chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Night sweats, Pyrexia
Clinical narrative: Fever Fatigue, chills and night sweats Narrative:
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Myalgia, Pyrexia, Wheezing
Clinical narrative: Headache, Myalgia, Fever & CoughWheeze Narrative:  Employee took cough medications. (Robitussin, Day Quill)
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Constipation, Headache, Injection site pain
Clinical narrative: Headache, Myalgia, Arthralgia, Constipation, Extreme soreness at the injection site that persisted for days. Reports flare of scleroderma Narrative:  Is seeking input from private rheumatologist that manages scleroderma
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Headache, Myalgia, Arthralgia, Constipation, Extreme soreness at the injection site that persisted for days. Reports flare of scleroderma Narrative:  Is seeking input from private rheumatologist that manages scleroderma
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort
Clinical narrative: ARM PAIN  Narrative:  REPORTED MILD DISCOMFORT IN RIGHT ARM THE NEXT MORNING AND FOR THE NEXT 2 DAYSD. THE DISCOMFORT WAS MORE PRONOUNCED ON THE DAY AFTER THE INJECTION. RELIEVED BY ACETAMINOPHEN 500MG
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: SkinRash & Rash Narrative:  Itchy skin rash. Resolved with Benadryl
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis, Headache
Clinical narrative: Headache  On Jan 1, 2021 10:00 had facial droop with headache, went to ED  Narrative:  went to ED Jan 1 after onset of facial droop with headache around 10:00am, diagnosed with Bell's Palsy, treated with Toradol, Acyclovir, Benadryl and 7 day course of Prednisone 60mg daily and acyclovir 1000mg q8 hours x 7  days
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Dizziness, Hyperhidrosis
Clinical narrative: Dizziness & Bradycardia Narrative:  EMPLOYEE HAD SECOND DOSE OF COVID VACCINE AND APPROXIMATELY 9 MINS AFTER RECIEVING VACCINE , SHE REPORTS  DIZZINESS AND SWEATING. PT INITIAL BP 90/31, HR-55. BP CHECKED AGAIN- 106/92, HR 55. PT TAKEN TO ER VIA WHEELCHAIR PER  RN.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Rash Narrative: Employee reported pain and redness at injection site. Initially mildly raised, now no longer raised but diameter of erythema expanded ( current diameter 3.25 inches as of 12/28/2020). No induration, no fluctuance, and warm to touch.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram abnormal, Nausea, Tachycardia
Clinical narrative: Dizziness, Nausea Vomiting, Tachycardia, epigastric pain and off; Narrative: advised to see his doctor regarding the abnormal ECG[NONSPECIFIC ST-T CHANGES] in view of the  epigastric pain;
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Dizziness, Nausea Vomiting, Tachycardia, epigastric pain and off; Narrative: advised to see his doctor regarding the abnormal ECG[NONSPECIFIC ST-T CHANGES] in view of the  epigastric pain;
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal
Clinical narrative: Mild Fuzzy head, light headed Narrative:  occurred for only that night after the vaccine
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dizziness, Hypertension, Tachycardia
Clinical narrative: Dizziness, HYPERtension & Tachycardia  Narrative: within 5 minutes after vaccine experienced chest tightness,  lightheadedness. On examination BP 190/110, pulse 112. Ear flushing. A&O x 3.  No cardiac or respiratory distress. 25mg of Benadryl orally was given. Escorted  to the ER in wheelchair. Discharged from the ER diagnosed as HTN and Anxiety.  Discharged home in stable condition.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Dizziness, HYPERtension & Tachycardia  Narrative: within 5 minutes after vaccine experienced chest tightness,  lightheadedness. On examination BP 190/110, pulse 112. Ear flushing. A&O x 3.  No cardiac or respiratory distress. 25mg of Benadryl orally was given. Escorted  to the ER in wheelchair. Discharged from the ER diagnosed as HTN and Anxiety.  Discharged home in stable condition.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pruritus, Urticaria, Vomiting
Clinical narrative: UrticariaPruritus & NauseaVomiting Narrative:
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Pyrexia
Clinical narrative: Headache, Arthralgia & FEver
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pain, Pruritus, Rash erythematous
Clinical narrative: UrticariaPruritus  Puritic, erythematous, painful induration 9x6 cm  Narrative: immed induration , resolved then  recurred to 9x6cm red and painful.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: UrticariaPruritus  Puritic, erythematous, painful induration 9x6 cm  Narrative: immed induration , resolved then  recurred to 9x6cm red and painful.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram, Dizziness, Ear pain, Fatigue
Clinical narrative: Dizziness, Headache, Myalgia, NauseaVomiting, Fatigue, chills, Right ear pain, dizziness, fuzzy vision, Right sided numbness Narrative:  Employee reported fatigue, chills, myalgia, severe right ear pain (drilling like sensation), dizzines, nausea, vomiting and right sided numbness / tingling. CT completed - suspected intracranial bleeding. Transferred to local ED for care and management.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Myalgia, Nausea, Paraesthesia
Clinical narrative: Dizziness, Headache, Myalgia, NauseaVomiting, Fatigue, chills, Right ear pain, dizziness, fuzzy vision, Right sided numbness Narrative:  Employee reported fatigue, chills, myalgia, severe right ear pain (drilling like sensation), dizzines, nausea, vomiting and right sided numbness / tingling. CT completed - suspected intracranial bleeding. Transferred to local ED for care and management.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus, Vision blurred, Vomiting
Clinical narrative: Dizziness, Headache, Myalgia, NauseaVomiting, Fatigue, chills, Right ear pain, dizziness, fuzzy vision, Right sided numbness Narrative:  Employee reported fatigue, chills, myalgia, severe right ear pain (drilling like sensation), dizzines, nausea, vomiting and right sided numbness / tingling. CT completed - suspected intracranial bleeding. Transferred to local ED for care and management.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Vomiting
