chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Heart rate abnormal, Mobility decreased, Pain
Clinical narrative: Moderna COVID-19 Vaccine EUA. Patient/Self reports that on Thursday, September 30, 2021 from approx. 1900 hours local: resting heartrate recorded on Whoop as "Meditation" activity (80-90bpm) while surge-like bursts at heart/chest area similar to zapping/intense electrified feeling; debilitating pain; unable to leave bed; unable to slow heart rate with focused breathing/meditation alone; moments away from calling 911; thought I was going to die.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia
Clinical narrative: This was my booster shot (3rd dose). I was fine for the first 24 hours but for hours 24-48 I had (still have but I can feel it getting better) pretty strong muscle aches, cold chills, and general fatigue. I never spiked a fever. The muscle aches were strong enough that ibuprofen was not wholly helpful.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient.
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: Cough, Flushing, Laboratory test, Pruritus, Tryptase
Clinical narrative: 10 minutes developed flushing, pruritus to face and upper extremities then progressed to severe spasmodic cough
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Myalgia, Pyrexia, Sleep disorder
Clinical narrative: Muscle aches at 10 PM September 30th.  Fever 102.6 fever, chills, muscle aches, and inability to sleep from 12:45 Am to 5Am  on October 1st. Tylenol taken at 1:45 Am, 10 Am, and 4 PM on October 1st. Some sleep between 5 to 10 Am. Some sleep between 2 to 4 pm. Muscle aches, fatigue, less chills, and fever of 101.6 still present at 4:30 PM.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough Case following full vaccination.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Diarrhoea, Head discomfort, Headache
Clinical narrative: About three hours after receiving the vacine I had a bout of explosive diarrhea. I did not correlate this with the vacine at that time. Later that evening I started to experience symptoms (chills, feeling feverish, head congestion and body aches) very similar to my first and second doses.  The next morning I woke feeling OK, did garden work for a couple hours but continued with diarrhea.  That night, Saturday the 25th I started a cough that was continous, racking, dry and sometimes productive along with a fever over 99 which is very unusual for me, and intensifing congestion, body aches, chills, diarrhea, headache.  The symptoms continued thru Monday the 27th when I called my doctor and received a tele-visit for the 28th.  When I talked to the doctor the symptoms were still coninuing at about the same intensity. I was prescribed a Azithromycin, Oseltamivir Phosphate and a decongestant.  Today, 10/1/2021 I am improving but still have times of coughing, chills and diarrhea.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Productive cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: About three hours after receiving the vacine I had a bout of explosive diarrhea. I did not correlate this with the vacine at that time. Later that evening I started to experience symptoms (chills, feeling feverish, head congestion and body aches) very similar to my first and second doses.  The next morning I woke feeling OK, did garden work for a couple hours but continued with diarrhea.  That night, Saturday the 25th I started a cough that was continous, racking, dry and sometimes productive along with a fever over 99 which is very unusual for me, and intensifing congestion, body aches, chills, diarrhea, headache.  The symptoms continued thru Monday the 27th when I called my doctor and received a tele-visit for the 28th.  When I talked to the doctor the symptoms were still coninuing at about the same intensity. I was prescribed a Azithromycin, Oseltamivir Phosphate and a decongestant.  Today, 10/1/2021 I am improving but still have times of coughing, chills and diarrhea.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: Admitted to the hospital 8/28/2021 with Covid pneumonitis - cough, SOB, hypoxia. Treated with Dexamethasone (plan 6 mg qD for 5-10D), and Remdisivir.  Submitter does not have access to any further follow up information on this case. If further information is needed, please contact:  HOSPITAL -
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Incomplete course of vaccination, Lung opacity, Pleural effusion, Pleural thickening
Clinical narrative: Admitted to the hospital 8/28/2021 with Covid pneumonitis - cough, SOB, hypoxia. Treated with Dexamethasone (plan 6 mg qD for 5-10D), and Remdisivir.  Submitter does not have access to any further follow up information on this case. If further information is needed, please contact:  HOSPITAL -
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Syncope
Clinical narrative: Admitted to the hospital 8/28/2021 with Covid pneumonitis - cough, SOB, hypoxia. Treated with Dexamethasone (plan 6 mg qD for 5-10D), and Remdisivir.  Submitter does not have access to any further follow up information on this case. If further information is needed, please contact:  HOSPITAL -
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Feeling hot, Nausea, Ventricular extrasystoles
