chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given was expired
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: When I caught COVID-19 it started with a burning sore throat. When I woke up on Sunday I had a cough and a burning sore throat still. I had chills, soreness, and body aches. I stayed in bed all day. On Monday I had mostly a sore throat and a cough. I also felt like I wasn't getting enough oxygen. If I tried to take a deep breath I would cough. The same thing happened on Tuesday. I did a telehealth visit a doctor. They prescribed me with Paxlovid and a steroid to help with my lungs ad breathing. I had a sore throat for about 2 or 3 week after that. I also had fatigue the whole time and up to this point. I am still coughing and tired.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Oropharyngeal pain, Pain, Throat irritation
Clinical narrative: When I caught COVID-19 it started with a burning sore throat. When I woke up on Sunday I had a cough and a burning sore throat still. I had chills, soreness, and body aches. I stayed in bed all day. On Monday I had mostly a sore throat and a cough. I also felt like I wasn't getting enough oxygen. If I tried to take a deep breath I would cough. The same thing happened on Tuesday. I did a telehealth visit a doctor. They prescribed me with Paxlovid and a steroid to help with my lungs ad breathing. I had a sore throat for about 2 or 3 week after that. I also had fatigue the whole time and up to this point. I am still coughing and tired.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired for 8 days. Given inadvertently due to confusion in extended dates. Vaccine stored in refrigerator and not ultra-cold. Used ultra-cold extended date instead of 10 week expiration date.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Hospitalization 7/5/22. Dose #2 of Pfizer Covid vaccine 3/27/21, LOT ER8730 Dose #3 of Pfizer Covid vaccine 12/16/21, LOT FJ8757, IM LD
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dizziness, Feeling abnormal, Pyrexia
Clinical narrative: 6/13/2022 woke up feeling bad experiencing a fever peaking at 101, a cough, runny nose, and dizzy. Took at home COVID 19 rapid antigen test, positive. I reached out to tele visit with doctor. Doctor prescribed molnupiravir. 6/16 fever broke and I started to feel better. Symptoms improved gradually to 6/23 when things returned to normal.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 6/13/2022 woke up feeling bad experiencing a fever peaking at 101, a cough, runny nose, and dizzy. Took at home COVID 19 rapid antigen test, positive. I reached out to tele visit with doctor. Doctor prescribed molnupiravir. 6/16 fever broke and I started to feel better. Symptoms improved gradually to 6/23 when things returned to normal.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nausea, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Vomiting and nausea with low grade fever on 7/3  Tested positive for covid on 7/6
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Respiratory failure
Clinical narrative: admitted to hospital with COVID pneumonia and respiratory failure. started on remdesivir and steroids
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Illness, Productive cough, Pyrexia
Clinical narrative: I contracted COVID-19 on 07/06/2022 with symptoms of cough, low grade fever, phlegm, and congestion. I was prescribed Paxlovid on 07/08/2022 and I also took Mucinex. I began to improve on day 4 of my illness, but I am still experiencing symptoms of cough and phlegm.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 07/06/2022 with symptoms of cough, low grade fever, phlegm, and congestion. I was prescribed Paxlovid on 07/08/2022 and I also took Mucinex. I began to improve on day 4 of my illness, but I am still experiencing symptoms of cough and phlegm.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: received expired vaccine
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: Breakthrough case of COVID-19: I had a burning sore throat for two days, then I had a bad cold and fatigue for a week. It seemed to get better for a few days, then I develop a chest cough and post nasal drip. I went to the doctors and was prescribed an antibiotic for a sinus infection.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis, Throat irritation, Upper-airway cough syndrome, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19: I had a burning sore throat for two days, then I had a bad cold and fatigue for a week. It seemed to get better for a few days, then I develop a chest cough and post nasal drip. I went to the doctors and was prescribed an antibiotic for a sinus infection.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Injection site rash, Rash erythematous, Rash papular
Clinical narrative: 8  days post-vaccination, pt developed a raised, bumpy erythematous rash at the site of the injection. ~1 in. Not itchy. Not tender. Within 24 hours, developed central clearing with underlying induration. ~1.5 inches. Not itchy. Not tender. Rash almost completely gone within 48 hours of symptom onset. NO OTHER ASSOCIATED SX.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Ear discomfort, Eye discharge, Eye swelling, Hypoacusis