Clinical narrative: Dizziness, Headache & Nausea Vomiting Narrative:
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia, Nausea, Vomiting
Clinical narrative: Headache, Myalgia, Arthralgia & NauseaVomiting  Narrative:
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Headache, Myalgia, Nasopharyngitis
Clinical narrative: Headache, Myalgia SINUS COLD SYMPTOMS AND ROSY CHEEKS Narrative:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: SORENESS AT INJECTION SITE FOR FIRST 24 HR Narrative:
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Myalgia, Pain in extremity
Clinical narrative: Fatigue; joint/muscle aches to back and right arm Narrative:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Head, Myalgia & Fever  Narrative:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: ACHING TO INJECTION SITE Narrative:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hypertension, Nausea, Vomiting
Clinical narrative: NauseaVomiting, HYPERtension & HYPERglycemia Narrative:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Rigors, fevers, and frontal headaches Narrative: 12 hours after vaccine given, experienced severe, extreme rigors, along with fevers to 103.2, unresponsive to acetaminophen and ibuprofen. Also reported as normal. Of note, reports history of mild COVID before (positive PCR  11/2020 with symptoms but never severe).
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Musculoskeletal discomfort, Skin warm
Clinical narrative: Employee exhibited right hip warmth and tightness  that radiated to her right jaw Narrative:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: SORENESS AND SWELLING AT INJECTION SITE Narrative:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Diarrhoea, Myalgia, Pyrexia, Tachycardia
Clinical narrative: Confusion, Myalgia, Fever, Diarrhea & Tachycardia Narrative:
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Hyperhidrosis
Clinical narrative: DIAPHORESIS Narrative:  Felt sweaty, rapid hr which subsided after 30 min. Initial 137/81 HR 119; End 123/48 HR 92 O2 SAT 97
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: pain at injection site Narrative:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Wheezing
Clinical narrative: CoughWheeze Narrative:  Hx of Asthma, uses Albuterol inhaler. Noted some wheezing w/o distress. Able to speak freely. Wheezes cleared after cough
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Wheezing
Clinical narrative: Wheezy, chest tightness, SOB within 45 minutes of vaccination. Took antihistamines daily x3 days after vaccine
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Difficulty breathing, stridor.   Given IM Epi by EMS x2 along with nebulized epinephrine. Started on epinephrine drip in emergency department with improvement in symptoms. Able to be weaned off epinephrine drip after about 3 hours.   Lot Number Unknown of Vaccine unknown, as patient did not have vaccine card on person, and vaccine administered at another facility/healthsystem as one presented to/being reported from.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Dyspnoea, Stridor
Clinical narrative: Difficulty breathing, stridor.   Given IM Epi by EMS x2 along with nebulized epinephrine. Started on epinephrine drip in emergency department with improvement in symptoms. Able to be weaned off epinephrine drip after about 3 hours.   Lot Number Unknown of Vaccine unknown, as patient did not have vaccine card on person, and vaccine administered at another facility/healthsystem as one presented to/being reported from.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Electrocardiogram normal, Headache, Hypertension
Clinical narrative: Tachycardia almost immediately after injection 100-110s.  Slight tightness of chest, but I was trying not to panic.  Tachycardia increased to 130s for 2 minutes  then came down to 100s, BP 140/86, a little nausea and slight headache. Better at 4:45 thought I was good to leave. Then BP spiked to 180/110s, HR 136, transported to ER for monitoring.  Tachycardia and HTN would continue to cycling elevate over next 2hours before being discharged with HR of 100s and BP 150/86
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Nausea, Tachycardia, Troponin normal
Clinical narrative: Tachycardia almost immediately after injection 100-110s.  Slight tightness of chest, but I was trying not to panic.  Tachycardia increased to 130s for 2 minutes  then came down to 100s, BP 140/86, a little nausea and slight headache. Better at 4:45 thought I was good to leave. Then BP spiked to 180/110s, HR 136, transported to ER for monitoring.  Tachycardia and HTN would continue to cycling elevate over next 2hours before being discharged with HR of 100s and BP 150/86
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Palpitations
Clinical narrative: I got palpitations and tongue numbness 5-7 mins after receiving the IM injection. No rash/wheezing/hypotension/angioedema. Got treated like anaphylaxis with epinephrine, decadron, benadryl, pepcid
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood gonadotrophin, Electrocardiogram, Full blood count, Hypoaesthesia oral, Metabolic function test
Clinical narrative: I got palpitations and tongue numbness 5-7 mins after receiving the IM injection. No rash/wheezing/hypotension/angioedema. Got treated like anaphylaxis with epinephrine, decadron, benadryl, pepcid
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: I got palpitations and tongue numbness 5-7 mins after receiving the IM injection. No rash/wheezing/hypotension/angioedema. Got treated like anaphylaxis with epinephrine, decadron, benadryl, pepcid
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Diarrhoea, Dizziness, Feeling hot
