chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis, Hypoacusis, Insomnia, Laboratory test
Clinical narrative: Chest fluttering Dizzy/nauseous/fatigued 1st day  Fever/chills/tension headache 2nd day Mild chest tightness 3rd and 4th day  Sweaty/clammy hands and feet every day since vaccine  Waking up sweaty every night Mild left ear Tinnitus 4th day  Forehead Neck/throat/chest/stomach warm no fever 3rd and 4th day  Some loose stool 4th day, vertigo Imbalanced feeling chest quivering elevated heart rate 4th day  constipation 5th day and insomnia along with severe vertigo when lying flat  severe tension headaches mild hearing imbalance and popping both ears 6th day mild tension headaches with pressure on head, stomach burn, heartburn weak legs vertigo 7th day mild tension headaches with pressure on head, stomach burn, heartburn weak legs vertigo 8th day pressure on head, stomach burn, heartburn weak legs vertigo 9th day
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Pyrexia, SARS-CoV-2 test, Skin warm, Tension headache
Clinical narrative: Chest fluttering Dizzy/nauseous/fatigued 1st day  Fever/chills/tension headache 2nd day Mild chest tightness 3rd and 4th day  Sweaty/clammy hands and feet every day since vaccine  Waking up sweaty every night Mild left ear Tinnitus 4th day  Forehead Neck/throat/chest/stomach warm no fever 3rd and 4th day  Some loose stool 4th day, vertigo Imbalanced feeling chest quivering elevated heart rate 4th day  constipation 5th day and insomnia along with severe vertigo when lying flat  severe tension headaches mild hearing imbalance and popping both ears 6th day mild tension headaches with pressure on head, stomach burn, heartburn weak legs vertigo 7th day mild tension headaches with pressure on head, stomach burn, heartburn weak legs vertigo 8th day pressure on head, stomach burn, heartburn weak legs vertigo 9th day
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus, Tremor, Vertigo, Vertigo positional
Clinical narrative: Chest fluttering Dizzy/nauseous/fatigued 1st day  Fever/chills/tension headache 2nd day Mild chest tightness 3rd and 4th day  Sweaty/clammy hands and feet every day since vaccine  Waking up sweaty every night Mild left ear Tinnitus 4th day  Forehead Neck/throat/chest/stomach warm no fever 3rd and 4th day  Some loose stool 4th day, vertigo Imbalanced feeling chest quivering elevated heart rate 4th day  constipation 5th day and insomnia along with severe vertigo when lying flat  severe tension headaches mild hearing imbalance and popping both ears 6th day mild tension headaches with pressure on head, stomach burn, heartburn weak legs vertigo 7th day mild tension headaches with pressure on head, stomach burn, heartburn weak legs vertigo 8th day pressure on head, stomach burn, heartburn weak legs vertigo 9th day
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Axillary mass, Fatigue, Malaise, Oropharyngeal pain
Clinical narrative: After the 1st shot, I was ill for about a day: extreme fatigue, every joint in body ached, sore throat. After 2nd shot, not symptoms until Saturday. I noticed a swelling between my left breast and my armpit. It developed into a very pronounced lump at my armpit and toward left breast. There was tenderness when I used the arm.  As of today, the swelling is down- not quite normal yet- but no tenderness.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Swelling
Clinical narrative: After the 1st shot, I was ill for about a day: extreme fatigue, every joint in body ached, sore throat. After 2nd shot, not symptoms until Saturday. I noticed a swelling between my left breast and my armpit. It developed into a very pronounced lump at my armpit and toward left breast. There was tenderness when I used the arm.  As of today, the swelling is down- not quite normal yet- but no tenderness.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Muscle spasms, Pain
Clinical narrative: 101 fever, chills, cramps in varius parts of feet & legs, headaches, severely tired with body aches started 12 hours after vaccine was given and lasted 36 hours
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 101 fever, chills, cramps in varius parts of feet & legs, headaches, severely tired with body aches started 12 hours after vaccine was given and lasted 36 hours
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Appendiceal abscess, Appendicitis perforated, Blood test, Computerised tomogram abdomen abnormal, Pain
Clinical narrative: 36 hours after infection my appendix perforated. Not knowing the cause of my pain, I self-treated for several days before going to the emergency room, where a CT scan revealed an abscess caused by the rupture. I was in hospital for four nights receiving IV antibiotics. I am healing.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: 36 hours after infection my appendix perforated. Not knowing the cause of my pain, I self-treated for several days before going to the emergency room, where a CT scan revealed an abscess caused by the rupture. I was in hospital for four nights receiving IV antibiotics. I am healing.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass, Chills, Decreased appetite, Fatigue, Feeling hot
Clinical narrative: I received the shot Friday and early Saturday am around 3. I woke up with the chills, was warm etc.. Through out the next day all day and night , i was in bed, with muscles pain, chills and nausea and was so tired. The fever would come and go. I took Tylenol for treatment. I had no appetite until , i woke up Sunday morning around 9. Got up , ate and later Sunday felt much better. Monday, back to feeling my old self but  i noticed a large swollen lump under my left armpit when i showered. In the left arm i was injected. Today ,  the large lump, its still there rather large.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: I received the shot Friday and early Saturday am around 3. I woke up with the chills, was warm etc.. Through out the next day all day and night , i was in bed, with muscles pain, chills and nausea and was so tired. The fever would come and go. I took Tylenol for treatment. I had no appetite until , i woke up Sunday morning around 9. Got up , ate and later Sunday felt much better. Monday, back to feeling my old self but  i noticed a large swollen lump under my left armpit when i showered. In the left arm i was injected. Today ,  the large lump, its still there rather large.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Paraesthesia
