chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash pruritic
Clinical narrative: Itchy Rash on my right side of neck, right arm, all over my stomach and both  legs. Also, itchy face and scalp
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash erythematous, Skin warm
Clinical narrative: Red rash on my arm that is gradually moving down my arm a little. warm to the touch. painful if I lay on it.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea
Clinical narrative: BAD HEADACHE, NAUSEA, FATIGUE (SAME DAY & NEXT DAY), CHILLS (NEXT DAY)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Rash
Clinical narrative: I experienced a redness and heat coming from my chest on the third day (Sunday) and a few bumps -rash. I contacted my Dr and he prescribed steroids and I took one week course. It calmed it down a little. My chest wasn't red any more after that. I got another bump last week  (on my finger) but it disappeared and then it went away.  I started having dizziness about two weeks ago. I still am a little dizzy. I feel a little dizzy when I go to bed at night  - the bed spins. I wake up and I'm okay but during the day, I get a little dizzy and lose my step and get it back but at night when I lie down I notice it the most.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Impaired work ability, Tinnitus
Clinical narrative: Severe elevation of tinnitus starting on 4th day and lasting for 8 days/Disabling event. Back to work now, but still experiencing symptoms.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Headache, Malaise
Clinical narrative: Woke up 3/13/21 with stomach ache, and feeling a little sickly, by next day , Sunday 3/14 stomach ache was stronger, loose bowels, feeling tired and general malaise , on Monday 3/15 stomach ache still there, and loose bowels and tiredness and by Tuesday the 16th felt like vomiting (though I never did) and also developed a headache and still had loose bowels and today wednesday the 16th am feeling somewhat better, headache is slight, stomach a lot better and on the 16 took Tylenol for headache and Loperamdie for bowels, all was improved. Lived on tea and toast and bananas and crackers. It asks if I have recovered as of 3/17 am improving but not like normal yet,
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Woke up 3/13/21 with stomach ache, and feeling a little sickly, by next day , Sunday 3/14 stomach ache was stronger, loose bowels, feeling tired and general malaise , on Monday 3/15 stomach ache still there, and loose bowels and tiredness and by Tuesday the 16th felt like vomiting (though I never did) and also developed a headache and still had loose bowels and today wednesday the 16th am feeling somewhat better, headache is slight, stomach a lot better and on the 16 took Tylenol for headache and Loperamdie for bowels, all was improved. Lived on tea and toast and bananas and crackers. It asks if I have recovered as of 3/17 am improving but not like normal yet,
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Urticaria
Clinical narrative: rash with hives and redness.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pruritus, Swelling
Clinical narrative: Itchy, raised, red, hard, roughly triangular area 4? X 4? X  3?. Worst (severe)for first 24 hrs then intermittent and moderate for next 5 days.  OTC Cortisone cream, 1% helped some. Redness mostly gone after 5 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Numb chin syndrome
Clinical narrative: Numb cheek that lasted several hours after receiving the vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event following immunisation, Dizziness, Dyspnoea, Hypoaesthesia oral, Nausea
Clinical narrative: pt had adverse rxn felt dizzy, light headeded, nauseous, and short of breath. we dosed her with 10 mls of benadryl, at 3:15pm, bp 68/49, pt felt better and went to leave at 3:40 but when she went to walk to front of store her tongue felt numb and swollen. we gave ibu suspension at 3:45 15 mls and monitored another 10 -15mintues and she felt better.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: pt had adverse rxn felt dizzy, light headeded, nauseous, and short of breath. we dosed her with 10 mls of benadryl, at 3:15pm, bp 68/49, pt felt better and went to leave at 3:40 but when she went to walk to front of store her tongue felt numb and swollen. we gave ibu suspension at 3:45 15 mls and monitored another 10 -15mintues and she felt better.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bedridden, Chills, Confusional state, Myalgia
Clinical narrative: Fever over 103 continuing at present Extreme muscle pain and weakness over entire body Chills and confusion Bedridden
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Fever over 103 continuing at present Extreme muscle pain and weakness over entire body Chills and confusion Bedridden
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dry skin, Rash, Rash erythematous
Clinical narrative: Fever over 103 continuing at present Extreme muscle pain and weakness over entire body Chills and confusion Bedridden
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Moderna inadvertently given to client who was 17 yr/ 9 months (< 18 y/o). - No adverse event noted
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Cold sweat, Headache, Neck pain
