chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Intensive care, Laboratory test, Lung infiltration, N-terminal prohormone brain natriuretic peptide increased, Platelet count decreased
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/11/2021, 2/8/2021, 9/18/21 and 4/11/22. Admitted for acute hypoxemic resp failure 2/2 PNA in severe resp distress, Tachypnea 40s, O2 sat 70s, pink frothy sputum, BL Ronchi, distended abd, bruises, edentulous. In ED, placed on Airvo 60L/60% with O2 sat 84-89%, rapidly declined requiring  emergent intubation. Pertinent labs include COVID-19 positive, Lactic acid 2.2-- >1.9, Procal 3.90, CRP 1.9, Troponin 40-- >38, NT-proBNP 20679, Scr 1.41, bilirubin 1.2, AST 55, and PLTs 118. CXR c/w RLL infiltrate. Influenza A/B. Head & Cervical spine CT w/o acute injury. Admitted to ICU s/p intubation for HLOC. Febrile at 103, v-paced rhythm 80-90s, and SBP 102-140s. Dx'd w/Acute hypoxemic resp failure 2/2 COVID, Acinetobacter, and Moraxella pneumonia and also developed Acinetobacter Bacteremia. Ex'd 9/14/22 after code blue for PEA arrest. After 20 minutes of CPR, family withdrew care. Tx'd with remdesivir, cefepime, vancomycin, unasyn, methylprednisolone, and metronidazole
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pneumonia, Pneumonia acinetobacter, Pneumonia moraxella, Procalcitonin, Pulseless electrical activity
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/11/2021, 2/8/2021, 9/18/21 and 4/11/22. Admitted for acute hypoxemic resp failure 2/2 PNA in severe resp distress, Tachypnea 40s, O2 sat 70s, pink frothy sputum, BL Ronchi, distended abd, bruises, edentulous. In ED, placed on Airvo 60L/60% with O2 sat 84-89%, rapidly declined requiring  emergent intubation. Pertinent labs include COVID-19 positive, Lactic acid 2.2-- >1.9, Procal 3.90, CRP 1.9, Troponin 40-- >38, NT-proBNP 20679, Scr 1.41, bilirubin 1.2, AST 55, and PLTs 118. CXR c/w RLL infiltrate. Influenza A/B. Head & Cervical spine CT w/o acute injury. Admitted to ICU s/p intubation for HLOC. Febrile at 103, v-paced rhythm 80-90s, and SBP 102-140s. Dx'd w/Acute hypoxemic resp failure 2/2 COVID, Acinetobacter, and Moraxella pneumonia and also developed Acinetobacter Bacteremia. Ex'd 9/14/22 after code blue for PEA arrest. After 20 minutes of CPR, family withdrew care. Tx'd with remdesivir, cefepime, vancomycin, unasyn, methylprednisolone, and metronidazole
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pyrexia, Respiratory distress, Resuscitation, Rhonchi, SARS-CoV-2 test positive
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/11/2021, 2/8/2021, 9/18/21 and 4/11/22. Admitted for acute hypoxemic resp failure 2/2 PNA in severe resp distress, Tachypnea 40s, O2 sat 70s, pink frothy sputum, BL Ronchi, distended abd, bruises, edentulous. In ED, placed on Airvo 60L/60% with O2 sat 84-89%, rapidly declined requiring  emergent intubation. Pertinent labs include COVID-19 positive, Lactic acid 2.2-- >1.9, Procal 3.90, CRP 1.9, Troponin 40-- >38, NT-proBNP 20679, Scr 1.41, bilirubin 1.2, AST 55, and PLTs 118. CXR c/w RLL infiltrate. Influenza A/B. Head & Cervical spine CT w/o acute injury. Admitted to ICU s/p intubation for HLOC. Febrile at 103, v-paced rhythm 80-90s, and SBP 102-140s. Dx'd w/Acute hypoxemic resp failure 2/2 COVID, Acinetobacter, and Moraxella pneumonia and also developed Acinetobacter Bacteremia. Ex'd 9/14/22 after code blue for PEA arrest. After 20 minutes of CPR, family withdrew care. Tx'd with remdesivir, cefepime, vancomycin, unasyn, methylprednisolone, and metronidazole
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Sputum abnormal, Sputum discoloured, Tachypnoea, Troponin increased
Clinical narrative: Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Moderna vaccine on 1/11/2021, 2/8/2021, 9/18/21 and 4/11/22. Admitted for acute hypoxemic resp failure 2/2 PNA in severe resp distress, Tachypnea 40s, O2 sat 70s, pink frothy sputum, BL Ronchi, distended abd, bruises, edentulous. In ED, placed on Airvo 60L/60% with O2 sat 84-89%, rapidly declined requiring  emergent intubation. Pertinent labs include COVID-19 positive, Lactic acid 2.2-- >1.9, Procal 3.90, CRP 1.9, Troponin 40-- >38, NT-proBNP 20679, Scr 1.41, bilirubin 1.2, AST 55, and PLTs 118. CXR c/w RLL infiltrate. Influenza A/B. Head & Cervical spine CT w/o acute injury. Admitted to ICU s/p intubation for HLOC. Febrile at 103, v-paced rhythm 80-90s, and SBP 102-140s. Dx'd w/Acute hypoxemic resp failure 2/2 COVID, Acinetobacter, and Moraxella pneumonia and also developed Acinetobacter Bacteremia. Ex'd 9/14/22 after code blue for PEA arrest. After 20 minutes of CPR, family withdrew care. Tx'd with remdesivir, cefepime, vancomycin, unasyn, methylprednisolone, and metronidazole
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was scheduled for and received a COVID-19 Monovalent booster vaccine during the first week of September 2022. During this same week, the CDC published guidance recommending the Bivalent booster vaccine for 12 years and up. The patient's mom (young adult with special needs) was informed about the difference and the option of getting a Bivalent booster in 2 months.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID19
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Temperature excursion
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Brain injury, COVID-19, Cardiac arrest, Death, Endotracheal intubation
