chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pharyngitis streptococcal, Streptococcus test positive
Clinical narrative: Sore throat the morning after injection (4/6/21) that progressively worsened, diagnosed with step throat on 4/8/21.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Feeling abnormal, Headache
Clinical narrative: 4/6/21: 1:30PM - Sweating profusely 1 hour after shot, fatigue/fogginess lasting 48 hours. 8:30PM - 99.8°F fever + chills lasting through the night, preventing me from sleeping until 4:30AM. 4/7/21: 6:45AM - fever & chills subside upon waking up. Headache, fatigue, fogginess, and lightheadedness last the entire day. Fell into deep sleep @ 10:30PM. 4/8/21: 9:15AM - woke up sweating but otherwise fine. 11AM - sweating, chills, and shaking returned for 1 hour and have since subsided.  Now - I think I?m back to normal.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Insomnia, Night sweats, Pyrexia, Tremor
Clinical narrative: 4/6/21: 1:30PM - Sweating profusely 1 hour after shot, fatigue/fogginess lasting 48 hours. 8:30PM - 99.8°F fever + chills lasting through the night, preventing me from sleeping until 4:30AM. 4/7/21: 6:45AM - fever & chills subside upon waking up. Headache, fatigue, fogginess, and lightheadedness last the entire day. Fell into deep sleep @ 10:30PM. 4/8/21: 9:15AM - woke up sweating but otherwise fine. 11AM - sweating, chills, and shaking returned for 1 hour and have since subsided.  Now - I think I?m back to normal.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Bed rest, Dizziness, Impaired work ability, Sluggishness
Clinical narrative: Three days after the vaccine , I experienced (more than mild)dizziness. Sluggish energy level, enough so,that Icould not go to my part time job. I went back to bed and slept off and on the rest of the day.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Injection site pain, Muscular weakness
Clinical narrative: Patient received Janssen Covid-19 vaccination today at approximately 6:20pm.  At 6:35, he said he had left arm weakness (arm he received vaccine in), fatigue, was dizzy, and felt "off".  Patient did not lose consciousness and refused an ice pack.  BP checked at 6:38pm (170/98, pulse 105).  Patient stated his blood pressure usually runs high. I offered him an ice pack a second time, but he said there was no need and he felt better.  BP checked again 6:52pm (152/101, pulse 99).  I recommended that since his blood pressure is usually this high, he should follow up with his primary doctor regarding blood pressure as he may need some medication to assist in lowering it.  He said ok.  He left the pharmacy area at 7:02pm and said he was fine to leave, he did not want to remain any longer.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: Patient received Janssen Covid-19 vaccination today at approximately 6:20pm.  At 6:35, he said he had left arm weakness (arm he received vaccine in), fatigue, was dizzy, and felt "off".  Patient did not lose consciousness and refused an ice pack.  BP checked at 6:38pm (170/98, pulse 105).  Patient stated his blood pressure usually runs high. I offered him an ice pack a second time, but he said there was no need and he felt better.  BP checked again 6:52pm (152/101, pulse 99).  I recommended that since his blood pressure is usually this high, he should follow up with his primary doctor regarding blood pressure as he may need some medication to assist in lowering it.  He said ok.  He left the pharmacy area at 7:02pm and said he was fine to leave, he did not want to remain any longer.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Discomfort, Dizziness, Pain
Clinical narrative: Janssen COVID-19 Vaccine EUA: 18 hours after getting the vaccine i began to feel dizzy, then  got chills and body aches.  There was no fever. Very uncomfortable though shivering under blankets in 72 degree weather. I expect the symptoms to lessen, have taken tylenol at 7:30pm  and feel a little better now.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: About 12 hours after the 2nd vaccine, I woke with 102.7 fever, along with extreme chills, body-ache, splitting headache , nausea and dizziness.  The symptoms lasted for about 30 hours and then I felt pretty much back to normal.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: About 12 hours after the 2nd vaccine, I woke with 102.7 fever, along with extreme chills, body-ache, splitting headache , nausea and dizziness.  The symptoms lasted for about 30 hours and then I felt pretty much back to normal.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Tenderness
Clinical narrative: PT REPORTED RAISED KNOT ON INSIDE OF RIGHT ARM ABOVE ELBOW. DID NOT FEEL WARM. ONLY HURT IF PRESSURE/TOUCH WAS APPLIED TO AREA
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Confusional state, Diarrhoea, Fatigue, Insomnia
Clinical narrative: 8-9 hours after second vaccination started to experience extreme abdominal pain.  Could not sleep because of pain.  Was awake for nearly 30 hours because abdominal pain was so extreme.  Began to vomit approximately 10 hours after second vaccine.  Very frequent within first 24 hours, then developed vomiting and diarrhea at same time.  Had fever, confusion and fatigue in days following.  Woke up every night since vaccine (excluding first night of zero sleep) covered in sweat, feels like skin is on fire at times.  Today day five, still exhausted but seems to be improving.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Pyrexia, Skin burning sensation, Vomiting
