Dyspnoea
Clinical narrative: DOSE 1 12/20/2021, began to feel sick. 12/24/2021 I had a high fever, called the CDC, a physician spoke with me, then on Christmas day I called into work sick, I went to ER, and I tested positive for COVID. DOSE 2 01/07/2021, I had shortness of breath, high heart rate, fatigue, brain fog, body aches, some coughing, some nasal congestion. Testing on Feb 1st, 2021 visited ER.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Feeling abnormal, Fibrin D dimer, Heart rate increased
Clinical narrative: DOSE 1 12/20/2021, began to feel sick. 12/24/2021 I had a high fever, called the CDC, a physician spoke with me, then on Christmas day I called into work sick, I went to ER, and I tested positive for COVID. DOSE 2 01/07/2021, I had shortness of breath, high heart rate, fatigue, brain fog, body aches, some coughing, some nasal congestion. Testing on Feb 1st, 2021 visited ER.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Nasal congestion, Pain, Red blood cell nucleated morphology, SARS-CoV-2 test negative
Clinical narrative: DOSE 1 12/20/2021, began to feel sick. 12/24/2021 I had a high fever, called the CDC, a physician spoke with me, then on Christmas day I called into work sick, I went to ER, and I tested positive for COVID. DOSE 2 01/07/2021, I had shortness of breath, high heart rate, fatigue, brain fog, body aches, some coughing, some nasal congestion. Testing on Feb 1st, 2021 visited ER.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin
Clinical narrative: DOSE 1 12/20/2021, began to feel sick. 12/24/2021 I had a high fever, called the CDC, a physician spoke with me, then on Christmas day I called into work sick, I went to ER, and I tested positive for COVID. DOSE 2 01/07/2021, I had shortness of breath, high heart rate, fatigue, brain fog, body aches, some coughing, some nasal congestion. Testing on Feb 1st, 2021 visited ER.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Magnetic resonance imaging heart, Mitral valve incompetence, Mycoplasma test
Clinical narrative: 15 Year old patient presenting chest pain 4 days after de 2nd dose of the COVID-19 Vaccine.  Patient had to be hospitalize, elevated troponin levels, electrocardiogram with normal functions, mild FR, trace MR, thickened pericardium. Normal function Cardiac MRI. Pericardium effusion.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Pericardial effusion, Pericardial fibrosis, Troponin increased
Clinical narrative: 15 Year old patient presenting chest pain 4 days after de 2nd dose of the COVID-19 Vaccine.  Patient had to be hospitalize, elevated troponin levels, electrocardiogram with normal functions, mild FR, trace MR, thickened pericardium. Normal function Cardiac MRI. Pericardium effusion.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Underdose
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Error: Wrong Dose of Vaccine - Too Low-, Additional Details: First dose administered was just air and immunizer then informed m,other she was going to issue vaccine the vaccine. Patient was injected with air on first injection and then given correct dose of vaccine.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt in clinic for 2nd dose of Moderna. Per dad, no medication, no PMH, NKDA. @9am-c/o of feeling dizzy post injection. No LOC. vasovagal. BP 90/p P 46 POX 100%9a-BP-99p P 46 head down; 915a 90/60 P 47 resp 16 916a 98/60 P 51 up 45 degree (head) 922a p 55; 927 106/74 p 50 resp 16, 932 108/66 p 60 resp 16 pox 100%. 934a-sympotsom resolved, bp 108/60 P 57 left with father in stable condition.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: A RASH AFTER MY SECOND SHOT - MOSTLY IN LEG ARE - SPREA D TO OTHERS IF TOUCHED - I HAVE NEVER HAD ANY SKIN ISSUES IN MY LIFE UNTIL I TOOK THIS SHOT - THEY ARE SMALL , VERY ITCHY , BUMPS.  IF SCRATED LEAD TO ALMOST A WELT . THIS HAS BEEN ONGOING 3 WEEKS NOW , IT IS MISERABLE AND i CANNOT WEAR SHORTS - IT IS ALMOST LIKE CHICKEN POX AND IT IS ALSO VERY UNCOMFORTABLE
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral
Clinical narrative: Systemic: hearing loss in left ear <1 min after dose...see below-Mild, Additional Details: pt reported that immediately after dose <1 minute he experienced a decline in his hearing to the left ear.  I called the patient this morning for follow up (06/25/2021 @ 10:05 am) and the patient reported that some of his hearing has returned, but is still "muffled".  I asked the patient to report to his physician especially if the problem persists and/or gets worse.  I also asked the pt to report any progression to me.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Palpitations