Clinical narrative: Pfizer- BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer- BioNTech vaccine on 1/17/2021, 2/2/2021, and 12/11/21. Presented to the ED via EMS following witnessed cardiac arrest.  Upon arrival CPR was initiated, and patient underwent 20 minutes of CPR prior to ROSC being achieved.  Patient was brought intubated, with 5.5 ET tube.  ET tube was then exchanged in the ED. During stay pt exhibited multiple episodes of clinical seizures and myoclonic jerking with no change in clinical or neuro status. MRI and SEEP was indicative of extensive anoxic injury.  Care was withdrawn and pt expired on 9/12/22. Pt treated with remdesivir, vancomycin, and cefepime.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Laboratory test abnormal, Magnetic resonance imaging head abnormal, Myoclonus, Resuscitation
Clinical narrative: Pfizer- BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer- BioNTech vaccine on 1/17/2021, 2/2/2021, and 12/11/21. Presented to the ED via EMS following witnessed cardiac arrest.  Upon arrival CPR was initiated, and patient underwent 20 minutes of CPR prior to ROSC being achieved.  Patient was brought intubated, with 5.5 ET tube.  ET tube was then exchanged in the ED. During stay pt exhibited multiple episodes of clinical seizures and myoclonic jerking with no change in clinical or neuro status. MRI and SEEP was indicative of extensive anoxic injury.  Care was withdrawn and pt expired on 9/12/22. Pt treated with remdesivir, vancomycin, and cefepime.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Seizure
Clinical narrative: Pfizer- BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer- BioNTech vaccine on 1/17/2021, 2/2/2021, and 12/11/21. Presented to the ED via EMS following witnessed cardiac arrest.  Upon arrival CPR was initiated, and patient underwent 20 minutes of CPR prior to ROSC being achieved.  Patient was brought intubated, with 5.5 ET tube.  ET tube was then exchanged in the ED. During stay pt exhibited multiple episodes of clinical seizures and myoclonic jerking with no change in clinical or neuro status. MRI and SEEP was indicative of extensive anoxic injury.  Care was withdrawn and pt expired on 9/12/22. Pt treated with remdesivir, vancomycin, and cefepime.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, Bacteraemia, Blood creatinine increased, Blood culture
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 7/1/21 and 7/22/21. Presented to ED 8/29/22 c/o generalized weakness, fatigue, N/V/D, confusion, decreased appetite. Other household members Covid +. BP 99/72, HR 83, RR 25, afebrile. Not hypoxic. Labs significant for BUN 117, Cr 15.06, Na 140, K5.5. Trop 1.32. LA 4.3. Covid+. BCX's sent. CT imaging shows ground-glass RUL, and possible colitis. Hospitalization c/b aspiration PNA, bacteremia & septic shock w/acute hypoxic respiratory failure. Cont'd to decline, transitioned to comfort care. EX'd 9/15/22. TX'd w/Zosyn and decadron.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid, Blood potassium increased, Blood sodium normal, Blood urea increased, COVID-19
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 7/1/21 and 7/22/21. Presented to ED 8/29/22 c/o generalized weakness, fatigue, N/V/D, confusion, decreased appetite. Other household members Covid +. BP 99/72, HR 83, RR 25, afebrile. Not hypoxic. Labs significant for BUN 117, Cr 15.06, Na 140, K5.5. Trop 1.32. LA 4.3. Covid+. BCX's sent. CT imaging shows ground-glass RUL, and possible colitis. Hospitalization c/b aspiration PNA, bacteremia & septic shock w/acute hypoxic respiratory failure. Cont'd to decline, transitioned to comfort care. EX'd 9/15/22. TX'd w/Zosyn and decadron.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Confusional state, Death, Decreased appetite, Diarrhoea
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 7/1/21 and 7/22/21. Presented to ED 8/29/22 c/o generalized weakness, fatigue, N/V/D, confusion, decreased appetite. Other household members Covid +. BP 99/72, HR 83, RR 25, afebrile. Not hypoxic. Labs significant for BUN 117, Cr 15.06, Na 140, K5.5. Trop 1.32. LA 4.3. Covid+. BCX's sent. CT imaging shows ground-glass RUL, and possible colitis. Hospitalization c/b aspiration PNA, bacteremia & septic shock w/acute hypoxic respiratory failure. Cont'd to decline, transitioned to comfort care. EX'd 9/15/22. TX'd w/Zosyn and decadron.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Laboratory test, Lung opacity, Nausea
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 7/1/21 and 7/22/21. Presented to ED 8/29/22 c/o generalized weakness, fatigue, N/V/D, confusion, decreased appetite. Other household members Covid +. BP 99/72, HR 83, RR 25, afebrile. Not hypoxic. Labs significant for BUN 117, Cr 15.06, Na 140, K5.5. Trop 1.32. LA 4.3. Covid+. BCX's sent. CT imaging shows ground-glass RUL, and possible colitis. Hospitalization c/b aspiration PNA, bacteremia & septic shock w/acute hypoxic respiratory failure. Cont'd to decline, transitioned to comfort care. EX'd 9/15/22. TX'd w/Zosyn and decadron.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia aspiration, SARS-CoV-2 test positive, Septic shock, Troponin increased, Vomiting
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer-BioNTech on 7/1/21 and 7/22/21. Presented to ED 8/29/22 c/o generalized weakness, fatigue, N/V/D, confusion, decreased appetite. Other household members Covid +. BP 99/72, HR 83, RR 25, afebrile. Not hypoxic. Labs significant for BUN 117, Cr 15.06, Na 140, K5.5. Trop 1.32. LA 4.3. Covid+. BCX's sent. CT imaging shows ground-glass RUL, and possible colitis. Hospitalization c/b aspiration PNA, bacteremia & septic shock w/acute hypoxic respiratory failure. Cont'd to decline, transitioned to comfort care. EX'd 9/15/22. TX'd w/Zosyn and decadron.
