chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Distractibility, Disturbance in attention, Fatigue, Feeling abnormal, Hyperacusis
Clinical narrative: Consumer comes in after reported increase in manic symptoms following recent Covid vaccination (received first dose of the Moderna COVID vaccine at pharmacy, at 940 am, on 4-21-21, second injection is scheduled 5-19-21). Consumer reports 2 hours after vaccine ?I felt sick and had to get in bed the rest of the day." She reports she felt sick for 3 days but with no fever, for 5-7 days following the injection she felt drained and tired ?like in a total haze." She reports it took about a week for her to feel physically better. She reports on 4-23-21 when she went to lunch with a friend, she noticed manic symptoms. She reports symptoms of rapid thoughts, confusion, early morning awakening, poor sleep, broken sleep with vivid dreams, 7 - 8 hours total sleep but wakes 2 - 3 times at night, overeating, challenges with her mood, increase in feeling of mania, "lethargic", confusion, poor concentration, fatigue, "drained energy", noise sensitivity, distractibility, and "other people?s conversations bother me."
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Irritability, Lethargy, Malaise, Mania, Manic symptom
Clinical narrative: Consumer comes in after reported increase in manic symptoms following recent Covid vaccination (received first dose of the Moderna COVID vaccine at pharmacy, at 940 am, on 4-21-21, second injection is scheduled 5-19-21). Consumer reports 2 hours after vaccine ?I felt sick and had to get in bed the rest of the day." She reports she felt sick for 3 days but with no fever, for 5-7 days following the injection she felt drained and tired ?like in a total haze." She reports it took about a week for her to feel physically better. She reports on 4-23-21 when she went to lunch with a friend, she noticed manic symptoms. She reports symptoms of rapid thoughts, confusion, early morning awakening, poor sleep, broken sleep with vivid dreams, 7 - 8 hours total sleep but wakes 2 - 3 times at night, overeating, challenges with her mood, increase in feeling of mania, "lethargic", confusion, poor concentration, fatigue, "drained energy", noise sensitivity, distractibility, and "other people?s conversations bother me."
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Mood swings, Poor quality sleep, Sleep disorder, Tachyphrenia, Terminal insomnia
Clinical narrative: Consumer comes in after reported increase in manic symptoms following recent Covid vaccination (received first dose of the Moderna COVID vaccine at pharmacy, at 940 am, on 4-21-21, second injection is scheduled 5-19-21). Consumer reports 2 hours after vaccine ?I felt sick and had to get in bed the rest of the day." She reports she felt sick for 3 days but with no fever, for 5-7 days following the injection she felt drained and tired ?like in a total haze." She reports it took about a week for her to feel physically better. She reports on 4-23-21 when she went to lunch with a friend, she noticed manic symptoms. She reports symptoms of rapid thoughts, confusion, early morning awakening, poor sleep, broken sleep with vivid dreams, 7 - 8 hours total sleep but wakes 2 - 3 times at night, overeating, challenges with her mood, increase in feeling of mania, "lethargic", confusion, poor concentration, fatigue, "drained energy", noise sensitivity, distractibility, and "other people?s conversations bother me."
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscle spasms, Myalgia, Nausea
Clinical narrative: Severe headache, muscle aches, muscles spasms, mild nausea
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had appointment for 2nd dose covid 19 vaccine today (5/5/2021). Patient was vaccinated without issue, however, post vaccination, allegedly patient disclosed that she received antibody therapy for covid 19 during hospitalization on 3/31/2021.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Myalgia, Neck pain, Sleep disorder
Clinical narrative: After the vaccine I had the normal response of muscle aches, headache, fatigue, etc for a couple days.  Then on 04/02/21 sitting at my desk at work I had a sharp stabbing/throbbing pain in the back of my head about two inches up from my neck and two inches behind my ear.  I have had this excruciating pain about 5 more times and my neck and back of my head are staying sore.  This pain wakes me from my sleep.  It happens for about 10 seconds then my neck and head are sore.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Neck pain, Pain
Clinical narrative: After the vaccine I had the normal response of muscle aches, headache, fatigue, etc for a couple days.  Then on 04/02/21 sitting at my desk at work I had a sharp stabbing/throbbing pain in the back of my head about two inches up from my neck and two inches behind my ear.  I have had this excruciating pain about 5 more times and my neck and back of my head are staying sore.  This pain wakes me from my sleep.  It happens for about 10 seconds then my neck and head are sore.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: Had the single dose Jansen in the left arm in muscle. A couple of weeks later  hair top of head fell out. Now balding
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Large swollen area on shoulder surrounding injection site (about 5cm wide, 8 cm high) with redness in an arc near the bottom (closer to the elbow). No pain or itching. Seems to be fading now, 2 days later.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Condition aggravated, Dyspnoea, Pulmonary embolism
