chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Blood test, Computerised tomogram, Condition aggravated, Magnetic resonance imaging
Clinical narrative: A couple of days after my first shot on April 9th, I was sitting at my kitchen counter at home.  My ears started ringing so loud that I yelled at my husband to turn the TV down.  He came to where I was sitting and told me the TV was not on.  I got my second shot on May 7th.  Since that time the ringing has been continuous in both ears.  It has not stopped.  I have seen my ENT 3 times.  I have been to an Audiologist specializing in tinnitus 2 tiems.   I go to an acupuncture doctor.  I go see a chiropractor.  I take supplements now.  I quit eating anything with gluten.  I have almost completely stopped eating meat.  I bought $400.00 ear buds that did not help.  Not one doctor has helped. It is horrible.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: A couple of days after my first shot on April 9th, I was sitting at my kitchen counter at home.  My ears started ringing so loud that I yelled at my husband to turn the TV down.  He came to where I was sitting and told me the TV was not on.  I got my second shot on May 7th.  Since that time the ringing has been continuous in both ears.  It has not stopped.  I have seen my ENT 3 times.  I have been to an Audiologist specializing in tinnitus 2 tiems.   I go to an acupuncture doctor.  I go see a chiropractor.  I take supplements now.  I quit eating anything with gluten.  I have almost completely stopped eating meat.  I bought $400.00 ear buds that did not help.  Not one doctor has helped. It is horrible.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling of eyelid
Clinical narrative: swelling of lower eyelid.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eye swelling
Clinical narrative: swelling of lower eyelid.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test abnormal, Diarrhoea, Fatigue, Inflammation
Clinical narrative: Poly Myalgia Rumatica: an auto-immune disease, very painful shoulders, painful hips, tired.  Also, diarrhea with may be microscopic colitis, but it was not able to be confirmed, but also cleared up with the prednisone.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Polymyalgia rheumatica
Clinical narrative: Poly Myalgia Rumatica: an auto-immune disease, very painful shoulders, painful hips, tired.  Also, diarrhea with may be microscopic colitis, but it was not able to be confirmed, but also cleared up with the prednisone.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral abnormal, Cerebral disorder, Cerebral venous sinus thrombosis, Computerised tomogram head abnormal
Clinical narrative: Cerebral venous sinus thrombosis
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral venous sinus thrombosis, Disturbance in attention, Nausea
Clinical narrative: Cerebral venous sinus thrombosis
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular discomfort, Rash, Swelling of eyelid, Vitreous floaters
Clinical narrative: On the second day of my second shot of the vaccine my eyes started to feel weird. And then my upper eyelids were significantly swollen. I also  started seeing floaters in my eyes which I have never had in my life before.  I?m only 29 years old. I tried prednisone, steroid ointments, antibiotics, I still have swollen eye lids and floaters today-  months later. I have no history or facial injections. My first shot of the vaccine I got a rash on my arm.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Hypotonia, Myalgia, Weight decreased
Clinical narrative: Bells Palsy, muscle pain, weight loss, loss of muscle mass
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Bell's palsy, Bowel movement irregularity, Dysarthria
Clinical narrative: Bells Palsy, muscle pain, weight loss, loss of muscle mass
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Guillain-Barre syndrome, Laboratory test
Clinical narrative: Bells Palsy, muscle pain, weight loss, loss of muscle mass
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: patient received 2nd dose of pfizer vaccine before 21 day interval
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Needle separated from barrel during administration. All of the dose emptied from barrel down patients arm
Age: 22.0
Sex: M
Vaccine: UNK
Symptoms: Acute myocardial infarction, Chest pain, Myocarditis, Pelvic pain
Clinical narrative: This is to inform you of an inpatient hospitalization of a member:  Pt. is a 22 yo man who had chest pain on 14 Aug 2021 and was admitted to the hospital with a diagnosis of NSTEMI/Myocarditis.  Of note, the pt was taking an antibiotic Bactrim for pelvic pain for 2 weeks prior to admission and he also received his first dose of the Pfizer COVID shot on 28 July 2021.  These are both possible contributing factors that may have led to the patient?s heart condition.  **At this time, he is stable at hospital receiving a cardiology evaluation on the hospital floor.  He is improving.  He is on the hospital floor, and NOT IN THE ICU.  He will be monitored daily by the clinical team until discharge.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Acupuncture, Autoimmune disorder, Eczema, Fungal infection, Lip swelling
Clinical narrative: 36 hours following injection, all of my autoimmune issues flared. My lips became swollen and were oozing pus, my eczema flared and kept me up through the night with itching, I developed a rash under my left armpit, and I also developed a yeast infection which I do not believe was a coincidence.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin weeping, Sleep disorder
Clinical narrative: 36 hours following injection, all of my autoimmune issues flared. My lips became swollen and were oozing pus, my eczema flared and kept me up through the night with itching, I developed a rash under my left armpit, and I also developed a yeast infection which I do not believe was a coincidence.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Injection site erythema, Rash macular, Wheezing
Clinical narrative: Within minutes after administration of vaccine, right leg became red. Very shortly after that, redness faded and macular rash appeared. Patient was slightly wheezy. Taken to ER for evaluation and treatment. Received Benadryl, Prelone and albuterol neb treatment X 1. On discharge, no redness or shortness of breath noted, patient alert and playful.