Clinical narrative: Patient mother reported patient began to shake and she was unable to speak or respond. Upon observation patient was pale, awake, and clammy, responding appropriately . Pulse ox placed on patient O2 sats 98-100, pulse 57, BP 87/45. Patient oriented to person, place, and time.  Patient reported feeling weak, complains of headache and neck hurting. Patient reported tingling in her left hand and reported her tongue was tingling. . At this time ambulance was called to transport the patient to the ED.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Paraesthesia, Paraesthesia oral, Tremor
Clinical narrative: Patient mother reported patient began to shake and she was unable to speak or respond. Upon observation patient was pale, awake, and clammy, responding appropriately . Pulse ox placed on patient O2 sats 98-100, pulse 57, BP 87/45. Patient oriented to person, place, and time.  Patient reported feeling weak, complains of headache and neck hurting. Patient reported tingling in her left hand and reported her tongue was tingling. . At this time ambulance was called to transport the patient to the ED.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test normal, Tinnitus
Clinical narrative: After taking the 1 shot of the Vaccine I developed very loud ringing of the both ears with a 10,000 Hz frequency.  The ring has not stopped since getting the 1 st shot . I saw my Primary doctor and did all my blood work wand checkup and everything came back normal and refereed me to   a ENT doctor Facility.  He said everything look normal  and said it must be the Vaccine that caused the Tinnitus.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: After taking the 1 shot of the Vaccine I developed very loud ringing of the both ears with a 10,000 Hz frequency.  The ring has not stopped since getting the 1 st shot . I saw my Primary doctor and did all my blood work wand checkup and everything came back normal and refereed me to   a ENT doctor Facility.  He said everything look normal  and said it must be the Vaccine that caused the Tinnitus.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Pharmacy staff tried to contact patient to confirm appointment for second dose. Patient's sister answered the phone and stated that the patient had a stroke on 03-16-2021, that he was in the hospital.  She could not discuss it further because the patient's mother was next to her, and did not know that her son went to hospital. Patient's mother received vaccine the same day.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Throat irritation
Clinical narrative: Patient began to feel dizzy with a scratchy throat, felt better when she laid down. No significant medical hx
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pressure increased, Dizziness, Muscle tightness, Nausea, Vision blurred
Clinical narrative: Patient began to feel dizzy with a scratchy throat, felt better when she laid down. No significant medical hx
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pressure increased, Dizziness, Nausea, Vision blurred
Clinical narrative: Patient began to feel dizzy with a scratchy throat, felt better when she laid down. No significant medical hx
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Severe body aches and fatigue, fever (101 degrees F). Fever happened 3x times during the day, treated with Tylenol.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Diarrhoea, Dizziness, Dyspnoea
Clinical narrative: With in 5 minutes of the shot my chest and left arm pain and heart started to race,,face turned rashy red and hot, had the shakes, nauseous dizzy and short of breath, blood pressure was high, with in hour my heart rate started to slow down, I took a Benadryl, felt  ill. Tuesday started having diarrhea then around 11:30 pm had same reactions as Monday after shot was given. Took another Benadryl. Wednesday still bouts of diarrhea, tired,weak.nauseous.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Hot flush, Hypertension, Malaise
Clinical narrative: With in 5 minutes of the shot my chest and left arm pain and heart started to race,,face turned rashy red and hot, had the shakes, nauseous dizzy and short of breath, blood pressure was high, with in hour my heart rate started to slow down, I took a Benadryl, felt  ill. Tuesday started having diarrhea then around 11:30 pm had same reactions as Monday after shot was given. Took another Benadryl. Wednesday still bouts of diarrhea, tired,weak.nauseous.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Palpitations, Rash
Clinical narrative: With in 5 minutes of the shot my chest and left arm pain and heart started to race,,face turned rashy red and hot, had the shakes, nauseous dizzy and short of breath, blood pressure was high, with in hour my heart rate started to slow down, I took a Benadryl, felt  ill. Tuesday started having diarrhea then around 11:30 pm had same reactions as Monday after shot was given. Took another Benadryl. Wednesday still bouts of diarrhea, tired,weak.nauseous.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Daily headaches starting about 24 hours after his 2nd dose. This has continued for 2 weeks after the 2nd vaccination
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis, Injection site pain, Injection site swelling
Clinical narrative: Cellulitis of the subcutaneous tissue at site of injection, pain and swelling
