chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: F
Vaccine: FLUA4
Symptoms: Immediate post-injection reaction, Injection site bruising, Injection site haemorrhage, Injection site inflammation, Injection site swelling
Clinical narrative: Patient experienced bleeding as well as swelling/inflammation/slight bruising at injection site. Began immediately after immunization administered. Swelling began to decrease but still present after 20 minutes. Patient not experiencing any pain, dizziness, or sign of an allergic reaction.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Facial pain, Headache, Herpes zoster, Rash papular
Clinical narrative: developed pain along with erythematous papules and vesicles on left side of face from temple to her mouth. There were crusting blisters around her mouth. She also developed headache.  She was treated for shingles with Valacyclovir  and Ibuprofen and is improving.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Scab
Clinical narrative: developed pain along with erythematous papules and vesicles on left side of face from temple to her mouth. There were crusting blisters around her mouth. She also developed headache.  She was treated for shingles with Valacyclovir  and Ibuprofen and is improving.
Age: 66.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Cellulitis, Erythema, Peripheral swelling
Clinical narrative: Diagnosed by local Emergency Room with cellulitis after patient presented with redness and swelling in arm she received both vaccinations (patient had received both in same arm per her request) - patient was then prescribed a 10 day course of cephalexin 500 mg four times daily to treat
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Oedema, Paraesthesia, Skin warm
Clinical narrative: erythema, warmth, edema, "prickly" sensation
Age: 64.0
Sex: M
Vaccine: FLUC4
Symptoms: Eye irritation, Eyelid ptosis, Hypoacusis, Pharyngeal swelling, Swollen tongue
Clinical narrative: Patient stated left eye completely closed, eyes drooping, , burning eyes, foggy vision. Hearing affected. Swelling in throat and tongue
Age: 64.0
Sex: M
Vaccine: FLUC4
Symptoms: Visual impairment
Clinical narrative: Patient stated left eye completely closed, eyes drooping, , burning eyes, foggy vision. Hearing affected. Swelling in throat and tongue
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Anaphylactic reaction, Chest discomfort, Dyspnoea
Clinical narrative: Pt called a few hours after receiving vaccine and reporting tightness in chest and SOB. She was instructed to call 911 for a suspected anaphylactic reaction. We made 2 calls each day to pt and were unable to reach her until 9/17, at which time she reported she did not seek medical attention and was feeling normal
Age: 17.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Dyskinesia, Loss of consciousness, Muscle twitching, Musculoskeletal stiffness, Retching
Clinical narrative: POST VACCINATION SYNCOPE: Patient had 3:30pm appt.  Flu vaccination administered first, followed by Bexsero (both in right arm at request of child).  Child was sitting down during and after vaccines; RN saw that her eyes were not focusing well.  RN began to physically support patient's head and upper body as child began to experience an episode of syncope (<30 seconds total time).  About 5-10 seconds after she lost consciousness, she had some jerking/twitching of her arms/head and stiffening of her arms (10-15 seconds).  Shortly after that she began to regain consciousness, while still supported by RN and mother.  After episode passed, Mother continued to support child while RN retrieved cold packs to cool her down.  Upon return, child was standing; Mom was supporting her as she dry heaved twice into waste can (no vomit later seen in trash can).  Nurse helped patient sit down by waste can while cold packs were applied to her neck and upper chest.  Nurse offered apple juice and peanut butter crackers, which patient accepted.  No hx of syncope noted in chart or on health screening (an alert was added to chart).  Child continued to recover and was able to leave.  Instructed Mom to support her to the car.  Told child if she feels dizzy/woozy/sick to lie down and to stay hydrated.  Called Mother back same day at 5:47pm to see how child was doing.  Mother said she was doing fine.  Reminded her to keep child hydrated and call if she has questions/concerns.
Age: 17.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Syncope, Vision blurred
Clinical narrative: POST VACCINATION SYNCOPE: Patient had 3:30pm appt.  Flu vaccination administered first, followed by Bexsero (both in right arm at request of child).  Child was sitting down during and after vaccines; RN saw that her eyes were not focusing well.  RN began to physically support patient's head and upper body as child began to experience an episode of syncope (<30 seconds total time).  About 5-10 seconds after she lost consciousness, she had some jerking/twitching of her arms/head and stiffening of her arms (10-15 seconds).  Shortly after that she began to regain consciousness, while still supported by RN and mother.  After episode passed, Mother continued to support child while RN retrieved cold packs to cool her down.  Upon return, child was standing; Mom was supporting her as she dry heaved twice into waste can (no vomit later seen in trash can).  Nurse helped patient sit down by waste can while cold packs were applied to her neck and upper chest.  Nurse offered apple juice and peanut butter crackers, which patient accepted.  No hx of syncope noted in chart or on health screening (an alert was added to chart).  Child continued to recover and was able to leave.  Instructed Mom to support her to the car.  Told child if she feels dizzy/woozy/sick to lie down and to stay hydrated.  Called Mother back same day at 5:47pm to see how child was doing.  Mother said she was doing fine.  Reminded her to keep child hydrated and call if she has questions/concerns.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Rash
Clinical narrative: THE DAY AFTER (20 HOURS?) RECEIVING THE INJECTION THE PATIENT BROKE OUT IN A RASH ON THE SHOULDERS BACK AND CHEST.  THERE WAS NO CHEST TIGHTNESS OR SWELLING OF THE THROAT MOUTH LIPS OR TONGUE.  THE RASH FADED AWAY OVER THE COURSE OF THE NEXT 4 DAYS WITHOUT MEDICAL INTERVENTION.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Injection site swelling
Clinical narrative: Patient reported swelling on upper arm around injection site the day after receiving Pneumovax vaccine. He went to see doctor 3 days after receiving the vaacine and doctor prescribed him Bactrim DS 800-160 mg tab for the reaction
Age: 51.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Chills, Dizziness, Fatigue, Pyrexia
Clinical narrative: Fever, dizziness, chills, fatigue, lasting until about 36 hours after injections
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Headache, Lethargy, Myalgia, Pyrexia
Clinical narrative: Fever 100 degrees, headache, stomache upset, extreme pain at vaccine site, muscle soreness, lethargy
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination site pain
Clinical narrative: Fever 100 degrees, headache, stomache upset, extreme pain at vaccine site, muscle soreness, lethargy
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site infection, Injection site swelling, Injection site warmth
Clinical narrative: Patient came into store and reported injection site reaction and infection on 9/18/2020.  The area was about 4x4 inches and was raised, red, and hot to the touch.  She had been to Physician and was prescribed Clindamycin to help with an injection site infection.