Clinical narrative: Noticed burning in left forearm immediately after vaccine, within 1 min. Symptoms progressed to feeling hot, flushed, and tachycardia briefly around 5 min. 10 min developed a pressure in my chest, and dizziness. Within 20 min, developed itching, flushing and hives specifically on left arm, hand, and across chest. Within 45 min, both ears and forehead covered with hives. Hospital staff made me go to ED. Within ED hives continued to progress across the chest and bilateral arms and wrists. Received 50mg of Benadryl, and 40mg of prednisone. Symptoms improved but did not resolved. 3 hrs following vaccine, bilateral lip swelling. Took 40mg of percribed pred and 25mg of Benadryl again around 4pm.  Within 12 hrs, significant diarrhea. Hives resurfaced on face, bilateral wrists, arms, and ears around 645 on the 12/29. Fever 100.3 noted on 12/29-12/30. Intermitted hives, and lip swelling remained until 1/1. Nausea diarrhea and body aches until 1/2.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Lip swelling, Pain, Pruritus, Tachycardia
Clinical narrative: Noticed burning in left forearm immediately after vaccine, within 1 min. Symptoms progressed to feeling hot, flushed, and tachycardia briefly around 5 min. 10 min developed a pressure in my chest, and dizziness. Within 20 min, developed itching, flushing and hives specifically on left arm, hand, and across chest. Within 45 min, both ears and forehead covered with hives. Hospital staff made me go to ED. Within ED hives continued to progress across the chest and bilateral arms and wrists. Received 50mg of Benadryl, and 40mg of prednisone. Symptoms improved but did not resolved. 3 hrs following vaccine, bilateral lip swelling. Took 40mg of percribed pred and 25mg of Benadryl again around 4pm.  Within 12 hrs, significant diarrhea. Hives resurfaced on face, bilateral wrists, arms, and ears around 645 on the 12/29. Fever 100.3 noted on 12/29-12/30. Intermitted hives, and lip swelling remained until 1/1. Nausea diarrhea and body aches until 1/2.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Noticed burning in left forearm immediately after vaccine, within 1 min. Symptoms progressed to feeling hot, flushed, and tachycardia briefly around 5 min. 10 min developed a pressure in my chest, and dizziness. Within 20 min, developed itching, flushing and hives specifically on left arm, hand, and across chest. Within 45 min, both ears and forehead covered with hives. Hospital staff made me go to ED. Within ED hives continued to progress across the chest and bilateral arms and wrists. Received 50mg of Benadryl, and 40mg of prednisone. Symptoms improved but did not resolved. 3 hrs following vaccine, bilateral lip swelling. Took 40mg of percribed pred and 25mg of Benadryl again around 4pm.  Within 12 hrs, significant diarrhea. Hives resurfaced on face, bilateral wrists, arms, and ears around 645 on the 12/29. Fever 100.3 noted on 12/29-12/30. Intermitted hives, and lip swelling remained until 1/1. Nausea diarrhea and body aches until 1/2.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypoaesthesia, Inflammation, Muscular weakness, Myalgia
Clinical narrative: With in 12 hours had muscle soreness in right arm, headache. Got weakness in arm for 2 weeks. Shooting pains in arm. Feels like a pinched nerve when the left arm in moved. Numbness in thumb.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Peripheral swelling
Clinical narrative: With in 12 hours had muscle soreness in right arm, headache. Got weakness in arm for 2 weeks. Shooting pains in arm. Feels like a pinched nerve when the left arm in moved. Numbness in thumb.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Limb discomfort, Myalgia, Nerve compression, Pain in extremity
Clinical narrative: With in 12 hours had muscle soreness in right arm, headache. Got weakness in arm for 2 weeks. Shooting pains in arm. Feels like a pinched nerve when the left arm in moved. Numbness in thumb.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: With in 12 hours had muscle soreness in right arm, headache. Got weakness in arm for 2 weeks. Shooting pains in arm. Feels like a pinched nerve when the left arm in moved. Numbness in thumb.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: bump and redness @ injection site, occurred on day 13 post-vaccine - no concerns @ time of injection or day after. reporting as req'd by employee health program, not clinical significant.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: bump and redness @ injection site, occurred on day 13 post-vaccine - no concerns @ time of injection or day after. reporting as req'd by employee health program, not clinical significant.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: Patient reported noticing a 1 x 2? red raised patch near the site of injection on Thursday morning, six days after coronavirus vaccine was received.  By Friday morning it was 3 x 4?; by Saturday morning it was 5 x 4?; by Sunday morning it was 6 x 4 1/2?.  Provider evaluated on Friday and believed it was cellulitis so started patient on Keflex 500 mg four times a day for seven days. First dose received at 6 PM on Friday evening. The area of inflammation has become progressively less red but the area has moved farther down the arm.  12.4 weeks pregnant. Estimated due date 7-21-2021
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy, Injection site cellulitis, Injection site erythema
Clinical narrative: Patient reported noticing a 1 x 2? red raised patch near the site of injection on Thursday morning, six days after coronavirus vaccine was received.  By Friday morning it was 3 x 4?; by Saturday morning it was 5 x 4?; by Sunday morning it was 6 x 4 1/2?.  Provider evaluated on Friday and believed it was cellulitis so started patient on Keflex 500 mg four times a day for seven days. First dose received at 6 PM on Friday evening. The area of inflammation has become progressively less red but the area has moved farther down the arm.  12.4 weeks pregnant. Estimated due date 7-21-2021
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: dizziness moderate x 45 minutes and currently mild
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness
Clinical narrative: dizziness moderate x 45 minutes and currently mild
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Paraesthesia oral, Taste disorder
Clinical narrative: Felt flush, lips tingling, ink taste in mouth, rapid heartbeat, high blood pressure.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia, Flushing, Heart rate increased, Hypertension, Paraesthesia oral