Age: 43.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: COVID-19, Chills, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal
Clinical narrative: Immediately following as soon as I got home I went to bed sleeping for 14 hours. I woke up with body ache and chills and felt like I had a fever but didn't. I had heavy fatigue. Sunday same thing and started feeling worse. At night I took a at home COVID-19 test which was negative and I had a 99.6 fever. Monday I woke up feeling worse with a sore throat and running nose. I did PCR and rapid which came back positive. My Doctor put me on inhaler, albuterol and pearls. But I'm just treating with OTC right now. I was probably exposed wednesday 9/14. I'm still feeling ill right now.
Age: 43.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Hypersomnia, Malaise, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Immediately following as soon as I got home I went to bed sleeping for 14 hours. I woke up with body ache and chills and felt like I had a fever but didn't. I had heavy fatigue. Sunday same thing and started feeling worse. At night I took a at home COVID-19 test which was negative and I had a 99.6 fever. Monday I woke up feeling worse with a sore throat and running nose. I did PCR and rapid which came back positive. My Doctor put me on inhaler, albuterol and pearls. But I'm just treating with OTC right now. I was probably exposed wednesday 9/14. I'm still feeling ill right now.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Activated partial thromboplastin time, Arthralgia, Back pain, Blood magnesium, Blood pressure fluctuation
Clinical narrative: Patient reports starting 9/8/2022 muscles were extremely sore -- across shoulders and upper back, in hips, and down both arms and legs and she was extremely tired. Right shoulder started to go into severe spasms. The shoulder spasms lasted 4 days ending 9/12/2022..  Then beginning Friday 9/16/2022  the patient' blood pressure because to rise and fluctuate.  On Sunday 9/18/2022 patient work with severe headache and BP 181/101 prompting patient to go  to the Emergency Room at Hospital. in the ER her blood pressure was 225/105.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure increased, Blood test, Chest X-ray, Differential white blood cell count, Electrocardiogram
Clinical narrative: Patient reports starting 9/8/2022 muscles were extremely sore -- across shoulders and upper back, in hips, and down both arms and legs and she was extremely tired. Right shoulder started to go into severe spasms. The shoulder spasms lasted 4 days ending 9/12/2022..  Then beginning Friday 9/16/2022  the patient' blood pressure because to rise and fluctuate.  On Sunday 9/18/2022 patient work with severe headache and BP 181/101 prompting patient to go  to the Emergency Room at Hospital. in the ER her blood pressure was 225/105.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Full blood count, Headache, International normalised ratio, Laboratory test
Clinical narrative: Patient reports starting 9/8/2022 muscles were extremely sore -- across shoulders and upper back, in hips, and down both arms and legs and she was extremely tired. Right shoulder started to go into severe spasms. The shoulder spasms lasted 4 days ending 9/12/2022..  Then beginning Friday 9/16/2022  the patient' blood pressure because to rise and fluctuate.  On Sunday 9/18/2022 patient work with severe headache and BP 181/101 prompting patient to go  to the Emergency Room at Hospital. in the ER her blood pressure was 225/105.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lipase, Metabolic function test, Muscle spasms, Myalgia, Pain in extremity
Clinical narrative: Patient reports starting 9/8/2022 muscles were extremely sore -- across shoulders and upper back, in hips, and down both arms and legs and she was extremely tired. Right shoulder started to go into severe spasms. The shoulder spasms lasted 4 days ending 9/12/2022..  Then beginning Friday 9/16/2022  the patient' blood pressure because to rise and fluctuate.  On Sunday 9/18/2022 patient work with severe headache and BP 181/101 prompting patient to go  to the Emergency Room at Hospital. in the ER her blood pressure was 225/105.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Prohormone brain natriuretic peptide, Prothrombin time, Troponin
Clinical narrative: Patient reports starting 9/8/2022 muscles were extremely sore -- across shoulders and upper back, in hips, and down both arms and legs and she was extremely tired. Right shoulder started to go into severe spasms. The shoulder spasms lasted 4 days ending 9/12/2022..  Then beginning Friday 9/16/2022  the patient' blood pressure because to rise and fluctuate.  On Sunday 9/18/2022 patient work with severe headache and BP 181/101 prompting patient to go  to the Emergency Room at Hospital. in the ER her blood pressure was 225/105.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Blister rupture, Burning sensation
Clinical narrative: Blisters on my hands & fingers, blister fills with fluid, then will bust on its own, then burns like a burn from a fire or stove.  I reported having blisters before from injections
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aggression, Anxiety, COVID-19, Confusional state, Hypoxia
Clinical narrative: Pt to ED 9/2 for hypoxia and combative behavior. Pt COVID+ 9/2. 9/3 to continue decadron. 9/4 Pt A&OX2, confused, and anxious. Pt has a trach and is ventilated. 9/6 Pt alert, able to follow commands. Pt remains on vent, no resp difficulty noted. 9/8 Pt is non-verbal, he will mouth words or gesture appropriately, a/o x 3. 9/9 pt discharged.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mechanical ventilation, SARS-CoV-2 test positive, Speech disorder