Clinical narrative: paresthesia and lumbago
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Influenza like illness, Lymphadenopathy
Clinical narrative: Flu-like symptoms:  headache, fatigue, dizziness, nausea, swollen lymph nodes, sore arm beginning the evening of injection.  All symptoms, except sore arm, gone by morning.  No treatment given.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: Flu-like symptoms:  headache, fatigue, dizziness, nausea, swollen lymph nodes, sore arm beginning the evening of injection.  All symptoms, except sore arm, gone by morning.  No treatment given.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Resident diagnosed with Covid-19
Age: 0.33
Sex: F
Vaccine: DTAP, PNC13, RV5
Symptoms: Anticonvulsant drug level therapeutic, Blood electrolytes normal, Blood gases, Cerebral disorder, Computerised tomogram abnormal
Clinical narrative: 48-72hrs following had increased seizure activity and was admitted to local Hosp
Age: 0.33
Sex: F
Vaccine: DTAP, PNC13, RV5
Symptoms: Computerised tomogram head, Condition aggravated, Drug screen, Electroencephalogram abnormal, Full blood count normal
Clinical narrative: 48-72hrs following had increased seizure activity and was admitted to local Hosp
Age: 0.33
Sex: F
Vaccine: DTAP, PNC13, RV5
Symptoms: Intensive care, Laboratory test normal, Respiratory distress, SARS-CoV-2 test negative, Seizure
Clinical narrative: 48-72hrs following had increased seizure activity and was admitted to local Hosp
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Vision blurred
Clinical narrative: Double vision x 4 days, continued blurred vision
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Tachycardia
Clinical narrative: Headaches, tachycardia, chills
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Breast tenderness, Chest pain, Pain, Pyrexia
Clinical narrative: Fever of 100 to 101 (by 09:00 PM)   that Sunday evening. Fever gone by 2 pm Monday. Body aches remained. By Tuesday evening, 8 pm, I noticed extreme Breast tenderness and I called my doctorand talked to the nurse  - lactation nurses - on the 17th.That persisted for more than 48 hours. (I am breastfeeding.) When I bent over, I had chest pain with that. Told to monitor it and if I got a fever to call back to call the doctor.  Didn't get fever and my tenderness in my breasts went away and so did  the body aches.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chills, Dizziness
Clinical narrative: Felt dizzy, BP increased, chills.  Transported to ER by EMS.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Chromaturia
Clinical narrative: pt states that she woke up next day w/ severe epigastric pain, nausea, vomiting, loss of appetite, dark urine, pale stools.  pt was very sick from 3/5 to 3/13.  She had an appt w/ PCP on 3/19/21 for her annual exam.  Labs showed her liver enzymes were elevated.  Her labs were all high on this date but normal one year ago.  Dr. told her the vaccine caused her to have vaccine induced hepatitis.  Pt to FU w/ PCP on 4/22/21.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Faeces discoloured, Hepatic enzyme increased, Hepatitis, Laboratory test abnormal
Clinical narrative: pt states that she woke up next day w/ severe epigastric pain, nausea, vomiting, loss of appetite, dark urine, pale stools.  pt was very sick from 3/5 to 3/13.  She had an appt w/ PCP on 3/19/21 for her annual exam.  Labs showed her liver enzymes were elevated.  Her labs were all high on this date but normal one year ago.  Dr. told her the vaccine caused her to have vaccine induced hepatitis.  Pt to FU w/ PCP on 4/22/21.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Vomiting
Clinical narrative: pt states that she woke up next day w/ severe epigastric pain, nausea, vomiting, loss of appetite, dark urine, pale stools.  pt was very sick from 3/5 to 3/13.  She had an appt w/ PCP on 3/19/21 for her annual exam.  Labs showed her liver enzymes were elevated.  Her labs were all high on this date but normal one year ago.  Dr. told her the vaccine caused her to have vaccine induced hepatitis.  Pt to FU w/ PCP on 4/22/21.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Peripheral swelling
Clinical narrative: Had right arm swelling for 2 days.  Beginning on day 4, developed tenderness in right axilla.  Severe on day 5.  Seen in clinic on day 6 with medial axillary tenderness, no discrete lymph nodes, no abscess or skin changes.      NO fevers or  chills
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Sneezing
Clinical narrative: sore throat, sneezing, cough
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Bed rest, Chills, Decreased appetite
Clinical narrative: Moderna COVID-19 Vaccine  1st dose symptoms tiredness. 2nd dose symptoms began approx. 12 hours later from dose given. Began with severe headache for 2 hours turning into headache with chills and felt feverish. Woke in morning at 6 am. Could barely walk due to muscle/joint aches and exhaustion. Taste also felt funny. Fever of 99.9 around 2 pm. All symptoms felt severe and I stayed in bed all day. Everytime I  stood, I thought I'd fall down from weakness and sore muscles. By 10 pm, I went to sleep with same symptoms. Advil took the edge off. By the next morning, headache and aches gone, except my back feels like it is going to go out-had to wear my back brace. Severe exhaustion-when I stood I thought I would pass out. Dizzy and weak, mild headache, not very hungry all day. By 9 pm felt less weak. By 6 am next day, symptoms seemed to have disappeared except for my back pain.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Mobility decreased, Myalgia, Pyrexia