Clinical narrative: Onset was a cough and congestion on July 7th. I was irritated by the cough. My eyes were also oozing. I went to see nurse practitioner. She gave me drops for my eyes. I reached out to her again on July 12th I contacted her again because things were not clearing up as expecting. My ears were so clogged that it was impairing my hearing. My eyes are red and swollen. She thought I had symptoms of latest strain of COVID-19 but test was negative. Nurse then prescribed a prescription for my cough. Today my symptoms are reduced hearing from congestion and my eyes are red and swollen.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Irritability, Ocular hyperaemia, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: Onset was a cough and congestion on July 7th. I was irritated by the cough. My eyes were also oozing. I went to see nurse practitioner. She gave me drops for my eyes. I reached out to her again on July 12th I contacted her again because things were not clearing up as expecting. My ears were so clogged that it was impairing my hearing. My eyes are red and swollen. She thought I had symptoms of latest strain of COVID-19 but test was negative. Nurse then prescribed a prescription for my cough. Today my symptoms are reduced hearing from congestion and my eyes are red and swollen.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Macular hole
Clinical narrative: After the 3rd dose I had a Macular hole on my right eye. I was given eye drops to see if it will help heal. I'm currently waiting for surgery to fix it
Age: 3.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Child vaccinated with the Pfizer formulation for children ages 5-11 and he is younger than 5 years of age.
Age: 3.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Overdose, Product administered to patient of inappropriate age
Clinical narrative: Child vaccinated with the Pfizer formulation for children ages 5-11 and he is younger than 5 years of age.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: sent from rehab for covid+ test, requiring 2L nasal cannula, started on remdesivir
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough
Clinical narrative: Got Covid in Jan. Been coughing since.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Dyspnoea, Pneumonia
Clinical narrative: Pt had a positive COVID test on 7/14/21 at Hospital; 8/31/21 pt to hospital and admitted with SOB and cough; diagnosed with pneumonia post COVID and respiratory failure; O2 supplementation; DNR/DNI; desires hospice care and comfort measures; pt expired in the hospital.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Pt had a positive COVID test on 7/14/21 at Hospital; 8/31/21 pt to hospital and admitted with SOB and cough; diagnosed with pneumonia post COVID and respiratory failure; O2 supplementation; DNR/DNI; desires hospice care and comfort measures; pt expired in the hospital.
Age: 24.0
Sex: U
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: received expired vaccine
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Body temperature increased, Decreased appetite, Fatigue
Clinical narrative: after 1st booster had  a bad reaction with 101 temp, lack of appetite, temperamental, fatigue, weak felt these symptoms for about 2.5 weeks. Saw my PCP, ran some tests which showed normal. Dr. stated it was a reaction from the 1st booster. After the 2.5 weeks or so started to feel normal again.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Irritability, Urine analysis normal
Clinical narrative: after 1st booster had  a bad reaction with 101 temp, lack of appetite, temperamental, fatigue, weak felt these symptoms for about 2.5 weeks. Saw my PCP, ran some tests which showed normal. Dr. stated it was a reaction from the 1st booster. After the 2.5 weeks or so started to feel normal again.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Patient said his throat felt "scratchy" a couple of minutes after administration of vaccine. He drank some water and he received 25mg Benadryl. He refused to stay for further observation after 13 minutes from administration and he and his wife decided to leave. He danced a few steps to prove he was fine and left. I called him today and he said he's perfectly fine and that he was very nervous of needles. NOTE: Patient never showed visible symptoms of an anaphylactic reaction.
Age: 21.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: received expired vaccine
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Fatigue, Malaise
Clinical narrative: I had a sore throat, cough, body aches, malaise, fatigue, loss of appetite. I took an at-home COVID-19 on 06/18/2022 which came back positive. I called my doctor and was prescribed PAXLOVID and began the prescription a couple of days after. Once the prescription almost finished, I began feeling better. Currently, I'm doing fine and better than before.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: I had a sore throat, cough, body aches, malaise, fatigue, loss of appetite. I took an at-home COVID-19 on 06/18/2022 which came back positive. I called my doctor and was prescribed PAXLOVID and began the prescription a couple of days after. Once the prescription almost finished, I began feeling better. Currently, I'm doing fine and better than before.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: admitted to hospital with covid pneumonia, started on remdesivir
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Stress
Clinical narrative: Have had on-off fast heart rate. Assumed that this symptom was part of work stress, however the fast rate is not correlated with stressful moments at work. (Recently learned from a friend that they?ve been having other symptoms. Thought it may need to be reported.)