Clinical narrative: Pt to ED 9/2 for hypoxia and combative behavior. Pt COVID+ 9/2. 9/3 to continue decadron. 9/4 Pt A&OX2, confused, and anxious. Pt has a trach and is ventilated. 9/6 Pt alert, able to follow commands. Pt remains on vent, no resp difficulty noted. 9/8 Pt is non-verbal, he will mouth words or gesture appropriately, a/o x 3. 9/9 pt discharged.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discomfort, Rash pruritic, Skin weeping
Clinical narrative: She got her vaccine on  Saturday, had no problem at the time of the vaccine.  About 48 hours later on Monday 9/19/22 she started to develop a rash on her head at the scalp,  and it started very very itchy, and very uncomfortable.  It started on her face, down her nose, neck, down to the torso, behind the ears.  At this point it is uncomfortable and oozing.  She had no idea it was from the vaccine.  She had no problems with the first four, no problems until Monday.  She went to the Medical Center to have them look at the strange rash, 3 different doctors came and saw her and they decided that it was from her vaccine on Saturday.  She was treatment with Triamcinolone ointment and then they gave her two different strengths of that, stronger for the body and milder for the face.  Then gave her Centirazine hydrochloride which has not helped much.  She only takes one a day and so far not working, and still pretty uncomfortable.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia, Joint range of motion decreased, Pain, Pain in extremity
Clinical narrative: Systemic: Body Aches Generalized-Severe, Systemic: Patient states her entire arm aches and she finds it hard to move/ use her arm-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: dose number in series- 1st bivalent vaccine - recieved at least 2 monovalents doses- with us (but i believe she got 3 pfizer monovalent before this)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Blood test abnormal, Dysphagia, Endoscopy abnormal, Epiglottic cancer
Clinical narrative: My throat got sore and was sore for a couple weeks. I went to an urgent care and  was tested for a flu and COVID-19 Test were negative. I was also negative for strep. I was prescribed antibiotics and completed the treatment but my throat was still sore. I went back to the urgent care and was given another round of antibiotics. I decided to see an ENT at Hospital. They did a scope down my throat and advised me that I had cancer in the Epiglottis. I had a biopsy done which confirmed cancer. I went to get 7 weeks of radiation daily. I had a total of 35 treatment. So far there are no signs of the disease. I am scheduled for a scan and another scope in October. I do not believe I have completed recovered as I am still having side effects like swelling and edema in the throat area. I still have fatigue and trouble moving my head. Some days its hard to swallow but my voice is good some days and some days its not.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza virus test negative, Mobility decreased, Oropharyngeal pain, Pharyngeal oedema
Clinical narrative: My throat got sore and was sore for a couple weeks. I went to an urgent care and  was tested for a flu and COVID-19 Test were negative. I was also negative for strep. I was prescribed antibiotics and completed the treatment but my throat was still sore. I went back to the urgent care and was given another round of antibiotics. I decided to see an ENT at Hospital. They did a scope down my throat and advised me that I had cancer in the Epiglottis. I had a biopsy done which confirmed cancer. I went to get 7 weeks of radiation daily. I had a total of 35 treatment. So far there are no signs of the disease. I am scheduled for a scan and another scope in October. I do not believe I have completed recovered as I am still having side effects like swelling and edema in the throat area. I still have fatigue and trouble moving my head. Some days its hard to swallow but my voice is good some days and some days its not.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Positron emission tomogram abnormal, Radiotherapy, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: My throat got sore and was sore for a couple weeks. I went to an urgent care and  was tested for a flu and COVID-19 Test were negative. I was also negative for strep. I was prescribed antibiotics and completed the treatment but my throat was still sore. I went back to the urgent care and was given another round of antibiotics. I decided to see an ENT at Hospital. They did a scope down my throat and advised me that I had cancer in the Epiglottis. I had a biopsy done which confirmed cancer. I went to get 7 weeks of radiation daily. I had a total of 35 treatment. So far there are no signs of the disease. I am scheduled for a scan and another scope in October. I do not believe I have completed recovered as I am still having side effects like swelling and edema in the throat area. I still have fatigue and trouble moving my head. Some days its hard to swallow but my voice is good some days and some days its not.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Nausea
Clinical narrative: Systemic: Headache-Medium, Systemic: Nausea-Medium.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Fatigue, Gallbladder enlargement, Inflammation, Myalgia
