chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Headache, Insomnia, Neck pain, Night sweats
Clinical narrative: The night of the vaccination I began having fevers night sweats and radiating severe Right neck pain that radiates from my neck to my right ear up my R scalp and R front and to the top of my head causing severe chronic headaches constantly.  So far it has last for seven days with minimal relief and it is worse at night when I try to sleep causing me insomnia due to pain. Pressure in my head feels like my brain is about to explode and I feel it in my neck and back of my ear on the right side.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: The night of the vaccination I began having fevers night sweats and radiating severe Right neck pain that radiates from my neck to my right ear up my R scalp and R front and to the top of my head causing severe chronic headaches constantly.  So far it has last for seven days with minimal relief and it is worse at night when I try to sleep causing me insomnia due to pain. Pressure in my head feels like my brain is about to explode and I feel it in my neck and back of my ear on the right side.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Historically i have not gotten bloody noses.  But on Saturday 4/10/21 Morning when blowing my nose, my nose bleed quite a bit for a good 10-20 minutes.   This happened again 4/12/2021 but for a lot less.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chest pain, Fatigue, Headache
Clinical narrative: Johnson & Johnson Vaccine:  Tired and sleepy with a headache starting at 6:45pm April 8. Then his arms started to have pain and aching in the body more on the arm where he did not get the shot. This happened around 8:30pm. Patient chest started to ache. He went to bed. The entire night he experienced aches and pains in his body, his stomach and hips. When he woke up at 8:00 am on April 9 his legs and the back of his thighs were aching. He could barely move. He took two Tylenol that morning. He continued to experience aching in his body all day. He said it felt like flu like symptoms. Then he took more Tylenol that evening. By 9:30pm he started feeling better. He woke up Saturday, April 10 feeling better.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Somnolence
Clinical narrative: Johnson & Johnson Vaccine:  Tired and sleepy with a headache starting at 6:45pm April 8. Then his arms started to have pain and aching in the body more on the arm where he did not get the shot. This happened around 8:30pm. Patient chest started to ache. He went to bed. The entire night he experienced aches and pains in his body, his stomach and hips. When he woke up at 8:00 am on April 9 his legs and the back of his thighs were aching. He could barely move. He took two Tylenol that morning. He continued to experience aching in his body all day. He said it felt like flu like symptoms. Then he took more Tylenol that evening. By 9:30pm he started feeling better. He woke up Saturday, April 10 feeling better.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Myalgia, Pyrexia, Tremor, Vomiting
Clinical narrative: Throwing up, extreme shakes, muscle soreness, weakness, and fever
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: c/o heavy tongue and numbness in the lips
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Rash and itchiness at injection site. Very mild. Resolved in a few days.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: Tingling to numbing sensation along left arm into fingers of left hand particularly in my index, middle and ring fingers. This occurrence happened about 30 minutes after the injection however the numbness is still felt in my fingers today, 4/12 still primarily in the index, middle, and ring fingers.   I also experience swelling, size of golf ball at the injection site apparent about twelve hours after the shot. The injection site was sensitive to touch about 3 hours after the shot then gradually becoming worse as the day progressed peaking after 24 hours. It's still tender to touch on 4/12 but only when pressure is applied to the area.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test normal, Chest X-ray normal, Chills, Computerised tomogram head normal
Clinical narrative: Started out the day with a fever of around 100.8, had body aches, chills then that night I started having bad stomach cramps and diahreah and I fainted. Had to call 911 and ended up with an overnight stay in the hospital.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Diarrhoea, Pain, Pyrexia, Syncope
Clinical narrative: Started out the day with a fever of around 100.8, had body aches, chills then that night I started having bad stomach cramps and diahreah and I fainted. Had to call 911 and ended up with an overnight stay in the hospital.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Paraesthesia oral
Clinical narrative: c/o numbness in the lips and heavy tongue
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Chest discomfort, Dizziness, Fatigue
