chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspnoea, Heart rate increased, Peripheral swelling
Clinical narrative: fever 104 degree, trouble breathing, swelling on arm ,upper neck, chest, feeling weak and dizzy , fast heartbeat, blood pressure 200/110 lasted for 24 hours
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling
Clinical narrative: fever 104 degree, trouble breathing, swelling on arm ,upper neck, chest, feeling weak and dizzy , fast heartbeat, blood pressure 200/110 lasted for 24 hours
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site bruising, Peripheral swelling, Urticaria, Wheezing
Clinical narrative: Pt. c/o hives and swelling of entire right arm developing later the same day of her 2nd Moderna vaccine.  By 5/5, she had wheezing, coughing, itchy throat and eyes, and redness of face.  As of 5/7, she is still wheezing and has a bruise at the injection site.  Was seen at an urgent care center and advised to take Benadryl.  It is minimally helpful and wears off quickly and the symptoms return.  Pt. is currently uninsured and was given information for low-cost clinics.  She was advised to have wheezing evaluated.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Influenza virus test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: UNKNOWN
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Myalgia, Pain
Clinical narrative: This is ridiculous. Look, I signed up for daily Bd then weekly check ins after I received my 1st vaccine on April 5th. And indeed I was contacted by text everyday for a week, then weekly until my 2nd dose on May 3rd. After my 2nd dose, the only question I was ask was did I get my 2nd dose. Nothing about side effects. While I had no real side effects from the first shot, I did after the 2nd.  Started about 3am, 12 hours after the 2nd shot and continued for about 12 hours and then quickly disappeared within 2 hours. Pretty bad body aches, muscles and joints. Low grade headache. Extreme fatigue. Everything hurt, moving or sitting still. The only thing that remained normal was my appetite...I was hungry and was able to eat...no digestive problems.  Anyway, I was disappointed the system that had ask so often after my first dose, did not ask at all after my 2nd.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna administered under 18 year old
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin irritation
Clinical narrative: I received my second covid vaccine on April 19th 2021. On May 4th 2021, I noticed a small skin irritation on both forearms. The next day the irritation had turn to a rash. The rash then spread to my face and covered my forearms by May 6th.  By May 7th the burning, itching, blistering rash had covered half of my face, both forearms up to the elbow, and my right leg. clinic on May 9th and the physician prescribed 60mg of prednisone for 4 days and decreasing in intensity for 10days. She was unclear what could have caused the rash and told me to report the reaction.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PCR+ on 4/5/21 after fully vaccinated
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Fatigue, Lymphadenopathy, Migraine, Pain
Clinical narrative: Swelling of lymph nodes ~20mins after, benadryl Anaphylaxis ~20mins after, benadryl Migraines, ~24 hours after Fatigue, ~20 hours after Body aches, ~20 hours after
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing
Clinical narrative: Runny nose, sneezing, mild headache, mild sore throat
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Night sweats
Clinical narrative: night sweats
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: UPON INJECTION, NEEDLE BENT AND VACCINE LEAKED OUT. PT DID NOT RECD ANY VACCINE. SECOND ATTEMPT WITH PFIZER VACCINE GIVEN ON THE SAME ARM.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Throat tightness
Clinical narrative: Pt c/o her throat was closing on her.  Pt states she couldn't breath and her chest was heavy.  Pt did not want Epi pen for a long time, she wanted just to go home.  Pt  looked dishelved so her friend came and said pt's voice is not normal.  It took awhile for us  to convince pt to take the Epi pen and to go the ambulance.  Pt finally agreed after awhile. She felt much better after th epi pen. Pt was wheeled out on the stretcher by the paramedic. Given 0.3mg EpiPen. Taken to ED.
