chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Fungal infection, Laboratory test, Nasopharyngitis, Rash
Clinical narrative: A week or so after vaccine, I had a light cold, cold symptoms, those lasted for a few days. I started having yeast infection symptoms on May 29th and on June 8th, I started having eczema issues; was having rashes. I went to the doctor on the 7th of June for a yeast infection; gave me a Flazalone or something like that for the infection. June 10th, I went to the doctor for rashes on my leg and a lot on my face and chin, cheek, and behind my ears and on my hands. Topical cream was prescribed for that: Clobetasol propionate cream (gave this to me when the lesser strength one wasn't working - they told me not to use it much; triamcinolone Acetonide cream, the lesser strength. On my face I use cortisone cream. Yeast infection cleared up, but I still have the Eczema; it's still popping out a little but it's getting a bit better.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Diarrhoea, Dizziness, Dyspnoea, Feeling abnormal
Clinical narrative: On the morning of the 15th, I woke up and felt like I was going to die. I was having hot flashes and felt very dizzy. I went to the doctor. I was diagnosed with bronchitis. I was prescribed antibiotics, steroids and something to calm the diarrhea and rest and fluids. The medication did calm the diarrhea down and the antibiotics did clear up the bronchitis. It did still hurt to breathe.  I was also given an albuterol inhaler for the shortness of breath. The albuterol also did help. I still have the shortness of breath and occasional bouts of diarrhea. My doctor recommended a probiotic to aid the diarrhea.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush
Clinical narrative: On the morning of the 15th, I woke up and felt like I was going to die. I was having hot flashes and felt very dizzy. I went to the doctor. I was diagnosed with bronchitis. I was prescribed antibiotics, steroids and something to calm the diarrhea and rest and fluids. The medication did calm the diarrhea down and the antibiotics did clear up the bronchitis. It did still hurt to breathe.  I was also given an albuterol inhaler for the shortness of breath. The albuterol also did help. I still have the shortness of breath and occasional bouts of diarrhea. My doctor recommended a probiotic to aid the diarrhea.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Fungal skin infection, Glycosylated haemoglobin increased, Hypertension
Clinical narrative: Around the day after the 2nd dose vaccine, I started feeling whoozy and lethargic.  My arm was sore. I have a blood pressure and sugar glucometer at home and starting taking my readings.  My blood pressure was high 165/128 and my sugar readings hovered around 154-200.   I started to change my diet to bring my numbers down.  I was able to bring down my BP but my sugars still remaining high.   I went to see my doctor on 4/22/2021 and my A1C was around 7-8 which is high.  My blood pressure was also elevated.   I am still having symptoms of lethargy, high blood pressure and  high sugar levels after the vaccine. I also went to see my podiatrist for a routine visit on 5/20/2021 and a foot fungus was found. I was prescribed a Terbinafine to treat the fungal infection.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pain in extremity
Clinical narrative: Around the day after the 2nd dose vaccine, I started feeling whoozy and lethargic.  My arm was sore. I have a blood pressure and sugar glucometer at home and starting taking my readings.  My blood pressure was high 165/128 and my sugar readings hovered around 154-200.   I started to change my diet to bring my numbers down.  I was able to bring down my BP but my sugars still remaining high.   I went to see my doctor on 4/22/2021 and my A1C was around 7-8 which is high.  My blood pressure was also elevated.   I am still having symptoms of lethargy, high blood pressure and  high sugar levels after the vaccine. I also went to see my podiatrist for a routine visit on 5/20/2021 and a foot fungus was found. I was prescribed a Terbinafine to treat the fungal infection.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Differential white blood cell count, Dizziness, Fatigue
Clinical narrative: I had fatigue, severe weakness, faint, dizzy, headache, Myalgia(possible neuropathy) from 3 days out to 2 weeks for these symptoms. Jaw pain, sore and itchy shingles.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Headache, Herpes zoster, Myalgia, Pain
Clinical narrative: I had fatigue, severe weakness, faint, dizzy, headache, Myalgia(possible neuropathy) from 3 days out to 2 weeks for these symptoms. Jaw pain, sore and itchy shingles.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Pruritus, Syncope
Clinical narrative: I had fatigue, severe weakness, faint, dizzy, headache, Myalgia(possible neuropathy) from 3 days out to 2 weeks for these symptoms. Jaw pain, sore and itchy shingles.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Mobility decreased, Tenderness, Testicular appendage torsion, Testicular pain
Clinical narrative: severe left sided testicular pain, lasting approx 3 hours.   Pt unable to stand or walk for several minutes after waking up.  After using the restroom later, pt felt some pain diminish, but is still tender.   Scheduled visit with Dr to evaluate on 6/22/2021.  Suspected Testicular Appendage Torsion.   Today (6/23/21)  small blue "bruise type" spot on upper left testicle.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin increased, Blood ethanol
