chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Panic attack, Paraesthesia oral
Clinical narrative: - HR spiked within first few minutes of shot; fluctuated up to 180 that day.  Both hands were immediately weak and aching.  Went to ER to monitor for reaction.    - Continuing elevated HR episodes for first week; strong left arm pain?couldn?t move or touch for first few days  - Panic attack-like responses approx. once per day for first week.  Rush of heat through hands, throat, face, rapid HR, dizziness  - Increasing joint and muscle pain; also describe as a deep ?bone pain.?   Started in feet, wrists/hands and progressed to both legs, hips, back, neck.  Acceleration of symptoms starting on or about 3/14.  - Saw PCP multiple times for pain; went to ER on 3/16 for severe pain, weakness.  Have been confined to bed or in bath with Epsom salts due to pain.  Starting steroid treatment and nerve pain treatment today 3/17.  - Also experiencing extreme dry mouth and clamminess.  For first week after shot, had tingling/irritated feeling in my tongue any time I ate or drank ? no changes in diet.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Pt. site is hot, red, itchy. Induration is aprox. 6x10 cm
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Pain
Clinical narrative: Chills, body aches, sweats, headache
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Photophobia, Vision blurred
Clinical narrative: Blurry vision 5 minutes after the first dose Light sensitive
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Nausea, Tremor
Clinical narrative: Pt presented to ED with c/o nausea, shaking, chills and loss of appetite with onset approximately 2-3 hours post vaccination
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dysphonia, Eye pruritus, Heart rate increased, Hypoaesthesia oral
Clinical narrative: Shortly after receiving the vaccine I began experiencing symptoms.  I first noticed abdominal cramping.  Then I began to get itchy eyes, then tingling in my lips.  After that my throat , tongue and the inside of my nose felt swollen and numb.  I had a fast heartbeat and I began to get hoarse.  My husband drove me to the emergency room.  I was treated with a steroid injection and pepcid. Within fifteen minutes of receiving the treatment my symptoms began to subside.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal oedema, Paraesthesia oral, Pharyngeal hypoaesthesia, Swollen tongue
Clinical narrative: Shortly after receiving the vaccine I began experiencing symptoms.  I first noticed abdominal cramping.  Then I began to get itchy eyes, then tingling in my lips.  After that my throat , tongue and the inside of my nose felt swollen and numb.  I had a fast heartbeat and I began to get hoarse.  My husband drove me to the emergency room.  I was treated with a steroid injection and pepcid. Within fifteen minutes of receiving the treatment my symptoms began to subside.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness
Clinical narrative: Patient had her BP increased and light headed after vaccine 158/70 HR:86. Patient stated that she had her kitchen stove had caught fire this morning and she was upset about it. Nurse ask if patient about history of anxiety and she stated yes. So she stayed another 15 minutes in the observation area to make sure everything was ok. Nurse rechecked BP 156/75 HR:80. Patient felt better after 5 minutes of first symptoms. Nurse advice patient to seek medical attention if symptoms  gets worst. Patient  had no pain or general discomfort or dizziness or light headedness  increased HR.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Knee arthroplasty, No adverse event
Clinical narrative: 03/15/2021: Scheduled/planned left total knee arthroplasty. No complications or adverse events noted.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Circular red rash around injection site
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Head ache, chills, low grade fever
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Malaise
Clinical narrative: Chills, malaise, headache, dizziness. Onset a few hours after shot, continue as of today 3/17. I have a scheduled appointment with Dr. on 3/19 and will discuss.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Headache, Muscle spasms, Myalgia, Neck pain
Clinical narrative: Headache within an hour of the shot, left work. Muscle spasms in my upper back and neck within 4 hours. Major spasm that prevented me from turning my head or laying down at around 6-8 hours. Upper back, neck, and muscle pain in my head and jaw continue today (3/17/21) but symptoms are slowly decreasing in severity.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in jaw
Clinical narrative: Headache within an hour of the shot, left work. Muscle spasms in my upper back and neck within 4 hours. Major spasm that prevented me from turning my head or laying down at around 6-8 hours. Upper back, neck, and muscle pain in my head and jaw continue today (3/17/21) but symptoms are slowly decreasing in severity.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Pyrexia
Clinical narrative: Chills, Fever, Fatigue, and JOINT PAIN... which continues two weeks later
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: The patient received the Pfizer covid vaccine for the first shot and was given the moderna covid shot for the 2nd dose
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Feeling hot, Injection site swelling, Pain in extremity
Clinical narrative: 3/9/2021 0800: Took dog outside. Upon coming in, I had sever chills and could not get warm the rest of the day and night.  3/10/2021 0630: Upon waking up, arm was very sore 3/11/2021-3/16/2021: Arm was in various stages of redness, swelling, and soreness 3/17/2020: Arm is still raised at the injection site, soreness has lessened.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: 3/9/2021 0800: Took dog outside. Upon coming in, I had sever chills and could not get warm the rest of the day and night.  3/10/2021 0630: Upon waking up, arm was very sore 3/11/2021-3/16/2021: Arm was in various stages of redness, swelling, and soreness 3/17/2020: Arm is still raised at the injection site, soreness has lessened.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia, Sinus headache