Age: 44.0
Sex: F
Vaccine: FLUR4
Symptoms: Chest pain, Dyspnoea
Clinical narrative: after patient left pharmacy ( after receiving the shot) she called complaining of chest pains and shortness of breathe.She stated she  was feeling better but she was sitting outside the emergency room ( she had not entered or been admitted as of the call) She would wait to see how she feels and if the condition would worsen. she wanted to verify it was the flu shot she received and not MMR when she called
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Blood potassium, Night sweats, Palpitations, Sleep disorder
Clinical narrative: Patient called 9/18/20 and stated: Woke up in the middle of the night with heart racing for greater than 30 minutes, also experienced night sweats. Patient went to Emergency Room and potassium levels were 1/10 of a point reduced from 2 days prior at last blood work check.
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Headache, Pain
Clinical narrative: Patient experienced total body ache and headache, patient was recommended with Tylenol or Motrin for the pain/headache, follow-up with prescriber recommended
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Induration, Pruritus, Rash, Swelling
Clinical narrative: itchy, red, rashy, swollen Hard to touch pharmacist suggested ice, Benadryl Dr contacted he will contact pt & also suggested ice & Benadryl
Age: 17.0
Sex: M
Vaccine: FLU4, MENB
Symptoms: Body temperature increased, Chills, Feeling cold, Influenza virus test, SARS-CoV-2 test
Clinical narrative: Patient arrived back in office after close to 1 hour  of vaccines administration complaining of  uncontrollable shivering and feeling cold.  vitals were taken and tylenol given,  due to temperature of 38.0C.
Age: 17.0
Sex: M
Vaccine: FLU4, MENB
Symptoms: Streptococcus test
Clinical narrative: Patient arrived back in office after close to 1 hour  of vaccines administration complaining of  uncontrollable shivering and feeling cold.  vitals were taken and tylenol given,  due to temperature of 38.0C.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site discharge, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient developed Red swollen upper L arm/deltoid swelling redness - small oozing yellow blister like fluid. Area warm to touch, itching and painful. after receiving Menveo vaccine to left upper deltoid.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site warmth
Clinical narrative: Patient developed Red swollen upper L arm/deltoid swelling redness - small oozing yellow blister like fluid. Area warm to touch, itching and painful. after receiving Menveo vaccine to left upper deltoid.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Hyperhidrosis, Nausea, Pallor, Presyncope
Clinical narrative: patient became diaphoretic, pale, had nausea. (Vasovagal reaction)
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Injection site Reaction - Red, WaRm, painful sensation
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Nausea
Clinical narrative: Patient had adverse event of Nausea + headache at night of Flu shoT. It lasted until the next day. She took Tylenol but did not relieve headache.
