chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Jaundice cholestatic
Clinical narrative: Obstructive jaundice. Hospital admission was within 6 weeks of receiving the COVID vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Cardioversion, Ventricular fibrillation
Clinical narrative: patient went into V Fib cardiac arrest at home, EMS was called patient was shocked 3 x received 4 epinephrine pushes, 1 amiodarone 300mg and ROSC was achieved and went to hospital.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure congestive, Condition aggravated, Diuretic therapy, Dyspnoea
Clinical narrative: The patient presented to the hospital with chief complaint of shortness of breath. He was found to have acute COVID-19 infection and acute CHF exacerbation. Admitted for IV diuretic therapy, echocardiogram pending. Patient left AMA prior to completion of medical therapy and diagnostic imaging.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: The patient presented to the hospital with chief complaint of shortness of breath. He was found to have acute COVID-19 infection and acute CHF exacerbation. Admitted for IV diuretic therapy, echocardiogram pending. Patient left AMA prior to completion of medical therapy and diagnostic imaging.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose of vaccine was administered on day 15 instead of day 21.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Bursitis
Clinical narrative: Bursitis of the shoulder, no treatment, eventually resolved after 3-4 months
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: The vaccine was mixed with the incorrect diluent. The nurse used sterile water instead of 0.9 Sodium Chloride. There have been no side effects reported by the parent or child.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic encephalopathy
Clinical narrative: Hepatic encephalopathy. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Severe itching on upper back
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was not 18 and did not qualify for this vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Cough, Impaired work ability, Influenza A virus test negative
Clinical narrative: In Febuary of 2021 I had a breast cancer diagnosis via mammogram, around the time of receiving my vaccine (I believe the timing of the cancer and the vaccination were mostly coincidental).  I have been undergoing treatment since then. On January 7th, 2022 I was diagnosed with covid-19. It started with mild congestion and coughing (assumed it was allergies). By January 7th I had a constant runny noise and my temperature was high, so then I went and got a test. By Saturday night my throat was so painful I could no longer speak and was coughing heavily. I was off of work for 10 days, all symptoms were upper respiraratory and felt similar to strep. I tested negative for influenza A and B.  Since then I have fully recovered.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: In Febuary of 2021 I had a breast cancer diagnosis via mammogram, around the time of receiving my vaccine (I believe the timing of the cancer and the vaccination were mostly coincidental).  I have been undergoing treatment since then. On January 7th, 2022 I was diagnosed with covid-19. It started with mild congestion and coughing (assumed it was allergies). By January 7th I had a constant runny noise and my temperature was high, so then I went and got a test. By Saturday night my throat was so painful I could no longer speak and was coughing heavily. I was off of work for 10 days, all symptoms were upper respiraratory and felt similar to strep. I tested negative for influenza A and B.  Since then I have fully recovered.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia
Clinical narrative: Patient fully vaccinated (Moderna), but not yet eligible for booster, admitted on 1/26/2022 with COVID-19 and associated hypoxia. Patient was discharged on 1/31/2022.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Cough, Dyspnoea, Productive cough, SARS-CoV-2 test
Clinical narrative: I have experienced severe bronchitis around January 17, 2022 and by January 29, 2022  it has gotten worse - my breathing was affected and I was coughing really bad and having to pause in between sentences when talking just to take a breath and have to cough again. I took Ibuprofen to ease the cough but it did not work or change the severity of the cough. My breathing was still impaired as well. This has been ongoing for 4 days with no improvement until I went to the doctor and was prescribed with Steroid Tablet (Methylprednisolone) which I'm taking 4x/day and Albuterol Inhaler (3-4x/day), Cough medicine (Promethazine) 1x/day), as of today 02/03/2022 my symptoms has improved but I am still coughing (with phlegm)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: 2 weeks after receiving her booster vaccination, patient presented to her primary care office with right sided facial droop, exam was consistent with Bell's palsy
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fall, Limb injury, Pain, Peripheral swelling
Clinical narrative: This is a 63y.o. male with PMH of COPD not on home oxygen, HTN, HLD, history of DVT on Eliquis, COPD, CAD, anxiety and HFpEF who presents for recent fall and chronic ulcers on lower extremities. Patient states he fell on 01/04/22 while reaching for something while laying down. He denied feeling lightheaded at the time, head or neck injury. He complains of generalized body pain including abdomen and low back pain. He also reports pain in bilateral legs with associated left leg swelling. He has chronic leg wounds which have been dressed by wound care, unsure when last dressing change was. Unable to determine if patient lives alone or at an assisted living facility. History is limited secondary to patient's speech clarity.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Skin ulcer, Speech disorder