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epistaxis, Nasal discomfort
Clinical narrative: After 2nd dose vaccine on 2/14/21 of Pfizer, got a very bloody nose beginning 2 days later and continuing 3 days later. Nose blood dried up but was very irritated for a total of 5 days
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Hypersomnia, Impaired work ability
Clinical narrative: 2nd Vaccination shot received 3/15/2021 at 8:44am.  3/15/2021 6pm, fatigue and general malaise began.  By 8pm, extreme fatigue and joint pain.  Took 600mg Motrin to alleviate pain.  Unable to stay awake despite best efforts, joint pain worse in shoulder and elbow on left arm of vaccine injection site.  3/16/2021 12am, fatigue continues, joint pain severe enough to warrant a dose of Tylenol, some muscle pain and chills.  3/16/2021 4am, joint pain, muscle pain severe, fatigue severe, unable to sit up for more than a few minutes.  Took another 600mg of Motrin. 3/16/2021,6am  joint pain, muscle pain, and fatigue continue, difficulty staying awake to send a text to call out of work.  Chills begin, no fever.  Continue with course of Motrin/Tylenol alternating every 2-3 hours, joint and muscle pain breaks through over the counter pain relieves, no fever, chills persist, extreme fatigue persists.  Pushed fluids, water, Gatorade, Body Armour.  Slept most of the time from 8pm 3/15/2021 to 6pm 3/16/2021.  By 6pm 3/16/2021 fatigue lessens a bit, able to eat dinner, care for children a bit, muscle aches and joint pain still persistent.  Continue Motrin/Tylenol rotation.  11pm 3/16/2021 Fatigue lessens a bit, able to get up and shower.  By 10am 3/17/2021 fatigue is gone, minor joint and muscle pain present, able to manage pain with Motrin every 6 hours.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Loss of personal independence in daily activities, Malaise, Myalgia, Somnolence
Clinical narrative: 2nd Vaccination shot received 3/15/2021 at 8:44am.  3/15/2021 6pm, fatigue and general malaise began.  By 8pm, extreme fatigue and joint pain.  Took 600mg Motrin to alleviate pain.  Unable to stay awake despite best efforts, joint pain worse in shoulder and elbow on left arm of vaccine injection site.  3/16/2021 12am, fatigue continues, joint pain severe enough to warrant a dose of Tylenol, some muscle pain and chills.  3/16/2021 4am, joint pain, muscle pain severe, fatigue severe, unable to sit up for more than a few minutes.  Took another 600mg of Motrin. 3/16/2021,6am  joint pain, muscle pain, and fatigue continue, difficulty staying awake to send a text to call out of work.  Chills begin, no fever.  Continue with course of Motrin/Tylenol alternating every 2-3 hours, joint and muscle pain breaks through over the counter pain relieves, no fever, chills persist, extreme fatigue persists.  Pushed fluids, water, Gatorade, Body Armour.  Slept most of the time from 8pm 3/15/2021 to 6pm 3/16/2021.  By 6pm 3/16/2021 fatigue lessens a bit, able to eat dinner, care for children a bit, muscle aches and joint pain still persistent.  Continue Motrin/Tylenol rotation.  11pm 3/16/2021 Fatigue lessens a bit, able to get up and shower.  By 10am 3/17/2021 fatigue is gone, minor joint and muscle pain present, able to manage pain with Motrin every 6 hours.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dysarthria, Fatigue, Feeling abnormal
Clinical narrative: For 2.5 hours after injection I experienced extreme fatigue, brain fog,  dizziness and slurred speech. During the night that of the 16th early morning 17th I woke up in so much pain from the injection sight to the tips of my fingers and up into my shoulder and beck under arm and right side of my chest. I was in so much pain I couldn't sleep and had a massive migraine. It has been another almost 12 hours and symptoms persist.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Migraine, Pain in extremity, Sleep disorder
Clinical narrative: For 2.5 hours after injection I experienced extreme fatigue, brain fog,  dizziness and slurred speech. During the night that of the 16th early morning 17th I woke up in so much pain from the injection sight to the tips of my fingers and up into my shoulder and beck under arm and right side of my chest. I was in so much pain I couldn't sleep and had a massive migraine. It has been another almost 12 hours and symptoms persist.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hypoaesthesia, Paraesthesia, Peripheral coldness
Clinical narrative: for the first 2 days after administration chills and fatigue. 1 week after vaccine bilateral lower extremities, buttock sensitive to touch skin, tingling and felt numbness to touch.  The s/s as of 03/17/21 starting to subside, however feet still feel cold.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Skin sensitisation
Clinical narrative: for the first 2 days after administration chills and fatigue. 1 week after vaccine bilateral lower extremities, buttock sensitive to touch skin, tingling and felt numbness to touch.  The s/s as of 03/17/21 starting to subside, however feet still feel cold.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicitis perforated, Ileocolostomy, Peritonitis
Clinical narrative: Patient had perforated appendicitis / feculent peritonitis which ended up having open ileocecectomy
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Ear swelling, Facial paralysis