Sex: F
Vaccine: FLU4
Symptoms: Eye movement disorder, Syncope, Tremor
Clinical narrative: Patient fainted after vaccine administration. Patient started to recover then her eyes rolled back and she began shaking. EMS was called. Patient was evaluated by EMS and parents elected to transport patient to hospital.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Body temperature increased, Chills
Clinical narrative: Patient stated after receiving flu vaccination on 09/08/20 around 10-10:30 AM about 2 pm that day experience chills for about 6 hours and developed 100.5 temp from 7 pm to 9:30 pm. Next morning felt fine to continue Normal activities.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Computerised tomogram normal, Laboratory test normal, Petit mal epilepsy
Clinical narrative: A few hours after vaccine Pt. developed silant seizures 911 called and pt was taken to ED. Pt will F/U with neurologist
Sex: U
Vaccine: FLU4, UNK
Symptoms: Expired product administered, Medication error, No adverse event, Wrong product administered
Clinical narrative: Fluzone quadrivalent was inadvertently administered instead of fluzone high dose/no AE; Initial information received on 25-Aug-2020 regarding an unsolicited valid non-serious case received from a pharmacist.  This case is linked to case 2020SA228744 (same reporter).  This case involves two patients (unknown demographics) who was inadvertently vaccinated with INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT] (batch number UJ428A and expiry date 30-Jun-2021) via intramuscular route in the left arm on 24-Aug-2020 for prophylactic vaccination instead of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] (wrong product administered).  Medical history, medical treatment(s), vaccination(s) and family history were not provided.  No concomitant medication was given.  It was an actual medication error case due to expired vaccine used (latency: on same day).  At the time of report no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain, Chills, Injection site erythema, Injection site swelling, Pain
Clinical narrative: next day:  chills (24hr);  low grade fever (2 days); pain , slight swelling and redness at injection site (5 days); pain under armpit (1 week)
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: next day:  chills (24hr);  low grade fever (2 days); pain , slight swelling and redness at injection site (5 days); pain under armpit (1 week)
Age: 0.25
Sex: F
Vaccine: FLU4
Symptoms: Lymphadenopathy, Pain in jaw
Clinical narrative: Right supraclavicular swollen lymph node, sore under right side of mandible
Age: 79.0
Sex: M
Vaccine: FLU4
Symptoms: Sleep disorder, Vaccination site bruising, Vaccination site discolouration, Vaccination site discomfort, Vaccination site mass
Clinical narrative: PATIENT CAME IN 09/18/2020 AND PULLED UP HIS SLEEVE SHOWING ME A BRUISE  IN THE AREA THE VACCINE WAS ADMINISTERED. THE BRUISE WAS YELLOW AND PURPLE IN COLOR. THERE WAS SWELLING THROUGHOUT THE BRUISED AREA. THERE WAS ALSO, WHAT LOOKED TO BE, A LUMP WITHIN THE BRUISED AND SWOLLEN AREA. PATIENT REPORTED PAIN AND DISCOMFORT THAT PREVENTED HIM FROM SLEEPING ON HIS LEFT SIDE.
Age: 79.0
Sex: M
Vaccine: FLU4
Symptoms: Vaccination site pain, Vaccination site swelling
Clinical narrative: PATIENT CAME IN 09/18/2020 AND PULLED UP HIS SLEEVE SHOWING ME A BRUISE  IN THE AREA THE VACCINE WAS ADMINISTERED. THE BRUISE WAS YELLOW AND PURPLE IN COLOR. THERE WAS SWELLING THROUGHOUT THE BRUISED AREA. THERE WAS ALSO, WHAT LOOKED TO BE, A LUMP WITHIN THE BRUISED AND SWOLLEN AREA. PATIENT REPORTED PAIN AND DISCOMFORT THAT PREVENTED HIM FROM SLEEPING ON HIS LEFT SIDE.
Age: 56.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Eye swelling, Lip swelling, Pruritus, Urticaria
Clinical narrative: Itchy welts all over but concentrated underarms, thighs, hips, buttocks. Sporadic on trunk, neck,  arms. Swelling to lips and eyes.
Age: 56.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Lip swelling, Rash
Clinical narrative: Itchy welts all over but concentrated underarms, thighs, hips, buttocks. Sporadic on trunk, neck,  arms. Swelling to lips and eyes.
Age: 56.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Eye swelling, Lip swelling, Pruritus, Urticaria
Clinical narrative: A few hours after receiving the shot patient experienced some lip swelling and rash by her armpits. The following morning patient woke up with the rash having spread to her thighs. Patient visited her doctor after seeing the rash on her thighs and received a prescription for prednisone.
Age: 56.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Lip swelling, Rash
Clinical narrative: A few hours after receiving the shot patient experienced some lip swelling and rash by her armpits. The following morning patient woke up with the rash having spread to her thighs. Patient visited her doctor after seeing the rash on her thighs and received a prescription for prednisone.
Age: 58.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Chills, Pain, Urticaria
Clinical narrative: PATIENT STATED THEY FELT CHILLS AND BODY ACHES ON THE FOLLOWING DAY. THE ARM THAT RECEIVED PNEUMOVAX DEVELOPED HIVES ON THE INSIDE OF THE ARM NEAR THE ARMPIT. SYMPTOMS WENT AWAY AFTER TAKING CETIRIZINE
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature, Chills, Dizziness, Erythema, Fatigue
Clinical narrative: Temperature, red face, intense nausea, shivering, intense headache, body and muscle aches, dizziness, fatigue, pain at injection site and shoulder.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site pain, Myalgia, Nausea, Pain
Clinical narrative: Temperature, red face, intense nausea, shivering, intense headache, body and muscle aches, dizziness, fatigue, pain at injection site and shoulder.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Bone pain, Chills, Fatigue, Nasopharyngitis, Pyrexia
Clinical narrative: Patient experienced tiredness, fatigue, fever, chills, bone aches and cold symptoms.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Bone pain, Chills, Fatigue, Nasopharyngitis, Pyrexia
Clinical narrative: Patient experienced tiredness, fatigue, fever, chills, bone aches and cold symptoms again. this was 48 hours after the second dose. Patient experienced the same symptoms  from the first dose. They said its occurring every 3 months - symptoms were come up and then disappear and reappear again. they spoke to dr for the symptoms and dr didn't know what was going on.  this was just recently report 9/19/20 for both  shingrix vaccinations given in july 2019 and October 2019
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccine positive rechallenge
Clinical narrative: Patient experienced tiredness, fatigue, fever, chills, bone aches and cold symptoms again. this was 48 hours after the second dose. Patient experienced the same symptoms  from the first dose. They said its occurring every 3 months - symptoms were come up and then disappear and reappear again. they spoke to dr for the symptoms and dr didn't know what was going on.  this was just recently report 9/19/20 for both  shingrix vaccinations given in july 2019 and October 2019
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Influenza like illness, Injection site pain
Clinical narrative: FLU LIKE SYMPTOMS OVER NIGHT, SORENESS AT INJECTION SITE
Age: 29.0
Sex: M
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Woke up with hives 4 days after vaccine administration
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Insomnia, Pruritus, Pyrexia
Clinical narrative: Shaking chills/fever, pruritis around back of neck, fatigue.  Started about 12 hours after injection; lasted about 4 hours.  Not sure if the fatigue is a side effect or just from lack of sleep
Age: 69.0
Sex: M
Vaccine: FLUA4
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: patient states that his arm became very sore the day after receiving his shot, including difficulty raising his arm. It has persisted for at least a month so far with no resolve. He does state it is getting slightly better.  I did recommend he go see his doctor if the pain persists.
