chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Loss of personal independence in daily activities, Magnetic resonance imaging head abnormal, Pain, Pruritus
Clinical narrative: 9/23 began feeling hot/flushed and itching about 3 hours after vaccination received. 9/24 6am body aches and skin irritation with temperature of 102F. 9/24 3pm began with headache, dizziness, developed bloody nose and ringing in right ear. 9/27 was evaluated at urgent care and head CT was performed as well as basic labs. no findings. 9/30 presented to emergency room with severe head pain and dizziness. MRI was performed and new diagnosis of Chiari 1 malformation/cerebellar herniation. Headache still present day 14 after diagnosis. Unable to attend work, unable to perform ADL. Quality of life severely impacted.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Quality of life decreased, Skin irritation, Tinnitus
Clinical narrative: 9/23 began feeling hot/flushed and itching about 3 hours after vaccination received. 9/24 6am body aches and skin irritation with temperature of 102F. 9/24 3pm began with headache, dizziness, developed bloody nose and ringing in right ear. 9/27 was evaluated at urgent care and head CT was performed as well as basic labs. no findings. 9/30 presented to emergency room with severe head pain and dizziness. MRI was performed and new diagnosis of Chiari 1 malformation/cerebellar herniation. Headache still present day 14 after diagnosis. Unable to attend work, unable to perform ADL. Quality of life severely impacted.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient had began experiencing cough and shortness of breath approximately 1 week prior to evaluation in the ED. The patient was treated outpatient with steroids. In ED, patient had O2 sat of 96%. Patient was found to be positive for COVID-19 via rapid swab. Patient was evaluated as eligible for discharge home.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: Have not have a  Menstrual cycle since received the first vaccine.  (5months)
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Lump in arm, size of golf ball, swollen arm
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Loss of consciousness, Pain, Pyrexia
Clinical narrative: Extreme joint pain, massive headaches, fever of 103, neck pain, back pain, knee pain, ankle pain, elbow and shoulder pain, light headed, passed out,
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Paraesthesia oral, Vision blurred
Clinical narrative: Pt c/o dizziness, high heart rate, blurred vision, tingling to lips
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Pallor
Clinical narrative: Patient received his vaccine and went outside to the waiting area for his 15 min observation. While outside he became weak, pale and clammy.  The medical team was alerted and we went outside and patient laid on the ground.  His vital signs were obtained.  He stated he has passed out before.  He is diabetic and had not eaten today.  Patient was given water, candy and a nutrigrain bar.  He stated he felt better after he ate.  His skin color, condition and vital signs improved.  Patient stated he felt fine and could ride his bike home.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Mobility decreased, Muscle spasms, Muscle tightness, Pain
Clinical narrative: 3 days after my first dose, my left arm became very tight. 7 days after my first dose I tried a very light workout to try and stretch out the tightness, I did not exert myself very much. The next day my entire arm was so tight that I couldn't move it easily, and had constant tingling in my fingers. for the next week (7-14 days after the shot) the arm stayed very tight. At 14 days my shoulders and back became very tight as well, and by 3 weeks I was having back spasms. I did no heavy lifting or physical activity during this time other than normal day to day household activities.  On 29 July it became completely unbearable, and I went to a military medical clinic in and was placed on 10mg of cyclobenzaprrine (1xday), 500mg of naproxen(2xday), and 325mg of acetaminophen(5xday). I experienced uncontrolled back spasms for the next 4 days and couldn't get out of bed. After those 4 days, while I was in pain and still having spasms I could get out of bed and function a limited amount. By 14 August I was feeling better but still sore and having some spasms.  At this time I am still having some spasm activity in my shoulders but it has subdued substantially.  I have a high pain tolerance and it is rare for me to seek prescription medication because I cannot do my job while on them.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, SARS-CoV-2 antibody test positive
Clinical narrative: 3 days after my first dose, my left arm became very tight. 7 days after my first dose I tried a very light workout to try and stretch out the tightness, I did not exert myself very much. The next day my entire arm was so tight that I couldn't move it easily, and had constant tingling in my fingers. for the next week (7-14 days after the shot) the arm stayed very tight. At 14 days my shoulders and back became very tight as well, and by 3 weeks I was having back spasms. I did no heavy lifting or physical activity during this time other than normal day to day household activities.  On 29 July it became completely unbearable, and I went to a military medical clinic in and was placed on 10mg of cyclobenzaprrine (1xday), 500mg of naproxen(2xday), and 325mg of acetaminophen(5xday). I experienced uncontrolled back spasms for the next 4 days and couldn't get out of bed. After those 4 days, while I was in pain and still having spasms I could get out of bed and function a limited amount. By 14 August I was feeling better but still sore and having some spasms.  At this time I am still having some spasm activity in my shoulders but it has subdued substantially.  I have a high pain tolerance and it is rare for me to seek prescription medication because I cannot do my job while on them.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: The patient made a claim for his 1st dose Moderna shot. He checked in with the pharmacy technician to confirm his first dose. He confirm it is the first Moderna dose with the pharmacist. He received the 3rd doses of Moderna without being moderately to severely immunocompromised. The pharmacist, realized it is his 3rd Moderna dose because he tried to get a vaccination card for his dose but he showed her a card with 2 other Moderna doses elsewhere.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Fatigue, Injection site pain, Injection site swelling
