chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Sensory disturbance, Skin warm, Swelling
Clinical narrative: She got her vaccine, 2 hours later she started to have a headache that started on the left side near the temple that would come and go.  She then noticed that the headache moved to her forehead and shoot to the entire head.  Had some light headedness, and low grade fever of 99-100 range.  She then also began to feel tired or feeling drained around 5:30-7:00 that evening.  She also ended up getting arm pain around 3:00-4:00 and warmth.  She did not take anything for these symptoms.  The symptoms were off and on throughout the evening and the worst was the arm when she lied on her arm it was tender.  The next morning her arm was more tender, kind of painful to anything like an ice pack, sensitive to the touch.  She had the band-aid on at the time, and it was more swollen and stuck out.  Then they noticed around 2:30 when it looked red, shaped like a baseball, inflamed, warm.  She did still have a slight fever, body aches all over, felt like her bones were glass.  She did feel very exhausted/tired.  No nausea or diarrhea, but just felt bad and wiped out.  It felt like she had the flu.  She woke up this morning feeling a lot better.  Her arm is still slightly tender, not as sensitive as it was yesterday, but does still have the baseball size mark on her arm.  She had a slight headache this morning, but otherwise is feeling fine.  The arm also had some itching that started the first day, and does still have that as well.  She also has some shoulder pain in the same arm today.   It is only tender to touch if mild pressure is applied to it.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: She got her vaccine, 2 hours later she started to have a headache that started on the left side near the temple that would come and go.  She then noticed that the headache moved to her forehead and shoot to the entire head.  Had some light headedness, and low grade fever of 99-100 range.  She then also began to feel tired or feeling drained around 5:30-7:00 that evening.  She also ended up getting arm pain around 3:00-4:00 and warmth.  She did not take anything for these symptoms.  The symptoms were off and on throughout the evening and the worst was the arm when she lied on her arm it was tender.  The next morning her arm was more tender, kind of painful to anything like an ice pack, sensitive to the touch.  She had the band-aid on at the time, and it was more swollen and stuck out.  Then they noticed around 2:30 when it looked red, shaped like a baseball, inflamed, warm.  She did still have a slight fever, body aches all over, felt like her bones were glass.  She did feel very exhausted/tired.  No nausea or diarrhea, but just felt bad and wiped out.  It felt like she had the flu.  She woke up this morning feeling a lot better.  Her arm is still slightly tender, not as sensitive as it was yesterday, but does still have the baseball size mark on her arm.  She had a slight headache this morning, but otherwise is feeling fine.  The arm also had some itching that started the first day, and does still have that as well.  She also has some shoulder pain in the same arm today.   It is only tender to touch if mild pressure is applied to it.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Feeling cold, Petechiae
Clinical narrative: Pinched feeling in shoulder with occasional cold sensation in left arm (not cold to the touch, cold sensation only). Has persisted for a week thus far. Also petechiae on both left and right scapula.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt previously tested positive COVID on 1/20/21, then tested positive COVID again on 4/8/2021 >14 days post fully vaccinated
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor, Postictal state, Presyncope, Seizure
Clinical narrative: Vaccine given to patient and had a reaction to the vaccine. Patient appeared to have a vaso-vagal reaction   color drained from his face and broke out in a sweat and then became unresponsive, then woke up. Moved to stretcher and vital signs monitored, heart rate to 40,appeared to have a seizure and post ictal. Mom present, instructed to call pediatrician and ask about second dose administration. Patient given OJ and banana, monitored for over an hour, color and VS improved, discharged with Mom.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Vaccine given to patient and had a reaction to the vaccine. Patient appeared to have a vaso-vagal reaction   color drained from his face and broke out in a sweat and then became unresponsive, then woke up. Moved to stretcher and vital signs monitored, heart rate to 40,appeared to have a seizure and post ictal. Mom present, instructed to call pediatrician and ask about second dose administration. Patient given OJ and banana, monitored for over an hour, color and VS improved, discharged with Mom.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Needle issue, Underdose
Clinical narrative: As the immunization was being given, the solution ran out from the needle hub down the arm. The recipient received less than half the dose as the needle apparently was not tightly connected to the syringe. This was explained to the patient. They agreed to receive a full dose of COVID 19-Moderna immediately following this occurrence so that adequate protection would be obtained.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dehydration, Seizure
Clinical narrative: AT AN OFFSITE CLINIC, SHE HAD 3 SEIZURES AFTER RECEIVING HER 1ST COVID VACCINE. 911 WAS CALLED AND RESPONDED. VITALS LISTED BELOW. EMS SAID SHE WAS DEHYDRATED AND STARTED AN IV OF NORMAL SALINE, THEN SHE HAD A 4TH SEIZURE.  SHE WAS TRANSPORTED TO RECEIVING HOSPITAL. SHE HAD ORIGINALLY STATED ON HER CONSENT SHE DIDN'T HAVE ANY HEALTH CONDITIONS. HER HUSBAND EXPLAINED WHAT SHE HAS. AND SHE SAID SHE HAD TAKEN HER MEDICATIONS THAT DAY AND HER HUSBAND SAID SHE HADN'T TAKEN HER MEDICATION THAT DAY.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Fatigue, Headache