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Diplopia, Myasthenia gravis, Ophthalmological examination, Vision blurred
Clinical narrative: I started to see blurred vision. Then developed into double vision. I contacted my eye doctor. I had 3 blood tests and checked my eyes. The blood work indicated Myasthenia gravis. After the results, I called my doctor and went to a eye neurologist and was told I was definitely diagnosed with MG. I have researched and seen a spike in MG after vaccination. It has affected my life.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chest discomfort, Chills, Decreased appetite, Diarrhoea
Clinical narrative: July 8th- Feeling weird, not hungry-nausea, tired, diarrhea, couldn't eat anything. July 9th-Intense Headache, severe nausea and diarrhea, couldn't eat , forced some fluids, drained, laying down the majority of the day, chills, pressure in chest, didn't eat at all. July 10th-Hungry but severe nausea, dizzy, felt like passing out, over all felt drained and weird, Intense headache, diarrhea, ate only once. July 11th-Headache, feeling weird, hungry but nauseated, forced down food twice (small amounts). Slept for long, couldn't do normal activities, drained, felt unwell. Upset stomach.  July 12th-Constant headache-took Tylenol 1000 ml, didn't go away. Contacted local County Health Department, they told me to fill out this form and contact his primary Doctor. Contacted Primary Doctor, he advised to write everything down and that symptoms should be gone after one week. Upset stomach, indigestion and heartburn with food. Was able to eat twice, not normal yet. July 13th- Stomach still weird, tired, not exercising just yet, head still feels a little funny.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspepsia, Exercise tolerance decreased, Fatigue, Feeding disorder
Clinical narrative: July 8th- Feeling weird, not hungry-nausea, tired, diarrhea, couldn't eat anything. July 9th-Intense Headache, severe nausea and diarrhea, couldn't eat , forced some fluids, drained, laying down the majority of the day, chills, pressure in chest, didn't eat at all. July 10th-Hungry but severe nausea, dizzy, felt like passing out, over all felt drained and weird, Intense headache, diarrhea, ate only once. July 11th-Headache, feeling weird, hungry but nauseated, forced down food twice (small amounts). Slept for long, couldn't do normal activities, drained, felt unwell. Upset stomach.  July 12th-Constant headache-took Tylenol 1000 ml, didn't go away. Contacted local County Health Department, they told me to fill out this form and contact his primary Doctor. Contacted Primary Doctor, he advised to write everything down and that symptoms should be gone after one week. Upset stomach, indigestion and heartburn with food. Was able to eat twice, not normal yet. July 13th- Stomach still weird, tired, not exercising just yet, head still feels a little funny.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Gaze palsy, Head discomfort, Headache, Hunger
Clinical narrative: July 8th- Feeling weird, not hungry-nausea, tired, diarrhea, couldn't eat anything. July 9th-Intense Headache, severe nausea and diarrhea, couldn't eat , forced some fluids, drained, laying down the majority of the day, chills, pressure in chest, didn't eat at all. July 10th-Hungry but severe nausea, dizzy, felt like passing out, over all felt drained and weird, Intense headache, diarrhea, ate only once. July 11th-Headache, feeling weird, hungry but nauseated, forced down food twice (small amounts). Slept for long, couldn't do normal activities, drained, felt unwell. Upset stomach.  July 12th-Constant headache-took Tylenol 1000 ml, didn't go away. Contacted local County Health Department, they told me to fill out this form and contact his primary Doctor. Contacted Primary Doctor, he advised to write everything down and that symptoms should be gone after one week. Upset stomach, indigestion and heartburn with food. Was able to eat twice, not normal yet. July 13th- Stomach still weird, tired, not exercising just yet, head still feels a little funny.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Loss of personal independence in daily activities, Malaise, Mobility decreased, Nausea