Clinical narrative: Moderna COVID-19 Vaccine  1st dose symptoms tiredness. 2nd dose symptoms began approx. 12 hours later from dose given. Began with severe headache for 2 hours turning into headache with chills and felt feverish. Woke in morning at 6 am. Could barely walk due to muscle/joint aches and exhaustion. Taste also felt funny. Fever of 99.9 around 2 pm. All symptoms felt severe and I stayed in bed all day. Everytime I  stood, I thought I'd fall down from weakness and sore muscles. By 10 pm, I went to sleep with same symptoms. Advil took the edge off. By the next morning, headache and aches gone, except my back feels like it is going to go out-had to wear my back brace. Severe exhaustion-when I stood I thought I would pass out. Dizzy and weak, mild headache, not very hungry all day. By 9 pm felt less weak. By 6 am next day, symptoms seemed to have disappeared except for my back pain.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Taste disorder
Clinical narrative: Moderna COVID-19 Vaccine  1st dose symptoms tiredness. 2nd dose symptoms began approx. 12 hours later from dose given. Began with severe headache for 2 hours turning into headache with chills and felt feverish. Woke in morning at 6 am. Could barely walk due to muscle/joint aches and exhaustion. Taste also felt funny. Fever of 99.9 around 2 pm. All symptoms felt severe and I stayed in bed all day. Everytime I  stood, I thought I'd fall down from weakness and sore muscles. By 10 pm, I went to sleep with same symptoms. Advil took the edge off. By the next morning, headache and aches gone, except my back feels like it is going to go out-had to wear my back brace. Severe exhaustion-when I stood I thought I would pass out. Dizzy and weak, mild headache, not very hungry all day. By 9 pm felt less weak. By 6 am next day, symptoms seemed to have disappeared except for my back pain.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Low grade fever 100.3, tired
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Throat clearing
Clinical narrative: 1135 patient had c/o of throat clearing and was evaluated by MD. Airway was open, no signs of respiratory distress with clear lungs. Benadryl 25mg PO x1 and monitored for 30 minutes. 1210 Patient reassessed, throat clearing resolved. Discharged home and advised patient if symptoms came back or worsened to go to ED.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fatigue, Vomiting
Clinical narrative: Severe diarrhea and vomiting. Joint pain, fatigue, tiredness
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin burning sensation, Skin irritation
Clinical narrative: Day after vaccine, the left side of my face between my nose and mouth it felt very irritated, burning and itchy. No rash was seen. I was advised by doctor to take Benedryl.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypoaesthesia
Clinical narrative: Patient reports lightheadedness, numbness in L arm, throat tightening.  Had patient lay flat with legs up.  Patient began to feel better.  Patient states she has this same reaction with other procedures, bloodwork, etc.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chest pain, Chills, Lymphadenopathy, Neck pain
Clinical narrative: Neck, shoulder, arm, trunk pain.  chills.  neck and axilla adenopathy.  possibly related to using NSAIDS around vaccination
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: Neck, shoulder, arm, trunk pain.  chills.  neck and axilla adenopathy.  possibly related to using NSAIDS around vaccination
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Lymphadenopathy
Clinical narrative: Neck, shoulder, arm, trunk pain.  chills.  neck and axilla adenopathy.  possibly related to using NSAIDS around vaccination
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Muscle spasms, Neck pain, Vaccination site pain
Clinical narrative: Neck, shoulder, arm, trunk pain.  chills.  neck and axilla adenopathy.  possibly related to using NSAIDS around vaccination
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Aplastic anaemia, Biopsy bone marrow abnormal, Dyspnoea, Epistaxis, Full blood count
Clinical narrative: Nosebleeds began 2/21. Presented to Community Hospital on 3/9/21 with nose bleeds, spontaneous bleeding from mouth, and severe dyspnea. Had bone marrow biopsy done 3/10, then transferred to Community Hospital for further management. Diagnosed with aplastic anemia on 3/12 and discharged with a plan for follow-up. Readmitted to Community Hospital for treatment with ATGAM and cyclosporine.  Completed course of ATGAM 3/16.  Has yet to be discharged as of 3/23.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Immunoglobulin therapy, Mouth haemorrhage, Myelosuppression, Platelet count decreased
Clinical narrative: Nosebleeds began 2/21. Presented to Community Hospital on 3/9/21 with nose bleeds, spontaneous bleeding from mouth, and severe dyspnea. Had bone marrow biopsy done 3/10, then transferred to Community Hospital for further management. Diagnosed with aplastic anemia on 3/12 and discharged with a plan for follow-up. Readmitted to Community Hospital for treatment with ATGAM and cyclosporine.  Completed course of ATGAM 3/16.  Has yet to be discharged as of 3/23.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Serum ferritin increased, White blood cell count decreased
Clinical narrative: Nosebleeds began 2/21. Presented to Community Hospital on 3/9/21 with nose bleeds, spontaneous bleeding from mouth, and severe dyspnea. Had bone marrow biopsy done 3/10, then transferred to Community Hospital for further management. Diagnosed with aplastic anemia on 3/12 and discharged with a plan for follow-up. Readmitted to Community Hospital for treatment with ATGAM and cyclosporine.  Completed course of ATGAM 3/16.  Has yet to be discharged as of 3/23.