Clinical narrative: I felt fine, maybe a headache and tired the first day.  Otherwise, seemed fine, but had annual lab work done on April 9th and my liver enzymes were abnormally elevated.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Hypoaesthesia, Myalgia, Pain, Pain in extremity
Clinical narrative: Body aches, rash, no energy, sore muscles, feel weak, pain in legs, some numbness.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Body aches, rash, no energy, sore muscles, feel weak, pain in legs, some numbness.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Second dose of Moderna vaccine was not stored properly. Recommended to get another dose of Moderna but had already transfered to another station and was recommended to get Pfizer since second Moderna was ineffective.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Right side of top lip went numb. Right side of nostril opening went numb . Occurred after 2nd dose.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness
Clinical narrative: Patient complained of feeling lightheaded/dizzy. EMT called. Patient vital signs stable BP 134/90 HR 91 and blood sugar 156. Patient states he is on methadone for heroine use recovery. He states he took his methadone about 45 mins prior. Patient given snacks and water. Patient states he is feeling better and refuse to accompany EMT to go to hospital.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Red itchy rash that was warm to touch at vaccine injection site - all was gone by the next day without any medical treatment needed.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Injection site pain, Pain
Clinical narrative: Soreness at injection site; Body aches; Tightness/pain in chest along sternum (vertical)
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy endometrium normal, Dysmenorrhoea, Herpes zoster, Postmenopausal haemorrhage, Ultrasound abdomen abnormal
Clinical narrative: After one week began to experience very light spotting (post-menopause).  Also experienced menstrual cramps.  Went for a yearly PAP smear and the initial results were "inconclusive."  Was sent for a transvaginal  and abdominal ultrasound which showed the endometrial stripe to be 7mm (thickened). Required an endometrial biopsy (normal results). 12 weeks later developed SHINGLES.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan vagina
Clinical narrative: After one week began to experience very light spotting (post-menopause).  Also experienced menstrual cramps.  Went for a yearly PAP smear and the initial results were "inconclusive."  Was sent for a transvaginal  and abdominal ultrasound which showed the endometrial stripe to be 7mm (thickened). Required an endometrial biopsy (normal results). 12 weeks later developed SHINGLES.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia, Fatigue, Pain
Clinical narrative: Hair loss/bald spot, left side, @ 1 inch above left ear.  Received the 2nd vaccine dose on 3 MAY 21.  I dealt with the usual 48 hours of fatigue, body aches, etc with no other immediate issues.  On 13 May I went in for a hair cut.  Barber noticed the bald spot.  As of 17 May there is no return hair growth and the spot has grown in size from 1" to 1.5" across.
Age: 52.0
Sex: M
Vaccine: MMR, PPV, TDAP, VARZOS
Symptoms: Cellulitis, Hypersensitivity, Infection, Injection site erythema
Clinical narrative: Localized redness about 6cm below site of injection. Likely mild allergic reaction to a product within either the MMR, Considered infection/cellulitis, but I think it is less likely at this time given location away from injection site. -advised continued use of Ibuprofen and tylenol. Advised to take Benadryl or Zyrtec. - return precautions given for worsening symptoms, to which patient gave understanding and agreement.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Blood test, Cerebrovascular accident, Computerised tomogram
Clinical narrative: Started with slurred speech, difficulty with balance, weakness on 5-1-21.  Symptoms worsened on 5-2-21 with garbled speech, inability to walk without assistance, weakness.  Admitted to hospital and was diagnosed with stroke.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Gait disturbance, Magnetic resonance imaging head
Clinical narrative: Started with slurred speech, difficulty with balance, weakness on 5-1-21.  Symptoms worsened on 5-2-21 with garbled speech, inability to walk without assistance, weakness.  Admitted to hospital and was diagnosed with stroke.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort
Clinical narrative: Customer c/o burning sensation in her ears.  Code Red called and EMS and nurse responded.  BP 159/84, HR 83, O2 97.  Customer released and told by EMS if it doesn't go away by the end of the day, go to an urgent care, or call her Dr.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Angiogram, Deafness unilateral, Ear discomfort, Tinnitus
Clinical narrative: Tinnitus has been consistent since April 4, 2021.  Constant ringing in left ear.  Feeling of fullness in both ears which is not constant.  Mild hearing loss in left ear.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Intense nausea and vomiting in early hours of following morning
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE EFFECTS. ADMINISTRATION DEVIATION: UNAUTHORIZED AGE GROUP.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Dizziness, Gait disturbance, Palpitations