Clinical narrative: As pt's PCP office, we became aware that pt was admitted to hospital on 5/3/21 with dx of pulmonary embolism. Per admission note, pt reporting increased shortness of breath x 4 days prior to his admission date. Also noted to have received J&J vaccine on 4/29/21. Pt still currently admitted to the hospital and undergoing treatment for PE.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, Renal pain, Transient ischaemic attack
Clinical narrative: Mini Stroke, atrial flutter & moderate kidney pain
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Pain
Clinical narrative: What I can remember is that experienced  an aching sensation to my low back, also had body aches and headaches in the afternoon of my first dose Moderna vaccine. I do not remember which arm I received my vaccine. These symptoms have resolved now.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Myalgia, Nausea
Clinical narrative: Cough Fatigue chills, muscle/body aches nausea  Finish Valtrex   Tylenol prn   Inc fluids / plenty of rest    Netti pot   Check COVID PCR   Rx:  Doxycycline
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test
Clinical narrative: Cough Fatigue chills, muscle/body aches nausea  Finish Valtrex   Tylenol prn   Inc fluids / plenty of rest    Netti pot   Check COVID PCR   Rx:  Doxycycline
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Insomnia, Pain, Pyrexia, Tremor
Clinical narrative: Chills, fever, body aches, tremors, sleeplessness
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Injection site swelling
Clinical narrative: Fever (101.3 F), chills, headache, tiredness, injection site pain, injection site swelling. Lasted for approximately 12 hours.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever (101.3 F), chills, headache, tiredness, injection site pain, injection site swelling. Lasted for approximately 12 hours.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia
Clinical narrative: Lost memory
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: preprocedure screening for COVID was positive patient asymptomatic
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Headache, Immune system disorder, Inflammation, Insomnia
Clinical narrative: Shortly after receiving first shot I began to have tinnitus on March 28th.   This has stayed consistent with 24/7 ringing at varying volumes.  After my 2nd dose on April 14th, the  tinnitus became more intense and has not stopped.  Volumes are 9+.  I cannot sleep and I have headaches.  On May 3rd, 2021, I have had one IV therapy of medical grade cocktail of Dexamethasone, Toradol and Benadryl.  I felt some relief after 12 hours, however, the ringing was still present at a 3-4 volume and returned back to 7-8 when going to bed.   I'm taking Claritin D 2 25mg's in am and 1 Benadryl at night.  I'm also taking supplements that support immune system and inflammation.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Shortly after receiving first shot I began to have tinnitus on March 28th.   This has stayed consistent with 24/7 ringing at varying volumes.  After my 2nd dose on April 14th, the  tinnitus became more intense and has not stopped.  Volumes are 9+.  I cannot sleep and I have headaches.  On May 3rd, 2021, I have had one IV therapy of medical grade cocktail of Dexamethasone, Toradol and Benadryl.  I felt some relief after 12 hours, however, the ringing was still present at a 3-4 volume and returned back to 7-8 when going to bed.   I'm taking Claritin D 2 25mg's in am and 1 Benadryl at night.  I'm also taking supplements that support immune system and inflammation.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: It looks like a 3rd dose of Moderna was given to the patient. 1st dose listed - 1/27/21. 2nd dose listed - 2/24/21. 3rd dose given 4/13/21.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Laboratory test
Clinical narrative: Left upper limb cellulitis documented by the physician at Radius Healthcare - given 2 shots and treated with Cephalaxin 500mgQID  -7days
Age: 12.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Anal incontinence, Dizziness, Immediate post-injection reaction, Nausea, Pallor
Clinical narrative: Right after the injection, patient's face became pale, started to have nausea, dizziness, tried to vomit about 10 minutes, did not threw out anything. Then patient urged to have bowel movement, almost incontinent, hurried to went to bathroom with her mother and nurse's assistance. Patient had a big bowl movement, regular stool, no diarrhea. Then patient back to the clinic room, stated felt better, and observed 5 more minutes, patient face pale not sever, patient was back. The total time was about 25 minutes.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Pt. stated, "I developed a headache 1 minute after getting vaccinated."  Vital signs taken: BP 125/76, HR80, O2Sat 100%.  At 12:47pm pt. stated, "Headache is going away, I can go home now." At 12:57 pm pt. went home.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Chest pain, Dyspnoea, Full blood count, Influenza like illness
Clinical narrative: Patient developed adverse reaction like fever, flu like symptoms and rashes on the first day post vaccine second dose (05/01/2021) and then she went to ER morning of 05/04/2021 at about 1 am due to chest pain and SOB
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lipase, Metabolic function test, Prothrombin time, Pyrexia, Rash
Clinical narrative: Patient developed adverse reaction like fever, flu like symptoms and rashes on the first day post vaccine second dose (05/01/2021) and then she went to ER morning of 05/04/2021 at about 1 am due to chest pain and SOB
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Fatigue, Pyrexia
Clinical narrative: Fatigue, chills, cold sweats. Low grade fever. Lasted around 15 hours