Clinical narrative: 6/19/21 patient awoke with non-bloody, bright green emesis and abdominal pain. She endorses several episodes of nonbloody diarrhea with continued abdominal pain.  She endorses starting her menstrual period 3 days ago. Mom endorses fever at this time, T-max 102.9.  Presented to an urgent care for further evaluation where they obtained a rapid strep test and COVID-19 swab that were both negative. 6/21/21 she presented to an ED for continued and worsening symptoms.  She received a dose of antibiotics and saline boluses during transfer to another hospital.  In route, she became hypotensive with minimal response to fluid resuscitation. She required vasopressors to maintain blood pressure. A CT of the abdomen showed nonspecific findings for enterocolitis.  A urinalysis had 5-15 RBCs and 51-100 WBCs. She was started on antibiotics. She required ICU admission initially, but improved and became hemodynamically stable after about 16 hours in the PICU. Her urine culture grew 3 different organisms with low colony counts so antibiotics were discontinued on 6/22/21. An ECHO demonstrated normal biventricular size and systolic function (LFEF 62%), mild tricuspid regurgitation estimating mildly elevated RV pressure (30-40% systemic), mild flow accelration across normal appearing trileaflet aortic valve and borderline small aortic root and sinotubular junction, normal ascending aorta, no pericardial effusion, normal right, left main, and LAD coronary artery diameter z-score, and mild outpouching in the left main coronary artery that may represent an early appearance of an aneurysm. A repeat ECHO the following day revealed normal biventricular size and systolic function, mild tricuspid regurgitation estimating RV systolic pressure of 30mmHg, left main coronary artery appears slightly prominent but measures within normal limits. LMCA measurement is similar to previous, normal measurement of the proximal RCA and LAD, and trivial pericardial effusion. The patient also had an elevated CRP of 18.8 mg/dL, fibrinogen of 408 mg/dL, d-dimer of 0.98, and nt-pro BNP of 309. SARS CoV2 IgG was positive and IgM was negative. She received IVIG 100 gm on 6/23/21 and was started on rivaroxaban. CRP decreased to 8.2 mg/dL on 6/23/21.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Blood fibrinogen increased, Blood sodium decreased, C-reactive protein increased, Computerised tomogram abdomen abnormal, Culture urine positive
Clinical narrative: 6/19/21 patient awoke with non-bloody, bright green emesis and abdominal pain. She endorses several episodes of nonbloody diarrhea with continued abdominal pain.  She endorses starting her menstrual period 3 days ago. Mom endorses fever at this time, T-max 102.9.  Presented to an urgent care for further evaluation where they obtained a rapid strep test and COVID-19 swab that were both negative. 6/21/21 she presented to an ED for continued and worsening symptoms.  She received a dose of antibiotics and saline boluses during transfer to another hospital.  In route, she became hypotensive with minimal response to fluid resuscitation. She required vasopressors to maintain blood pressure. A CT of the abdomen showed nonspecific findings for enterocolitis.  A urinalysis had 5-15 RBCs and 51-100 WBCs. She was started on antibiotics. She required ICU admission initially, but improved and became hemodynamically stable after about 16 hours in the PICU. Her urine culture grew 3 different organisms with low colony counts so antibiotics were discontinued on 6/22/21. An ECHO demonstrated normal biventricular size and systolic function (LFEF 62%), mild tricuspid regurgitation estimating mildly elevated RV pressure (30-40% systemic), mild flow accelration across normal appearing trileaflet aortic valve and borderline small aortic root and sinotubular junction, normal ascending aorta, no pericardial effusion, normal right, left main, and LAD coronary artery diameter z-score, and mild outpouching in the left main coronary artery that may represent an early appearance of an aneurysm. A repeat ECHO the following day revealed normal biventricular size and systolic function, mild tricuspid regurgitation estimating RV systolic pressure of 30mmHg, left main coronary artery appears slightly prominent but measures within normal limits. LMCA measurement is similar to previous, normal measurement of the proximal RCA and LAD, and trivial pericardial effusion. The patient also had an elevated CRP of 18.8 mg/dL, fibrinogen of 408 mg/dL, d-dimer of 0.98, and nt-pro BNP of 309. SARS CoV2 IgG was positive and IgM was negative. She received IVIG 100 gm on 6/23/21 and was started on rivaroxaban. CRP decreased to 8.2 mg/dL on 6/23/21.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Discoloured vomit, Echocardiogram abnormal, Enterocolitis, Fibrin D dimer
Clinical narrative: 6/19/21 patient awoke with non-bloody, bright green emesis and abdominal pain. She endorses several episodes of nonbloody diarrhea with continued abdominal pain.  She endorses starting her menstrual period 3 days ago. Mom endorses fever at this time, T-max 102.9.  Presented to an urgent care for further evaluation where they obtained a rapid strep test and COVID-19 swab that were both negative. 6/21/21 she presented to an ED for continued and worsening symptoms.  She received a dose of antibiotics and saline boluses during transfer to another hospital.  In route, she became hypotensive with minimal response to fluid resuscitation. She required vasopressors to maintain blood pressure. A CT of the abdomen showed nonspecific findings for enterocolitis.  