Clinical narrative: Patient awoke the day after the vaccine and noticed her left ear swollen and trouble moving parts of her face, the symptoms progressed over the course of the next few days until she was unable to move the entirety of the left side of her face and head. At this moment in the fear of a stroke she went to a local Emergency Department where she was given the diagnosis of Bell's Palsy secondary to the vaccine
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pyrexia
Clinical narrative: Horrible arm pain and headache and continued headaches for 2 weeks after with first one. 2nd dose had a fever, fatigue, and headache  for 24 hours following but it affected my period causing it to come 7 days earlier than normal.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Ear discomfort, Peripheral swelling, Pruritus, Swelling face
Clinical narrative: Burning face and ears initially then face was itchy and woke up on 3/17/21 with swollen face and fingers.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: NUMBNESS IN LEFT CHECK ON HIS FACE  RESOLVED AFTER 5 TO 10 MINUTES PATIENT OBSERVED FOR 30 MINUTES NO RESPIRATORY OR AIRWAY SYMPTOMS
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort
Clinical narrative: Moderna COVID- 19 Vaccine EUA  1315- Pt reports back to after receiving 2nd dose covid vaccine 25 minutes prior, Reporting that her throat feels funny. VS 163/81 87 99% lungs clear. physician notified. Instructed to monitor x 10 minutes  1325- Pt reports feeling no better. Agrees to benadryl 25mg PO. Husband in car to drive home.   1337- benadryl 25 mg PO administered from reaction kit and pt monitored. Pt drinking Diet pepsi.  1400- VS rechecked BP 147/81, P76 97% RA. Pt states feeling much better and feels comfortable going home. Pt advised to return if any worsening of symptoms.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Lightheadness and dizziness within 15 minutes of injection.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nasopharyngitis
Clinical narrative: I woke up very cold, but didn't have chills. Felt fatigues for approx. 12 hours. May have had a slight fever, but didn't have a thermometer to take measure.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Severe diarrhea for nine days since injection
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Peripheral swelling, Swelling
Clinical narrative: ITCHING AT SITE, ENTIRE BODY, LEGS/THIGHS SWELLED UP, UNBEARABLE, BUT AIRWAY OKAY
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: headache
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Salivary hypersecretion
Clinical narrative: Caller states that she got her Vaccine at 2pm today.  Now with a tingling sensation on her lips and an increase in salivation.  Able to speak in long sentences.  Instructed to increase her fluid intake, use mints to her secretions and if it worsens or she notice any lip swelling or resp distress, to report to  the nearest ER.  RN
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Neck pain, Oral mucosal blistering, Pain in extremity
Clinical narrative: Small blisters in mouth along with pain in jaw and severe headache on left side began approximately 1 hour after taking the vaccine.  Arm sore, headache and pain continues on left side of neck and jaw on the left side along with feeling fatigue.  Took ibuprofen 800 for pain and L-lysine for mouth sores.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw
Clinical narrative: Small blisters in mouth along with pain in jaw and severe headache on left side began approximately 1 hour after taking the vaccine.  Arm sore, headache and pain continues on left side of neck and jaw on the left side along with feeling fatigue.  Took ibuprofen 800 for pain and L-lysine for mouth sores.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling hot, Neck pain, Paraesthesia
Clinical narrative: Approximately 2 hours post vaccine I noticed my scalp feeling hot, tight, and tingly in the bilateral occipital area. Some neck pain and traveling from neck to scalp. Today is 3/17/21 and the symptoms are still present but somewhat improved over the last week. The sensations are now mostly on the R side. I took Advil 400mg TID for 2 days and also applied a heating pad to the neck and back of head. I saw my PCP today as this is causing me a lot of anxiety, she prescribed Prednisone 40mg daily X 3 days.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Balance disorder, Cold sweat, Exercise tolerance decreased
Clinical narrative: Patient reports that he had joint pain and body aches x 4 days after the second dose of Moderna Vaccine which have since resolved.  He also complains that since the second dose, he "feels off balance" few minutes at a time few times a day without any dizziness, HA, visual complaints or fever which seem to be persisting. He also feels that his energy is lower that he cannot complete his usual exercises. Also reports cold sweats after working out that he cannot continue. This patient used to do 500 push up almost daily and apparently now can only do <200! Neuro exam is negative during his clinic visit on 3/17/2021
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia, Visual impairment