Clinical narrative: I had the Typical muscle ache, extreme fatigue but 2 days later my neck on the left side inflamed and it lasted 24 hours and  today the right side of my neck  is swollen but it's going down (12 hours). The day after the vaccine I noticed that gallbladder swollen, and then Sunday was quiet swollen feeling and Monday too, that prompted to call the doctor, I saw the doctor and today I am getting an ultrasound.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: I had the Typical muscle ache, extreme fatigue but 2 days later my neck on the left side inflamed and it lasted 24 hours and  today the right side of my neck  is swollen but it's going down (12 hours). The day after the vaccine I noticed that gallbladder swollen, and then Sunday was quiet swollen feeling and Monday too, that prompted to call the doctor, I saw the doctor and today I am getting an ultrasound.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt requested a Flu shot and a Covid vaccine at our Flu clinic. He did not present the right vaccination card and got vaccinated 6 days early. Vaccinated 09/11/2022 Last Vaccination Moderna 07/18/2022
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest discomfort, Chest pain, Lymphadenopathy
Clinical narrative: PAIN AND TIGHTNESS IN THE LEFT UPPER CHEST. SWOLLEN LYMPH NODE UNDER THE LEFT ARMPIT
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against, then tested positive for COVID-19
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis chronic, COVID-19, Cough, Dyspnoea, Fatigue
Clinical narrative: I had vaccination on 06/20/2022. I had a dry cough 07/2022 and was diagnosed with Chronic Bronchitis and Pneumonia. I was given an Albuterol Inhaler. On 09/06/2022 I was feeling congested bad sore throat and felt like laryngitis. I would cough but nothing would produce and I felt tired. I went home and slept but felt like I was having a hard time breathing on my right side. I went to patient care on 09/07/2022 and they tested me for COVID-19 and it was positive.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pneumonia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had vaccination on 06/20/2022. I had a dry cough 07/2022 and was diagnosed with Chronic Bronchitis and Pneumonia. I was given an Albuterol Inhaler. On 09/06/2022 I was feeling congested bad sore throat and felt like laryngitis. I would cough but nothing would produce and I felt tired. I went home and slept but felt like I was having a hard time breathing on my right side. I went to patient care on 09/07/2022 and they tested me for COVID-19 and it was positive.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Tinnitus
Clinical narrative: Acute onset of left ear hearing loss, tinnitus. Given Prednisone 60 mg P.O. times 1 week with 1 week taper
Age: 45.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Fatigue, Injection site pain, Nausea, Pyrexia, Syncope
Clinical narrative: Low grade fever 8-24 hours after injection,  Syncope (fainting) and nausea 15 hours after vaccine, resolved within 1 hour.    Fatigue and injecting site pain up to 3 days after vaccine.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was inadvertently administered a Pfizer bivalent vaccine on 9/15/22 at a community vaccination clinic.  Patient should have not received the vaccine before the age of 12.    A root cause analysis is planned for organization view and process improvement.
Age: 48.0
Sex: F
Vaccine: PNC20
Symptoms: Extra dose administered
Clinical narrative: Patient received extra dose of Prevnar20, per health department there should be no adverse reaction to patient.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aspergillus test negative, Asthenia, Bronchial secretion retention, Bronchiectasis
Clinical narrative: Patient with 3 COVID vaccines who admitted with complications r/t COVID. Provider d/c note "77 y/o female with history of COPD and Hypertension that presents following recent hospitalization for hypoxemia on 8/19. Bronchoscopy and subsequent BAL demonstrated aspergillus antigen. Culture from lavage showed stenotrophomonas, pseudomonas putida, candida, aspergillus. Patient admitted here on 9/1 for persistent hypoxemia found to be COVID positive, with symptoms starting on 8/30. Imaging significant for CT chest showing stable pulmonic nodules w/ new wedge-shaped atelectatic consolidation & traction bronchiectasis. Patient received seven days of Levaquin therapy, completed a remdesivir course, and was on prednisone 40mg day. Voriconazole for aspergillus also started. Hospital Course: No notes on file. These were her acute medical issues addressed: Acute on chronic hypercapnic, hypoxic respiratory failure: likely new baseline- likely due to acute COVID-19 infection, chronic mucus plugging, suspected Stenotrophomonas, Pseudomonas pneumonia- seen by Pulmonary team. Supplement oxygen with goal SpO2 of 88-92%- aggressive pulmonary toileting- completed 7 days of prednisone and Levaquin- completed Remdesivir treatment. Pulmonary Aspergillosis- continue voriconazole. Total of 3 months: thru 12/5/22- 1 3 beta glucan, aspergillosis galactomannan negative- will need infectious disease clinic follow-up in 4-6 weeks post discharge- will require CMP, complete blood count, voriconazole level around 10/7. Tobacco dependence- nicotine patch- smoking cessation counseling given. Hypertension- Aldactone, Lasix- Held lisinopril for now. Resume if hypertensive. Mild cognitive impairment. Code status: Do not resuscitate DNI. Discharged in frail condition, to local center for further rehab".