Age: 32.0
Sex: F
Vaccine: UNK
Symptoms: Tinnitus
Clinical narrative: Pulsatile tinnitus , bad
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fear of injection, Flushing, Hyperhidrosis
Clinical narrative: Flushing /sweating, dizziness.  Pt has a fear of needles (info not disclosed at the time of vaccination).  VSS.  Patient stable and released from vaccination site.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: During administration of the vaccine the needle detached from the syringe resulting in a small amount of vaccine spraying onto the patients arm
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Condition aggravated, Insomnia, Somnolence, Tinnitus
Clinical narrative: Developed tinnitus after 2 days of vaccination. Prior to vaccination I was having mild ringing in my right ear due to moderate hearing loss caused by ear drum perforation.  2 days after vaccination I started having tinnitus on left side of my brain on and off and now it's continuous , also ringing in my right ear has increased , it is causing to me to have sleepless nights and groggy days. It has not improved even after a month. It could be  a permanent damage but I am not sure.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling at site of injection
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Rhinorrhoea, SARS-CoV-2 test positive, Upper respiratory tract congestion
Clinical narrative: Headache  Congestion or running nose COUGH
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Within 24 hours I began to experience tinnitus and still have it as of 05/10/2021.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Fatigue, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: None stated.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac disorder, Condition aggravated, Immunodeficiency, Renal impairment
Clinical narrative: Cardiovascular and Renal disease immunocompromised
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Influenza like illness, Laboratory test, Nodule
Clinical narrative: After my Moderna vaccine I experienced flu like symptoms then those went away. On 01-13-2021, my left arm got itchy and formed giant hives and also my left arm swelled up.  I took topical steroids and Benadryl and two different kinds of anti-histamines.  About 5 days later my hives got worse and I went to the ER saw Dr.  My tongue and throat swelled up and I also had a dry cough for eight weeks. I was put on to use an inhaler. I had multiple lab draws. I had weird itchy bump to my left arm, and I've had extreme fatigue for about ten weeks now and have ended up on a higher dose of steroids.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pharyngeal swelling, Pruritus, Swollen tongue, Urticaria
Clinical narrative: After my Moderna vaccine I experienced flu like symptoms then those went away. On 01-13-2021, my left arm got itchy and formed giant hives and also my left arm swelled up.  I took topical steroids and Benadryl and two different kinds of anti-histamines.  About 5 days later my hives got worse and I went to the ER saw Dr.  My tongue and throat swelled up and I also had a dry cough for eight weeks. I was put on to use an inhaler. I had multiple lab draws. I had weird itchy bump to my left arm, and I've had extreme fatigue for about ten weeks now and have ended up on a higher dose of steroids.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: An unaccompanied minor who was 15 years of age was given a dose of Pfizer COVID vaccine in error. The client had a valid appointment and the vaccinating RN did not register that the individual was underage. The vaccinator stated she did verify birthdate but did not ask the client his age and because client was presenting for a second dose assumed he was ok to vaccinate. The client did not suffer any adverse reactions to the vaccine and reported no signs or symptoms of reactions.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: PCR+ on 4/5/21 after fully vaccinated
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Fatigue, Vision blurred
Clinical narrative: Blurred vision, confusion, tiredness
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle twitching, Myalgia
Clinical narrative: #Muscle twitching - Symptoms started with left arm myalgia and gradually progressed to muscle twitching over the last 2 days - Eyebrows, upper/lower extremities and neck twitching
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood test, Burning sensation, Muscle contractions involuntary, Muscle twitching
Clinical narrative: #Muscle twitching - Symptoms started with left arm myalgia and gradually progressed to muscle twitching over the last 2 days - Eyebrows, upper/lower extremities and neck twitching
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myoclonus, Nerve conduction studies normal, Pain in extremity, Vitamin B12 decreased
Clinical narrative: #Muscle twitching - Symptoms started with left arm myalgia and gradually progressed to muscle twitching over the last 2 days - Eyebrows, upper/lower extremities and neck twitching
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: No adverse events listed - pt tested positive for COVID
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Flushing, Heart rate increased, Malaise
Clinical narrative: Patient was advised to remain in observation area for 30 minutes due to history of breathing difficulty with sulfa antibiotics in past. Shortly after being vaccinated the patient presented to our service window stating he did not feel well and was immediately escorted by the pharmacist to our administration area to have a seat. He stated he felt light headed, flushed (though not visibly), felt like his heart was racing, and was not having diffuculty breathing but felt like he couldn't catch his breath and stated he thought he was having a panic attack. He had stated before vaccination that he had not had a vaccine since his routing childhood schedule, his whole family had already had doses, and he had been putting it off because he was nervous. He insisted he needed some fresh air several times and was escorted outside by the pharmacist (with emergency supplies and a cell phone and within shouting distance of the pharmacy) for continued obsevation and was given water when requested. After a few minutes he stated he felt much better and the symptoms had resoved. He was directly observed outside per his request for the remainder of his waiting period and had no further symptoms. He was instructed to call the pharmacy right away if he had any additional symptoms after leaving.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Nervousness