Clinical narrative: Patient reports that he had joint pain and body aches x 4 days after the second dose of Moderna Vaccine which have since resolved.  He also complains that since the second dose, he "feels off balance" few minutes at a time few times a day without any dizziness, HA, visual complaints or fever which seem to be persisting. He also feels that his energy is lower that he cannot complete his usual exercises. Also reports cold sweats after working out that he cannot continue. This patient used to do 500 push up almost daily and apparently now can only do <200! Neuro exam is negative during his clinic visit on 3/17/2021
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Feeling hot, Nausea, Vomiting
Clinical narrative: Patient had nausea and vomiting. She was also red, hot, lightheaded and dizzy. The 9dizziness didn't occur the first vaccination, this is a new symptom. 9:15am b/p 140-84 HR was 62, applied cold compress to head. Gave IM benadryl 9:23. Patient had nausea and vomiting for about 24 hours with first vaccination, the heat and redness resolved at 9:32am. The nausea still remained, gave ice to base of neck. Checked b/p at 9:35 128/88, HR 60. The dizziness resolved, patient stood up after and felt dizzy again. Patient tried snack, but was too nauseous at 9:50. 9:55am B/P 124/88, HR 64. Patient states that she felt okay to drive. No dizziness, no heat. Patient went home.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Irritability, Muscle tightness, Myalgia
Clinical narrative: Swelling, pain, burning sensations under skin, sore/tight muscles, headache, nausea, irritability, tired
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Skin burning sensation, Swelling
Clinical narrative: Swelling, pain, burning sensations under skin, sore/tight muscles, headache, nausea, irritability, tired
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, COVID-19, Dyspnoea, Hypoxia, Influenza like illness
Clinical narrative: 4 days psot vaccine patient developed eye angioedema and hives resulting in ED visit.  6 days post vaccine she devleoped flu like sxs with positive covid 19 test results on day 8 post vaccine as per pateint. 10 days post vaccine patient with dyspnea and hypoxemia-admitted to hospital.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urticaria
Clinical narrative: 4 days psot vaccine patient developed eye angioedema and hives resulting in ED visit.  6 days post vaccine she devleoped flu like sxs with positive covid 19 test results on day 8 post vaccine as per pateint. 10 days post vaccine patient with dyspnea and hypoxemia-admitted to hospital.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right arm red mark half the size of your palm, hot to the touch and raised where vaccine was given. Called the pharmacy and they said it?s Covid Arm and to ice it and it should be back to normal within 24 hours.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: pt under the age of 18 received COVID 19 vaccine
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Lethargy
Clinical narrative: Persistent weakness/lethargy post vaccination observation period; transported to ED
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Very itchy, fine, papular red rash on left ventral side, just proximal to the crook of the elbow. 2 in. diameter
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash papular
Clinical narrative: Very itchy, fine, papular red rash on left ventral side, just proximal to the crook of the elbow. 2 in. diameter
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Dyspnoea, Electrocardiogram, Headache
Clinical narrative: It was 20 minutes after vaccination my throat was closing. I went to the ER and they gave me Benadryl. I had headaches on the crown of my head for four days After the headaches subsided, I was really short of breath after five days and was unable to work. I am normally in good shape. I went back to the Emergency Room and they did more tests which was a week after the vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Pharyngeal swelling
Clinical narrative: It was 20 minutes after vaccination my throat was closing. I went to the ER and they gave me Benadryl. I had headaches on the crown of my head for four days After the headaches subsided, I was really short of breath after five days and was unable to work. I am normally in good shape. I went back to the Emergency Room and they did more tests which was a week after the vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Dizziness, Fatigue
Clinical narrative: 30 to 60 minutes after the vaccine I started to feel extremely tired, woke up in the middle of the night with low grade fever of 100 and chills (sweating).Also had pain in my left arm from my elbow up into my neck. Up and down all night. 6:30AM felt nauseous and dizzy. Could not drive to work. So tired I slept most of the day. 3/17/21 Left work at lunch for home. Continued pain in arm & neck, very tired, pressure (achy) in chest .
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injection site pain, Nausea, Pyrexia
Clinical narrative: 30 to 60 minutes after the vaccine I started to feel extremely tired, woke up in the middle of the night with low grade fever of 100 and chills (sweating).Also had pain in my left arm from my elbow up into my neck. Up and down all night. 6:30AM felt nauseous and dizzy. Could not drive to work. So tired I slept most of the day. 3/17/21 Left work at lunch for home. Continued pain in arm & neck, very tired, pressure (achy) in chest .