Clinical narrative: Feeling hot, nausea, and dizziness x 4 days.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 73.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Death
Clinical narrative: Received call this morning  10/1/2021 from medical examiner that wife found patient deacesed - medical examiner states that he determinded natural causes.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Epistaxis, Fatigue
Clinical narrative: Patient presented to BWH ED on 4/11/21 with fatigue, headache, epistaxis in the setting of known covid infection. Pt was fully covid vaccinated. Pt was treated for covid and was discharged on 4/25/21.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, SARS-CoV-2 test positive
Clinical narrative: Patient presented to BWH ED on 4/11/21 with fatigue, headache, epistaxis in the setting of known covid infection. Pt was fully covid vaccinated. Pt was treated for covid and was discharged on 4/25/21.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Colonoscopy normal, Dysstasia, Endoscopy normal, Incontinence, Movement disorder
Clinical narrative: I experienced fainting while attending my prayer meeting and thought I had to go to the bathroom (vomiting/incontinence./could not get up) and an Ambulance was called to take me to the hospital and administered an IV to stop my vomiting feeling that I was experiencing. At the hospital, I was administered a COVID test and the kept me at the hospital to watch me overnight. I went to see a GI doctor and he did an coloscopy and an endoscopy. My symptoms subsided and I am continuing to take the medication that was previously prescribed for me.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test negative, Syncope, Vomiting
Clinical narrative: I experienced fainting while attending my prayer meeting and thought I had to go to the bathroom (vomiting/incontinence./could not get up) and an Ambulance was called to take me to the hospital and administered an IV to stop my vomiting feeling that I was experiencing. At the hospital, I was administered a COVID test and the kept me at the hospital to watch me overnight. I went to see a GI doctor and he did an coloscopy and an endoscopy. My symptoms subsided and I am continuing to take the medication that was previously prescribed for me.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Asthenia, Autoimmune disorder, Blood test abnormal, Epistaxis
Clinical narrative: At first I noticed weakness and fatigue. Next, when I woke up I was in pain. Everything hurt from my upper neck all the way down to my body except for my feet. My bones, joints, subcutaneous tissue, skin, and muscles hurt. I was just in a lot of pain. I had swelling, numbness, and stiffness in all of my fingers to the point to where I had difficulty using my hands. I am still having these symptoms currently and they are constant, but some days are better than others. I had went to my PCP first. She did bloodwork and said I possibly have Lupus. I have had appointments with neurologist, orthopedic hand surgeon, rheumatologist, and an oncologist. It came to the conclusion that I have an autoimmune disease. I have been having daily nosebleeds since getting the vaccine. October 1st, 2021 when I went to the doctor they said I have a perforated nasal septum which is causing the nose bleeds.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Mobility decreased, Musculoskeletal stiffness, Myalgia
Clinical narrative: At first I noticed weakness and fatigue. Next, when I woke up I was in pain. Everything hurt from my upper neck all the way down to my body except for my feet. My bones, joints, subcutaneous tissue, skin, and muscles hurt. I was just in a lot of pain. I had swelling, numbness, and stiffness in all of my fingers to the point to where I had difficulty using my hands. I am still having these symptoms currently and they are constant, but some days are better than others. I had went to my PCP first. She did bloodwork and said I possibly have Lupus. I have had appointments with neurologist, orthopedic hand surgeon, rheumatologist, and an oncologist. It came to the conclusion that I have an autoimmune disease. I have been having daily nosebleeds since getting the vaccine. October 1st, 2021 when I went to the doctor they said I have a perforated nasal septum which is causing the nose bleeds.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal septum perforation, Pain, Peripheral swelling, X-ray normal
Clinical narrative: At first I noticed weakness and fatigue. Next, when I woke up I was in pain. Everything hurt from my upper neck all the way down to my body except for my feet. My bones, joints, subcutaneous tissue, skin, and muscles hurt. I was just in a lot of pain. I had swelling, numbness, and stiffness in all of my fingers to the point to where I had difficulty using my hands. I am still having these symptoms currently and they are constant, but some days are better than others. I had went to my PCP first. She did bloodwork and said I possibly have Lupus. I have had appointments with neurologist, orthopedic hand surgeon, rheumatologist, and an oncologist. It came to the conclusion that I have an autoimmune disease. I have been having daily nosebleeds since getting the vaccine. October 1st, 2021 when I went to the doctor they said I have a perforated nasal septum which is causing the nose bleeds.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Gingival bleeding