Clinical narrative: Swelling and burning in area of shot, nausea, muscle weakness, fatigue, fever (103), shivering, all over body aches, light headed
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscular weakness, Nausea, Pain, Pyrexia
Clinical narrative: Swelling and burning in area of shot, nausea, muscle weakness, fatigue, fever (103), shivering, all over body aches, light headed
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Diarrhoea, Dizziness, Fatigue
Clinical narrative: REACTIONS STARTED THE SAME DAY AS THE SHOT AND WE ARE ON DAY 6 WITH NO IMPROVEMENT. SEVERE HEAD PAIN, CHILLS, FEVER, WEAKNESS THROUGHOUT ENTIRE BODY, NASEAU, VOMITING (STARTED ON DY 3 LASTING FOR 3 DAYS, THAT SO FAR HAS STOPPED AS OF TODAY 10/7/21), DIARRHEA, NECK PAIN, SHOULDER PAIN, FATIGUE (CAN NOT STAY AWAKE, BUT DOES NOT SLEEP SOUNDLY), DIZZINESS
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Insomnia, Nausea, Neck pain
Clinical narrative: REACTIONS STARTED THE SAME DAY AS THE SHOT AND WE ARE ON DAY 6 WITH NO IMPROVEMENT. SEVERE HEAD PAIN, CHILLS, FEVER, WEAKNESS THROUGHOUT ENTIRE BODY, NASEAU, VOMITING (STARTED ON DY 3 LASTING FOR 3 DAYS, THAT SO FAR HAS STOPPED AS OF TODAY 10/7/21), DIARRHEA, NECK PAIN, SHOULDER PAIN, FATIGUE (CAN NOT STAY AWAKE, BUT DOES NOT SLEEP SOUNDLY), DIZZINESS
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Somnolence, Vomiting
Clinical narrative: REACTIONS STARTED THE SAME DAY AS THE SHOT AND WE ARE ON DAY 6 WITH NO IMPROVEMENT. SEVERE HEAD PAIN, CHILLS, FEVER, WEAKNESS THROUGHOUT ENTIRE BODY, NASEAU, VOMITING (STARTED ON DY 3 LASTING FOR 3 DAYS, THAT SO FAR HAS STOPPED AS OF TODAY 10/7/21), DIARRHEA, NECK PAIN, SHOULDER PAIN, FATIGUE (CAN NOT STAY AWAKE, BUT DOES NOT SLEEP SOUNDLY), DIZZINESS
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: syncopal episode in shower, went to hospital and was treated and released
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine was given post-expiration date?no adverse reaction.
Age: 56.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Peripheral swelling, Rash, Skin warm
Clinical narrative: Patient developed rash, swollen arm, warm to the touch.  Rash not on injection site, but near.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: About 6 hours after I received the vaccine at my doctor's office, the site became red.  It then became hot.  By the next morning, the arm had a circle of 4 inches of bright red, swollen flesh.  It was very hot.  I had a terrible headache.  It is not Thursday the 7th, and the red circle is hot and red as ever.  I have taken tylenol and put ice on it.   No more flu shots for me!!
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Hives on left arm, left thigh, right leg , right side of stomach. Took benadryl and zrytec and didn't solve problem. Dr prescribe itch cream and pills.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Rash pruritic
Clinical narrative: Hives on left arm, left thigh, right leg , right side of stomach. Took benadryl and zrytec and didn't solve problem. Dr prescribe itch cream and pills.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Presyncope
Clinical narrative: dizziness, almost passed out
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine was given post-expiration date?no adverse reaction.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, Malaise, Paraesthesia, Pyrexia, Vision blurred
Clinical narrative: On day 2 post vaccination (10/4/21), I woke in the morning as usual. The left eye had the sensation of heaviness that progressed throughout the day. By the end of the day I began to notice the feeling of pins and needles on the skin surrounding the eye (on the brow bone and radiating below). I also noticed my vision had become some what blurry.  I also had a low grade fever and generally did not feel well. The symptoms continued for another two days getting gradually worse.  I made an appointment with my eye Doctor. She determined that I had developed Herpes Zoster Opthalmicus (re-activation of the varicella virus). She stated that this was likely caused by immunization as I am young and not in an immunocompromised state. Treatment of Acyclovir 800mg, Five times daily was started and follow up in one week.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Electrocardiogram, Pericarditis
Clinical narrative: On 9/11/21 I started to experience chest pain at approximately 2330 hours thinking it may be heartburn. At approximately 0030 hours I took 4 Rolaids and nothing changed. At 0100 hours I took one Pepcid Complete and the pain did not go away. At approximately 0215 hours the pain was increasing and I have never felt this type of chest pain before. I went to hospital ER and an EKG, chest x-ray, and two blood tests were completed several hours apart. I was given morphine for pain and Zofran. I was told that everything checked out alright and I should follow up with my doctor.   Throughout the day on 9/12/21, the pain started to come back and I took 12 ibuprofen and 4  acetaminophen due to the pain throughout the day. During the early morning hours on 9/13/21, the pain was just as severe, if not worse, as it was the night of 9/11/21. I then went to hospital. An EKG, chest x-ray, and blood tests were completed.  The ER doctor diagnosed me with pericarditis. I was prescribed anti-inflammatory and pain narcotics.   I followed up with my primary doctor on 9/14/21 and he confirmed that I had pericarditis and that it was a result of the Pfizer covid-19 vaccine (first dose).