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hypoaesthesia, Hypoaesthesia oral, Rash, Rash erythematous
Clinical narrative: Numbness in face, neck and mouth.  Red Rash on face and neck.  Dizzy.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Numbness in face, neck and mouth.  Red Rash on face and neck.  Dizzy.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Myalgia
Clinical narrative: Day 1 Pain Both Shoulders, Neck Only Day 2 Pain Hips, Spine Only Day 3 Pain Both Knees Only Day 4 Pain Both Ankles Only Remainder Time, Ankles Only Second Shot Reaction: Week 1 Very Little Reaction Week 2 Pain Right Ankle, Difficulty Walking, Low Energy Then pain Left Ankle, less Right Ankle Then Significant Pain Left Ankle, Calf Muscles Then Pain Both Ankle, Calf Muscles, Some Thigh Muscle Pain In Legs Would Wake Me up From sleeping One Advil 200 mg Pill Would Reduce pain in 15 minutes, Max 4 pills per day
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Blood creatine phosphokinase normal, Blood creatinine normal, Blood glucose normal, Blood urea normal
Clinical narrative: Reported to ER 3/14 with left facial numbness and left arm weakness, Labs, Chest x--ray and Ct brain completed, transferred to higher level care facility, Echo/MRI brain completed 3/15 with noted small acute infarct Right frontal region, facial numbness resolved, Right arm weakness continues but improving, PT/OT exercises given, Discharged 3/16 to home
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Cerebral infarction, Chest X-ray, Computerised tomogram head normal, Echocardiogram abnormal
Clinical narrative: Reported to ER 3/14 with left facial numbness and left arm weakness, Labs, Chest x--ray and Ct brain completed, transferred to higher level care facility, Echo/MRI brain completed 3/15 with noted small acute infarct Right frontal region, facial numbness resolved, Right arm weakness continues but improving, PT/OT exercises given, Discharged 3/16 to home
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Hypoaesthesia, Laboratory test, Magnetic resonance imaging head abnormal, Metabolic function test normal
Clinical narrative: Reported to ER 3/14 with left facial numbness and left arm weakness, Labs, Chest x--ray and Ct brain completed, transferred to higher level care facility, Echo/MRI brain completed 3/15 with noted small acute infarct Right frontal region, facial numbness resolved, Right arm weakness continues but improving, PT/OT exercises given, Discharged 3/16 to home
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Prothrombin time normal, Troponin normal
Clinical narrative: Reported to ER 3/14 with left facial numbness and left arm weakness, Labs, Chest x--ray and Ct brain completed, transferred to higher level care facility, Echo/MRI brain completed 3/15 with noted small acute infarct Right frontal region, facial numbness resolved, Right arm weakness continues but improving, PT/OT exercises given, Discharged 3/16 to home
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Lethargy, Malaise, Pain in extremity
Clinical narrative: Moderna COVID-19 Vaccine EUA Sore arm at injection site; headache, feeling of malaise, no energy beginning approximately at 10 p.m. five + hours after injection. Headache and symptoms lasted all night and continued for the next day, about 36 hours in total. Soreness in arm lasted through the weekend but was better each day.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Cough, Diarrhoea, Fibrin D dimer increased, Myalgia
Clinical narrative: Presents to ED ~9 days after covid vaccine. Next day had fever, cough, muscle aches, diarrhea. Symptoms have persisted. Admitted for respiratory failure and possible pneumonia. D-dimer elevated, covid test negative, CTA chest negative for PE. D/C'd home after 1 week.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory failure, SARS-CoV-2 test negative
Clinical narrative: Presents to ED ~9 days after covid vaccine. Next day had fever, cough, muscle aches, diarrhea. Symptoms have persisted. Admitted for respiratory failure and possible pneumonia. D-dimer elevated, covid test negative, CTA chest negative for PE. D/C'd home after 1 week.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient mistakenly answered ?no? on his screening form, and received a third dose of the coronavirus Moderna vaccine.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Client experienced light headedness.  No black outs, able to answer questions appropriately.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: I was vaccinated with the second dose of Moderna vaccine on 03-15 around 3 PM PST, at approximately 11:30 am PST on 03-17 I began to have tightness in my chest and a burning sensation like my asthma is about to flare up. At approximately 1:00 pm 03-17 I took Albuterol via my rescue inhaler and my symptoms improved only slightly and as of writing at 1:37 pm PST 03-17 I still feel a burning sensation in my breathing passages mainly in my chest area, very similar to when my asthma is flaring up as I previously stated.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hypertension
Clinical narrative: Persistent chest pressure, elevated blood pressure, transported to ED
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: While injecting, barrel detached from needle and immunization spilled out onto patient's arm.  Seemed to get about half the dose, but unsure.  Redosed 2 days later 3/17 with same lot in opposite arm as we only had 1 vial thawed/opened that day and not enough doses to give him another dose.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pruritus, Swelling
Clinical narrative: Hard, swollen area, redness, moderately itchy.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Pain, Pyrexia, Sleep disorder
Clinical narrative: severe body aches all over except in legs, unable to sleep, fever, MISERABLE lasted 36 hours
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Injection site hypersensitivity, Rash
Clinical narrative: Patient was given covid vaccine in left arm too low. Patient did develop a systemic reaction to the covid vaccine (which is now resolved) and has a rash on arm.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Person received  Pfizer COVID vaccine as first dose. Came to vaccine clinic one week earlier than scheduled and received Moderna for second vaccine.  There were no adverse reactions to either vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Injection site pain