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site swelling, Myalgia, Sleep disorder
Clinical narrative: From about a week from the injection I experienced elbow joint pain and swelling at the site. since the second week I have been experiencing muscle and joint pain in my right arm that makes it very hard to get a good night's sleep. In addition to a nagging muscle pain in my upper right arm. It also seems to have increased the arthritis pain in my right hand. The muscle pain in right arm has become chronic. I'd hoped it would go away with time but it appears to be getting slowly worse.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Tinnitus, Urticaria
Clinical narrative: Developed tinnitus in my right ear that has not gone away. Onset of that condition happened around April 26-27. I do not normally have this condition. Also, received allergy shots in each arm since my vaccination, and both have resulted in large welt and subsequent bruising which has not occurred in the past year of having the same injections.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site rash, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Patient received the first does of the moderna vaccine on 4/20/21. She had some bruising at the injection site. Her arm started developing a rash that increased over time. On 5/5/21, patients left arm is swollen from 2 inches abouve injection site to her elbow, warm to the touch, rash present, patient states her arm is painful, bruising still present at injection site. Patient is being seen by provider on 5/5/21 to assess reaction.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient received the first does of the moderna vaccine on 4/20/21. She had some bruising at the injection site. Her arm started developing a rash that increased over time. On 5/5/21, patients left arm is swollen from 2 inches abouve injection site to her elbow, warm to the touch, rash present, patient states her arm is painful, bruising still present at injection site. Patient is being seen by provider on 5/5/21 to assess reaction.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administered 0.5 mL of vaccine, not 0.3 mL
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID 19 TEST AFTER VACCINATION
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Chest X-ray normal, Electrocardiogram normal, Myocarditis, Troponin increased
Clinical narrative: Myocarditis
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Oligomenorrhoea
Clinical narrative: I have had my menstrual cycle 3 times since getting both doses. I have not had a period since October prior to this. They are heavy, painful and long lasting.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: 5min after leaving facility , pt felt lightheaded and dizzy.  Returned to entrance door and vitals signs checked by Paramedics (all normal) Observed and questioned for 15 min and started ambulating with no further symptoms. ambulated for 15 min and discharged to home
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID test that was done for pre-procedure prep, no symptoms
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested PCR positive for COVID-19 on 5/4/2021 after being fully vaccinated with Pfizer COVID vaccine. She was tested pre-procedure, is asymptomatic and had no known exposure.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Ultrasound scan, Vasculitis
Clinical narrative: Acute Vasculitis of lower extremities (foot/ankle/shin/calf), steroids and antibiotics, outcome uncertain.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Blood lactic acid, Brain natriuretic peptide increased, COVID-19, Cardiomyopathy
Clinical narrative: Patient had a clinical illness consistent with MIS-C after the vaccine but also had confirmed COVID infection.  Hospitalized in ICU with high fever, rash, cardiomyopathy (myocarditis), renal failure requiring steroids and IVIG.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Ejection fraction decreased, Immunoglobulin therapy, Intensive care, Lung infiltration
Clinical narrative: Patient had a clinical illness consistent with MIS-C after the vaccine but also had confirmed COVID infection.  Hospitalized in ICU with high fever, rash, cardiomyopathy (myocarditis), renal failure requiring steroids and IVIG.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Multisystem inflammatory syndrome in children, Pyrexia, Renal failure, Troponin, White blood cell count increased
Clinical narrative: Patient had a clinical illness consistent with MIS-C after the vaccine but also had confirmed COVID infection.  Hospitalized in ICU with high fever, rash, cardiomyopathy (myocarditis), renal failure requiring steroids and IVIG.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase, Aspartate aminotransferase, Blood creatinine, Blood culture, Blood fibrinogen
Clinical narrative: Patient had a clinical illness consistent with MIS-C after the vaccine but also had confirmed COVID infection.  Hospitalized in ICU with high fever, rash, cardiomyopathy (myocarditis), renal failure requiring steroids and IVIG.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactate dehydrogenase, Blood pressure measurement, Body mass index, Body temperature, Brain natriuretic peptide
Clinical narrative: Patient had a clinical illness consistent with MIS-C after the vaccine but also had confirmed COVID infection.  Hospitalized in ICU with high fever, rash, cardiomyopathy (myocarditis), renal failure requiring steroids and IVIG.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein, COVID-19, Chest scan, Culture urine, Drug ineffective