Clinical narrative: After the first dose had a headache, after second dose started having heart palpitations. Anxiety has gotten worse.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac flutter, Cardiac monitoring, Electrocardiogram, Fatigue, Influenza like illness
Clinical narrative: 03/13/202021    4:30am woke up with flu like symptoms and fever.  Fatigued for several days following.  Which I understand are typical. Weeks later I started to notice my heart  fluttering and having heart palpitations, then heavy heart beats.   I had a scheduled physical with my doctor on May 26, 2023.  They performed a routine EKG.  I informed my doctor that I noticed the heart palpitations and fluttering after having the vaccine.  I have also been fatigued as well.  My doctor ordered a 48 hour Holter Test.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: 03/13/202021    4:30am woke up with flu like symptoms and fever.  Fatigued for several days following.  Which I understand are typical. Weeks later I started to notice my heart  fluttering and having heart palpitations, then heavy heart beats.   I had a scheduled physical with my doctor on May 26, 2023.  They performed a routine EKG.  I informed my doctor that I noticed the heart palpitations and fluttering after having the vaccine.  I have also been fatigued as well.  My doctor ordered a 48 hour Holter Test.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea decreased, Chest pain, Echocardiogram normal, Electrocardiogram normal, Troponin
Clinical narrative: ER Note:  17 y/o with no prior significant medical history presented  to ER with onset 6/20 am of chest pain.  None exertional, constant, or aggravating or relieving factors, not associated with any palpitations, breathing difficulty, dizziness, or syncope .  No fever.  Feels well generally.  Cardiologist consulted for concern of COVID vaccine induced myocarditis.  Admitted
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody negative, Antinuclear antibody positive, Balance disorder, Biopsy skin, Condition aggravated
Clinical narrative: 1) Itchy rash on arms, shoulders, back and abdomen  ONGOING ON SHOULDERS, CHEST AND BACK steroidal topical treatment ameliorated it 2) Drenching night sweats PERSISTING, BUT NOT EVERY NIGHT 3) MS symptoms worsening PERSISTING particularly wobbly walking and lack of balance
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Multiple sclerosis, Night sweats, Rash, Rash pruritic
Clinical narrative: 1) Itchy rash on arms, shoulders, back and abdomen  ONGOING ON SHOULDERS, CHEST AND BACK steroidal topical treatment ameliorated it 2) Drenching night sweats PERSISTING, BUT NOT EVERY NIGHT 3) MS symptoms worsening PERSISTING particularly wobbly walking and lack of balance
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness on entire right side of face/head for three days. No drooping of face. No stroke symptoms. Went away spontaneously after 3 days. Was going to go to a doctors appointment but symptoms resolved the day before I was going to go.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Extra dose administered
Clinical narrative: Patient received first dose on 08/24/2020 and second dose on 5/24/2021.  He received an additional dose in error today 6/25/2021
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the expiration date of 04/28/21. Patient reports no adverse events.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Died 3/6/2021
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given adjuvant solution only.  Pharmacist was distracted during mixing and accidentally gave the adjuvant before mixing with the lyophylized powder.  Pt will be re-vaccinated with properly mixed product on 7/13/21 per directions from GSK. No signs or symptoms reported.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Client did not experience any immediate adverse events following vaccination. Client died on 6/8/2021, approximately 8 weeks after vaccination with Janssen product. Cause of death is unknown to this reporter.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash pruritic
Clinical narrative: Red itchy rash on upper left arm  at injection site, lasting approximately 3 days.  Started as just itchy with  small raised bumps that grew to about 5 inches long by 2 inches wide.  I rubbed Benadryl cream on the rash twice daily until it went away.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Insomnia, Pain, Pyrexia
Clinical narrative: I started of with typical fever, body aches, and fever. That started about 12 hours after shot that last about 48hours. About 72 hours I developed a cough I couldn't sleep, it was a dry cough, it was painful. I went to the med clinic they ran test and prescribed me antibiotics and sent me home. The antibiotics did nothing for me . My cough persisted for 7 to 12 days.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Tuberculin test