Clinical narrative: Felt flush, lips tingling, ink taste in mouth, rapid heartbeat, high blood pressure.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hot flush, Pallor, Pruritus, Tachycardia
Clinical narrative: I received the Moderna Vaccine first dose. Within a minute of receiving the vaccine, i became dizzy, tachycardic and experiencing hot flashes. Me thinking it was in my head did not say anything i waited the 15 minutes and left the vaccination area. The feeling i got seemed to go away and i thought everything was good and was my way home.  About 30 minutes after injection i began experiencing itching in the face, nausea, dizziness, i was pale as a ghost. Having felt this before it was just like my allergic reaction i get when i ingest shellfish. I stupidly continued on my way home when i should have went to an ER but nonetheless i made it home and took some benedryl about 30 minutes later my symptoms subsided. I also took my blood pressure when i arrived home and was hypotensive. By the next day was fully recovered and no problems since day of injection.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hot flush, Hypotension, Nausea, Pallor
Clinical narrative: I received the Moderna Vaccine first dose. Within a minute of receiving the vaccine, i became dizzy, tachycardic and experiencing hot flashes. Me thinking it was in my head did not say anything i waited the 15 minutes and left the vaccination area. The feeling i got seemed to go away and i thought everything was good and was my way home.  About 30 minutes after injection i began experiencing itching in the face, nausea, dizziness, i was pale as a ghost. Having felt this before it was just like my allergic reaction i get when i ingest shellfish. I stupidly continued on my way home when i should have went to an ER but nonetheless i made it home and took some benedryl about 30 minutes later my symptoms subsided. I also took my blood pressure when i arrived home and was hypotensive. By the next day was fully recovered and no problems since day of injection.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Tachycardia
Clinical narrative: I received the Moderna Vaccine first dose. Within a minute of receiving the vaccine, i became dizzy, tachycardic and experiencing hot flashes. Me thinking it was in my head did not say anything i waited the 15 minutes and left the vaccination area. The feeling i got seemed to go away and i thought everything was good and was my way home.  About 30 minutes after injection i began experiencing itching in the face, nausea, dizziness, i was pale as a ghost. Having felt this before it was just like my allergic reaction i get when i ingest shellfish. I stupidly continued on my way home when i should have went to an ER but nonetheless i made it home and took some benedryl about 30 minutes later my symptoms subsided. I also took my blood pressure when i arrived home and was hypotensive. By the next day was fully recovered and no problems since day of injection.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Altered visual depth perception, Cognitive disorder, Confusional state, Coordination abnormal, Dizziness
Clinical narrative: Moderna COVID-19 Vaccine EUA.  Patient's aunt called me and told me that niece (patient) is 25yo having issues with coordination about a week after 1st Moderna vaccination shot. Unsure of exact vaccination date and onset of symptoms.  really having to focus to place hands under water to wash them, walking through doors without bumping into them, turning on faucet, getting dressed; left hand is worse than right and not able to easily align things properly;  "feels like her brain isn't doing what she's telling it to do".  Aunt said the symptoms are not improving. Patient had tested negative for Covid the day she got the vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Immediate post-injection reaction, Musculoskeletal stiffness, Nausea, Neurological symptom
Clinical narrative: Moderna COVID-19 Vaccine EUA.  Patient's aunt called me and told me that niece (patient) is 25yo having issues with coordination about a week after 1st Moderna vaccination shot. Unsure of exact vaccination date and onset of symptoms.  really having to focus to place hands under water to wash them, walking through doors without bumping into them, turning on faucet, getting dressed; left hand is worse than right and not able to easily align things properly;  "feels like her brain isn't doing what she's telling it to do".  Aunt said the symptoms are not improving. Patient had tested negative for Covid the day she got the vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Upper motor neurone lesion, Visual impairment
Clinical narrative: Moderna COVID-19 Vaccine EUA.  Patient's aunt called me and told me that niece (patient) is 25yo having issues with coordination about a week after 1st Moderna vaccination shot. Unsure of exact vaccination date and onset of symptoms.  really having to focus to place hands under water to wash them, walking through doors without bumping into them, turning on faucet, getting dressed; left hand is worse than right and not able to easily align things properly;  "feels like her brain isn't doing what she's telling it to do".  Aunt said the symptoms are not improving. Patient had tested negative for Covid the day she got the vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Coordination abnormal, Diarrhoea, Headache, Loss of personal independence in daily activities, Mental impairment
Clinical narrative: Moderna COVID-19 Vaccine EUA.  Patient's aunt called me and told me that niece (patient) is 25yo having issues with coordination about a week after 1st Moderna vaccination shot. Unsure of exact vaccination date and onset of symptoms.  really having to focus to place hands under water to wash them, walking through doors without bumping into them, turning on faucet, getting dressed; left hand is worse than right and not able to easily align things properly;  "feels like her brain isn't doing what she's telling it to do".  Aunt said the symptoms are not improving. Patient had tested negative for Covid the day she got the vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Nausea, SARS-CoV-2 test negative, Vision blurred