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Fever, sore arm, sore thighs, tiredness, weakness.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Patient presented to urgent care with very sore arm from elbow to shoulder and a 100 degree temperature on 10-6-2021.  By 10-7-2021 she has reported slightly less pain and a temp of 98.3 degrees.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Left pinky and left ring finger numbness/tingly.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine was given after the post-expiration date?no adverse reaction.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac flutter, Electrocardiogram, Heart rate increased, Palpitations
Clinical narrative: Heart papulations, heart rate fast, heart fluttering.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Cardiac flutter, Chest X-ray, Echocardiogram, Electrocardiogram
Clinical narrative: Heart papulations, heart rate fast, heart fluttering.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Immunisation, Magnetic resonance imaging, Off label use
Clinical narrative: Heart papulations, heart rate fast, heart fluttering.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Pain/ache in arm at injection site.  Started four months after second vax shot.  Pain is mild and tolerable but persists every day.  Temporary relief with ice pack.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Balance disorder, Blood test normal, Dyspnoea
Clinical narrative: The first day I felt achy on the side of the injection, Next day it was swelling and it hurt under armpit for about 4 days, 2 days later I woke up with Nausea and abdominal pain, Headaches that came and go, Lost my balance and low grade fever, Weakness, body ache and pain, short of breath.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Headache, Metabolic function test, Nausea, Pain
Clinical narrative: The first day I felt achy on the side of the injection, Next day it was swelling and it hurt under armpit for about 4 days, 2 days later I woke up with Nausea and abdominal pain, Headaches that came and go, Lost my balance and low grade fever, Weakness, body ache and pain, short of breath.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling, Urine analysis
Clinical narrative: The first day I felt achy on the side of the injection, Next day it was swelling and it hurt under armpit for about 4 days, 2 days later I woke up with Nausea and abdominal pain, Headaches that came and go, Lost my balance and low grade fever, Weakness, body ache and pain, short of breath.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Patient developed shingles within 3 weeks of vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: The client reported  feeling a "dull headache, dizziness, and lightheaded" to RN and EMT at 5:07PM. The client rated the headache pain at a 5 on a 10 point scale. The client denied any other s/s of anaphylaxis. Vitals obtained at 5:07PM were as follows: automatic BP 156/99, HR 78, O2 95%. The client stated she had eaten an egg and juice for breakfast, and a piece of pumpkin bread on her way to the vaccination site. The client drover herself to the vaccination site today. The client has a history of asthma controlled with an Albuterol inhaler for as needed, anemia controlled with iron supplements, and exzema controlled with Dupixent. RN responded to the client for additional assistance. Repeat vitals obtained at 5:14PM were as follows: automatic BP 161/98, O2 97%, and HR 82. The client reported a "mild little headache." RN inquired if the client was still feeling dizzy and the client replied, "It's okay."  RN provided education regarding s/s of anaphylaxis and when to seek EMS. The client voiced understanding of this education. Repeat vitals obtained at 5:17PM were as follows: manual BP 148/98, HR 75, O2 96%. The client showed RN and RN a "red and itchy" spot on the front of her neck. The client described the spot as exzema and stated it had been present for 2-3 days. Repeat vitals obtained at 5:25PM were as follows: manual BP 148/86, HR 76, O2 95%. The client stated her headache was "okay" and rated the pain at a 5 on a 10 point scale. The client stated, "I feel like I can walk. I feel like I can drive okay." RN provided education regarding the client's blood pressure and recommended the client follow up with her primary care doctor regarding her blood pressure. The client voiced understanding of this education. Repeat vitals obtained at 5:32 PM were as follows: manual BP 150/86, HR 73, O2 99%. The client stated, "I feel okay, a little tiny headache." The client rated the headache at a 4-5 on a 10 point scale. The client denied any other s/s of anaphylaxis. Repeat vitals obtained at 5:40 PM were as follows: manual BP 150/86, HR 75, O2 97%. The client stood up unassisted and ambulated unassisted with a steady gait out of the vaccination site.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Fatigue, Headache, Myalgia, Respiratory tract congestion
Clinical narrative: Woke up the day after getting my COVID booster shot with the symptoms of: fatigue, muscle aches, headache, congestion. Symptoms lasted between 12-24 hours.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Lymphoedema