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Pt sent from facility for 2 falls today. Pt is COVID +. Pt denies any pain or SOB. Unknown if head injury. Takes Xarelto.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Sleep disorder, Sleep study, Somnolence
Clinical narrative: Insomnia Hospital on 4/3/21 recommended Unisom (no effect) PCP prescribed Trazodone and then Doxepin ( no effect) Psychiatrist prescribed Seroquel  - wake up several times a night still can?t sleep through the night and very groggy next day started 8/21/21 still waking up several times a night.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Congestion, runny nose, starting on 8/20/21
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt experienced s/s of COVID, was admitted to the hospital and tested positive
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, COVID-19, Cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On 7/19/21 Patient went to urgent care for an unrelieved nagging cough with congestion. He was diagnosed with bronchitis prior. He was then tested for Covid-19, results-Positive. Patient received vaccinations for Pfizer on 1/14/21 first dose and 2/4/21 second dose. At that time he lived at assisted living with his wife who passed away from Covid-19 infection in the memory care unit. According to Patient's family, he tested positive for Covid-19 in November 2020 and December 2020. Here's a time line I put together below. November 2020-Positive Covid test December 2020-Positive Covid test 1/14/21-First Dose Pfizer 2/4/21-Second Dose Pfizer July, 19 2021-Positive Covid test. Was diagnosed with Bronchitis within the same month
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Headache, Loss of consciousness
Clinical narrative: Pt. received injection at 11;34    at 11:38 pt had LOC( approx. E seconds . pt fell from chair and hit his R temple when he hit the floor before staff could get there. Pt rolled to back with spinal precautions EMS called., pt was then alert and oriented x3, Perla, BUE strength equal.O2sats 88% pt encouraged to do deep breathing and O2 sats 91%  Hr 46 BP 101/51, Pt c/o head pain and did not want to lay down. pt was attended to by FNP and RN on duty. 11:43 pt was placed in Trendelenburg O2 sats 94% Hr 98, 11:45 EMS arrived and took over care.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Stomatitis
Clinical narrative: I got the first vaccine on 03/19/21 in the evening, on 03/21/21 I woke up with a sore in the roof of my mouth on the left side.  It was a little bigger then a quarter, white ring around a pinkish red area and a white dot in the middle.  I could not drink or eat anything hot or cold it had to be room temperature and I could not eat anything other then soft stuff.  I tried to get a dentist appointment but could not get one until 04/05/21.  When I went to the Dentist the area was the size of a nickel.  They took a picture of it and said they were not sure if it was a side affect of the shot or not.  I had my second shot on 04/16/21 and followed up with the Dentist on 04/21/21 to make sure the spot was healing.  It took over a month for it to go away.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Pain in extremity, Rash
Clinical narrative: Started with a rash, on same arm as injection was given. Then he started having pain in that arm. We took him to local urgent care and he was suspicious for shingles, and was started on valacyclovir 1gm tid for 7 days
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Movement disorder, Muscular weakness, Pain, Pain in extremity
Clinical narrative: Over the past two weeks I have experienced pain and some weakness along my left arm. I have lost some motion which I at first thought was a shoulder problem, but with no other precipitating event that I am aware of. The pain comes and goes and seems to be the same type of pain as I might describe sciatica, only from my shoulder down my left arm.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Rendess, swelling and pain to left upper arm-large local hypersensitivity reaction
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Myocarditis
Clinical narrative: myocarditis due to vaccine
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: 08/01/2021 I was in my household. There was 2  people in my household  who tested positive. 1 was an adult who was fully vaccinated. the other was a child who was not vaccinated. I tested positive 08/02/2021, and I quarantined for 10 day.  On 08/002 I lost my sense of smell. I saw my doctor virtually. She gave me medication for severe allergies for 6 day. My symptoms went away in like 2 or 3 day after I started the medication. I was tired and lost me sense of smell. My sense of smell is not fully back. I smell only really strong odors.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No adverse events-found out after vaccines were administered patient had already received a dose of Janssen COVID vaccine
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Hyperhidrosis, Sleep paralysis