Clinical narrative: July 8th- Feeling weird, not hungry-nausea, tired, diarrhea, couldn't eat anything. July 9th-Intense Headache, severe nausea and diarrhea, couldn't eat , forced some fluids, drained, laying down the majority of the day, chills, pressure in chest, didn't eat at all. July 10th-Hungry but severe nausea, dizzy, felt like passing out, over all felt drained and weird, Intense headache, diarrhea, ate only once. July 11th-Headache, feeling weird, hungry but nauseated, forced down food twice (small amounts). Slept for long, couldn't do normal activities, drained, felt unwell. Upset stomach.  July 12th-Constant headache-took Tylenol 1000 ml, didn't go away. Contacted local County Health Department, they told me to fill out this form and contact his primary Doctor. Contacted Primary Doctor, he advised to write everything down and that symptoms should be gone after one week. Upset stomach, indigestion and heartburn with food. Was able to eat twice, not normal yet. July 13th- Stomach still weird, tired, not exercising just yet, head still feels a little funny.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I had a bad sore throat and headache. I took a home COVID-19 Test that came back positive. I called my Primary Care Physician who prescribed the Paxlovid and a Z-Pak that I have finished. I am feeling better but low on energy, a little sinus trouble.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder
Clinical narrative: I had a bad sore throat and headache. I took a home COVID-19 Test that came back positive. I called my Primary Care Physician who prescribed the Paxlovid and a Z-Pak that I have finished. I am feeling better but low on energy, a little sinus trouble.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I was around someone who currently had COVID-19. Two days later I had a scratchy throat so I took a Home COVID-19 test and it came back Negative. The next day I tested Positive. I called my Dr. and spoke on the phone, didn't couldn't prescribe Paxlovid because it could react with my current medications so I was given  Monoclonal Antibodies. Started feeling better 2 days later. Then tested again, 5 days later and I tested negative
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Apathy, Asthenia, COVID-19
Clinical narrative: On the first day of catching COVID-19 I had mild symptoms. On the 2nd day I felt miserable. I couldn't drive at all. I had a pounding headache, slight congestion, a runny nose, and I felt stuffy. I quarantined. On Wednesday and Thursday I was in bed. I had sinuses, a pounding headache, and I felt very tired. I had a low appetite, a fever of 100.7 degrees. I didn't lose my sense of taste or smell. I was drinking tons of water. I did a telehealth visit with a doctor. I was prescribed PAXLOVID but I didn't take it right away. I started taking it on 6/25/2022. My headaches got a little better. I was so tired. I had zero energy and zero motivation. I had a productive cough a little bit. I feel fine now.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Feeling abnormal, Headache, Impaired driving ability
Clinical narrative: On the first day of catching COVID-19 I had mild symptoms. On the 2nd day I felt miserable. I couldn't drive at all. I had a pounding headache, slight congestion, a runny nose, and I felt stuffy. I quarantined. On Wednesday and Thursday I was in bed. I had sinuses, a pounding headache, and I felt very tired. I had a low appetite, a fever of 100.7 degrees. I didn't lose my sense of taste or smell. I was drinking tons of water. I did a telehealth visit with a doctor. I was prescribed PAXLOVID but I didn't take it right away. I started taking it on 6/25/2022. My headaches got a little better. I was so tired. I had zero energy and zero motivation. I had a productive cough a little bit. I feel fine now.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Productive cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: On the first day of catching COVID-19 I had mild symptoms. On the 2nd day I felt miserable. I couldn't drive at all. I had a pounding headache, slight congestion, a runny nose, and I felt stuffy. I quarantined. On Wednesday and Thursday I was in bed. I had sinuses, a pounding headache, and I felt very tired. I had a low appetite, a fever of 100.7 degrees. I didn't lose my sense of taste or smell. I was drinking tons of water. I did a telehealth visit with a doctor. I was prescribed PAXLOVID but I didn't take it right away. I started taking it on 6/25/2022. My headaches got a little better. I was so tired. I had zero energy and zero motivation. I had a productive cough a little bit. I feel fine now.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: On the first day of catching COVID-19 I had mild symptoms. On the 2nd day I felt miserable. I couldn't drive at all. I had a pounding headache, slight congestion, a runny nose, and I felt stuffy. I quarantined. On Wednesday and Thursday I was in bed. I had sinuses, a pounding headache, and I felt very tired. I had a low appetite, a fever of 100.7 degrees. I didn't lose my sense of taste or smell. I was drinking tons of water. I did a telehealth visit with a doctor. I was prescribed PAXLOVID but I didn't take it right away. I started taking it on 6/25/2022. My headaches got a little better. I was so tired. I had zero energy and zero motivation. I had a productive cough a little bit. I feel fine now.