Clinical narrative: Pt.'s Grandmother states that after receiving the 1st dose of Moderna 09/20/2021, started experiencing symptoms 09/23/2021 of dental gums bleeding * oozing. No other symptoms noted. Still continuing to experience symptoms.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Oral disorder, Pain, Pyrexia, Rash
Clinical narrative: fever, fatigue, body aches, rash on face, oral mucosa lesions
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Heart rate increased, Palpitations
Clinical narrative: 5 minutes later I had a rapid heartbeat, blood pressure was 184/113. My head got foggy and everything felt weird and I felt off. My heart felt like it was going to come out of chest.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID following full vaccination.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: At approximately 1150, patient arrived at facility. Patient reported she received a booster dose of Pfizer Covid Vaccine (LOT# FF2587, exp. 12/2021) on 09/29/21 in left arm. Patient did not have her original vaccination card for her appointment on 09/29/21. Patient brought her original vaccination card and requested facility to write her booster dose on her original vaccination card. Patient presented her original vaccination card to immunization registry staff. Immunization registry staff inspected patient's original vaccination card. Immunization registry staff immediately reported to Lead Nurse. Lead Nurse inspected original vaccination card. Patient received a 1st dose of Moderna Covid Vaccine (LOT# 007M20A, exp. 7/14/21) on 02/12/2021. Patient also received a 2nd dose of Moderna Covid Vaccine (LOT# 002B21A, exp. 09/07/21) on 03/12/2021. Immunization registry staff searched patient on immunization registry. Patient's immunization registry profile matched with patient's original vaccination card. Lead Nurse elevated situation to Vaccine Operations Leads. Vaccine Operations  reviewed incident with Lead Nurse. Staff nurse informed patient regarding incident. Staff nurse assessed patient. Patient denied itchiness, rashes, hives, difficulty swallowing, and difficulty breathing after vaccination. Patient reported fatigue and and a sore left arm after vaccination. Staff nurse educated patient on the difference between an additional and booster dose, signs/symptoms of when to seek emergency care, to sign up on v-safe, and to follow up with her primary care provider. Immunization registry staff gave patient a new vaccination card according to her immunization registry profile. At approximately 1505, patient left facility with unlabored respirations and steady gait.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Lightheadedness.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Very heavy menstrual cycle.  Many more clots than usual.  Started about a week ahead of schedule and ongoing for 7 days.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Headache, Lymphadenopathy, Myalgia
Clinical narrative: Several hours after and the rest of the day she became light head. Two falling that she had a very sore arm. Third day she severe joint pains. By the 5th the joints pains increased. The 6th day her arm hands wrist and hip are sore. On day 7 very sore muscles and every joint she felt like she been ran over by a truck. The 8th through the 10th day her joints started hurting very very bad. 11th day her hip started again  and she started getting bad headaches, and day 12 she has swollen lymph nodes and a sore throat.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity
Clinical narrative: Several hours after and the rest of the day she became light head. Two falling that she had a very sore arm. Third day she severe joint pains. By the 5th the joints pains increased. The 6th day her arm hands wrist and hip are sore. On day 7 very sore muscles and every joint she felt like she been ran over by a truck. The 8th through the 10th day her joints started hurting very very bad. 11th day her hip started again  and she started getting bad headaches, and day 12 she has swollen lymph nodes and a sore throat.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: Chills, love grade fever 99.3,   Muscle aches, tried
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Feeling hot, Flushing, Syncope, Unresponsive to stimuli
Clinical narrative: Patient was seated in observation area after receiving first dose of Pfizer Covid vaccine. Due to patient reporting reaction to tetanus shot (after receiving Covid vaccine) patient was being observed for 30 minutes. Approximately 3-5 minutes into observation period, patient started to feel hot and flushed. Heart rate was approximately 65bpm on my assessment. Patient requested to lay down, in attempt to lay down, upon standing patient became weak, and unresponsive. Patient was assisted to ground carefully, without hitting head or falling to ground. Patient maintained airway, breathing and with a pulse throughout syncopal event. Patient was unresponsive for approximately 15-20 seconds, no seizure like activity, no loss of bowel or bladder. Patient aroused, was alert, oriented x3, making jokes, denied chest pain, shortness of breath, dizziness, headache, nausea, blurred vision, or any other symptoms. Upon discussion after syncopal event, patient informed staff that every singe time he has shots or blood draws he experiences syncope, and usually has to lay down for all procedures. EMS arrived and evaluated patient, patient left vaccine clinic on EMS stretcher. Patient advised to seek further medical attention, as well as inform his PCP and Cardiologist.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Migraine, Neck pain, Pain in extremity