Clinical narrative: Chills, fever, aches and pains, sinus headache
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Leukaemia, Renal failure
Clinical narrative: Developed leukemia and kidney failure. Died in 6 days.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Progress Notes APRN (Nurse Practitioner) ? ? Family Medicine Cosign Needed Expand AllCollapse All     COVID VACCINE CLINIC 3/16/2021    Patient                                                        Date:  3/16/2021                                                                              Subjective Patient is a 44 y.o. female who was seen at COVID Vaccine Clinic today for her first  dose of the COVID 19 vaccination.    She was given the Pfizer vaccination in the left deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience headache.  She denied rash, hives, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness and facial swelling.   This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , chest pain and rapid progression of symptoms.   PMH includes htn Currently taking lisinopril and hctz.   ALLERGY REVIEW OF SYSTEMS:  Patient complains of headaches   Patient denies chills, fever, malaise/fatigue, facial swelling, sore throat, frequent throat clearing, eyes watering, eyes itching, cough, chest tightness, shortness of breath, wheezing, rash, hives, itching of skin, vomiting, abdominal pain, muscle aches, joint pain and dizziness       Previous Reactions: none    Objective    Vitals Vitals:   03/16/21 1103 BP: 120/88 Pulse: 71 SpO2: 100%      Physical Exam Constitutional:      General: She is not in acute distress.    Appearance: Normal appearance. She is well-developed. She is not diaphoretic.  HENT:     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear.  Eyes:     Extraocular Movements: Extraocular movements intact.     Conjunctiva/sclera: Conjunctivae normal.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing.  Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: She is alert and oriented to person, place, and time.     Gait: Gait normal.  Psychiatric:        Mood and Affect: Mood normal.        Behavior: Behavior normal.        Thought Content: Thought content normal.        Judgment: Judgment normal.         Assessment/Plan  Treatment included: water, snacks and tylenol Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP.  Differential Diagnosis: Red flag symptoms (CP, SOB, NVD, Visual/Neuro concerns)   Headache   VS stable. Exam unremarkable. Monitor at home. Follow up with pcp. Pt walked out with son w/o assistance.    APRN Electronically Signed 3/16/2021 11:02 AM
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Lymphadenopathy, Malaise
Clinical narrative: 3/10/2021-Shot given at 9:30 AM. in the afternoon was very tired and achy.  Had a headache and glands felt swollen.Took a 2 1/2 hour nap.   3/11/2021- Flu like feeling. Pounding headache, tired, sore muscles, injection site was sore, low grade temperature.( 99.9, 99.5, 100) 3/12/2021- Headache,feeling tried and unwell. Injection site very itchy and staring to swell 3/13/2021-two areas on the left arm are swollen and very itchy. Top swelling in  arm near the injection site. Lower swelling is 2 inches by2 inches large 3/14/2021-Swelling in arm increased to 3 inches x 3 inches at the widest spots. Arm was red, hot to the touch and very itchy. 3/15/2021-Swelling in arm was the same. Call Dr.  Was told I had " COVID arm"
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Peripheral swelling, Pruritus, Pyrexia
Clinical narrative: 3/10/2021-Shot given at 9:30 AM. in the afternoon was very tired and achy.  Had a headache and glands felt swollen.Took a 2 1/2 hour nap.   3/11/2021- Flu like feeling. Pounding headache, tired, sore muscles, injection site was sore, low grade temperature.( 99.9, 99.5, 100) 3/12/2021- Headache,feeling tried and unwell. Injection site very itchy and staring to swell 3/13/2021-two areas on the left arm are swollen and very itchy. Top swelling in  arm near the injection site. Lower swelling is 2 inches by2 inches large 3/14/2021-Swelling in arm increased to 3 inches x 3 inches at the widest spots. Arm was red, hot to the touch and very itchy. 3/15/2021-Swelling in arm was the same. Call Dr.  Was told I had " COVID arm"
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: 3/10/2021-Shot given at 9:30 AM. in the afternoon was very tired and achy.  Had a headache and glands felt swollen.Took a 2 1/2 hour nap.   3/11/2021- Flu like feeling. Pounding headache, tired, sore muscles, injection site was sore, low grade temperature.( 99.9, 99.5, 100) 3/12/2021- Headache,feeling tried and unwell. Injection site very itchy and staring to swell 3/13/2021-two areas on the left arm are swollen and very itchy. Top swelling in  arm near the injection site. Lower swelling is 2 inches by2 inches large 3/14/2021-Swelling in arm increased to 3 inches x 3 inches at the widest spots. Arm was red, hot to the touch and very itchy. 3/15/2021-Swelling in arm was the same. Call Dr.  Was told I had " COVID arm"
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 1 week following the first Moderna injection, the injection site became itchy, red, and swollen. It was tender and painful to the touch. The reaction lasted about 1-2 full days and was fully cleared up by 1/21. I contacted my doctor via telephone on the morning of 1/19 and was relayed a message that the side effects were normal and I shouldn't be concerned. I asked to speak directly to my doctor, which I finally did on 1/21, and by that time the reaction has cleared up.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Muscular weakness, Pain, Pyrexia
Clinical narrative: Fever/chills, intense body aches, headache, occular blurring,  muscle weakness, loss of appetite