Age: 65.0
Sex: M
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site warmth, Local reaction, Pain in extremity
Clinical narrative: Right deltoid - local skin reaction. Warm and red around site. No other issues other than sore arm.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Pt with lung cancer, on chemotherapy, admitted to hospital for covid pneumonia, requiring 2L oxygen, started on remdesivir and steroids
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I started having ringing, a high-pitched sound in my ears apprx. 4-5 days after my first jab.  It's now and has been constant.  It doesn't go away and is very bothersome at night.   I just happened to read Clinic's vaccineologist article about his tinnitis after being vaxxed and thought I should file a report.  *I am unsure of exact time of my 1st jab and what time it was when I first started to notice the ringing.   My 2nd Moderna jab was 12/1/21.  Had I even considered that this constant ringing in my ears was associated with my first jab, I would not have gotten the second.  How does anyone know that the second jab hasn't worsen or prolonged my issue?
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test normal, Borrelia test, Culture, Culture urine negative
Clinical narrative: On the evening of 07/07/2022 started running low grade fever from then until 07/11/2022. On 07/12/22 fever spiked up to 102.9 and the on the evening of  07/12/2022 she had stomach ache, fever up to 105.0, fatigued and low urine out put. She was taken to the ER at the Hospital and had normal blood and urine cultures.  The Lyme/Tick cultures are still out and have not received the results yet. As of today she is still running a 99.0 fever.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia, Urine output decreased
Clinical narrative: On the evening of 07/07/2022 started running low grade fever from then until 07/11/2022. On 07/12/22 fever spiked up to 102.9 and the on the evening of  07/12/2022 she had stomach ache, fever up to 105.0, fatigued and low urine out put. She was taken to the ER at the Hospital and had normal blood and urine cultures.  The Lyme/Tick cultures are still out and have not received the results yet. As of today she is still running a 99.0 fever.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Dizziness, Dyspnoea, Sensitive skin
Clinical narrative: Chest heaviness, difficulty breathing, joint pain/ache, disseminated skin sensitivity, dizziness, lightheadedness
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Developed runny nose, body aches, fever, sore throat.  Telehealth called clinic on 7/8 and received paxlovid and finished it.  Still have runny nose and a bit of fatigue.  Still a lot better.
Age: 31.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site hypoaesthesia, Injection site mass, Injection site pruritus
Clinical narrative: Pt c/o arm lump, reddness at site about palm of hand, itchiness, and numbness at injection site.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I did test positive for COVID-19 on 06/14/2022. My symptoms started on 06/13/2022 with a sore throat that was in the far back/nose area; sneezing multiply times in a row and coughing. Never had a fever. I had a telehealth visit with my doctor who prescribed me a z-pac antibiotic, steroids and zinc.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I did not have an adverse reaction to the vaccine. I did test positive for COVID-19 on 06/14/2022. My symptoms started on 06/13/2022 with a sore throat that was in the far back/nose area; sneezing multiply times in a row and coughing. Never had a fever. I had a telehealth visit with my doctor who prescribed me a z-pac antibiotic, steroids and zinc.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Chills, Erythema, Pain, Pyrexia, Skin warm
Clinical narrative: On Friday 7/8/22, 1 day after receiving the vaccination, patient stated she had experienced fever, chills, body aches. On Saturday, the area was red and warm to touch.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Rhinorrhoea
Clinical narrative: On 6-12-2022, I started having shortness of breath. On 6-13, I noticed a scratchy throat, head congestion, runny nose, a cough and temp of 99.5. On 6-15, I noticed extreme fatigue. On 6-16, I performed a home Covid 19 test with positive results. I called the doctor the same day and they prescribed Paxlovid. I am feeling fine now. I am reporting a breakthru case of Covid.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion, Throat irritation, Vaccine breakthrough infection
Clinical narrative: On 6-12-2022, I started having shortness of breath. On 6-13, I noticed a scratchy throat, head congestion, runny nose, a cough and temp of 99.5. On 6-15, I noticed extreme fatigue. On 6-16, I performed a home Covid 19 test with positive results. I called the doctor the same day and they prescribed Paxlovid. I am feeling fine now. I am reporting a breakthru case of Covid.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Bradycardia, COVID-19, Cardiac arrest, Chest tube insertion