Clinical narrative: On 4/20/21 Pt taken to ED by EMS about 10 minutes after vaccination with c/o palpitations, unsteady gait, weakness, dizziness, and right shoulder pain.  Today, 5/17/21 with c/o of ongoing right shpulder pain.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody, Antiphospholipid antibodies, Antithrombin III, Asthenia, Beta-2 glycoprotein antibody
Clinical narrative: On the afternoon of 2/5/21 I developed dizziness, right hand numbness/weakness, difficulty speaking while at work. On 2/7/21 and 2/8/21 I noticed difficulty in writing so I called my PCP who ordered a brain/spine MRI for 2/12/21 which showed a right cerebellar subacute infarction, occupational therapy for right hand weakness/writing deficits, mostly resolved (~95% resolved)
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac monitoring, Cardiolipin antibody, Cerebral infarction, Computerised tomogram head, Computerised tomogram neck
Clinical narrative: On the afternoon of 2/5/21 I developed dizziness, right hand numbness/weakness, difficulty speaking while at work. On 2/7/21 and 2/8/21 I noticed difficulty in writing so I called my PCP who ordered a brain/spine MRI for 2/12/21 which showed a right cerebellar subacute infarction, occupational therapy for right hand weakness/writing deficits, mostly resolved (~95% resolved)
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Echocardiogram, Electrocardiogram ambulatory, Factor V Leiden mutation, Hypoaesthesia
Clinical narrative: On the afternoon of 2/5/21 I developed dizziness, right hand numbness/weakness, difficulty speaking while at work. On 2/7/21 and 2/8/21 I noticed difficulty in writing so I called my PCP who ordered a brain/spine MRI for 2/12/21 which showed a right cerebellar subacute infarction, occupational therapy for right hand weakness/writing deficits, mostly resolved (~95% resolved)
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Occupational therapy, Protein C, Protein S, Speech disorder
Clinical narrative: On the afternoon of 2/5/21 I developed dizziness, right hand numbness/weakness, difficulty speaking while at work. On 2/7/21 and 2/8/21 I noticed difficulty in writing so I called my PCP who ordered a brain/spine MRI for 2/12/21 which showed a right cerebellar subacute infarction, occupational therapy for right hand weakness/writing deficits, mostly resolved (~95% resolved)
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: On the afternoon of 2/5/21 I developed dizziness, right hand numbness/weakness, difficulty speaking while at work. On 2/7/21 and 2/8/21 I noticed difficulty in writing so I called my PCP who ordered a brain/spine MRI for 2/12/21 which showed a right cerebellar subacute infarction, occupational therapy for right hand weakness/writing deficits, mostly resolved (~95% resolved)
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling sensation on the left hand.  Hard to extend the pinky finger on the left hand,  feels like a nerve is pinched.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Patient is complaining of arm pain after the administration of Moderna COVID-19 vaccine.The vaccine was administered in the left deltoid muscle. She is stating that she searched SIRVA online and that is what she has.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Cerebral mass effect, Computerised tomogram abnormal, Craniectomy, Subdural haematoma
Clinical narrative: I had a subdural hematoma which resulted in emergency surgery at facility on April 26th, followed by an emergency craniectomy on April 28th.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Surgery
Clinical narrative: I had a subdural hematoma which resulted in emergency surgery at facility on April 26th, followed by an emergency craniectomy on April 28th.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebral mass effect, Computerised tomogram head abnormal, Craniotomy, Headache, Subdural haematoma
Clinical narrative: I had a subdural hematoma which resulted in emergency surgery at facility on April 26th, followed by an emergency craniectomy on April 28th.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Cerebral mass effect, Computerised tomogram abnormal, Craniectomy, Subdural haematoma
Clinical narrative: -4/19/21 severe h/a experienced with visit to pcp  resulting in steroid and pain med injection on 4/23/21. *****-4/25/21 h/a exacerbated upon increase in elevation on trip and Patient went to ER , resulting in admit to  for pending surgery for subdural hematoma (craniotomy) on 4/26/21.  *****-4/28/21 second CT after surgery resulted in additional surgery due to 10mm midline shift to left with addtional 13 day hospital admit. ***** -5/14/21 Patients last visit with Neurosurgeon with assessment of residual 5mm midline shift and f/u planned for 6/5/21.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Surgery
Clinical narrative: -4/19/21 severe h/a experienced with visit to pcp  resulting in steroid and pain med injection on 4/23/21. *****-4/25/21 h/a exacerbated upon increase in elevation on trip and Patient went to ER , resulting in admit to  for pending surgery for subdural hematoma (craniotomy) on 4/26/21.  *****-4/28/21 second CT after surgery resulted in additional surgery due to 10mm midline shift to left with addtional 13 day hospital admit. ***** -5/14/21 Patients last visit with Neurosurgeon with assessment of residual 5mm midline shift and f/u planned for 6/5/21.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebral mass effect, Computerised tomogram head abnormal, Craniotomy, Headache, Subdural haematoma