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: Erythema, Rash
Clinical narrative: About 40 minutes post vaccination patient's face became red and developed a rash.  Benedryl given and she was released home 30 minutes later.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Cough, Dyspepsia, Dyspnoea
Clinical narrative: This is a 60-year-old male who comes in today (3/22).  Patient states that he received a Covid shot 11 days ago since then he has had mild fevers.  However 6 days after he received his Covid vaccine he developed a fever of 102 he has been alternating between Advil and Tylenol without any improvement of his symptoms.  Patient states that he now is having a difficult time breathing he has some nausea without any vomiting but has had a difficult time eating without any abdominal pain no diarrhea.  Has had generalized myalgias as well. He denies any large cough states that he is coughing a little bit.  No chest pain.  Patient tested positive for Covid 19. Is now admitted and on oxygen.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: This is a 60-year-old male who comes in today (3/22).  Patient states that he received a Covid shot 11 days ago since then he has had mild fevers.  However 6 days after he received his Covid vaccine he developed a fever of 102 he has been alternating between Advil and Tylenol without any improvement of his symptoms.  Patient states that he now is having a difficult time breathing he has some nausea without any vomiting but has had a difficult time eating without any abdominal pain no diarrhea.  Has had generalized myalgias as well. He denies any large cough states that he is coughing a little bit.  No chest pain.  Patient tested positive for Covid 19. Is now admitted and on oxygen.
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Red bump, hotness and pain in injection site swollen
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain of skin, Pruritus, SARS-CoV-2 test negative, Skin lesion
Clinical narrative: I started noticing itching a week after the vaccine. I had painful lesions on my armpit, on my back underneath my shoulder blade and on my buttock. The lesions were very painful. I was diagnosed with Shingles two weeks after the first dose of the vaccine. I had to delay the second dose because I was taking the medicine for the Shingles. The Shingles cleared up a week after I started the medication. I was also exposed to Covid-19 during that time but tested negative. I also have a lingering achy feeling in the back of my throat over the last couple of months. It is an uncomfortable feeling.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Influenza like illness, Pain
Clinical narrative: Similar to Regular Flu:  Lack Of Appetite, Exhaustion, Sleepiness, Body Aches All Over, Diarrhea FOR A FULL WEEK!
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Similar to Regular Flu:  Lack Of Appetite, Exhaustion, Sleepiness, Body Aches All Over, Diarrhea FOR A FULL WEEK!
