chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given the wrong dose. She was given 0.5ml of Pfizer instead of 0.3ml. She stayed the 15 minutes. No s/s of adverse effects from receiving the wrong dose was noted.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Diarrhoea, Inflammation, Myocarditis, Nausea
Clinical narrative: Myocarditis, duration post vaccine 5 months - two days after second vaccine total body collapse. Fever, racing heart, body pains, nausea, vomiting, diarrhea, heart inflammation, heart pain
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Palpitations, Pyrexia, Syncope, Vomiting
Clinical narrative: Myocarditis, duration post vaccine 5 months - two days after second vaccine total body collapse. Fever, racing heart, body pains, nausea, vomiting, diarrhea, heart inflammation, heart pain
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE VIAL WAS FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea, Fatigue
Clinical narrative: Hospitalized 11/22/2021; COVID-19 positive 11/22/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 11/22/2021 Discharge Date: 11/24/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 62-year-old male who presented to the emergency department with shortness of breath and fatigue.  Patient with known COVID-19.  In the emergency department, patient was found to be hypoxemic on room air and placed on supplemental oxygen.  Chest x-ray was performed and concerning for COVID-19 pneumonia.  He was admitted and started on Decadron and remdesivir.  Patient did improve during his stay and felt well on the day of discharge.  Pulmonary rehab was consulted and patient was set up with home oxygen.  He is to wear 3 L nasal cannula at all times.  He was also enrolled in the COVID at home program.  He was recommended to follow up with his primary care physician.  He was discharged home in stable condition.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 11/22/2021; COVID-19 positive 11/22/2021; fully vaccinated  BRIEF OVERVIEW: Admission Date: 11/22/2021 Discharge Date: 11/24/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 62-year-old male who presented to the emergency department with shortness of breath and fatigue.  Patient with known COVID-19.  In the emergency department, patient was found to be hypoxemic on room air and placed on supplemental oxygen.  Chest x-ray was performed and concerning for COVID-19 pneumonia.  He was admitted and started on Decadron and remdesivir.  Patient did improve during his stay and felt well on the day of discharge.  Pulmonary rehab was consulted and patient was set up with home oxygen.  He is to wear 3 L nasal cannula at all times.  He was also enrolled in the COVID at home program.  He was recommended to follow up with his primary care physician.  He was discharged home in stable condition.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthenia, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: I got very weak about an hour after the vaccine and my stomach hurt like I was very nauseous. I slept for about 6 hours and felt fine after that. About 2-3 days later, I got a horrible rash on my L arm right at the injection site that was hot to the touch and ITCHED! It was my entire upper left arm that was red, hot, and itchy.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea
Clinical narrative: I got very weak about an hour after the vaccine and my stomach hurt like I was very nauseous. I slept for about 6 hours and felt fine after that. About 2-3 days later, I got a horrible rash on my L arm right at the injection site that was hot to the touch and ITCHED! It was my entire upper left arm that was red, hot, and itchy.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: cause of death-complications of covid 19.  fully vaccinated
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Feeling cold, Feeling hot
Clinical narrative: 11/22/21: Sore arm began that evening at around 8pm but laid down for bed at 9pm. From 10pm-2am, I experienced a fiery burning in every joint in my body for the course of four hours. It was some of the most severe pain I have felt in my life. I can only explain it as a hot poker being jabbed into every joint, even my ribs. I could not move either. At around 2am, the pain almost instantly stopped, and I immediately got cold. My teeth were chattering, and I could not warm up. I did not take my temperature but assume it had to be high. To warm up, I took a half hour shower. When I got out, I had a migraine and started throwing up. By 3am or so, I got into bed, sweating and feeling extremely hot rather than freezing. I woke up again in the morning, feeling rundown. After waking up at 8am, I also slept from 10am-11:30am, 1:30pm-3:00pm, and 4:30pm-10:30pm. I did not have an appetite all day.   Throughout the course of this, I took Tylenol at 650mg dosage, but it only affected the injection site, which I thought was odd. I do not normally swallow pills, so my tolerance is extremely low, and I am usually able to get away with a dose of children's Tylenol, even as a 25 year old.   By 11/24, I am not exhausted, but I still have lingering pain that comes and goes. At the time of writing this at 5pm on 11/24 most of the pain is gone, though some joints still throb if they're bent for too long.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypersomnia, Injection site reaction, Migraine, Mobility decreased