Clinical narrative: Patient had a clinical illness consistent with MIS-C after the vaccine but also had confirmed COVID infection.  Hospitalized in ICU with high fever, rash, cardiomyopathy (myocarditis), renal failure requiring steroids and IVIG.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Ejection fraction, Fibrin D dimer, Heart rate, Immune reconstitution inflammatory syndrome
Clinical narrative: Patient had a clinical illness consistent with MIS-C after the vaccine but also had confirmed COVID infection.  Hospitalized in ICU with high fever, rash, cardiomyopathy (myocarditis), renal failure requiring steroids and IVIG.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Investigation, Lymphocyte count, Neutrophil count, Oxygen saturation, Platelet count
Clinical narrative: Patient had a clinical illness consistent with MIS-C after the vaccine but also had confirmed COVID infection.  Hospitalized in ICU with high fever, rash, cardiomyopathy (myocarditis), renal failure requiring steroids and IVIG.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin, Respiratory rate, SARS-CoV-2 test, Serum ferritin, Troponin
Clinical narrative: Patient had a clinical illness consistent with MIS-C after the vaccine but also had confirmed COVID infection.  Hospitalized in ICU with high fever, rash, cardiomyopathy (myocarditis), renal failure requiring steroids and IVIG.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: States she tested positive for COVID 19 at Health Clinic and was quite symptomatic in October 2020.  Vaccinated with Moderna vaccine on Feb 3, 2021 and March 3, 2021.  Currently asymptomatic.  Tested positive on 5/3/2021 before a scheduled procedure.  Tested by a real time PCR assay run on the Hologic Panther for the qualitative detection of SARS CoV 2 virus
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Erythema, Skin warm, Swelling, Swelling face
Clinical narrative: Swelling in face and neck, Redness in face and neck, Ears warm, Deepening of voice,. I noticed the symptoms half an hour after the shot, and cleared up with 3 hours.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Cough, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test
Clinical narrative: Nasal congestion sore throat loss of taste cough
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Patient stated she was feeling "woozy," lightheaded, and dizzy a little while after receiving her COVID vaccination. Patient was given a cold wet cloth and ice pack to place on head/neck, as well as some water. Patient stated she had not eaten so it could have been because of that and consumed 2 Chewy Granola Bars. Patient said she had a slight headache as well. After approximately 60 minutes patient felt well again and left.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein normal, Full blood count normal, Polymyalgia rheumatica, Red blood cell sedimentation rate normal
Clinical narrative: PMR symptoms
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: It looks like the patient received a 3rd dose of Moderna and it was 11 days after the 2nd dose. 1st dose listed - 2/26/21. 2nd dose listed - 3/25/21. 3rd dose given 4/5/21.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Menstrual disorder, Menstruation irregular, Pain in extremity
Clinical narrative: Started my period 2 weeks early; skipped a fertility cycle; headache; sore arm
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash, Urticaria
Clinical narrative: Outbreak of rash/red welts and red/heat in the ears all over. Torso, scalp, arms, feet. This had occurred 3 times total every 3 -4  weeks since the first shot.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Herpes zoster, Lethargy, Paraesthesia, Rash
Clinical narrative: (I received Moderna COVID-19 Vaccine EUA.)      About 4 days after my Covid vaccination (April 24, 2021),  my right leg & buttock  began to tingle & burn. I started feeling lethargic & developed a rash - which worsened. On May 3, 2021, I went to Urgent Care & was diagnosed with Shingles.  I am still suffering with this condition.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Patient presented for first dose Pfizer COVID vaccine; vaccine administered at 1315.  At approximately 1330, patient reported 7/10 chest pain associated with shortness of breath, stated symptoms unlike previous chest pain episodes. Patient transported from vaccine clinic to private room via wheelchair, EMS called at 1335. Upon EMS arrival at 1342, patient reported chest pain had decreased to 1/10, still reported shortness of breath. Patient transferred from wheelchair to EMS stretcher, transferred to ED via EMS.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased embryo viability, Exposure during pregnancy, Ultrasound scan abnormal, Uterine dilation and curettage
Clinical narrative: I took a home pregnancy test on 3/25/2021 and it was positive, I had bloodwork done that following week to monitor that my HCG was rising appropriate to make sure it was a viable pregnancy. I received my 1st Covid vaccine before I knew I was pregnant. I received my 2nd dose on 4/10/2021, I was 5w2d pregnant. I saw my doctor on 4/12/21, ths doctor only saw a gestational and yolk sac on the Ultrasound. No signs of a fetal pole or embryo developing. I had a repeat ultrasound on 4/22, again only a gestational sac and yolk sac was visible. No signs of embryo development or fetal pole. I was told the pregnancy was not viable and was scheduled for a D&C on 4/26/2021. I do not know if the vaccines caused this but my OB states there is simply not enough data out there to say yes or no right now.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Chills, Injection site bruising, Injection site pain, Malaise
Clinical narrative: Significant bruising and pain at injection site, chills, bloating, malaise