Clinical narrative: Pfizer Dose 1: 7/16/2021 EW0180 Pfizer Dose 2: 8/6/2021 EW0178 My son woke on 8/15/2021 describing a weird dream and waking experience he had. It only lasted 1-2 minutes where he described a dream he was having but was starting to wake up from it. On 08/19/2021, he had an almost 10 minute episode upon waking where he could not move his body though he was awake.  At first his hands were clammy and the fingers had to be pried open. Over that time he slowly began to move his fingers and toes. He was terrified. We made a doctor's appointment that same day.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Myalgia, Respiratory tract congestion
Clinical narrative: Head ache , muscle aches, chest congestion cough
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Feeling abnormal, Hyperhidrosis, Nausea, Throat tightness
Clinical narrative: approximately five minutes after receiving the COVID 19 vaccine, patient reported have a metallic taste in her mouth.  She also complained of nausea and feeling "weird".  BP was 117/73 HR 71.  A few minutes later patient began shaking and complaining  of her throat feeling tight.  Patient was able to swallow.  BP was rechecked  126/78 HR 76.  Patient became diaphoretic and was taken to the hospital's ED for further treatment.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: approximately five minutes after receiving the COVID 19 vaccine, patient reported have a metallic taste in her mouth.  She also complained of nausea and feeling "weird".  BP was 117/73 HR 71.  A few minutes later patient began shaking and complaining  of her throat feeling tight.  Patient was able to swallow.  BP was rechecked  126/78 HR 76.  Patient became diaphoretic and was taken to the hospital's ED for further treatment.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: 7/23/21: Pt. was experiencing a sinus infection and did not feel better after competing the ABX, so she presented to ER on 7/23/21, where she was found to be positive for COVID-19.  7/25/21: Presented to ER with increasing shortness of breath, chills, fever, fatigue, cough, and headache, and her COVID-19 positive result was verified with a PCR done here. She was discharged home, same day.  7/29/21: She re-presented to ER with continued symptoms and was admitted for oxygen support and remdesivir treatment.  8/2/21: passed walking test, home with PO steroids and home monitoring Please note: Patient received second dose of Pfizer vaccine on 2/18/2021
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Pyrexia, SARS-CoV-2 test positive, Sinusitis, Walking distance test normal
Clinical narrative: 7/23/21: Pt. was experiencing a sinus infection and did not feel better after competing the ABX, so she presented to ER on 7/23/21, where she was found to be positive for COVID-19.  7/25/21: Presented to ER with increasing shortness of breath, chills, fever, fatigue, cough, and headache, and her COVID-19 positive result was verified with a PCR done here. She was discharged home, same day.  7/29/21: She re-presented to ER with continued symptoms and was admitted for oxygen support and remdesivir treatment.  8/2/21: passed walking test, home with PO steroids and home monitoring Please note: Patient received second dose of Pfizer vaccine on 2/18/2021
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: PATIENT FELT CHEST TIGHTNESS AND PAIN IN CHEST. USE COLD PACK AND WAITED ADDITIONAL 15 MINUTES. HE IMPROVED AND WAS ABLE TO LEAVE ON HIS OWN
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Congestive cardiomyopathy
Clinical narrative: Dilated cardiomyopathy
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acarodermatitis, Biopsy skin, Blister, Chest X-ray, Cough
Clinical narrative: She developed freq. congested cough in April-May,  treated at home with oral fluids and Vicks.  The cough subsided and systemic rash late  June, that resembled scabies, and was treated for 2 courses for that, but no improvement. The rash progressed to rest of body and developed into blisters, and biopsy in July, 2021 confirmed bullous pemphigoid.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Joint swelling, Pemphigoid, Peripheral swelling, Rash
Clinical narrative: She developed freq. congested cough in April-May,  treated at home with oral fluids and Vicks.  The cough subsided and systemic rash late  June, that resembled scabies, and was treated for 2 courses for that, but no improvement. The rash progressed to rest of body and developed into blisters, and biopsy in July, 2021 confirmed bullous pemphigoid.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin disorder
Clinical narrative: She developed freq. congested cough in April-May,  treated at home with oral fluids and Vicks.  The cough subsided and systemic rash late  June, that resembled scabies, and was treated for 2 courses for that, but no improvement. The rash progressed to rest of body and developed into blisters, and biopsy in July, 2021 confirmed bullous pemphigoid.