Clinical narrative: 11/22/21: Sore arm began that evening at around 8pm but laid down for bed at 9pm. From 10pm-2am, I experienced a fiery burning in every joint in my body for the course of four hours. It was some of the most severe pain I have felt in my life. I can only explain it as a hot poker being jabbed into every joint, even my ribs. I could not move either. At around 2am, the pain almost instantly stopped, and I immediately got cold. My teeth were chattering, and I could not warm up. I did not take my temperature but assume it had to be high. To warm up, I took a half hour shower. When I got out, I had a migraine and started throwing up. By 3am or so, I got into bed, sweating and feeling extremely hot rather than freezing. I woke up again in the morning, feeling rundown. After waking up at 8am, I also slept from 10am-11:30am, 1:30pm-3:00pm, and 4:30pm-10:30pm. I did not have an appetite all day.   Throughout the course of this, I took Tylenol at 650mg dosage, but it only affected the injection site, which I thought was odd. I do not normally swallow pills, so my tolerance is extremely low, and I am usually able to get away with a dose of children's Tylenol, even as a 25 year old.   By 11/24, I am not exhausted, but I still have lingering pain that comes and goes. At the time of writing this at 5pm on 11/24 most of the pain is gone, though some joints still throb if they're bent for too long.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Vomiting
Clinical narrative: 11/22/21: Sore arm began that evening at around 8pm but laid down for bed at 9pm. From 10pm-2am, I experienced a fiery burning in every joint in my body for the course of four hours. It was some of the most severe pain I have felt in my life. I can only explain it as a hot poker being jabbed into every joint, even my ribs. I could not move either. At around 2am, the pain almost instantly stopped, and I immediately got cold. My teeth were chattering, and I could not warm up. I did not take my temperature but assume it had to be high. To warm up, I took a half hour shower. When I got out, I had a migraine and started throwing up. By 3am or so, I got into bed, sweating and feeling extremely hot rather than freezing. I woke up again in the morning, feeling rundown. After waking up at 8am, I also slept from 10am-11:30am, 1:30pm-3:00pm, and 4:30pm-10:30pm. I did not have an appetite all day.   Throughout the course of this, I took Tylenol at 650mg dosage, but it only affected the injection site, which I thought was odd. I do not normally swallow pills, so my tolerance is extremely low, and I am usually able to get away with a dose of children's Tylenol, even as a 25 year old.   By 11/24, I am not exhausted, but I still have lingering pain that comes and goes. At the time of writing this at 5pm on 11/24 most of the pain is gone, though some joints still throb if they're bent for too long.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE VIAL FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: OUTSIDE OF GUIDELINESS THIRD PARTY STAFF ADMINISTERED FULL DOSE(0.5ML) OF MODERNA VACCINE INSTEAD OF BOOSTER DOSE (0.25ML)
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient (Guardian) received text to come in for second dose today. appointment was initially for December 1, 2021. Patient received 2nd dose of covid vaccine 1 week too soon. The Nurse and Registration clerk both stated that the date on the card looked like it said 11/1/2021 as oppose to 11/10/2021 which is when they were actually vaccinated. Patient was informed that they would need to get another dose in 21 days to complete the series
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Site reaction- R deltoid localized skin erythema, warmth, and tenderness 1 week after vaccination
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was given Pediatric vaccine instead of Adolescent/Adult  vaccine.  No adverse outcome
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: patient became dizzy after vaccine. she stayed dizzy for about an hour and then her daughter came to pick her up
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: patient later had second vaccine, and later tested positive for covid 19
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Hemiparesis, Myelopathy, Sensory loss
Clinical narrative: myelopathy - R sided weakness, L sided decreased pinprick sensation and temperature sensation
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rash/hives on chest
Age: 5.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Fatigue, Feeling cold, Vomiting
