chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dry mouth, Dyspnoea, Erythema, Feeling hot
Clinical narrative: After about 7-10 minutes I began to feel warm. The nurse asked me to remove my mask and I had a rash and hives on my neck, face and chest. I was taken to a room and given Benadryl and ice packs while my vitals were monitored. My ear turned bright read and burned so badly that they had to get ice for my ears as well. I was shaking and felt dizzy. After 15 minutes I was feeling worse and my ears were on fire. After listening to my chest the nurse called for an ambulance in case she needed to administer an epi pen. The ambulance arrived and I was taken out to be evaluated. This was around 40 minutes after being given Benadryl and it began to work. I was advised that being seen at the hospital would be a good idea but that all my vitals were back to normal but the rash and hives were still there. I decided not to go to the hospital and to see if the Benadryl continue to work. After about 1.5 hours after Benadryl my hives and rash have gone away mostly.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nervousness, Paraesthesia oral, Urticaria
Clinical narrative: After about 7-10 minutes I began to feel warm. The nurse asked me to remove my mask and I had a rash and hives on my neck, face and chest. I was taken to a room and given Benadryl and ice packs while my vitals were monitored. My ear turned bright read and burned so badly that they had to get ice for my ears as well. I was shaking and felt dizzy. After 15 minutes I was feeling worse and my ears were on fire. After listening to my chest the nurse called for an ambulance in case she needed to administer an epi pen. The ambulance arrived and I was taken out to be evaluated. This was around 40 minutes after being given Benadryl and it began to work. I was advised that being seen at the hospital would be a good idea but that all my vitals were back to normal but the rash and hives were still there. I decided not to go to the hospital and to see if the Benadryl continue to work. After about 1.5 hours after Benadryl my hives and rash have gone away mostly.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site injury, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Red lesion about 1/2 inch round at the injection site,  2 days after my 2nd vaccine.  There is swelling, itching, (which has resolved),  and tenderness at the site. I had no such reaction with the 1st Moderna vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Pruritus, Rash pruritic
Clinical narrative: After the shot it became bruised in the area for 3 days. Soon after coming home there became itchy spots, after two more days my legs were also itchy. Only after 10 days did these symptoms go away
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site reaction, Pruritus, Skin warm
Clinical narrative: Red patch of skin at injection site. Warn and itchy
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chills, Condition aggravated, Diplopia, Headache
Clinical narrative: Shot 3/3/2021 9:05am, headache started around 7:00pm, overnight also had fever and chills. 3/4-Headache and fever continued, also had nausea and vomiting. On 3/5/3021, other symptoms resolved, but woke with double vision due to 6th cranial nerve palsy. This is the fourth acute occurrence of the nerve palsy. As of today, 4/2/2021, the double vision is still acutely present.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Microvascular cranial nerve palsy, Nausea, Pyrexia, Vomiting
Clinical narrative: Shot 3/3/2021 9:05am, headache started around 7:00pm, overnight also had fever and chills. 3/4-Headache and fever continued, also had nausea and vomiting. On 3/5/3021, other symptoms resolved, but woke with double vision due to 6th cranial nerve palsy. This is the fourth acute occurrence of the nerve palsy. As of today, 4/2/2021, the double vision is still acutely present.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Death
Clinical narrative: Patient died of a cerebral hemorrhage on 3/15/2021 at 11:30 AM.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Head discomfort, Pain
Clinical narrative: Fatigue, full body aches, head felt full and hot and heavy but had no fever or congestion. This was after the second shot. This lasted from the evening on the day I got the second dose through the next two days.   (Also, after the first shot on the 26th of Feb I had a short bout of intense nausea that came and went quickly the same day I got the shot but later in the evening.)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site urticaria, Pain, Swelling
Clinical narrative: Pain, swelling, hive around injection site, headache, fatigue
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Ear discomfort, Ear pain, Pain, Tinnitus
Clinical narrative: Mild ear pain/discomfort in left ear and slight ringing in ear. Chewing exasperates the pain/discomfort.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site rash, Mobility decreased, Nodule, Pain
Clinical narrative: Very sore all over my body  Extremely tired Large knot in my arm Rash at injection site  Unable to use arm
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Nightmare, Sleep disorder
Clinical narrative: Cannot stay asleep. Waking up every 2 hours with vivid nightmares for 5 straight days and counting. Feeling terrible every 2 hours I wake up like an alarm bell during middle of REM sleep or taking a 2 hour nap in the afternoon.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Insomnia
Clinical narrative: Cannot stay asleep. Waking up every 2 hours with vivid nightmares for 5 straight days and counting. Feeling terrible every 2 hours I wake up like an alarm bell during middle of REM sleep or taking a 2 hour nap in the afternoon.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Severe fatigue, 100 degree fever, intense chills and shivering. All began at approximately 5pm (6 hours after receiving vaccine) and continued until approximately 5pm the following day.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever and achiness