Clinical narrative: -4/19/21 severe h/a experienced with visit to pcp  resulting in steroid and pain med injection on 4/23/21. *****-4/25/21 h/a exacerbated upon increase in elevation on trip and Patient went to ER , resulting in admit to  for pending surgery for subdural hematoma (craniotomy) on 4/26/21.  *****-4/28/21 second CT after surgery resulted in additional surgery due to 10mm midline shift to left with addtional 13 day hospital admit. ***** -5/14/21 Patients last visit with Neurosurgeon with assessment of residual 5mm midline shift and f/u planned for 6/5/21.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nasal congestion, Pain, Paranasal sinus discomfort
Clinical narrative: Headaches, body aches, chills, fever, nasal congestion, sinus pain/pressure for 11 days after receiving the 1st dose of Moderna.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sinus pain
Clinical narrative: Headaches, body aches, chills, fever, nasal congestion, sinus pain/pressure for 11 days after receiving the 1st dose of Moderna.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Injection site pain, Joint range of motion decreased, Mobility decreased, Neck pain
Clinical narrative: I saw a patient on 5/16/2021 for her 2nd Shingrix shot who was saying that she was still having pain and difficulty with range of motion from her 1st shingles shot at the beginning of March (March 6th, 2021). I apologized, assessed her and consulted with my consulting physician who recommended we give the 2nd Shingrix vaccine, advise Tylenol and cold compresses for comfort, and that she follow up with her PCP. During assessment, pt was unable to move her left arm behind her back without pain. She states that the pain radiates to her upper back and her left side of her neck from the injection site which she states she thinks was placed too low. She was able to raise arms above her head and in front of her body without pain.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: I saw a patient on 5/16/2021 for her 2nd Shingrix shot who was saying that she was still having pain and difficulty with range of motion from her 1st shingles shot at the beginning of March (March 6th, 2021). I apologized, assessed her and consulted with my consulting physician who recommended we give the 2nd Shingrix vaccine, advise Tylenol and cold compresses for comfort, and that she follow up with her PCP. During assessment, pt was unable to move her left arm behind her back without pain. She states that the pain radiates to her upper back and her left side of her neck from the injection site which she states she thinks was placed too low. She was able to raise arms above her head and in front of her body without pain.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pain in extremity
Clinical narrative: Chills, body aches, sore arm, fatigue
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dysgeusia, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Immediate: severe nausea/dizziness (room spinning) and a strong constant metallic taste 1 hour following: neck swelling, jaw pain/tingling, face numbness, arm numbness (Right arm) - patient took 25 mg Benadryl po 2 hours after: weakness (difficulty ambulating) and foot itchiness/tingling 8 hours after: facial numbness/blurred vision
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in jaw, Paraesthesia, Pruritus, Swelling
Clinical narrative: Immediate: severe nausea/dizziness (room spinning) and a strong constant metallic taste 1 hour following: neck swelling, jaw pain/tingling, face numbness, arm numbness (Right arm) - patient took 25 mg Benadryl po 2 hours after: weakness (difficulty ambulating) and foot itchiness/tingling 8 hours after: facial numbness/blurred vision
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Immediate: severe nausea/dizziness (room spinning) and a strong constant metallic taste 1 hour following: neck swelling, jaw pain/tingling, face numbness, arm numbness (Right arm) - patient took 25 mg Benadryl po 2 hours after: weakness (difficulty ambulating) and foot itchiness/tingling 8 hours after: facial numbness/blurred vision
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Seizure
Clinical narrative: 5 minutes after patient received vaccine patient reported he felt like he may have a seizure. He then had full body convulsions for about 5 seconds and then fainted. He was assisted to the floor by a staff member. He remained unconscious for approximately 15 seconds per the nurse monitoring the clinic. Patient received a dose of epi and albuterol inhaler. He felt nauseated after, but quickly improved. EMS was called to transport, patient declined and was taken to ER by private care, significant other to drive.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Bladder catheterisation, Blood glucose, Blood test, Catheterisation cardiac
Clinical narrative: Within 24 hours pain in left side of left chest, in 48 hours pain on full left side of chest, within 72 hours pain through entire chest.  Hospitalized within 72 hours, chest pains, catheterized within 120 hours, had a blood clotting issue, put into medically induced coma for three and a half days, followed by a pulmonary embolism and four (4) clogs, two (2) in either leg, within two weeks.  Hospitalized twice, currently on three blood thinners, a beta blocker,  pepcid, a statin, and one other.  Expected to be on three blood thinners for at least three (3), most likely six (6) months.  Start cardiac rehab on 5/19/21.  Have chronic cough and chest discomfort.  Expected recovery time: six (6) months.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Coagulopathy, Computerised tomogram, Cough
Clinical narrative: Within 24 hours pain in left side of left chest, in 48 hours pain on full left side of chest, within 72 hours pain through entire chest.  Hospitalized within 72 hours, chest pains, catheterized within 120 hours, had a blood clotting issue, put into medically induced coma for three and a half days, followed by a pulmonary embolism and four (4) clogs, two (2) in either leg, within two weeks.  Hospitalized twice, currently on three blood thinners, a beta blocker,  pepcid, a statin, and one other.  Expected to be on three blood thinners for at least three (3), most likely six (6) months.  Start cardiac rehab on 5/19/21.  Have chronic cough and chest discomfort.  Expected recovery time: six (6) months.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Medical induction of coma, Pulmonary embolism, Scan with contrast