Clinical narrative: 8-9 hours after second vaccination started to experience extreme abdominal pain.  Could not sleep because of pain.  Was awake for nearly 30 hours because abdominal pain was so extreme.  Began to vomit approximately 10 hours after second vaccine.  Very frequent within first 24 hours, then developed vomiting and diarrhea at same time.  Had fever, confusion and fatigue in days following.  Woke up every night since vaccine (excluding first night of zero sleep) covered in sweat, feels like skin is on fire at times.  Today day five, still exhausted but seems to be improving.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: The Patient was given Pfizer as his second dose series but it should have been Moderna. His first dose was Moderna. He was vaccinated at 12:30pm and was observed for 15 minutes. He had no symptoms or adverse reactions.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Injection site warmth, Rash erythematous
Clinical narrative: Red rash around injection site. Arm was also tender (especially at night), warm and itchy. Itchiness preceded rash and lasted longer than rash. So did tenderness.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Red rash around injection site. Arm was also tender (especially at night), warm and itchy. Itchiness preceded rash and lasted longer than rash. So did tenderness.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Oral pain, Pruritus
Clinical narrative: hives itchy headache nausea rash  swollen face fatique mouth hurting g
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face, Urticaria
Clinical narrative: hives itchy headache nausea rash  swollen face fatique mouth hurting g
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: headache, fever, chills, body aches
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid contusion, Influenza like illness, Swelling of eyelid
Clinical narrative: Dermal fillers located in my right eye swelled, became black and blue and sore on top of flu like symptoms
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Blood test, Infertility female, Premature menopause
Clinical narrative: Infertility, p.o.f.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Vision blurred
Clinical narrative: On 4/08/21 at  3:08 pm,20 years old Asian male received first dose of moderna Vaccine lot #026B21A , 0.5 ml to his let deltoid . At 3:24 pm Patient sitting in the observation area, he was complaining of blurred vision, feeling dizzy, diaphoretic, at 3:25 BP 120/80, pulse 72, 02 sat 98%.  As per patient mother who currently in facility, four years ago after received his MMR and VRA vaccine: he had a seizure. Patient was placed on low dose of keppra for the seizure. However, patient has been off the keppra for five years as instructed by his neurologist. Pas medical history as followed: Seizure, HTN, Acne, Rhinitis, Sinus Brady Cardia. Patient currently on Acne mediation : Tretinion and Clindamycin cream.  Po fluid given as per patient request, he stated ? I am feeling much better? 3:31pm  rechecked Vital sign Bp 128/78, pulse 88, resp 18, o2 sat  97% on room air. Denies any further symptom at present. Patient observed for 30 minutes. Patient AAOx4, Ambulate independently, patient released accompanied his mother and father in stable condition.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Fever Chills Muscle pain Headache
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: wihin 2hrs of second dose develped severe headache. 16hrs later developed same adverse reaction as had with Losartan . Listed as "rare" had severe stabbing pain from bilateral foot to  calves, started as  Losartan reached theraputic level and worsened, so stopped med.  2 yrs later was still having occasional episodes of this pain. Had not had an episode in over 6 months and then BAM! 16hrs after 2nd dose hit with avengence and was sporatic. It is waning now but felt still felt it needed to be reported, not sure what the connection is.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dissociation, Dizziness, Feeling abnormal, Headache
Clinical narrative: Fell asleep 12 hours later and woke to a very foggy head and felt like my body was "pulsing."   Tossed and turned all night not feeling well, and woke to extreamly sore muscles throughout entire body.  Stood up and got lightheaded.  Slept many hours.  Headaches trying to look at screens. No appetite.  Muscle aches finally ended about 24 hours after it started. (9pm on 4/7)  Feeling much better 48 hours after shot, but getting winded easily and head still foggy and felt disconnected.    Finally at 53 hour mark after orginal vaccination, was feeling back to normal.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Sleep disorder
Clinical narrative: Fell asleep 12 hours later and woke to a very foggy head and felt like my body was "pulsing."   Tossed and turned all night not feeling well, and woke to extreamly sore muscles throughout entire body.  Stood up and got lightheaded.  Slept many hours.  Headaches trying to look at screens. No appetite.  Muscle aches finally ended about 24 hours after it started. (9pm on 4/7)  Feeling much better 48 hours after shot, but getting winded easily and head still foggy and felt disconnected.    Finally at 53 hour mark after orginal vaccination, was feeling back to normal.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Confusional state, Dizziness, Fatigue, Headache
Clinical narrative: Day 1 exhausted Day 2: Headache, sore throat,  low fever Day 3: low fever abdominal pain on right side, Day 4: lightheaded /confusion
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: Day 1 exhausted Day 2: Headache, sore throat,  low fever Day 3: low fever abdominal pain on right side, Day 4: lightheaded /confusion
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Headache, Insomnia