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: Last night (April 1), my lower hips and back started hurting (9/10). This morning when I woke up the injection site is raised, red, and warm to the touch.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular
Clinical narrative: Last night (April 1), my lower hips and back started hurting (9/10). This morning when I woke up the injection site is raised, red, and warm to the touch.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeding disorder, Headache, Hypersomnia, Injection site pain
Clinical narrative: The morning after the second dose, I woke up with 104 F temperature, chills, massive headache and pain at the injection site.  Took Tylenol every 4 hours all day long - fever, chills and headache did not stop.  Had to spend all day in bed, could not eat, had to get someone to take care of my children - literally could not stay awake or function.  Next day I woke up feverish and with a mild headache, Tylenol worked and I was able to function although I did not feel completely well.  At night the fever came back and also pain in the back of the neck.  Fever was not as bad as the day before.  Today, Woke up with headache, tylenol worked and I am functional.  No fever.    The pain at site injection is reseeding; it was sore and lymph nodes of arm pit are still swollen but it does not bother me.  The other symptoms were scary.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Lymphadenopathy, Malaise, Neck pain, Pyrexia
Clinical narrative: The morning after the second dose, I woke up with 104 F temperature, chills, massive headache and pain at the injection site.  Took Tylenol every 4 hours all day long - fever, chills and headache did not stop.  Had to spend all day in bed, could not eat, had to get someone to take care of my children - literally could not stay awake or function.  Next day I woke up feverish and with a mild headache, Tylenol worked and I was able to function although I did not feel completely well.  At night the fever came back and also pain in the back of the neck.  Fever was not as bad as the day before.  Today, Woke up with headache, tylenol worked and I am functional.  No fever.    The pain at site injection is reseeding; it was sore and lymph nodes of arm pit are still swollen but it does not bother me.  The other symptoms were scary.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Injection site pruritus, Nausea, Pain in extremity
Clinical narrative: 3 days after vaccine - severe pain in lower stomach( feeling like labor pains), which traveled to feet.  Chills and nausea Continuing and present  Severe Itching at the area of the Vaccine shot  (right arm.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Soreness on the left arm, Fatigué, Fever with chills remained for 2 days; readings ranged from 99.9F - 101F
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: Body aches and fatigue, lasted around 12 hours.  Advil taken for discomfort
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Influenza like illness, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Shot immediately started stinging.  My upper arm swelled with a hard ridge about 3 inches long and 1 inch wide.  Extremely painful.  Could barely raise my arm and could not sleep on that side or tolerate even soft touch of my entire upper arm.  No other reaction that seemed like an allergic response.  I did get very sick for 2 days with severe flu symptoms and strange shooting pains in random parts of my body.  Enough pain to wake me from a sound sleep.  Bad chills, but no fever. I did. I give my legs seemed swollen for about 3 days.   I got the J&J vaccine on 3-6-21 and my arm is still swollen with a slightly smaller hard and painful ridge at the injection site and it sometimes throbs and itches severely.  Today is 4-2-21.  Starting to wonder if it will ever go away.  I still cannot sleep on that side.  The pain overall is less, but it still throbs and itches periodically throughout the day.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Mobility decreased, Pain, Peripheral swelling, Sleep disorder
Clinical narrative: Shot immediately started stinging.  My upper arm swelled with a hard ridge about 3 inches long and 1 inch wide.  Extremely painful.  Could barely raise my arm and could not sleep on that side or tolerate even soft touch of my entire upper arm.  No other reaction that seemed like an allergic response.  I did get very sick for 2 days with severe flu symptoms and strange shooting pains in random parts of my body.  Enough pain to wake me from a sound sleep.  Bad chills, but no fever. I did. I give my legs seemed swollen for about 3 days.   I got the J&J vaccine on 3-6-21 and my arm is still swollen with a slightly smaller hard and painful ridge at the injection site and it sometimes throbs and itches severely.  Today is 4-2-21.  Starting to wonder if it will ever go away.  I still cannot sleep on that side.  The pain overall is less, but it still throbs and itches periodically throughout the day.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Pain in extremity
Clinical narrative: Monday 3/29/2021 at 9:00 am received the second Moderna vaccine.   After 5:00pm, pain started at the injection location followed by body chills. Tuesday & Wednesday 3/30-31/2021:  Arm pain, body chills, and joint pains. Thursday 4/1/2021: light arm pain, on and off body chills, joint pains, and fatigue. The second shot?s symptoms were less severe  than the first shot.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Facial pain, Headache, Lethargy, Neck pain
Clinical narrative: Onset approximately 12 hours after vaccine. Extreme body aches, arm pain and swelling, extreme chills, head, neck and facial pain, and fever that lasted for 3 days.  lethargic, could not warm up, shivering
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Swelling
Clinical narrative: Onset approximately 12 hours after vaccine. Extreme body aches, arm pain and swelling, extreme chills, head, neck and facial pain, and fever that lasted for 3 days.  lethargic, could not warm up, shivering
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Musculoskeletal stiffness, Myalgia