Age: 97.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Oxygen saturation decreased, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: patient arrived via ems from nursing facility with complaints of low oxygen saturation. Patient was recently diagnosed with pneumonia. Patient is currently taking a zpack and received a rocephin shot tonight at facility.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chromaturia, Fatigue, Jaundice, Malaise
Clinical narrative: Patient reports waking up the following morning with leg cramps, malaise, fatigue, feverish (subjective). Patient noted darker urine and abdominal pain starting on 8/18/21.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Pyrexia
Clinical narrative: Patient reports waking up the following morning with leg cramps, malaise, fatigue, feverish (subjective). Patient noted darker urine and abdominal pain starting on 8/18/21.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Headache, Muscle spasms, Pain
Clinical narrative: headache, fever, cramps, vomiting, body aches 08/20/21; presented to ED 08/22/21 with shortness of breath, chest pain radiating to both arms
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: headache, fever, cramps, vomiting, body aches 08/20/21; presented to ED 08/22/21 with shortness of breath, chest pain radiating to both arms
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Pharyngeal swelling, Swollen tongue
Clinical narrative: fast heartbeat, dizziness, swelling of tongue and throat
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Heart rate increased, Injection site erythema, Injection site nodule
Clinical narrative: 2 hours after injection a knot and redness at inject site. 16 hours after vaccine felt very tired and achy. Also knot, redness and heat at injection site. (Treatment: 1,000mg acetaminophen) 20 hours after vaccine. Chills, fever, fast heart beat from 90 to 95bpm laying down. (Treatment, 600mg Ibuphrone) 32 hours after vaccine. Itchy palms, and rash from wrist to elbows. (Treatment. Two benedryl)  As of 72 hours after injection, only the injection site remains with a smaller knot, less redness and hot.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pain, Pruritus, Pyrexia, Rash
Clinical narrative: 2 hours after injection a knot and redness at inject site. 16 hours after vaccine felt very tired and achy. Also knot, redness and heat at injection site. (Treatment: 1,000mg acetaminophen) 20 hours after vaccine. Chills, fever, fast heart beat from 90 to 95bpm laying down. (Treatment, 600mg Ibuphrone) 32 hours after vaccine. Itchy palms, and rash from wrist to elbows. (Treatment. Two benedryl)  As of 72 hours after injection, only the injection site remains with a smaller knot, less redness and hot.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood cholesterol increased, Blood test abnormal, Chest X-ray normal, Chest pain, Dyspnoea
Clinical narrative: Severe shortness of breath and chest pain (I thought I was having a heart attack almost every day).  Finally called Dr. and he saw me on April 9, 2021.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal
Clinical narrative: Severe shortness of breath and chest pain (I thought I was having a heart attack almost every day).  Finally called Dr. and he saw me on April 9, 2021.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Both hands are extremely sore in the morning till afternoon, and then they get better slowly. Then the next day it starts again
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac pacemaker insertion, Headache, Hypoxia, Malaise
Clinical narrative: 8/2/21: She had been feeling sick for the last 4-5 days and tested positive for COVID-19 on 7/28/2021. She was brought to the emergency room department on 8/2/2021 for further symptoms of body aches, myalgias and headaches.  She was found to be hypoxemic and required oxygen supplementation.   8/4/21: discharged home with O2 monitoring kit  Note: Pfizer COVID-19 Vaccine received 03/16/2021 and 04/06/2021.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pain, SARS-CoV-2 test positive
Clinical narrative: 8/2/21: She had been feeling sick for the last 4-5 days and tested positive for COVID-19 on 7/28/2021. She was brought to the emergency room department on 8/2/2021 for further symptoms of body aches, myalgias and headaches.  She was found to be hypoxemic and required oxygen supplementation.   8/4/21: discharged home with O2 monitoring kit  Note: Pfizer COVID-19 Vaccine received 03/16/2021 and 04/06/2021.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Lethargy, Pulmonary thrombosis
Clinical narrative: Blood Clot on left Lung, Very weak and lethargic,
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Hyponatraemia, SARS-CoV-2 test positive
Clinical narrative: COVID-19-Hyponatremia, AKI
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: 7/29/21: He noticed he started coughing and went to the walk in clinic on 7/29/21 and his Covid test resulted in positive on 7/29/21. At that time, he was instructed to monitor outpatient.  8/3/21: His symptoms were not improving. He came to Hospital on 8/3/21 and was hospitalized. He was discharged the following day 8/4/2021.  Note: He had COVID Pfizer vaccines at his work on 03/04/2021 and 03/25/2021.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Client felt light/headed dizzy immediately after vaccination.  Stated he felt like he was going to ?pass out?. Appeared pale and pulse weak.  Assisted to ground with elevation of legs. No LOC or injury. Symptoms resolved. Pulse palpated and no longer weak.  He states he has had this happen in the past after a blood draw. Initial vitals 129/68, hr 66. Bottled water given to client. Client remained at site and monitored for 45 minutes after incident. Vitals remained stable. Declined further evaluation.  Vitals prior to leaving bp 129/75, hr 72.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: The left shoulder, where I was given the shot became raised, red and painful after both shots. I did not notice when it started after the first shot, but it lasted about a week. I just received my second shot yesterday & the same thing happened, but this morning I woke up feeling tired, achy & with a body ache & broke out into hives on both legs  & feet, both arms & hands and my neck. The hives went down & stopped itching after I took some benadryl, pepsid, & sprayed w/ hydrocortisone spray, but came back about 4 hours later. I took more benadryl & sprayed w/ hydrocortisone spray, but am still itchy & w/ hives.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Urticaria