Clinical narrative: I do not have full range of motion in my left arm. The arm of the injection. I also have a shooting Pain uP my arm into my neck. I have also had exPeriences a migrain
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Cold sweat, Dizziness, Extra dose administered
Clinical narrative: Dizzy, light headed, facial flushing, cool/clammy, fever, severe body aches/ joint pain/ muscle pain/ migraines/ nausea/ abdominal pain  Home care with rest/fluids/meds  Today 10/1 is the first back to normal day
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Migraine, Myalgia, Nausea, Pain
Clinical narrative: Dizzy, light headed, facial flushing, cool/clammy, fever, severe body aches/ joint pain/ muscle pain/ migraines/ nausea/ abdominal pain  Home care with rest/fluids/meds  Today 10/1 is the first back to normal day
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Dizzy, light headed, facial flushing, cool/clammy, fever, severe body aches/ joint pain/ muscle pain/ migraines/ nausea/ abdominal pain  Home care with rest/fluids/meds  Today 10/1 is the first back to normal day
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Musculoskeletal discomfort
Clinical narrative: Inflammation of neck linphatic nodes and discomfort that lasted for 72 hrs. Recurring body fatigue almost daily for the last 3 weeks after the shot.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Blister, Chills, Condition aggravated, Cough
Clinical narrative: Soreness at injection site, asthma began to flare, nausea, light headed, feeling of being in slow motion, shivers, headache, congested nasal and chest, bronchial cough, lips began to swell, diarreah, laryngitis, shortness of breath, elevated heart rate, extreme fatigue. On the 9th day arm began to swell with blistering, took Benadryl.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Fatigue, Headache
Clinical narrative: Soreness at injection site, asthma began to flare, nausea, light headed, feeling of being in slow motion, shivers, headache, congested nasal and chest, bronchial cough, lips began to swell, diarreah, laryngitis, shortness of breath, elevated heart rate, extreme fatigue. On the 9th day arm began to swell with blistering, took Benadryl.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Influenza virus test negative, Injection site pain, Laryngitis, Lip swelling
Clinical narrative: Soreness at injection site, asthma began to flare, nausea, light headed, feeling of being in slow motion, shivers, headache, congested nasal and chest, bronchial cough, lips began to swell, diarreah, laryngitis, shortness of breath, elevated heart rate, extreme fatigue. On the 9th day arm began to swell with blistering, took Benadryl.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea, Peripheral swelling, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: Soreness at injection site, asthma began to flare, nausea, light headed, feeling of being in slow motion, shivers, headache, congested nasal and chest, bronchial cough, lips began to swell, diarreah, laryngitis, shortness of breath, elevated heart rate, extreme fatigue. On the 9th day arm began to swell with blistering, took Benadryl.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received more than one type of COVID-19 vaccine. They received one dose of Moderna 4/14/2021, then one dose of Janssen 9/30/2021.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Patient was vaccinated with the high dose flu vaccine when she was supposed to receive the regular dose vaccine.  Pt was vaccinated by a licensed APRN. Patient was immediately made aware of the vaccine administration error. Pt verbalized understanding.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Neck pain, Pain
Clinical narrative: Severe body aches, injection arm pain, jaw, neck and tooth pain.  Fever 101. Chills. Headache.  Symptoms began 20 hours post-vaccine. Resolved 20 hours after onset of symptoms, except for residual fatigue.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pain in jaw, Pyrexia, Toothache
Clinical narrative: Severe body aches, injection arm pain, jaw, neck and tooth pain.  Fever 101. Chills. Headache.  Symptoms began 20 hours post-vaccine. Resolved 20 hours after onset of symptoms, except for residual fatigue.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Heart rate increased, Nausea
Clinical narrative: I started to get headaches and slightly distorted vision after the first vaccine. I had some nausea and dizzy spells. With the second dose I had nausea that would not stop and dizzy spells. They both started severely after the vaccine. I had COVID in December and I had bad headaches and vomited 27 times in one day. I went to clinic to help the symptoms. I also get random spikes in blood pressure and heart rate.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated, tested positive 9/29/21