Clinical narrative: Moderna COVID-19 Vaccine EUA.  Patient's aunt called me and told me that niece (patient) is 25yo having issues with coordination about a week after 1st Moderna vaccination shot. Unsure of exact vaccination date and onset of symptoms.  really having to focus to place hands under water to wash them, walking through doors without bumping into them, turning on faucet, getting dressed; left hand is worse than right and not able to easily align things properly;  "feels like her brain isn't doing what she's telling it to do".  Aunt said the symptoms are not improving. Patient had tested negative for Covid the day she got the vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Injection site erythema, Injection site scar, Injection site warmth, Skin warm
Clinical narrative: On day 8 post-vaccine the patient developed some itchy hives patches on forearms and neck. given a dose of Benadryl. no ongoing concerns.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: On day 8 post-vaccine the patient developed some itchy hives patches on forearms and neck. given a dose of Benadryl. no ongoing concerns.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bacteraemia, Blood culture, Blood lactic acid, Culture urine, Full blood count
Clinical narrative: Narrative: Patient transferred to acute care medicine ward from nursing home ward for fever to 103 and respiration rate 30. Patient fever and tachypnea have resolved. No other sequalae apparent. ***Event previously submitted by MD directly to VAERS 01/08/2021 02:35 PM Temporary VAERS E-Report No 228009***
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Liver function test, Pyrexia, Respiratory viral panel, SARS-CoV-2 test negative
Clinical narrative: Narrative: Patient transferred to acute care medicine ward from nursing home ward for fever to 103 and respiration rate 30. Patient fever and tachypnea have resolved. No other sequalae apparent. ***Event previously submitted by MD directly to VAERS 01/08/2021 02:35 PM Temporary VAERS E-Report No 228009***
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine analysis normal, Urosepsis
Clinical narrative: Narrative: Patient transferred to acute care medicine ward from nursing home ward for fever to 103 and respiration rate 30. Patient fever and tachypnea have resolved. No other sequalae apparent. ***Event previously submitted by MD directly to VAERS 01/08/2021 02:35 PM Temporary VAERS E-Report No 228009***
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bacteraemia, Blood culture positive, Pyrexia, Tachypnoea, Urine analysis normal
Clinical narrative: Narrative: Patient transferred to acute care medicine ward from nursing home ward for fever to 103 and respiration rate 30. Patient fever and tachypnea have resolved. No other sequalae apparent. ***Event previously submitted by MD directly to VAERS 01/08/2021 02:35 PM Temporary VAERS E-Report No 228009***
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Electrocardiogram normal, Nausea
Clinical narrative: Patient  5 minutes after receiving her vaccine, started to complain of dizziness and feeling warm, having shudders, and also  chest pressure on the left side. Heart rate 74. Rested, but symptoms, especially chest pressure, did not improve. Alert and oriented and able to answer questions. EMS called but patient refused transportation to hospital. Once she felt better was able to walk to her brother's car, she stated that her brother ( who picked up patient) would take her to closest hospital, to get checked out.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Patient  5 minutes after receiving her vaccine, started to complain of dizziness and feeling warm, having shudders, and also  chest pressure on the left side. Heart rate 74. Rested, but symptoms, especially chest pressure, did not improve. Alert and oriented and able to answer questions. EMS called but patient refused transportation to hospital. Once she felt better was able to walk to her brother's car, she stated that her brother ( who picked up patient) would take her to closest hospital, to get checked out.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dizziness, Feeling hot, Tremor
Clinical narrative: Patient  5 minutes after receiving her vaccine, started to complain of dizziness and feeling warm, having shudders, and also  chest pressure on the left side. Heart rate 74. Rested, but symptoms, especially chest pressure, did not improve. Alert and oriented and able to answer questions. EMS called but patient refused transportation to hospital. Once she felt better was able to walk to her brother's car, she stated that her brother ( who picked up patient) would take her to closest hospital, to get checked out.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Nasal congestion, Throat irritation
Clinical narrative: 1-8-2021:  9:25 body shaking, nostrils constricting, throat tightening and legs weak.  Happen while I was heading home.  Returned to HD.  EMT administered 50ml benedryl and pushed 125ml saline.  No response.  Throat felt tight, not closed but tight.  Offered EpiPen .3 agreed.  Body reaction - shaking.  Went to Hospital ER via ambulance (~11am).  ER administered 50mg steroid and had 2 puffs of albuterol inhaler twice.  Became very tired but felt heart raced - assumed reaction to steroid/albuterol.  2:30pm started to finally feel relief.  Discharged 4pm with rx for prednisone 50mg 1/day-10 days and benedryl 25mg for that night and am/pm next day.  O2 dropped to 94 that evening.  Administered 3 rounds of 2 liters/minute before saturation held at 97. 1-9-2021:  9am took benedryl and prednisone doses.  10am both nostrils still feel "swollen," legs are weak and very tired (benedryl?).  Oxygen saturation is good - 97.  Starting to feel slight sensitivity at injection site.  4pm able to shower and move around.  Breathing is better.  Elected not to take benedryl as I'm not getting an positive response from it, only fatigue.  Nostrils still feel swollen - tried lubricated nasal spray, not much help. 1-10-2021:  8:30 prednisone dose  Oxygen saturation good - 98% pulse 72.  Nostrils still feel swollen.  Injected site sore,  Started around 4pm (similar to shingles vaccine - expected).