Clinical narrative: First dose no fever, shaking, freezing, nausea, achy, weak, tired. 24 hours then weak for 7 days and woke up drenched every time slept. 2 nd dose next day fever 104.6 , nausea, couldn?t eat or drink, body felt like hammer taken to it, joints hurt, throbbing pains in legs and feet, felt like ice water in  blood,  Sunday weak, dizzy, achy no fever, throat very sore, chest felt heavy, better by Sunday evening. Monday had to leave work broke out drenched in sweat, nausea, achy, extremely tired.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeding disorder, Feeling cold, Hyperhidrosis, Impaired work ability, Nausea
Clinical narrative: First dose no fever, shaking, freezing, nausea, achy, weak, tired. 24 hours then weak for 7 days and woke up drenched every time slept. 2 nd dose next day fever 104.6 , nausea, couldn?t eat or drink, body felt like hammer taken to it, joints hurt, throbbing pains in legs and feet, felt like ice water in  blood,  Sunday weak, dizzy, achy no fever, throat very sore, chest felt heavy, better by Sunday evening. Monday had to leave work broke out drenched in sweat, nausea, achy, extremely tired.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Pain, Pain in extremity, Pyrexia, Tremor
Clinical narrative: First dose no fever, shaking, freezing, nausea, achy, weak, tired. 24 hours then weak for 7 days and woke up drenched every time slept. 2 nd dose next day fever 104.6 , nausea, couldn?t eat or drink, body felt like hammer taken to it, joints hurt, throbbing pains in legs and feet, felt like ice water in  blood,  Sunday weak, dizzy, achy no fever, throat very sore, chest felt heavy, better by Sunday evening. Monday had to leave work broke out drenched in sweat, nausea, achy, extremely tired.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Hyperhidrosis
Clinical narrative: Pain at injection site right away.  Nausea, head ache and some dizziness started on the drive home (within an hour).  Within 10 hours I was experiencing severe chills, muscle pain and body aches.  Pain and chills were unrelenting and  unbearable at 24 hours and I contacted my PCP who advised taking Tylenol 500mg every 6 hours.  That lessened my symptoms to moderate headache, chills and body aches for the next 24-hours.  Day 3  Nausea, muscle pain lessened but I had extreme fatigue set in and hardly left the chair.  Evening of day 3 I began perspiring heavily, felt like a fever breaking.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Nausea, Pain
Clinical narrative: Pain at injection site right away.  Nausea, head ache and some dizziness started on the drive home (within an hour).  Within 10 hours I was experiencing severe chills, muscle pain and body aches.  Pain and chills were unrelenting and  unbearable at 24 hours and I contacted my PCP who advised taking Tylenol 500mg every 6 hours.  That lessened my symptoms to moderate headache, chills and body aches for the next 24-hours.  Day 3  Nausea, muscle pain lessened but I had extreme fatigue set in and hardly left the chair.  Evening of day 3 I began perspiring heavily, felt like a fever breaking.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Hot flush, Lethargy, Pyrexia
Clinical narrative: 8 hours after vaccination, became very lethargic, weak and got a fever of 103.2 degrees Fahrenheit.  Was getting the chills followed by hot flashes. Woke up next morning (today) still with a 100.7 degrees Fahrenheit fever. Took Tylenol when symptoms started to occur.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye pruritus, Hypersensitivity
Clinical narrative: Pt experienced "slight symptoms of allergic reaction, eye itching, dizziness,etc" after receiving her vaccination.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Fatigue, chills, moderate weakness, headache. Fever rising to 100.5 by 8 hours after the reaction began.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Around midnight, the night of the shot, started with Fever, Chills, Headache, Fatigue, Nausia.  This continued for an entire day.  Since this was the first dose, I'm curious to know if I should even get the second dose.??  I did have COVID back in Nov/Dec. 2020.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Hyperhidrosis, Paraesthesia, Syncope, Tremor
Clinical narrative: Patient fainted in pharmacist's arms, was lowered to ground and came back to pretty quickly, called 911 to come and make sure she was ok, could not indicate her surroundings for a bit, shaking, sweating, tingling in extremeties
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Reported lightheadedness. Adult emergency called. Member declined visit.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pruritus
Clinical narrative: Report itchiness of elbow and knees with flushing to entire body 1 week post vaccination that improved within 30 minutes and completed resolved within an 1 hour.  Second episode 2 week post vaccination  itchiness and flushing started with both feet and entire body that improved within 30 minutes completely resolved within 1 hour. Both episodes there was no treatment symptoms resolved on its on.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Injection site erythema
Clinical narrative: I got vaccinated on April 8 at approximately 9:00 am. After 12 hours strong body pain began, headache, fever, chills, nausea, diarrhea, fatigue... also the area of the vaccine today April 12 still red, inflamed and a little hot.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site warmth, Nausea, Pain, Pyrexia