Clinical narrative: The left shoulder, where I was given the shot became raised, red and painful after both shots. I did not notice when it started after the first shot, but it lasted about a week. I just received my second shot yesterday & the same thing happened, but this morning I woke up feeling tired, achy & with a body ache & broke out into hives on both legs  & feet, both arms & hands and my neck. The hives went down & stopped itching after I took some benadryl, pepsid, & sprayed w/ hydrocortisone spray, but came back about 4 hours later. I took more benadryl & sprayed w/ hydrocortisone spray, but am still itchy & w/ hives.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Eye irritation, Eye pain, Fatigue
Clinical narrative: "Instantly" after getting the vaccination, pt. described his left eye "felt on fire".  His eye started watering . He later reported he had an "instant" migraine.  MD was called to evaluate. He was having no SOB, vitals were stable x 30 minutes.  He said he felt well to go home.  After he was home, he felt fatigued, SOB, had some chest pain, eye pain and migraine.  He went to bed and slept the night.  In the AM he awoke, still fatigues, eye pain.  Went to work and then sent home.  He spiked a fever to 102F.  His wife reported he was "barely responsive".  He was taken to ED.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Hyporesponsive to stimuli, Immediate post-injection reaction, Impaired work ability, Laboratory test, Lacrimation increased
Clinical narrative: "Instantly" after getting the vaccination, pt. described his left eye "felt on fire".  His eye started watering . He later reported he had an "instant" migraine.  MD was called to evaluate. He was having no SOB, vitals were stable x 30 minutes.  He said he felt well to go home.  After he was home, he felt fatigued, SOB, had some chest pain, eye pain and migraine.  He went to bed and slept the night.  In the AM he awoke, still fatigues, eye pain.  Went to work and then sent home.  He spiked a fever to 102F.  His wife reported he was "barely responsive".  He was taken to ED.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Pyrexia
Clinical narrative: "Instantly" after getting the vaccination, pt. described his left eye "felt on fire".  His eye started watering . He later reported he had an "instant" migraine.  MD was called to evaluate. He was having no SOB, vitals were stable x 30 minutes.  He said he felt well to go home.  After he was home, he felt fatigued, SOB, had some chest pain, eye pain and migraine.  He went to bed and slept the night.  In the AM he awoke, still fatigues, eye pain.  Went to work and then sent home.  He spiked a fever to 102F.  His wife reported he was "barely responsive".  He was taken to ED.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Arm hurty
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt developed s/s of COVID and was admitted to the hospital, tested positive for COVID
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product administration error
Clinical narrative: ADMINISTRATION ERROR : Patient was stuck twice during vaccination. Pharmacist told patient the first shot did not have vaccine, but second shot did. Patient believes he was vaccinated twice on 08/23/2021.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Product administration error
Clinical narrative: ADMINISTRATION ERROR : Patient was stuck twice during vaccination. Pharmacist told patient the first shot did not have vaccine, but second shot did. Patient believes he was vaccinated twice on 08/23/2021.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose increased, Blood ketone body increased, Diabetic ketoacidosis, Intensive care
Clinical narrative: Patient, received second Pfizer Covid vaccination on July 8th, 2021.  About August 1st, 2021, he started having symptoms of weakness, thirst and polyuria culminating in ICU hospitalization for Diabetic Ketoacidosis.  He had no history of Diabetes prior to the Covid vaccine.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Polyuria, Thirst
Clinical narrative: Patient, received second Pfizer Covid vaccination on July 8th, 2021.  About August 1st, 2021, he started having symptoms of weakness, thirst and polyuria culminating in ICU hospitalization for Diabetic Ketoacidosis.  He had no history of Diabetes prior to the Covid vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Amyotrophic lateral sclerosis, Bilevel positive airway pressure, Chills, Dysarthria, Dysgraphia
Clinical narrative: I got the 2nd dose vaccine and had flu like symptoms including high fever and chills which lasted for 12 hours and resolved.  About a week later, I started dragging my foot and had left leg weakness and pain in my left leg. I also noticed I was developing slurred speech and decreased hearing.  I was diagnosed with ALS on 2/17/2021.    My lung function is now at 50%, I am unable to write legibly, and I cannot feed myself.  I have a feeding tube and I now have to use a wheelchair.  I have to use bipap at night for my breathing.  I was diagnosed with rapidly progessive ALS and have given the diagnosis of 1 year to live.  Up until the 1st vaccine, I was working as a physician/doctor treating covid patients in the Urgent Care.  I am now confined to a wheelchair.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding disorder, Feeding tube user, Hypoacusis, Influenza like illness, Muscular weakness