Clinical narrative: Patient was advised to remain in observation area for 30 minutes due to history of breathing difficulty with sulfa antibiotics in past. Shortly after being vaccinated the patient presented to our service window stating he did not feel well and was immediately escorted by the pharmacist to our administration area to have a seat. He stated he felt light headed, flushed (though not visibly), felt like his heart was racing, and was not having diffuculty breathing but felt like he couldn't catch his breath and stated he thought he was having a panic attack. He had stated before vaccination that he had not had a vaccine since his routing childhood schedule, his whole family had already had doses, and he had been putting it off because he was nervous. He insisted he needed some fresh air several times and was escorted outside by the pharmacist (with emergency supplies and a cell phone and within shouting distance of the pharmacy) for continued obsevation and was given water when requested. After a few minutes he stated he felt much better and the symptoms had resoved. He was directly observed outside per his request for the remainder of his waiting period and had no further symptoms. He was instructed to call the pharmacy right away if he had any additional symptoms after leaving.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Chest X-ray normal, Differential white blood cell count normal, Epstein-Barr virus antibody positive, Epstein-Barr virus test negative
Clinical narrative: 2 months after the second Moderna vaccine, I developed high temp-103.5F, profound fatigue, and a sensory loss along the medial nerve distribution of my left arm- the side where I received the vaccine.  I was evaluated fo covid-19, tick borne diseases, neg for UTI, neg chest x-ray, normal cbc and differential.  Evidence of old Ebstein-Barr infection with still high titers , PCR for EBV negative.  After 3+ weeks, gradual resolution of fatigue and sensory loss is slowly resolving.  I have been serious about always masking and avoiding contact with anyone, even adfter full vaccination.  That is why I am submitting this form.  Just interested if anyone is reporting long term issues with the vaccine.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Full blood count normal, Laboratory test normal, SARS-CoV-2 test, Sensory loss
Clinical narrative: 2 months after the second Moderna vaccine, I developed high temp-103.5F, profound fatigue, and a sensory loss along the medial nerve distribution of my left arm- the side where I received the vaccine.  I was evaluated fo covid-19, tick borne diseases, neg for UTI, neg chest x-ray, normal cbc and differential.  Evidence of old Ebstein-Barr infection with still high titers , PCR for EBV negative.  After 3+ weeks, gradual resolution of fatigue and sensory loss is slowly resolving.  I have been serious about always masking and avoiding contact with anyone, even adfter full vaccination.  That is why I am submitting this form.  Just interested if anyone is reporting long term issues with the vaccine.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine analysis normal
Clinical narrative: 2 months after the second Moderna vaccine, I developed high temp-103.5F, profound fatigue, and a sensory loss along the medial nerve distribution of my left arm- the side where I received the vaccine.  I was evaluated fo covid-19, tick borne diseases, neg for UTI, neg chest x-ray, normal cbc and differential.  Evidence of old Ebstein-Barr infection with still high titers , PCR for EBV negative.  After 3+ weeks, gradual resolution of fatigue and sensory loss is slowly resolving.  I have been serious about always masking and avoiding contact with anyone, even adfter full vaccination.  That is why I am submitting this form.  Just interested if anyone is reporting long term issues with the vaccine.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient under 18 received Moderna
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, CSF protein increased, CSF test abnormal, Computerised tomogram head normal, Guillain-Barre syndrome
Clinical narrative: Bilateral lower extremity weakness, bilateral hand paresthesia, areflexia - diagnosed as Guillain Barre Syndrome by neurology team
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Muscular weakness, Paraesthesia
Clinical narrative: Bilateral lower extremity weakness, bilateral hand paresthesia, areflexia - diagnosed as Guillain Barre Syndrome by neurology team
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Tremor
Clinical narrative: Patient told rph that she can faint when getting vaccination.  Pharmacist vaccinated and patient immediately began to feel dizzy and started shaking.  She did not pass out or fall out of her chair.  It was conveyed by the pharmacist to the technician staff that the patient was having difficulty breathing.  911 was called. 2nd pharmacist went into room to assess and pt was breathing fine.  She asked for some water and a bag of ice which were both given to patient. Paramedics arrived and took patient vitals.  Patient refused and further care and a relative came to pick her up.  Paramedics advised patient to follow up with further care if warranted.  When patient left she was feeling better.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Increasing soreness at injection site that began spreading the next morning.  Redness, heat, and itching that began at the injection site and by 5/9 covered my whole upper arm.  The Redness and pain did begin to reduce on 5/10 without any medical intervention.  Contacted Dr. Was instructed to follow up if the reduction did not continue.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hyperhidrosis, Nausea, Palpitations, Weight decreased