Clinical narrative: I got vaccinated on April 8 at approximately 9:00 am. After 12 hours strong body pain began, headache, fever, chills, nausea, diarrhea, fatigue... also the area of the vaccine today April 12 still red, inflamed and a little hot.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient received first vaccine on 3/24/2021 received second vaccine on 4/9/21.  Patient had sore arm, body aches, fever, and chills.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Limb discomfort, Muscle contracture, Pain, Rash erythematous
Clinical narrative: She got the vaccine, didn't hurt at all, muscle tightened up but did not bother her at all.  Next day a little soreness.  Then 9 days later noticed and rash that was very red, and then fanned out like a Christmas tree 3", and 4" wide and very painful, inflamed, under the arm and toward the breast area and down to the elbow and itchy.  She called her doctor and was instructed to take Benadryl and also Tylenol.  She used cold compresses and by Monday it still hurt, and could rub it.  It presently does not hurt to touch, but does have a little tenderness on the elbow, but is able to cut her grass, do her yardwork, etc.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: She got the vaccine, didn't hurt at all, muscle tightened up but did not bother her at all.  Next day a little soreness.  Then 9 days later noticed and rash that was very red, and then fanned out like a Christmas tree 3", and 4" wide and very painful, inflamed, under the arm and toward the breast area and down to the elbow and itchy.  She called her doctor and was instructed to take Benadryl and also Tylenol.  She used cold compresses and by Monday it still hurt, and could rub it.  It presently does not hurt to touch, but does have a little tenderness on the elbow, but is able to cut her grass, do her yardwork, etc.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Chills, Dyspnoea, Hot flush
Clinical narrative: Presented to emergency department with chest pain, report symptoms a few days prior to presentation.  Reported mild shortness of breath, chills, and hot flashes. Was found to be COVID-19 positive upon admission to hospital floor. Symptoms are believed to not be related to COVID-19 infection and was not treated for infection.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented to emergency department with chest pain, report symptoms a few days prior to presentation.  Reported mild shortness of breath, chills, and hot flashes. Was found to be COVID-19 positive upon admission to hospital floor. Symptoms are believed to not be related to COVID-19 infection and was not treated for infection.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Myalgia, Nausea, Pyrexia
Clinical narrative: Nausea, vomiting, diarrhea, fever, chills, muscle aches, runny nose
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Vomiting
Clinical narrative: Nausea, vomiting, diarrhea, fever, chills, muscle aches, runny nose
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pain
Clinical narrative: Full body aches, chills, sore injection site. Ibuprofen 600mg taken every 4-6 hours and an epsom salt bath, rest. Symptoms lasted all day and into the following morning.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: Extreme fatigue, sore arm.  Fatigue was so severe that I could not get out of bed.  Watching tv required too much effort.  It lasted for about 12 hours.  I still have a sore arm on day 3
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Tremor
Clinical narrative: About 10 hours after my second dose of Pfizer I got a horrible headache, body aches, uncontrollable chills/shaking, and fever reaching 103 degrees.  This lasted for about 12 hours. Following that, I just had body aches and a headache until approximately 30 hours after the shot during which time the fever came back to 102 degrees, chills, and vomiting.  This lasted for 10 more hours ending approximately 40 hours after the injection of the vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: About 10 hours after my second dose of Pfizer I got a horrible headache, body aches, uncontrollable chills/shaking, and fever reaching 103 degrees.  This lasted for about 12 hours. Following that, I just had body aches and a headache until approximately 30 hours after the shot during which time the fever came back to 102 degrees, chills, and vomiting.  This lasted for 10 more hours ending approximately 40 hours after the injection of the vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pain, Pyrexia
Clinical narrative: headache, fever, chills, body ache, stomach muscle soreness (I am quite fit - have defined stomach muscles... but it felt like I was going to give myself a hernia sitting up in bed)
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache
Clinical narrative: Reported shortness of breath lasting few minutes and spontaneously resolving, fatigue, and headache.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Throat tightness
Clinical narrative: Started to experience pins & needles feeling in my chest which spread to my extremities. Then had trouble breathing and felt tightness in my throat. Lasted about 5 to 6 min.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Back pain, Chills, Dizziness