A urinalysis had 5-15 RBCs and 51-100 WBCs. She was started on antibiotics. She required ICU admission initially, but improved and became hemodynamically stable after about 16 hours in the PICU. Her urine culture grew 3 different organisms with low colony counts so antibiotics were discontinued on 6/22/21. An ECHO demonstrated normal biventricular size and systolic function (LFEF 62%), mild tricuspid regurgitation estimating mildly elevated RV pressure (30-40% systemic), mild flow accelration across normal appearing trileaflet aortic valve and borderline small aortic root and sinotubular junction, normal ascending aorta, no pericardial effusion, normal right, left main, and LAD coronary artery diameter z-score, and mild outpouching in the left main coronary artery that may represent an early appearance of an aneurysm. A repeat ECHO the following day revealed normal biventricular size and systolic function, mild tricuspid regurgitation estimating RV systolic pressure of 30mmHg, left main coronary artery appears slightly prominent but measures within normal limits. LMCA measurement is similar to previous, normal measurement of the proximal RCA and LAD, and trivial pericardial effusion. The patient also had an elevated CRP of 18.8 mg/dL, fibrinogen of 408 mg/dL, d-dimer of 0.98, and nt-pro BNP of 309. SARS CoV2 IgG was positive and IgM was negative. She received IVIG 100 gm on 6/23/21 and was started on rivaroxaban. CRP decreased to 8.2 mg/dL on 6/23/21.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hypotension, Immunoglobulin therapy, Intensive care, N-terminal prohormone brain natriuretic peptide increased
Clinical narrative: 6/19/21 patient awoke with non-bloody, bright green emesis and abdominal pain. She endorses several episodes of nonbloody diarrhea with continued abdominal pain.  She endorses starting her menstrual period 3 days ago. Mom endorses fever at this time, T-max 102.9.  Presented to an urgent care for further evaluation where they obtained a rapid strep test and COVID-19 swab that were both negative. 6/21/21 she presented to an ED for continued and worsening symptoms.  She received a dose of antibiotics and saline boluses during transfer to another hospital.  In route, she became hypotensive with minimal response to fluid resuscitation. She required vasopressors to maintain blood pressure. A CT of the abdomen showed nonspecific findings for enterocolitis.  A urinalysis had 5-15 RBCs and 51-100 WBCs. She was started on antibiotics. She required ICU admission initially, but improved and became hemodynamically stable after about 16 hours in the PICU. Her urine culture grew 3 different organisms with low colony counts so antibiotics were discontinued on 6/22/21. An ECHO demonstrated normal biventricular size and systolic function (LFEF 62%), mild tricuspid regurgitation estimating mildly elevated RV pressure (30-40% systemic), mild flow accelration across normal appearing trileaflet aortic valve and borderline small aortic root and sinotubular junction, normal ascending aorta, no pericardial effusion, normal right, left main, and LAD coronary artery diameter z-score, and mild outpouching in the left main coronary artery that may represent an early appearance of an aneurysm. A repeat ECHO the following day revealed normal biventricular size and systolic function, mild tricuspid regurgitation estimating RV systolic pressure of 30mmHg, left main coronary artery appears slightly prominent but measures within normal limits. LMCA measurement is similar to previous, normal measurement of the proximal RCA and LAD, and trivial pericardial effusion. The patient also had an elevated CRP of 18.8 mg/dL, fibrinogen of 408 mg/dL, d-dimer of 0.98, and nt-pro BNP of 309. SARS CoV2 IgG was positive and IgM was negative. She received IVIG 100 gm on 6/23/21 and was started on rivaroxaban. CRP decreased to 8.2 mg/dL on 6/23/21.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Pericardial effusion, Platelet count decreased, Pyrexia, Red blood cells urine positive, Right ventricular systolic pressure increased
Clinical narrative: 6/19/21 patient awoke with non-bloody, bright green emesis and abdominal pain. She endorses several episodes of nonbloody diarrhea with continued abdominal pain.  She endorses starting her menstrual period 3 days ago. Mom endorses fever at this time, T-max 102.9.  Presented to an urgent care for further evaluation where they obtained a rapid strep test and COVID-19 swab that were both negative. 6/21/21 she presented to an ED for continued and worsening symptoms.  She received a dose of antibiotics and saline boluses during transfer to another hospital.  In route, she became hypotensive with minimal response to fluid resuscitation. She required vasopressors to maintain blood pressure. A CT of the abdomen showed nonspecific findings for enterocolitis.  A urinalysis had 5-15 RBCs and 51-100 WBCs. She was started on antibiotics. She required ICU admission initially, but improved and became hemodynamically stable after about 16 hours in the PICU. Her urine culture grew 3 different organisms with low colony counts so antibiotics were discontinued on 6/22/21. An ECHO demonstrated normal biventricular size and systolic function (LFEF 62%), mild tricuspid regurgitation estimating mildly elevated RV pressure (30-40% systemic), mild flow accelration across normal appearing trileaflet aortic valve and borderline small aortic root and sinotubular junction, normal ascending aorta, no pericardial effusion, normal right, left main, and LAD coronary artery diameter z-score, and mild outpouching in the left main coronary artery that may represent an early appearance of an aneurysm. A repeat ECHO the following day revealed normal biventricular size and systolic function, mild tricuspid regurgitation estimating RV systolic pressure of 30mmHg, left main coronary artery appears slightly prominent but measures within normal limits. LMCA measurement is similar to previous, normal measurement of the proximal RCA and LAD, and trivial pericardial effusion. The patient also had an elevated CRP of 18.8 mg/dL, fibrinogen of 408 mg/dL, d-dimer of 0.98, and nt-pro BNP of 309. SARS CoV2 IgG was positive and IgM was negative. She received IVIG 100 gm on 6/23/21 and was started on rivaroxaban. CRP decreased to 8.2 mg/dL on 6/23/21.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Serum ferritin increased, Streptococcus test negative, Tricuspid valve incompetence