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient developed a rash on her face, arms and upper back post vaccination per her report. Tele-visit conducted on 03/18/2021 rash was resolved.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Headache, body ache, dyspnea, cough, chills, diarrhea, abdominal pain X 8 days  No treatment
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Headache, body ache, dyspnea, cough, chills, diarrhea, abdominal pain X 8 days  No treatment
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest X-ray, Chest discomfort, Chills, Dizziness
Clinical narrative: Around 40 minutes after receiving the second COVID19 vaccination, my heart began racing, I was lightheaded, and my tongue began to swell.  I was taken to an observation room, and a my oxygen saturation was checked.  Because my tongue continued to swell, my chest felt tight, and breathing became shallow, I was injected with 50mg of Benadryl.  I asked for this instead of the Epi pen injection.   The constriction in my chest improved a bit and my tongue started to reduce in size.  I was very sleepy and had the shivers.  After a half hour of resting, I was driven home by family.  The next day I had terrible joint pain, fatigue and chills.  Breathing was fine, but I was easily exhausted by any exertion.  Starting the third day, I was at work teaching and noticed a rapid heart rate, increased chest tightness and extreme fatigue from talking or walking the stairs.  The fourth day I had to leave work early because of the lack of breath and fatigue.  I visited my family doctor who gave me Prednisone and a rescue inhaler, and I started taking the medication. The fifth day my symptoms were the same, but I sat at my desk and was able to do paperwork.  The sixth and seventh days I had to get a substitute for my job, as I did not have enough energy or breath to teach or walk the stairs at school.  I have been on vacation from work since Saturday, a full seven days after the vaccination, and continue to have extreme fatigue and chest tightness with any exertion.   Sunday night I went to the Emergency because I could not get a deep breath and felt like I was suffocating. My oxygen levels were high and my blood pressure good, but the muscles in my neck and chest were constricted making me gasp and choke on my spit.  I was given an albuterol treatment and an anti anxiety drug to help relax me so I could breath normally.  I am still struggling with these symptoms of tight chest, constricted breathing, and extreme fatigue.  But now I am sleeping sitting upright and afraid to fall asleep because I may not be able to breath.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Hypopnoea, Palpitations, Sleep disorder
Clinical narrative: Around 40 minutes after receiving the second COVID19 vaccination, my heart began racing, I was lightheaded, and my tongue began to swell.  I was taken to an observation room, and a my oxygen saturation was checked.  Because my tongue continued to swell, my chest felt tight, and breathing became shallow, I was injected with 50mg of Benadryl.  I asked for this instead of the Epi pen injection.   The constriction in my chest improved a bit and my tongue started to reduce in size.  I was very sleepy and had the shivers.  After a half hour of resting, I was driven home by family.  The next day I had terrible joint pain, fatigue and chills.  Breathing was fine, but I was easily exhausted by any exertion.  Starting the third day, I was at work teaching and noticed a rapid heart rate, increased chest tightness and extreme fatigue from talking or walking the stairs.  The fourth day I had to leave work early because of the lack of breath and fatigue.  I visited my family doctor who gave me Prednisone and a rescue inhaler, and I started taking the medication. The fifth day my symptoms were the same, but I sat at my desk and was able to do paperwork.  The sixth and seventh days I had to get a substitute for my job, as I did not have enough energy or breath to teach or walk the stairs at school.  I have been on vacation from work since Saturday, a full seven days after the vaccination, and continue to have extreme fatigue and chest tightness with any exertion.   Sunday night I went to the Emergency because I could not get a deep breath and felt like I was suffocating. My oxygen levels were high and my blood pressure good, but the muscles in my neck and chest were constricted making me gasp and choke on my spit.  I was given an albuterol treatment and an anti anxiety drug to help relax me so I could breath normally.  I am still struggling with these symptoms of tight chest, constricted breathing, and extreme fatigue.  But now I am sleeping sitting upright and afraid to fall asleep because I may not be able to breath.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Around 40 minutes after receiving the second COVID19 vaccination, my heart began racing, I was lightheaded, and my tongue began to swell.  I was taken to an observation room, and a my oxygen saturation was checked.  Because my tongue continued to swell, my chest felt tight, and breathing became shallow, I was injected with 50mg of Benadryl.  I asked for this instead of the Epi pen injection.   The constriction in my chest improved a bit and my tongue started to reduce in size.  I was very sleepy and had the shivers.  After a half hour of resting, I was driven home by family.  The next day I had terrible joint pain, fatigue and chills.  Breathing was fine, but I was easily exhausted by any exertion.  Starting the third day, I was at work teaching and noticed a rapid heart rate, increased chest tightness and extreme fatigue from talking or walking the stairs.  The fourth day I had to leave work early because of the lack of breath and fatigue.  I visited my family doctor who gave me Prednisone and a rescue inhaler, and I started taking the medication. The fifth day my symptoms were the same, but I sat at my desk and was able to do paperwork.  The sixth and seventh days I had to get a substitute for my job, as I did not have enough energy or breath to teach or walk the stairs at school.  I have been on vacation from work since Saturday, a full seven days after the vaccination, and continue to have extreme fatigue and chest tightness with any exertion.   Sunday night I went to the Emergency because I could not get a deep breath and felt like I was suffocating. My oxygen levels were high and my blood pressure good, but the muscles in my neck and chest were constricted making me gasp and choke on my spit.  I was given an albuterol treatment and an anti anxiety drug to help relax me so I could breath normally.  I am still struggling with these symptoms of tight chest, constricted breathing, and extreme fatigue.  But now I am sleeping sitting upright and afraid to fall asleep because I may not be able to breath.