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchopulmonary aspergillosis, Bronchoscopy abnormal, COVID-19, Cognitive disorder, Computerised tomogram thorax abnormal
Clinical narrative: Patient with 3 COVID vaccines who admitted with complications r/t COVID. Provider d/c note "77 y/o female with history of COPD and Hypertension that presents following recent hospitalization for hypoxemia on 8/19. Bronchoscopy and subsequent BAL demonstrated aspergillus antigen. Culture from lavage showed stenotrophomonas, pseudomonas putida, candida, aspergillus. Patient admitted here on 9/1 for persistent hypoxemia found to be COVID positive, with symptoms starting on 8/30. Imaging significant for CT chest showing stable pulmonic nodules w/ new wedge-shaped atelectatic consolidation & traction bronchiectasis. Patient received seven days of Levaquin therapy, completed a remdesivir course, and was on prednisone 40mg day. Voriconazole for aspergillus also started. Hospital Course: No notes on file. These were her acute medical issues addressed: Acute on chronic hypercapnic, hypoxic respiratory failure: likely new baseline- likely due to acute COVID-19 infection, chronic mucus plugging, suspected Stenotrophomonas, Pseudomonas pneumonia- seen by Pulmonary team. Supplement oxygen with goal SpO2 of 88-92%- aggressive pulmonary toileting- completed 7 days of prednisone and Levaquin- completed Remdesivir treatment. Pulmonary Aspergillosis- continue voriconazole. Total of 3 months: thru 12/5/22- 1 3 beta glucan, aspergillosis galactomannan negative- will need infectious disease clinic follow-up in 4-6 weeks post discharge- will require CMP, complete blood count, voriconazole level around 10/7. Tobacco dependence- nicotine patch- smoking cessation counseling given. Hypertension- Aldactone, Lasix- Held lisinopril for now. Resume if hypertensive. Mild cognitive impairment. Code status: Do not resuscitate DNI. Discharged in frail condition, to local center for further rehab".
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Culture positive, Lung consolidation, Malaise, Pneumonia pseudomonal, Pulmonary mass
Clinical narrative: Patient with 3 COVID vaccines who admitted with complications r/t COVID. Provider d/c note "77 y/o female with history of COPD and Hypertension that presents following recent hospitalization for hypoxemia on 8/19. Bronchoscopy and subsequent BAL demonstrated aspergillus antigen. Culture from lavage showed stenotrophomonas, pseudomonas putida, candida, aspergillus. Patient admitted here on 9/1 for persistent hypoxemia found to be COVID positive, with symptoms starting on 8/30. Imaging significant for CT chest showing stable pulmonic nodules w/ new wedge-shaped atelectatic consolidation & traction bronchiectasis. Patient received seven days of Levaquin therapy, completed a remdesivir course, and was on prednisone 40mg day. Voriconazole for aspergillus also started. Hospital Course: No notes on file. These were her acute medical issues addressed: Acute on chronic hypercapnic, hypoxic respiratory failure: likely new baseline- likely due to acute COVID-19 infection, chronic mucus plugging, suspected Stenotrophomonas, Pseudomonas pneumonia- seen by Pulmonary team. Supplement oxygen with goal SpO2 of 88-92%- aggressive pulmonary toileting- completed 7 days of prednisone and Levaquin- completed Remdesivir treatment. Pulmonary Aspergillosis- continue voriconazole. Total of 3 months: thru 12/5/22- 1 3 beta glucan, aspergillosis galactomannan negative- will need infectious disease clinic follow-up in 4-6 weeks post discharge- will require CMP, complete blood count, voriconazole level around 10/7. Tobacco dependence- nicotine patch- smoking cessation counseling given. Hypertension- Aldactone, Lasix- Held lisinopril for now. Resume if hypertensive. Mild cognitive impairment. Code status: Do not resuscitate DNI. Discharged in frail condition, to local center for further rehab".
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Stenotrophomonas infection, Stenotrophomonas test positive
Clinical narrative: Patient with 3 COVID vaccines who admitted with complications r/t COVID. Provider d/c note "77 y/o female with history of COPD and Hypertension that presents following recent hospitalization for hypoxemia on 8/19. Bronchoscopy and subsequent BAL demonstrated aspergillus antigen. Culture from lavage showed stenotrophomonas, pseudomonas putida, candida, aspergillus. Patient admitted here on 9/1 for persistent hypoxemia found to be COVID positive, with symptoms starting on 8/30. Imaging significant for CT chest showing stable pulmonic nodules w/ new wedge-shaped atelectatic consolidation & traction bronchiectasis. Patient received seven days of Levaquin therapy, completed a remdesivir course, and was on prednisone 40mg day. Voriconazole for aspergillus also started. Hospital Course: No notes on file. These were her acute medical issues addressed: Acute on chronic hypercapnic, hypoxic respiratory failure: likely new baseline- likely due to acute COVID-19 infection, chronic mucus plugging, suspected Stenotrophomonas, Pseudomonas pneumonia- seen by Pulmonary team. Supplement oxygen with goal SpO2 of 88-92%- aggressive pulmonary toileting- completed 7 days of prednisone and Levaquin- completed Remdesivir treatment. Pulmonary Aspergillosis- continue voriconazole. Total of 3 months: thru 12/5/22- 1 3 beta glucan, aspergillosis galactomannan negative- will need infectious disease clinic follow-up in 4-6 weeks post discharge- will require CMP, complete blood count, voriconazole level around 10/7. Tobacco dependence- nicotine patch- smoking cessation counseling given. Hypertension- Aldactone, Lasix- Held lisinopril for now. Resume if hypertensive. Mild cognitive impairment. Code status: Do not resuscitate DNI. Discharged in frail condition, to local center for further rehab".