Clinical narrative: Fever and chills beginning approximately 14 hours after second shot.  Insomnia and racing heart all night.  Body felt extremely cold, and I had to add three layers of sweatpants/sweatshirts/socks to stay warm.  Headache and fatigue lasted approximately 48 hours.  Took 72 hours to feel back to 100%
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Fever and chills beginning approximately 14 hours after second shot.  Insomnia and racing heart all night.  Body felt extremely cold, and I had to add three layers of sweatpants/sweatshirts/socks to stay warm.  Headache and fatigue lasted approximately 48 hours.  Took 72 hours to feel back to 100%
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: FATIGUE, HEADACHE, MUSCLE PAIN, JOINT PAIN, CHILLS, AND  FEVER. 10:00 AM  TO  06:00PM  THAN  FINE
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: FATIGUE, HEADACHE, MUSCLE PAIN, JOINT PAIN, CHILLS, AND  FEVER. 10:00 AM  TO  06:00PM  THAN  FINE
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Dyspnoea, Fatigue, Headache
Clinical narrative: Jansen COVID-19 Vaccine EAU Headache, nausea, shortness of breath, weakness, extreme tiredness, fever, body aches and joint pain all over, cold sweats started about 7 hours after shot. The next day fever and headache were gone but other side effects stayed all day. Today side effects are still here but much less than yesterday.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Jansen COVID-19 Vaccine EAU Headache, nausea, shortness of breath, weakness, extreme tiredness, fever, body aches and joint pain all over, cold sweats started about 7 hours after shot. The next day fever and headache were gone but other side effects stayed all day. Today side effects are still here but much less than yesterday.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Vaccination error
Clinical narrative: When the name of the vaccine recipient was called, the wrong patient came in. Patient did not understand the language and thought his name was called and mistakenly verbally affirmed to the question if he's here for the COVID vaccine. The pharmacist gave the shot after the verbal affirmation in error. After realizing that it was the wrong patient, pt. asked if he had his COVID vaccine shots. He said he had 2 Moderna shots last one in 3/23 Patient said he was fine. Consulted patient that he may or may not experience the Moderna vaccine adverse reactions and that he will be contacted in 14 days to get his planned Shingles vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Nausea
Clinical narrative: Felt nauseous, dizzy. Fell after standing up, vitals wnl. Given water, apple juice, and graham crackers.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient is 31 year old male who came in today to get his Janssen Covid-19 vaccine.  He came with his wife and father-in-law.   He verbalized ahead of time that he has a history of fainting due to his fear of needles.  He does not have any allergic reaction to vaccine components.  After reviewing his PQCF and possible side effects of the vaccine, patient verbally consented to get vaccinated.  I administered the vaccine into the deltoid muscle of his right arm.  I gave him an ice pack.  Right after the vaccine was administered patient said he felt fine.  He relocated from the immunization booth to a Post Vaccine waiting chair with his wife by his side.  He fainted into his wifes's arms for about 30 seconds.  His father-in-law helped place him on his back on the floor and we raised his legs up on a chair.  Patient came to immediately when placed on supine position and said he just needed to rest.  We called Code White and assistant manager came to the scene.  Patient was conscious and verbalized that he was feeling fine but should just rest.  Patient continued to use ice pack and rested for about 30 minutes.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Migraine, Muscle spasms, Nausea, Pyrexia
Clinical narrative: Full body muscle spasms, nausea, vomiting, back pain, migraine, fever.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Full body muscle spasms, nausea, vomiting, back pain, migraine, fever.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea
Clinical narrative: Fatigue, chills, headache,  nausea
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Fever of 102.7, chills, body aches, fatigue, headache, nausea
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever of 102.7, chills, body aches, fatigue, headache, nausea
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Insomnia, Night sweats
Clinical narrative: Mild/Moderate Fever ranging 99.8-100.8, full body aches, headache, chills. Began midnight after vaccine injection, and escaladed throughout the first night unable to sleep for long amounts of time, night sweats and aches. The next day, Wednesday, the fever broke around 11a and came back stronger around 4p. Full joint aches and headache the entire day. My fever subsided around 11p and was able to get 6 hrs of sleep. In the morning on Thursday, the fever was gone but full-body aches and headache were present. Symptoms subsided around 1p.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Mild/Moderate Fever ranging 99.8-100.8, full body aches, headache, chills. Began midnight after vaccine injection, and escaladed throughout the first night unable to sleep for long amounts of time, night sweats and aches. The next day, Wednesday, the fever broke around 11a and came back stronger around 4p. Full joint aches and headache the entire day. My fever subsided around 11p and was able to get 6 hrs of sleep. In the morning on Thursday, the fever was gone but full-body aches and headache were present. Symptoms subsided around 1p.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia, Vomiting