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Fever/chills, intense body aches, headache, occular blurring,  muscle weakness, loss of appetite
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Hyperhidrosis, Pain, Vomiting
Clinical narrative: body aches, sweats, vomiting/diarrhea,
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on stomach and arms
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Persistent lightheadedness, chest pressure, and shortness of breath. Transported to ED.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient was found dead on 3/15/2021
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Hypoaesthesia, Panic attack, Skin warm
Clinical narrative: Pt reported to the vaccination area stating that she had a history of fainting after medical procedures, including vaccination.  Was with her mom, in case she had an issue. Vaccination without incident.  Kept pt at the vaccination area to observe.  About three minutes after receiving the vaccination, pt started to shake.  Was conversing.  Stated she was warm, so got her a cold bottle of water.  Stated she was dizzy so helped her to the floor to lay down.  She had contractions of her hands, which she stated that they were numb.  She recovered from the dizziness, but then had a panic attack.  Her BP was normal, but her heart rate became elevated.  Had her lay down until she felt better, helping to slow her breathing.  After about 40 minutes,p t felt good enough to sit in the recovery area.  Ensured she had water and some food to help prevent a blood sugar drop.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Pt reported to the vaccination area stating that she had a history of fainting after medical procedures, including vaccination.  Was with her mom, in case she had an issue. Vaccination without incident.  Kept pt at the vaccination area to observe.  About three minutes after receiving the vaccination, pt started to shake.  Was conversing.  Stated she was warm, so got her a cold bottle of water.  Stated she was dizzy so helped her to the floor to lay down.  She had contractions of her hands, which she stated that they were numb.  She recovered from the dizziness, but then had a panic attack.  Her BP was normal, but her heart rate became elevated.  Had her lay down until she felt better, helping to slow her breathing.  After about 40 minutes,p t felt good enough to sit in the recovery area.  Ensured she had water and some food to help prevent a blood sugar drop.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Roughly 8 hours later, mild headache that increased, followed by fatigue and sweating.  Roughly 20 hours later I have a burning right eye that has continued into the day 3/17/21.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Rash papular, Skin discolouration
Clinical narrative: Had the vaccine on 3/10/21, and had no issues.  On Saturday 3/13/21 he woke up and he had a dark, red, raised rash, several large patches across his stomach, around his right side of his body.  Today, 3/17/21 he is uncomfortable with it and it's blistering, painful rash, not itchy.  He has not taken anything for it.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: Date of 2nd vaccine Feb 5, 2021:A few hours after 2nd round of vaccine I felt tired, achy, & soreness at injection site..symptoms went away within 24 hours......... Date Mar 16, 2021: around 3pm started feeling extremely tired, fatigued ...came home around 4pm, went to sleep, slept over 12 hours, woke up this morning Mar 17th exhausted, fatigued, & my injection site extremely sore like I?ve just had the vaccine in my arm.  Not at all normal for me at all. I called health facility & they said just watch for rash or if I get really sick go to dr. But this isn?t normal and needs to be documented
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Laboratory test normal, Pain in extremity, Peripheral swelling, Rash
Clinical narrative: Major rash lower legs; major swelling all of  right foot with pain in right big toe; increased sciatica that had been much improved with pain in lower back
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Sciatica
Clinical narrative: Major rash lower legs; major swelling all of  right foot with pain in right big toe; increased sciatica that had been much improved with pain in lower back
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Rash
Clinical narrative: Slight fever, chills, headache, body aches after second shot. Gone after two days.  Rash in groin area and underarms. Not painful and does not itch, just redness. Noticed on day 3 after second shot.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Headache, Rash
Clinical narrative: Headache (2 days) Feeling cold (2 days), chills/shakes (1 - 1-1/2 days), tiredness (3 days), torso rash (3 days), covid arm (4 days)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vaccination complication
Clinical narrative: Headache (2 days) Feeling cold (2 days), chills/shakes (1 - 1-1/2 days), tiredness (3 days), torso rash (3 days), covid arm (4 days)
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypertension, Nausea
Clinical narrative: Pt became dizzy, nauseated and hypertensive. Pt was placed on precautionary O2 and zofran given by EMS. Pt remained hypertensive and was transported by private vehicle to local ER.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Vaccination site rash, Vaccination site swelling, Vaccination site warmth
Clinical narrative: One week after date of vaccinnation I noticed that I had a large red rash on my upper left arm around the vaccination site, about 3 inches across, 4 inches long, with a well defined outline.  It was warm, swollen hard, itchy.  I put a light application of my mosquito bite medicine, benadryl gel, which provided some relief-- but it was not too bothersome.  It did look like it was lessening day by day-- but very slowly.   Around the 8th day, it looked like it was clearing from the middle proceeding outward.  Today, on the 12th day, it is a very light red mottled rash that is almost gone (I hope).