Clinical narrative: Within 24 hours pain in left side of left chest, in 48 hours pain on full left side of chest, within 72 hours pain through entire chest.  Hospitalized within 72 hours, chest pains, catheterized within 120 hours, had a blood clotting issue, put into medically induced coma for three and a half days, followed by a pulmonary embolism and four (4) clogs, two (2) in either leg, within two weeks.  Hospitalized twice, currently on three blood thinners, a beta blocker,  pepcid, a statin, and one other.  Expected to be on three blood thinners for at least three (3), most likely six (6) months.  Start cardiac rehab on 5/19/21.  Have chronic cough and chest discomfort.  Expected recovery time: six (6) months.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Vascular catheterisation, X-ray
Clinical narrative: Within 24 hours pain in left side of left chest, in 48 hours pain on full left side of chest, within 72 hours pain through entire chest.  Hospitalized within 72 hours, chest pains, catheterized within 120 hours, had a blood clotting issue, put into medically induced coma for three and a half days, followed by a pulmonary embolism and four (4) clogs, two (2) in either leg, within two weeks.  Hospitalized twice, currently on three blood thinners, a beta blocker,  pepcid, a statin, and one other.  Expected to be on three blood thinners for at least three (3), most likely six (6) months.  Start cardiac rehab on 5/19/21.  Have chronic cough and chest discomfort.  Expected recovery time: six (6) months.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity
Clinical narrative: SORE ARM CHILLS HEADACHES
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: 3 days after receiving the first covid pfizer shot i started experiencing vertigo like symptons - feeling very dizzy, felt like the entire room was spinning aggressively when lying down, rolling over in bed, getting up from lying down position, or tilting my head upwards (e.g. quickly looking up at high cupboard)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site lymphadenopathy, Pain
Clinical narrative: Swollen Lyph Node on the side of injection. Extreme Body Aches.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash macular, Rash vesicular, Scar
Clinical narrative: Shot was at 4:30 pm , I went to sleep at 9:00 pm, I woke up before dawn with a burning itch on both arms.  By noon both forearms were covered.  within 2 days there were splotches on chest back and both legs.  rash grew from red puffy splotches into very painful blisters.  everywhere it was hurt to touch.  blisters that popped caused scarring.  Cortisone cream,  antihistamine, Neosporin,  and Acetaminophen it eventually subsided between  13-16 days
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Influenza like illness, Pyrexia
Clinical narrative: For my first dose I experienced numbness and pain at the injection site. I also developed rash, shingles on my face. I was seen by a colleague doctor; looked at me and he gave a prescription. My symptoms resolved and no longer present. For my second dose I had fever, chills, flu like symptoms for about 24 hours then my symptoms went away.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patients sister contacted the pharmacy the day after the vaccine to inform us that this was his third COVID vaccine.  She stated he received 2 other shots at facility.  We are unaware of any adverse events.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt has received both doses of the Moderna COVID 19 vaccine and reached 2 weeks post vaccination.  On 5/15/2021, pt tested positive for COVID-19 during routine admission screening.  Pt was admitted for a non-COVID 19 reason and was asymptomatic.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Diarrhoea, Ear discomfort, Fatigue, Feeling abnormal
Clinical narrative: 5-13-21 8:00 pm severe pounding headache, extreme fatigue slept from 9:00 pm May 13 until 8:30 May 15. Diahhria and vomiting during the night May 13. Saturday May 15 woke up with swollen lower lip, left side of my tongue 2 large sores, sore throat, pressure in my right ear, felt off balance hand unable to drive and foggy thinking.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Lip swelling, Loss of personal independence in daily activities, Oropharyngeal pain
Clinical narrative: 5-13-21 8:00 pm severe pounding headache, extreme fatigue slept from 9:00 pm May 13 until 8:30 May 15. Diahhria and vomiting during the night May 13. Saturday May 15 woke up with swollen lower lip, left side of my tongue 2 large sores, sore throat, pressure in my right ear, felt off balance hand unable to drive and foggy thinking.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Stomatitis, Vomiting