Age: 0.33
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC13, RV1
Symptoms: Diarrhoea, Lethargy, Pyrexia
Clinical narrative: With in five hours post vaccination child developed fever, lethargy and diarrhea. Symptoms last 5 days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling abnormal, Injection site erythema, Injection site swelling
Clinical narrative: Sunday night: Low grade fever; Arm swollen at injection site; Migraine Headache; Joint pain and stiffness; Body aches, Nauseous feeling. Monday: Headache; Arm swollen, red, and warm at injection site; Very tired; and body aches, Nauseous feeling. Tuesday: Brain fog; Arm Swollen, red, and warm at injection site (also red spot bigger than on Monday); Nauseous feeling; joint pain and stiffness; Body aches.  It really hasn't changed much since Sunday night other than not having a low grade fever.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Migraine, Nausea, Pain, Pyrexia
Clinical narrative: Sunday night: Low grade fever; Arm swollen at injection site; Migraine Headache; Joint pain and stiffness; Body aches, Nauseous feeling. Monday: Headache; Arm swollen, red, and warm at injection site; Very tired; and body aches, Nauseous feeling. Tuesday: Brain fog; Arm Swollen, red, and warm at injection site (also red spot bigger than on Monday); Nauseous feeling; joint pain and stiffness; Body aches.  It really hasn't changed much since Sunday night other than not having a low grade fever.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Vaccination complication
Clinical narrative: Pt received the pfizer vaccine and pt had an anaphylactic reaction. Pt was given epinephrine x2 and Benadryl to take at home. Pt was seen in urgent care with me and given solumderol inj, medrol dose pack and hydroxyzine.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Dyspnoea, Rash, Throat tightness
Clinical narrative: Pt received the pfizer vaccine and pt had an anaphylactic reaction. Pt was given epinephrine x2 and Benadryl to take at home. Pt was seen in urgent care with me and given solumderol inj, medrol dose pack and hydroxyzine.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Aspiration pleural cavity, Computerised tomogram head, Headache, Magnetic resonance imaging head
Clinical narrative: Continuous headache with no relief. Second dose given on 1/26/2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Chills, Dizziness, Headache, Myalgia
Clinical narrative: heart pain at 4am, muscle aches, fever(101) chills, headache, dizzy, Rash on arm
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: heart pain at 4am, muscle aches, fever(101) chills, headache, dizzy, Rash on arm
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Flushing, Peripheral swelling, Pharyngeal swelling
Clinical narrative: Swollen arm with redness and rash Swollen face, throat, feet, hands, flushing  Shortness of breath
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face
Clinical narrative: Swollen arm with redness and rash Swollen face, throat, feet, hands, flushing  Shortness of breath
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Retching, Vomiting
Clinical narrative: Client was vaccinated at 8:47 am w/Janssen vaccine and at 0901, while in the recovery area, c/o increased nausea, having dry heaves, stated had a small emesis in her face mask.  vitals stable, c/o "it feels like I have been punched in the gut."  Continued w/nauseated feeling and urge to vomit for additional few minutes, 0910 stated, "I am feeling much better, it seems to be passing now", no further urge to vomit, remained in recovery area for additional 15 minutes, d/c to self care at 0925, stable w/no further c/o any kind.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Electrocardiogram abnormal, Heart rate increased, Laboratory test normal
Clinical narrative: With no previous heart issues.  Heightened hear rate started on evening after the vaccine, topped out at a resting heart rate of over 160bpm.  Went to primary health care physician, he did EKG, then ordered me to Emergency Room.  Was diagnosed with Atrial Fibrillation with RVR, prescribed Apixban (Eliquis) 5mg oral tablet, 1 tab 2 times a day, prescribed Metoprolol (metrolrolol succinate 50mg extended relese) 50mg 1 cap per day. Given diltiaZEM 10mg via IV push while at the hospital.  Continue to have increased heart rate and have not returned to a normal sinus rhythm as of 3/23.  Scheduled for follow-up with EP on 4/9 to review heart rhythms.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Electrocardiogram, Heart rate, Heart rate increased, Sinus rhythm
Clinical narrative: With no previous heart issues.  Heightened hear rate started on evening after the vaccine, topped out at a resting heart rate of over 160bpm.  Went to primary health care physician, he did EKG, then ordered me to Emergency Room.  Was diagnosed with Atrial Fibrillation with RVR, prescribed Apixban (Eliquis) 5mg oral tablet, 1 tab 2 times a day, prescribed Metoprolol (metrolrolol succinate 50mg extended relese) 50mg 1 cap per day. Given diltiaZEM 10mg via IV push while at the hospital.  Continue to have increased heart rate and have not returned to a normal sinus rhythm as of 3/23.  Scheduled for follow-up with EP on 4/9 to review heart rhythms.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Vital signs measurement
Clinical narrative: About 30 minutes after receiving Janssen vaccine patient stated that she felt like her heart was racing. When vitals were taken patients HR ranged from 85-81 bpm. Blood pressure was 134/86. Patient was given water to drink. After approximately 20 minutes of observation patient stated she was feeling better and was taken by wheelchair out to her car. Patient's mother was in the drivers seat and drove patient home.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood pressure measurement, Heart rate, Palpitations
Clinical narrative: About 30 minutes after receiving Janssen vaccine patient stated that she felt like her heart was racing. When vitals were taken patients HR ranged from 85-81 bpm. Blood pressure was 134/86. Patient was given water to drink. After approximately 20 minutes of observation patient stated she was feeling better and was taken by wheelchair out to her car. Patient's mother was in the drivers seat and drove patient home.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hypoaesthesia, Influenza virus test negative, Injection site hypoaesthesia, Injection site pain