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity
Clinical narrative: Deep pain in arm, chills and body aches.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Neck mass
Clinical narrative: Lump appeared in the neck.  same side as the injection Lump was visible when she woke up in the morning.  lump was ~1-2cm in size The lump gradually reduced each day.   Took ~1 week to resolve
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Nausea
Clinical narrative: Patient received 2nd dose of Pfizer COVID-19 vaccine.  She immediately developed diaphoresis and eye tearing.   Diaphoresis worsened.  Patient reported nausea.  Epinephrine administered and transferred patient to emergency department.    ED did not feel epinephrine helped  Patient observed and then discharged.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Patient received 2nd dose of Pfizer COVID-19 vaccine.  She immediately developed diaphoresis and eye tearing.   Diaphoresis worsened.  Patient reported nausea.  Epinephrine administered and transferred patient to emergency department.    ED did not feel epinephrine helped  Patient observed and then discharged.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Nausea
Clinical narrative: Diaphoretic. lightheaded
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Diaphoretic. lightheaded
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness
Clinical narrative: Patient complained of feeling very dizzy following vaccine administration. Patient laid down, was given water and juice and reported feeling better. Patient left clinic with her sister.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Chest discomfort, Dizziness, Fatigue, Myalgia
Clinical narrative: Patient complained of feeling very dizzy following vaccine administration. Patient laid down, was given water and juice and reported feeling better. Patient left clinic with her sister.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness
Clinical narrative: Extreme dizziness ,tightness in chest, Stomach pain extreme fatigue, muscle pain, lightheadedness
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Chest discomfort, Dizziness, Fatigue, Myalgia
Clinical narrative: Extreme dizziness ,tightness in chest, Stomach pain extreme fatigue, muscle pain, lightheadedness
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Starting about 18 hours after vaccination, achy body, fatigue, headache.  Tylenol helped but did not entirely alleviate.  At about 24 hours after vaccine, aches substantially increased, chills set in, and fever of 101.5 reached.  Advil did not reduce fever.  By 32 hours after vaccine, all symptoms gone except light headache.  Lots of water and gatorade taken as well.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient was given 1ml dose instead of 0.5ml dose
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Body Chills, then Fever.  Subsided with acetaminophen
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Fever: 101.5-102 for 9 hours : treated with aspirin and Ibuprophine  Fatigue/ body aches. Same treatment. Lasted two days
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pain
Clinical narrative: Throbbing sharp chest pain near heart at wake up, 18 hours after first dose of Pfizer vaccine, duration 2 minutes, severity 8/10  Is it possible this was the induction and dispersal of the vaccine by my heart?  Has anyone else experienced chest pain 18 hours after their Pfizer vaccine?  Thanks!
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Medication error, Pain
Clinical narrative: Patient was to receive PFIZER manufacturer for second dose of vaccine series but received MODERNA in error.  Followed up with patient the next day and on 3/17 - patient reported symptoms (ache, some fatigue) after second dose that resolved within 3-4 days.  She was advised to report this event to her private MD, which she did.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Persistent nausea and lightheadedness, transported to ED
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Disturbance in attention, Feeling abnormal, Headache
Clinical narrative: After six (6) days of getting my 1st Muderna vaccination  I'm still having bad headaches all day with chills on & off during the day. Also I seem to be in a fog at times & having trouble paying attention. I'm taking Tylenol Extra Strength medicine twice a day, not helping.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylaxis treatment, Pruritus, Throat tightness
Clinical narrative: HEAD STARTED FEELING ITCHY ABOUT 2:50,  BY 3:45 MY THROAT STARTED TO FEEL TIGHT, BY 5:30 I WAS IN THE ER.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Fever, Aches, Weariness
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Bone pain, Chills, Gingival bleeding
Clinical narrative: I had a very bad case of Covid last March.  I received my first vaccine March 3 of this year.  I got a temperature of 103 degrees,  I was nourish , my muscles, Joints and bones hurt so much I couldn't lift myself out of bed without extreme pain.  The chills I got made me literally shake.  My arm where I was given the shot, I couldn't lift it.  Even the other arm hurt bad.  My mouth hurt, my teeth hurt, my gums bleed for four days after and the teeth hurt too for that length of time.  My stomach was itchy but no rash.  I felt like I had the virus again minus other issues I had when I did have it.   I'm scheduled to receive my second dose March 31 and I'm very very nervous about it.  I don't think people who had the virus, especially those who had it very bad like myself, should get vaccinated.     It took 2 weeks to recover from all the pain.   HELP!