Clinical narrative: PATIENT HAD AN EMESIS SHORTLY AFTER RECEIVING THE COVID AND FLU VACCINES ON OPPOSITE ARMS. HE SAID HE FELT TIRED AND COLD
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-thyroid antibody positive, Basedow's disease, Blood thyroid stimulating hormone decreased, Disturbance in attention, Dyspnoea
Clinical narrative: In 48 hours I had developed a swollen left deltoid, became lethargic and had a headache. On approximately 11/11, I became increasingly lethargic, mentally foggy, inability to concentrate. This progressed  until 11/18 when I became unable to work or stay awake all day. Today, I was diagnosed with Hyperthyroidism as a likely result of Graves? Disease.   I currently am hypertensive, tachycardic, massive headache, lethargic, unable to sleep, uncontrollable sweating and temperature sensitivity, short of breath often at rest and always with minimal exertion.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea at rest, Dyspnoea exertional, Feeling abnormal, Headache, Hyperhidrosis
Clinical narrative: In 48 hours I had developed a swollen left deltoid, became lethargic and had a headache. On approximately 11/11, I became increasingly lethargic, mentally foggy, inability to concentrate. This progressed  until 11/18 when I became unable to work or stay awake all day. Today, I was diagnosed with Hyperthyroidism as a likely result of Graves? Disease.   I currently am hypertensive, tachycardic, massive headache, lethargic, unable to sleep, uncontrollable sweating and temperature sensitivity, short of breath often at rest and always with minimal exertion.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Hyperthyroidism, Imaging procedure abnormal, Impaired work ability, Injection site swelling
Clinical narrative: In 48 hours I had developed a swollen left deltoid, became lethargic and had a headache. On approximately 11/11, I became increasingly lethargic, mentally foggy, inability to concentrate. This progressed  until 11/18 when I became unable to work or stay awake all day. Today, I was diagnosed with Hyperthyroidism as a likely result of Graves? Disease.   I currently am hypertensive, tachycardic, massive headache, lethargic, unable to sleep, uncontrollable sweating and temperature sensitivity, short of breath often at rest and always with minimal exertion.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Lethargy, Somnolence, Tachycardia, Temperature intolerance
Clinical narrative: In 48 hours I had developed a swollen left deltoid, became lethargic and had a headache. On approximately 11/11, I became increasingly lethargic, mentally foggy, inability to concentrate. This progressed  until 11/18 when I became unable to work or stay awake all day. Today, I was diagnosed with Hyperthyroidism as a likely result of Graves? Disease.   I currently am hypertensive, tachycardic, massive headache, lethargic, unable to sleep, uncontrollable sweating and temperature sensitivity, short of breath often at rest and always with minimal exertion.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Thyroxine free increased, Tri-iodothyronine increased, Ultrasound scan abnormal
Clinical narrative: In 48 hours I had developed a swollen left deltoid, became lethargic and had a headache. On approximately 11/11, I became increasingly lethargic, mentally foggy, inability to concentrate. This progressed  until 11/18 when I became unable to work or stay awake all day. Today, I was diagnosed with Hyperthyroidism as a likely result of Graves? Disease.   I currently am hypertensive, tachycardic, massive headache, lethargic, unable to sleep, uncontrollable sweating and temperature sensitivity, short of breath often at rest and always with minimal exertion.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: HIGH DOSE FLU VACCINE GIVEN TO PATIENT AGED 64 YEARS AT OFFSITE COMMUNITY CLINIC. DISCOVERED LATER WHEN PROCESSING PAPERWORK AT STORE LEVEL ON 11/24/21. SPOKE TO PATIENT AFTER THE DISCOVERY OF ERROR TO CHECK ON HER AND SHE STATES NO ILL EFFECTS AFTER VACCINE AND WAS GRATEFUL TO HAVE THE HIGH-DOSE FORMULATION.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired Covid Vaccine. Dose expired 10/9/21 dose give 10/29/21
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Diarrhoea, Discomfort, Eye irritation, Fatigue