Clinical narrative: 5-13-21 8:00 pm severe pounding headache, extreme fatigue slept from 9:00 pm May 13 until 8:30 May 15. Diahhria and vomiting during the night May 13. Saturday May 15 woke up with swollen lower lip, left side of my tongue 2 large sores, sore throat, pressure in my right ear, felt off balance hand unable to drive and foggy thinking.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Tightness in chest 15-20 minutes following vaccination.  She was given benadryl 50mg around 11:30am and 911 was called.  When paramedics arrived they monitored her breathing and blood pressure.  She did not worsen and was allowed to go home about 30 mins later.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Sharp pain in left leg, about 7 inches above the knee on the outside of the leg.  Was NOT a "charlie horse" - felt more like a knife stabbing my leg and twisting.  Pain subsided after about 7 minutes, but pain location was sore for 48 hours after.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT DID NOT MEET AGE REQUIREMENT TO BE ELIGIBLE FOR THE PFIZER VACCINE.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: patient received second dose of moderna after 12 days.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt passed out after fisrt dose of Pfizer vaccine.  Pt was wheeled to the EMS station where she passed out a second time.  Pt VS at 11:08AM HR 54, BP 11/40.  At 11:16AM HR 60, BP 90/60.  At 11:32AM HR 66, BP 100/60.  Pt was given cookies and water and appeared alright, she was released following last set of VS.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE EFFECTS. ADMINISTRATION DEVIATION: UNAUTHORIZED AGE GROUP.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: I haven?t had my period in well over a year with absolutely no spotting. I received my vaccine this morning around 6/6:30 am. I have no idea the name of the clinic we were at. When I came back to my room around 12 pm I noticed I had started my period which is highly unlikely it would happen on its own as I?ve had my iud for over a year and it has completely stopped my period until the day I received my vaccine.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Pt c/o nausea/HA/fever/myalgia x 4 days.  Pt states his sx have resolved today and needed a rtw note.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pharyngeal paraesthesia, Throat irritation
Clinical narrative: Parent mother reported to staff, patient experiencing throat tingling, itchiness and mild SOB while in the observation area around 0909. Per patient symptoms started approx 15-20 post vaccine administration. Patient was brought back to triage area. 0910: VS BP 110/80, HR 63, Temporal temp 98.3 F, 100% RA. Monitoring continued, MD and mother at bedside. Patient given benadryl 25mg per MD order and water. Patient reported symptoms improved after medication administration. 0920: Vitals BP 111/74 HR 57 Temporal temp 98F, 98% RA.  Per patient SOB resolved. Throat itchiness and tingling improving. Leader discussed with mother regarding second dose. MD continued to monitor and patient discharged from triage at 0940 with mother per MD.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Nausea, Paraesthesia oral, Rash, Throat tightness
Clinical narrative: Patient received first dose of Pfizer at an unknown location and presented to the ED at  with lip swelling and tingling.  States the symptoms started 30 mins after the vaccine. Given treatment with steroids and discharged home.  Patient returned to the ED on 5/15 complaining of nausea and throat tightening with a rash on her back and arms. Zofran, Benadryl, Pepcid and steroids administered.  Pt was discharged home.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Dyspnoea, Erythema, Lip swelling, Loss of personal independence in daily activities
Clinical narrative: Patient received first dose of Pfizer at an unknown location and presented to the ED at  with lip swelling and tingling.  States the symptoms started 30 mins after the vaccine. Given treatment with steroids and discharged home.  Patient returned to the ED on 5/15 complaining of nausea and throat tightening with a rash on her back and arms. Zofran, Benadryl, Pepcid and steroids administered.  Pt was discharged home.
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder, Swollen tongue, Vomiting
Clinical narrative: Patient received first dose of Pfizer at an unknown location and presented to the ED at  with lip swelling and tingling.  States the symptoms started 30 mins after the vaccine. Given treatment with steroids and discharged home.  Patient returned to the ED on 5/15 complaining of nausea and throat tightening with a rash on her back and arms. Zofran, Benadryl, Pepcid and steroids administered.  Pt was discharged home.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: N/V, dizziness, taken via wheelchari to isolation area. Laying BP 103/52, HR 76. Sitting BP 94/74; HR 69; Standing BP 105/81; HR 86. Given water & juice w/no emesis.  Pt had no breakfast prior & felt sleepy.  After 10 min rest on guerney pt fel better. D/C'd in stable condition. Recommended to f/u w/PCP
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Bilevel positive airway pressure, Cardiac disorder, Chest X-ray, Computerised tomogram
Clinical narrative: Saturday April 3,2021 shortness of breath went to hospital on April 12th with multiple unprovoked PE's Stayed in hospital 6 days and released without oxygen Given blood thinners to take for life Right side of heart damaged due to blood clots
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pulmonary embolism
Clinical narrative: Saturday April 3,2021 shortness of breath went to hospital on April 12th with multiple unprovoked PE's Stayed in hospital 6 days and released without oxygen Given blood thinners to take for life Right side of heart damaged due to blood clots
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram, Dyspnoea, Thrombosis
Clinical narrative: I started having shortness of breath and went to the emergency room.  It was determined I had blood clots in both lungs and I was prescribed blood thinners for the next 3-6 months
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram, Pulmonary thrombosis, SARS-CoV-2 test
Clinical narrative: I started having shortness of breath and went to the emergency room.  It was determined I had blood clots in both lungs and I was prescribed blood thinners for the next 3-6 months