Clinical narrative: 6/19/21 patient awoke with non-bloody, bright green emesis and abdominal pain. She endorses several episodes of nonbloody diarrhea with continued abdominal pain.  She endorses starting her menstrual period 3 days ago. Mom endorses fever at this time, T-max 102.9.  Presented to an urgent care for further evaluation where they obtained a rapid strep test and COVID-19 swab that were both negative. 6/21/21 she presented to an ED for continued and worsening symptoms.  She received a dose of antibiotics and saline boluses during transfer to another hospital.  In route, she became hypotensive with minimal response to fluid resuscitation. She required vasopressors to maintain blood pressure. A CT of the abdomen showed nonspecific findings for enterocolitis.  A urinalysis had 5-15 RBCs and 51-100 WBCs. She was started on antibiotics. She required ICU admission initially, but improved and became hemodynamically stable after about 16 hours in the PICU. Her urine culture grew 3 different organisms with low colony counts so antibiotics were discontinued on 6/22/21. An ECHO demonstrated normal biventricular size and systolic function (LFEF 62%), mild tricuspid regurgitation estimating mildly elevated RV pressure (30-40% systemic), mild flow accelration across normal appearing trileaflet aortic valve and borderline small aortic root and sinotubular junction, normal ascending aorta, no pericardial effusion, normal right, left main, and LAD coronary artery diameter z-score, and mild outpouching in the left main coronary artery that may represent an early appearance of an aneurysm. A repeat ECHO the following day revealed normal biventricular size and systolic function, mild tricuspid regurgitation estimating RV systolic pressure of 30mmHg, left main coronary artery appears slightly prominent but measures within normal limits. LMCA measurement is similar to previous, normal measurement of the proximal RCA and LAD, and trivial pericardial effusion. The patient also had an elevated CRP of 18.8 mg/dL, fibrinogen of 408 mg/dL, d-dimer of 0.98, and nt-pro BNP of 309. SARS CoV2 IgG was positive and IgM was negative. She received IVIG 100 gm on 6/23/21 and was started on rivaroxaban. CRP decreased to 8.2 mg/dL on 6/23/21.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal, Urine cannabinoids increased, Vomiting, White blood cell count decreased, White blood cells urine positive
Clinical narrative: 6/19/21 patient awoke with non-bloody, bright green emesis and abdominal pain. She endorses several episodes of nonbloody diarrhea with continued abdominal pain.  She endorses starting her menstrual period 3 days ago. Mom endorses fever at this time, T-max 102.9.  Presented to an urgent care for further evaluation where they obtained a rapid strep test and COVID-19 swab that were both negative. 6/21/21 she presented to an ED for continued and worsening symptoms.  She received a dose of antibiotics and saline boluses during transfer to another hospital.  In route, she became hypotensive with minimal response to fluid resuscitation. She required vasopressors to maintain blood pressure. A CT of the abdomen showed nonspecific findings for enterocolitis.  A urinalysis had 5-15 RBCs and 51-100 WBCs. She was started on antibiotics. She required ICU admission initially, but improved and became hemodynamically stable after about 16 hours in the PICU. Her urine culture grew 3 different organisms with low colony counts so antibiotics were discontinued on 6/22/21. An ECHO demonstrated normal biventricular size and systolic function (LFEF 62%), mild tricuspid regurgitation estimating mildly elevated RV pressure (30-40% systemic), mild flow accelration across normal appearing trileaflet aortic valve and borderline small aortic root and sinotubular junction, normal ascending aorta, no pericardial effusion, normal right, left main, and LAD coronary artery diameter z-score, and mild outpouching in the left main coronary artery that may represent an early appearance of an aneurysm. A repeat ECHO the following day revealed normal biventricular size and systolic function, mild tricuspid regurgitation estimating RV systolic pressure of 30mmHg, left main coronary artery appears slightly prominent but measures within normal limits. LMCA measurement is similar to previous, normal measurement of the proximal RCA and LAD, and trivial pericardial effusion. The patient also had an elevated CRP of 18.8 mg/dL, fibrinogen of 408 mg/dL, d-dimer of 0.98, and nt-pro BNP of 309. SARS CoV2 IgG was positive and IgM was negative. She received IVIG 100 gm on 6/23/21 and was started on rivaroxaban. CRP decreased to 8.2 mg/dL on 6/23/21.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: VACCINE ADMINISTRATION ERROR DUE TO AGE. NO EVENT IN CLINIC OR FOLLOW UP
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bladder pain, Condition aggravated, Culture urine, Cystitis interstitial, Micturition urgency