Clinical narrative: Chronic Diarrhea and worsening lymphedema in legs
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Pain, redness and swelling at injection site; swollen lymph nodes under arm
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT RECEIVED A PFIZER VACCINE AS BOOSTER WHEN HER FIRST TWO DOSES WERE MODERNA. PATIENT DID NOT HAVE ANY SIDE EFFECTS AT ALL THAT SHE REPORTED AND NO ADVERSE EFFECTS, JUST WRONG VACCINE ADMINISTERED.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine was given after the post-expiration date?no adverse reaction.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Fall, Head injury, Vertigo
Clinical narrative: VERTIGO, DIZZINESS, BLURRY VISION, LIGHTHEADED, FELL DUE TO IMBALANCE. PT WAS WELL RESPOND AFTER HE FELL. PT HIT IS HEAD REAL HARD ON THE FLORE DUE TO IMBALANCE BUT NEVER LOST THE CONCIOUSNESS.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: VERTIGO, DIZZINESS, BLURRY VISION, LIGHTHEADED, FELL DUE TO IMBALANCE. PT WAS WELL RESPOND AFTER HE FELL. PT HIT IS HEAD REAL HARD ON THE FLORE DUE TO IMBALANCE BUT NEVER LOST THE CONCIOUSNESS.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Migraine
Clinical narrative: Migraines got worse and more consistent after 2nd dose.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Diarrhoea, Dyspnoea, Headache, Nausea
Clinical narrative: Nauseous, diarrhea, heart feels bad, breathing is difficult, headache, fever, body ache
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Nauseous, diarrhea, heart feels bad, breathing is difficult, headache, fever, body ache
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute sinusitis, Asthma, Blood test, Chest X-ray, Chills
Clinical narrative: Chills, moderate to severe muscle pain, headache and low grade fever beginning the day following the second injection and lasting for 23 days. I remained at home and utilized the maximum prescribed doses of medication to treat my autonomic neuropathic pain including the maximum dose of Tramadol four times per day alternating with a total of 2000 mg of tylenol for the pain. Aslo utilized maximum prescribed doses of baclofen from 10 mg to 20 mg, amytriptyline from 25 mg to 50 mg, oxcarbazepine from 150 mg to 300 mg and lidocaine ointment from prn to twice daily. July 15th contracted shingles, July 31st developed cough, headache, and low grade fever. August 6th treated in ER for acute asthma.  August 20th I was treated in urgent care when  I developed acute non-recurrent maxillary sinusitis and a recurrence of shingles. My symptoms finally cleared on September 3rd. Aside from my autonomic neuropathy, I have never experienced long term symptoms of asthma or sinusitis.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Headache, Herpes zoster, Myalgia, Neuralgia
Clinical narrative: Chills, moderate to severe muscle pain, headache and low grade fever beginning the day following the second injection and lasting for 23 days. I remained at home and utilized the maximum prescribed doses of medication to treat my autonomic neuropathic pain including the maximum dose of Tramadol four times per day alternating with a total of 2000 mg of tylenol for the pain. Aslo utilized maximum prescribed doses of baclofen from 10 mg to 20 mg, amytriptyline from 25 mg to 50 mg, oxcarbazepine from 150 mg to 300 mg and lidocaine ointment from prn to twice daily. July 15th contracted shingles, July 31st developed cough, headache, and low grade fever. August 6th treated in ER for acute asthma.  August 20th I was treated in urgent care when  I developed acute non-recurrent maxillary sinusitis and a recurrence of shingles. My symptoms finally cleared on September 3rd. Aside from my autonomic neuropathy, I have never experienced long term symptoms of asthma or sinusitis.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Chills, moderate to severe muscle pain, headache and low grade fever beginning the day following the second injection and lasting for 23 days. I remained at home and utilized the maximum prescribed doses of medication to treat my autonomic neuropathic pain including the maximum dose of Tramadol four times per day alternating with a total of 2000 mg of tylenol for the pain. Aslo utilized maximum prescribed doses of baclofen from 10 mg to 20 mg, amytriptyline from 25 mg to 50 mg, oxcarbazepine from 150 mg to 300 mg and lidocaine ointment from prn to twice daily. July 15th contracted shingles, July 31st developed cough, headache, and low grade fever. August 6th treated in ER for acute asthma.  August 20th I was treated in urgent care when  I developed acute non-recurrent maxillary sinusitis and a recurrence of shingles. My symptoms finally cleared on September 3rd. Aside from my autonomic neuropathy, I have never experienced long term symptoms of asthma or sinusitis.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Pulmonary embolism
Clinical narrative: CRITICAL TEST/RESULTS: Acuity: Critical Finding: Pulmonary embolus
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Tremor