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against, then tested positive for COVID-19. This resulted in ER visit and hospitalization.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Computerised tomogram, Eye pain, Laboratory test, Magnetic resonance imaging
Clinical narrative: Client woke up with blindness in eyes 8/22/2022 after receiving the COVID 19 Moderna vaccine 8/3/2022. Left eye was much worse than the right eye with pain included.  Went to eye center could not get seen. Went to Emergency Room, was referred back to the eye doctor. Was given some eye drops and called 8/23/2022 early morning to got to Hospital for immediate admission.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: HD Flu vaccine administered to 58 yr old
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was scheduled for & received a COVID 19 monovalent booster vaccine during the first week of September 2022. During this same week, the CDC published guidance recommending the bivalent booster for 12 years and up.
Age: 72.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: redness, swelling, warmth to right arm
Age: 1.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Client was seated on mother's lap during first attempt at vaccination.  Client moved and syringe came out of leg without administering any vaccine.  The syringe then fell to the floor.  A new dose was given in the opposite thigh without incident.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Hypoacusis, Migraine, Tinnitus
Clinical narrative: At approximately 1am, on Sept. 20th. I developed ringing in my left ear which I know to be Tinnitus. I also had a migraine and chills. The ringing is so bad I am not processing sound in my ear. I let my primary Doctor know during a check-in appointment I already had scheduled. He prescribed Prednisone 5mg for three days to see if it would help. It's been 24 hours and my hearing/tinnitus hasn't improved. I contracted an ENT office to schedule a hearing test but it will be a few weeks until they can give me the test.  I am not clear if this is permanent or will subside in time.
Age: 55.0
Sex: F
Vaccine: COVID19-2, COVID19-2, FLU4
Symptoms: Extra dose administered, Fatigue, Pain in extremity
Clinical narrative: At the time of administration pt was given two doses of bivalent covid by accident.  had pt stay in store for 30 minutes for observation.  no reaction.   5 hours post administration pt feeling ok with some arm soreness.  72 hours post administration pt reports sore arm gone and only feeling extra tired with no other adverse effects.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Fatigue, Feeling abnormal, Headache, Malaise
Clinical narrative: I'm still experiencing bad side effects from the shot which is unusual because all the other 4 shots I only felt bad for less than 24hours. It's been 5 days and I still feel ill, headache, abdominal pain; fatigue; it hurts to take a deep breath. I went to the ER and they took my vitals and did a COVID-19 test and after 6 hours I had to leave because they hadn't seen me and I was in a COVID room.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Painful respiration, SARS-CoV-2 test negative
Clinical narrative: I'm still experiencing bad side effects from the shot which is unusual because all the other 4 shots I only felt bad for less than 24hours. It's been 5 days and I still feel ill, headache, abdominal pain; fatigue; it hurts to take a deep breath. I went to the ER and they took my vitals and did a COVID-19 test and after 6 hours I had to leave because they hadn't seen me and I was in a COVID room.
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Back pain, Chills, Fall, Fatigue, Feeling cold
Clinical narrative: Patient called pharmacy 09/21/22 detailing reaction. First felt "excruciating pain" in lower back after leaving pharmacy, pain traveling up the lower back and towards the head/neck area. Patient stated pounding heartbeat, and carotid artery visibly pulsating in neck. Patient states pain was overwhelming enough they fell out of their car when arriving home.  Then felt cold and chills, trembling/shaking vigorously for approximately 1 hour, which then resolved. Throughout this process patient called local ER, but did not go to emergency room. Only lingering side effects include excessive tiredness. Pharmacist advised patient to follow up with primary care physician, and if symptoms worsen to seek emergency care.