Clinical narrative: Prior to receiving the Covid 19 vaccine, I was pretty much in remission with respect to interstitial cystitis ("IC").  Shortly after the vaccine, I have experienced a constant flare up.  I am in debilitating pain daily.  The only new thing, was the vaccine.  I have never experienced a flare up to last this long and not go away.   Everyday I now struggle with a stabbing pain in my bladder, constant urge to urinate.  There is no relief after urinating.  The pain is constant.  I have been tested and have no UTI.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: Prior to receiving the Covid 19 vaccine, I was pretty much in remission with respect to interstitial cystitis ("IC").  Shortly after the vaccine, I have experienced a constant flare up.  I am in debilitating pain daily.  The only new thing, was the vaccine.  I have never experienced a flare up to last this long and not go away.   Everyday I now struggle with a stabbing pain in my bladder, constant urge to urinate.  There is no relief after urinating.  The pain is constant.  I have been tested and have no UTI.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, First trimester pregnancy, Human chorionic gonadotropin decreased, Vaginal haemorrhage
Clinical narrative: Spontaneous abortion at 7weeks gestational age.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Burning sensation, Computerised tomogram thorax abnormal, Dyspnoea, Electrocardiogram normal
Clinical narrative: Patient states she was diagnosed with a pulmonary embolism on 4-23-21. She states 2 weeks after her vaccination (4-7-21) she noticed shortness of breath, fatigue, brain fog, and "burning lungs" . She says she has a stressful job and her lungs would feel like they are on fire. She was seen by Dr in urgent care on 4-23-21. She says she was seen by Dr (in the absence of her regular provider) on 5-21-21. She was started on Eliquis 5mg BID on 5-21-21. She also was seen by Dr of Hematology Oncology to evaluate her after the vaccination also. Referred to Pulmonary Dr. seeing on 7-8-21
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Pulmonary embolism, Pulmonary pain, Ultrasound Doppler
Clinical narrative: Patient states she was diagnosed with a pulmonary embolism on 4-23-21. She states 2 weeks after her vaccination (4-7-21) she noticed shortness of breath, fatigue, brain fog, and "burning lungs" . She says she has a stressful job and her lungs would feel like they are on fire. She was seen by Dr in urgent care on 4-23-21. She says she was seen by Dr (in the absence of her regular provider) on 5-21-21. She was started on Eliquis 5mg BID on 5-21-21. She also was seen by Dr of Hematology Oncology to evaluate her after the vaccination also. Referred to Pulmonary Dr. seeing on 7-8-21
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Deep vein thrombosis, Pain in extremity, Ultrasound scan abnormal
Clinical narrative: 5/3/21 this gentleman reported several days of Left lower leg pain. Ultrasound completed positive for left lower leg DVT. Pt was on chronic Coumadin therapy at that time with therapeutic PT/INR 2.7. Symptoms progressed and ongoing despite initiation of Eliquis. On 6/8/21 he underwent placement of IVC filter to protect from further clotting injury.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Dizziness, Feeling abnormal, Headache
Clinical narrative: The day after the vaccine he started to get an headache, brain fog, and dizziness. He also lost his sense of smell and taste. Went to see his doctor stated they increased his Effexor. They tried giving him Atarax but it didn't work also gave him supplements L-theanine 200 ml, Ashwagandha 200ml and Magnesium Glycinate 300ml said it helped a little.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: The day after the vaccine he started to get an headache, brain fog, and dizziness. He also lost his sense of smell and taste. Went to see his doctor stated they increased his Effexor. They tried giving him Atarax but it didn't work also gave him supplements L-theanine 200 ml, Ashwagandha 200ml and Magnesium Glycinate 300ml said it helped a little.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Too young to receive Moderna
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swelling of the lymph nodes in the left armpit. The lymph nodes are still swollen about 6 weeks later
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Lip pruritus, Paraesthesia oral
Clinical narrative: patient c/o lip tingling/itching.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthropathy, Gait disturbance, Mobility decreased, Pain, X-ray
Clinical narrative: After taking the shot, I could barely walk up and down the stairs. I couldn't bend my knees. I was having difficulty walking because I was in so much pain.  I was having a lot of joint related issues. I received cortisone shots in my knees from my doctor. Within a week, things started to get a little better. I still have some difficulty walking, but I could currently stand without help.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after time allotted for temperature range it was maintained at.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Patient reported chest pain and difficulty breathing and presented to the ED. He was given Benedryl and morphine and was fine four hours later. He did follow up with his PCP.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Laboratory test normal, Pyrexia, Tremor