Clinical narrative: Fever- 100.5 degrees , Chills, Headache, Muscle aches,  Vomiting every 2 hours .  Couldn't hold anything down for 32 + hours.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Decreased appetite, Feeling of body temperature change, Headache
Clinical narrative: Woke up the morning after getting the vaccine and had these symptoms  chills   achy body Temperature was around 99.0 Headache no appetite  lethargy   I usually run about 97. The symptoms got worse in the afternoon. Anytime something touched my skin, I would get goose bumps and go between feeling cold and hot. My temperature is now 99.8.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain, Piloerection
Clinical narrative: Woke up the morning after getting the vaccine and had these symptoms  chills   achy body Temperature was around 99.0 Headache no appetite  lethargy   I usually run about 97. The symptoms got worse in the afternoon. Anytime something touched my skin, I would get goose bumps and go between feeling cold and hot. My temperature is now 99.8.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Dizziness, Fatigue
Clinical narrative: Only symptom experienced during first ~36 hours after receiving vaccine was soreness near injection area of left arm.   A couple hours after falling as sleep the second night after vaccination shot (Sunday night), I woke up very cold / severe shivering. After several hours I managed to fall asleep for approximately another 1-2 hours. The next day I experienced fever, shivers, general body weakness/fatigue, and muscle aches/discomfort especially in both legs. These symptoms lasted throughout the day.  That night (Monday night), when I got into bed, I was strongly shivering. I managed to fall asleep for 1-2 hours, but woke up uncomfortably warm. I was unable to fall back asleep until 4-5 hours later. I woke up 1-2 hours later, with most of my body dripping with sweat, and the sheets rather damp.  Tuesday and Wednesday: Symptoms came and went, mostly feelings of fever, chills, general fatigue, lost appetite, and mild light headedness. Sleeping remained difficult, able to stay asleep for <4 hours each night.    As of today (Thursday), fever has subsided. Still generally feel fatigued, occasionally lightheaded.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Hyperhidrosis, Injection site pain, Insomnia
Clinical narrative: Only symptom experienced during first ~36 hours after receiving vaccine was soreness near injection area of left arm.   A couple hours after falling as sleep the second night after vaccination shot (Sunday night), I woke up very cold / severe shivering. After several hours I managed to fall asleep for approximately another 1-2 hours. The next day I experienced fever, shivers, general body weakness/fatigue, and muscle aches/discomfort especially in both legs. These symptoms lasted throughout the day.  That night (Monday night), when I got into bed, I was strongly shivering. I managed to fall asleep for 1-2 hours, but woke up uncomfortably warm. I was unable to fall back asleep until 4-5 hours later. I woke up 1-2 hours later, with most of my body dripping with sweat, and the sheets rather damp.  Tuesday and Wednesday: Symptoms came and went, mostly feelings of fever, chills, general fatigue, lost appetite, and mild light headedness. Sleeping remained difficult, able to stay asleep for <4 hours each night.    As of today (Thursday), fever has subsided. Still generally feel fatigued, occasionally lightheaded.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Myalgia, Pyrexia, SARS-CoV-2 test negative, Sleep disorder
Clinical narrative: Only symptom experienced during first ~36 hours after receiving vaccine was soreness near injection area of left arm.   A couple hours after falling as sleep the second night after vaccination shot (Sunday night), I woke up very cold / severe shivering. After several hours I managed to fall asleep for approximately another 1-2 hours. The next day I experienced fever, shivers, general body weakness/fatigue, and muscle aches/discomfort especially in both legs. These symptoms lasted throughout the day.  That night (Monday night), when I got into bed, I was strongly shivering. I managed to fall asleep for 1-2 hours, but woke up uncomfortably warm. I was unable to fall back asleep until 4-5 hours later. I woke up 1-2 hours later, with most of my body dripping with sweat, and the sheets rather damp.  Tuesday and Wednesday: Symptoms came and went, mostly feelings of fever, chills, general fatigue, lost appetite, and mild light headedness. Sleeping remained difficult, able to stay asleep for <4 hours each night.    As of today (Thursday), fever has subsided. Still generally feel fatigued, occasionally lightheaded.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Blister, Chills, Discomfort
Clinical narrative: Patient reports the night of the vaccine, she had chills and low grade fever (100.7F) that resolved by morning and she was tired for two days. On March 29, 2021, she had discomfort on the left axillary and left upper back areas which help like her "shirt was too tight and rubbing" and the upper back was like a "pinch" and she continues to have this. She developed a rash under her left arm on April 2 in the evening and it continued to spread and erupt across her upper back and chest. April 4, 2021, she developed blisters and it continued to spread down her left arm. She contacted her PCP and MD on  April 4, 2021. After describing the symptoms to MD, MD prescribed Acyclovir 800 mg PO 5 x daily x 10 days and gabapentin 300 mg PO TID. MD advised patient that she likely had herpes zoster. She reports she improved 40% with treatment and presented for evaluation 5 days after contacting MD and the diagnosis was confirmed.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia, Rash