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: Tetanus booster given at appointment. **I am unsure of the specific vaccine name/manufacturer/lot. THE ABOVE INFORMATION IS A GUESS, BUT I HAD TO INPUT SOMETHING IN ORDER TO MOVE AHEAD IN THE REPORT, AND THEIR OFFICE IS CLOSED** It was an IM injection into the left deltoid.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Eye swelling, Facial pain, Headache, Sleep disorder
Clinical narrative: Trouble sleeping, Pounding headache, severely swollen eyes pain all around eyes down to lower cheekbones.  Swelling has not gone down and has been more than 24 hours.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Diarrhoea, Headache, Lethargy, Myalgia
Clinical narrative: fever of 101, myalgia, headache, weakness, diarrhea, lethargy
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: fever of 101, myalgia, headache, weakness, diarrhea, lethargy
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness
Clinical narrative: 4 hours after my injection, I started feeling dizzy.  This dizziness lasted 3 days.  I have had flu shots for over 25 years and never had a reaction like what occurred to me.  I received the Fluzone High Dose Quad 2020-21.  I am 67 years old and apparently this dose is too high to give seniors.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Cellulitis, Peripheral swelling
Clinical narrative: Patient presented with Cellulitis in his Left arm. He states that this is because of the shingrix vaccine that he received at the pharmacy. He went to emergency room and got prescription for Doxycycline to help with the swelling in the arm.
Age: 24.0
Sex: M
Vaccine: FLUC4
Symptoms: Erythema, Hyperhidrosis, Malaise, Posture abnormal, Tremor
Clinical narrative: patient received injection and started not feeling well. Hisface turned deep red and he planked his body (possible anxiety attack). Patient never lost consciousness but then he started shaking and sweating heavily. Blood pressure was 121/73 pulse 70 and breathing was normal.  Store manager called 911 and paramedics arrived -- checked vitals and patient stated he felt better and did not want to go to the hospital.
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Dyspnoea, Eye pruritus, Fatigue, Ocular hyperaemia
Clinical narrative: Extreme tiredness, very red and itchy eyes, shortness of breath. Lasted about 16 hours
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest pain, Musculoskeletal chest pain
Clinical narrative: patient experienced pain across the ribs & chest.  Was diagnosed as possible pericarditis at hospital & will follow up with cardiology
Age: 28.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Pyrexia, Swelling, Tenderness
Clinical narrative: GENERALIZED SWELLING, TENDERNESS, FEVER, PAIN/SORENESS AT INJECTION SITE
Age: 16.0
Sex: M
Vaccine: HEPA, HPV9, MENB, MNQ
Symptoms: Loss of consciousness, Pallor, Posture abnormal
Clinical narrative: at 1602 patient became pale and passed out while slouching against the wall post vaccinations. He was carefully laid onto the floor with feet slightly elevated, and provided a cold wash cloth, and glass of water. After drinking his water, his color returned to normal, and he stated he felt better. BP 117/75, hr 71.
Age: 83.0
Sex: F
Vaccine: FLUA4
Symptoms: Condition aggravated, Heart rate increased, Hyperhidrosis, Hypertension
Clinical narrative: Patient describes increased heart rate, sweating, and high blood pressure. Symptoms stsrted later that day after vaccination and has had on off for few days after.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dizziness, Flushing
Clinical narrative: A few minutes after the immunization patient flushed and was feeling faint.  She then started having chest pain.  911 was called and paramedics arrived within 2 minutes.  After approximately 10 minutes her symptoms resolved and she stated she felt fine.  Paramedics convinced her to go to the hospital.