Clinical narrative: Had taste of metal for five days after, also had soreness in arm. Was unable to treat pain with ibuprofen due to taking warfarin.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Rash, swelling and itching at and around the injection site.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: numb tingling sensation in face on left side. starts at the left corner of eye and runs down the middle of cheek into left side upper and lower lips and tongue. comes and goes through out the day and night.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: numb tingling sensation in face on left side. starts at the left corner of eye and runs down the middle of cheek into left side upper and lower lips and tongue. comes and goes through out the day and night.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pruritus, Pain, Pain in extremity, Peripheral swelling, Rash
Clinical narrative: One week after injection, my arm was swollen with a rash and pain up to my shoulder. It is still painful to use my arm and shoulder. I have had Rotator Cuff repair twice on Rt. Shoulder and the pain I feel there is like it is in my rotator cuff. I cannot lift my arm up above my waist without feeling the pain. When I do not use my arm, there is not pain. I do not have a rash any longer but feel there must be swelling in the shoulder. Ocassionally I have some itching in injection area but try not to scratch at all.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pain in extremity, Pruritus, Swelling
Clinical narrative: My arm was sore after receiving the injection. Soreness improved after a few days.   Soreness returned after eight days. Accompanied by redness, swelling/firmness, and itching. Redness had spread on the ninth day after receiving the injection. Improved over several days. No noticeable swelling or redness 12 days after injections.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Nausea
Clinical narrative: around 6pm I had a bad headache and nausea and through the night I felt like I had a cold chills fever that lasted through the morning. The next day I felt tired and weak. That evening I started feeling fever chills and sore throat. I called the urgent care and I went in for a covid test and 2 days later it came back negative. By the weekend I felt better
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: around 6pm I had a bad headache and nausea and through the night I felt like I had a cold chills fever that lasted through the morning. The next day I felt tired and weak. That evening I started feeling fever chills and sore throat. I called the urgent care and I went in for a covid test and 2 days later it came back negative. By the weekend I felt better
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral, Cerebral artery occlusion, Computerised tomogram head, Death, Endotracheal intubation
Clinical narrative: Stroke resulting in death. Admitted to hospital 2/21/21 as transfer from first Hospital after found collapsed in his hotel room. Left M1 occlusion, thrombectomy performed, then had hemorrhagic trnasformation. Developed worsening respiratory status after extubation, was reintubated.  Given poor neurologic status, was extubated and started on palliative morphine drip.  Pt died 0100 3/1/21.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Haemorrhagic transformation stroke, Magnetic resonance imaging head, Neurological decompensation, Respiratory distress, Syncope
Clinical narrative: Stroke resulting in death. Admitted to hospital 2/21/21 as transfer from first Hospital after found collapsed in his hotel room. Left M1 occlusion, thrombectomy performed, then had hemorrhagic trnasformation. Developed worsening respiratory status after extubation, was reintubated.  Given poor neurologic status, was extubated and started on palliative morphine drip.  Pt died 0100 3/1/21.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombectomy
Clinical narrative: Stroke resulting in death. Admitted to hospital 2/21/21 as transfer from first Hospital after found collapsed in his hotel room. Left M1 occlusion, thrombectomy performed, then had hemorrhagic trnasformation. Developed worsening respiratory status after extubation, was reintubated.  Given poor neurologic status, was extubated and started on palliative morphine drip.  Pt died 0100 3/1/21.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase normal, Basophil count decreased, Basophil percentage
Clinical narrative: 3/17/21 ER Triage note: "Pt c/o lips and and facial swelling. No sob, no problems swallowing. Onset this am. Denies pain."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride decreased
Clinical narrative: 3/17/21 ER Triage note: "Pt c/o lips and and facial swelling. No sob, no problems swallowing. Onset this am. Denies pain."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium decreased, Blood urea normal
Clinical narrative: 3/17/21 ER Triage note: "Pt c/o lips and and facial swelling. No sob, no problems swallowing. Onset this am. Denies pain."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Eosinophil count normal, Eosinophil percentage, Full blood count abnormal, Glomerular filtration rate decreased
Clinical narrative: 3/17/21 ER Triage note: "Pt c/o lips and and facial swelling. No sob, no problems swallowing. Onset this am. Denies pain."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Immature granulocyte percentage increased, Lip swelling, Lymphocyte count normal
Clinical narrative: 3/17/21 ER Triage note: "Pt c/o lips and and facial swelling. No sob, no problems swallowing. Onset this am. Denies pain."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal
Clinical narrative: 3/17/21 ER Triage note: "Pt c/o lips and and facial swelling. No sob, no problems swallowing. Onset this am. Denies pain."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test abnormal, Monocyte count increased, Monocyte percentage increased, Neutrophil count normal, Neutrophil percentage decreased
Clinical narrative: 3/17/21 ER Triage note: "Pt c/o lips and and facial swelling. No sob, no problems swallowing. Onset this am. Denies pain."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Protein total normal, Red blood cell count decreased, Red cell distribution width normal, Swelling face
Clinical narrative: 3/17/21 ER Triage note: "Pt c/o lips and and facial swelling. No sob, no problems swallowing. Onset this am. Denies pain."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: 3/17/21 ER Triage note: "Pt c/o lips and and facial swelling. No sob, no problems swallowing. Onset this am. Denies pain."