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Neck pain, Palpitations, Tremor
Clinical narrative: Patient called pharmacy 09/21/22 detailing reaction. First felt "excruciating pain" in lower back after leaving pharmacy, pain traveling up the lower back and towards the head/neck area. Patient stated pounding heartbeat, and carotid artery visibly pulsating in neck. Patient states pain was overwhelming enough they fell out of their car when arriving home.  Then felt cold and chills, trembling/shaking vigorously for approximately 1 hour, which then resolved. Throughout this process patient called local ER, but did not go to emergency room. Only lingering side effects include excessive tiredness. Pharmacist advised patient to follow up with primary care physician, and if symptoms worsen to seek emergency care.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Alopecia, Arthralgia, Arthritis
Clinical narrative: 1. My mind has been affected. I'd say 50% or more of my brain power is gone. There is damage to my brain. I know there is brain fog but mind is worse than just that.   2. Debilitating headaches every single day and all day.  Headache pressure all over my head in the front, side and back. It feels like my head is going to burst.    3. Stomach pain and constant belching throughout the day. Stomach feels and looks bloated and it's painful. There is roaring and rumbling in my stomach that is loud all day. I now have to take medication that doesn't help a lot.   4. Constant pain in my neck and it pops like it will break off. I can literally hear the bones popping.   5. Pain down the back of my neck and in the top portion of my upper back. It hurts so bad at times that a hot shower is excruciatingly painful.   6. Muscle aches and joint aches throughout the day.   7. Weakness and extreme fatigue. I have to sleep 10  -12 ours to function two hours per day. If I don't sleep well I can barely move some days and the pain is off the charts.    8.  I've been diagnosed with tachycardia and I take medication for it that causes more problems.   9.  My taste has been drastically reduced. I can only taste about 10-25% of the foodT I eat.   10. Vision is worse.   11. Hearing is more difficult b/c it's made the tinnitus worse and my head is popp9ing and crackling all the time. I had arthritis before and it's worsened it 10 times.   12. Communication is very hard for me. I rarely talk like I did before.   13. About 50% of my hair is gone.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Blood test, Brain injury, Cardiac monitoring
Clinical narrative: 1. My mind has been affected. I'd say 50% or more of my brain power is gone. There is damage to my brain. I know there is brain fog but mind is worse than just that.   2. Debilitating headaches every single day and all day.  Headache pressure all over my head in the front, side and back. It feels like my head is going to burst.    3. Stomach pain and constant belching throughout the day. Stomach feels and looks bloated and it's painful. There is roaring and rumbling in my stomach that is loud all day. I now have to take medication that doesn't help a lot.   4. Constant pain in my neck and it pops like it will break off. I can literally hear the bones popping.   5. Pain down the back of my neck and in the top portion of my upper back. It hurts so bad at times that a hot shower is excruciatingly painful.   6. Muscle aches and joint aches throughout the day.   7. Weakness and extreme fatigue. I have to sleep 10  -12 ours to function two hours per day. If I don't sleep well I can barely move some days and the pain is off the charts.    8.  I've been diagnosed with tachycardia and I take medication for it that causes more problems.   9.  My taste has been drastically reduced. I can only taste about 10-25% of the foodT I eat.   10. Vision is worse.   11. Hearing is more difficult b/c it's made the tinnitus worse and my head is popp9ing and crackling all the time. I had arthritis before and it's worsened it 10 times.   12. Communication is very hard for me. I rarely talk like I did before.   13. About 50% of my hair is gone.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Communication disorder, Computerised tomogram, Condition aggravated, Electrocardiogram, Eructation
Clinical narrative: 1. My mind has been affected. I'd say 50% or more of my brain power is gone. There is damage to my brain. I know there is brain fog but mind is worse than just that.   2. Debilitating headaches every single day and all day.  Headache pressure all over my head in the front, side and back. It feels like my head is going to burst.    3. Stomach pain and constant belching throughout the day. Stomach feels and looks bloated and it's painful. There is roaring and rumbling in my stomach that is loud all day. I now have to take medication that doesn't help a lot.   4. Constant pain in my neck and it pops like it will break off. I can literally hear the bones popping.   5. Pain down the back of my neck and in the top portion of my upper back. It hurts so bad at times that a hot shower is excruciatingly painful.   6. Muscle aches and joint aches throughout the day.   7. Weakness and extreme fatigue. I have to sleep 10  -12 ours to function two hours per day. If I don't sleep well I can barely move some days and the pain is off the charts.    8.  I've been diagnosed with tachycardia and I take medication for it that causes more problems.   9.  My taste has been drastically reduced. I can only taste about 10-25% of the foodT I eat.   10. Vision is worse.   11. Hearing is more difficult b/c it's made the tinnitus worse and my head is popp9ing and crackling all the time. I had arthritis before and it's worsened it 10 times.   12. Communication is very hard for me. I rarely talk like I did before.   13. About 50% of my hair is gone.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Head discomfort, Headache, Hypoacusis
Clinical narrative: 1. My mind has been affected. I'd say 50% or more of my brain power is gone. There is damage to my brain. I know there is brain fog but mind is worse than just that.   2. Debilitating headaches every single day and all day.  Headache pressure all over my head in the front, side and back. It feels like my head is going to burst.    3. Stomach pain and constant belching throughout the day. Stomach feels and looks bloated and it's painful. There is roaring and rumbling in my stomach that is loud all day. I now have to take medication that doesn't help a lot.   4. Constant pain in my neck and it pops like it will break off. I can literally hear the bones popping.   5. Pain down the back of my neck and in the top portion of my upper back. It hurts so bad at times that a hot shower is excruciatingly painful.   6. Muscle aches and joint aches throughout the day.   7. Weakness and extreme fatigue. I have to sleep 10  -12 ours to function two hours per day. If I don't sleep well I can barely move some days and the pain is off the charts.    8.  I've been diagnosed with tachycardia and I take medication for it that causes more problems.   9.  My taste has been drastically reduced. I can only taste about 10-25% of the foodT I eat.   10. Vision is worse.   11. Hearing is more difficult b/c it's made the tinnitus worse and my head is popp9ing and crackling all the time. I had arthritis before and it's worsened it 10 times.   12. Communication is very hard for me. I rarely talk like I did before.   13. About 50% of my hair is gone.