Clinical narrative: Patient received first dose Pzifer vaccine on 3/2/21. On 3/6/21, patient went to emergency room with right side body numbness, wheezing, and high anxiety.  She was given nebulizer treatment , prednisone, and an albuterol inhaler.   She was tested for covid and flu, and both were negative. She also states that since her dose, she has had "covid arm", which consists of pain at the injection site and hand/lower arm numbness.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Wheezing
Clinical narrative: Patient received first dose Pzifer vaccine on 3/2/21. On 3/6/21, patient went to emergency room with right side body numbness, wheezing, and high anxiety.  She was given nebulizer treatment , prednisone, and an albuterol inhaler.   She was tested for covid and flu, and both were negative. She also states that since her dose, she has had "covid arm", which consists of pain at the injection site and hand/lower arm numbness.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Pruritus, Rash
Clinical narrative: 4 hours after first dose, patient reported a rash that started at the injection site and spread up the arm and onto back. Pt reported that the rash lasted for 3 days and was itchy.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Hyperhidrosis, Impaired driving ability, Lethargy, Somnolence
Clinical narrative: Complaint of diaphoretic, passed out, heard to arouse, appear drowsy, and lethargic.  Obey command(directions)
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Complaint of diaphoretic, passed out, heard to arouse, appear drowsy, and lethargic.  Obey command(directions)
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Ear discomfort, Endoscopy, Tinnitus
Clinical narrative: I received the first dose Moderna, and it started off with left ear being plugged up and it wouldn?t clear subsequently I get a strong solid tone, I?ve gotten amplified sounds out of the left ear, If I?m watching tv the voice comes through in a burbling way and at times I?m watching tv straight ahead and the left ear hears the sound from the side and the right ear hears the tv. I have no other known reasons to suspect anything else to have caused the problems, the only thing I can relate the change to is having the two vaccinations.  I saw ENT an did a hearing test with significant loss of hearing in left ear and that was followed up with a basil endoscopy and no determination could be made from that. I?m scheduled for a brain scan on March 30th.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Inflammation, Mobility decreased, Neck pain
Clinical narrative: LEFT ARM PAIN STARTS RIGHT AFTER IMZ, PAIN RADIATING TO NECK,NUMBNESS IN LOWER ARM: DIFFICULTY MOVING ARM VERY MUCH.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pain in extremity, X-ray normal
Clinical narrative: LEFT ARM PAIN STARTS RIGHT AFTER IMZ, PAIN RADIATING TO NECK,NUMBNESS IN LOWER ARM: DIFFICULTY MOVING ARM VERY MUCH.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Movement disorder, Palpitations, Transient ischaemic attack
Clinical narrative: A little over 24 hours after first vaccination shot suffered a suspected TIA.  Symptoms: Shortness of breath, extreme weakness, racing heart, visual disturbance, inability to move. Episode lasted approximately 1 hour. Was unable to call for help or pick up phone to dial 911.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: A little over 24 hours after first vaccination shot suffered a suspected TIA.  Symptoms: Shortness of breath, extreme weakness, racing heart, visual disturbance, inability to move. Episode lasted approximately 1 hour. Was unable to call for help or pick up phone to dial 911.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Erythema, Fatigue, Feeling hot, Headache
Clinical narrative: Arm swollen, red, itchy, hot, with hives. Started around  3/17 continued to worsen for 4 or 5 days. Visibly better on the 22 but I suffered from a headache, upset stomach, and I have been tired. I put topical benadryl on it during the day and took benadryl for 3 nights at bedtime.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Urticaria
Clinical narrative: Arm swollen, red, itchy, hot, with hives. Started around  3/17 continued to worsen for 4 or 5 days. Visibly better on the 22 but I suffered from a headache, upset stomach, and I have been tired. I put topical benadryl on it during the day and took benadryl for 3 nights at bedtime.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Myalgia, Pain in extremity, Paraesthesia, Sleep disorder
Clinical narrative: Felt fine, no pain in right arm where vaccine was injected. Next day around 2pm felt muscle pain in lower part of left arm and right leg, thought it was just muscle pain like the flu. My arm and leg started tingling and going numb, would wake me up at night. Had a Dr. appt. on March 18 when I mentioned I had numbness and tingling, but thought it was just side effect from the injection. Saturday, March 20 called 811 and nurse recommended I get it checked out. Monday, March 22 called my Dr. office, but no openings. Started noticed tingling and numbness is left leg as well. March  23 went to ER regarding my concerns. Dr. checked me and said to keep an eye on my symptoms; GBS was brought up and he said it could show in up to six weeks.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Feeling abnormal, Headache
Clinical narrative: I had my shot at 4:00 PM on March 17th.  I woke up about 11:00 PM with a bad headache, chills, fever.   I had no appetite, was tired and my head felt foggy.  The next morning I started breaking out with hives on my forehead, neck, upper back and chest.   I had chills and fever again the next day.  My hives finally started to subside on Sunday the 21st.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urticaria
Clinical narrative: I had my shot at 4:00 PM on March 17th.  I woke up about 11:00 PM with a bad headache, chills, fever.   I had no appetite, was tired and my head felt foggy.  The next morning I started breaking out with hives on my forehead, neck, upper back and chest.   I had chills and fever again the next day.  My hives finally started to subside on Sunday the 21st.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Erythema, Feeling hot, Pruritus, Urticaria