Clinical narrative: Weakness, chills, sweating, nausea, dizziness, headache, restlessness, pain around injection site, joint pain, lower back pain
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Injection site pain, Nausea, Restlessness
Clinical narrative: Weakness, chills, sweating, nausea, dizziness, headache, restlessness, pain around injection site, joint pain, lower back pain
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Migraine, Mobility decreased, Pain in extremity
Clinical narrative: Very sore arm, can't move it, lift it, or touch it without pain. Going on 48 hours with it. Also severe migraine, again going on 48 hours. Tried taking the recommended OTC pain, but it hasn't helped
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Shaking tremors throughout body started about one month after second dose of vaccine. Continually experiencing six weeks after starting.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Severe redness at injection site within 24 hours Swelling, larger but lighter redness, and itching at injection site within 48 hours
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Ultrasound antenatal screen abnormal, Ultrasound antenatal screen normal, Uterine dilation and curettage
Clinical narrative: Missed miscarriage.  Details about the pregnancy - EDD Nov02, 2021. First pregnancy. Tracking ovulation and dates.  Mar19 - first dose of Pfizer. Mar22 - first ultrasound, detected sac/fetal pole, heart rate detected by slow at 100bpm. Measuring 1 week behind, pushing EDD to Nov12 Mar29 - second ultrasound, no heartbeat detected, no growth from previous week.  Still had pregnancy symptoms, did not have symptoms after vaccine dose 1.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Asthenia, Chills, Computerised tomogram abdomen
Clinical narrative: I had immediate soreness after the vaccine does. Then at 7pm of the evening after getting my vaccine, I began to feel weak, get chills, and run a low grade fever. At midnight, my fever had increased to 101 and I began taking Tylenol (recommended by Pharmacy). I had sever body aches, muscle fatigue, joint paint, chills and nausea through the night and the next day. In the morning, I had excruciating pain in my abdomen and began vomitting. Later that  day, my fever increased to 102.7 (with Tylenol) and I called my regular doctor. She told me to continue to monitor and if my fever did not decrease by 7pm to go the hospital. Finally, my fever decreased to 101, muscle aches, chills and joint pain continued. I began vomitting uncontrollably for a short period of time. I was very dizzy and weak the remainder of the day. Saturday, my fever finally broke (I sweated all day) but my body was still weak and sore. I also had dizzy spells on and off. Sunday, I felt much better but was still very tired compared to my normal self. I had abdomen pain and burning on and off. I also got hive on my hands Sunday afternoon. After Benadryl, the hives went away but I still felt itchy all over.  Today (Monday), I still don't feel like myself, but it is the best I have felt since receiving the vaccine. I have never experienced anything like this and was miserable Thursday night, Friday and some of Saturday. It truly was a terrible experience.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Muscle fatigue, Myalgia, Nausea
Clinical narrative: I had immediate soreness after the vaccine does. Then at 7pm of the evening after getting my vaccine, I began to feel weak, get chills, and run a low grade fever. At midnight, my fever had increased to 101 and I began taking Tylenol (recommended by Pharmacy). I had sever body aches, muscle fatigue, joint paint, chills and nausea through the night and the next day. In the morning, I had excruciating pain in my abdomen and began vomitting. Later that  day, my fever increased to 102.7 (with Tylenol) and I called my regular doctor. She told me to continue to monitor and if my fever did not decrease by 7pm to go the hospital. Finally, my fever decreased to 101, muscle aches, chills and joint pain continued. I began vomitting uncontrollably for a short period of time. I was very dizzy and weak the remainder of the day. Saturday, my fever finally broke (I sweated all day) but my body was still weak and sore. I also had dizzy spells on and off. Sunday, I felt much better but was still very tired compared to my normal self. I had abdomen pain and burning on and off. I also got hive on my hands Sunday afternoon. After Benadryl, the hives went away but I still felt itchy all over.  Today (Monday), I still don't feel like myself, but it is the best I have felt since receiving the vaccine. I have never experienced anything like this and was miserable Thursday night, Friday and some of Saturday. It truly was a terrible experience.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Urticaria, Vomiting