Clinical narrative: I experienced chills late at night. My teeth were chattering and I was shaking very hard. I felt cold and I was freezing. It lasted 8 hours. When I woke up, I was fine.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine was given post-expiration date with no adverse reaction.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test abnormal
Clinical narrative: (9/29/20210), Lab work done at Urgent Care, MRG dropped by 14 points. No other show of symptoms. Scheduled a appointment with Nephrologist on 10/01/2021. No treatment given other than diet and exercise.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Flushing, Lymphadenopathy, Pain
Clinical narrative: At 8pm the evening of the vaccination, patient felt tired and achy.  The next morning she felt flushed.  Later on in the evening, the patient noticed that she had a swollen lymph node in her one of her armpits.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Eye pain, Head discomfort, Headache
Clinical narrative: Headache, runny nose, sore arm and swelling/bump (injection site), dizziness, muscle aches, joint pain, chills, left eye pain on occasion, low grade fever 99.8° My head feels very heavy; too heavy for my shoulders to carry.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Myalgia, Pain in extremity, Pyrexia, Rhinorrhoea
Clinical narrative: Headache, runny nose, sore arm and swelling/bump (injection site), dizziness, muscle aches, joint pain, chills, left eye pain on occasion, low grade fever 99.8° My head feels very heavy; too heavy for my shoulders to carry.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine was given post-expiration date. no adverse reaction
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Local reaction, Swelling
Clinical narrative: Late local reaction with swelling, erythema, and pain around L wrist; also some swelling by deltoid; these symptoms began 3 days after vaccination and continued for 1 week
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest crushing, Chest pain, Discomfort, Dry eye, Eosinophil count increased
Clinical narrative: Lockjaw, swollen tongue in back, taste of copper, profuse sweating, low oxygen, rapid heart rate, crushing pain in chest, swollen cheeks/lips, headache and fever for 4 days, lethargy 1 mo,  open sores in mouth/ pallet  and behind gums,  heaviness in both, dry eyes (saw eye Dr)  blurry  vision,  kidney pain ( saw urgent care and had labs drawn 10 days after vaccine and labs showed raised eosinophils and elevated kidney panel.  FAST FORWARD to September and NOW I HAVE SHINGLES, ROSACEA and weird body spasms/ aches throughout my body!!!!
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Herpes zoster, Hyperhidrosis, Laboratory test
Clinical narrative: Lockjaw, swollen tongue in back, taste of copper, profuse sweating, low oxygen, rapid heart rate, crushing pain in chest, swollen cheeks/lips, headache and fever for 4 days, lethargy 1 mo,  open sores in mouth/ pallet  and behind gums,  heaviness in both, dry eyes (saw eye Dr)  blurry  vision,  kidney pain ( saw urgent care and had labs drawn 10 days after vaccine and labs showed raised eosinophils and elevated kidney panel.  FAST FORWARD to September and NOW I HAVE SHINGLES, ROSACEA and weird body spasms/ aches throughout my body!!!!
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Lip swelling, Muscle spasms, Oxygen saturation decreased, Pain
Clinical narrative: Lockjaw, swollen tongue in back, taste of copper, profuse sweating, low oxygen, rapid heart rate, crushing pain in chest, swollen cheeks/lips, headache and fever for 4 days, lethargy 1 mo,  open sores in mouth/ pallet  and behind gums,  heaviness in both, dry eyes (saw eye Dr)  blurry  vision,  kidney pain ( saw urgent care and had labs drawn 10 days after vaccine and labs showed raised eosinophils and elevated kidney panel.  FAST FORWARD to September and NOW I HAVE SHINGLES, ROSACEA and weird body spasms/ aches throughout my body!!!!
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Renal function test abnormal, Renal pain, Rosacea, Stomatitis
Clinical narrative: Lockjaw, swollen tongue in back, taste of copper, profuse sweating, low oxygen, rapid heart rate, crushing pain in chest, swollen cheeks/lips, headache and fever for 4 days, lethargy 1 mo,  open sores in mouth/ pallet  and behind gums,  heaviness in both, dry eyes (saw eye Dr)  blurry  vision,  kidney pain ( saw urgent care and had labs drawn 10 days after vaccine and labs showed raised eosinophils and elevated kidney panel.  FAST FORWARD to September and NOW I HAVE SHINGLES, ROSACEA and weird body spasms/ aches throughout my body!!!!
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Swollen tongue, Taste disorder, Trismus, Vision blurred
Clinical narrative: Lockjaw, swollen tongue in back, taste of copper, profuse sweating, low oxygen, rapid heart rate, crushing pain in chest, swollen cheeks/lips, headache and fever for 4 days, lethargy 1 mo,  open sores in mouth/ pallet  and behind gums,  heaviness in both, dry eyes (saw eye Dr)  blurry  vision,  kidney pain ( saw urgent care and had labs drawn 10 days after vaccine and labs showed raised eosinophils and elevated kidney panel.  FAST FORWARD to September and NOW I HAVE SHINGLES, ROSACEA and weird body spasms/ aches throughout my body!!!!