Clinical narrative: 1st dose- had joint pain mainly at site of knee replacements, felt tingling, discomfort on left wrist area. Lasted one day. 2nd dose- joint pain at site of knee replacements. Booster given 11/9/21. Joint pain at knee replacements, diarrhea several times, tingling again , weird feeling wrist area, eyes burned , felt feverish at times and tired.  11/17/21 noticed a rash on my midsection, many spots. Also had tingling, pain , numbness in wrist and upper arm. Contacted doctor, diagnosed with shingles. Given medication.  Rash is on midsection , side and back , all on left side of body. Today is 11/24/21, Not all of the the cluster of blisters have broken with fluid.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Feeling abnormal, Herpes zoster, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: 1st dose- had joint pain mainly at site of knee replacements, felt tingling, discomfort on left wrist area. Lasted one day. 2nd dose- joint pain at site of knee replacements. Booster given 11/9/21. Joint pain at knee replacements, diarrhea several times, tingling again , weird feeling wrist area, eyes burned , felt feverish at times and tired.  11/17/21 noticed a rash on my midsection, many spots. Also had tingling, pain , numbness in wrist and upper arm. Contacted doctor, diagnosed with shingles. Given medication.  Rash is on midsection , side and back , all on left side of body. Today is 11/24/21, Not all of the the cluster of blisters have broken with fluid.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: 1st dose- had joint pain mainly at site of knee replacements, felt tingling, discomfort on left wrist area. Lasted one day. 2nd dose- joint pain at site of knee replacements. Booster given 11/9/21. Joint pain at knee replacements, diarrhea several times, tingling again , weird feeling wrist area, eyes burned , felt feverish at times and tired.  11/17/21 noticed a rash on my midsection, many spots. Also had tingling, pain , numbness in wrist and upper arm. Contacted doctor, diagnosed with shingles. Given medication.  Rash is on midsection , side and back , all on left side of body. Today is 11/24/21, Not all of the the cluster of blisters have broken with fluid.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt received the Pediatric vaccine instead of Adolescent/Adult vaccine
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: OUTSIDE OF GUIDELINESS THIRD PARTY STAFF ADMINISTERED FULL DOSE (0.5ML) OF MODERNA VACCINE INSTEAD OF BOOSTER DOSE (0.25ML)
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE VIAL FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Musculoskeletal stiffness, Pallor, Syncope, Thirst
Clinical narrative: We had an incident of Post Vaccination Syncope at store 4677. I gave an elderly lady her Pfizer Booster shot and asked her to wait in the post vaccination benches. Since   she got the shot at 1:30 pm (the pharmacy closed at lunch) I told the patient I will be keeping an eye on how she is doing even though the doors are closed .  When i went outside to see how the patient is doing her grandson who is a nurse told me that the patient is feeling warm and thirsty. When I looked at the patient she looked very Pale and stiff. She wasn't comprehending very well when I asked her how she is doing. With the help of her grandson, we made the patient lie down on the benches and elevated her feet.   Code white was alerted and I gave patient Cold Compress on her forehead and around the neck area. Shortly after doing cold compress patient started talking and she stated she is feeling better.  We gave her some water and she waited in the pharmacy for about half an hour.  Patient was very happy with the care she got throughout the episode and was very thankful!!
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient made an appointment for a COVID vaccine booster (she received Moderna as her primary series). Upon checking in at the pharmacy, Technician , asked the patient if she wanted the Moderna as the booster and patient confirmed. Her vaccine was processed as the Moderna booster and the nurse gave her the vaccine. Afterwards, the patient sees that we signed off on her vaccine card for the Moderna booster and claims that she was supposed to receive the Pfizer booster, as she made an appointment for the Pfizer booster (per her doctor's recommendation). We do not assume that what the patient selects online for their vaccine is what they want. We always ask at the pharmacy to make sure we give the correct  vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza
Clinical narrative: I didn't feel the flu symptoms. I didn't notice it until the following day. I had a headache; it lasted a couple of days. I get about two to four per week. I made a telecommunication visit with my doctor around July to around August. Several things were discuses at the time, but I can't tell exactly when they prescribed rizatriptan the generic for Maxalt, they're 10mgs tablets and they told me to take one tablet and then 2 hours you take a second one if the headache persist. I would not take more than 3 tablets. This could vary depending on my condition.  I'm still taking it. I probably started in July or august and have been taking it since then.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given Pfizer COVID-19 vaccination that expired one day prior to administration.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient passed out after vaccination and states that she felt dizzy. Emergency services were called patient did not want to go the hospital. Patient was given an ice pack to apply
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: Body aches, chest pain, shortness of breath, fatigue, dry cough, and decreased appetite, nausea and vomiting and diarrhea