Clinical narrative: Severe muscle pain,  weakness and stiffness. Lasted 6 days Treated with antihistamines
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: Headache, sore arm, dizzy, fatigue, nausea
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Injection site pruritus
Clinical narrative: Headache, 20 hours, onset after 10 hours Injection Site Pain, 72 hours, onset after 10 hours Injection Site Itch, onset after 72 hours
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fear, Headache, Vomiting
Clinical narrative: Blinding headaches, throwing up, chills, fever, dizziness.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dizziness, Injection site abscess, Loss of consciousness
Clinical narrative: Arm where shot was given  was very sore for 4 days. 14 hours after shot, I felt faint and passed out briefly.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient received vaccine and about 10 minutes after administration experienced syncope. She recovered well within the following 30 minutes and her husband took her home after the fire department monitored her.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling
Clinical narrative: Severe swelling of feet and legs. Began early morning and has continued through the day. No treatment provided as of yet as I am seeing if it will calm down. If not will call health care professional. Swelling is so bad I can't even get socks nor shoes on. Painful to bear weight
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Initial sore injection site 6 hours after injection, slight headache 12 hours after,  slight chills 16 hours after, tiredness and muscle pain 20 hours after and lasting 24 hours, red rash on front torso just below the breasts running in a 2-3 inch wide strip from left side to right side 36 hours after and lasting for 24 hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Initial sore injection site 6 hours after injection, slight headache 12 hours after,  slight chills 16 hours after, tiredness and muscle pain 20 hours after and lasting 24 hours, red rash on front torso just below the breasts running in a 2-3 inch wide strip from left side to right side 36 hours after and lasting for 24 hours.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pain in extremity
Clinical narrative: I experienced arm pain with the onset of body chills occurring several hours later after the initial shot. Also experienced a dull headache and muscle pain all over the body that eventually subsided a day after the shot. Also experiencing fatigue.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Mass, Peripheral swelling
Clinical narrative: Swelling, big lump in arm
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: I received my second dose of the COVID 19 Moderna vaccine on Tuesday morning. By Tuesday night I started to have virtually every side effect that Moderna listed including; fatigue, headache, muscle pain, joint pain, chills, nausea and vomiting, and extreme fever. The next morning as I woke up in attempt tp get ready for work, I was not feeling any better and began to feel light headed, and felt the need to vomit. As I had the feeling of needing to vomit, I turned to do so and fainted. From accounts by my family, I was told I woke up, and quickly passed out a second time. As I was awoken, there was probably a minute before I fainted for a third time. All three times I was told I lost consciousness. I was awoken and by that point my family had contacted emergency responders. Paramedics arrived and took all necessary vitals. I did not pass out after that third time. As I expected all side effects Moderna listed, I did not expect to feel as bad as I did and I thought it was worth reporting what happened to be the next day. It caused a panic and I was scared and nervous as I was unsure why that was happening. I've tried to look up articles and links between passing out and the vaccine and all I can find is people fainting as they get the vaccine (which is common for any shot) but nothing for fainting that long after the vaccine was administered. I just wanted to report my incident.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of consciousness, Myalgia, Nervousness, Panic reaction
Clinical narrative: I received my second dose of the COVID 19 Moderna vaccine on Tuesday morning. By Tuesday night I started to have virtually every side effect that Moderna listed including; fatigue, headache, muscle pain, joint pain, chills, nausea and vomiting, and extreme fever. The next morning as I woke up in attempt tp get ready for work, I was not feeling any better and began to feel light headed, and felt the need to vomit. As I had the feeling of needing to vomit, I turned to do so and fainted. From accounts by my family, I was told I woke up, and quickly passed out a second time. As I was awoken, there was probably a minute before I fainted for a third time. All three times I was told I lost consciousness. I was awoken and by that point my family had contacted emergency responders. Paramedics arrived and took all necessary vitals. I did not pass out after that third time. As I expected all side effects Moderna listed, I did not expect to feel as bad as I did and I thought it was worth reporting what happened to be the next day. It caused a panic and I was scared and nervous as I was unsure why that was happening. I've tried to look up articles and links between passing out and the vaccine and all I can find is people fainting as they get the vaccine (which is common for any shot) but nothing for fainting that long after the vaccine was administered. I just wanted to report my incident.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Syncope, Vomiting