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID 19 TEST AFTER VACCINATION
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: Swollen lymph nodes, fatigue, fever, aches, dizziness, sore arm
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Swollen lymph nodes, fatigue, fever, aches, dizziness, sore arm
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoaesthesia, Pyrexia
Clinical narrative: fever, sweating, neck down couldnt feel anything
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Rash
Clinical narrative: Swollen/painful lymph node in left groin - started day 3 (4/16), lasted 10 days, still 10% swollen/no pain as of day 22 (5/5). Rash (mild/light pink) around left groin lymph node, creates a semi-circle perimeter 4 inch radius from lymph node - started day 10 (4/23), still persists as of day 22 (5/5)
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Rash, Skin warm
Clinical narrative: Swollen/painful lymph node in left groin - started day 3 (4/16), lasted 10 days, still 10% swollen/no pain as of day 22 (5/5). Rash (mild/light pink) around left groin lymph node, creates a semi-circle perimeter 4 inch radius from lymph node - started day 10 (4/23), still persists as of day 22 (5/5)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: pt currently has Covid 19
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Guillain-Barre syndrome
Clinical narrative: Increased weakness - Guillain-Barre Syndrome
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Electrocardiogram normal, Hyperhidrosis, Malaise, Pain in extremity
Clinical narrative: Having lunch on  04/29/21, around 11:30 am. Talking with co-worker started noticing by vision went blurry. My hands & feet started tingling. I turned very pale in facial color. Had co worker call 911, paramedics to me to ER. All my vitals showed normal, ekg, blood work, platlet count all good !! Went home and over next few days felt a little off, made regular doctor appt. follow up. Doctor said all my vitals look normal. Not sure what the cause is, had a ultra sound done of my left leg pain also. Showed no blood clots. Waiting for a heart monitor appt.   On 05/03/21 woke up at 3 am  drenched in sweat.  Still feel a little off, for no reason  . At times I feel like I might pass out.  Had epilepsy as a you child. But out grew with medications. No seizures in 40 years.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Paraesthesia, Ultrasound scan normal, Vision blurred
Clinical narrative: Having lunch on  04/29/21, around 11:30 am. Talking with co-worker started noticing by vision went blurry. My hands & feet started tingling. I turned very pale in facial color. Had co worker call 911, paramedics to me to ER. All my vitals showed normal, ekg, blood work, platlet count all good !! Went home and over next few days felt a little off, made regular doctor appt. follow up. Doctor said all my vitals look normal. Not sure what the cause is, had a ultra sound done of my left leg pain also. Showed no blood clots. Waiting for a heart monitor appt.   On 05/03/21 woke up at 3 am  drenched in sweat.  Still feel a little off, for no reason  . At times I feel like I might pass out.  Had epilepsy as a you child. But out grew with medications. No seizures in 40 years.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Fatigue, Headache, Lymphadenopathy
Clinical narrative: Left arm extremely sore, full body aches, joint pain all over, nausea, fever, headache, extreme fatigue. Lasting 36 plus hours. Left arm still extremely painful 3 days later. About 24 hours later I also noticed a very sore left armpit and sort of lump., probably a lymph node..still sore 48 plus hours later.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: Left arm extremely sore, full body aches, joint pain all over, nausea, fever, headache, extreme fatigue. Lasting 36 plus hours. Left arm still extremely painful 3 days later. About 24 hours later I also noticed a very sore left armpit and sort of lump., probably a lymph node..still sore 48 plus hours later.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Facial discomfort, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: syncope episode, did not pass out, pale,sweating,visual changes-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: vaccine 2:40pm, CC@ 2:55pm, sweating, visual changes, sweating, feeling of going to pass out, cold compress, vitals BP 93/55 pulse 81. slight tingling feeling in hands, pale, laid on floor/feet elevated, monitored and after 30+ additional minutes felt better,sipped some water& walked out of store, advise lots of water/rest/come back or ER if further issues
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Pallor, Paraesthesia, Syncope, Tremor
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: syncope episode, did not pass out, pale,sweating,visual changes-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: vaccine 2:40pm, CC@ 2:55pm, sweating, visual changes, sweating, feeling of going to pass out, cold compress, vitals BP 93/55 pulse 81. slight tingling feeling in hands, pale, laid on floor/feet elevated, monitored and after 30+ additional minutes felt better,sipped some water& walked out of store, advise lots of water/rest/come back or ER if further issues
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: syncope episode, did not pass out, pale,sweating,visual changes-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: vaccine 2:40pm, CC@ 2:55pm, sweating, visual changes, sweating, feeling of going to pass out, cold compress, vitals BP 93/55 pulse 81. slight tingling feeling in hands, pale, laid on floor/feet elevated, monitored and after 30+ additional minutes felt better,sipped some water& walked out of store, advise lots of water/rest/come back or ER if further issues