Clinical narrative: Patient reports the night of the vaccine, she had chills and low grade fever (100.7F) that resolved by morning and she was tired for two days. On March 29, 2021, she had discomfort on the left axillary and left upper back areas which help like her "shirt was too tight and rubbing" and the upper back was like a "pinch" and she continues to have this. She developed a rash under her left arm on April 2 in the evening and it continued to spread and erupt across her upper back and chest. April 4, 2021, she developed blisters and it continued to spread down her left arm. She contacted her PCP and MD on  April 4, 2021. After describing the symptoms to MD, MD prescribed Acyclovir 800 mg PO 5 x daily x 10 days and gabapentin 300 mg PO TID. MD advised patient that she likely had herpes zoster. She reports she improved 40% with treatment and presented for evaluation 5 days after contacting MD and the diagnosis was confirmed.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypoaesthesia, Pruritus
Clinical narrative: After patient received the vaccine he stated he felt dizzy.  pharmacist that administered the dose watched him and asked if he felt like he needed to lay down.  said he did not feel like he needed to lay down but then stated he was starting to have a headache and left arm was feeling numb (this was the arm dose administered in).  kept monitoring him and after about 20 minutes     stated he was beginning to feel itchy.    asked him if he was having shortness of breathe to which he responded no. After a few more minutes he was still itchy and    gave him 50mg of liquid benadryl. This was at 531pm. He stated his symptoms were about the same and     checked his bp 163-99 hr 88.     continued to monitor him til about 600pm. By this time patient was able to walk around, no longer lighted headed, and numbness had resided.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Fever (100.0-100.2); headache/foggy head; muscle aches; pain at injection site. Symptoms lasted 36-48 hours.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 17 years old and received the first dose of the Moderna vaccine series
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Paraesthesia oral, Throat irritation
Clinical narrative: pt with history of "anaphylactic" type reax to allergy shots in past and aspaaragas 3 years ago for which she was given epi. today after vax she reports "peppery" feeling in the back of her throat and R side of tongue.  Dr administered 25 mg of benadryl po and 45 min later a second dose of 25 mg po.  Oral cavity examination was repeatedly negative.  Lungs were clear to auscultation.    She was monitored closely on site for over an hour before stating she felt well and wanted to go home.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: Initially I reported an arm ash running down my left arm but after 30 days from injection #2 I now have a rash all over my body from head to toe as stated by my personal physician.  I take Benadryl for the itch infrequently.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose, Chills, Dyspnoea, Fatigue, Influenza like illness
Clinical narrative: After two weeks straight of processing herring in seafood plant, exhausted at 0200 he took a shower and fainted in the shower. He was found semi-responsive, shivering with labored breathing and flu like symptoms. EMS was called and taken to ER for evaluation. He was released from local hospital within two -four hours when symptoms resolved.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: After two weeks straight of processing herring in seafood plant, exhausted at 0200 he took a shower and fainted in the shower. He was found semi-responsive, shivering with labored breathing and flu like symptoms. EMS was called and taken to ER for evaluation. He was released from local hospital within two -four hours when symptoms resolved.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Hypoaesthesia, Hypoaesthesia oral, Swelling of eyelid
Clinical narrative: Numbness in left side of face, unable to close left eye completely, numbness in left side of mouth.  He went to the ER and the Doctor diagnosed as Bells Palsy and prescribed medicine.  He was put on Prednisone, Valacyclovir, and Genteal Tears.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Bed rest, Exposure during pregnancy, Loss of personal independence in daily activities
Clinical narrative: I am confined to my bed for a large part of the day. It is hard to do my daily activities. I am 27 weeks pregnant currently. After the first dose of the vaccine, I had a burn like rash on my upper lip. It burned and I had red patches on my upper lips. I had been on antibiotics, but I do not have lip fillers or anything. The day after the vaccine I had really bad, body aches and severe joint pain. It was my entire body every muscle and every joint. It was a little better the next day but on the second day my back was really sore. I am currently on muscle relaxers and narcotics, but the pain is really bad.  Currently back pain is on the left side between my tailbone and my hip. I have had a problem with a torn muscle in that area during a previous pregnancy. I did not have any issue with my back during this pregnancy before the vaccine. I have been doing some physical therapy. I am very limited in my activities and on bed rest for most of the evening after the pain gets too bad. There has been no problem with the baby so far. Due Date 07/04/2021 Seventh Pregnancy- Fifth Pregnancy.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Rash, Rash erythematous