Age: 64.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Anxiety, Dyspnoea, Hallucination, auditory, Hallucination, visual, Insomnia
Clinical narrative: Anxiety, shortness of breath, tortured sleep for 18 hours. Visual hallucinations and strobing vision with eyes closed. Auditory hallucinations. Got up for 6 hours, then went back to bed for another 12 hours with the same symptoms. They fades about noon on Oct 7.
Age: 64.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Visual impairment
Clinical narrative: Anxiety, shortness of breath, tortured sleep for 18 hours. Visual hallucinations and strobing vision with eyes closed. Auditory hallucinations. Got up for 6 hours, then went back to bed for another 12 hours with the same symptoms. They fades about noon on Oct 7.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Hypoaesthesia oral, Migraine
Clinical narrative: Patient reported feeling dizzy, lightheaded, migraine like headache, numbness on the left side of the mouth, and mental fog, 10 min after receiving  the vaccine.  BP 145/100. Monitored patient for another 10min. Patient reported that the symptoms subsided prior to leaving. Patient was taken home by spouse.  Advised patient to report any other symptoms to primary health provider or report to ER if experienced any life-threatening symptoms.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine was given post-expiration date. no adverse reaction
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: STARTED ITCHING NOT LONG AFTER VACCINE GIVEN.  HIVES  NOTICED ABOUT 4 DAYS AFTER (POSSIBLY SOONER).  RASH MOVED TO BACK, CHEST, SHOULDERS, BOTH ARMS, AND LEGS.  CONTINUES TO HAVE ITCHING AND HIVES.   RECOMMENDED SEEING PCP.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac murmur, Chest pain, Heart rate increased, Heart rate irregular, Hypotension
Clinical narrative: Symptoms began 4 days after second Pfizer shot.   +accelerated heart rate, chest pain, heart inflammation   I have been experiencing this intermittently with a few bad episodes since June 11, 2021. So over four months now. Symptoms have improved but still happening sometimes.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation
Clinical narrative: Symptoms began 4 days after second Pfizer shot.   +accelerated heart rate, chest pain, heart inflammation   I have been experiencing this intermittently with a few bad episodes since June 11, 2021. So over four months now. Symptoms have improved but still happening sometimes.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, joint pain, muscle pain, fever
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: Coughing congestion chest pains
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Neuralgia, Swelling
Clinical narrative: pain at injection site, nerve pain, swelling
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Chills, Pain, Sleep disorder
Clinical narrative: Sharp Pains in chest.  Had chills and body aches that lasted  Passed put after waking up from pain in chest
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Read swelling at the injection site and around, very itchy
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal discomfort, Diarrhoea, Discomfort
Clinical narrative: MOSTLY STOMACH DISCOMFORT, SOME DIARRHEA, GENERALLY A FEELING OF DISCOMFORT
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Haematochezia, Heart rate increased, Lymphadenopathy, Neck pain
Clinical narrative: Fast heart beat - 10 minutes after vaccine (10/6/21) Sore and swollen arm (10/6/21) Vomiting and diarrhea, with loose, watery, mucus and bloody stools (10/7/21) Sore neck on right side, swollen lymph nodes  (10/7/21)
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Peripheral swelling, Vomiting
Clinical narrative: Fast heart beat - 10 minutes after vaccine (10/6/21) Sore and swollen arm (10/6/21) Vomiting and diarrhea, with loose, watery, mucus and bloody stools (10/7/21) Sore neck on right side, swollen lymph nodes  (10/7/21)
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Fast heart beat - 10 minutes after vaccine (10/6/21) Sore and swollen arm (10/6/21) Vomiting and diarrhea, with loose, watery, mucus and bloody stools (10/7/21) Sore neck on right side, swollen lymph nodes  (10/7/21)
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Pfizer dose was given after patient had gotten Moderna vaccination series. Moderna vaccine was given on 2/9/21 and 3/9. He did not have any adverse event at the time of vaccination. However, he was not indicated for a dose of Pfizer vaccination.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Urticaria
Clinical narrative: patient returned to pharmacy in about an hour to an hour and a half with rash/hives she stated she called her Provider and they instructed her to take a benadryl  and the patient has an appointment in the morining patient returned about 30 to 45 minutes later and we agreed she should go to a minor emergency center for the rash
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: CELLULITIS OF LEFT ARM
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen axillary lymph node in left arm, extending from axilla down side and back
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Feeling hot
Clinical narrative: chest pain an hour after the vaccine that is still persisting and associated with sensation of radiating heat from the chest
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Her menstrual cycle is abnormal, heavier bleeding than usual, has been going on for 8 days which is also longer than normal for her cycle.