Clinical narrative: Severe heart palpitations, anxiety, nausea, weight loss, sweating of hands and feet
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Muscle twitching, Pain, Pyrexia
Clinical narrative: Day 2 itching and swelling at the injection site; day 4 fever as high as 101.4; body aches; noticed painless, involuntary leg twitching after vaccine. I didn't think much of it until it disappeared about 2-weeks after the second dose.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hypoaesthesia
Clinical narrative: mild numbness and warm sensation
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: significant erythema, redness, tenderness at injection site
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: My 2nd vaccine shot was on a Thursday and by Sunday I started developing a rash on my face, inside of lower arms and stomach. By Monday morning (today), the rash was full body - scalp to feet, including face, neck, chest, stomach, back, butt and legs. No change in diet and no strenuous physical activity in the last 3 days - only a few walks around the neighborhood and sat in the yard for about an hour yesterday. I?ve taken a Benadryl and monitoring the rash.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized due to COVID-19 after being fully vaccinated.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: This 68 year old male received the Covid shot on  3/17/21  and died  5/21.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Paraesthesia oral, Pharyngeal paraesthesia, Pruritus, Salivary hypersecretion
Clinical narrative: 2nd COVID-19 vaccine late afternoon 3 days ago on Friday, 5/7/21. As soon as injection occurred, pt had increased saliva (mild), metallic taste, tingling tongue. She did not advise pharmacist at pharmacy/administrator of sxs, she stayed another 10 minutes & did not tell anyone of her "mild" sxs, left. On the way home, started to get tingling in her throat (points to suprasternal notch), itching started on soles of both feet, then started feeling itching all over. Called pharmacy, was advised she should call 911. Called a nurse friend, advised to take Benadryl immediately, took 50 mg by mouth after she could get to the pharmacy to get it, then felt it start working 18-20 min later, noticed when it started that she
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Euphoric mood, Tinnitus
Clinical narrative: Ringing in ear - at first I interpreted this as a 'rush' and had mild euphoric sensation.  The ringing began and it hasn't quit, although it varies in loudness
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding
Clinical narrative: Began spotting five days after my first dose.  This lasted for several days.  My ovulation was a week late, making my whole cycle a week longer.  My period was very heavy.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site hypoaesthesia
Clinical narrative: Patient experienced numbness in arm vaccine was given (left arm) and both legs. She could still used all extremities fine. She did state that she had experienced something similar when she contracted the COVID virus previously. The numbness decreased after about 20 minutes and had resolved completely by the next morning.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema mouth, Pharyngeal oedema
Clinical narrative: Patient reports about 24 hours s/p #1 vaccine -> mouth edema and throat edema. No epipen usage but was given benadryl/atarax with good relief.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Pt received J and J vaccine on 3/16/21 and did not inform the clinic. Pt received moderna vaccine at the clinic on 3/29/21. No adverse reaction noted.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Head injury, Nausea
Clinical narrative: PATIENT'S WIFE,  CALLED ON SATURDAY EVENING 5/8/21 @ 6:57PM. STARTED TO EXPERIENCE DIZZINESS AND NAUSEA AT HOME APPROXIMATELY 60-90 MINUTES AFTER VACCINE WAS ADMINISTERED,  THE DIZZINESS RESULTED IN A FALL WHICH PRODUCED A HEAD INJURY.  i ADVISED PATIENT TO CALL 911 IF SHE THOUGHT HE NEEDED IMMEDIATER AND EMERGENCY MEDICAL ATTENTION.  fOLLOW-UP CARE CALL ON SUNDAY MORNING 10:28AM, i SPOKE TO HIS WIFE AGAIN,  STATED HE WAS RECOVERING AND DID NOT REQUIRE EMERGENCY MEDICAL ATTENTION. i ADVISED HER TO OBTAIN HIS DOCTOR'S ADVICE AND CONSENT TO RECEIVE HIS SECOND PFIZER COVID-19 DOSE.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Pain, Pyrexia, SARS-CoV-2 RNA undetectable
Clinical narrative: Chief Complaint Patient presents with ? Covid-19 Screening     cough, congestion low grade temps for the past week,.   Patient presents today for viral symptoms. She received both COVID vaccines - January 22 and February 12. She notes fatigue and body aches after each vaccine. On 2/15, she started with nasal congestion and dry cough. Temp 99-100 F which continues. No n/v/d. Denies loss of taste/smell. She is taking tylenol prn.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Upper respiratory tract congestion
Clinical narrative: Chief Complaint Patient presents with ? Covid-19 Screening     cough, congestion low grade temps for the past week,.   Patient presents today for viral symptoms. She received both COVID vaccines - January 22 and February 12. She notes fatigue and body aches after each vaccine. On 2/15, she started with nasal congestion and dry cough. Temp 99-100 F which continues. No n/v/d. Denies loss of taste/smell. She is taking tylenol prn.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphonia, Nasal congestion, Respiratory rate decreased, Rhinorrhoea