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Swelling face
Clinical narrative: Developed shingles on the scalp migrating down to the right eye, blisters on the eyelid and surrounding the eye, swelling below the lower eyelid.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: patient received second dose of moderna vaccine 12 days after first dose.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Bradykinesia, Chest X-ray normal, Electrocardiogram
Clinical narrative: 4/17 Onset of tingling nerve pain in toes, fingers, back. Not resolved yet completely. 4/19 Elevated BP 4/21 Hypertension and some leg weakness 4/22 ER Visit - EKG and Blood test showed no emergency. No medications administered. Released with advice to follow-up with a neurologist. 4/23 - 4/26 Increased tingling pain and weakness 4/27 Virtual Neurologist appointment - unable to diagnose, allows scheduling of in-person visit 4/28 Neurologist prescribed Gabapentin 300mg per day for 3 days, 300mg/3000mg for the next 3 days, 300mg/300mg/300mg per day after 4/29 - 5/3 Weakness so bad that going up and down hills or stairs is risky and painful. Only slow movements are possible. 5/4 In-person visit with Neurologist. EMG and physical test confirm peripheral system impaired. Diagnoses Guillian-Barre Syndrome and facilitates same day hospital admittance. Hospital administers steroid IV, blood tests, Chest X-Ray, Covid Nasal test. 5/5 Lumbar test performed successfully. Results show high protein consistent with Guillian-Barre. Treatments began that night for a series of 5 nightly treatments. 5/6 Tingling increased. Take 300/300/600 of Gabapentin. Leg strength improved. 5/7 - 5/9 Small improvements in leg strength and tingling. Determined PT and OT are not required. 5/10 Discharged to continue Gabapentin at home. 5/13 Tingling decreased slightly. Took Gabapentin 300/300/300 5/17 Still some tingling
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Hypertension, Lumbar puncture abnormal, Muscular weakness
Clinical narrative: 4/17 Onset of tingling nerve pain in toes, fingers, back. Not resolved yet completely. 4/19 Elevated BP 4/21 Hypertension and some leg weakness 4/22 ER Visit - EKG and Blood test showed no emergency. No medications administered. Released with advice to follow-up with a neurologist. 4/23 - 4/26 Increased tingling pain and weakness 4/27 Virtual Neurologist appointment - unable to diagnose, allows scheduling of in-person visit 4/28 Neurologist prescribed Gabapentin 300mg per day for 3 days, 300mg/3000mg for the next 3 days, 300mg/300mg/300mg per day after 4/29 - 5/3 Weakness so bad that going up and down hills or stairs is risky and painful. Only slow movements are possible. 5/4 In-person visit with Neurologist. EMG and physical test confirm peripheral system impaired. Diagnoses Guillian-Barre Syndrome and facilitates same day hospital admittance. Hospital administers steroid IV, blood tests, Chest X-Ray, Covid Nasal test. 5/5 Lumbar test performed successfully. Results show high protein consistent with Guillian-Barre. Treatments began that night for a series of 5 nightly treatments. 5/6 Tingling increased. Take 300/300/600 of Gabapentin. Leg strength improved. 5/7 - 5/9 Small improvements in leg strength and tingling. Determined PT and OT are not required. 5/10 Discharged to continue Gabapentin at home. 5/13 Tingling decreased slightly. Took Gabapentin 300/300/300 5/17 Still some tingling
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Paraesthesia, Protein total increased, SARS-CoV-2 test
Clinical narrative: 4/17 Onset of tingling nerve pain in toes, fingers, back. Not resolved yet completely. 4/19 Elevated BP 4/21 Hypertension and some leg weakness 4/22 ER Visit - EKG and Blood test showed no emergency. No medications administered. Released with advice to follow-up with a neurologist. 4/23 - 4/26 Increased tingling pain and weakness 4/27 Virtual Neurologist appointment - unable to diagnose, allows scheduling of in-person visit 4/28 Neurologist prescribed Gabapentin 300mg per day for 3 days, 300mg/3000mg for the next 3 days, 300mg/300mg/300mg per day after 4/29 - 5/3 Weakness so bad that going up and down hills or stairs is risky and painful. Only slow movements are possible. 5/4 In-person visit with Neurologist. EMG and physical test confirm peripheral system impaired. Diagnoses Guillian-Barre Syndrome and facilitates same day hospital admittance. Hospital administers steroid IV, blood tests, Chest X-Ray, Covid Nasal test. 5/5 Lumbar test performed successfully. Results show high protein consistent with Guillian-Barre. Treatments began that night for a series of 5 nightly treatments. 5/6 Tingling increased. Take 300/300/600 of Gabapentin. Leg strength improved. 5/7 - 5/9 Small improvements in leg strength and tingling. Determined PT and OT are not required. 5/10 Discharged to continue Gabapentin at home. 5/13 Tingling decreased slightly. Took Gabapentin 300/300/300 5/17 Still some tingling
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient vaccinated on 5-13-21 Moderna  as second dose.    Patient's first dose was Pfizer vaccine on 4-9-21.  She did not bring her immunization card.   She stated on COVID vaccine screening form that her first dose was Moderna.   She signed all Moderna Consent forms.   In the late afternoon on 5-13-21 Su Clinica received call from patient that 1st dose was Pfizer.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Injection site rash, Rash
Clinical narrative: Shortness of breath, rash at injection site and going down the arm
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Pruritus, Rash erythematous, Skin warm, Swelling
Clinical narrative: COVID arm.  Red rash, with hard hot swelling, itchy.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Swelling face