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cellulitis, Condition aggravated, Groin infection, Incisional drainage
Clinical narrative: The patient was admitted to the hospital by the Vascular surgery service for right groin infection with wound dehiscence, and cellulitis. He will be treated with incision, drainage and antibiotics. He has a positive COVID-19 CR today as an incidental finding.  The patient had COVID-19 in December 2020 ? positive test 12/22/20. He subsequently tested negative and returned to his nursing facility. The patient was vaccinated 1/26/21 and 2/16/21. The patient did not require any COVID-19 treatments. The patient had to stay in the hospital longer than needed because he could not be discharged back to nursing home.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Wound dehiscence
Clinical narrative: The patient was admitted to the hospital by the Vascular surgery service for right groin infection with wound dehiscence, and cellulitis. He will be treated with incision, drainage and antibiotics. He has a positive COVID-19 CR today as an incidental finding.  The patient had COVID-19 in December 2020 ? positive test 12/22/20. He subsequently tested negative and returned to his nursing facility. The patient was vaccinated 1/26/21 and 2/16/21. The patient did not require any COVID-19 treatments. The patient had to stay in the hospital longer than needed because he could not be discharged back to nursing home.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Chills, fever, headache, body aches and nausea
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Pharyngeal hypoaesthesia
Clinical narrative: Throat and tongue went numb minutes after injection.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever up to 103.5
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen lymph node under left arm. Slight pain and swelling there.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Pain, Sneezing
Clinical narrative: Fatigue, pain at vaccination site and underarm, and headache 3-4 hours after injection. Extreme fatigue and some body ache 24 hours after vaccination. Sneezing and fatigue as of now (86 hours after vaccination)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest X-ray, Chills, Differential white blood cell count, Electrocardiogram
Clinical narrative: tachycardia, elevated blood pressure, malaise, fatigue, headache, chills, warm injection site with swelling. Tachycardia and elevated BP necessitated ER visit for ECG, CBC w/diff, and chest xrays.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Headache, Injection site swelling, Injection site warmth
Clinical narrative: tachycardia, elevated blood pressure, malaise, fatigue, headache, chills, warm injection site with swelling. Tachycardia and elevated BP necessitated ER visit for ECG, CBC w/diff, and chest xrays.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Tachycardia
Clinical narrative: tachycardia, elevated blood pressure, malaise, fatigue, headache, chills, warm injection site with swelling. Tachycardia and elevated BP necessitated ER visit for ECG, CBC w/diff, and chest xrays.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral infarction, Cerebral small vessel ischaemic disease, Cerebrovascular accident, Magnetic resonance imaging head abnormal
Clinical narrative: Patient was immunized with the second Moderna vaccine in the left arm (not in this clinic) on 04/16/21.  ON 04/27/21 she suffered a CVA.  She is now being treated with statin and plavix
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Fatigue, Pain in extremity
Clinical narrative: Achiness in legs, fatigue, some chills and cold sweats. It's about the same intensity as the first shot.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Glassy eyes, Hyperhidrosis, Slow speech, Somnolence
Clinical narrative: 27yo male vaccinated with Janssen covid vaccine. Within minutes of standing up from vaccination in the vaccine booth, stated he was dizzy. I sat him down immediately, he was having trouble staying awake eyes glossing over, speech very slow. I turned to push the door open into the main pharmacy to call for help and have them dial 911, grabbed epinephrine and ammonia salts as well. When I turned back he had slumped in his chair. As I took the step back towards him, he spontaneously started to sit up and speak. Was diaphoretic, still slow speech eyes glossy. I supported him as best I could. His HR was 42, i lifted his legs up unto to a chair in quazi trandelenburg position. He stated that made him feel alot better. I stayed with him until EMTS arrived. He got himself onto they stretcher and they took him out of the store.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: 27yo male vaccinated with Janssen covid vaccine. Within minutes of standing up from vaccination in the vaccine booth, stated he was dizzy. I sat him down immediately, he was having trouble staying awake eyes glossing over, speech very slow. I turned to push the door open into the main pharmacy to call for help and have them dial 911, grabbed epinephrine and ammonia salts as well. When I turned back he had slumped in his chair. As I took the step back towards him, he spontaneously started to sit up and speak. Was diaphoretic, still slow speech eyes glossy. I supported him as best I could. His HR was 42, i lifted his legs up unto to a chair in quazi trandelenburg position. He stated that made him feel alot better. I stayed with him until EMTS arrived. He got himself onto they stretcher and they took him out of the store.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Diplopia, Eyelid disorder, Lacrimation increased, Ophthalmological examination normal