Age: 84.0
Sex: M
Vaccine: VARZOS
Symptoms: Gastrointestinal haemorrhage
Clinical narrative: Patient reports lower GI bleed with a considerable amount of blood following vaccination. Patient instructed to report to the hospital to be seen.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Lymphadenopathy, Soft tissue swelling
Clinical narrative: Large swelling in left armpit, lymph node. Size of an egg, and surrounding tissue swollen. Flu like symptoms, 2 days so far. This is different from previous 2 shots, where I had no problems.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Rheumatoid arthritis
Clinical narrative: Rheumatoid arthritis ?
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia
Clinical narrative: Within 5 minutes of receiving my vaccine, I got a strong metallic taste in my mouth. My vaccine was less than an hour ago, but I still have the metallic taste.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia, Injection site pain
Clinical narrative: Within 5 minutes of receiving my vaccine, I got a strong metallic taste in my mouth. My vaccine was less than an hour ago, but I still have the metallic taste.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fall, Gait inability, Insomnia, Joint hyperextension
Clinical narrative: When starting the day on April 10th I noticed that I was having less muscle control of my left leg from the hip down. Then at around 11 am April 12th I started to take a few steps backwards and my left leg collapsed and I fell over backwards. My left leg hyper compressed then flung up and hyper extended. I was able to get up but the left hip,knee,& ankle started swelling and became very painful. The swelling & pain increased to where I couldn't walk with that leg so started using crutches which last for over a month, and was barley able to sleep because of the severe pain and being unable to find a comfortable position. I did start taking herbs just incase of a possible blood clot and using compression for swelling.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Joint swelling, Mobility decreased, Pain in extremity, Syncope, Walking aid user
Clinical narrative: When starting the day on April 10th I noticed that I was having less muscle control of my left leg from the hip down. Then at around 11 am April 12th I started to take a few steps backwards and my left leg collapsed and I fell over backwards. My left leg hyper compressed then flung up and hyper extended. I was able to get up but the left hip,knee,& ankle started swelling and became very painful. The swelling & pain increased to where I couldn't walk with that leg so started using crutches which last for over a month, and was barley able to sleep because of the severe pain and being unable to find a comfortable position. I did start taking herbs just incase of a possible blood clot and using compression for swelling.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain, Rash
Clinical narrative: Pox like rash Migraine Body aches
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Pulmonary embolism, X-ray
Clinical narrative: Bilateral pulmonary emboli
Age: 78.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Pt described rash, redness and warmth to the area where he was vaccinated on last Fri.  I advised pt to apply cold pack to area and to contact Dr to evaluate.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Feeling of body temperature change, Headache
Clinical narrative: PATIENT CALLED @9:30AM 10/7 AND STATED THAT SHE HAD CHILLS AND WAS HOT AND COLD BUT NO FEVER @6PM ON 10/6, THE DATE SHE RECIEVED HER SHOT. SHE TOOK TYLENOL AND THEN AGAIN 4 HOURS LATER. SHE HAD A HEADACHE THIS MORNING AND TOOK TYLENOL AGAIN. CHECKED BACK IN WITH PATIENT AROUND 6PM AND SHE STATED HER SYMPTONS RESOLVED
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Irritability, Lethargy, Migraine, Pain in extremity
Clinical narrative: Migraine-type headache, lethargy, sore arm around injection site,  behavioral irritability.  All symptoms began about 18 hours after injection and lasted approximately 24 hours. No professional Treatment sought and PCP was not consulted as symptoms subsided. Patient pursued Bed rest and minimal activity.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Pharyngeal swelling
Clinical narrative: Patient received the Pfizer Covid 19 vaccine. She was hesitant to receive it because she said she had an adverse reaction to flu vaccine. She had an anaphylactic reaction in the past. She is also prone to allergic reactions to various antibiotics. She said she was only getting the vaccine because of the state mandate. She received her vaccine at around 1:20 pm and almost immediately had an allergic reaction. She said her throat was swelling up and she had a hard time breathing. Code white was called. Offered Epi-pen, but the patient already had one and she said she did not want to inject it because that would mean a trip to the hospital. Her husband was a paramedic and he had the epi-pen handy in case she stopped breathing. She insisted on benadryl. She was given 6 capsules of benadryl. Patient insisted on taking 6 capsules. She has had similar reactions and she said she always takes 6 capsules. After a few minutes, patient insisted on going home. She left with her husband.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Anxiety, Dizziness, Dyspnoea, Headache
Clinical narrative: Patient received the Pfizer Covid 19 vaccine. She was hesitant to receive it because she said she had an adverse reaction to flu vaccine. She had an anaphylactic reaction in the past. She is also prone to allergic reactions to various antibiotics. She said she was only getting the vaccine because of the state mandate. She received her vaccine at around 1:20 pm and almost immediately had an allergic reaction. She said her throat was swelling up and she had a hard time breathing. Code white was called. Offered Epi-pen, but the patient already had one and she said she did not want to inject it because that would mean a trip to the hospital. Her husband was a paramedic and he had the epi-pen handy in case she stopped breathing. She insisted on benadryl. She was given 6 capsules of benadryl. Patient insisted on taking 6 capsules. She has had similar reactions and she said she always takes 6 capsules. After a few minutes, patient insisted on going home. She left with her husband.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal swelling, Pruritus, Wheezing