Clinical narrative: I got the 2nd dose vaccine and had flu like symptoms including high fever and chills which lasted for 12 hours and resolved.  About a week later, I started dragging my foot and had left leg weakness and pain in my left leg. I also noticed I was developing slurred speech and decreased hearing.  I was diagnosed with ALS on 2/17/2021.    My lung function is now at 50%, I am unable to write legibly, and I cannot feed myself.  I have a feeding tube and I now have to use a wheelchair.  I have to use bipap at night for my breathing.  I was diagnosed with rapidly progessive ALS and have given the diagnosis of 1 year to live.  Up until the 1st vaccine, I was working as a physician/doctor treating covid patients in the Urgent Care.  I am now confined to a wheelchair.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peroneal nerve palsy, Pulmonary function test decreased, Pyrexia, Wheelchair user
Clinical narrative: I got the 2nd dose vaccine and had flu like symptoms including high fever and chills which lasted for 12 hours and resolved.  About a week later, I started dragging my foot and had left leg weakness and pain in my left leg. I also noticed I was developing slurred speech and decreased hearing.  I was diagnosed with ALS on 2/17/2021.    My lung function is now at 50%, I am unable to write legibly, and I cannot feed myself.  I have a feeding tube and I now have to use a wheelchair.  I have to use bipap at night for my breathing.  I was diagnosed with rapidly progessive ALS and have given the diagnosis of 1 year to live.  Up until the 1st vaccine, I was working as a physician/doctor treating covid patients in the Urgent Care.  I am now confined to a wheelchair.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: There was a discrepancy in between the birth dates provided by parent and listed in the database. Parent provided birth date of 7/20/2009 over the phone and on the signed consent form. This birthdate would make the child eligible for the vaccine administered. However, the birth date in the electronic record is 7/20/2010, which would deem the child ineligible and the dose would be considered a vaccine administration error. HCF was made aware of the discrepancy by Provider Outreach Specialist with the COVID-19 Vaccination task force at the Department of Health Services. In response, a call was made to the mother of the client. Notified her of the discrepancy, and she maintained that Pt's birth date is 07/20/2009, and that the Registry is incorrect. Provided her with the help desk phone number so the record can be corrected. The mother stated that pt. tolerated the second dose well.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Asthenia, Bilevel positive airway pressure, COVID-19, Diarrhoea
Clinical narrative: She completed COVID vaccine on 03/16/2021.  8/4/21: She originally presented at an outside hospital on 8/1/21 and was transferred to another facility on 8/4/21. Her symptoms are nausea, diarrhea, weakness, and SOB. She noticed no improvement, and was hospitalized at the Hospital on 8/4/21. CTA chest shows diffuse bilateral infiltrates.  8/9/21: on BiPAP with 100% FiO2, completed 5 days of remdesivir, continuing steroids and baricitinib 8/17/21: on  HHFO 30L, desats on exertion, hypotensive episode upon sitting up 8/23/21: on heated high-flow, SOB persists, still admitted
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypotension, Lung infiltration, Nausea, Oxygen saturation decreased
Clinical narrative: She completed COVID vaccine on 03/16/2021.  8/4/21: She originally presented at an outside hospital on 8/1/21 and was transferred to another facility on 8/4/21. Her symptoms are nausea, diarrhea, weakness, and SOB. She noticed no improvement, and was hospitalized at the Hospital on 8/4/21. CTA chest shows diffuse bilateral infiltrates.  8/9/21: on BiPAP with 100% FiO2, completed 5 days of remdesivir, continuing steroids and baricitinib 8/17/21: on  HHFO 30L, desats on exertion, hypotensive episode upon sitting up 8/23/21: on heated high-flow, SOB persists, still admitted
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Positive expiratory pressure therapy, SARS-CoV-2 test positive
Clinical narrative: She completed COVID vaccine on 03/16/2021.  8/4/21: She originally presented at an outside hospital on 8/1/21 and was transferred to another facility on 8/4/21. Her symptoms are nausea, diarrhea, weakness, and SOB. She noticed no improvement, and was hospitalized at the Hospital on 8/4/21. CTA chest shows diffuse bilateral infiltrates.  8/9/21: on BiPAP with 100% FiO2, completed 5 days of remdesivir, continuing steroids and baricitinib 8/17/21: on  HHFO 30L, desats on exertion, hypotensive episode upon sitting up 8/23/21: on heated high-flow, SOB persists, still admitted
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: The client informed me he had received the Pfizer COVID-19 series. I mistakenly administered a Moderna vaccine as the booster dose. He did not experience any adverse effects during the 20 minutes he was observed.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Headache, no treatment, from approximately 18-48hrs Redness, swelling, pain near (not at) injection site for at least 5 days, no treatment
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient completed Moderna COVID vaccine on 3/11/2021 and 4/8/2021. Patient received Pfizer dose on 7/31/2021 at our location as listed on this report.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Rash
Clinical narrative: Patient stated that night he had a rash appear on his arm. He then developed difficulty breathing and was sent to the ER. He was given diphenydramine and a steroid shot and his symptoms subsided.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Asthenia, Asymptomatic COVID-19, Bladder dilatation, Emphysematous cystitis
Clinical narrative: Case is hospitalized at Hospital. Per EMR, case was admitted for weakness and altered mental status; also complaining of abdominal pain. "CT of the abd was done in the ED which shows distended bladder with emphysematous cystitis." It was later documented in EMR that case had "asymptomatic COVID".