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Myalgia, Nervousness, Oral pain, Pain
Clinical narrative: I had a very bad case of Covid last March.  I received my first vaccine March 3 of this year.  I got a temperature of 103 degrees,  I was nourish , my muscles, Joints and bones hurt so much I couldn't lift myself out of bed without extreme pain.  The chills I got made me literally shake.  My arm where I was given the shot, I couldn't lift it.  Even the other arm hurt bad.  My mouth hurt, my teeth hurt, my gums bleed for four days after and the teeth hurt too for that length of time.  My stomach was itchy but no rash.  I felt like I had the virus again minus other issues I had when I did have it.   I'm scheduled to receive my second dose March 31 and I'm very very nervous about it.  I don't think people who had the virus, especially those who had it very bad like myself, should get vaccinated.     It took 2 weeks to recover from all the pain.   HELP!
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Toothache
Clinical narrative: I had a very bad case of Covid last March.  I received my first vaccine March 3 of this year.  I got a temperature of 103 degrees,  I was nourish , my muscles, Joints and bones hurt so much I couldn't lift myself out of bed without extreme pain.  The chills I got made me literally shake.  My arm where I was given the shot, I couldn't lift it.  Even the other arm hurt bad.  My mouth hurt, my teeth hurt, my gums bleed for four days after and the teeth hurt too for that length of time.  My stomach was itchy but no rash.  I felt like I had the virus again minus other issues I had when I did have it.   I'm scheduled to receive my second dose March 31 and I'm very very nervous about it.  I don't think people who had the virus, especially those who had it very bad like myself, should get vaccinated.     It took 2 weeks to recover from all the pain.   HELP!
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Angiogram pulmonary abnormal, Fibrin D dimer increased, Pulmonary embolism
Clinical narrative: Anaphylaxis Pulmonary embolism
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance
Clinical narrative: The day after my 2nd vaccine, I experienced significant unsteadiness in walking. It was as if I was 'drunk'. I couldn't walk a straight line and had to hold onto something to move from point A to point B . This lasted for about 5 days and was most severe when I had to get up in the night. Very scary situation. I didn't know if I was having a stroke or...? Because I was being treated by a pain specialty group and was taking Gabapentin (for about 3 months...with no side effects, I thought that might be the problem so  with their guidance, I slowly reduced the dosage - without significant impact.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Eye pruritus, Headache, Hyperhidrosis
Clinical narrative: 4 hours after huge lump in my arm and red circle around it. Horrible headache and jaw pain. Instill have jaw pain 4 days after and a smaller bump on my arm that is itchy.  By the evening I had a fever and it got up to 102 by the next day. Severe aching especially.in my hands. Sweats and chills and the headache worsened.   This lasted 48 hours and then I felt 80% better. I still don't feel 100%, but it gets better every day.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Pain, Pain in jaw, Pyrexia
Clinical narrative: 4 hours after huge lump in my arm and red circle around it. Horrible headache and jaw pain. Instill have jaw pain 4 days after and a smaller bump on my arm that is itchy.  By the evening I had a fever and it got up to 102 by the next day. Severe aching especially.in my hands. Sweats and chills and the headache worsened.   This lasted 48 hours and then I felt 80% better. I still don't feel 100%, but it gets better every day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Hyperhidrosis, Injection site rash
Clinical narrative: Adverse effects begin the day after injection. Feeling very unfocused, chills, sweats, ached all over, nauseous, felt lighted headed, very fatigued and went from sleep to awake every half hour. These symptoms continued for a week then slowly get better. One week from injection my arm became very sore and covered with rash at injection site.  Within the next 2 days I was covered with a rash.  I am still feeling very unfocused and fatigued as I write this on March 17, 2021. I chose not to have the 2nd dose as I am very concerned of having a worse reaction.  I did not ever have breathing difficulties or a fever.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Rash, Vision blurred
Clinical narrative: Adverse effects begin the day after injection. Feeling very unfocused, chills, sweats, ached all over, nauseous, felt lighted headed, very fatigued and went from sleep to awake every half hour. These symptoms continued for a week then slowly get better. One week from injection my arm became very sore and covered with rash at injection site.  Within the next 2 days I was covered with a rash.  I am still feeling very unfocused and fatigued as I write this on March 17, 2021. I chose not to have the 2nd dose as I am very concerned of having a worse reaction.  I did not ever have breathing difficulties or a fever.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cholesterol, Dizziness, Fatigue, Feeling abnormal, Full blood count
Clinical narrative: The first 3 days I had initial nausea, then headache and fatigue.  The fourth day I felt better, then from March 8-March 12 I had nausea, a strange fuzzy feeling in my head, dizzy and lightheaded and fatigue.  I am able to work part-days but as of March 17, I am still having mild symptoms of slight nausea and feeling off.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laboratory test, Lipids, Nausea