Clinical narrative: Pt. reported to the emergency room c/o DIARRHEA and SWELLING OF LEFT FACIAL CHEEK.  Informed dr. that he had received the MODERNA vaccine recently (10 days prior). their records did not acknowledge that the doctor identified the reaction as "allergic", but confirmed diarrhea as a diagnosis.  Dr.  informed pt. to proceed with 2nd Moderna vaccine, but to inform pharmacy of the incident so that he may be observed closely for a reaction.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain in extremity
Clinical narrative: Unbearable pain in lower back/legs
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Head discomfort, Headache, Pyrexia
Clinical narrative: High Fever - 99 to 101 °F: lasted for day and half. Intense Pressure in head and Headache: Tylenol, and ice pack had little to no effect on it. Same time schedule as other symptoms. Slight stomach sensitivity: same time schedule as other symptoms.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Fever, body aches, chills, fatigue.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Around noon, pt has redness and swelling to injection site, complains it was itchy and hurt, was given hydrocortisone cream and 1 Benadryl for relief, eval by nurse and PA
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site pain
Clinical narrative: Dizziness and headache started about 1-2 hours after shot. Felt like I was going to fall when I stood up. Last about 12 hours. Very sore arm at the injection site.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in sexual arousal
Clinical narrative: Extreme Sexual arousal with intense blood rush feeling to genitals lasting 4 days. Very uncomfortable even after intercourse.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT RECEIVED PFIZER FOR 2ND DOSE BUT MODERNA FOR 1ST DOSE.  MODERNA INFO LOT:002C21A
Age: 86.0
Sex: M
Vaccine: UNK
Symptoms: Acute respiratory distress syndrome
Clinical narrative: Currently hospitalized with ARDS
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Hypoaesthesia, Malaise, Nausea
Clinical narrative: Client received dose 1 of the Moderna COVID vaccine (lot 016C21A, exp 5/22/2021) at 1300. At 1305, patient's husband told EMT and PHN that the patient was not feeling well. Patient reported feeling anxious, nauseous, tremulous with blurry vision. Patient reported a history of syncope related to anxiety. Patient denied medical conditions or allergies. Patient takes vitamins. Vital signs: O2 99%, pulse 70, respirations 12, blood pressure 114/72. At 1310, EMT and PHN monitored patient as she transferred unassisted from the chair in the observation area to the zero-gravity recliner laying down. Patient reported she had eaten breakfast and did not work out previous to coming. At 1315, vital signs O2 99%, pulse 57, respirations 12, blood pressure 112/74. PHN offered Benadryl but patient declined. PHN encouraged patient to follow up with her provider and when to contact 911. Patient reported feeling better with symptoms improved. Patient ate a cookie, drank water, both from the vaccine site, and her own Gatorade. Patient requested to sit up, EMT positioned the patient sitting up at 1325. Patient reported mild dizziness, tingling in her feet, difficulty focusing visually, nausea returned, and new left leg numbness. Vital signs: pulse 69, O2 99%, blood pressure 118/84, respirations 12. PHN encouraged patient to drink water. Patient reported having similar reactions when anxious in the past. Patient focused on breathing and meditation to ease anxiety. Patient reported wanting to leave, PHN encouraged patient to wait for 30min since start of symptoms. Patient declined. PHN encouraged patient to follow up with her provider and when to call ED. Patient's husband left to bring the car up to the front curb. EMT walked patient out to the car. patient left walking with steady gait at 1337.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Vision blurred
Clinical narrative: Client received dose 1 of the Moderna COVID vaccine (lot 016C21A, exp 5/22/2021) at 1300. At 1305, patient's husband told EMT and PHN that the patient was not feeling well. Patient reported feeling anxious, nauseous, tremulous with blurry vision. Patient reported a history of syncope related to anxiety. Patient denied medical conditions or allergies. Patient takes vitamins. Vital signs: O2 99%, pulse 70, respirations 12, blood pressure 114/72. At 1310, EMT and PHN monitored patient as she transferred unassisted from the chair in the observation area to the zero-gravity recliner laying down. Patient reported she had eaten breakfast and did not work out previous to coming. At 1315, vital signs O2 99%, pulse 57, respirations 12, blood pressure 112/74. PHN offered Benadryl but patient declined. PHN encouraged patient to follow up with her provider and when to contact 911. Patient reported feeling better with symptoms improved. Patient ate a cookie, drank water, both from the vaccine site, and her own Gatorade. Patient requested to sit up, EMT positioned the patient sitting up at 1325. Patient reported mild dizziness, tingling in her feet, difficulty focusing visually, nausea returned, and new left leg numbness. Vital signs: pulse 69, O2 99%, blood pressure 118/84, respirations 12. PHN encouraged patient to drink water. Patient reported having similar reactions when anxious in the past. Patient focused on breathing and meditation to ease anxiety. Patient reported wanting to leave, PHN encouraged patient to wait for 30min since start of symptoms. Patient declined. PHN encouraged patient to follow up with her provider and when to call ED. Patient's husband left to bring the car up to the front curb. EMT walked patient out to the car. patient left walking with steady gait at 1337.