Clinical narrative: Upon leaving vaccination site I realized my face, neck, chest & lips were red, hot, & itchy.  I immediately went to the emergency room.   The staff took my blood pressure 177/111, they administered Benadryl, Pepcid, & Prednisone.  I got to the ER around 6:45 pm and left after observation around 11pm.  I was sent home with prescriptions for Prednisone, Epi pen, Pepcid and was told to buy OTC Benadryl to take for the next few days.  The next day the redness & hives were not as bad, later that night I felt that I had hives around my lips again.   I also had a hoarse/scratchy throat.   Spoke to Primary Physician the next day (Saturday) she said to follow the course of action from the hospital & that I could receive the 2nd dose of the vaccine however the ER Dr's said I should not.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: I have a bumpy, itchy rash on my chest and back that has become somewhat painful because of the itchy/scratchy nature.  It has lasted for 3 days and continues today.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Magnetic resonance imaging
Clinical narrative: No adverse symptoms at time of shots. After second Moderna shot February 23, 2021 I suffered a stroke seven day later on March 2, 2021.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin warm, Urticaria
Clinical narrative: Hives and rash began about 3 hours after getting the vaccine, skin felt hot. Two rounds of Benadryl needed to get symptoms under control.  Rash returned every time Benadryl wore off. Symptoms continued at same degree all through the night. By the following morning hives were not as itchy or prevalent. Symptoms decreased as time progressed. Only occasional hive outbreak by Sunday evening/ Monday.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Injection site pain, Injection site swelling, Injection site vesicles, Pain in extremity
Clinical narrative: Pain, swelling, blistering at site of injection and down arm
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: Pain, swelling, blistering at site of injection and down arm
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Body aches at 10:00 pm next morning fever 100.7 at 4:00pm feel better next day
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Headache, Movement disorder, Neck pain
Clinical narrative: Significant headache, significant arm pain (hard to even move arm), significant right armpit pain, significant aches/pain all over mainly lower back and hips, exhaustion, neck pain
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Significant headache, significant arm pain (hard to even move arm), significant right armpit pain, significant aches/pain all over mainly lower back and hips, exhaustion, neck pain
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Feeling abnormal, Headache, Muscular weakness
Clinical narrative: very painful arm for a week, nausea, muscle pains and weakness, sharp pains in knees, dizziness, brain fog,  all my skin felt like it a  bad sunburn its still not back to my normal state, cronic sinus issues for about 2 weeks with  headaches,
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain in extremity, Pain of skin, Sinus disorder
Clinical narrative: very painful arm for a week, nausea, muscle pains and weakness, sharp pains in knees, dizziness, brain fog,  all my skin felt like it a  bad sunburn its still not back to my normal state, cronic sinus issues for about 2 weeks with  headaches,
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Lacrimation increased, Pain
Clinical narrative: Pt reports that he received his first covid vaccine on 3/9/21 and that he had a "bad reaction". Pt reports he developed severe HA, watery eyes, body aches and chills. Symptoms lasted for about 18 hours and then resolved.  Pt was reading an article today that said if you have had covid in the past that you are more likely to have potential SE when you do get your first covid vaccine.  Pt would like provider to report this to the Vaccine reporting system, since he did have covid in December.  Pt did not do any reporting through V-Safe after getting his vaccine.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Pyrexia, Vision blurred
Clinical narrative: Fever, chills lasting 36 hours, brain fog ongoing, inability to focus ongoing, fatigue ongoing
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia
Clinical narrative: Client verbalized feeling numbness and facial drooping to left side.  Fuss assessment done by onsite Paramedics.  Client was then released for home at 3:34 pm.  Per paramedics no further evaluation needed all symptoms are resolved.
Age: 0.5
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC13, RV1
Symptoms: Diarrhoea, Lethargy, Pyrexia
Clinical narrative: With five hours of vaccination child developed fever, diarrhea and lethargy. Symptoms last five days
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Computerised tomogram, Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen lymph nodes in right side of neck. In front of ear. Per local Emergency Room, CT scan showed everything ok. Visible swelling and tender to touch for 4 weeks now.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Syncope
Clinical narrative: Patient alerted staff to feeling lightheaded.  Assisted to chair, BP 80/50, slightly diaphoretic.  Patient experienced syncopal episode.  911 called.  Patient awake, alert, conversant within approx. 3-5 minutes.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intermenstrual bleeding, Menstruation irregular
Clinical narrative: Menstrual spotting late afternoon/early evening day after vaccine. Menstrual period started on time 2 days later. Spotting is unusual for patient.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular, Vaginal haemorrhage
Clinical narrative: Menstrual spotting late afternoon/early evening day after vaccine. Menstrual period started on time 2 days later. Spotting is unusual for patient.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: My menstrual cycle started the evening after the shot (a week early) and I have not had a cycle since.  Going on 40 days.