Clinical narrative: I received my second dose of the COVID 19 Moderna vaccine on Tuesday morning. By Tuesday night I started to have virtually every side effect that Moderna listed including; fatigue, headache, muscle pain, joint pain, chills, nausea and vomiting, and extreme fever. The next morning as I woke up in attempt tp get ready for work, I was not feeling any better and began to feel light headed, and felt the need to vomit. As I had the feeling of needing to vomit, I turned to do so and fainted. From accounts by my family, I was told I woke up, and quickly passed out a second time. As I was awoken, there was probably a minute before I fainted for a third time. All three times I was told I lost consciousness. I was awoken and by that point my family had contacted emergency responders. Paramedics arrived and took all necessary vitals. I did not pass out after that third time. As I expected all side effects Moderna listed, I did not expect to feel as bad as I did and I thought it was worth reporting what happened to be the next day. It caused a panic and I was scared and nervous as I was unsure why that was happening. I've tried to look up articles and links between passing out and the vaccine and all I can find is people fainting as they get the vaccine (which is common for any shot) but nothing for fainting that long after the vaccine was administered. I just wanted to report my incident.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Hot flush, Hyperhidrosis, Hypotension
Clinical narrative: Within 20 minutes of vaccine dose, patient developed a rapid heart rate, poor blood pressure, hot flashes/sweating, shortness of breath and was sent to the ER. Patient received fluids and monitoring; was discharged 3-4 hrs later.  30 minutes after discharge, patient returned to ER with throat swelling and shortness of breath -- > discharged 4 hrs later on Benedryl and steroids (with prescription to continue prednisone Dosepak, Pepcid, and Benadryl).
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling
Clinical narrative: Within 20 minutes of vaccine dose, patient developed a rapid heart rate, poor blood pressure, hot flashes/sweating, shortness of breath and was sent to the ER. Patient received fluids and monitoring; was discharged 3-4 hrs later.  30 minutes after discharge, patient returned to ER with throat swelling and shortness of breath -- > discharged 4 hrs later on Benedryl and steroids (with prescription to continue prednisone Dosepak, Pepcid, and Benadryl).
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Fatigue, Headache, Lip exfoliation
Clinical narrative: I came home after the vaccine and had the expected fatigue, headache and weakness.  I drank plenty of water and took a nap.  When I awoke, my tinnitus in my right ear was so severe and pulsating, it was so much louder than ever in my life.  It was unbearable.  It has gotten a little better but is still much worse than before the vaccine. Also, this evening, my lips are peeling and I have sores in my mouth.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pain
Clinical narrative: I came home after the vaccine and had the expected fatigue, headache and weakness.  I drank plenty of water and took a nap.  When I awoke, my tinnitus in my right ear was so severe and pulsating, it was so much louder than ever in my life.  It was unbearable.  It has gotten a little better but is still much worse than before the vaccine. Also, this evening, my lips are peeling and I have sores in my mouth.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tinnitus
Clinical narrative: 48 hours after the 1st COVID vaccine I woke up this morning to severe ringing in my ears (tinnitus).  I had no clue this was a side affect, but I googled it and it appears others have had it.  It's been happening since 8 am today, all day long.  When the ringing begins, I have been automatically shaking my head and at the same time I feel light headed and dizzy.  I have been sitting down closing my eyes waiting for the ringing to stop.  It has been happening all day today.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Swollen arm at injection site, pain, itchiness, and later warm to touch and some redness around site.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Prolonged pain in shoulder, in the area of the left side of clavicle.  Pain lasted for approximately 2 weeks.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: first 72 hours after first dose - fever, chills, extreme fatigue and body aches first 48 hours after second dose - fever, chills,  extreme fatigue and body aches 72 hours after second dose -  extreme fatigue and body aches days following second dose - still extreme fatigue, feels not 100%
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Blood test, Immunology test, Impaired work ability, Mobility decreased
Clinical narrative: I have been experiencing intense upper arm pain from my shoulder to my elbow.  I am not able to lift my arm.  My blood work shows inflammation markers and low levels of ANA and IFA markers.  I did not have any of these symptoms or markers before taking the vaccine.  I am not able to go to work.  I have seen a primary care physician and a neurologist.  When taking the steroid Prednisone, the pain does subside, but I am not allowed to take a steroid for more than one week.   I stopped taking my second dose of Prednisone 4 days ago, and now all the pain has returned and I cannot lift my arm.  This situation is frustrating and scary.  The doctors do not have a diagnosis or treatment plan.  Pain relievers do not help at all.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I have been experiencing intense upper arm pain from my shoulder to my elbow.  I am not able to lift my arm.  My blood work shows inflammation markers and low levels of ANA and IFA markers.  I did not have any of these symptoms or markers before taking the vaccine.  I am not able to go to work.  I have seen a primary care physician and a neurologist.  When taking the steroid Prednisone, the pain does subside, but I am not allowed to take a steroid for more than one week.   I stopped taking my second dose of Prednisone 4 days ago, and now all the pain has returned and I cannot lift my arm.  This situation is frustrating and scary.  The doctors do not have a diagnosis or treatment plan.  Pain relievers do not help at all.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Urticaria
Clinical narrative: Hives on back, legs, arms, and sides, itching at site. Treated with Benadryl cream and tablets(25mg to 50mg)  Clarin as well..