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Muscular weakness, Nasal congestion, Throat tightness, Tremor
Clinical narrative: 1-8-2021:  9:25 body shaking, nostrils constricting, throat tightening and legs weak.  Happen while I was heading home.  Returned to HD.  EMT administered 50ml benedryl and pushed 125ml saline.  No response.  Throat felt tight, not closed but tight.  Offered EpiPen .3 agreed.  Body reaction - shaking.  Went to Hospital ER via ambulance (~11am).  ER administered 50mg steroid and had 2 puffs of albuterol inhaler twice.  Became very tired but felt heart raced - assumed reaction to steroid/albuterol.  2:30pm started to finally feel relief.  Discharged 4pm with rx for prednisone 50mg 1/day-10 days and benedryl 25mg for that night and am/pm next day.  O2 dropped to 94 that evening.  Administered 3 rounds of 2 liters/minute before saturation held at 97. 1-9-2021:  9am took benedryl and prednisone doses.  10am both nostrils still feel "swollen," legs are weak and very tired (benedryl?).  Oxygen saturation is good - 97.  Starting to feel slight sensitivity at injection site.  4pm able to shower and move around.  Breathing is better.  Elected not to take benedryl as I'm not getting an positive response from it, only fatigue.  Nostrils still feel swollen - tried lubricated nasal spray, not much help. 1-10-2021:  8:30 prednisone dose  Oxygen saturation good - 98% pulse 72.  Nostrils still feel swollen.  Injected site sore,  Started around 4pm (similar to shingles vaccine - expected).
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Areflexia, Guillain-Barre syndrome, Laboratory test, Magnetic resonance imaging, Sensory loss
Clinical narrative: The patient is  a previously healthy 36 year old physician on no medication other than oral contraception who received the Pfizer COVID-19 vaccine on Dec. 23, 2020.  On Jan. 1, 2021 she began to notice tingling in both hands.  These paresthesias continued, with also perhaps a feeling of numbness in her hands as well.  On Jan. 8, 2021 she noticed slight weakness and unsteadiness in her legs and had to grasp the handrails in the stairwell.  She has had no fever, chills, or shortness of breath.  She had one loose stool in the days after vaccination.  She has had no recent exposure to a known Covid-19 patient.  Physical exam revealed a loss of deep tendon reflexes in the upper and lower extremities and decreased sensation in her hands and feet.  She has 5-/5 strength in her right arm.  She was admitted to our hospital with a presumed diagnosis of Guillain-Barre Syndrome on Jan. 9, 2021 and has begun treatment with a course of IVIG.  She remains hospitalized at this time.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Areflexia, Balance disorder, CSF culture negative, CSF glucose normal, CSF protein increased
Clinical narrative: The patient is  a previously healthy 36 year old physician on no medication other than oral contraception who received the Pfizer COVID-19 vaccine on Dec. 23, 2020.  On Jan. 1, 2021 she began to notice tingling in both hands.  These paresthesias continued, with also perhaps a feeling of numbness in her hands as well.  On Jan. 8, 2021 she noticed slight weakness and unsteadiness in her legs and had to grasp the handrails in the stairwell.  She has had no fever, chills, or shortness of breath.  She had one loose stool in the days after vaccination.  She has had no recent exposure to a known Covid-19 patient.  Physical exam revealed a loss of deep tendon reflexes in the upper and lower extremities and decreased sensation in her hands and feet.  She has 5-/5 strength in her right arm.  She was admitted to our hospital with a presumed diagnosis of Guillain-Barre Syndrome on Jan. 9, 2021 and has begun treatment with a course of IVIG.  She remains hospitalized at this time.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: CSF white blood cell count, Diarrhoea, Electrocardiogram normal, Full blood count normal, Guillain-Barre syndrome
Clinical narrative: The patient is  a previously healthy 36 year old physician on no medication other than oral contraception who received the Pfizer COVID-19 vaccine on Dec. 23, 2020.  On Jan. 1, 2021 she began to notice tingling in both hands.  These paresthesias continued, with also perhaps a feeling of numbness in her hands as well.  On Jan. 8, 2021 she noticed slight weakness and unsteadiness in her legs and had to grasp the handrails in the stairwell.  She has had no fever, chills, or shortness of breath.  She had one loose stool in the days after vaccination.  She has had no recent exposure to a known Covid-19 patient.  Physical exam revealed a loss of deep tendon reflexes in the upper and lower extremities and decreased sensation in her hands and feet.  She has 5-/5 strength in her right arm.  She was admitted to our hospital with a presumed diagnosis of Guillain-Barre Syndrome on Jan. 9, 2021 and has begun treatment with a course of IVIG.  She remains hospitalized at this time.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Magnetic resonance imaging brain normal, Metabolic function test normal, Muscular weakness