Clinical narrative: This is a 63y.o. male with PMH of COPD not on home oxygen, HTN, HLD, history of DVT on Eliquis, COPD, CAD, anxiety and HFpEF who presents for recent fall and chronic ulcers on lower extremities. Patient states he fell on 01/04/22 while reaching for something while laying down. He denied feeling lightheaded at the time, head or neck injury. He complains of generalized body pain including abdomen and low back pain. He also reports pain in bilateral legs with associated left leg swelling. He has chronic leg wounds which have been dressed by wound care, unsure when last dressing change was. Unable to determine if patient lives alone or at an assisted living facility. History is limited secondary to patient's speech clarity.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Fever of 102.5 for 2 days then 1 day at 101, chills, fatigue and swelling and red at injection site for 3 weeks
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody, Asthenia, Blood chloride, Blood creatine, Blood glucose
Clinical narrative: Severe weakness, fatigue, nausea resulting in a faint. I was overcome with feeling very ill the day after I got my booster, felt very weak and nauseous, and then fainted suddenly on the morning of 1/14. I have never had a syncopal episode before.  I am currently also suffering from severely chapped, burning lips since getting the booster shot.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium, Blood sodium, Blood thyroid stimulating hormone, Blood urea, Carbon dioxide
Clinical narrative: Severe weakness, fatigue, nausea resulting in a faint. I was overcome with feeling very ill the day after I got my booster, felt very weak and nauseous, and then fainted suddenly on the morning of 1/14. I have never had a syncopal episode before.  I am currently also suffering from severely chapped, burning lips since getting the booster shot.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chapped lips, Chest X-ray, Computerised tomogram, Computerised tomogram head, Electrocardiogram
Clinical narrative: Severe weakness, fatigue, nausea resulting in a faint. I was overcome with feeling very ill the day after I got my booster, felt very weak and nauseous, and then fainted suddenly on the morning of 1/14. I have never had a syncopal episode before.  I am currently also suffering from severely chapped, burning lips since getting the booster shot.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Head injury, Lipase, Liver function test
Clinical narrative: Severe weakness, fatigue, nausea resulting in a faint. I was overcome with feeling very ill the day after I got my booster, felt very weak and nauseous, and then fainted suddenly on the morning of 1/14. I have never had a syncopal episode before.  I am currently also suffering from severely chapped, burning lips since getting the booster shot.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Oral discomfort, Prothrombin level, Syncope
Clinical narrative: Severe weakness, fatigue, nausea resulting in a faint. I was overcome with feeling very ill the day after I got my booster, felt very weak and nauseous, and then fainted suddenly on the morning of 1/14. I have never had a syncopal episode before.  I am currently also suffering from severely chapped, burning lips since getting the booster shot.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Angiogram pulmonary abnormal, Cholecystitis, Computerised tomogram abdomen abnormal, Lung consolidation
Clinical narrative: Patient presents to the ED on 01/22/2022 with a Chief Complaint of Abdominal Pain after receiving covid vaccine on 01/19/2022. Per guidelines, all hospitalization are reported.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Scan with contrast abnormal
Clinical narrative: Patient presents to the ED on 01/22/2022 with a Chief Complaint of Abdominal Pain after receiving covid vaccine on 01/19/2022. Per guidelines, all hospitalization are reported.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Nephrolithiasis, Pyelonephritis
Clinical narrative: Kidney Stone, Pyelonephritis. ED visits and hospital admissions. These visits were within 6 weeks of receiving the COVID vaccine.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Decreased appetite, Fatigue, Nausea
Clinical narrative: 5 1/2 days post vaccine, 12/25/2021- he had fatigue, lack of appetite, chills, vomiting, nausea. When I would give him the Tylenol for the fever of 101.6, he could not keep any of it down. He laid in his bed from mid afternoon to the next day. These symptoms lasted 24 hours, and the next day he was back normal. He was still tired. He did not have any fever, or any chills, and he was eating. 12/31/2022-he developed COVID toes red spots that were flat throughout all of his toes, he also had white dots that looked like they had whiteheads, and that is all he had at the time. The redness did leave, but I noticed he has like dry,  bubble skin separation. This week, 01/31/2022, he said he was itchy and developed a rash on his bottom, like 10 dots, and arms, around his elbow, legs, upper thighs and back and stomach, and his jaw, like 3 dots. I am treating it with a prescription topical cream that the dermatologist prescribed. He has not recovered from the rash. He has an appointment on 02/17/2022 with the dermatologist. Note: 10/06/2021- he tested positive for COVID-19. All he had for symptoms was a fever for 2 days and a little bit of  cough and a little nasal congestion.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Rash, Rash erythematous, Vomiting