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine affected by temperature excursion administered to the patient
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Ear disorder, Vertigo positional
Clinical narrative: I get vertigo (BPPV) every time I put my head back too far. Have to do the Epley maneuver to feel better. Both ears are affected.  This is still happening.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiopulmonary failure, Death, Dementia
Clinical narrative: Death due to COVID-19 , CARDIORESPIRATORY FAILURE, DEMENTIA
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PATIENT HAD PFIZER VACCINE,  Dose 1 date: 12/23/2020,  Dose 2 date: 01/13/2021, AND TESTED POSITIVE TO COVID.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: MMRV (Proquad Vaccine) administered to patient in error.  Patient scheduled to receive MMR and Varicella.  This gave patient double dose of Varicella.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dyspnoea exertional, Exophthalmos, Fatigue, Headache
Clinical narrative: Very bad headache for 3 weeks now with no relief. Extreme fatigue - so severe I pass out with no warning once, sometimes twice a day. Eyes feel as if they are going to pop out of my head, feel as if they are bulging out of my head and it never stops. Documented high blood pressure from both home monitoring and physician monitoring. Very difficult to think straight and lose track of actions and thoughts, lack of concentration and ability to focus. Shortness of breath when moving (walking, carrying, etc).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Loss of consciousness, Mental impairment
Clinical narrative: Very bad headache for 3 weeks now with no relief. Extreme fatigue - so severe I pass out with no warning once, sometimes twice a day. Eyes feel as if they are going to pop out of my head, feel as if they are bulging out of my head and it never stops. Documented high blood pressure from both home monitoring and physician monitoring. Very difficult to think straight and lose track of actions and thoughts, lack of concentration and ability to focus. Shortness of breath when moving (walking, carrying, etc).
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Headache, injection site pain, tiredness, chills, fever, injection site redness, vomit, arm pain
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Headache, injection site pain, tiredness, chills, fever, injection site redness, vomit, arm pain
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Medication administered without being mixed with saline. Patient informed to watch for additional adverse effects.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Glomerular filtration rate decreased
Clinical narrative: blood work results 04/20/2021- GFR rate = 46.1 . Prior GFR rate 11/24/2020 was 56.9 . Subsequent testing on 05/21/2021, GFR rate = 56.9 and on 08/20/2021 GFR rate =50.8  Treatment between April and May blood work was to stop the Metformin and the Ramipril After the May blood work both drugs were resumed at the prior dosing.  Action was a referral to a nephrologist, kidney doctor.  Onset occurred  09/14/2021 ( that's when we became aware it , date of consult.) No, have not recovered from the AEs because the blood work is coming back low again.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Diarrhoea, Nausea, SARS-CoV-2 test positive
Clinical narrative: Patient presented to ED on 4/11/21 with abdominal pain, nausea, and diarrhea. Patient was tested positive for covid in Dec 2020 and received 5 day course of remdesivir.  Patient tested positive for covid on 4/13 during admission. Patient was discharged on 4/14/21.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Ear pain, Headache, Hypoaesthesia, Injection site pain
Clinical narrative: Patient reports received Moderna covid vaccination #1 in RT arm a Clinic on 9/29/21, reports RT arm and RT neck pain day 9/29.  Reports 9/30 and 10/1 symptoms include headache; RT upper arm injection site pain and swelling; RT neck and ear pain; numbness Rt face and from RT upper arm to RT hand; swollen lymph nodes RT side of neck; not feeling well. EE reports palpitations and anxiety secondary to symptoms. EE denies difficulty breathing, speaking, or swallowing.  EE advised to seek medical care and notify clinic.  outcome pending
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Lymphadenopathy, Malaise, Neck pain, Pain in extremity
Clinical narrative: Patient reports received Moderna covid vaccination #1 in RT arm a Clinic on 9/29/21, reports RT arm and RT neck pain day 9/29.  Reports 9/30 and 10/1 symptoms include headache; RT upper arm injection site pain and swelling; RT neck and ear pain; numbness Rt face and from RT upper arm to RT hand; swollen lymph nodes RT side of neck; not feeling well. EE reports palpitations and anxiety secondary to symptoms. EE denies difficulty breathing, speaking, or swallowing.  EE advised to seek medical care and notify clinic.  outcome pending
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Patient reports received Moderna covid vaccination #1 in RT arm a Clinic on 9/29/21, reports RT arm and RT neck pain day 9/29.  Reports 9/30 and 10/1 symptoms include headache; RT upper arm injection site pain and swelling; RT neck and ear pain; numbness Rt face and from RT upper arm to RT hand; swollen lymph nodes RT side of neck; not feeling well. EE reports palpitations and anxiety secondary to symptoms. EE denies difficulty breathing, speaking, or swallowing.  EE advised to seek medical care and notify clinic.  outcome pending