Clinical narrative: The patient is  a previously healthy 36 year old physician on no medication other than oral contraception who received the Pfizer COVID-19 vaccine on Dec. 23, 2020.  On Jan. 1, 2021 she began to notice tingling in both hands.  These paresthesias continued, with also perhaps a feeling of numbness in her hands as well.  On Jan. 8, 2021 she noticed slight weakness and unsteadiness in her legs and had to grasp the handrails in the stairwell.  She has had no fever, chills, or shortness of breath.  She had one loose stool in the days after vaccination.  She has had no recent exposure to a known Covid-19 patient.  Physical exam revealed a loss of deep tendon reflexes in the upper and lower extremities and decreased sensation in her hands and feet.  She has 5-/5 strength in her right arm.  She was admitted to our hospital with a presumed diagnosis of Guillain-Barre Syndrome on Jan. 9, 2021 and has begun treatment with a course of IVIG.  She remains hospitalized at this time.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Paraesthesia, Sensory loss, Vital capacity decreased
Clinical narrative: The patient is  a previously healthy 36 year old physician on no medication other than oral contraception who received the Pfizer COVID-19 vaccine on Dec. 23, 2020.  On Jan. 1, 2021 she began to notice tingling in both hands.  These paresthesias continued, with also perhaps a feeling of numbness in her hands as well.  On Jan. 8, 2021 she noticed slight weakness and unsteadiness in her legs and had to grasp the handrails in the stairwell.  She has had no fever, chills, or shortness of breath.  She had one loose stool in the days after vaccination.  She has had no recent exposure to a known Covid-19 patient.  Physical exam revealed a loss of deep tendon reflexes in the upper and lower extremities and decreased sensation in her hands and feet.  She has 5-/5 strength in her right arm.  She was admitted to our hospital with a presumed diagnosis of Guillain-Barre Syndrome on Jan. 9, 2021 and has begun treatment with a course of IVIG.  She remains hospitalized at this time.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Areflexia, Balance disorder, CSF glucose normal, CSF protein increased, CSF white blood cell count negative
Clinical narrative: The patient is  a previously healthy 36 year old physician on no medication other than oral contraception who received the Pfizer COVID-19 vaccine on Dec. 23, 2020.  On Jan. 1, 2021 she began to notice tingling in both hands.  These paresthesias continued, with also perhaps a feeling of numbness in her hands as well.  On Jan. 8, 2021 she noticed slight weakness and unsteadiness in her legs and had to grasp the handrails in the stairwell.  She has had no fever, chills, or shortness of breath.  She had one loose stool in the days after vaccination.  She has had no recent exposure to a known Covid-19 patient.  Physical exam revealed a loss of deep tendon reflexes in the upper and lower extremities and decreased sensation in her hands and feet.  She has 5-/5 strength in her right arm.  She was admitted to our hospital with a presumed diagnosis of Guillain-Barre Syndrome on Jan. 9, 2021 and has begun treatment with a course of IVIG.  She remains hospitalized at this time.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Diarrhoea, Dyskinesia, Glycosylated haemoglobin normal, Guillain-Barre syndrome, Hypertension
Clinical narrative: The patient is  a previously healthy 36 year old physician on no medication other than oral contraception who received the Pfizer COVID-19 vaccine on Dec. 23, 2020.  On Jan. 1, 2021 she began to notice tingling in both hands.  These paresthesias continued, with also perhaps a feeling of numbness in her hands as well.  On Jan. 8, 2021 she noticed slight weakness and unsteadiness in her legs and had to grasp the handrails in the stairwell.  She has had no fever, chills, or shortness of breath.  She had one loose stool in the days after vaccination.  She has had no recent exposure to a known Covid-19 patient.  Physical exam revealed a loss of deep tendon reflexes in the upper and lower extremities and decreased sensation in her hands and feet.  She has 5-/5 strength in her right arm.  She was admitted to our hospital with a presumed diagnosis of Guillain-Barre Syndrome on Jan. 9, 2021 and has begun treatment with a course of IVIG.  She remains hospitalized at this time.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Magnetic resonance imaging spinal normal, Muscular weakness, Neuralgia