Clinical narrative: The first 3 days I had initial nausea, then headache and fatigue.  The fourth day I felt better, then from March 8-March 12 I had nausea, a strange fuzzy feeling in my head, dizzy and lightheaded and fatigue.  I am able to work part-days but as of March 17, I am still having mild symptoms of slight nausea and feeling off.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Fatigue, Productive cough, Pruritus
Clinical narrative: 15 Mar 21 - 2000 Hrs CST - Started get chill throughout body 15 Mar 21 - 2030 Hrs CST - Fatigue 16 Mar 21 - 0400 Hrs CST - Body itchy all over, coughing up mucus 16 Mar 21 - 1000 Hrs CST - Fatigue 16 Mar 21 - 1300 Hrs CST - Vertigo with Cold Sweats
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: 15 Mar 21 - 2000 Hrs CST - Started get chill throughout body 15 Mar 21 - 2030 Hrs CST - Fatigue 16 Mar 21 - 0400 Hrs CST - Body itchy all over, coughing up mucus 16 Mar 21 - 1000 Hrs CST - Fatigue 16 Mar 21 - 1300 Hrs CST - Vertigo with Cold Sweats
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ST segment elevation
Clinical narrative: 3/15/21: Incidental findings of ST-segment elevations on cardiac telemetry and diffuse ST-segment elevations on EKG--patient was admitted on 3/13 for altered mentation and severe hyperglycemia - Stopped treatment of metastatic melanoma in November 2020 (was on Nivolumab)  - Has Pfizer COVID Vaccine on 3/11/21  3/15:  - Diffuse ST elevations noted on telemetry; patient was asymptomatic - Cardiac enzymes elevated - Patient had STAT echo which was significant for WMA - Left heart cath- normal coronaries; suspicious for Myocarditis - Methylprednisolone started  80 mg IV q8h  3/16: Cardiac enzymes trending down  - CK trending down - patient remains asymptomatic
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Fatigue, Headache, Myalgia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Monday, March 15th around 9:30/10:00am I began to feel nauseous, had a headache, felt cold and overall tired. I had to stop working and I laid down to rest and slept for 4-5 hrs. Continued to feel weak with a loss of appetite for the remainder of the day and slept through the night.  Tuesday, March 16th I began work around 8am and by 9:20am I had to stop due to a pounding headache and extreme nausea and muscle aches in my back. My eyes were sensitive to light, my head hurt and felt a lot of pressure in the front of my head and back of my neck and my  ears were beginning to hurt and ring. I took acetaminophen and slept for 3-4hrs. When I woke up the nausea had subsided but I still had a lingering headache, just not as terrible, and took additional acetaminophen 500mg. This headache continued for the rest of the day into the night, waking me up to the point of needing another 500mg acetaminophen and waking up the next morning Wednesday, March 17th with still a slight lingering headache, slight sensitivity to light, light nausea, light muscle/body ache, and general feeling of weakness.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Nausea, Photophobia, Tinnitus
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA Monday, March 15th around 9:30/10:00am I began to feel nauseous, had a headache, felt cold and overall tired. I had to stop working and I laid down to rest and slept for 4-5 hrs. Continued to feel weak with a loss of appetite for the remainder of the day and slept through the night.  Tuesday, March 16th I began work around 8am and by 9:20am I had to stop due to a pounding headache and extreme nausea and muscle aches in my back. My eyes were sensitive to light, my head hurt and felt a lot of pressure in the front of my head and back of my neck and my  ears were beginning to hurt and ring. I took acetaminophen and slept for 3-4hrs. When I woke up the nausea had subsided but I still had a lingering headache, just not as terrible, and took additional acetaminophen 500mg. This headache continued for the rest of the day into the night, waking me up to the point of needing another 500mg acetaminophen and waking up the next morning Wednesday, March 17th with still a slight lingering headache, slight sensitivity to light, light nausea, light muscle/body ache, and general feeling of weakness.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Pruritus, Tenderness
Clinical narrative: "COVID Arm" - Red rash, about 3-4 inches in diameter, around injection site. Itchy. Also tenderness in underarm area for the past few days
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching all over my body. I was giving IM Benadryl ten minutes later.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin warm
Clinical narrative: Patient called the pharmacy on Monday, March 15th2, 2021 and said that her arm was very red and hot to the touch. She said that it seemed to be getting worse and even moving toward the armpit. It did not start until several days after getting the vaccine. I advised her to contact her family physician. The family physician called in a prescription for Cephalexin 250 mg  four times daily for 10 days. She began taking the antibiotic Monday evening and I followed up with the patient Wednesday morning, 3/17/21. She said it was no longer as sore or red or hot to the touch. She was seeing her doctor again on Thursday morning to follow up.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: Vaccinated with first dose of COVID vaccine 12/30/2020.  On 1/11/2021 developed cough and nasal congestion.  PCR positive for COVID.