Clinical narrative: I started of with typical fever, body aches, and fever. That started about 12 hours after shot that last about 48hours. About 72 hours I developed a cough I couldn't sleep, it was a dry cough, it was painful. I went to the med clinic they ran test and prescribed me antibiotics and sent me home. The antibiotics did nothing for me . My cough persisted for 7 to 12 days.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received the dose after manufacturer recommended freezer storage duration.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Additional Details: Patient was sitting in chair, as she was getting up, experienced lightheadedness and thought she was going to faint.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Chest X-ray, Chest pain, Cough
Clinical narrative: After getting the vaccine I had a dry cough. It was hurting in the chest area just a little because of it being a dry cough but it wasn't painful.  I end up going to the doctor , and I had a X-RAY done and  I was diagnosed with bronchitis.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered after the expiration date of 04/28/21. Patient reports no adverse events.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Choking, Headache, Injection site pain, Injection site swelling
Clinical narrative: Painful and swollen arm, both at injection site and underarm in lymph nodes. Woke up to pain in the right side of chest, under left arm. Slight fever, body aches, occasional choking, dull headache in back of neck near base of skull.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Painful and swollen arm, both at injection site and underarm in lymph nodes. Woke up to pain in the right side of chest, under left arm. Slight fever, body aches, occasional choking, dull headache in back of neck near base of skull.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong route
Clinical narrative: Error: Wrong Route (SC, IM, etc.)
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Moderna Arm Large red swollen area on arm where vaccine was administered  Itchy  On call allergist suggested antihistamine but not Benadryl.. Took zyzal.  It lasted for several days
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received the dose after manufacturer recommended freezer storage duration.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Dyspnoea, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: Experienced random pains in heart area where I was unable to take deep breaths for 5+ minutes at a time. It would go away but then come back at random times. At worst this would happen 10+ times a day. The symptoms had subsided almost entirely by 4/15/2021, however, I still experience much shorter variations of this pain to this day that only last a few seconds and occur about once a week.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Electrocardiogram, Fatigue, Muscular weakness
Clinical narrative: Shortness of breath, heart racing, weak legs, symptoms of myocarditis, weak, tiredness
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Myocarditis, Palpitations
Clinical narrative: Shortness of breath, heart racing, weak legs, symptoms of myocarditis, weak, tiredness
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Persistent nausea and constant vomiting of food after eating.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient felt fine immediately after receiving the vaccine. She waited in the pharmacy for 15+ minutes with no reaction. Later the same day, she called informing us that she was developing hives along her panty line, and was taking Benadryl to manage symptoms. Patient says that the Benadryl was controlling her symptoms at that time. We instructed the patient to call her doctor and discuss her reaction with them. Patient  called back over the next few days to inform us that she had still been experiencing hives on and off and that they would appear at different places on her body including both arms at different times as well as the panty line again.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Feeling cold, Feeling hot, Immediate post-injection reaction