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Seizure - 5 minutes
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Lymph node pain, Lymphadenopathy, Pain
Clinical narrative: Severe lymph node pain. Swollen and tender to touch. Pain radiates in chest area and back.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Lip swelling
Clinical narrative: Swollen lower lip Dizziness Sweat
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Severe headache, body aches, chills, fever reaching 101, fatigue
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Fatigue, Full blood count, Lymphadenopathy, Metabolic function test
Clinical narrative: I am post menopausal and approximately 5 weeks after having my second covid vaccination, I had vaginal bleeding that lasted about a week.  I had had no spotting or breakthrough bleeding since my last peroid in September 2019.  I had no other unusal side effects.   I experienced the expected fatigue, sore arm and axillary lymph node swelling (12 days post vaccination).
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Postmenopausal haemorrhage, Smear cervix, Ultrasound scan
Clinical narrative: I am post menopausal and approximately 5 weeks after having my second covid vaccination, I had vaginal bleeding that lasted about a week.  I had had no spotting or breakthrough bleeding since my last peroid in September 2019.  I had no other unusal side effects.   I experienced the expected fatigue, sore arm and axillary lymph node swelling (12 days post vaccination).
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium, Blood test, Blood thyroid stimulating hormone, Dizziness, Electrocardiogram abnormal
Clinical narrative: Dizziness/Lightheadness also heart beating hard in chest and went to Dr  & EKG ABNORMAL. Referred me to Cardiologist.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Metabolic function test, Palpitations, Urine analysis
Clinical narrative: Dizziness/Lightheadness also heart beating hard in chest and went to Dr  & EKG ABNORMAL. Referred me to Cardiologist.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: elevated temperature 101.1, throbbing headache, body aches, chills, malaise, fatigue, pain at injection site
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain
Clinical narrative: elevated temperature 101.1, throbbing headache, body aches, chills, malaise, fatigue, pain at injection site
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pruritus, Skin warm
Clinical narrative: rash on arm about 2 inches below injection site.   warm to the touch, itchy  occurred 13 days after receiving vaccine. Took Benadryl
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Peripheral swelling, Pruritus
Clinical narrative: itching of hands and feet, swelling of hands and feet, shortness of breath
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Tinnitus, Vomiting
Clinical narrative: Around 5:30pm two days after my vaccine, I experienced extreme nausea which led to vomiting. After, I experienced ringing in the ears which has continued until now. Dizziness has also continued.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness unilateral
Clinical narrative: Partial vision loss in right eye. Still unresolved.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Swollen tongue
Clinical narrative: My tongue was swollen, my heart was racing. I thought I felt other things going on, but my mind was all over the place once my heart started racing.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Feeling abnormal, Nasopharyngitis, Oropharyngeal pain, Palpitations
Clinical narrative: My tongue was swollen, my heart was racing. I thought I felt other things going on, but my mind was all over the place once my heart started racing.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue
Clinical narrative: My tongue was swollen, my heart was racing. I thought I felt other things going on, but my mind was all over the place once my heart started racing.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pain in extremity, Peripheral swelling
Clinical narrative: Soreness in right arm, fatigue, swollen armpit for at least 1 week
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Redness, tender, warm to the touch, swollen for about 2-3 days
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Extreme fatigue (24 hours) Nausea  (24 hours) Painful Chills  (24 hours) Shaking  (24 hours) whole body ache  (24 hours) Headache  (24 hours) Arm soreness (3 days)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Tremor
Clinical narrative: Extreme fatigue (24 hours) Nausea  (24 hours) Painful Chills  (24 hours) Shaking  (24 hours) whole body ache  (24 hours) Headache  (24 hours) Arm soreness (3 days)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: PT REPORTED PAIN, TINGLING, NUMBNESS FROM LEFT SHOULDER TO TIPS OF FINGERS OF LEFT HAND. STARTED 3/8/2021 AND LASTED FOR ABOUT 30 HOURS.  SYMPTOMS RESOLVED BY ITSELF WITHOUT TREATMENT. SYMPTOMS RE-OCCURED ON 3/22 AND LASTED FOR 24HRS, THEN RESOLVED AGAIN BY ITSELF. PT SAID SHE DIDN'T EXPERIENCE ANY RASH OR SWELLING AT THE INJECTION SITE.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Malaise
Clinical narrative: malaise, pain at injection site
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Diarrhoea, Fatigue, Headache