Clinical narrative: 5 1/2 days post vaccine, 12/25/2021- he had fatigue, lack of appetite, chills, vomiting, nausea. When I would give him the Tylenol for the fever of 101.6, he could not keep any of it down. He laid in his bed from mid afternoon to the next day. These symptoms lasted 24 hours, and the next day he was back normal. He was still tired. He did not have any fever, or any chills, and he was eating. 12/31/2022-he developed COVID toes red spots that were flat throughout all of his toes, he also had white dots that looked like they had whiteheads, and that is all he had at the time. The redness did leave, but I noticed he has like dry,  bubble skin separation. This week, 01/31/2022, he said he was itchy and developed a rash on his bottom, like 10 dots, and arms, around his elbow, legs, upper thighs and back and stomach, and his jaw, like 3 dots. I am treating it with a prescription topical cream that the dermatologist prescribed. He has not recovered from the rash. He has an appointment on 02/17/2022 with the dermatologist. Note: 10/06/2021- he tested positive for COVID-19. All he had for symptoms was a fever for 2 days and a little bit of  cough and a little nasal congestion.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Inappropriate schedule of product administration
Clinical narrative: PT RECEIVED COVID-19 (PFIZER) BOOSTER DOSE TOO EARLY AS PER RECOMMENDATIONS. RECOMMENDS THOSE 12+ AND AT LEAST 5 MONTHS FROM THE PRIMARY SERIES ARE ELIGIBLE FOR THE COVID-19 VACCINE BOOSTER DOSE. COMPLAINED OF HEADACHE APPRX 10 MINUTES AFTER 15 MINUTE OBSERVATION WAS COMPLETED.  PT WAS IN SCHOOL AND SCHOOL NURSE WAS CONTACTED, PARENT WAS CONTACTED AND PATIENT WENT WITH SCHOOL NURSE AND WAS SENT HOME WITH PARENT WITHIN 1 HOUR OF ONSET OF SYMPTOMS.   WE PLAN TO DECREASE THE RISK OF INCIDENCE THROUGH ADDITIONAL INSERVICE OF CLINICAL AND STAFF ON THE APPROPRIATE DOCUMENTATION AND VERIFICATION OF ELIGIBILITY OF THE RECOMMENDED VACCINE BOOSTER TIMEFRAME. CHECKLISTS DEVELOPED FOR MOBILE VACCINATION CLINICS WITH THE RECOMMENDED TIMEFRAME LISTED.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Patient and her father both say that only complaint was a sore arm. They deny any further signs or symptoms after vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Burning sensation, Chest X-ray, Chest pain, Computerised tomogram abdomen
Clinical narrative: Hives (itchy, red, upraised) started to appear first on scalp, hands, groin area. Within 24 hours of first appearing. moved to all areas of body. They would first burn and then become very itchy. Would be intense for 15-30 minutes and then move to another spot on the body and be intense 15-30 minutes. This lasted for 24 hours for 9 days. Went to Urgent Care on 1/19 because also had chest pain / heart burn, which is abnormal for me. Urgent Care ran all of the tests (EKG, CT scan, etc.) and heart and lungs were fine. I have no known allergies and no new food introduction or skin products introduced in environment. Nothing new with environment at all. Doctor prescribed a 5-day tapered prednisone for hives. The Prednisone did not offer any relief. I took Benadryl every 5-6 hours along with the prednisone prescription. The Benadryl provided minor itching relief. After 9 days of Hives 24/7, I reached out to Doctor again and she consulted with allergy team. They believe that I was having a delayed-immune response to Booster shot I received on 1/5. Told me to take Zyrtech (one or two tablets, twice daily). I had immediate relief once I started taking Zyrtech. I am taking 1 tablet, twice a day. Hives still come and go but they aren't itchy or upraised. Just red splotches in random places. It is 2/3 and I am still having to take Zyrtech.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Computerised tomogram pelvis, Dyspepsia, Electrocardiogram normal, Erythema
Clinical narrative: Hives (itchy, red, upraised) started to appear first on scalp, hands, groin area. Within 24 hours of first appearing. moved to all areas of body. They would first burn and then become very itchy. Would be intense for 15-30 minutes and then move to another spot on the body and be intense 15-30 minutes. This lasted for 24 hours for 9 days. Went to Urgent Care on 1/19 because also had chest pain / heart burn, which is abnormal for me. Urgent Care ran all of the tests (EKG, CT scan, etc.) and heart and lungs were fine. I have no known allergies and no new food introduction or skin products introduced in environment. Nothing new with environment at all. Doctor prescribed a 5-day tapered prednisone for hives. The Prednisone did not offer any relief. I took Benadryl every 5-6 hours along with the prednisone prescription. The Benadryl provided minor itching relief. After 9 days of Hives 24/7, I reached out to Doctor again and she consulted with allergy team. They believe that I was having a delayed-immune response to Booster shot I received on 1/5. Told me to take Zyrtech (one or two tablets, twice daily). I had immediate relief once I started taking Zyrtech. I am taking 1 tablet, twice a day. Hives still come and go but they aren't itchy or upraised. Just red splotches in random places. It is 2/3 and I am still having to take Zyrtech.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Influenza A virus test, Influenza B virus test, Influenza virus test