Clinical narrative: patient called at 145, states she got covid vaccine at 1250.  She describes having dizziness, lightheadedness, and "feeling of overheating" that is continuing.  She stated she had a little dizziness at time of vaccine but it has worsened after leaving.  She is not driving (father is driving).  I asked if there was any trouble breathing and she stated "a little".  I advised to lie down and elevate feet, and remain in cool place.  The patient stated the dizziness was worsening still.  I advised to either go to the Emergency department/urgent care or return to pharmacy for us to monitor her.  She will do one of the above. I spoke to patient about 237 pm, she ended up going to ER for observation, and is currently there being monitored.   spoke to patient today 6/25/21, patient was in ER for a while but has been discharged.  Pt states she was feeling hot for a while then later felt cold (could be because hospitals are cold).  Patient states ER gave her a breathing treatment and something to relax the nerves (not sure of medication).  She still has some dizziness and arm soreness but it has improved significantly since yesterday.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: patient called at 145, states she got covid vaccine at 1250.  She describes having dizziness, lightheadedness, and "feeling of overheating" that is continuing.  She stated she had a little dizziness at time of vaccine but it has worsened after leaving.  She is not driving (father is driving).  I asked if there was any trouble breathing and she stated "a little".  I advised to lie down and elevate feet, and remain in cool place.  The patient stated the dizziness was worsening still.  I advised to either go to the Emergency department/urgent care or return to pharmacy for us to monitor her.  She will do one of the above. I spoke to patient about 237 pm, she ended up going to ER for observation, and is currently there being monitored.   spoke to patient today 6/25/21, patient was in ER for a while but has been discharged.  Pt states she was feeling hot for a while then later felt cold (could be because hospitals are cold).  Patient states ER gave her a breathing treatment and something to relax the nerves (not sure of medication).  She still has some dizziness and arm soreness but it has improved significantly since yesterday.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Asthenia, Blood thyroid stimulating hormone, Bowel movement irregularity, Computerised tomogram
Clinical narrative: about one week after my second Covid shot (first one was december 15th) I experienced severe fatigue.  Also had gastrointestinal symptoms of bloating, gas, diarrhea and cramps, frequent bowel movements, nausea and weakness.  Lost over 15 pounds.  Symptoms were severe for about a month and ended up in the ER for evaluation.  Work up did not show any other reason for these symptoms.  Now 5 months later I am still not back to normal.  Early satiety, tiredness, fatigue, memory issues and abnormal bowel movements.  Better but not normal pre vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Early satiety, Fatigue, Flatulence, Frequent bowel movements
Clinical narrative: about one week after my second Covid shot (first one was december 15th) I experienced severe fatigue.  Also had gastrointestinal symptoms of bloating, gas, diarrhea and cramps, frequent bowel movements, nausea and weakness.  Lost over 15 pounds.  Symptoms were severe for about a month and ended up in the ER for evaluation.  Work up did not show any other reason for these symptoms.  Now 5 months later I am still not back to normal.  Early satiety, tiredness, fatigue, memory issues and abnormal bowel movements.  Better but not normal pre vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Gastrointestinal pathogen panel, Memory impairment, Metabolic function test, Muscle spasms
Clinical narrative: about one week after my second Covid shot (first one was december 15th) I experienced severe fatigue.  Also had gastrointestinal symptoms of bloating, gas, diarrhea and cramps, frequent bowel movements, nausea and weakness.  Lost over 15 pounds.  Symptoms were severe for about a month and ended up in the ER for evaluation.  Work up did not show any other reason for these symptoms.  Now 5 months later I am still not back to normal.  Early satiety, tiredness, fatigue, memory issues and abnormal bowel movements.  Better but not normal pre vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oesophagogastroduodenoscopy, SARS-CoV-2 antibody test, SARS-CoV-2 test, Ultrasound abdomen
Clinical narrative: about one week after my second Covid shot (first one was december 15th) I experienced severe fatigue.  Also had gastrointestinal symptoms of bloating, gas, diarrhea and cramps, frequent bowel movements, nausea and weakness.  Lost over 15 pounds.  Symptoms were severe for about a month and ended up in the ER for evaluation.  Work up did not show any other reason for these symptoms.  Now 5 months later I am still not back to normal.  Early satiety, tiredness, fatigue, memory issues and abnormal bowel movements.  Better but not normal pre vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: about one week after my second Covid shot (first one was december 15th) I experienced severe fatigue.  Also had gastrointestinal symptoms of bloating, gas, diarrhea and cramps, frequent bowel movements, nausea and weakness.  Lost over 15 pounds.  Symptoms were severe for about a month and ended up in the ER for evaluation.  Work up did not show any other reason for these symptoms.  Now 5 months later I am still not back to normal.  Early satiety, tiredness, fatigue, memory issues and abnormal bowel movements.  Better but not normal pre vaccine.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Dizziness, Electrocardiogram abnormal, Heart rate increased