Clinical narrative: Vertigo. Headache. Extremities tingling. Vomiting. Diarrhea. Fatigue. Feeling of bodily weakness. Joint pain. Excessive sleeping. General malaise.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Malaise, Paraesthesia, Vertigo, Vomiting
Clinical narrative: Vertigo. Headache. Extremities tingling. Vomiting. Diarrhea. Fatigue. Feeling of bodily weakness. Joint pain. Excessive sleeping. General malaise.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Soreness, body aches, fatigue, headache, chills
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Red, swollen and itchy at injection site noticed 8 days post injection.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Vital signs measurement
Clinical narrative: Patient felt like her heart was racing.  Took B/P: 186/115 pulse 78.  Had patient rest in room.  Recheck B/P was still high.  Called 911 and B/P was 182/148 pulse 88.  She was taken to ER.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head, Condition aggravated, Headache, Migraine, Ocular discomfort
Clinical narrative: Patient felt like her heart was racing.  Took B/P: 186/115 pulse 78.  Had patient rest in room.  Recheck B/P was still high.  Called 911 and B/P was 182/148 pulse 88.  She was taken to ER.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia, Sleep disorder
Clinical narrative: Nausea, headache, low fever caused me to wake up at 1:30 am. Nausea subsided mid-day 3/31 and headache/fever broke at 7:30 pm.  Motrin and Albee used to treat headache.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Gingival pain, Headache, Heart rate increased
Clinical narrative: within 30 minutes of shot: dizziness, fast heart beat, hand shaking lasted 30-45 minutes, chills, lasted 30 hours. in 24 hours: headache, congestion, left side of face--gums/teeth starting hurting, teeth got very sensitive. sore left arm. on going side effects as of March 28.  Have lessened a little bit. as of March 30. side effects except  teeth sensitivity has subsided.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Respiratory tract congestion, Toothache, Tremor
Clinical narrative: within 30 minutes of shot: dizziness, fast heart beat, hand shaking lasted 30-45 minutes, chills, lasted 30 hours. in 24 hours: headache, congestion, left side of face--gums/teeth starting hurting, teeth got very sensitive. sore left arm. on going side effects as of March 28.  Have lessened a little bit. as of March 30. side effects except  teeth sensitivity has subsided.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenopathy, Pyrexia
Clinical narrative: Low grade fever 24 hours after injection,  moving joint aches.  Swollen Lymph Node under left (injection) armpit.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Rash, Skin warm
Clinical narrative: A rash appeared on my arm about 13 days after getting the shot. It could?ve showed up a couple days ago but I didn?t notice until today. It?s warm to the touch but doesn?t hurt or itch.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Raised itching red rash on injection arm.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Moderna vaccine
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Headache, Injection site pain, Injection site pruritus
Clinical narrative: Shortness of breath, fever, weakness, headache 24 hours after injection. Continued weakness and shortness of breath for 8 days after injection.  Injection site welt 4 inches in diameter and warm, itchy sore for 8 days and still going.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site warmth, Pyrexia, Urticaria
Clinical narrative: Shortness of breath, fever, weakness, headache 24 hours after injection. Continued weakness and shortness of breath for 8 days after injection.  Injection site welt 4 inches in diameter and warm, itchy sore for 8 days and still going.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Had covid arm on April 2 when I woke up  It?s itchy and the red spot from scratching is about 3in diameter  No other symptoms observed
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash between Breasts, Stomach  little on Back   and neck
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial infection, Chapped lips, Nasal discomfort, Stomatitis, Viral infection
Clinical narrative: Started as chapped lips.  Developed into a viral AND bacterial infections.  Impetico with sores in and around the mouth and nose.  Dr says the virus was brought out due to vaccine since it is for viral infection.  And later because infected with bacteria
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Contusion, Headache, Pain in extremity, Pyrexia
Clinical narrative: After the first shot I ran a low fever that fluctuated between 99 and 101.1 degrees for 10 days.  I did not think to take my temp till the day after the shot.  I had a headache off and on for the 10 days.   I rested, drank plenty of fluids. amped up my vit c intake to 2000mg almost every day and took tylenol when needed for the headache.    After the second shot I ran a fever that fluctuated between 100 and 101.7 within 6 hours of the shot.  The fever lasted from Friday at 10 am until 2 am Sunday morning, about 2 days.  I bundled up in winter PJS a fleece robe and a fleece blanket and broke my fever early Sunday morning.   My right arm was far more painful feeling very bruised for about 2 days. I t is now April 2 and I still have the headache but the fever has not returned.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Loss of consciousness