Clinical narrative: I am confined to my bed for a large part of the day. It is hard to do my daily activities. I am 27 weeks pregnant currently. After the first dose of the vaccine, I had a burn like rash on my upper lip. It burned and I had red patches on my upper lips. I had been on antibiotics, but I do not have lip fillers or anything. The day after the vaccine I had really bad, body aches and severe joint pain. It was my entire body every muscle and every joint. It was a little better the next day but on the second day my back was really sore. I am currently on muscle relaxers and narcotics, but the pain is really bad.  Currently back pain is on the left side between my tailbone and my hip. I have had a problem with a torn muscle in that area during a previous pregnancy. I did not have any issue with my back during this pregnancy before the vaccine. I have been doing some physical therapy. I am very limited in my activities and on bed rest for most of the evening after the pain gets too bad. There has been no problem with the baby so far. Due Date 07/04/2021 Seventh Pregnancy- Fifth Pregnancy.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Herpes zoster, Pruritus, Rash
Clinical narrative: Shingles  outbreak on right side, rash that spread, itching, pain at rash site and under the arm, rash still present 9 days after vaccine
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Blister rupture, Rash, Rash vesicular
Clinical narrative: Small blisters on fingers and hands appeared about six weeks after second shot.  Blisters have white heads and are filled with clear liquid.  They are still popping out about 2 weeks after first appearance.  Blisters repture and dry up.  No itch, but can be painful.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Headache, Influenza like illness, Tachycardia
Clinical narrative: SOB, tachycardia, dizziness, headache - I did not alert a medical professional about my symptoms at the time.  I watched the clock knowing my wait time was 15 minutes hoping the symptoms would resolve within that time.  The SOB and tachycardia resolved in 20 minutes.  I had a headache and flu-like symptoms for 24 hrs.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Pharyngeal paraesthesia
Clinical narrative: Patient complained of tingling mouth, throat and tongue. Administered 10 mg Cetirizine orally per Doctor at 1255. Patient stated feeling better 1305. Patient released at 1308 per doctor.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Flushing, Nausea
Clinical narrative: Within 2 minutes: trouble breathing (tight chest), light headed, nausea, feeling flush. All symptoms subsided about a minute later.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling of body temperature change, Myalgia, Paraesthesia
Clinical narrative: Chills the night I received the shot. Then fever of 99.6, rotated from very hot to chills and very cold. Muscle aches and tingles from fingers to toes. Overwhelming tiredness.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills the night I received the shot. Then fever of 99.6, rotated from very hot to chills and very cold. Muscle aches and tingles from fingers to toes. Overwhelming tiredness.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: chills 4am 4/8 fever noon - 4/8 achiness noon 4/8
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Decreased appetite, Dizziness, Headache
Clinical narrative: Faint at 1:20 p.m. 40 minutes after vaccination including shaking, headache that lasted a week. Back pain (whole back) two days, low grade fever 3 days late afternoon, chills 2 days, no appetite.  Worst symptom was a headache that I have never experienced before.  It stayed with me morning, noon and night.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Faint at 1:20 p.m. 40 minutes after vaccination including shaking, headache that lasted a week. Back pain (whole back) two days, low grade fever 3 days late afternoon, chills 2 days, no appetite.  Worst symptom was a headache that I have never experienced before.  It stayed with me morning, noon and night.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Pt became nauseated and lightheaded. Pt vomited x2. Pt stated symptoms improved. Pt declined transport to ED
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Urticaria
Clinical narrative: Very large hives formed on my right shoulder, underneath both of my buttocks, behind my knee, and on my thumb.  All of the hives were painful. My thumb swelled up a couple of hours after I noticed the one on my shoulder and thighs, and I watched and felt as my thumb swelled up. The next morning I woke up and they were still there, but no new hives formed.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Vomiting
Clinical narrative: Vomiting, headache, severe body aches, chills, fever 101.6 at highest
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Light headed, persistent headache, arm ache where vaccine was applied within one hour after vaccination. About 16 hours later, stronger headache, nausea, body ache and fatigue. Felt as having a strong hangover.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Light headed, persistent headache, arm ache where vaccine was applied within one hour after vaccination. About 16 hours later, stronger headache, nausea, body ache and fatigue. Felt as having a strong hangover.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Slight fever 1 point elevated. Muscle, body aches, fatigue, tiredness, slight headache, joint pain, sore Rt. arm, sore injection site. Side effects have subsided after approximately five (5) days.  None of the side effects were considered severe!
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Slight fever 1 point elevated. Muscle, body aches, fatigue, tiredness, slight headache, joint pain, sore Rt. arm, sore injection site. Side effects have subsided after approximately five (5) days.  None of the side effects were considered severe!