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain, Vomiting
Clinical narrative: Body aches, chest pain, shortness of breath, fatigue, dry cough, and decreased appetite, nausea and vomiting and diarrhea
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: 7 year old male was inadvertently given 0.2mL of the Pfizer 12+ serum instead of the 5-11 serum. No adverse side effects noted same day.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Vomiting
Clinical narrative: PATIENT HAD PFIZER KIDS 5-11 DOSE 1 AT 11:30 11/24/2021. PATIENT'S GUARDIAN CALLED ABOUT 14:30 TO REPORT THAT PATIENT HAD JUST VOMITED FOR NO APPARENT REASON. PATIENT WAS ALSO COMPLAINING OF NECK PAIN OF UNKNOWN ORIGIN. I SPOKE WITH THE GUARDIAN FOR ABOUT 5-7 MINUTES, BY THE END OF WHICH, THE MINOR PATIENT HAD REPORTED THAT HIS S/SX WERE GONE AND THAT HE FELT FINE.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient noticed a rash that started on his left arm on 11/20/2021, which eventually spread to his right arm.  Rash was not on his chest or back.  He did not seek medical care.  Recommended f/u with PMD at time of patient report.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint range of motion decreased, Pain, Sleep disorder
Clinical narrative: Extreme pain in entire left shoulder area. So much so that couldn't sleep for 2 nights. Very limited range of motion and use of left arm due to extreme pain all around shoulder. Felt like arm had been ripped from shoulder and left to hang. Dead arm. Not tender or sore to touch at injection site. Pain felt more internal.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given Pfizer COVID-19 vaccination that expired one day prior to administration.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Scratch
Clinical narrative: I noticed the day after my moderna booster shot which was on my left upper arm that I had a little scratch on my upper left chest.  The following morning  I had a rash on my left breast.  Both of spots I noticed in the morning.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Feeling abnormal, Headache
Clinical narrative: By 8pm of the day I received the Covid-19 booster (Moderna), I became chilly and achy.  My temperature was 100°F.  I felt very tired and had a headache at the bae of my head.  I didn?t sleep well.  I felt poorly the next day, as well.  My temperature spiked to 100.5°F later that afternoon.  I slept well?9.8 hours.  I felt better upon awakening, but I am still a bit tired today.  No fever and no headache.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Pain, Vaccine positive rechallenge
Clinical narrative: By 8pm of the day I received the Covid-19 booster (Moderna), I became chilly and achy.  My temperature was 100°F.  I felt very tired and had a headache at the bae of my head.  I didn?t sleep well.  I felt poorly the next day, as well.  My temperature spiked to 100.5°F later that afternoon.  I slept well?9.8 hours.  I felt better upon awakening, but I am still a bit tired today.  No fever and no headache.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: The Pt  started she felt dizzy about 10 minutes after receiving the Moderna Booster Vaccine. Pt was taken into the room to lie down. Pt told us she already felt a little bit dizzy before receiving the vaccine and that she felt the same reaction with her first 2 doses.   Pt also said that the medication she takes for the attacks makes her dizzy.   Vitals were taken at 11:35 am 131/82 Pulse:64   The patient received water; she drinks like 6 Oz of water.   She was checked by  Md at 11: 40 am. She asked the Pt what symptoms she had, check the numbers on virials.  and check the lungs.   The provider recommended that she wait another 15minutes and she can leave this if she feels better and was no longer dizzy.   The provider came back at 11:58 am to check the Pt, she says she feels better, she was able to get up on her own and was checked by the provider before leaving. Advised her call to clinic id dizziness returned or call all if trouble breathing/ symptom worsens.   we took the vitals 125/82 and pulse 55 pulses the Pt left at 12:02 Pm.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Tremor
Clinical narrative: Pt received his booster shot and went to observation area to be monitored for 15 minutes. While sitting pt stated he became dizzy and felt lightheaded. Pt was told he could be taken to private room for closer monitoring. While pt was walking to room he fainted and started shaking slightly, closely resembled seizure activity for a few seconds. Pt was lifted by crews and taken into private room and assessed. Fire Department was called and pt was transported to hospital by fire department.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: OUTSIDE OF GUIDELINESS THIRD PARTY STAFF ADMINISTERED FULL DOSE (0.5ML) OF MODERNA VACCINE INSTEAD OF BOOSTER DOSE (0.25ML)
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Dizziness, Laboratory test abnormal