Clinical narrative: I had immediate soreness after the vaccine does. Then at 7pm of the evening after getting my vaccine, I began to feel weak, get chills, and run a low grade fever. At midnight, my fever had increased to 101 and I began taking Tylenol (recommended by Pharmacy). I had sever body aches, muscle fatigue, joint paint, chills and nausea through the night and the next day. In the morning, I had excruciating pain in my abdomen and began vomitting. Later that  day, my fever increased to 102.7 (with Tylenol) and I called my regular doctor. She told me to continue to monitor and if my fever did not decrease by 7pm to go the hospital. Finally, my fever decreased to 101, muscle aches, chills and joint pain continued. I began vomitting uncontrollably for a short period of time. I was very dizzy and weak the remainder of the day. Saturday, my fever finally broke (I sweated all day) but my body was still weak and sore. I also had dizzy spells on and off. Sunday, I felt much better but was still very tired compared to my normal self. I had abdomen pain and burning on and off. I also got hive on my hands Sunday afternoon. After Benadryl, the hives went away but I still felt itchy all over.  Today (Monday), I still don't feel like myself, but it is the best I have felt since receiving the vaccine. I have never experienced anything like this and was miserable Thursday night, Friday and some of Saturday. It truly was a terrible experience.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Heart rate increased
Clinical narrative: increased heart rate, chest pressure
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lethargy, Myalgia
Clinical narrative: Chills - 2 hours Muscle Ache - 6 hours  Lethargic - 6 hours  Took Tylenol am/pm
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: HIVES  constant itching  with spots and swelling of spots.  I take OTC zyrtec  in that I am normally sensitive to allergies. The HIVING began with first dose of February 12, 2021 and seemed to take on a much aggravated stage after the second dose.  It is now all over my body.  The OTC allergy medicine is a very temporary solution.  More HIVES daily.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Pyrexia
Clinical narrative: pt says she got really tired about 4:30 in the afternoon after taking the vax.  She went to bed. Her fever went up to 101.  She took Tylenol.  It came down to 100 but went back up to 102.4 so then took ibuprofen.  It went down to 101.  She took her lorazepam to sleep.  Her fever broke during the night.  Today she has fatigue and a sore left arm.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Dizziness, Dysphonia, Feeling hot, Retching
Clinical narrative: pt received 1st dose of Pfizer Covid vaccine at 0710; began complaining of feeling HOT only and was fanning self; writer offered  a bottle of water  and began talking to pt at 0715  at 0720 pt stated that HER throat was becoming ITCHY and began gagging;  vitals bp 144/92, HR 105, 02 sat 99% on RA. 0721 pt received STAT EPI in Left thigh;  stat call made. Repeat vitals 02 sat 100 % hr 93. Pt began feeling better stating  THROAT itching was better, however she had trouble speaking as voice was raspy and weak and she kept clearing her throat; almost sounded like slight audible wheeze which didn't progress any further.  Stat team arrived; when pt stood up she had felt dizzy and mentioned she had some shakiness  but was able to ambulate to WC on own.  vitals 0723 bp 132/88 HR 96 02sat 99%.  Pt was taken to ED via WC   0725  for further evaluation.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Throat irritation, Throat tightness, Tremor
Clinical narrative: pt received 1st dose of Pfizer Covid vaccine at 0710; began complaining of feeling HOT only and was fanning self; writer offered  a bottle of water  and began talking to pt at 0715  at 0720 pt stated that HER throat was becoming ITCHY and began gagging;  vitals bp 144/92, HR 105, 02 sat 99% on RA. 0721 pt received STAT EPI in Left thigh;  stat call made. Repeat vitals 02 sat 100 % hr 93. Pt began feeling better stating  THROAT itching was better, however she had trouble speaking as voice was raspy and weak and she kept clearing her throat; almost sounded like slight audible wheeze which didn't progress any further.  Stat team arrived; when pt stood up she had felt dizzy and mentioned she had some shakiness  but was able to ambulate to WC on own.  vitals 0723 bp 132/88 HR 96 02sat 99%.  Pt was taken to ED via WC   0725  for further evaluation.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Gout
Clinical narrative: Gout in the second toe on my left foot. I had NO alcohol, or shell fish. I have had gout 2-3 times in my life, mostly in my fingers
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Injection site reaction, Rash, Rash pruritic
Clinical narrative: Hoarseness starting 4/2 ending 4/4 Large painful itchy rash at site of injection Ranging 6? long and 4? width. Rash appears to me moving down and inside arm.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Paraesthesia, Tremor
Clinical narrative: Patient was feeling nauseated, tired, shaking, having tingling in extremities, kept trying to close their eyes.  Gave some orange juice and crackers and was able to keep them awake.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive on 4/9
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: tingling/numbness in right fingers
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Sever swelling of lymph nodes in armpit of left arm.  Some swelling of lymph nodes in right arm.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypersomnia, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Within 2 hours after injection, I was having severe body aches and fatigue. I slept immediately for 6 hours, woke up for 3hrs and then slept for 12hrs and the next day the body aches were gone, just still a little fatigued. After 2 days I was completely back to normal until today 04/12. I woke up at 3am with severe pain to my injection site, red, swollen and blotchiness around the site.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash macular