Clinical narrative: Onset of drooping right eyelid and watery eyes, and blurred double vision. Ongoing impaired vision.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Onset of drooping right eyelid and watery eyes, and blurred double vision. Ongoing impaired vision.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Gait disturbance, Joint swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Extreme pain in heels of both feet within 24hr of vaccine injection.  Difficulty walking and standing. Constant pain in both feet during daytime and nighttime.  Particularly acute pain in morning after sleep.  After 1-2 weeks, pain remained in heels of both feet, but also migrated into lower ankles.  Swelling was present from the beginning of the episode, but increased over time.  Pain and swelling abated 3 weeks after first vaccine dose for about a week.  Second vaccine dose occurred 3-29-21 and pain/swelling returned.  Pain in heels was still present at this time, but majority of pain migrated to ankles and achilles regions.  Swelling increased by week 5 to become obvious Edema.  Acupuncture did not help.  Stretching did not help.  Rest and elevating feet did not help.  Magnesium supplement may have helped relieve pain, but I am unsure. Compression sock did not help. Ibuprofen did relieve pain but not swelling.  By week 9, no relief from symptoms.  Podiatrist x-rayed affected areas and found no structural issues, but was concerned with Edema.  Administered steroid dosepack for 6 days.  Symptoms immediately abated.  No symptoms as of today.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan normal, X-ray limb normal
Clinical narrative: Extreme pain in heels of both feet within 24hr of vaccine injection.  Difficulty walking and standing. Constant pain in both feet during daytime and nighttime.  Particularly acute pain in morning after sleep.  After 1-2 weeks, pain remained in heels of both feet, but also migrated into lower ankles.  Swelling was present from the beginning of the episode, but increased over time.  Pain and swelling abated 3 weeks after first vaccine dose for about a week.  Second vaccine dose occurred 3-29-21 and pain/swelling returned.  Pain in heels was still present at this time, but majority of pain migrated to ankles and achilles regions.  Swelling increased by week 5 to become obvious Edema.  Acupuncture did not help.  Stretching did not help.  Rest and elevating feet did not help.  Magnesium supplement may have helped relieve pain, but I am unsure. Compression sock did not help. Ibuprofen did relieve pain but not swelling.  By week 9, no relief from symptoms.  Podiatrist x-rayed affected areas and found no structural issues, but was concerned with Edema.  Administered steroid dosepack for 6 days.  Symptoms immediately abated.  No symptoms as of today.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Pyrexia
Clinical narrative: Patient stated that approximately 6 hours after receiving vaccination she became dizzy, developed a high fever, and was sweating. She then proceeded to pass out.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: The evening after receiving my shot I felt my heartbeat was accelerated abnormally while not exerting myself in any physical activity. I was laying in bed reading. I didn't report it until now because I just got around to reading the information handed out to me at the vaccination site describing the side affects that I could potentially feel. At the time it happened I thought it was a normal side effect but on the information hand out it says that a fast heartbeat is a severe allergic reaction so I figured I would report it. It has since gone away and was only noticeable the evening of the same day I got the vaccine. Otherwise, I feel fine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Oropharyngeal pain, Pain
Clinical narrative: Headache, sore throat, fever, body aches and chills, diarrhea
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, sore throat, fever, body aches and chills, diarrhea
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: The evening after shot I started feeling body aches, then chills.  I alternated being having chills and then sweating.  I alternated taking Tylenol and Ibuprofen for symptoms.  Body aches particularly my back and legs increased.  The next day, I was very fatigued, still had body aches, also headache.  I didn't have energy to get out of bed.  Also, didn't have an appetite. The next day I had same symptoms, but felt slightly better that evening.  The following day I felt quite a bit better, but it took about 4 days for me to feel back to normal.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pain
Clinical narrative: The evening after shot I started feeling body aches, then chills.  I alternated being having chills and then sweating.  I alternated taking Tylenol and Ibuprofen for symptoms.  Body aches particularly my back and legs increased.  The next day, I was very fatigued, still had body aches, also headache.  I didn't have energy to get out of bed.  Also, didn't have an appetite. The next day I had same symptoms, but felt slightly better that evening.  The following day I felt quite a bit better, but it took about 4 days for me to feel back to normal.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Electrocardiogram normal, Headache, Heart rate irregular, Pyrexia