Clinical narrative: lightheadedness and dizziness.  acute stroke diagnosed on work up in the hospital
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Left arm had a 3inch circle that was raised, hot and itchy. Took Benadryl but didn't do much good and it lasted about a week.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Arthralgia, Back pain, Blepharospasm, Chills
Clinical narrative: Shot given high on shoulder, swelling burning pain, extending from shot site to back of shoulder and into neck, woke up with heart attack symptoms, radiating pain to fingers and neck, jaw, mid back,  wednesday 11/17    11/18-  thru  11/23 All joints burning, swollen lymph nodes, muscle and eyelid twitches, dry blurry vision, eyes not working together, Cold sore, Canker sore,Chills, Lowback pain, Brain Fog, Tired,  Dry cough, Runny Nose, Post Nasal Drip with pressure, White fluid on tongue, dizzy,  Sore throat, Nausea.        NO  FEVER.    All symptoms happened for 6 days.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dry eye, Eye disorder, Fatigue
Clinical narrative: Shot given high on shoulder, swelling burning pain, extending from shot site to back of shoulder and into neck, woke up with heart attack symptoms, radiating pain to fingers and neck, jaw, mid back,  wednesday 11/17    11/18-  thru  11/23 All joints burning, swollen lymph nodes, muscle and eyelid twitches, dry blurry vision, eyes not working together, Cold sore, Canker sore,Chills, Lowback pain, Brain Fog, Tired,  Dry cough, Runny Nose, Post Nasal Drip with pressure, White fluid on tongue, dizzy,  Sore throat, Nausea.        NO  FEVER.    All symptoms happened for 6 days.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site pain, Injection site swelling, Lymphadenopathy, Muscle twitching
Clinical narrative: Shot given high on shoulder, swelling burning pain, extending from shot site to back of shoulder and into neck, woke up with heart attack symptoms, radiating pain to fingers and neck, jaw, mid back,  wednesday 11/17    11/18-  thru  11/23 All joints burning, swollen lymph nodes, muscle and eyelid twitches, dry blurry vision, eyes not working together, Cold sore, Canker sore,Chills, Lowback pain, Brain Fog, Tired,  Dry cough, Runny Nose, Post Nasal Drip with pressure, White fluid on tongue, dizzy,  Sore throat, Nausea.        NO  FEVER.    All symptoms happened for 6 days.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal discomfort, Nausea, Oral herpes, Oropharyngeal pain, Pain
Clinical narrative: Shot given high on shoulder, swelling burning pain, extending from shot site to back of shoulder and into neck, woke up with heart attack symptoms, radiating pain to fingers and neck, jaw, mid back,  wednesday 11/17    11/18-  thru  11/23 All joints burning, swollen lymph nodes, muscle and eyelid twitches, dry blurry vision, eyes not working together, Cold sore, Canker sore,Chills, Lowback pain, Brain Fog, Tired,  Dry cough, Runny Nose, Post Nasal Drip with pressure, White fluid on tongue, dizzy,  Sore throat, Nausea.        NO  FEVER.    All symptoms happened for 6 days.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site, Rhinorrhoea, Swelling, Upper-airway cough syndrome, Vision blurred
Clinical narrative: Shot given high on shoulder, swelling burning pain, extending from shot site to back of shoulder and into neck, woke up with heart attack symptoms, radiating pain to fingers and neck, jaw, mid back,  wednesday 11/17    11/18-  thru  11/23 All joints burning, swollen lymph nodes, muscle and eyelid twitches, dry blurry vision, eyes not working together, Cold sore, Canker sore,Chills, Lowback pain, Brain Fog, Tired,  Dry cough, Runny Nose, Post Nasal Drip with pressure, White fluid on tongue, dizzy,  Sore throat, Nausea.        NO  FEVER.    All symptoms happened for 6 days.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Influenza, Pain, Pyrexia
Clinical narrative: 6 y/o female presents flu symptoms.  Symptoms started 3 days ago. Low grad fever has been on and off. Vomited x 1 on Monday night. Diarrhea since Monday. Bodyaches.   Developed a rash last night to bilateral hands- itching and hurting. No appetite.  Received 1st COVID vaccine Saturday.  Been using tylenol/ibuprofen and benadryl last night for rash.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Vomiting
Clinical narrative: 6 y/o female presents flu symptoms.  Symptoms started 3 days ago. Low grad fever has been on and off. Vomited x 1 on Monday night. Diarrhea since Monday. Bodyaches.   Developed a rash last night to bilateral hands- itching and hurting. No appetite.  Received 1st COVID vaccine Saturday.  Been using tylenol/ibuprofen and benadryl last night for rash.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Given to patient before 5th birthday
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Erythema of eyelid, Ocular hyperaemia, Rash