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Bladder disorder, Chills, Diplopia, Dizziness
Clinical narrative: severe arm pain 3 days, dizziness, nausea, irritated urination, severe stomach pain, pinching in bladder, double vision, chills
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dysuria, Nausea, Ophthalmological examination, Pain in extremity
Clinical narrative: severe arm pain 3 days, dizziness, nausea, irritated urination, severe stomach pain, pinching in bladder, double vision, chills
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient received vaccine and went in the waiting area for the 15 minute observation. He passed out and fell on the floor. He was sweating but was conscious. We put a bag of frozen blueberries on his neck and wiped  his face with a damp towel while waiting for EMS to arrive. He did not require CPR.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Ear pain, Otorrhoea
Clinical narrative: None stated.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Pain, Itching,  redness at injection site one week after injection  No treatment - observation
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash, Rash erythematous, Rash papular, Swelling
Clinical narrative: ABOUT 3 HOURS AFTER VACCINE, PATIENT NOTICED RED RASH ON HANDS, RASH DID NOT ITCH. THE PATIENT PRESENTED TO THE PHARMACY, WE GAVE HER HYDROCORTISONE 1% CREAM TO APPLY 3-4 TIMES DAILY TO RASH, OVER THE NEXT COUPLE OF DAYS THE RASH LINGERED .  ON DAY 8 HER HANDS WERE SWOLLEN AND THE RASH WAS WORSE, THE PATIENT CAME TO THE PHARMACY AND WE GAVE HER LORATADINE 10MG TO TAKE DAILY ALONG WITH HYDROCORTISONE CREAM.  THE RASH APPEARED A LITTLE LESS RED AND HANDS WERE NOT SWOLLEN ON DAY 9, TODAY.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Lymph node under armpit, swollen size of egg.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Swollen tongue
Clinical narrative: throat swelling, tongue swelling
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Blood test, Choking, Dysphagia, Pruritus
Clinical narrative: throat swelling, tongue swelling
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue
Clinical narrative: throat swelling, tongue swelling
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Mobility decreased, Pain in extremity, Photophobia
Clinical narrative: Arm pain, elevated temperature 99.5, head ache, light sensitivity. I couldn?t work or sleep and had to stay in a dark room the entire day after
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea, Syncope, Vomiting
Clinical narrative: PATIENT RECIEVED VACCINE 9:49 AM, MOVED TO POST VACCINATION AREA. BECAME DIZZY AND FAINT, WAS MOVED TO FLOOR FROM CHAIR. PASSED OUT AT 9:50 AM. CAME AROUND 9:55AM WITH NAUSEA THAT DID NOT RESULT IN VOMITTING. PATIENT SAT FOR AN ADDITIONAL 30 MINUTES WITH WIFE UNTIL FELT FINE TO LEAVE POST VACCINATION AREA AROUND 10:30AM. NO INJURY RESULTED. PATIENT ADMITTED AFTER VACCINATION THAT THIS IS A COMMON REACTION TO VACCINATION AND NEEDLES IN GENERAL.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Rash
Clinical narrative: Minutes after receiving the vaccine, the patient broke out in a rash. The rash spread throughout her body. She did not have any other symptoms. Baseline vitals were taken, all normal except for elevated BP. Patient seemed normal cognitively. Patient stayed around for 30 minutes but did not progress symptomatically. She was escorted home by her husband.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Erythema, Hypertension, Migraine
Clinical narrative: Minutes after receiving the vaccine, the patient broke out in a rash. The rash spread throughout her body. She did not have any other symptoms. Baseline vitals were taken, all normal except for elevated BP. Patient seemed normal cognitively. Patient stayed around for 30 minutes but did not progress symptomatically. She was escorted home by her husband.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oral mucosal blistering, Oropharyngeal pain, Pruritus, Pyrexia, Rash
Clinical narrative: Minutes after receiving the vaccine, the patient broke out in a rash. The rash spread throughout her body. She did not have any other symptoms. Baseline vitals were taken, all normal except for elevated BP. Patient seemed normal cognitively. Patient stayed around for 30 minutes but did not progress symptomatically. She was escorted home by her husband.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Minutes after receiving the vaccine, the patient broke out in a rash. The rash spread throughout her body. She did not have any other symptoms. Baseline vitals were taken, all normal except for elevated BP. Patient seemed normal cognitively. Patient stayed around for 30 minutes but did not progress symptomatically. She was escorted home by her husband.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests, Condition aggravated, Deafness, Illness, Pain in extremity
Clinical narrative: was diagnosed with high-frequency hearing loss and tinnitus BEFORE vaccine. My tinnitus was not bad the day of or had flared up before taking the vaccine.   1-2 days after having the first dosage of the vaccine I noticed my tinnitus was a lot worse, more noticeable, extremely high pitched, and unbearable for most of the time, on top of the "sickness" and "sore arm" symptoms. This lasted a couple of days (about 3-4 days) after the vaccine. This also happened for the second dose I received on 4/1/21.  I did check in my symptoms on the v-check application (first dose only).