Age: 76.0
Sex: M
Vaccine: FLUA4
Symptoms: Pain in extremity
Clinical narrative: HIS ARM WAS REALLY SORE FOR THE REST OF THE DAY AND INTO THAT NIGHT. BY THE NEXT MORNING THE SORENESS WAS MORE LIKE THE NORMAL SORENESS FROM GETTING THE SHOT. BY THE NEXT DAY IT WAS FINE, NO SORENESS REMAINED. IBUPROFEN DID NOT HELP WITH THE PAIN.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Product administered at inappropriate site, Shoulder injury related to vaccine administration
Clinical narrative: within 2 hours of the vaccine, she had excruciating pain in her arm. she went to her doctor that day. her doctor felt that the pharmacist injected the vaccine too high and she was experiencing S.I.R.V.A. If she doesn't fully recover in 2 weeks she will need to be referred to an orthopedic surgeon. The pharmacist emphatically denies that the injection was done incorrectly and feels it was just an adverse reaction to the vaccine.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Patient got the flu shot at approximately 3:50pm 9-18-2020 and left the store with no issues. Husband called the store approximately 8pm on 9-18-2020 asking if she could take Benadryl because she was experiencing hives and shortness of breath. He mentioned she is asthmatic. I advised to get the liquid Benadryl if they had none at home and to call 911 if the shortness of breath got worse. They did call 911. Patient spent the night in the hospital. She called around 11am 9-19-2020 and stated that she did go to the hospital via ambulance and spent the night. She also stated she took Macrobid after she got home from getting the flu shot. She stated the doctors at the hospital were unsure if the reaction was caused by the flu vaccine or the Macrobid. She was given two medications from the hospital doctors, Keflex and Prednisone.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Fatigue, Influenza like illness, Mobility decreased
Clinical narrative: patient reported severe flu like symptoms for 1.5 days. Patient had no energy, very fatigues, body aches, chills, shivering, could not get out of bed and took tylenol and advil to help with symptoms.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Pain
Clinical narrative: patient reported severe flu like symptoms for 1.5 days. Patient had no energy, very fatigues, body aches, chills, shivering, could not get out of bed and took tylenol and advil to help with symptoms.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age, Rash
Clinical narrative: Patient is 62 years old.  Fluzone high dose was administered at her visit, which is indicated for individuals 65+ y.o.
Age: 73.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Chills, Dizziness, Feeling abnormal, Feeling of body temperature change, Sleep disorder
Clinical narrative: I received the injection mid morning. By mid afternoon I experienced light-headedness. Nothing alarming. I went to bed around 9:00PM. At 11:00PM I was awakened by rather violent, uncontrollable shaking of my arms and legs. It was not unlike shivering from the cold, but much worse. That lasted approximately 15 minutes, then it subsided. For the next 5 hours, I alternated being extremely hot, then freezing cold. This was intense enough to keep me awake the entire time. Perhaps some of the awake time was the upset from how  I was awakened in the first place. I can assure you that is NOT the way one wants to awaken! It took 48 hours to begin to feel normal.
Age: 73.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Tremor
Clinical narrative: I received the injection mid morning. By mid afternoon I experienced light-headedness. Nothing alarming. I went to bed around 9:00PM. At 11:00PM I was awakened by rather violent, uncontrollable shaking of my arms and legs. It was not unlike shivering from the cold, but much worse. That lasted approximately 15 minutes, then it subsided. For the next 5 hours, I alternated being extremely hot, then freezing cold. This was intense enough to keep me awake the entire time. Perhaps some of the awake time was the upset from how  I was awakened in the first place. I can assure you that is NOT the way one wants to awaken! It took 48 hours to begin to feel normal.
Age: 75.0
Sex: M
Vaccine: FLUA4, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Tenderness
Clinical narrative: Redness and swelling of arm below the deltoid muscle. Patient report is is tender and painful.
Sex: M
Vaccine: FLUA4
Symptoms: Erythema, Injection site pain, Peripheral swelling
Clinical narrative: Red and Swollen arm, pain at injection site going up arm
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site swelling
Clinical narrative: brusing and swelling at injection site
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Dizziness, Syncope
Clinical narrative: after the shot, patient was walking to car and felt dizzy and weak and fainted.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Asthenia, Decreased appetite, Diarrhoea, Dizziness
Clinical narrative: DIZZINESS, DIARRHEA, BLACK STOOL, WEAKNESS AND UP SET STOMACH AND NO APPETITE.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Faeces discoloured
Clinical narrative: DIZZINESS, DIARRHEA, BLACK STOOL, WEAKNESS AND UP SET STOMACH AND NO APPETITE.