Clinical narrative: Cold chills - so bad that my whole entire body shakes. At same time, covers piled on top of me. Still having the cold chills now. It just happened yesterday and it doesn't stop for hours and when it happens, the following day  that I'm worthless - just tired. On the third day after the chills occur, I feel better. And then with fever: 97.2 is normal but then it goes up to 101.6 - 5 times - that has happened about every three weeks. (five times since March with the fever). I went to the doctor 5/25/2021 and she said she didn't have a clue as to what caused it. All looked normal with bloodwork.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Atrophy, Basophil count decreased, Basophil percentage, Bilirubin urine, Blood glucose
Clinical narrative: ER: PT STATES SHE THINKS SHE MAY BE HAVING SEIZURES. PT STATES 2 DAYS AGO SHE HAD AN EPISODE WHERE HER FEET GET HOT THEN GETS NUMB, THEN TRAVELS UP THE REST OF HER BODY. HER LEG GOES STRAIGHT OUT AND THEN HER ARM WRAPS AROUND HER HEAD AND SHE STARTS SHAKING. PT STATES HAD 4 EPISODES 2 DAYS AGO AND 2 EPISODES TODAY.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine, Computerised tomogram, Electrocardiogram, Eosinophil count decreased, Eosinophil percentage
Clinical narrative: ER: PT STATES SHE THINKS SHE MAY BE HAVING SEIZURES. PT STATES 2 DAYS AGO SHE HAD AN EPISODE WHERE HER FEET GET HOT THEN GETS NUMB, THEN TRAVELS UP THE REST OF HER BODY. HER LEG GOES STRAIGHT OUT AND THEN HER ARM WRAPS AROUND HER HEAD AND SHE STARTS SHAKING. PT STATES HAD 4 EPISODES 2 DAYS AGO AND 2 EPISODES TODAY.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Full blood count, Haematocrit decreased, Haemoglobin decreased, Hypoaesthesia
Clinical narrative: ER: PT STATES SHE THINKS SHE MAY BE HAVING SEIZURES. PT STATES 2 DAYS AGO SHE HAD AN EPISODE WHERE HER FEET GET HOT THEN GETS NUMB, THEN TRAVELS UP THE REST OF HER BODY. HER LEG GOES STRAIGHT OUT AND THEN HER ARM WRAPS AROUND HER HEAD AND SHE STARTS SHAKING. PT STATES HAD 4 EPISODES 2 DAYS AGO AND 2 EPISODES TODAY.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Immature granulocyte count, Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin, Mean cell haemoglobin decreased
Clinical narrative: ER: PT STATES SHE THINKS SHE MAY BE HAVING SEIZURES. PT STATES 2 DAYS AGO SHE HAD AN EPISODE WHERE HER FEET GET HOT THEN GETS NUMB, THEN TRAVELS UP THE REST OF HER BODY. HER LEG GOES STRAIGHT OUT AND THEN HER ARM WRAPS AROUND HER HEAD AND SHE STARTS SHAKING. PT STATES HAD 4 EPISODES 2 DAYS AGO AND 2 EPISODES TODAY.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Monocyte count decreased, Monocyte percentage, Neutrophil count normal
Clinical narrative: ER: PT STATES SHE THINKS SHE MAY BE HAVING SEIZURES. PT STATES 2 DAYS AGO SHE HAD AN EPISODE WHERE HER FEET GET HOT THEN GETS NUMB, THEN TRAVELS UP THE REST OF HER BODY. HER LEG GOES STRAIGHT OUT AND THEN HER ARM WRAPS AROUND HER HEAD AND SHE STARTS SHAKING. PT STATES HAD 4 EPISODES 2 DAYS AGO AND 2 EPISODES TODAY.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil percentage, Nitrite urine, Platelet count normal, Protein urine, Red cell distribution width decreased
Clinical narrative: ER: PT STATES SHE THINKS SHE MAY BE HAVING SEIZURES. PT STATES 2 DAYS AGO SHE HAD AN EPISODE WHERE HER FEET GET HOT THEN GETS NUMB, THEN TRAVELS UP THE REST OF HER BODY. HER LEG GOES STRAIGHT OUT AND THEN HER ARM WRAPS AROUND HER HEAD AND SHE STARTS SHAKING. PT STATES HAD 4 EPISODES 2 DAYS AGO AND 2 EPISODES TODAY.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Specific gravity urine increased, Tremor, Urine analysis, Urine ketone body, Urine leukocyte esterase
Clinical narrative: ER: PT STATES SHE THINKS SHE MAY BE HAVING SEIZURES. PT STATES 2 DAYS AGO SHE HAD AN EPISODE WHERE HER FEET GET HOT THEN GETS NUMB, THEN TRAVELS UP THE REST OF HER BODY. HER LEG GOES STRAIGHT OUT AND THEN HER ARM WRAPS AROUND HER HEAD AND SHE STARTS SHAKING. PT STATES HAD 4 EPISODES 2 DAYS AGO AND 2 EPISODES TODAY.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Urobilinogen urine, Vitamin C, White blood cell count normal, pH urine
Clinical narrative: ER: PT STATES SHE THINKS SHE MAY BE HAVING SEIZURES. PT STATES 2 DAYS AGO SHE HAD AN EPISODE WHERE HER FEET GET HOT THEN GETS NUMB, THEN TRAVELS UP THE REST OF HER BODY. HER LEG GOES STRAIGHT OUT AND THEN HER ARM WRAPS AROUND HER HEAD AND SHE STARTS SHAKING. PT STATES HAD 4 EPISODES 2 DAYS AGO AND 2 EPISODES TODAY.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Cardiac monitoring, Cardiac stress test, Dizziness, Dyspnoea
Clinical narrative: 24hours after First vaccine I experienced high heart rate, shortness of breath and dizziness.  Even at night/sleeping I had a heart rate over 105.  It continued  for a week.  I was out of town so I did not seek medical attention.  The following week I started to check my  blood pressure which was elevated along with my heart rate.  My first Dr. visit in regards to this event was 3/25/21.  After an abnormal ecg I was referred to Cardiology.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Heart rate increased
Clinical narrative: 24hours after First vaccine I experienced high heart rate, shortness of breath and dizziness.  Even at night/sleeping I had a heart rate over 105.  It continued  for a week.  I was out of town so I did not seek medical attention.  The following week I started to check my  blood pressure which was elevated along with my heart rate.  My first Dr. visit in regards to this event was 3/25/21.  After an abnormal ecg I was referred to Cardiology.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Head discomfort, Loss of consciousness, Paraesthesia oral
Clinical narrative: 17 minutes after injection my tongue felt heavy and weird. Then my head felt heavy. Shortly after I passed out. The staff said my BP was in 180s. My normal BP is 100-110. Heart rate stayed around 115. Ice packs used and remained laying down for 30 minutes until heaviness passed. Oxygen remained normal although it felt hard to breathe. Just a heaviness on my chest.