Clinical narrative: pt had a positive COVID test on 8/3/21; 8/31/22 pt to ED after a MVA with AMS; pt had a PE; suffered cardiac arrest; ROSC achieved; transferred to ICU; intubated; anemic; given 2 units PRBCs; suffered bradycardia and cardiac arrest; ROSC achieved; pneumothroax requiring chest tube; pt suffered cardiac arrest again; family made pt a DNR and he passed away in the hospital; records state PE likely secondary to previous COVID infection
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Endotracheal intubation, Intensive care, Mental status changes, Pneumothorax
Clinical narrative: pt had a positive COVID test on 8/3/21; 8/31/22 pt to ED after a MVA with AMS; pt had a PE; suffered cardiac arrest; ROSC achieved; transferred to ICU; intubated; anemic; given 2 units PRBCs; suffered bradycardia and cardiac arrest; ROSC achieved; pneumothroax requiring chest tube; pt suffered cardiac arrest again; family made pt a DNR and he passed away in the hospital; records state PE likely secondary to previous COVID infection
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell transfusion, Road traffic accident, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test on 8/3/21; 8/31/22 pt to ED after a MVA with AMS; pt had a PE; suffered cardiac arrest; ROSC achieved; transferred to ICU; intubated; anemic; given 2 units PRBCs; suffered bradycardia and cardiac arrest; ROSC achieved; pneumothroax requiring chest tube; pt suffered cardiac arrest again; family made pt a DNR and he passed away in the hospital; records state PE likely secondary to previous COVID infection
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Lip dry, Oral herpes
Clinical narrative: Patient states she had severely dry lips for 4 weeks and cold sores. Patient reports a history of cold sores.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt was given wrong vaccine, pt given vaccine for 5-11 year olds
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: received expired vaccine
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Seizure, Syncope, Tremor
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Systemic: Shakiness-Mild
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Systemic: Shakiness-Mild
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Inappropriate schedule of product administration, Injection site erythema, Injection site induration, Pruritus
Clinical narrative: The nurse injected the booster into my bicep on the side and not tricep. The area became red, indurated and after 24 hrs a cellulitis developed with intense pruitis all along the arm. I used an antihistamine for 4 days, no anitibiotics were required
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lethargy
Clinical narrative: Systemic: Exhaustion / Lethargy-Medium
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: My husband first contracted COVID-19. He gave it to me. My symptoms at first were a headache, congestion, and a stiff neck. 12 hours later, I had chest heaviness, cough, and mild body aches and fatigue. We called our primary care physician, and because of my risk factors, she started me on PAXLOVID. My first dose of the prescription was on 06/16/2022. I tested negative on 06/25/2022, and on 06/27/2022, I started developing fatigue, heavy cough and congestion again. I tested positive for rebound COVID-19 on 06/28/2022. I went in and was seen by a nurse practitioner to ensure with my health history that I didn't contract bronchitis as well with the insisting cough. I treated everything symptomatically until feeling recovered. My rebound COVID-19 symptoms didn't fully subside until 07/06/2022. I tested again on 07/09/2022 which came back negative.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal stiffness, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: My husband first contracted COVID-19. He gave it to me. My symptoms at first were a headache, congestion, and a stiff neck. 12 hours later, I had chest heaviness, cough, and mild body aches and fatigue. We called our primary care physician, and because of my risk factors, she started me on PAXLOVID. My first dose of the prescription was on 06/16/2022. I tested negative on 06/25/2022, and on 06/27/2022, I started developing fatigue, heavy cough and congestion again. I tested positive for rebound COVID-19 on 06/28/2022. I went in and was seen by a nurse practitioner to ensure with my health history that I didn't contract bronchitis as well with the insisting cough. I treated everything symptomatically until feeling recovered. My rebound COVID-19 symptoms didn't fully subside until 07/06/2022. I tested again on 07/09/2022 which came back negative.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Paralysis
Clinical narrative: Patient reports he had a stroke on 04/18/2022 and now suffers from paralysis of