Clinical narrative: The patient is  a previously healthy 36 year old physician on no medication other than oral contraception who received the Pfizer COVID-19 vaccine on Dec. 23, 2020.  On Jan. 1, 2021 she began to notice tingling in both hands.  These paresthesias continued, with also perhaps a feeling of numbness in her hands as well.  On Jan. 8, 2021 she noticed slight weakness and unsteadiness in her legs and had to grasp the handrails in the stairwell.  She has had no fever, chills, or shortness of breath.  She had one loose stool in the days after vaccination.  She has had no recent exposure to a known Covid-19 patient.  Physical exam revealed a loss of deep tendon reflexes in the upper and lower extremities and decreased sensation in her hands and feet.  She has 5-/5 strength in her right arm.  She was admitted to our hospital with a presumed diagnosis of Guillain-Barre Syndrome on Jan. 9, 2021 and has begun treatment with a course of IVIG.  She remains hospitalized at this time.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Neurological examination abnormal, Pain in extremity, Paraesthesia, Peripheral sensory neuropathy, Scan with contrast normal
Clinical narrative: The patient is  a previously healthy 36 year old physician on no medication other than oral contraception who received the Pfizer COVID-19 vaccine on Dec. 23, 2020.  On Jan. 1, 2021 she began to notice tingling in both hands.  These paresthesias continued, with also perhaps a feeling of numbness in her hands as well.  On Jan. 8, 2021 she noticed slight weakness and unsteadiness in her legs and had to grasp the handrails in the stairwell.  She has had no fever, chills, or shortness of breath.  She had one loose stool in the days after vaccination.  She has had no recent exposure to a known Covid-19 patient.  Physical exam revealed a loss of deep tendon reflexes in the upper and lower extremities and decreased sensation in her hands and feet.  She has 5-/5 strength in her right arm.  She was admitted to our hospital with a presumed diagnosis of Guillain-Barre Syndrome on Jan. 9, 2021 and has begun treatment with a course of IVIG.  She remains hospitalized at this time.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Sensory loss, Sleep disorder, Tachycardia, Vitamin B12 increased
Clinical narrative: The patient is  a previously healthy 36 year old physician on no medication other than oral contraception who received the Pfizer COVID-19 vaccine on Dec. 23, 2020.  On Jan. 1, 2021 she began to notice tingling in both hands.  These paresthesias continued, with also perhaps a feeling of numbness in her hands as well.  On Jan. 8, 2021 she noticed slight weakness and unsteadiness in her legs and had to grasp the handrails in the stairwell.  She has had no fever, chills, or shortness of breath.  She had one loose stool in the days after vaccination.  She has had no recent exposure to a known Covid-19 patient.  Physical exam revealed a loss of deep tendon reflexes in the upper and lower extremities and decreased sensation in her hands and feet.  She has 5-/5 strength in her right arm.  She was admitted to our hospital with a presumed diagnosis of Guillain-Barre Syndrome on Jan. 9, 2021 and has begun treatment with a course of IVIG.  She remains hospitalized at this time.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Guillain-Barre syndrome, Paraesthesia, SARS-CoV-2 test negative
Clinical narrative: The patient is  a previously healthy 36 year old physician on no medication other than oral contraception who received the Pfizer COVID-19 vaccine on Dec. 23, 2020.  On Jan. 1, 2021 she began to notice tingling in both hands.  These paresthesias continued, with also perhaps a feeling of numbness in her hands as well.  On Jan. 8, 2021 she noticed slight weakness and unsteadiness in her legs and had to grasp the handrails in the stairwell.  She has had no fever, chills, or shortness of breath.  She had one loose stool in the days after vaccination.  She has had no recent exposure to a known Covid-19 patient.  Physical exam revealed a loss of deep tendon reflexes in the upper and lower extremities and decreased sensation in her hands and feet.  She has 5-/5 strength in her right arm.  She was admitted to our hospital with a presumed diagnosis of Guillain-Barre Syndrome on Jan. 9, 2021 and has begun treatment with a course of IVIG.  She remains hospitalized at this time.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Syncope
Clinical narrative: SOB
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: SOB
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pressure increased, Feeling hot, Heart rate increased, Hyperhidrosis, Paraesthesia
Clinical narrative: About 5 minutes after receiving my second dose I became flush, and hot from the outside in over my whole body.  I was tingly all over.  I felt shaky  and like I was going to pass out. Very nauseous.  My blood pressure was 169/93 @ 0830. The staff had me lay down.  About  5 min later I started to feel better.  Another 5 min later it happened again in a wave. The symptoms just came over me. My blood pressure @ 0840 was169/104. The staff had me drink water and rest. @0900 the wave came over me again. My BP was 178/111. I drank more water and rested. BP recheck @ 0925 162/112.  @940 BP was slowly coming down at 145/109. At that time they transferred me to the Emergency room.  My BP came back into normal ranges, and the waves stopped happening around 12pm. I was then released home with plans to follow up with Primary care on  1/11/2021