Clinical narrative: Initial reactions:  runny nose, voice cracking, throat clearing.   This was followed by substantial nasal congestion and some mild upper chest tightness.  After that stopped, I experienced an episode of very slow breathing.   After that I was okay for a few hours, then the nasal congestion, chest tightness and very slow breathing happened a second time.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Throat clearing
Clinical narrative: Initial reactions:  runny nose, voice cracking, throat clearing.   This was followed by substantial nasal congestion and some mild upper chest tightness.  After that stopped, I experienced an episode of very slow breathing.   After that I was okay for a few hours, then the nasal congestion, chest tightness and very slow breathing happened a second time.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: This 77  year old male received the Covid shot on  2/22/21    and went to the ED and admitted on 4/28/21 with the  diagnoses listed below and died on 5/5/21. cause of death unknown at time of report
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The pharmacist discovered that the Johnson and Johnson vaccine had been left out longer that the 2 hours allowed after puncture at room temperature.  The vaccine had been out for approximately 2 hours and 15 minutes.  The manufacturer was contacted, and the pharmacist was told that the literature does not state that this is a reason for revaccination.  The patient has not reported any adverse effects.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PCR + on 3/30/21 after fully vaccinated.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Unevaluable event
Clinical narrative: None stated.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Patient had vasovagal reaction to vaccination.  Pt was picked up at the vaccination station w/ BP 61/33, HR 40 near syncope.  Patient stable after lying on gurney.  Prior to D/C, BP 126/76, HR 69, RR 18.  patient stable and released from vaccination site.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Colonoscopy normal, Haematochezia
Clinical narrative: 4 days after getting my Covid shot, I started having large amounts of blood come out when I pooped. The second time was so much that I farted and blood covered the inside of the toilet bowl and it took me 8-10 times to wipe all the blood off my butt. I then continued to have it 3 additional times after (a total of 5 times). I went to my PCP and specifically asked if could be part of vaccine reaction. Was told no and sent to a specialist. Met with the specialist and was ordered a colonoscopy. I did the colonoscopy and there was absolutely nothing wrong. No evidence of any issues or irritants.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Colonoscopy, Haematochezia
Clinical narrative: 4 days after getting my Covid shot, I started having large amounts of blood come out when I pooped. The second time was so much that I farted and blood covered the inside of the toilet bowl and it took me 8-10 times to wipe all the blood off my butt. I then continued to have it 3 additional times after (a total of 5 times). I went to my PCP and specifically asked if could be part of vaccine reaction. Was told no and sent to a specialist. Met with the specialist and was ordered a colonoscopy. I did the colonoscopy and there was absolutely nothing wrong. No evidence of any issues or irritants.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Hypertension
Clinical narrative: After 15 minute observation period, patient got up to walk to the front of the clinic and felt dizziness. She was unable to stand up due to dizziness. Vitals were taken, patient was hypertensive, HR in the 80s, pulse Ox was over 96%.  Ambulance was called and patient taken to ER for evaluation.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Chills, Fatigue, Headache
Clinical narrative: Saturday the 9th, in the afternoon, it started with chills, nausea, fatigue and then on the 10th - headache; nausea, and fatigue. 11th: headache, fatigue, I think I still had the nausea. The 12th - I had the same symptoms and also on the 13th the same. The 14th, I was tested for COVID. No treatment. I went home and laid in bed. I was out for two weeks of work. I came back to work on 1-25-2021. I didn't make it a full week that week. I took the 27th off. I started feeling  better. February 1st.  My memory was a little off when I came back to work, too. I had a hard time recalling names. That fatigue went on forever - it was awful. Even when I came back to work - I didn't feel 100% but I wasn't contagious anymore.  I still have issues with smell. I can't smell to this today.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Memory impairment, Nausea, SARS-CoV-2 test positive
Clinical narrative: Saturday the 9th, in the afternoon, it started with chills, nausea, fatigue and then on the 10th - headache; nausea, and fatigue. 11th: headache, fatigue, I think I still had the nausea. The 12th - I had the same symptoms and also on the 13th the same. The 14th, I was tested for COVID. No treatment. I went home and laid in bed. I was out for two weeks of work. I came back to work on 1-25-2021. I didn't make it a full week that week. I took the 27th off. I started feeling  better. February 1st.  My memory was a little off when I came back to work, too. I had a hard time recalling names. That fatigue went on forever - it was awful. Even when I came back to work - I didn't feel 100% but I wasn't contagious anymore.  I still have issues with smell. I can't smell to this today.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Extreme itching for 5 days, then itching slowly decreased over the next 3-5 days.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Injection site pain
Clinical narrative: BURNING SENSATION ON SITE AND FELT LIKE HARD TO SWALLOW, BENADRYL GIVEN by ONSITE EMT. SX SUBSIDED IN 10 MINUTES.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Blister, Chills, Decreased appetite, Dehydration