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Case is hospitalized at Hospital. Per EMR, case was admitted for weakness and altered mental status; also complaining of abdominal pain. "CT of the abd was done in the ED which shows distended bladder with emphysematous cystitis." It was later documented in EMR that case had "asymptomatic COVID".
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 8/21/21 after being fully vaccinated.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: patient stated covid rash appeared on arm 7 days after administration
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I developed a rash 10 minutes after 2nd vaccine. I was checked out by EMT. They took my blood pressure, checked my pulse and was monitored for about one hour. The rash disappeared with 45 minutes.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted, he was able to get up on his own.  He sat in a chair by the pharmacy for 15 minutes and drank water.  When he felt better he left with a friend.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Pt admitted to the hospital for COVID 19 post vaccination.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic valve incompetence, Balance disorder, Cardiac failure congestive, Computerised tomogram, Decreased appetite
Clinical narrative: What has been happening to me, I have been experiencing shortness of breath, they told me I'm experiencing congestive heart failure and a lung infection. My aortic Valve was regurgitating, till I have this surgery they been treating symptoms. I have fluid around my heart and lungs, feet have been swollen, light headness, balance issues, I had a hard time traveling on my feet short distances, my appetite was suppressed. more recent CT exams don't show any lung exams. I was in hospital 7 days previous the Hospital and I'm back in hospital. I'm on day 4 in hospital again
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram, Gait disturbance, Pericardial effusion
Clinical narrative: What has been happening to me, I have been experiencing shortness of breath, they told me I'm experiencing congestive heart failure and a lung infection. My aortic Valve was regurgitating, till I have this surgery they been treating symptoms. I have fluid around my heart and lungs, feet have been swollen, light headness, balance issues, I had a hard time traveling on my feet short distances, my appetite was suppressed. more recent CT exams don't show any lung exams. I was in hospital 7 days previous the Hospital and I'm back in hospital. I'm on day 4 in hospital again
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pleural effusion, Pneumonia
Clinical narrative: What has been happening to me, I have been experiencing shortness of breath, they told me I'm experiencing congestive heart failure and a lung infection. My aortic Valve was regurgitating, till I have this surgery they been treating symptoms. I have fluid around my heart and lungs, feet have been swollen, light headness, balance issues, I had a hard time traveling on my feet short distances, my appetite was suppressed. more recent CT exams don't show any lung exams. I was in hospital 7 days previous the Hospital and I'm back in hospital. I'm on day 4 in hospital again
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Strong tinnitus in both ears (ringing), after taking vaccine second shot. Is driving me crazy.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Rash on back that slowly formed, itchy, bumpy, red and inflamed
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Dyspnoea, Pyrexia
Clinical narrative: RECIEVED COVID VACCINE X 2 .HOSPITALIZED  WITH SOB,CHILLS FEVER . PLACED IN ICU ON HIGH FLOW O2
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client received Moderna as first dose on 07/29/21. Client was inadvertently given Pfizer as second dose on 09/23/21. Patient was made aware at the time of the incident. 1415 on 08/23/21.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: Client received Moderna as first dose on 07/29/21. Client was inadvertently given Pfizer as second dose on 09/23/21. Patient was made aware at the time of the incident. 1415 on 08/23/21.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: was mistakenly giving 2 different vaccines
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: was mistakenly giving 2 different vaccines
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Chills, Fatigue, Influenza like illness, Injection site pain
Clinical narrative: I experienced flu like symptoms, pain at the injection site, chills, body aches, loss of smell and extreme fatigue on 07/19/2021. I went to Urgent Care and was given a COVID-19 test which came back negative. Doctor prescribed cough medicine and Tylenol along with continued hydration with Albuterol and Mucinex.  I did get the Shingles vaccine a week before my symptoms begin.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test negative
Clinical narrative: I experienced flu like symptoms, pain at the injection site, chills, body aches, loss of smell and extreme fatigue on 07/19/2021. I went to Urgent Care and was given a COVID-19 test which came back negative. Doctor prescribed cough medicine and Tylenol along with continued hydration with Albuterol and Mucinex.  I did get the Shingles vaccine a week before my symptoms begin.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac monitoring, Computerised tomogram normal, Electrocardiogram normal, Electromyogram normal, Gait disturbance