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: After returning from traveling, I noticed while running, I would be short of breathe.  However while running when in traveling, I could run 2 miles without stopping however now before the 1 mile mark, I would begin to get winded and become short of breathe.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Chills, Injection site pain, Musculoskeletal discomfort, Nausea
Clinical narrative: At 4:30 the afternoon of the second dose, I had what felt like a knife stabbing in my arm at the injection site. It ran all the way down to my fingers. I then had a fever of 102, severe chills, nausea, and vomiting. I went to the ER and was given IV fluids, Valium, and nausea meds. Experienced chills and fever for about four days. I was diagnosed with Alopecia. I went to a dermatologist and received injections. Four weeks after, I had problems with my left shoulder.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: At 4:30 the afternoon of the second dose, I had what felt like a knife stabbing in my arm at the injection site. It ran all the way down to my fingers. I then had a fever of 102, severe chills, nausea, and vomiting. I went to the ER and was given IV fluids, Valium, and nausea meds. Experienced chills and fever for about four days. I was diagnosed with Alopecia. I went to a dermatologist and received injections. Four weeks after, I had problems with my left shoulder.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Subchorionic haemorrhage, Ultrasound antenatal screen, Uterine dilation and curettage
Clinical narrative: I had a very normal, healthy pregnancy and delivery.This is my second pregnancy that went into a miscarriage. The fetus stopped growth at 6w5days right around the time of my second dose of vaccine. I was initially detected with subchorionic  hemorrhages, the fetal growth stopped around 6w5days. There was initial heart beat on the first ultrasound on 7th June but the later ultrasound on 18th June had a deceased fetus of 6w5days. It was a miscarriage and had to undergo D&C on June 22
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Exfoliative rash, Rash, Rash erythematous
Clinical narrative: Red scaly rash on back lateral side four days after receiving vaccine.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Diarrhoea, Fatigue
Clinical narrative: Fever Chills Aches/Joint Pain Headache Tiredness/Lack of Energy Nausea Diarrhea  Injection Site Pain Arm Pain
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Nausea, Pain, Pain in extremity
Clinical narrative: Fever Chills Aches/Joint Pain Headache Tiredness/Lack of Energy Nausea Diarrhea  Injection Site Pain Arm Pain
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever Chills Aches/Joint Pain Headache Tiredness/Lack of Energy Nausea Diarrhea  Injection Site Pain Arm Pain
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered outside of time allotted for temperature vaccine was maintained at.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: dizzy; gave apple juice and cold pack; checked bp 1)93/62 2)100/34 3)110/74 ; pt improved after 20 minutes
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysarthria, International normalised ratio decreased
Clinical narrative: Disruption of stable INR. Patient previously stable on warfarin 3.5mg daily. INR began to run low on 4-29-21 necessitating a dose increase on 5-14-21 to 4mg daily. Patient had an episode of slurred speech during this time he was low. No other cause of low INR could be identified after much investigation.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia oral, Pyrexia
Clinical narrative: 45 minutes after the shot, my lips started tingling. They went numb and it stayed for about ten days. I also had numbness in the soles of my feet that lasted for about two weeks. The day after the shot, I had the normal reaction. Fatigue, lowgrade fever for about 24 hours.   I spoke to my doctor about it, but did not go see anyone.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Ultrasound scan vagina
Clinical narrative: Heavy bleeding and clotting during menstrual cycles
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client received Pfizer as a dose 2 and Moderna as dose 1 (5/5/2021)
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Decreased appetite, Erythema, Fatigue, Groin pain
Clinical narrative: Beginning 20 days post 2nd vaccine dose: fever, chills, headache, low grade fever, sore throat, throat slightly swollen, shooting pain in left breast (around implant) with hot and red skin. Continuing for 3 days as of reporting today.  Immediately Post 2nd vaccine dose: low grade fever; chills; fatigue; low appetite; pain in leg, groin, and back lymph nodes lasting less than 48 hours.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Immediate post-injection reaction, Oropharyngeal pain, Pain in extremity, Pharyngeal swelling
Clinical narrative: Beginning 20 days post 2nd vaccine dose: fever, chills, headache, low grade fever, sore throat, throat slightly swollen, shooting pain in left breast (around implant) with hot and red skin. Continuing for 3 days as of reporting today.  Immediately Post 2nd vaccine dose: low grade fever; chills; fatigue; low appetite; pain in leg, groin, and back lymph nodes lasting less than 48 hours.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Skin warm
Clinical narrative: Beginning 20 days post 2nd vaccine dose: fever, chills, headache, low grade fever, sore throat, throat slightly swollen, shooting pain in left breast (around implant) with hot and red skin. Continuing for 3 days as of reporting today.  Immediately Post 2nd vaccine dose: low grade fever; chills; fatigue; low appetite; pain in leg, groin, and back lymph nodes lasting less than 48 hours.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest X-ray normal, Dyspnoea, Electrocardiogram normal, Metabolic function test
Clinical narrative: Pleuritic chest pain, emesis, shortness of breath, palpitations,  epigastric pain - albuterol with improved shortness of breath f/u 6/23 all symptoms resolved except epigastric pain
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pleuritic pain, Ultrasound scan normal, Urine analysis normal, Vomiting
Clinical narrative: Pleuritic chest pain, emesis, shortness of breath, palpitations,  epigastric pain - albuterol with improved shortness of breath f/u 6/23 all symptoms resolved except epigastric pain
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Rash
Clinical narrative: It started at 5:30pm that evening after the vaccine. I started to feel achy and my arm started to hurt. That evening I started to have a low grade fever and I had a rash. The next day the rash began to become bigger and I was still running a low grade temperature. The symptoms lasted for about 4 days then they went away.