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given a vaccine that had expired 7 days ago.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Diarrhoea, Fatigue, Feeling hot, Headache
Clinical narrative: Headache; Chest Pressure; Warm Body; Sweats 2 nights while sleeping; Diarrhea; Fatigue.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, SARS-CoV-2 test negative
Clinical narrative: Headache; Chest Pressure; Warm Body; Sweats 2 nights while sleeping; Diarrhea; Fatigue.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Back pain, Condition aggravated, Laboratory test, Magnetic resonance imaging
Clinical narrative: sever low back pain after all 3 immunizations.  After first dose resolved after steroids, after second dose resolved after corisone injections in low back.  STill experiencing low back pain after 3rd dose.  Required ER visit for pain managemnet, steroids, morphone, L5 epidural and repeating L5-S1 epidural on Tuesday.  Not 100% sure if this is an adverse reaction to the vaccine but it is coincidental I had low back pain with in a week of all 3 immunizations and have not had any injury to my low back.  I  suspect the immunization caused an autoimmune flare.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site reaction, Muscle twitching
Clinical narrative: Patient called at 1330 and stated she got the shot earlier today at 1000. The site of injection started twitching around1320 and called to see if it is normal. I spoke to the patient and stated that it is not a common side effect. Patient stated there is no history of this occurring and has ahd flu shots before with no issues. I advised patient to take ibuprofen or tylenol and drink water. If symptoms persist, follow up with MD.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Nerve injury, Paraesthesia, Peripheral swelling
Clinical narrative: patient is complaining of swelling, tingling and numbness in her right ar.  Still continuing today.  Dr. has told her that there is nerve damage but no testing was completed
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site discomfort, Limb discomfort, Paraesthesia, Peripheral vascular disorder
Clinical narrative: patient is complaining of swelling, tingling and numbness in her right ar.  Still continuing today.  Dr. has told her that there is nerve damage but no testing was completed
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain
Clinical narrative: less than 24 hours after receiving vaccination arm numbness and severe pain started.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Electrocardiogram, N-terminal prohormone brain natriuretic peptide increased, Pain, Pericarditis
Clinical narrative: pericarditis diagnosed on 9/13/21 - treated with ibuprofen, famotidine, and colchicine with resolution of pain and normalization of labs, resolution of pain in 24 hours
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin T increased
Clinical narrative: pericarditis diagnosed on 9/13/21 - treated with ibuprofen, famotidine, and colchicine with resolution of pain and normalization of labs, resolution of pain in 24 hours
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Myocarditis
Clinical narrative: Myocarditis symptoms (heart arrhythmias) when heart rate became elevated due to exercise. This lasted about a month and a half after the second vaccine dose.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: SHINGLES.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Three day later, I started having left leg pain. It is a sharp pain towards the bone. It is my whole leg that feels like that. It is still there today but not as bad. It is a dull pain now.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: LEFT ARM WHICH SHE GOT AN INJECTION IN DEVELOPED A RASH APPROXIMATELY ~5 IN FROM BELOW THE INSIDE OF ELBOW TO WRIST. NO TROUBLE BREATHING, NO SWELLING. FLAT RED RASH, NOT HIVES, NOT ITCHY, NOT PAINFUL OR BOTHERSOME.  NO PREVIOUS REACTIONS TO PREVIOUS DOSES OF PFIZER NOTICED IT ABOUT 1 HOUR AND 15 MIN AFTER THE INJECTION.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Chest X-ray normal, Chest pain, Dyspnoea, Electrocardiogram normal
Clinical narrative: Chest pain and sob 3 days after receiving second dose of moderna covid vaccine
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Troponin normal
Clinical narrative: Chest pain and sob 3 days after receiving second dose of moderna covid vaccine
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Given vaccine at 11-55 by 12-00 was reported feeling a light headed. Was given water and some crackers. Assisted to mat on floor, elevated feet on chair,ice pack to neck front and back.   B/P 118/68  P-68.With in 5 minutes he reported feeling better, said he had not eaten all day thought crackers and water helped a lot.Was kept for 35 minutes to make sure he was feeling better.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site indentation