Clinical narrative: Hives (itchy, red, upraised) started to appear first on scalp, hands, groin area. Within 24 hours of first appearing. moved to all areas of body. They would first burn and then become very itchy. Would be intense for 15-30 minutes and then move to another spot on the body and be intense 15-30 minutes. This lasted for 24 hours for 9 days. Went to Urgent Care on 1/19 because also had chest pain / heart burn, which is abnormal for me. Urgent Care ran all of the tests (EKG, CT scan, etc.) and heart and lungs were fine. I have no known allergies and no new food introduction or skin products introduced in environment. Nothing new with environment at all. Doctor prescribed a 5-day tapered prednisone for hives. The Prednisone did not offer any relief. I took Benadryl every 5-6 hours along with the prednisone prescription. The Benadryl provided minor itching relief. After 9 days of Hives 24/7, I reached out to Doctor again and she consulted with allergy team. They believe that I was having a delayed-immune response to Booster shot I received on 1/5. Told me to take Zyrtech (one or two tablets, twice daily). I had immediate relief once I started taking Zyrtech. I am taking 1 tablet, twice a day. Hives still come and go but they aren't itchy or upraised. Just red splotches in random places. It is 2/3 and I am still having to take Zyrtech.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lipase, Metabolic function test, Platelet count, Rash macular, SARS-CoV-2 test
Clinical narrative: Hives (itchy, red, upraised) started to appear first on scalp, hands, groin area. Within 24 hours of first appearing. moved to all areas of body. They would first burn and then become very itchy. Would be intense for 15-30 minutes and then move to another spot on the body and be intense 15-30 minutes. This lasted for 24 hours for 9 days. Went to Urgent Care on 1/19 because also had chest pain / heart burn, which is abnormal for me. Urgent Care ran all of the tests (EKG, CT scan, etc.) and heart and lungs were fine. I have no known allergies and no new food introduction or skin products introduced in environment. Nothing new with environment at all. Doctor prescribed a 5-day tapered prednisone for hives. The Prednisone did not offer any relief. I took Benadryl every 5-6 hours along with the prednisone prescription. The Benadryl provided minor itching relief. After 9 days of Hives 24/7, I reached out to Doctor again and she consulted with allergy team. They believe that I was having a delayed-immune response to Booster shot I received on 1/5. Told me to take Zyrtech (one or two tablets, twice daily). I had immediate relief once I started taking Zyrtech. I am taking 1 tablet, twice a day. Hives still come and go but they aren't itchy or upraised. Just red splotches in random places. It is 2/3 and I am still having to take Zyrtech.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Troponin I, Urticaria
Clinical narrative: Hives (itchy, red, upraised) started to appear first on scalp, hands, groin area. Within 24 hours of first appearing. moved to all areas of body. They would first burn and then become very itchy. Would be intense for 15-30 minutes and then move to another spot on the body and be intense 15-30 minutes. This lasted for 24 hours for 9 days. Went to Urgent Care on 1/19 because also had chest pain / heart burn, which is abnormal for me. Urgent Care ran all of the tests (EKG, CT scan, etc.) and heart and lungs were fine. I have no known allergies and no new food introduction or skin products introduced in environment. Nothing new with environment at all. Doctor prescribed a 5-day tapered prednisone for hives. The Prednisone did not offer any relief. I took Benadryl every 5-6 hours along with the prednisone prescription. The Benadryl provided minor itching relief. After 9 days of Hives 24/7, I reached out to Doctor again and she consulted with allergy team. They believe that I was having a delayed-immune response to Booster shot I received on 1/5. Told me to take Zyrtech (one or two tablets, twice daily). I had immediate relief once I started taking Zyrtech. I am taking 1 tablet, twice a day. Hives still come and go but they aren't itchy or upraised. Just red splotches in random places. It is 2/3 and I am still having to take Zyrtech.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered BUD
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Rash, Systemic infection
Clinical narrative: Broke out in a rash three days later on my ankles then spread to my upper leg and torso.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Medical procedure, Vascular pseudoaneurysm
Clinical narrative: Pseudoaneurysm of femoral artery following procedure. Hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 58.0
Sex: M
Vaccine: UNK
Symptoms: Amnesia, Arthralgia, Autoimmune thyroiditis, Chest pain, Dyspnoea
Clinical narrative: Fatigue, chest pains, inability to inhale completely, memory loss, continual joint aches, development of Hashimotos's disease, decrease in thyroid function, sever headaches
Age: 58.0
Sex: M
Vaccine: UNK
Symptoms: Fatigue, Headache, Hypothyroidism
Clinical narrative: Fatigue, chest pains, inability to inhale completely, memory loss, continual joint aches, development of Hashimotos's disease, decrease in thyroid function, sever headaches
Age: 12.0
Sex: M
Vaccine: MENB
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given vaccine out of recommended age range
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: onset of symptoms 9/29/21