Clinical narrative: 14 days after vaccine - High Fever (100) for 4 hrs, dehydration, diarrhea (toke acetominaphin) Next day no fever, but tired, shortness of breath, and some loss of taste and appetite, but not extreme, 16 days days after vaccine - Low Fever (99),  chills and sweating for about 2 hrs. (Took acetominaphin) Next day, tired, some chills and sinus and upper resp. congestion. 17 days after vaccine - High Fever (102) for 10 hrs and full body rash which started as flush redness and then became almost like blisters on inner fore and upper arms, thighs, and abdomen. TO NOTE: The day after taking the MOD vaccine I resumed taking supplements B, Calium and Alpha Lipoic Acid daily. I took maybe one of two Zyrtec in those two weeks. WHAT POSSIBLY TRIGGERED THE RASH: I changed the B-Complex Brand since I ran out. 15 minutes after taking it I got the flush and then 1 hour later the high fever. I thougt it was high Niacin related reaction.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Erythema, Fatigue, Flushing
Clinical narrative: 14 days after vaccine - High Fever (100) for 4 hrs, dehydration, diarrhea (toke acetominaphin) Next day no fever, but tired, shortness of breath, and some loss of taste and appetite, but not extreme, 16 days days after vaccine - Low Fever (99),  chills and sweating for about 2 hrs. (Took acetominaphin) Next day, tired, some chills and sinus and upper resp. congestion. 17 days after vaccine - High Fever (102) for 10 hrs and full body rash which started as flush redness and then became almost like blisters on inner fore and upper arms, thighs, and abdomen. TO NOTE: The day after taking the MOD vaccine I resumed taking supplements B, Calium and Alpha Lipoic Acid daily. I took maybe one of two Zyrtec in those two weeks. WHAT POSSIBLY TRIGGERED THE RASH: I changed the B-Complex Brand since I ran out. 15 minutes after taking it I got the flush and then 1 hour later the high fever. I thougt it was high Niacin related reaction.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pyrexia, Rash, Respiratory tract congestion, Sinus congestion
Clinical narrative: 14 days after vaccine - High Fever (100) for 4 hrs, dehydration, diarrhea (toke acetominaphin) Next day no fever, but tired, shortness of breath, and some loss of taste and appetite, but not extreme, 16 days days after vaccine - Low Fever (99),  chills and sweating for about 2 hrs. (Took acetominaphin) Next day, tired, some chills and sinus and upper resp. congestion. 17 days after vaccine - High Fever (102) for 10 hrs and full body rash which started as flush redness and then became almost like blisters on inner fore and upper arms, thighs, and abdomen. TO NOTE: The day after taking the MOD vaccine I resumed taking supplements B, Calium and Alpha Lipoic Acid daily. I took maybe one of two Zyrtec in those two weeks. WHAT POSSIBLY TRIGGERED THE RASH: I changed the B-Complex Brand since I ran out. 15 minutes after taking it I got the flush and then 1 hour later the high fever. I thougt it was high Niacin related reaction.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The pharmacist discovered that the Johnson and Johnson vaccine had been left out longer that the 2 hours allowed after puncture at room temperature.  The vaccine had been out for approximately 3 hours after puncture.  The manufacturer was contacted, and the pharmacist was told that the literature does not state that this is a reason for revaccination.  The patient has not reported any adverse effects.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Feeling abnormal, Herpes zoster, Pain
Clinical narrative: pain and discomfort with sudden onset shingles outbreak(for the first time ever), patient suffering, receiving treatment to date
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Body temperature decreased, Dizziness, Nervousness, Pyrexia
Clinical narrative: Technician administered vaccine according to standard protocol into patient's left deltoid. Patient has no allergies and was afebrile (96.7). Approximately  5 minutes post-vaccination patient's mother reported that the patient was feeling lightheaded, and shortly after the patient vomited. He stated he felt as though he had a fever coming on. The patient was given a bottle of water while EMS was called. EMS arrived to the scene shortly after the call and assessed the patient. Patient denied going to the hospital and left soon after. Patient reported to EMS that he was feeling anxious/nervous and this likely contributed to his adverse effects. No futher harm to patient.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Technician administered vaccine according to standard protocol into patient's left deltoid. Patient has no allergies and was afebrile (96.7). Approximately  5 minutes post-vaccination patient's mother reported that the patient was feeling lightheaded, and shortly after the patient vomited. He stated he felt as though he had a fever coming on. The patient was given a bottle of water while EMS was called. EMS arrived to the scene shortly after the call and assessed the patient. Patient denied going to the hospital and left soon after. Patient reported to EMS that he was feeling anxious/nervous and this likely contributed to his adverse effects. No futher harm to patient.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Per EMS staffing vaccination waiting area: Wife reported syncopal episode on way from vaccination area to waiting area. Wife stated honking horn and drove straight to EMS. Pt conscious upon arrival to EMS. Vitals as follows: BP-80/46 P-46 O2 sat-93% on RA. EMS stayed with patient monitoring vital until vitals WNL. (@1420p BP-118/78,P-60, O2 sat-98% on RA). Pt declined transport to local hospital. Left in personal vehicle with significant other driving. No s/s of distress noted at time of departure.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: rash over most of the body started at the arms and worked it way up, worst area back