Clinical narrative: Chest Palpitations started around 5-7-21.  I saw both my doctor and a cardiologist.  I wore a heart monitor for a week.  The palpitations went away after a few weeks.  My left leg went dead on me on 6-8-21.  It was constantly numb.  I went to the ER on 6-11-21.  They did a CT scan of my spine and said maybe it was my lower back but everything checked out.  I saw my doctor on 6-17-21.  He gave me prednisone and recommended physical therapy.  I saw my chiropractor who had me obtain an xray on 6-18-21.  My left arm and left face went numb.  Both of my legs were really weak and I could barely walk for a few days.  I went to the ER on 6-24-21.  My right leg swelled up, possibly a post blood clot issue.  They completed an MRI on my head and neck that came back normal.  They referred me to a neurologist.  My right leg went numb.  My gluteus went numb on both sides.  All were numb at the same time.  My right hand went number for just a few minutes.  Then, the numbness went away and came back in various areas moving around.  I had an EMG done on 8-3-21 and the results came back normal.  I saw a neurologist on 8-10-21 and they couldn?t find anything wrong.  Currently, my left arm, hand and face are always numb.  I also have visible twitching in muscles all over my body now that I didn?t have before the vaccine.  I don?t know if this is a life threatening or permanent problem.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging normal, Muscle twitching, Muscular weakness, Neurological examination normal
Clinical narrative: Chest Palpitations started around 5-7-21.  I saw both my doctor and a cardiologist.  I wore a heart monitor for a week.  The palpitations went away after a few weeks.  My left leg went dead on me on 6-8-21.  It was constantly numb.  I went to the ER on 6-11-21.  They did a CT scan of my spine and said maybe it was my lower back but everything checked out.  I saw my doctor on 6-17-21.  He gave me prednisone and recommended physical therapy.  I saw my chiropractor who had me obtain an xray on 6-18-21.  My left arm and left face went numb.  Both of my legs were really weak and I could barely walk for a few days.  I went to the ER on 6-24-21.  My right leg swelled up, possibly a post blood clot issue.  They completed an MRI on my head and neck that came back normal.  They referred me to a neurologist.  My right leg went numb.  My gluteus went numb on both sides.  All were numb at the same time.  My right hand went number for just a few minutes.  Then, the numbness went away and came back in various areas moving around.  I had an EMG done on 8-3-21 and the results came back normal.  I saw a neurologist on 8-10-21 and they couldn?t find anything wrong.  Currently, my left arm, hand and face are always numb.  I also have visible twitching in muscles all over my body now that I didn?t have before the vaccine.  I don?t know if this is a life threatening or permanent problem.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Peripheral swelling, X-ray
Clinical narrative: Chest Palpitations started around 5-7-21.  I saw both my doctor and a cardiologist.  I wore a heart monitor for a week.  The palpitations went away after a few weeks.  My left leg went dead on me on 6-8-21.  It was constantly numb.  I went to the ER on 6-11-21.  They did a CT scan of my spine and said maybe it was my lower back but everything checked out.  I saw my doctor on 6-17-21.  He gave me prednisone and recommended physical therapy.  I saw my chiropractor who had me obtain an xray on 6-18-21.  My left arm and left face went numb.  Both of my legs were really weak and I could barely walk for a few days.  I went to the ER on 6-24-21.  My right leg swelled up, possibly a post blood clot issue.  They completed an MRI on my head and neck that came back normal.  They referred me to a neurologist.  My right leg went numb.  My gluteus went numb on both sides.  All were numb at the same time.  My right hand went number for just a few minutes.  Then, the numbness went away and came back in various areas moving around.  I had an EMG done on 8-3-21 and the results came back normal.  I saw a neurologist on 8-10-21 and they couldn?t find anything wrong.  Currently, my left arm, hand and face are always numb.  I also have visible twitching in muscles all over my body now that I didn?t have before the vaccine.  I don?t know if this is a life threatening or permanent problem.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blindness, Dysphagia, Dyspnoea, Hyperhidrosis
Clinical narrative: Approximately 4 minutes after injection, patient stated he could not see and "everything went black".  Patient appeared anxious, pale, and diaphoretic.  Patient denied difficulty breathing, trouble swallowing, and nausea.  He was assisted to a semi-recumbant/supine position.  After approximately 60 seconds, he stated his vision was returning.  Patient received sips of water and ice pack and was monitored for 15 minutes.  Patient stated he felt better and was able to walk out of clinic without assistance.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pallor
Clinical narrative: Approximately 4 minutes after injection, patient stated he could not see and "everything went black".  Patient appeared anxious, pale, and diaphoretic.  Patient denied difficulty breathing, trouble swallowing, and nausea.  He was assisted to a semi-recumbant/supine position.  After approximately 60 seconds, he stated his vision was returning.  Patient received sips of water and ice pack and was monitored for 15 minutes.  Patient stated he felt better and was able to walk out of clinic without assistance.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Malaise
Clinical narrative: Deceased began to not feel wall after the vaccine. Patient died on May 10, 2021
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Rash, Urticaria
Clinical narrative: diffuse urticarial rash of face, trunk, extremities starting 9-10 hours after well-visit and vaccination. Treated with antihistamines (oral) with resolution over the next 48 hours
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Woke up to a very sore left hot to touch and swollen about 4 inches under the injection site.  Later that day intense itching at the swollen site until Monday.  Swelling is going down and itching is starting to go away.