Age: 20.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Injection site haemorrhage, Malaise, Seizure
Clinical narrative: I gave the patient her flu shot and it started bleeding so i held the alcohol swab on it, then she said i dont feel well. after that she went into a seizure and was about to pass out. her boyfriend informed me she has low blood sugar sometimes so i went and got her juice, water, and crackers. she sat in our waiting area about 30 minutes until her mom and dad came to pick her up
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Chest X-ray normal, Chills, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: PATIENT WAS ADMINISTERED FLUAD QUAD 2020-2021EXP 05/29/2021 LOT 279794 AT THE SAME TIME AS THE PNEUMOVAX 23 SO36495 09/13/2021.  PATIENT WAS VERY WEAK LATER IN THE DAY AND DEVELOPED A FEVER OR 101 DEGREES F.  PATIENT WAS TAKEN TO THE ER WITH SHIVERING, WEAKNESS, FEVER.  A COVID TEST,STREP AND CHEST XRAY PERFORMED(ALL NEGATIVE).  PATINET WAS GIVEN FLUIDS FOR HYDRATION AND TYLENOL FOR FEVER
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Streptococcus test negative
Clinical narrative: PATIENT WAS ADMINISTERED FLUAD QUAD 2020-2021EXP 05/29/2021 LOT 279794 AT THE SAME TIME AS THE PNEUMOVAX 23 SO36495 09/13/2021.  PATIENT WAS VERY WEAK LATER IN THE DAY AND DEVELOPED A FEVER OR 101 DEGREES F.  PATIENT WAS TAKEN TO THE ER WITH SHIVERING, WEAKNESS, FEVER.  A COVID TEST,STREP AND CHEST XRAY PERFORMED(ALL NEGATIVE).  PATINET WAS GIVEN FLUIDS FOR HYDRATION AND TYLENOL FOR FEVER
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Myalgia
Clinical narrative: sore muscles and joints.  symptoms ongoing.  no other s/s.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased appetite, Malaise, Pain, Pyrexia
Clinical narrative: Fever, malaise , poor appetite, body aches
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Eye pruritus, Headache, Injection site pain, Lacrimation increased
Clinical narrative: Soreness at site, throat pain (felt lump when swallowing, but not like strep throat), itchy watery red eyes, headache, coughing, phlegm in throat
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Ocular hyperaemia, Oropharyngeal pain, Productive cough, Sensation of foreign body
Clinical narrative: Soreness at site, throat pain (felt lump when swallowing, but not like strep throat), itchy watery red eyes, headache, coughing, phlegm in throat
Age: 60.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Extra dose administered
Clinical narrative: Pt came to pharmacy to get flu shot and shingles shot. He was unsure if he had received the shingrix. Upon 1st glance in his profile, I saw no apparent evidence of his receiving the vaccination. So I administered it. Upon looking further in his profile, I did see he had received both doses in 4/18 and 6/18. I was unable to reach patient to inform him. I had to leave message to call pharmacy back.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Skin ulcer
Clinical narrative: THE DAY AFTER THE SHOT WAS ADMINISTERED THE PATIENT DEVELOPED A SMALL RED SORE JUST ABOVE THE CREASE OF HER ELBOW
Age: 58.0
Sex: M
Vaccine: FLUC4, PPV, VARZOS
Symptoms: Back pain, Feeling cold, Joint swelling, Mobility decreased, Peripheral swelling
Clinical narrative: Awoke at 2:30am with uncontrollable shaking and extremely cold. Arm so swollen he could not move. Had Back Pain, swelling in groin and back of knees.
Age: 58.0
Sex: M
Vaccine: FLUC4, PPV, VARZOS
Symptoms: Swelling, Tremor
Clinical narrative: Awoke at 2:30am with uncontrollable shaking and extremely cold. Arm so swollen he could not move. Had Back Pain, swelling in groin and back of knees.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Feeling hot, Headache, Impaired work ability
Clinical narrative: Fever, muscle aches, shivering, mild headache, loss of appetite (but not full-blown nausea). In the early morning hours, I awoke burning up and shivering at the same time. When I got up some hours later, my temperature with an ear thermometer was over 100 degrees (normally it's around 97+). The fever did not feel as severe as hours earlier, which means my temperature was undoubtedly higher when I was burning up and shivering. I read about the possible side effects so was not alarmed, but I had to take two days off work and sleep it off.  The fever gradually diminished and symptoms were gone approximately 60 hours after onset of symptoms.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, muscle aches, shivering, mild headache, loss of appetite (but not full-blown nausea). In the early morning hours, I awoke burning up and shivering at the same time. When I got up some hours later, my temperature with an ear thermometer was over 100 degrees (normally it's around 97+). The fever did not feel as severe as hours earlier, which means my temperature was undoubtedly higher when I was burning up and shivering. I read about the possible side effects so was not alarmed, but I had to take two days off work and sleep it off.  The fever gradually diminished and symptoms were gone approximately 60 hours after onset of symptoms.
Age: 68.0
Sex: F
Vaccine: FLUA4, PPV
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Arm was sore on day of vaccines. Next morning  arm was very painful and swollen 3 inches on each side. On 9/19/2020 the swelling started to travel to elbow.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Back pain, Neck pain, Pain in extremity
Clinical narrative: Right shoulder upper back arm neck pain.
Age: 12.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Dizziness, Fatigue, Grip strength decreased, Hyperhidrosis, Lethargy
Clinical narrative: Within 1 minute of administration of the vaccines, the patient c/o of feeling very fatigued and dizzy. She was assisted to the exam table and laid down at a 45 degree angle. She became pale, perspiration was noted on upper lip and lethargic but responsive. Pupils were PERRLA and patient remained oriented x 3. Grip strength was weak and she c/o of new onset tingling in her left arm. Pulses +2 bilaterally in all four extremities. Blood pressure was 92/60, HR 60, O2 99%. Vital signs were rechecked 2 minutes later, BP 105/68, HR 75, O2 99%. Sensation returned to left upper extremity within 2 minutes. Grip strength became stronger and equal bilaterally. Patient became more alert and responsive, no LOC at any point. She was observed for an additional 10 minutes and vitals remained stable. Patient stated her dizziness subsided but that she continued to feel slightly drowsy at the end of the appointment.