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Feeling hot, Nausea, Pallor
Clinical narrative: pt states has passed out before with shots however was feeling okay with getting second dose due to not having episode during first dose, pt however received vaccine and 2-3 minutes after receiving shot felt dizzy, clammy, nauesous, and hot. pt notified staff and was assisted to floor with feet on chair. stretcher taken to pt   pt assisted to stretcher pt appears pale upon first assessment.  lying flat in bed brought back to OBS for further assessment.  placed on vs monitor  vs as noted.  feeling better since laying down. pt given water tolerated well.  pt gradually repositioned to sitting, dangle  then standing without further symtoms  color improved. pt okay to leave. pt ambulated to exit without difficulty at 1515 vs 2:59 hr 72 po 94 bp 98/64  vs high fowlers hr67 po 99 bp 103/71  vs dangle 1509 hr 63 bp 109/77 po 100   vs standing 1514 hr 68 bp 110/73 po99
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed shingles on 4/12/21 - treated with acyclovir
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Muscle aches and fever.  Fever was in range of 102 degrees.  Lasted 18 hours.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Chest pain, Diarrhoea, Feeling abnormal
Clinical narrative: weakness, runny nose, diarrhea, inflammation, chest pains, anxiety, swollen face, fingers, brain fog,
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Peripheral swelling, Rhinorrhoea, Swelling face
Clinical narrative: weakness, runny nose, diarrhea, inflammation, chest pains, anxiety, swollen face, fingers, brain fog,
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Breast tenderness
Clinical narrative: Breast tenderness- Feels like I am going to have a period, which I have not had since June 2019.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test normal, Computerised tomogram head normal, Dizziness, Electrocardiogram normal
Clinical narrative: She states she initially  experienced some light headedness. Staff checked BP and it was elevated170/90. She developed left sided facial tingling. They brought inside and had her lie down with her legs elevated.  She experienced hot flashes, which she has had before, but not for a while. Her repeat BP was 230/90 and EMS was called. Repeat BP was 196/90.  She declined to go to ER and signed refusal. She went home, showered and went to bed. She awoke with her BP more elevated, continued left facial tingling and self treated with apple cider vinegar and went to ER. Her BP was 150/80, they did EKG, CT head and blood work which were normal.   Event did not recur with dose #2.   BP   134/85.  at baseline; was checked at 15 and 30 minutes and remained stable.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Hot flush, Paraesthesia
Clinical narrative: She states she initially  experienced some light headedness. Staff checked BP and it was elevated170/90. She developed left sided facial tingling. They brought inside and had her lie down with her legs elevated.  She experienced hot flashes, which she has had before, but not for a while. Her repeat BP was 230/90 and EMS was called. Repeat BP was 196/90.  She declined to go to ER and signed refusal. She went home, showered and went to bed. She awoke with her BP more elevated, continued left facial tingling and self treated with apple cider vinegar and went to ER. Her BP was 150/80, they did EKG, CT head and blood work which were normal.   Event did not recur with dose #2.   BP   134/85.  at baseline; was checked at 15 and 30 minutes and remained stable.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Fall, Vomiting
Clinical narrative: Falling, couldn't stand, vomiting
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: STUFFY AND RUNNING NOSE SORE THROAT
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The pharmacist discovered that the Johnson and Johnson vaccine had been left out longer that the 2 hours allowed after puncture at room temperature.  The vaccine had been out for approximately 3.5 hours after puncture.  The manufacturer was contacted, and the pharmacist was told that the literature does not state that this is a reason for revaccination.  The patient has not reported any adverse effects.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Feeling hot, Immediate post-injection reaction
Clinical narrative: Right after vaccination patient developed a metallic taste in mouth and became warm. Recipient was evaluated by on-site EMS and was stable and denied transportation to the hospital.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: This 75 year old female hospice patient received the Covid shot on 3/24/21  died on 5/6/21.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Muscle spasms, Vaginal haemorrhage
Clinical narrative: Vaginal Spotting and slight cramps approx 24 hours after initial shot - continued spotting for 3-4 days. Missed/late menstrual cycle (currently 7 days late) No pregnancy
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Lethargy, Nausea, Pain in extremity, Pruritus
Clinical narrative: First day, arm soreness. Second day (today), constant diarrhea (about once an hour on empty stomach, water consistency, large quantity from 9am to 3pm so far and showing no signs of slowing down), nausea, lethargy, itching on left arm. No fever. Nothing life threatening (*knock on wood*).  Didn't see this listed on the website's side effects, so I am filling out this form.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: A vial  of Moderna COVID19 vaccination was punctured on Saturday 5/8 at 12pm. This vial remained in the fridge past the 6 hour maximum and a dose from this vial was administered to a patient on 5/10 at 12:30pm.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Myalgia, Pyrexia