Clinical narrative: Within one month of the second shot, I noticed an indention in my left arm where the two vaccines were given. It is a rather large indention where presumably the muscle is atrophied. I was checked out by my employer's Occupational Health Clinic. They did not recommend a treatment at this time. There's no pain or limitation in mobility in this arm. However, there is an obvious indention. It remains there today but has not gotten any worse than the first time I noticed it.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PATIENT HAD PFIZER VACCIINE ON 12/22/2020 & 01/12/2020, AND TESTED POSITIVE TO COVID.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, Fatigue, Head discomfort
Clinical narrative: ADMINISTRATION ERROR : Pt. states that after receiving the 1st dose of Phizer 10/01/2021, was notified of  EXPIRATION DATE : 09/26/2021 for Phizer Dosage given 10/01/2021. Experiencing heavy headiness' and fatigue.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: ADMINISTRATION ERROR : Pt. states that after receiving the 1st dose of Phizer 10/01/2021, was notified of  EXPIRATION DATE : 09/26/2021 for Phizer Dosage given 10/01/2021. Experiencing heavy headiness' and fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis
Clinical narrative: 14mins post vaccination pt c/o flushing/sweating.  Vitals: BP 129/72, HR 85, RR 18, Temp 97.3F Symptoms resolved.  Pt stable and released from the vaccination site.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: shingles
Age: 17.0
Sex: M
Vaccine: FLU4, MENB
Symptoms: Injection site erythema, Injection site swelling, Pain, Pyrexia, Skin warm
Clinical narrative: Swelling and redness at injection site. Warm to the touch. Low grade fever and achy. Seen in office today. Instructed to take scheduled ibuprofen and cool compress to site.  If progresses/worsens stop ibuprofen and begin medrol dose pack.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19 Test while fully vaccinated.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Injection site induration, Injection site pruritus, Injection site reaction
Clinical narrative: 1. Day after vaccine administered, Had headache 2. 2nd day after vaccine administered had headache and ears ringing 3. 7 days after vaccine administered in pm,  a red raised patch appeared on arm around injection site.  Felt hard and hot to the touch and became itchy. 4. 8th day after vaccine administered in am had slight fever, runny nose, breathing a bit impaired, a red raised itchy patch around injection site and an itchy rash in small patches on face, neck. and arms.    5.  9th day finally got the OK from doctor hat Benadryl was OK to take.  Started Benadryl late PM 2 ea 25 mg tablets 6. 10th day after vaccine administered, Found itch relief, reduced swelling of red raised area, and small rash patches diminished. continued Benadryl at 1 ea 25 mg tab every 4 hours and will continue until small rashes are gone.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pyrexia, Rash erythematous, Rash pruritic, Rhinorrhoea
Clinical narrative: 1. Day after vaccine administered, Had headache 2. 2nd day after vaccine administered had headache and ears ringing 3. 7 days after vaccine administered in pm,  a red raised patch appeared on arm around injection site.  Felt hard and hot to the touch and became itchy. 4. 8th day after vaccine administered in am had slight fever, runny nose, breathing a bit impaired, a red raised itchy patch around injection site and an itchy rash in small patches on face, neck. and arms.    5.  9th day finally got the OK from doctor hat Benadryl was OK to take.  Started Benadryl late PM 2 ea 25 mg tablets 6. 10th day after vaccine administered, Found itch relief, reduced swelling of red raised area, and small rash patches diminished. continued Benadryl at 1 ea 25 mg tab every 4 hours and will continue until small rashes are gone.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: 1. Day after vaccine administered, Had headache 2. 2nd day after vaccine administered had headache and ears ringing 3. 7 days after vaccine administered in pm,  a red raised patch appeared on arm around injection site.  Felt hard and hot to the touch and became itchy. 4. 8th day after vaccine administered in am had slight fever, runny nose, breathing a bit impaired, a red raised itchy patch around injection site and an itchy rash in small patches on face, neck. and arms.    5.  9th day finally got the OK from doctor hat Benadryl was OK to take.  Started Benadryl late PM 2 ea 25 mg tablets 6. 10th day after vaccine administered, Found itch relief, reduced swelling of red raised area, and small rash patches diminished. continued Benadryl at 1 ea 25 mg tab every 4 hours and will continue until small rashes are gone.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Headache, Insomnia, Pain, Pyrexia
Clinical narrative: Unable to sleep, 1 day after vaccine began to have body aches and weakness. Fever of 101, headaches. Took Aleve.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood urine, Haematochezia
Clinical narrative: Received Pfizer vaccine (1st dose) 9/30/21 about 7:40am. Experienced LUQ pain before bowel movement. Normal stool with bright red blood and small blood clots when wiping. Used the bathroom after that (urinate) wiped and still saw bright red blood.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Paraesthesia