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: was diagnosed with high-frequency hearing loss and tinnitus BEFORE vaccine. My tinnitus was not bad the day of or had flared up before taking the vaccine.   1-2 days after having the first dosage of the vaccine I noticed my tinnitus was a lot worse, more noticeable, extremely high pitched, and unbearable for most of the time, on top of the "sickness" and "sore arm" symptoms. This lasted a couple of days (about 3-4 days) after the vaccine. This also happened for the second dose I received on 4/1/21.  I did check in my symptoms on the v-check application (first dose only).
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Fever, muscle aches, weakness,  injection site and right wrist hurt for 48 hours
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: sore arm to touch and move at injection site for 2 days
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Discomfort, Dyspnoea, Fatigue, Flushing
Clinical narrative: Initial symptoms included fatigue, chills, fever, mild aches (quad, hip flexor), and mild headache. Required additional clothing due to chills without improved symptoms. Fever progressed to highest at 104 degrees. Required additional effort for moving in bed and short household distances. Progressed to extreme fatigue, mild nausea, and extreme dyspnea ("very deliberate breathing" "I felt like if I didn't concentrate on my breathing I would just stop breathing"). Noticed increased restlessness and increased discomfort. Took 400 mg ibuprofen and after ~30 minutes there was a gradual decrease in symptoms, particularly fever and dyspnea. Symptoms resolved after taking ibuprofen. 24 hours following initial symptoms onset, noted to have fever (101 degrees), achiness return, face was flush, and transient chills/sweats.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Nausea, Pain, Pyrexia
Clinical narrative: Initial symptoms included fatigue, chills, fever, mild aches (quad, hip flexor), and mild headache. Required additional clothing due to chills without improved symptoms. Fever progressed to highest at 104 degrees. Required additional effort for moving in bed and short household distances. Progressed to extreme fatigue, mild nausea, and extreme dyspnea ("very deliberate breathing" "I felt like if I didn't concentrate on my breathing I would just stop breathing"). Noticed increased restlessness and increased discomfort. Took 400 mg ibuprofen and after ~30 minutes there was a gradual decrease in symptoms, particularly fever and dyspnea. Symptoms resolved after taking ibuprofen. 24 hours following initial symptoms onset, noted to have fever (101 degrees), achiness return, face was flush, and transient chills/sweats.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Restlessness
Clinical narrative: Initial symptoms included fatigue, chills, fever, mild aches (quad, hip flexor), and mild headache. Required additional clothing due to chills without improved symptoms. Fever progressed to highest at 104 degrees. Required additional effort for moving in bed and short household distances. Progressed to extreme fatigue, mild nausea, and extreme dyspnea ("very deliberate breathing" "I felt like if I didn't concentrate on my breathing I would just stop breathing"). Noticed increased restlessness and increased discomfort. Took 400 mg ibuprofen and after ~30 minutes there was a gradual decrease in symptoms, particularly fever and dyspnea. Symptoms resolved after taking ibuprofen. 24 hours following initial symptoms onset, noted to have fever (101 degrees), achiness return, face was flush, and transient chills/sweats.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received a Pfizer shot on 3/12/21 as her first COVID vaccination.  on 4/8/21, she received Moderna as the 2nd shot in the series.  Upon leaving the clinic, the patient had not experienced any reported adverse events.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness on left side, mainly in lips, tongue, face and arm. No treatment sought. Seems to have resolved next day.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site warmth
Clinical narrative: Warmth and redness at injection site. Fatigue.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site swelling, Pain
Clinical narrative: swollen red arm at the injection site.  Aprox. 4 inches in diameter appeared on day 2 after receiving the vaccine. Achy, headache, tired, and thirsty aprox. 12-16 hours after injection.  Symptoms subsided aprox. 24 hours after showing.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst
Clinical narrative: swollen red arm at the injection site.  Aprox. 4 inches in diameter appeared on day 2 after receiving the vaccine. Achy, headache, tired, and thirsty aprox. 12-16 hours after injection.  Symptoms subsided aprox. 24 hours after showing.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Pt. developed difficulty breathing and dizziness 10 min after receiving the vaccine. 1 dose of EpiPen 0.3mg auto-injector was administered by the pharmacist. 911 was called and pt. transferred to hospital for treatment. we checked on the pt. she was discharged from the hospital, she stated that she received IV antihistamine and steroids.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient arrived at Covid Vaccine Clinic for his 2nd dose of Covid Vaccine.  It was discovered upon arrival that he was 17 and was presenting for his 2nd dose of Moderna.  Chart review revealed he had received Moderna dose 1 on 3/10/21.  Patient reported no issues with Moderna dose 1 and stated understanding of why we were reviewing appropriateness of dose 2 for him.  Discussed case with Dr.  Dr  supported patient receiving dose 2 of Moderna and cited the CDC reference ?If age 16 to 17 years and a vaccine other than Pfizer-BioNTech was inadvertently administered: If Moderna vaccine administered as the first dose, may administer Moderna vaccine as the second dose (as off-label use, because Moderna vaccine is not authorized in this age group0