Age: 28.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)
Age: 15.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: The patient developed diffuse body itching and diffuse body (trunk and extremities) red rash throughout that was not clearly urticarial. This began about an hour after vaccine administration. He denied any symptom of allergy. Symptoms began to improve within 28 hours without intervention but did not resolve. He was advised to trial benadryl and monitor closely.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Vaccine positive rechallenge
Clinical narrative: After the shot got extremely shortness of breathe and sick but still got the second shot and breathing got worse. It is slowly getting better but is not all the way back to normal just yet.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis contact, Eczema
Clinical narrative: Chronic contact Dermatitis/ Excema
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Headache
Clinical narrative: Every muscle in body prevented from moving, fatigue, no energy , sweats and chills, severe  headache, both shoulders very painful
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Mobility decreased, Muscular weakness
Clinical narrative: Every muscle in body prevented from moving, fatigue, no energy , sweats and chills, severe  headache, both shoulders very painful
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: On my left arm it has hurt a lot  I had to put ice and now that pain has reached my shoulder.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: I had vaginal bleeding (like a period) 10 days afterward
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site pruritus, Nausea, Swelling face
Clinical narrative: Itching on injection sight and body, swollen face, severe headaches, nausea, vomiting, dizziness, head spinning
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: Itching on injection sight and body, swollen face, severe headaches, nausea, vomiting, dizziness, head spinning
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Pallor, Vision blurred
Clinical narrative: Pt got lightheaded and dizzy 30 to 60 seconds after getting immunization. Blurred vision, pale, nausea. Had stay seated leaning back and gave OJ and water, observed for about 30 minutes. Pt walked away after rest and fluids.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Colitis, Inflammation, Injection site pain, Muscle spasms
Clinical narrative: Developed mild pain in the chest the day following the first vaccine dose, painful muscle cramps at arm/injection site, muscle cramps in feet, and very painful colon inflammation which made it difficult to move around.  Also felt feverish for two nights after the injection but did not take temperature to confirm. All other symptoms and body inflammation appeared to have resolved with the exception of painful inflammation in the knees which appeared after all other inflammation symptoms at various other body sites dimminished.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Developed mild pain in the chest the day following the first vaccine dose, painful muscle cramps at arm/injection site, muscle cramps in feet, and very painful colon inflammation which made it difficult to move around.  Also felt feverish for two nights after the injection but did not take temperature to confirm. All other symptoms and body inflammation appeared to have resolved with the exception of painful inflammation in the knees which appeared after all other inflammation symptoms at various other body sites dimminished.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dry mouth, Hypoaesthesia, Lethargy, Motor dysfunction
Clinical narrative: Altered sense of taste and smell. Things tasted different. I had a very dry mouth as well. I also smelled things that were not there. I lost my sense of smell 10 years ago due to sinusitis. I experienced lethargy about 5 days after the shot up to 4 weeks after. I had some tightness in my chest, my albuterol inhaler helped with that. The  tingling in my hand and feet happened on a few occasions. I had numbness that lasted about an hour. I had frequent night sweats that woke me. I had muscle tightness in my leg and abdomen. I also had soreness in my arm, which made it hard to grasp a pen. I did test my reflexes which were normal.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle tightness, Night sweats, Pain in extremity, Paraesthesia, Parosmia
Clinical narrative: Altered sense of taste and smell. Things tasted different. I had a very dry mouth as well. I also smelled things that were not there. I lost my sense of smell 10 years ago due to sinusitis. I experienced lethargy about 5 days after the shot up to 4 weeks after. I had some tightness in my chest, my albuterol inhaler helped with that. The  tingling in my hand and feet happened on a few occasions. I had numbness that lasted about an hour. I had frequent night sweats that woke me. I had muscle tightness in my leg and abdomen. I also had soreness in my arm, which made it hard to grasp a pen. I did test my reflexes which were normal.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sleep disorder, Taste disorder
Clinical narrative: Altered sense of taste and smell. Things tasted different. I had a very dry mouth as well. I also smelled things that were not there. I lost my sense of smell 10 years ago due to sinusitis. I experienced lethargy about 5 days after the shot up to 4 weeks after. I had some tightness in my chest, my albuterol inhaler helped with that. The  tingling in my hand and feet happened on a few occasions. I had numbness that lasted about an hour. I had frequent night sweats that woke me. I had muscle tightness in my leg and abdomen. I also had soreness in my arm, which made it hard to grasp a pen. I did test my reflexes which were normal.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Exposure via skin contact, No adverse event
Clinical narrative: Patient received Moderna COVID Vaccine Lot 028A21A Exp 04/28/2021, no adverse event reported, this was given past expiration listed on manufacture website.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Employee symptomatic with loss smell and taste 6/22/21. Tested Covid positive  on 6/22/21.