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Chest X-ray, Dyspnoea, Electrocardiogram normal, Feeling abnormal
Clinical narrative: Shortly after the vaccine on the drive home the injection site got super hot, the arm began to swell and turn red.  I developed a fever and my sinuses got really stuffy.  I began to throw up profusely which made all symptoms from other issues occur causing me to swell all over and because I couldnt take any meds or keep anything down I went to the ER.   While there I began wheezing and experiencing SOB which still is an issue today.  I have foggy moments where my brain seems so foggy that I am having issues with my short term memory.  I was administered IV fluids, IV morphine and IV ibuphropen to help with the symptoms and was hospitalized for less than a day further evaluation
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Injection site erythema, Injection site swelling, Injection site warmth, Nasal congestion
Clinical narrative: Shortly after the vaccine on the drive home the injection site got super hot, the arm began to swell and turn red.  I developed a fever and my sinuses got really stuffy.  I began to throw up profusely which made all symptoms from other issues occur causing me to swell all over and because I couldnt take any meds or keep anything down I went to the ER.   While there I began wheezing and experiencing SOB which still is an issue today.  I have foggy moments where my brain seems so foggy that I am having issues with my short term memory.  I was administered IV fluids, IV morphine and IV ibuphropen to help with the symptoms and was hospitalized for less than a day further evaluation
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling, Vomiting, Wheezing
Clinical narrative: Shortly after the vaccine on the drive home the injection site got super hot, the arm began to swell and turn red.  I developed a fever and my sinuses got really stuffy.  I began to throw up profusely which made all symptoms from other issues occur causing me to swell all over and because I couldnt take any meds or keep anything down I went to the ER.   While there I began wheezing and experiencing SOB which still is an issue today.  I have foggy moments where my brain seems so foggy that I am having issues with my short term memory.  I was administered IV fluids, IV morphine and IV ibuphropen to help with the symptoms and was hospitalized for less than a day further evaluation
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Hyperhidrosis, Hypotension, Syncope
Clinical narrative: Client had syncopal episode, diaphoretic, n/v assessed by Lead RN & EMS , EMStransported client  for hypotension and weakness.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: PATIENT FELT LIGHTHEADED AND DIZZY ALMOST IMMEDIATELY AFTER RECEIVING VACCINE
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Loss of consciousness, Syncope
Clinical narrative: Syncope Patient felt faint after a few minutes after receiving the vaccine. Purchased a water and sat down again. She then passed out while sitting down and fell out of her chair. Patient was unconscious for about 10 seconds before coming back. EMTs arrived on site a few minutes later, assessed the patient and escorted her out on a stretcher to the ambulance
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Pruritus
Clinical narrative: ?Covid arm.? Redness and swelling began at injection site.  Some itching. The rash is still present., swelling has gone done and rash is fading but definitely still there.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dysuria, Flushing, Injection site pain, Lacrimation increased
Clinical narrative: Patient received 2nd dose of Moderna COVID vaccine during the day.   Patient had soreness at injection site but no other symptoms.  That evening woke up with extreme thirst, drank multiple glasses of water but did not void.    The next day had tingling sensation in the face and body, then generalized flushing of the body.    Within hours patient had emesis, diarrhea, watery eyes and palpitations.   Had telehealth visit and prescribed steroids.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia, Thirst, Vomiting
Clinical narrative: Patient received 2nd dose of Moderna COVID vaccine during the day.   Patient had soreness at injection site but no other symptoms.  That evening woke up with extreme thirst, drank multiple glasses of water but did not void.    The next day had tingling sensation in the face and body, then generalized flushing of the body.    Within hours patient had emesis, diarrhea, watery eyes and palpitations.   Had telehealth visit and prescribed steroids.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: hives and itching all over
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Dyspnoea, Flushing, Heart rate increased
Clinical narrative: Tingling  up left shoulder, neck and head approximately 1 minute post injection.  Followed by flushing, nausea and trembling.  Approximately 5-7 minutes post injection experienced onset of difficulty swallowing and rapid heartbeat.  10-12 minutes post injection sensation of throat closing with some difficulty breathing, difficulty swallowing increased.   15-17 minutes post injection, paramedics arrived.  Blood pressure was 169/113.  Dizzy upon standing.  20 minutes post injection paramedics administered 50mg Benadryl  due to difficulty swallowing and sensation of throat closing however it wasn?t worsening.  Paramedic asked me to rate the swallowing difficulty (1-10) which was a 5-6 but never exceeded that.  Transported to Emergency Room.