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swollen tongue, Throat irritation
Clinical narrative: 11:37 am - pt received vaccine for COVID  12:08 pm - pt reported itching in throat, sensation that tongue was swelling and itching on bilateral hands, forearms and arms 12:10 pm - pt took diphenhydramine (50mg) by mouth.  Assessed by provider and vital taken while being monitored.  (The symptoms experienced were same as her reaction to chocolate or apples.)  Vitals remained stable, symptoms began to improve and patient was monitored for over an hour before release to be watched by family members
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Fall, Influenza A virus test negative, Influenza B virus test, Respiratory syncytial virus test negative
Clinical narrative: Principal Problem: Fall      Overview Note:     2014, got up from coutch, fell, no recollection of fall, remained on floor for 1 week, brother came over and patietn transported to HCF and DX with fractured hip requiring 2 surgeries.   ? Closed wedge compression fracture of T5 vertebra (CMS/HCC) ? Recurrent falls ? COVID-19     Assessment & Plan Note:     Positive NAA for SARS CoV 2. The patient is completely asymptomatic for Covid at this time. As such, there is no indication for initiation of any sort of therapy at this point. Continue to monitor her clinical course
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Spinal compression fracture, Thoracic vertebral fracture
Clinical narrative: Principal Problem: Fall      Overview Note:     2014, got up from coutch, fell, no recollection of fall, remained on floor for 1 week, brother came over and patietn transported to HCF and DX with fractured hip requiring 2 surgeries.   ? Closed wedge compression fracture of T5 vertebra (CMS/HCC) ? Recurrent falls ? COVID-19     Assessment & Plan Note:     Positive NAA for SARS CoV 2. The patient is completely asymptomatic for Covid at this time. As such, there is no indication for initiation of any sort of therapy at this point. Continue to monitor her clinical course
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, COVID-19, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Lung opacity
Clinical narrative: Received Pfizer vaccine on 1/13/21 and 2/24/21. Presented to ER on 1/26/22. Found to be COVID positive on 1/24/22. currently resident at a local NH and with a medical history of ESRD on HD, severe protein calorie malnutrition, hypertension, hyperlipidemia, chronic diarrhea who was admitted on 01/27/2022 for suspected sepsis. Not treated during his time for COVID specific reasons. No oxygen requirements. Discharged on 2/3/22
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary mass, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Received Pfizer vaccine on 1/13/21 and 2/24/21. Presented to ER on 1/26/22. Found to be COVID positive on 1/24/22. currently resident at a local NH and with a medical history of ESRD on HD, severe protein calorie malnutrition, hypertension, hyperlipidemia, chronic diarrhea who was admitted on 01/27/2022 for suspected sepsis. Not treated during his time for COVID specific reasons. No oxygen requirements. Discharged on 2/3/22
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test normal, Chest X-ray normal, Echocardiogram normal, Pericarditis
Clinical narrative: Pericarditis, Treating with NSAIDS, treatment ongoing Blood clot, Treating with Eliquis, treatment ongoing
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Pericarditis, Treating with NSAIDS, treatment ongoing Blood clot, Treating with Eliquis, treatment ongoing
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: received an unapproved vaccine dose per her age. Should have received Pfizer (12 and older)
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Chest discomfort, Cough, Wheezing
Clinical narrative: She reported to the emergency room after having angioedema of her lips, chest tightness, wheezing and cough 12 hours after receiving covid pfizer booster
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: onset of symptoms 12/10/2021
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: 2/17/2021 Vaccination 2/28/2021 I started to experience symptoms of Shingles and I went to the Dr. to get treated. This Dr. has since retired. I started on medication and it took a couple of weeks for the Shingles to run its course.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse event has occurred at this time
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: Postoperative hypoxemia. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chest discomfort, Fatigue, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Patient developed chest tightness while leaving the building following her vaccination, and had "a full blown asthma attack" by that evening. She was prescribed prednisone the next morning, and felt better after that. A couple of days later, she developed significant fatigue and achiness, substantially worse than her usual chronic pains.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test negative
Clinical narrative: Patient developed chest tightness while leaving the building following her vaccination, and had "a full blown asthma attack" by that evening. She was prescribed prednisone the next morning, and felt better after that. A couple of days later, she developed significant fatigue and achiness, substantially worse than her usual chronic pains.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered BUD
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Muscle spasms, Oropharyngeal pain