Clinical narrative: AFIB RVR - May 16, 2021  rapid heart beat 150 - 160 started in early am & arrived at hospital around noon (dizziness, light headed, ) cardioversion 200 joules  three shocks ,  plus Diltiazem 20 mg IV , brought heart down to 70-80 and sinus rhythm
Age: 28.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Bone cancer, Breast cancer female, Cardiac disorder, Cardiac monitoring
Clinical narrative: 1st vaccine- same day of vaccine experienced lymph nodes under my left arm pit and arm, had difficulty breathing and could not take my Advair medication. These symptoms lasted one week to clear up or so. 2nd vaccine- experienced one week after developed heart problems with pain, rapid heart palpitations, extreme fatigue and arrhythmia. I went to the ER for five and a half hours where they performed EKG, lab work, x-rays and I was sent to a cardiologist to monitor my heart symptoms. As a result of my heart symptoms, I now have exacerbation of other conditions to my body, also now have multiple myelomas, bone cancer and breast cancer. I continue with my heart symptoms today and continue to follow up with my cardiologist.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Laboratory test, Palpitations, Plasma cell myeloma
Clinical narrative: 1st vaccine- same day of vaccine experienced lymph nodes under my left arm pit and arm, had difficulty breathing and could not take my Advair medication. These symptoms lasted one week to clear up or so. 2nd vaccine- experienced one week after developed heart problems with pain, rapid heart palpitations, extreme fatigue and arrhythmia. I went to the ER for five and a half hours where they performed EKG, lab work, x-rays and I was sent to a cardiologist to monitor my heart symptoms. As a result of my heart symptoms, I now have exacerbation of other conditions to my body, also now have multiple myelomas, bone cancer and breast cancer. I continue with my heart symptoms today and continue to follow up with my cardiologist.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: 1st vaccine- same day of vaccine experienced lymph nodes under my left arm pit and arm, had difficulty breathing and could not take my Advair medication. These symptoms lasted one week to clear up or so. 2nd vaccine- experienced one week after developed heart problems with pain, rapid heart palpitations, extreme fatigue and arrhythmia. I went to the ER for five and a half hours where they performed EKG, lab work, x-rays and I was sent to a cardiologist to monitor my heart symptoms. As a result of my heart symptoms, I now have exacerbation of other conditions to my body, also now have multiple myelomas, bone cancer and breast cancer. I continue with my heart symptoms today and continue to follow up with my cardiologist.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Erythema, Fatigue, Pain, Swelling
Clinical narrative: 1.  A red raised and slightly sore circle appeared on the 3rd day.  This was much less sore than the similar response after the 1st dose. 2.  Fatigue lasting approximately one week. 3.  Significant daily  hair loss seemed to occur after the first dose and is happening again, starting about 10 days after each jab.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: I broke out in a rash/hives. I suddenly became very itchy on my face, neck, and upper torso approximately 90 minutes after 1st vaccination injection.  When I rubbed my forehead and scratched my back, the area raised into welts.  I quick took a Benadryl and did meditation, to stop me from scratching until Benadryl kicked in.  Issue disappeared by the following morning.
Age: 30.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered Lot#047B21A, but lot#008C21A(exp: 5/20/2021) was logged on forms.Lot#047B21A expired on 5/13/2021.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood test normal, Dizziness, Headache, Injection site pain
Clinical narrative: Patient stated she was feeling and light headed after the 2nd does, also experience severe headaches , and arm had read spot at the injection site and pain as well, and her balance is off