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Imaging procedure, Malaise, Pulmonary congestion, Urinary tract infection
Clinical narrative: 03/15/2021: Presented to the emergency department with shortness of breath and not feeling well. The patient was admitted with pulmonary vascular congestion on imaging and UTI. The patient is currently still admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Blood pressure decreased, Chills, Pyrexia
Clinical narrative: CHILLS AND FEVOR ALL NIGHT TIREDNEES THE NEXT DAY BLOOD PRESSURE DROP ACHES AND PAIN IN LOWER BACK
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling, Tenderness
Clinical narrative: Swelling, itching and some pain when pressure applied
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Lethargy
Clinical narrative: Pt received 2nd dose of Moderna too early.   On 03/12/2021 when health dept nurse learned of the error, the patient was called to assess for any problems and to determine if the doses were given too early.  RN  said the patient was hard to understand and a poor historian.  Pt could not give names of caregivers.  RN  had EMS go by to provide a welfare check. EMS reported pt was at baseline health status.  EMS staff spoke with nephew who reported pt has only had one vaccine.  On 03/15/2021, RN  received calls from step daughter-in-law and Nephew, both advising pt did get both vaccines. Per family, the patient?s vaccine appointments were not communicated well between the family caregivers.  One caretaker thought the 2/24/2021 trip to health dept was just to register and the second trip on 03/05/2021 was when the actual vaccine was to be given.  Registration forms were completed at each visit, with both showing no previous vaccine administered.  Pt and family report no side effects after the 1st vaccine, the nephew did report noticing that the patient was lethargic and weak 3 d after the 2nd vaccine. Family was advised the patient does not need another dose of COVID vaccine at this time, 2 dose series complete.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Decreased appetite, Dizziness, Feeling abnormal
Clinical narrative: After receiving the first shot on 2/3/2021 - I felt a general overall tired, headache, and achy.  After receiving the second shot on 3/3/2021 - I felt overall sick with body aches, headache, and chills. I also experienced stomach upset and nausea with feelings of throwing up.  I also experienced dizziness. I expereinced leg cramps throughout the first night that accompanied the body aches. I felt bad for about 52 hours meaning that my daily activities were difficult to maintain and function. I depressed appetite for 48 hours. Dizziness and nausea accrued randomly throughout the following 4 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of personal independence in daily activities, Malaise, Muscle spasms, Nausea
Clinical narrative: After receiving the first shot on 2/3/2021 - I felt a general overall tired, headache, and achy.  After receiving the second shot on 3/3/2021 - I felt overall sick with body aches, headache, and chills. I also experienced stomach upset and nausea with feelings of throwing up.  I also experienced dizziness. I expereinced leg cramps throughout the first night that accompanied the body aches. I felt bad for about 52 hours meaning that my daily activities were difficult to maintain and function. I depressed appetite for 48 hours. Dizziness and nausea accrued randomly throughout the following 4 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Vomiting
Clinical narrative: After receiving the first shot on 2/3/2021 - I felt a general overall tired, headache, and achy.  After receiving the second shot on 3/3/2021 - I felt overall sick with body aches, headache, and chills. I also experienced stomach upset and nausea with feelings of throwing up.  I also experienced dizziness. I expereinced leg cramps throughout the first night that accompanied the body aches. I felt bad for about 52 hours meaning that my daily activities were difficult to maintain and function. I depressed appetite for 48 hours. Dizziness and nausea accrued randomly throughout the following 4 days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Persistent tinnitus began about a week after the second shot and has continued.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Pt presented with rash ,swelling and reddened area at injection site Dx Cellulitis Treated with Keflex, Kenalog Cream, Medrol dose pack  Pt contacted on 3/17 and area had much improved
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Impaired work ability, Nausea
Clinical narrative: patient experienced severe dizziness, lightheadedness, nausea, diarrhea & chills.  She was unable to work for 3 days due to the mentioned side effects
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Mobility decreased, Pain, Sleep disorder