Clinical narrative: Fully vaccinated.  Covid symptoms started 5/6/2021 (cough, chills, muscle aches, fever), tested positive for Covid 19 on 5/7/2021
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated.  Covid symptoms started 5/6/2021 (cough, chills, muscle aches, fever), tested positive for Covid 19 on 5/7/2021
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest tube insertion, Death, Deep vein thrombosis, Lung neoplasm malignant
Clinical narrative: 1st dose in series on 03-18-2021; 2nd dose in series on 04-08-2021  2 days after 2nd dose, he developed severe pain in both legs.  He was taken to the hospital where clots were diagnosed in both legs and groin area.  A previously undiagnosed lung nodule was found and he was given a cancer diagnosis.  He was discharged home on apixaban (Eliquis) and comfort measures 2 days after admission.  Over the following weeks, he had a permanent lung drain placed.  He died on May 5th or 6th at home.  No autopsy performed.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pulmonary mass, Thrombosis
Clinical narrative: 1st dose in series on 03-18-2021; 2nd dose in series on 04-08-2021  2 days after 2nd dose, he developed severe pain in both legs.  He was taken to the hospital where clots were diagnosed in both legs and groin area.  A previously undiagnosed lung nodule was found and he was given a cancer diagnosis.  He was discharged home on apixaban (Eliquis) and comfort measures 2 days after admission.  Over the following weeks, he had a permanent lung drain placed.  He died on May 5th or 6th at home.  No autopsy performed.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Itchy circular rash around the injection site
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient woke up at 3:00 am the morning after her vaccine and vomited several times. She reports she could not keep food down for 8 to 12 hours once the vomiting started.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient c/o dizziness.  Given Juice and crackers, .  Patient reports having a small meal for breakfast.  Patient stable and released from the vaccination site.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Pain, Vomiting
Clinical narrative: Vomiting, Chills, Sweats, achy all over entire body, excruciating headache
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: patient stated 24-28 hours after vaccination she developed a rash with itching relieved by benadryl, that traveled from her neck down to her thigh area
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in sexual arousal, Menstrual disorder, Polymenorrhoea
Clinical narrative: Menstrual cycle came on 2 days after receiving vaccine, which was a week earlier than expected, and only lasted for about 5 hours and has not been on since. Patient also stated that she has a low sex drive now.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Injection site pain, Myalgia
Clinical narrative: Low fever 100.6 F, Injection site soreness,  Muscle and joint pain, lower back, legs, neck and upper body. Fatigue.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Low fever 100.6 F, Injection site soreness,  Muscle and joint pain, lower back, legs, neck and upper body. Fatigue.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cataract, Condition aggravated, Ophthalmological examination abnormal, Visual impairment, Vitreous detachment
Clinical narrative: Within probably an hour maybe 2 noticed eye floaters in right eye were not small, light and unobtrusive but dark broken circles with speckled floaters inside. Later at dusk/dark same day noticed a line of light on right side of right eye. Next day saw floaters with sunglasses.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: Within probably an hour maybe 2 noticed eye floaters in right eye were not small, light and unobtrusive but dark broken circles with speckled floaters inside. Later at dusk/dark same day noticed a line of light on right side of right eye. Next day saw floaters with sunglasses.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nasal congestion, SARS-CoV-2 test
Clinical narrative: nasal congestion and headache.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PCR+ on 3/22/21 after fully vaccinated
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Migraine, Vaccine positive rechallenge
Clinical narrative: PATIENT GOT A SEVERE MIGRAINE APPROXIMATELY 5 MINUTES AFTER INJECTION.  WE SENT HER HOME FROM WORK LATER IN THE EVENING
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient MRN 1277090  Per recovery RN notes: "C/o lightheadedness. BP 73/34 1641 101/70 1643 88/52, pulse 62 1645 94/54, pulse 57 1650 122/75, pulse 60 Was sent home with father"
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The pharmacist discovered that the Johnson and Johnson vaccine had been left out longer that the 2 hours allowed after puncture at room temperature.  The vaccine had been out for approximately 2 hours and 15 minutes.  The manufacturer was contacted, and the pharmacist was told that the literature does not state that this is a reason for revaccination.  The patient has not reported any adverse effects.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Upon billing for a COVID-19 vaccine administered on 4/5/2021, insurance rejected that the series was already completed.  a 1st dose was administered on 12/22, with subsequent doses being administered on 3/18/2021 and 4/5/2021 (Pfizer). No adverse events were reported and the individual's consent completed on 3/16/2021 marked that no other COVID-19 vaccinations were received.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Tenderness
Clinical narrative: My shoulder began hurting around 2 weeks after my first COVID vaccination and has not stopped hurting. First vaccination was on April 8th. Shoulder began hurting extremely on or around April 18th. Still had my follow up pfizer vaccination on April 29th. It's May 10th and my should is still extremely sore/tender. Tylenol and Advil doesn't relieve the pain. Ice helps temporarily.