Age: 12.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Pallor, Paraesthesia, Sensory disturbance, Somnolence
Clinical narrative: Within 1 minute of administration of the vaccines, the patient c/o of feeling very fatigued and dizzy. She was assisted to the exam table and laid down at a 45 degree angle. She became pale, perspiration was noted on upper lip and lethargic but responsive. Pupils were PERRLA and patient remained oriented x 3. Grip strength was weak and she c/o of new onset tingling in her left arm. Pulses +2 bilaterally in all four extremities. Blood pressure was 92/60, HR 60, O2 99%. Vital signs were rechecked 2 minutes later, BP 105/68, HR 75, O2 99%. Sensation returned to left upper extremity within 2 minutes. Grip strength became stronger and equal bilaterally. Patient became more alert and responsive, no LOC at any point. She was observed for an additional 10 minutes and vitals remained stable. Patient stated her dizziness subsided but that she continued to feel slightly drowsy at the end of the appointment.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Erythema, Fatigue, Flushing, Pain
Clinical narrative: 9/16- left arm sore and a little red, tired and stomach upset.  very painful 9/17-left arm really sore and swollen and red, very tired and very achy and had stomach upset.  Running a 101 degree temp.  Face Flushed and arm was very painful.  had to use ice on arm and head. 9/18- left arm very red and very swollen, very tired and achy/ slight fever 99 upset stomach.  very painful 9/19-left arm still red in spots and still painful, not as tired, slight upset stomach.  no fever today
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: 9/16- left arm sore and a little red, tired and stomach upset.  very painful 9/17-left arm really sore and swollen and red, very tired and very achy and had stomach upset.  Running a 101 degree temp.  Face Flushed and arm was very painful.  had to use ice on arm and head. 9/18- left arm very red and very swollen, very tired and achy/ slight fever 99 upset stomach.  very painful 9/19-left arm still red in spots and still painful, not as tired, slight upset stomach.  no fever today
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Diarrhoea
Clinical narrative: Hip pain and diarrhea
Age: 63.0
Sex: F
Vaccine: FLUR4, VARZOS
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Patient came in stating that her arms are sore, swollen and red from the vaccines
Age: 34.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Localised infection
Clinical narrative: developed infection on right arm and needed antibiotics
Age: 56.0
Sex: F
Vaccine: FLU4, TDAP, VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site swelling
Clinical narrative: BEGINNING THE DAY AFTER ADMINISTRATION OF THE IMMUNIZATIONS, PATIENT EXPERIENCED EXTREME FATIGUE FOR TWO DAYS, REDNESS AND SWELLING OF THE INJECTION SITE - STILL PRESENT BUT SUBSIDING ON 9/19/2020
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: redness and swelling at injection site, painful arm, went to er
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: Malaise, Syncope, Vomiting
Clinical narrative: Shortly after Vaccination she had syncope and started vomiting in waiting area while sitting down since she wasn't feeling well. EMS was notified by an EMS walking by and seeing her in our waiting area. Ambulance arrived and vitals were checked and normal. She ate some crackers and had some water and walked out of the store on her own with parents.
Age: 57.0
Sex: F
Vaccine: FLUR4, VARZOS
Symptoms: Adverse event, Death
Clinical narrative: Patient passed away on September 3, 2020, three days after receiving her vaccines. Her husband believes her death was related to the vaccines and states she was having "all the side effects" but he would not inform us what those side effects included.
Age: 17.0
Sex: M
Vaccine: FLU4
Symptoms: Dyspnoea, Hyperhidrosis, Nausea, Seizure
Clinical narrative: Per dad, pt had a seizure right after administration. Pt was sitting, sweating and could not breathe, felt nauseas also. I had pt seat and breathe in and out on a paper bag. He was fine after a few minutes. Called pt to check up on him. Pt is doing fine at home and is okay.
Age: 69.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Pain in extremity
Clinical narrative: The left arm was reported sore soon after the injection.  It continued to be sore and noticed redness about 12:00pm on the following day.
Age: 73.0
Sex: F
Vaccine: FLUA3
Symptoms: Facial paralysis, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Bell?s Palsy on right side of face. Numbness acute for one month, then quieted somewhat, but still enough to be troublesome. From lips all the way up to the top of the skull.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site streaking, Rash, Vaccination site warmth
Clinical narrative: Rash across torso (front and back); red streak at vaccination site; vaccination site warm
Age: 58.0
Sex: F
Vaccine: FLUR4
Symptoms: Abdominal pain upper, Abnormal faeces, Arthralgia, Decreased appetite, Diarrhoea
Clinical narrative: Day One: I got a headache. Day Two: I woke up with light nausea. By afternoon, I developed light diarrhea. Day Three (today): The nausea and diarrhea have become worse, but not intolerable or alarming. I took 5mg ondansetron for the nausea. Diarrhea involves stomach cramping today -- watery and "fluffy" stools. I am also a bit tired and achey -- muscles and joints. It almost feels like I have a mild case of the flu, but don't feel particularly ill. Otherwise I feel fine -- no fever. No chills. Appetite a bit low, but not significant. Did not sleep well the past two nights due to headache, which may account for being tired.