Clinical narrative: Patient was sitting on the chair in front of the pharmacy and he passed out and fell out of the chair and hit his head. He said he felt dizzy. He passed out again but did not fall. The store called 911 and the paramedics came and took him away. I asked for a report but did not come back
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted after vaccine administration. 911 was called and EMTs responded, patient was observed by pharmacist on duty, did not need further medical support.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage
Clinical narrative: Narrative: hospitalized for GI bleed subsequent to  vaccination. Very low probability that vaccine was cause.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram abnormal, Cerebral venous sinus thrombosis, Computerised tomogram head, Electrocardiogram, Headache
Clinical narrative: Acute intracranial venous thrombosis  Narrative: 60yo male presenting to the ED stating received his 2nd dose  of COVID vaccine on 3/29/21 and has had a headache with vomiting since. Labs,  EKG, head CT, and MRI/MRA head obtained. MRI/MRA showing an acute  intracranial venous thrombosis. Pt. approved for fee based transfer to community  facility. Neurointerventionist at Medical Center states that procedure pt. needs is not  performed at Medical Center. Pt. accepted in transfer by ED provider at other Medical  Center for further evaluation and treatment. Pt. transferred via EMS at 2020.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging head abnormal, Vomiting
Clinical narrative: Acute intracranial venous thrombosis  Narrative: 60yo male presenting to the ED stating received his 2nd dose  of COVID vaccine on 3/29/21 and has had a headache with vomiting since. Labs,  EKG, head CT, and MRI/MRA head obtained. MRI/MRA showing an acute  intracranial venous thrombosis. Pt. approved for fee based transfer to community  facility. Neurointerventionist at Medical Center states that procedure pt. needs is not  performed at Medical Center. Pt. accepted in transfer by ED provider at other Medical  Center for further evaluation and treatment. Pt. transferred via EMS at 2020.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatine phosphokinase increased, Blood creatinine increased, Dehydration
Clinical narrative: patient was hospitalized for weakness, dehydration, rhabdo, arf, dizziness-low probability of it being the vaccine
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Rhabdomyolysis, White blood cell count increased
Clinical narrative: patient was hospitalized for weakness, dehydration, rhabdo, arf, dizziness-low probability of it being the vaccine
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Headache, Somnolence
Clinical narrative: Difficulty breathing Narrative: Patient's wife called in to report her husband's adverse reactions. Patient's wife listed patient reactions: sleepiness, fatigue, headaches, dizziness, and difficulty breathing. I asked if patient currently had difficulty breathing and patient stated, "yes but that may be because he just tried to go to the bathroom". I assured her that the fatigue and headache is an expected outcomes. I advised her to call 911 or go to the nearest ER especially if the difficulty breathing gets more intense and to keep her primary care provider informed of the event. I asked patient's wife about patient current comorbidities and illnesses and she said that he has congestive heart failure and that having shortness of breath is an occasional occurrence. Patient's wife agreed to contact his primary care physician and go to the nearest ER.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: death Narrative: not thought to be associated with the covid vaccine, had clear other reasons for demise
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Pt felt dizzy, Sat down, & passed out. No meds given.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dyskinesia, Injection site pain, Injection site swelling, Pain
Clinical narrative: ON Jan 31st The day aFter vaccine I had a Temp 101 and Very achy FeeLing, aLso LeFt arM where They gave Me The shot was swoLLen + sore. The Most aLarming thiNg was that my LeFT Arm started shakiNg + JerKiNg For about 1 MiNute. This has Never happened iN My LiFe
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: ON Jan 31st The day aFter vaccine I had a Temp 101 and Very achy FeeLing, aLso LeFt arM where They gave Me The shot was swoLLen + sore. The Most aLarming thiNg was that my LeFT Arm started shakiNg + JerKiNg For about 1 MiNute. This has Never happened iN My LiFe
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Loss of consciousness, Myocardial infarction
Clinical narrative: Patient suffered acute STEMI . Was being escorted to medical when he became unresponsive , CPR  was initiated immediately; AED was placed  and "shocke advised". Patient recieved shock and  became alert within 15 seconds. ASA Nitro and NS given. EKG showed 5 elevation infanct. Patient transported to hospital. STENT placed.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, Stent placement