Clinical narrative: Woke up during the night with cramps in my legs (calf) and left arm. In the am, I was extremely tired, ~  sore throat  ~    bad headache  ~,  sleeping on and off  ~  muscles still cramping up  ~  odd taste in my mouth.   Just not feeling well  ~  daughter (nurse) suggested it was from the vaccine and should report this
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Taste disorder
Clinical narrative: Woke up during the night with cramps in my legs (calf) and left arm. In the am, I was extremely tired, ~  sore throat  ~    bad headache  ~,  sleeping on and off  ~  muscles still cramping up  ~  odd taste in my mouth.   Just not feeling well  ~  daughter (nurse) suggested it was from the vaccine and should report this
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears became loader and more intense.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 1/7/22
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia
Clinical narrative: Patient fully vaccinated (Moderna), but not boosted, admitted to the hospital on 1/29/22 with COVID-19 and associated hypoxia. Patient was discharged on 2/3/22.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient did not have any reaction.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Endotracheal intubation, Hypercapnia, Mechanical ventilation
Clinical narrative: unknown
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: unknown
Age: 5.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: FEVER OVER 100 DEG F, BODY ACHES BOTH LASTING FOR 24 HOURS
Age: 5.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature, Pain, Pyrexia
Clinical narrative: FEVER OVER 100 DEG F, BODY ACHES BOTH LASTING FOR 24 HOURS
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: tongue swelling 15 min after admin
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: came in for possible fracture and was positive.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Plasma cell myeloma
Clinical narrative: Multiple Myeloma Not Having Achieved Remission. Office visit within 6 weeks of receiving the COVID vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dysstasia, Joint swelling, Pain in extremity, Paraesthesia
Clinical narrative: Soon after my booster shot, my right knee was showing signs of pain. It feels like it has fluid on it. The pain is also in my leg. It feels as if my leg is falling asleep. It feels like the same kind of pain in my arm, like I received the shot in my leg. It's the same kind of pain. I'm waiting on a appointment with my doctor. I have never had this pain before. It hurts to where I can not get up sometimes. I must sit down often at work.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Bacteraemia, Death
Clinical narrative: Resident expired on  2/1/2021
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Chest discomfort, Computerised tomogram, Dyspnoea
Clinical narrative: Tachycardia, chest discomfort, shortness of breath, and fatigue started 4 days after the vaccine and still present.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram ambulatory, Fatigue, Tachycardia
Clinical narrative: Tachycardia, chest discomfort, shortness of breath, and fatigue started 4 days after the vaccine and still present.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Urticaria
Clinical narrative: Severe hives. Spreading all over body.  Cortisol creme doesn't help Benadryl helps a little.   Lidocaine topical stops the burning.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Fatigue, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: 01/21/2022 Symptoms: MY at-home rapid came back Neg on 23rd. 01/24/2022 Positive result PCR @ Med Drive -up testing site. Mostly experienced sporadic sore throat, occasional sore throat, congestion, and fatigue. No fever. Spoke to Dr. by phone. He did not prescribe anything.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urine analysis
Clinical narrative: 01/21/2022 Symptoms: MY at-home rapid came back Neg on 23rd. 01/24/2022 Positive result PCR @ Med Drive -up testing site. Mostly experienced sporadic sore throat, occasional sore throat, congestion, and fatigue. No fever. Spoke to Dr. by phone. He did not prescribe anything.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Mild tremors in left arm following vaccination. The tremors started the next day and continued through present day. Tremors only affect the left arm and left hand. Consulted general practitioner with condition. His counsel was to wait and see if it resolved on its own. Tremors remained consistent and have not gone away. No other symptoms noted.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Palpitations, Ventricular extrasystoles
Clinical narrative: 3 days after my 3rd dose vaccination I experienced consistent heart palpitations (40skips/day) and it went for about 7 days. I went to the ER on 12/28/2021 and there was no prescription given and was advised to visit a cardiologist which I did and had an ECG (Holter Monitor) and the result was. 61 PVCs and a total of 10 PSVCS. (PVC - Polyvinyl chloride) I was not prescribed with anything and my symptoms subsided around January 2, and as of today I have on and off palpitations.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Death, Ischaemic stroke
Clinical narrative: Acute ischemic left MCA stroke - passed away. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscular weakness, Myalgia
Clinical narrative: Patient states having muscle pain/weakness/numbness since injection in September to the current.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Blood creatinine normal, Blood immunoglobulin G normal, Blood test, Blood urea normal