Clinical narrative: Extreme shoulder soreness.  Pain and discomfort.  Could not lie down.  Could not sleep.  3 Tylenol at 6:00 p.m. and ice. 3 Tylenol   at 9:30 p.m.  2 Tylenol and ice at 3:00 a.m.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hot flush, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient was vaccinated at our onsite clinic on 09MAR21 @ 2320.  At 0245 on 10MAR21, she returned to the vaccine room with a cup of ice water and a towel she was putting to her head and neck.  She reported to the RN that "about 45 minutes ago, she broke out in hot flashes and went to the bathroom."  She was talking a lot and appeared "antsy" (which was how she appeared when she got her vaccine). She sat down and had something to drink.  The RN checked her vital signs and reported they were normal.  After about 10 minutes, she reported she started feeling better.  She also told the RN that she had taken Advil before she returned to the vaccine room.  She had listed NSAIDS as an allergy on her consent.  Security escorted her out.  On 11MAR21, she called our onsite RN to report injection site pain, swelling and redness (left deltoid), muscle pain, chills and nausea/vomiting.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Restlessness, Vomiting
Clinical narrative: Patient was vaccinated at our onsite clinic on 09MAR21 @ 2320.  At 0245 on 10MAR21, she returned to the vaccine room with a cup of ice water and a towel she was putting to her head and neck.  She reported to the RN that "about 45 minutes ago, she broke out in hot flashes and went to the bathroom."  She was talking a lot and appeared "antsy" (which was how she appeared when she got her vaccine). She sat down and had something to drink.  The RN checked her vital signs and reported they were normal.  After about 10 minutes, she reported she started feeling better.  She also told the RN that she had taken Advil before she returned to the vaccine room.  She had listed NSAIDS as an allergy on her consent.  Security escorted her out.  On 11MAR21, she called our onsite RN to report injection site pain, swelling and redness (left deltoid), muscle pain, chills and nausea/vomiting.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Muscle spasms, Pain
Clinical narrative: On night of vaccine around 9:30  p.m. chills cramps in both legs and both feet. Day after vaccine body ache and fatigue.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymph node pain, Pain, Palpitations
Clinical narrative: Fever, bad chills, aches, headache, painful lymph nodes, racing heart
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, bad chills, aches, headache, painful lymph nodes, racing heart
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypertension, Nausea, Unresponsive to stimuli
Clinical narrative: Pt was dizzy and became diaphoretic, then had a vagal response. Pt was placed on precautionary O2. Pt was extremely hypertensive. Pt seemed to recover. Then after a few minutes became nauseated and started vomiting. 1 minute later pt became completely unresponsive. Pt was transferred to gurney and transported to local ER.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Pt was dizzy and became diaphoretic, then had a vagal response. Pt was placed on precautionary O2. Pt was extremely hypertensive. Pt seemed to recover. Then after a few minutes became nauseated and started vomiting. 1 minute later pt became completely unresponsive. Pt was transferred to gurney and transported to local ER.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: This is Day 3 of a delayed arm rash that started 3 days after my 2nd injection. Redness, swelling and severe itching. The rash has spread more each day and currently nearly forms a complete circle around my right upper arm. It's painful to the touch. The swelling is more predominate near the injection site and back of arm forming a large hard bump. Skin under my arm where the rash is has small bumps. The itching is worse than the pain & swelling. I've been using Cerave Hydrocortisone Anti-Itch Cream twice a day, but it doesn't completely relieve the etching.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: This is Day 3 of a delayed arm rash that started 3 days after my 2nd injection. Redness, swelling and severe itching. The rash has spread more each day and currently nearly forms a complete circle around my right upper arm. It's painful to the touch. The swelling is more predominate near the injection site and back of arm forming a large hard bump. Skin under my arm where the rash is has small bumps. The itching is worse than the pain & swelling. I've been using Cerave Hydrocortisone Anti-Itch Cream twice a day, but it doesn't completely relieve the etching.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Exstreme chills and body shaking for over 1 hour at 2 am next morning. Complete body ache all over. Headache and sick to stomach with no vomiting. Cold chills off and on for 2 days and very fatigue.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Exstreme chills and body shaking for over 1 hour at 2 am next morning. Complete body ache all over. Headache and sick to stomach with no vomiting. Cold chills off and on for 2 days and very fatigue.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Albumin urine, Antinuclear antibody, Blood thyroid stimulating hormone, Brain natriuretic peptide, Cytology
Clinical narrative: pt received second moderna vaccine 2-8-21; he woke up the morning of 3-8-21, with moderate facial edema. pt denies new meds, foods, hygiene products; not around any new chemicals. denied sob, cough, fever.  he states that he did not have adverse reaction to the 1st vaccine.  (note he did not receive vaccine at our facility)