Clinical narrative: Patient suffered acute STEMI . Was being escorted to medical when he became unresponsive , CPR  was initiated immediately; AED was placed  and "shocke advised". Patient recieved shock and  became alert within 15 seconds. ASA Nitro and NS given. EKG showed 5 elevation infanct. Patient transported to hospital. STENT placed.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo within 48 hrs of vaccine #2 administration. Have tried meclizine, antihistamine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Dizziness, Headache, Insomnia
Clinical narrative: 03/11  Headache and Woozy 03/12 and 03/13  Woozy and Nearly Fell 03/13 and 03/14  At 3:00am woke up with phantom smells of burning meat, Very unpleasant and lasted an hour each time. 03/11 03/21 All over muscle and joint pain, headaches, and intense pain at the base of the skull and down the spin, intermittant nausea and loss of appitite. Taking Aleve 24/7 to help with the pain Sleeplessness due to pain Taking Aleve and have increased Low-Dose Naltrexone for pain at night.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Product odour abnormal, Spinal pain
Clinical narrative: 03/11  Headache and Woozy 03/12 and 03/13  Woozy and Nearly Fell 03/13 and 03/14  At 3:00am woke up with phantom smells of burning meat, Very unpleasant and lasted an hour each time. 03/11 03/21 All over muscle and joint pain, headaches, and intense pain at the base of the skull and down the spin, intermittant nausea and loss of appitite. Taking Aleve 24/7 to help with the pain Sleeplessness due to pain Taking Aleve and have increased Low-Dose Naltrexone for pain at night.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Erythema, Laboratory test, Pruritus, Rash, Rash macular
Clinical narrative: Patient reports onset of itch same day after 1st dose. After 2nd dose, onset of rash in bilateral axilla. Rash and itch have persisted - not helped with Claritin, Benadryl nor methylprednisolone. On exam, eczematous dermatitis in bilateral axilla extending to breast area but no including breasts. No lesions on face, neck, popliteal or acute fossa.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Symmetrical drug-related intertriginous and flexural exanthema
Clinical narrative: Patient reports onset of itch same day after 1st dose. After 2nd dose, onset of rash in bilateral axilla. Rash and itch have persisted - not helped with Claritin, Benadryl nor methylprednisolone. On exam, eczematous dermatitis in bilateral axilla extending to breast area but no including breasts. No lesions on face, neck, popliteal or acute fossa.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Eczema, Pruritus, Rash
Clinical narrative: Patient reports onset of itch same day after 1st dose. After 2nd dose, onset of rash in bilateral axilla. Rash and itch have persisted - not helped with Claritin, Benadryl nor methylprednisolone. On exam, eczematous dermatitis in bilateral axilla extending to breast area but no including breasts. No lesions on face, neck, popliteal or acute fossa.
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Disorientation, Dyskinesia, Eye movement disorder, Gaze palsy, Hypotension
Clinical narrative: Trumenba was admin to the pt L deltoid w/ no voiced complaints @ approx 2:20pm. Pt remained alert. About 1-2 min later the #2 Menaetra vaccine was admin to the pt R deltoid w/ no voiced compliments. Moments later, about 1-2 min following the injection the RN noticed the pt's eyes close & her head began leaning forward. Pt become unresponsive to voice or touch to the shoulder. The pt's eyes closed & her head & eyes rolled backward. Pt began to have severe like activity w/ extraocular eye movements w/ upper lower extremity muscle retraction which lasted about 15 seconds. RN immediately inspected The pt & her surrounds to minimize risk of injury. Pt regained conciousness. Pt was notably disonented & hypotensive w/ a manual pressure of 70/30 HR 52 + Sp02 99% on mm air. Ems called. No head or tongue injuries sustained. No loss of bowel or bladder functions. Dr alerted & came to eval the pt. Pt given Po fluids and instructed to remain seated until EMS arrived. Pt transported in stable condition.
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Loss of consciousness, Seizure like phenomena, Unresponsive to stimuli
Clinical narrative: Trumenba was admin to the pt L deltoid w/ no voiced complaints @ approx 2:20pm. Pt remained alert. About 1-2 min later the #2 Menaetra vaccine was admin to the pt R deltoid w/ no voiced compliments. Moments later, about 1-2 min following the injection the RN noticed the pt's eyes close & her head began leaning forward. Pt become unresponsive to voice or touch to the shoulder. The pt's eyes closed & her head & eyes rolled backward. Pt began to have severe like activity w/ extraocular eye movements w/ upper lower extremity muscle retraction which lasted about 15 seconds. RN immediately inspected The pt & her surrounds to minimize risk of injury. Pt regained conciousness. Pt was notably disonented & hypotensive w/ a manual pressure of 70/30 HR 52 + Sp02 99% on mm air. Ems called. No head or tongue injuries sustained. No loss of bowel or bladder functions. Dr alerted & came to eval the pt. Pt given Po fluids and instructed to remain seated until EMS arrived. Pt transported in stable condition.
Age: 57.0
Sex: M
Vaccine: UNK
Symptoms: Alopecia universalis
Clinical narrative: Alopecia universalis
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: PT CAME BACK TO CLINIC 40 MINS AFTER VACCINATION WITH C/O RASHES OF FACE AND CHEST.