Clinical narrative: Within 2 hours after injection, I was having severe body aches and fatigue. I slept immediately for 6 hours, woke up for 3hrs and then slept for 12hrs and the next day the body aches were gone, just still a little fatigued. After 2 days I was completely back to normal until today 04/12. I woke up at 3am with severe pain to my injection site, red, swollen and blotchiness around the site.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Burning sensation, Decreased appetite, Diarrhoea, Headache, Insomnia
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Joint stiffness, Mania, Myalgia, Neuralgia, Pain in extremity
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Panic attack, Peripheral swelling, Rash
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Agitation, Anxiety, Asthenia, Autonomic nervous system imbalance, Bipolar disorder
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Drug abuse, Hyperhidrosis, Hypoaesthesia, Insomnia, Mental disorder
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Muscular weakness, Nausea, Panic reaction, Psychotic disorder, Suicidal ideation
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tachycardia
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aggression, Agitation, Anxiety, Aphthous ulcer, Arthralgia
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Depression suicidal, Diarrhoea, Eye irritation, Fatigue, Feeling cold
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Feeling hot, Fibromyalgia, Hostility, Insomnia, Irritability
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Loss of personal independence in daily activities, Lyme disease, Mental disorder, Myalgia, Nausea
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neuropathy peripheral, Oral discomfort, Peripheral swelling, Rash, SARS-CoV-2 antibody test
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test, Tachycardia, Vaccination site pain
Clinical narrative: Day 8 post vaccine (4/1/2021), my left arm became sore again, had a rash, and was swollen. Along with the arm issues, I got diarrhea, burning throughout my body, neuralgia, headache, stiff joints, and aching muscles. April 7th, I started to get psychiatric symptom of mania. I HAVE NO HISTORY OF BI-POLAR ILLNESS, TAKE NO PSYCH MEDS, AND AM TYPICALLY EVEN-TEMPERED!!!!!My husband noticed pressure of speech, my not sleeping and eating, and I feel like a whoosh of energy courses from my feet to my head continually now. At times I feel panic, although I have nothing externally in my life that would cause such symptoms. I had to call al shrink at midnight on 4/10/21 to get an Rx for Ativan. I AM LIVID IN MY NEW MANIC STATE!!!! I hate taking drugs because another drug messed me up!
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Hyperhidrosis, Nausea
Clinical narrative: 4/9 - No issues 4/10 - Woke up with alternating sweats/chills throughout day. Temp never above 99.6.  Slight headache and nausea.  No energy at all. Took doses of ibuprofen throughout day.  4/11 - Continued with alternating sweats/chills. Continued taking ibuprofen and generally able to function.  4/12 - Morning of 4/12 similar to 4/11.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Crippling body aches, fever of 100.2, severe headache, chills, chest congestion, impaired cognition - lasted for 36 hours after injection
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Thinking abnormal
Clinical narrative: Crippling body aches, fever of 100.2, severe headache, chills, chest congestion, impaired cognition - lasted for 36 hours after injection
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: Achy,tired for two days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Hypoaesthesia, Limb discomfort, Pain, Pain in extremity
Clinical narrative: Pain in armpit that radiates down arm. Heavy feeling in arm and numbness in wrist and fingers.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine spasm, Vaginal haemorrhage
Clinical narrative: Heavy Vaginal bleeding (not from period), bright red, moderate to severe uterine cramping that started 12 hours after vaccine. Bleeding and cramping continue 48 hours later. Tylenol decreases the cramping but does not completely resolve.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Pain, Vomiting
Clinical narrative: Vomiting (for 6 hours), diarhea,  Chills where entire body shook, body aches for entire 72 hours, weakness,
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash (resembling a hundred mosquito bites) appearing around elbows and back of the knee, around midriff, and then neck and back. Disappeared when I took Benadryl but came back once it wore off.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Headache, Illness