Clinical narrative: Patient received the Pfizer Covid 19 vaccine. She was hesitant to receive it because she said she had an adverse reaction to flu vaccine. She had an anaphylactic reaction in the past. She is also prone to allergic reactions to various antibiotics. She said she was only getting the vaccine because of the state mandate. She received her vaccine at around 1:20 pm and almost immediately had an allergic reaction. She said her throat was swelling up and she had a hard time breathing. Code white was called. Offered Epi-pen, but the patient already had one and she said she did not want to inject it because that would mean a trip to the hospital. Her husband was a paramedic and he had the epi-pen handy in case she stopped breathing. She insisted on benadryl. She was given 6 capsules of benadryl. Patient insisted on taking 6 capsules. She has had similar reactions and she said she always takes 6 capsules. After a few minutes, patient insisted on going home. She left with her husband.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: HIVES STARTING ON MY FEET AND WORKING UP MY LEGS AND BACK
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Back pain, Blood pressure increased, Cardiac discomfort, Chest discomfort
Clinical narrative: 24 hours after receiving the first does of Pfizer I experienced a sharp stabbing pain in my heart. I felt about 7 to 8 more stabbing pains in my heart over the next 24 hours. Over the next few days there was a slight pressure on my heart that felt like someone was cupping my heart but was not painful. On the 6th day the pressure built up and it felt like my heart was being squeezed. I had chest tightness, chest pain, heart pain, upper back tightness, upper back pain, a few shooting pains in my jaw and left arm and slight neck tightness. It hurt more when lying down or leaning forward. I went to the Urgent Care on the 7th day. My blood pressure was slightly elevated at 146/81 and my pulse was 94. I was advised to take a over the counter painkiller such as Tylenol for possible inflammation. I have taken Tylenol that somewhat helps the pain and tightness. If I stop taking the Tylenol for 12 hours the heart pain and chest pain come back. Most of the pain and unusual feeling is in my upper left chest but sometimes I have an indescribable pain in the center of my chest. I have felt like I am about to have some sort of heart failure. I have fatigue and light headedness. It is day 15 and I still have chest and heart pain which greatly increases without Tylenol. I was referred to and have scheduled an appointment with a cardiologist on October 15th which I was told was the earliest I could be seen.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dizziness, Electrocardiogram normal, Fatigue, Muscle tightness
Clinical narrative: 24 hours after receiving the first does of Pfizer I experienced a sharp stabbing pain in my heart. I felt about 7 to 8 more stabbing pains in my heart over the next 24 hours. Over the next few days there was a slight pressure on my heart that felt like someone was cupping my heart but was not painful. On the 6th day the pressure built up and it felt like my heart was being squeezed. I had chest tightness, chest pain, heart pain, upper back tightness, upper back pain, a few shooting pains in my jaw and left arm and slight neck tightness. It hurt more when lying down or leaning forward. I went to the Urgent Care on the 7th day. My blood pressure was slightly elevated at 146/81 and my pulse was 94. I was advised to take a over the counter painkiller such as Tylenol for possible inflammation. I have taken Tylenol that somewhat helps the pain and tightness. If I stop taking the Tylenol for 12 hours the heart pain and chest pain come back. Most of the pain and unusual feeling is in my upper left chest but sometimes I have an indescribable pain in the center of my chest. I have felt like I am about to have some sort of heart failure. I have fatigue and light headedness. It is day 15 and I still have chest and heart pain which greatly increases without Tylenol. I was referred to and have scheduled an appointment with a cardiologist on October 15th which I was told was the earliest I could be seen.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal discomfort, Pain, Pain in extremity, Pain in jaw
Clinical narrative: 24 hours after receiving the first does of Pfizer I experienced a sharp stabbing pain in my heart. I felt about 7 to 8 more stabbing pains in my heart over the next 24 hours. Over the next few days there was a slight pressure on my heart that felt like someone was cupping my heart but was not painful. On the 6th day the pressure built up and it felt like my heart was being squeezed. I had chest tightness, chest pain, heart pain, upper back tightness, upper back pain, a few shooting pains in my jaw and left arm and slight neck tightness. It hurt more when lying down or leaning forward. I went to the Urgent Care on the 7th day. My blood pressure was slightly elevated at 146/81 and my pulse was 94. I was advised to take a over the counter painkiller such as Tylenol for possible inflammation. I have taken Tylenol that somewhat helps the pain and tightness. If I stop taking the Tylenol for 12 hours the heart pain and chest pain come back. Most of the pain and unusual feeling is in my upper left chest but sometimes I have an indescribable pain in the center of my chest. I have felt like I am about to have some sort of heart failure. I have fatigue and light headedness. It is day 15 and I still have chest and heart pain which greatly increases without Tylenol. I was referred to and have scheduled an appointment with a cardiologist on October 15th which I was told was the earliest I could be seen.