Age: 58.0
Sex: F
Vaccine: FLUR4
Symptoms: Fatigue, Headache, Influenza like illness, Myalgia, Nausea
Clinical narrative: Day One: I got a headache. Day Two: I woke up with light nausea. By afternoon, I developed light diarrhea. Day Three (today): The nausea and diarrhea have become worse, but not intolerable or alarming. I took 5mg ondansetron for the nausea. Diarrhea involves stomach cramping today -- watery and "fluffy" stools. I am also a bit tired and achey -- muscles and joints. It almost feels like I have a mild case of the flu, but don't feel particularly ill. Otherwise I feel fine -- no fever. No chills. Appetite a bit low, but not significant. Did not sleep well the past two nights due to headache, which may account for being tired.
Age: 58.0
Sex: F
Vaccine: FLUR4
Symptoms: Poor quality sleep
Clinical narrative: Day One: I got a headache. Day Two: I woke up with light nausea. By afternoon, I developed light diarrhea. Day Three (today): The nausea and diarrhea have become worse, but not intolerable or alarming. I took 5mg ondansetron for the nausea. Diarrhea involves stomach cramping today -- watery and "fluffy" stools. I am also a bit tired and achey -- muscles and joints. It almost feels like I have a mild case of the flu, but don't feel particularly ill. Otherwise I feel fine -- no fever. No chills. Appetite a bit low, but not significant. Did not sleep well the past two nights due to headache, which may account for being tired.
Age: 74.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Hypersomnia, International normalised ratio normal
Clinical narrative: Shortly after patient returned home around 2pm in the afternoon  he went to sleep and then slept continuously for about 18 hours. No complaints or concerns besides excessive sleep, patient in fact feels very well after sleeping such a long period of time. Not excessively over-slept or under-slept prior to this excessive sleeping.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Eyelid pain, Lip pain
Clinical narrative: Patient experiencing pain in eyebrow radiating down to lip on right side of face. No pain on or near injection site or left side. Does not believe it is associated with vaccine technique but is afraid it is an adverse effect of the vaccine.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: Extreme body aches, fever, nausea, painful arm , headache
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Chest pain, Decreased appetite, Pain
Clinical narrative: Patient reported chest pain that lasted for one day (chest pain went away within the day), body aches, loss of appetite and loss of energy a day after receiving flu shot on September 10, 2020
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Cough, Decreased appetite
Clinical narrative: Patient reported loss of appetite and loss of energy one day after receiving flu shot, and cough two days after receiving flu shot on September 10, 2020
Age: 71.0
Sex: M
Vaccine: FLU4
Symptoms: Body temperature increased, Chills, Diarrhoea, Hyperhidrosis, Tremor
Clinical narrative: Chills, sweats and shaking starting at around 5 PM day of shot, temp 101.2 (all temps were symotaneously  taken orally with a mercury thermometer and a digital contact thermometer,. Further temps taken at 7:30 102.00, 8:00 103.6, 9:00 105.98, 9:30 105.2, 10:00 104, 11:05 102.9, 8:00 AM 102.00, 10:00 102.00,...temps throughout Saturday ranged 101 to 102.4....Sunday morning 4AM 102...continous liquid consumption , cold (ice) compresses throughout mild diarrhea and vomiting
Age: 71.0
Sex: M
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: Chills, sweats and shaking starting at around 5 PM day of shot, temp 101.2 (all temps were symotaneously  taken orally with a mercury thermometer and a digital contact thermometer,. Further temps taken at 7:30 102.00, 8:00 103.6, 9:00 105.98, 9:30 105.2, 10:00 104, 11:05 102.9, 8:00 AM 102.00, 10:00 102.00,...temps throughout Saturday ranged 101 to 102.4....Sunday morning 4AM 102...continous liquid consumption , cold (ice) compresses throughout mild diarrhea and vomiting
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Chills, Decreased appetite, Disturbance in attention
Clinical narrative: About 8 to 9 hours after receiving the vaccination-at 8 pm or so- I began to notice that I was feeling more achy and sore all over.  I began to feel chilled and feverish.  I eventually went to bed around midnight, but found I could not sleep because I was so tender, sore and achy in every joint of my body.  My muscles were sore and I was chilled and shaking.  I began to notice a headache as well.  I ended up taking a Tylenol with 1/8 gr. coedine just to help me sleep, but it only helped calmed down the aches for a couple of hours then I reawakened with all symptoms continuing.  I did not rest much that night.  The next day, 9/18, I found I had absolutely no energy, no appetite and continued to be miserable with body aches, joint pains and a mild headache.  I was only able to drink hot tea the entire day and either sat around the couch or laid down in bed as I had no ability to concentrate to read, work on computer or even do dishes.  I did not have any issues with cough, stuffy nose or sore throat, nor difficulty breathing or rash.  I did note that my injection arm was sore and was noticeably inflamed with  redness and some swelling of an area the size of my hand.  I rested the entire day and only drank liquids.  I slept better on Fri. nite but I did take another dose of pain meds to help the aches.  On Sat. am, I awoke feeling  like a Mack truck hit me.  very tired, weak, achy and sore, but not as severe as on Fri.  I spent the day resting  and was able to eat a fried egg and toast besides tea.  I went to bed that evening and awoke on Sun. 9/ 18, feeling as if I had made it over the worse and was on the way to my normal health.  I am currently feeling much better as my energy and appetite is returning and the aches and painful joints and fever is no longer bothering me.