Clinical narrative: I had my first Moderna shot in my right arm on March 4th. I got a bad headache the next day. After that a very low ringing in my ears started. I barely noticed it. On April 1st, I had my second shot in my left arm. By that night I was very sick with splitting headache, fever, chills, fatigue. After three days I got better. The ringing in my ears increased from then on getting louder every day. It is now a high pitched ring tone that does not subside that is loud enough to be heard all day and night no matter what I am doing. Nothing I do changes the loudness or tone. I have never had tinnitus before or any hearing loss or hearing issues. I am in good health with no underlying medical conditions.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus
Clinical narrative: I had my first Moderna shot in my right arm on March 4th. I got a bad headache the next day. After that a very low ringing in my ears started. I barely noticed it. On April 1st, I had my second shot in my left arm. By that night I was very sick with splitting headache, fever, chills, fatigue. After three days I got better. The ringing in my ears increased from then on getting louder every day. It is now a high pitched ring tone that does not subside that is loud enough to be heard all day and night no matter what I am doing. Nothing I do changes the loudness or tone. I have never had tinnitus before or any hearing loss or hearing issues. I am in good health with no underlying medical conditions.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Myalgia, Pyrexia, Sleep disorder, Urticaria
Clinical narrative: 3AM woke up with high fever, headache, muscle ache from shoulders up. Treated with Tylenol to reduce fever, symptoms continued through the day. 2PM discovered large patch of hives on back from right shoulder to waist approximately 4 inches wide at the top and narrowing to 1 inch wide at the bottom. Treated with my go-to allergic reaction kit: Xyzal, Benadryl, Prednisone, and Pepcid. Hives started fading after 1 hour and were mostly gone within 3 hours, followed by 12 hours of sleep.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Myalgia, Pyrexia, Urticaria
Clinical narrative: 3AM woke up with high fever, headache, muscle ache from shoulders up. Treated with Tylenol to reduce fever, symptoms continued through the day. 2PM discovered large patch of hives on back from right shoulder to waist approximately 4 inches wide at the top and narrowing to 1 inch wide at the bottom. Treated with my go-to allergic reaction kit: Xyzal, Benadryl, Prednisone, and Pepcid. Hives started fading after 1 hour and were mostly gone within 3 hours, followed by 12 hours of sleep.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Extreme headache, extreme fatigue, blinding headache.  Had COVID back in Nov 2020 and it truly felt like I had full blown COVID again.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Fatigue, Headache, Pain
Clinical narrative: Dizziness, fatigue started around 11am, pressure headache including jaw  started 6pm. Slept on and off, dizziness continued until next morning. I don?t know if this was related to shot because I do have back issues but my entire spine had a burning pain. Next morning everything was fine, including back pain.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Spinal pain
Clinical narrative: Dizziness, fatigue started around 11am, pressure headache including jaw  started 6pm. Slept on and off, dizziness continued until next morning. I don?t know if this was related to shot because I do have back issues but my entire spine had a burning pain. Next morning everything was fine, including back pain.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt with 18 YO special needs, came into clinic with 2 parents.  Parents said pt does not do well with shots and will try to run away.  Pt holding Elmo doll.  Famly states pt will not sit down for shot,  Pt given shot standing up with parent standing closely on each side of pt. Injection almost given and pt started to flail arms and try to walk away.  Needle removed quickly and intact.  MA reports that about 80% of dose was given.  Underdosing.  Per guidelines, Moderna does not require repeating.  No harm to pt.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: Patient reported baseball sized bruises on both arms and legs. Bruises on arms were not at injection site. Bruises on legs were behind her knees and on her calves. Advised patient to reach out to her primary care provider.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling drunk, Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: On evening of initial dose, I had a very sore Arm at the injection site. I feel that it was extremely different from what others describe. I could barely lift the arm without a lot of pain. I wasn't too worried about it as I knew it could only be sore for so long. It faded throughout the next days. On 04/07/21, I woke from a sleep at 4am and as I rolled over, I had a massive wave of dizziness come over me. I thought it was very strange so I decided to sit up, in bed. As soon as I sat up, the room started spinning. It felt as if I were drunk as a skunk. I managed to steady myself and got out of bed and went to the bathroom, all the while fighting the dizziness/vertigo. The dizziness/vertigo has prevailed since then, but at a diminished rate. It is better if I am up and moving and worse if I am sitting/laying around. I've waited almost a week to file this VAER but feel like it needs to be done.