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Disorientation, Feeling hot, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Pt recievd vaccine and fainted while in the observation area.  Pt was not unconscious when i arrived. Pt was disoriented.  Had patient lay down. Called 911.  Pt stated he was warm, and nauseous. Provided patient with water. 911 came. Pt refused transport to hospital. Pt felt better. Friend came to tajke patient home. Pt again felt week and had tingling in the arms.  Asked if he wanted  911 or if he wanted friend to take hime to the ER. Pt did not want 911.  Stressed need to go to the ER.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Pt recievd vaccine and fainted while in the observation area.  Pt was not unconscious when i arrived. Pt was disoriented.  Had patient lay down. Called 911.  Pt stated he was warm, and nauseous. Provided patient with water. 911 came. Pt refused transport to hospital. Pt felt better. Friend came to tajke patient home. Pt again felt week and had tingling in the arms.  Asked if he wanted  911 or if he wanted friend to take hime to the ER. Pt did not want 911.  Stressed need to go to the ER.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product expiration date issue
Clinical narrative: Vaccine was expired for 20  days. Given inadvertently due to confusion in extended dates. vaccine stored in refrigerator and not ultra-cold. Used ultra-cold extended date instead of 10 week expiration date.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Feeling abnormal, Malaise, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: I was not feeling well Wednesday and Thursday but Friday I felt fine. On Saturday I had a sore throat on Sunday I woke up with a head cold. I took two home COVID-19 test that came back negative. I still felt off so I went in for a Rapid PCR COVID-19 Test that came back positive. I did get a prescription for the Paxlovid but decided not to take it. I do feel fine as of today but I am still testing positive.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I was not feeling well Wednesday and Thursday but Friday I felt fine. On Saturday I had a sore throat on Sunday I woke up with a head cold. I took two home COVID-19 test that came back negative. I still felt off so I went in for a Rapid PCR COVID-19 Test that came back positive. I did get a prescription for the Paxlovid but decided not to take it. I do feel fine as of today but I am still testing positive.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dizziness, Fatigue, Headache
Clinical narrative: July 1st 2022, I did start to have cold symptoms like a runny nose, a bit of a cough, and I did test negative on that day and the symptoms did go away for the rest of the weekend. However on July 4th 2022, I woke up and I was congested, dizzy, had a headache, and my cough was severe, I did test again and it did come back positive with the at home test. Then verified with a PCR test at the doctors on July 5th, 2022 and they did give me an infusion of the monoclonal antibodies. My symptoms did improve however it did take about 24-48 hours until I started to feel better and on Friday 8th of July I did test negative, and then tested negative again. I do have a slight cough still and just overall tiredness. Tinnitus has also been a major problem since the infection, it has been constant.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Tinnitus
Clinical narrative: July 1st 2022, I did start to have cold symptoms like a runny nose, a bit of a cough, and I did test negative on that day and the symptoms did go away for the rest of the weekend. However on July 4th 2022, I woke up and I was congested, dizzy, had a headache, and my cough was severe, I did test again and it did come back positive with the at home test. Then verified with a PCR test at the doctors on July 5th, 2022 and they did give me an infusion of the monoclonal antibodies. My symptoms did improve however it did take about 24-48 hours until I started to feel better and on Friday 8th of July I did test negative, and then tested negative again. I do have a slight cough still and just overall tiredness. Tinnitus has also been a major problem since the infection, it has been constant.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Cough, Discharge, Fatigue
Clinical narrative: COVID-19 case I started out coughing and developed a fever with green discharge coming from my lungs. Severe fatigue and joint aches. And headache. Symptoms lasted for about 10days and I still have a clogged up nose and this is the 14th day. I was given Remdesivir.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nasal congestion, Pyrexia, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: COVID-19 case I started out coughing and developed a fever with green discharge coming from my lungs. Severe fatigue and joint aches. And headache. Symptoms lasted for about 10days and I still have a clogged up nose and this is the 14th day. I was given Remdesivir.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given had expired