Clinical narrative: I saw my 10 year old male patient on 2/1/2022 and 2/3/2022 and diagnosed him with henoch schonlein purpura. His mother informed me that he received pfizer COIVD19 vaccine dose #1 on 12/24/2022 and pfizer covid vaccine dose #2 on 1/14/2022.  He will be following up with me as well as pediatric nephrology and pediatric rheumatology for further monitoring.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fibrin D dimer increased, Full blood count normal, Henoch-Schonlein purpura, International normalised ratio increased
Clinical narrative: I saw my 10 year old male patient on 2/1/2022 and 2/3/2022 and diagnosed him with henoch schonlein purpura. His mother informed me that he received pfizer COIVD19 vaccine dose #1 on 12/24/2022 and pfizer covid vaccine dose #2 on 1/14/2022.  He will be following up with me as well as pediatric nephrology and pediatric rheumatology for further monitoring.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Lymphocyte count increased, Metabolic function test, Myocardial necrosis marker normal, Neutrophil count increased
Clinical narrative: I saw my 10 year old male patient on 2/1/2022 and 2/3/2022 and diagnosed him with henoch schonlein purpura. His mother informed me that he received pfizer COIVD19 vaccine dose #1 on 12/24/2022 and pfizer covid vaccine dose #2 on 1/14/2022.  He will be following up with me as well as pediatric nephrology and pediatric rheumatology for further monitoring.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Prothrombin level increased, SARS-CoV-2 test negative, White blood cell count normal
Clinical narrative: I saw my 10 year old male patient on 2/1/2022 and 2/3/2022 and diagnosed him with henoch schonlein purpura. His mother informed me that he received pfizer COIVD19 vaccine dose #1 on 12/24/2022 and pfizer covid vaccine dose #2 on 1/14/2022.  He will be following up with me as well as pediatric nephrology and pediatric rheumatology for further monitoring.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: patient did not have any reaction
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia
Clinical narrative: left facial droop,eye lid not closing , numbness oh nose
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram, Infertility female, Loss of personal independence in daily activities, Menstruation irregular
Clinical narrative: Starting July 12, severe chest pains. Eventually went to urgent care and had fluid in my lungs with possible pleural effusion and swelling in the chest. It is now February 2022 and I am still having chest pains and had a swollen chest. My specialist said it was likely an adverse reaction to the vaccine.   Also, shortly after the second injection my period because irregular. It has been regular my entire life. My body no longer ovulated and it wasn't until December 2021 when I started ovulating again. I took the vaccine prior to trying to conceive and it has hampered my progress of getting pregnant as it messed up my fertility.   I'm still not sure if I have permanent damage to my heart from the vaccine and I was recommended to get an echocardiogram. I have selected disability/permanent damage in item number 21 as it is currently causing issues in my day-to-day life.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ovulation disorder, Pulmonary oedema, Swelling, Vaccination complication, X-ray
Clinical narrative: Starting July 12, severe chest pains. Eventually went to urgent care and had fluid in my lungs with possible pleural effusion and swelling in the chest. It is now February 2022 and I am still having chest pains and had a swollen chest. My specialist said it was likely an adverse reaction to the vaccine.   Also, shortly after the second injection my period because irregular. It has been regular my entire life. My body no longer ovulated and it wasn't until December 2021 when I started ovulating again. I took the vaccine prior to trying to conceive and it has hampered my progress of getting pregnant as it messed up my fertility.   I'm still not sure if I have permanent damage to my heart from the vaccine and I was recommended to get an echocardiogram. I have selected disability/permanent damage in item number 21 as it is currently causing issues in my day-to-day life.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: Delayed menstrual period of over 60 days
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscle spasms, Rash erythematous, Rash pruritic
Clinical narrative: Client stated one week after first dose she developed a rash of "red patches" on her back, chest, neck, and upper arms. The client stated the rash was "itchy" and lasted one week.  Client also reported onset of muscle cramps and headache 3 hours after both doses of the vaccine that lasted 3 days. Client denied any dizziness or shortness of breath after either dose of COVID vaccine. The client reports a history of fibromyalgia controlled with over the counter pain medications. The client reports a history of anaphylaxis after taking penicillin. The client stated she cannot take aspirin due to ulcers.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Metastases to central nervous system
Clinical narrative: Brain metastases. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Oedema peripheral, Pain in extremity, Vomiting
Clinical narrative: SORE ARM AND SORE SWOLLEN ARMPIT FOR 2 DAYS, VOMITED 12 HOURS AFTER IMMUNIZATION.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Laboratory test, Premature rupture of membranes, Uterine contractions during pregnancy