Clinical narrative: He got the vaccine, at first for about 6 hours he felt okay, did not feel anything, felt fine.  Then that day he started getting a headache, feverish, took Tylenol and felt better.  The next day he noticed his heart rate would not go down, it will not go down below 100, will shoot up to 130.  He went to the ER and at one point went to 150.  They prescribed him some medicine to lower his blood pressure and he has been taking that and it has not been helping.  He also went to his doctor and told him that it was probably anxiety, and his heart rate will still not go down.  He has not had any other reactions other than this and he's scared.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal, X-ray normal
Clinical narrative: He got the vaccine, at first for about 6 hours he felt okay, did not feel anything, felt fine.  Then that day he started getting a headache, feverish, took Tylenol and felt better.  The next day he noticed his heart rate would not go down, it will not go down below 100, will shoot up to 130.  He went to the ER and at one point went to 150.  They prescribed him some medicine to lower his blood pressure and he has been taking that and it has not been helping.  He also went to his doctor and told him that it was probably anxiety, and his heart rate will still not go down.  He has not had any other reactions other than this and he's scared.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Migraine, Nausea, Skin warm
Clinical narrative: The day after I began to feel so dizzy that I could not walk properly. My skin all over my body was red and hot to the touch. I had nausea symptoms and a migraine.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Hypoaesthesia, Paraesthesia
Clinical narrative: I was having dinner and suddenly felt a strong numb/tingling sensation with a slight pain in the little toe at my left foot, as well as the bone connected to the toe.  I tried stretching my toes for a while and gradually the sensation went away.  However, when I remove my socks later in the evening, I noticed that symptom area is severely bruised, even though I never experience any external injury.  Not sure if it's blood clot or blood vessel bursting.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Less than 1 day after, started with welts.   Progressed in size and numbers.  Still getting more today, 7 d later. Largest welt on arm is about 10 x 6 cm.  A second is about 5x4 cm. Several smaller ones.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abortion spontaneous, Blood test, Blood urine, Exposure during pregnancy
Clinical narrative: After the vaccine, I began to have fever and body ache for a couple of days. The next week, 04/20/2021 I began to have abdominal pain and blood in my urine. I went to the doctor. The diagnosis was that I was having a miscarriage. I was supposed to have 7 weeks of pregnancy. The embryo appeared to have about 5 weeks. It appears that after the vaccine the embryo stop developing. On 04/21/2021 the miscarriage took place without any medication taken to accelerate the process.  Before my schedule second dose for the vaccine, I called the clinic and asked for a doctor appt. I wanted to talk to a doctor regarding my early pregnancy stage and the upcoming vaccine. At first I was denied. Then after a struggle I was provided with a lab test to confirm my pregnancy. On 04/12/2021 in the morning, I called the clinic to speak with a doctor and ask his/her opinion about the vaccine and my early pregnancy. After an struggle, the receptionist told me that the nurse who had the results of my pregnancy was busy. She would call me later on the date. That been pregnant or not, the vaccine was secure. I asked that I wanted to have a talk so I can make my decision. But the receptionist repeated the same. And after I said thank you but the phone was cut. That is when I decided not to miss my vaccine appt.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: After the vaccine, I began to have fever and body ache for a couple of days. The next week, 04/20/2021 I began to have abdominal pain and blood in my urine. I went to the doctor. The diagnosis was that I was having a miscarriage. I was supposed to have 7 weeks of pregnancy. The embryo appeared to have about 5 weeks. It appears that after the vaccine the embryo stop developing. On 04/21/2021 the miscarriage took place without any medication taken to accelerate the process.  Before my schedule second dose for the vaccine, I called the clinic and asked for a doctor appt. I wanted to talk to a doctor regarding my early pregnancy stage and the upcoming vaccine. At first I was denied. Then after a struggle I was provided with a lab test to confirm my pregnancy. On 04/12/2021 in the morning, I called the clinic to speak with a doctor and ask his/her opinion about the vaccine and my early pregnancy. After an struggle, the receptionist told me that the nurse who had the results of my pregnancy was busy. She would call me later on the date. That been pregnant or not, the vaccine was secure. I asked that I wanted to have a talk so I can make my decision. But the receptionist repeated the same. And after I said thank you but the phone was cut. That is when I decided not to miss my vaccine appt.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone increased, Electrocardiogram, Laboratory test, Syncope
Clinical narrative: Vasovagal syncope
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Injection site urticaria, Urticaria
Clinical narrative: Pt developed hives about 2 hours after receiving the vaccine at vaccine injection site, then spread up arm and to chest and last 1 week; face and ears also got hot and red
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Nausea, Palpitations
Clinical narrative: Reports 3 days after vaccine, developed sweating, palpitations, nausea and headache. Was hospitalized x 2 days 2/8/21-2/10/21. Currently under treatment with PCP, MD and, NP.