Clinical narrative: Severe, debilitating, agonizing pain in left shoulder and numbness and tingling in left arm.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Breast tenderness, Dyspepsia, Fatigue, Food aversion
Clinical narrative: Started with a headache and that has still lasted through until present day. I started feeling fatigue and that has also lasted - I'm still having issues with that. Indigestion - that has since lessened. I still have it but not as often. That really started dropping off about two weeks ago - early September, around the 7th or so (the indigestion). Breast sensitivity - but any temperature change at all would affect both of my breasts. That lasted for a month or three weeks or so. Food aversion - stomach was growling but no food sounded appetizing at all - that lasted for about a month. Then around August 25, I started having midline pelvic pain and I questioned whether or not I was pregnant and so I stopped taking my birth control and then consulted my doctor. The doctor called it sinusitis - he said that I had inflammation of nasal cavities. I completed the antibiotic - I completed that on September 7 (the day I went and got my second COVID shot) and still had all of those symptoms. He is counting that as a failed treatment.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pelvic pain, Sinusitis, Thyroid function test normal
Clinical narrative: Started with a headache and that has still lasted through until present day. I started feeling fatigue and that has also lasted - I'm still having issues with that. Indigestion - that has since lessened. I still have it but not as often. That really started dropping off about two weeks ago - early September, around the 7th or so (the indigestion). Breast sensitivity - but any temperature change at all would affect both of my breasts. That lasted for a month or three weeks or so. Food aversion - stomach was growling but no food sounded appetizing at all - that lasted for about a month. Then around August 25, I started having midline pelvic pain and I questioned whether or not I was pregnant and so I stopped taking my birth control and then consulted my doctor. The doctor called it sinusitis - he said that I had inflammation of nasal cavities. I completed the antibiotic - I completed that on September 7 (the day I went and got my second COVID shot) and still had all of those symptoms. He is counting that as a failed treatment.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Fatigue, Feeding disorder, Hyperpyrexia
Clinical narrative: High fever,  throwing up;  severe body aches, diarrhea; not able to eat for 24 hours; extreme fatigue; very weak for 24 hours  and fatigue for 48 to 72 hours afterwards
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vomiting
Clinical narrative: High fever,  throwing up;  severe body aches, diarrhea; not able to eat for 24 hours; extreme fatigue; very weak for 24 hours  and fatigue for 48 to 72 hours afterwards
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Chronic Urticaria starting localized at the base of the head and shoulders then progressively moving to trunk, then extremities. Urticaria locations are random differentiating from day to day.  Time has been approximately 5 months. I have completed a steroid regiment and 2 months of antihistamines. Symptoms have not resolved. Previously no skin issues declared , no medications prior, and no allergies prior. No other symptoms.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Facial swelling - below both eyes, right jawline, right cheek, right ear lobe
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Feeling abnormal, Hypoaesthesia, Lip swelling
Clinical narrative: This RN administered Pfizer vaccine in her left deltoid. Patient advised to wait 30 minutes for observation due to history of allergies. Approximately 10 minutes later the patient reported she didn't feel good and felt like she couldn't breathe. Epi Pen administered in left quadricep. 911 called. The patient reported her lips were swollen, her hands and legs were going numb. the patient did not loose remained A&Ox4. Doctor arrived and assessed the patient auscultating her heart and lungs. This RN obtained her 02 sat of 99% and HR of 127. The fire department arrived; assessed the patient followed by the ambulance. The patient reported she regained feeling in her hands and legs.  The patient was transported to hospital.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Paraesthesia
Clinical narrative: This RN administered Pfizer vaccine in her left deltoid. Patient advised to wait 30 minutes for observation due to history of allergies. Approximately 10 minutes later the patient reported she didn't feel good and felt like she couldn't breathe. Epi Pen administered in left quadricep. 911 called. The patient reported her lips were swollen, her hands and legs were going numb. the patient did not loose remained A&Ox4. Doctor arrived and assessed the patient auscultating her heart and lungs. This RN obtained her 02 sat of 99% and HR of 127. The fire department arrived; assessed the patient followed by the ambulance. The patient reported she regained feeling in her hands and legs.  The patient was transported to hospital.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary thrombosis
Clinical narrative: Pt was admitted to local Hospital 08/26/21 with blood clots in each lung.