Clinical narrative: Patient is a 39 year old woman  G2P0101 with Estimated Date of Delivery: 3/17/22 at 32w3d weeks gestation who is being admitted for leaking of clear fluid that started around 2:30 this morning  01/23/2022. She received a dose of covid vaccine 01/10/2022. Per guidelines, all hospitalization are reported.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Insomnia, Palpitations
Clinical narrative: A couple days after I received my second vaccination shot I started to experience heart palpitations, chest pains, shortness of breath as well as trouble sleeping.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Urticaria
Clinical narrative: About 7-10 days after the Moderna booster shot I developed hives which traveled all over my body. They were so extreme that I had to take Benadryl to sleep at night, and then Zyrtec daily to get them under control. I saw my GP twice who also prescribed additional medicines and wanted me to eliminate foods to see if that helped. Instead, I went to see an allergist.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Chills, Cough, Dizziness
Clinical narrative: Two hours after shot, I had chills, then slight fever, back & forth. Arm was sore. That night I had severe stomach cramps, dizziness, nauseous feeling. The dizziness, tiredness , sweats & nauseous lasted a week and a half.  After the first 3 days or so I got a bad cough, coughed plum up and my chest ached.  By the weekend, it hurt to breath and my breathing was raspy. It sounded so much like Covid, my DR. office said I couldn't come in person to see him.  My right ear developed the worst ear ache of my life. I couldn't even lay on my R side at night, and I got no sleep, I was in pain so much. I did a "virtual" doctor visit with Dr and he called in some antibiotics for my ear and the coughing phlegm. I was on those pills for 7 days and that cleared it all up. I told Dr. no more booster shots of any kind for me. I had a reaction to the shingles shot a couple of years ago too.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Ear pain, Fatigue, Hyperhidrosis, Nausea
Clinical narrative: Two hours after shot, I had chills, then slight fever, back & forth. Arm was sore. That night I had severe stomach cramps, dizziness, nauseous feeling. The dizziness, tiredness , sweats & nauseous lasted a week and a half.  After the first 3 days or so I got a bad cough, coughed plum up and my chest ached.  By the weekend, it hurt to breath and my breathing was raspy. It sounded so much like Covid, my DR. office said I couldn't come in person to see him.  My right ear developed the worst ear ache of my life. I couldn't even lay on my R side at night, and I got no sleep, I was in pain so much. I did a "virtual" doctor visit with Dr and he called in some antibiotics for my ear and the coughing phlegm. I was on those pills for 7 days and that cleared it all up. I told Dr. no more booster shots of any kind for me. I had a reaction to the shingles shot a couple of years ago too.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Productive cough, Pyrexia, Sleep disorder
Clinical narrative: Two hours after shot, I had chills, then slight fever, back & forth. Arm was sore. That night I had severe stomach cramps, dizziness, nauseous feeling. The dizziness, tiredness , sweats & nauseous lasted a week and a half.  After the first 3 days or so I got a bad cough, coughed plum up and my chest ached.  By the weekend, it hurt to breath and my breathing was raspy. It sounded so much like Covid, my DR. office said I couldn't come in person to see him.  My right ear developed the worst ear ache of my life. I couldn't even lay on my R side at night, and I got no sleep, I was in pain so much. I did a "virtual" doctor visit with Dr and he called in some antibiotics for my ear and the coughing phlegm. I was on those pills for 7 days and that cleared it all up. I told Dr. no more booster shots of any kind for me. I had a reaction to the shingles shot a couple of years ago too.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered BUD
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, COVID-19, Lymphadenopathy, Pregnancy test negative, Tinnitus
Clinical narrative: (1) left axial lymphadenopathy lasting days 2-5 after the shot (resolved) (2) amenorrhea in the month following the injection (I had my period the day or two after the injection but would have already ovulated--I did not have my period in January; I took a pregnancy test and it was negative; note that I did have COVID in early-mid Jan, as well; unknown whether resolved) (3) vertigo and tinnitus (started mid-Jan but coincided with COVID infection; not resolved)
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: (1) left axial lymphadenopathy lasting days 2-5 after the shot (resolved) (2) amenorrhea in the month following the injection (I had my period the day or two after the injection but would have already ovulated--I did not have my period in January; I took a pregnancy test and it was negative; note that I did have COVID in early-mid Jan, as well; unknown whether resolved) (3) vertigo and tinnitus (started mid-Jan but coincided with COVID infection; not resolved)
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Higher-than-authorized dose volume administered of the correct formulation: RN vaccinator completed homebound visit on Jan 28 2022. Vaccinator erroneously administered a full dose of  Moderna instead of a Moderna booster to homebound patient. No adverse reactions were noted in the field.