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Cardiac flutter, Chest X-ray normal, Dizziness, Electrocardiogram abnormal
Clinical narrative: I have had situations where my heart feels like it drops and flutters and I get goose bumps up the side of my neck and on the side of my head.  I would get light headed.  I began keeping track of blood pressure.  My meter was telling me I was having an irregular heart beat.  We went to ER on July 7th.  Dr. felt that I should stay so they could monitor my heart and see cardiologist the next day.  The nurse said my heart was "doing funky things".   Dr. stated that he felt that I would need a pace maker.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Laboratory test abnormal, Piloerection
Clinical narrative: I have had situations where my heart feels like it drops and flutters and I get goose bumps up the side of my neck and on the side of my head.  I would get light headed.  I began keeping track of blood pressure.  My meter was telling me I was having an irregular heart beat.  We went to ER on July 7th.  Dr. felt that I should stay so they could monitor my heart and see cardiologist the next day.  The nurse said my heart was "doing funky things".   Dr. stated that he felt that I would need a pace maker.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered 7.5 hours after best use by date of 7/8/2022 0900. Nurse realized this when she was disposing of outer bag that had this information written on it.  The inner bag was labeled 7/8/2022 with no time. In reviewing event with nurse who administered, found that there is inconsistencies with how bags that contain Covid Vaccines are labeled with BUD information.  Some bags simply have a date handwritten on them, some bags have "exp date/time" hand written, some bags have printed label indicating refrigeration expiration with date/time handwritten into fields for date/time.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired for 20  days. Given inadvertently due to confusion in extended dates. vaccine stored in refrigerator and not ultra-cold. Used ultra-cold extended date instead of 10 week expiration date.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given had expired
Age: 1.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Medication error-  MMRV inadvertently given instead of MMR, resulting in 2 doses of varicella being given on same day.
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Malaise, Pain, Rhinorrhoea
Clinical narrative: I contracted COVID-19 on 05/31/2022 with symptoms of scratchy throat, runny nose, body aches, and fatigue. I was not prescribed any medications for my symptoms. I was ill for 12 days before my symptoms began to resolve. I am fully recovered with no lingering symptoms.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I contracted COVID-19 on 05/31/2022 with symptoms of scratchy throat, runny nose, body aches, and fatigue. I was not prescribed any medications for my symptoms. I was ill for 12 days before my symptoms began to resolve. I am fully recovered with no lingering symptoms.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Beyond use date.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Body temperature increased, COVID-19, Cough, Fatigue, Respiratory tract congestion
Clinical narrative: Fatigue, elevated temp, congestion, coughing on 7/9. Tested positive for Covid19 on 7/10. Prescribed Paxlovid . On day 3, symptoms improving.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Fatigue, elevated temp, congestion, coughing on 7/9. Tested positive for Covid19 on 7/10. Prescribed Paxlovid . On day 3, symptoms improving.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given expired
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired for 20 days. Given inadvertently due to confusion in extended dates. vaccine stored in refrigerator and not ultra-cold. Used ultra-cold extended date instead of 10 week expiration date.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Blindness, Cerebrovascular accident, Headache, Magnetic resonance imaging head abnormal
Clinical narrative: 05/06/2022 I had a severe headache and vision changes in my left eye. The pain was significant enough I knew I was having hypertension or a stroke. I went to the emergency room and my blood pressure was 200/80. They did a CTA and a diagnostic MRI to confirm that I had a right occipital stroke. I have been in recovery since. Except for some vision loss, I have recovered.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Visual impairment
Clinical narrative: 05/06/2022 I had a severe headache and vision changes in my left eye. The pain was significant enough I knew I was having hypertension or a stroke. I went to the emergency room and my blood pressure was 200/80. They did a CTA and a diagnostic MRI to confirm that I had a right occipital stroke. I have been in recovery since. Except for some vision loss, I have recovered.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Respiratory tract congestion
Clinical narrative: fatigue, congestion, cough, sob