Clinical narrative: I finished the vaccination and immediately after that child developed redness under both eyes. I took Dr. to the room immediately and he examined the patient. She was acting fine except mild redness under both eyes and also in eyes. Dr. spoke to the patient's mother and explained to mother that we will keep her in office to observe her. Dr.  then re-evaluated the patient after 30 minutes and the redness was almost gone. Dr. then discharged the patient and requested mother to give a call if any issues including any breathing complaints. Mother agreed. We spoke to Mother on 11/23/2021 and mother stated that the rashes are going away. I spoke to Mother on 11/24/2021 and per mother she only has a few red dots left on the eyes.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctivitis
Clinical narrative: Conjunctivitis, Antibiotic eye drops Tobramycin Ophthalmic Solution, USP 0.3% 5mL Use 1-2 drops right eye every 2 hours for first 2 days, 1-2 drops right eye every 4 hours for 5 days, Return if symptoms worsen
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac flutter, Cardiac monitoring, Dyspnoea, Echocardiogram
Clinical narrative: Back in April, I was meditating, and I started to have heart palpitations. Which was like a fluttering in my chest and being out of breath even though I wasn't moving. It felt like my heart skipped a beat and my heart was racing. It happened from 7PM-4AM every few minutes. I've had these feelings before where it would happen once or twice. But because this happened over and over again for many hours, that's why I contacted my doctor. These palpitations were happening for several hours for 2-3 minutes. I remember it kept me from being able to go to sleep. For the next week, I had them intermittently so it didn't happen often, but it would happen a few times a day for a few weeks. I was told to cut out the protein supplements by my doctor. But the palpitations wouldn't go away and eventually went away after a month. I still have them occasionally, but not as frequent and intense. For treatment, I went in for a EKG and that came back normal. They had me wear a heart monitor for 2 weeks and sent it in. The heart monitor helped with diagnosis of atrial fibrillation, but the monitor showed that it was less than 1% of the time. Taking a low dose aspirin daily to prevent stroke and blood clots.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Extrasystoles, Initial insomnia, Palpitations
Clinical narrative: Back in April, I was meditating, and I started to have heart palpitations. Which was like a fluttering in my chest and being out of breath even though I wasn't moving. It felt like my heart skipped a beat and my heart was racing. It happened from 7PM-4AM every few minutes. I've had these feelings before where it would happen once or twice. But because this happened over and over again for many hours, that's why I contacted my doctor. These palpitations were happening for several hours for 2-3 minutes. I remember it kept me from being able to go to sleep. For the next week, I had them intermittently so it didn't happen often, but it would happen a few times a day for a few weeks. I was told to cut out the protein supplements by my doctor. But the palpitations wouldn't go away and eventually went away after a month. I still have them occasionally, but not as frequent and intense. For treatment, I went in for a EKG and that came back normal. They had me wear a heart monitor for 2 weeks and sent it in. The heart monitor helped with diagnosis of atrial fibrillation, but the monitor showed that it was less than 1% of the time. Taking a low dose aspirin daily to prevent stroke and blood clots.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given Pfizer COVID-19 vaccination that expired one day prior to administration.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: OUTSIDE OF GUIDELINESS THIRD PARTY STAFF ADMINISTERED FULL DOSE (0.5ML) OF MODERNA VACCINE INSTEAD OF BOOSTER DOSE (0.25ML)
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given Pfizer COVID-19 vaccination that expired one day prior to administration.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Diarrhoea, Gastrointestinal disorder, Oedema peripheral
Clinical narrative: I started to have GI problems eight days after getting the third dose of the vaccine. I had diarrhea and it has been consistent for five weeks after the vaccine. I have tried diet modification and it helped but it is still unpredictable. I went to the doctor because I had some swelling under my right arm. I had had the swelling for a couple of weeks before the booster.
Age: 74.0
Sex: M
Vaccine: UNK
Symptoms: Diarrhoea
Clinical narrative: diarrhea, for 3 days
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given Pfizer COVID-19 vaccination that expired one day prior to administration.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Pruritus, Rash erythematous, Scab
Clinical narrative: Red bumps which looked like blisters still on body to date 11/24/2021 - new ones every day on torso and thighs start out flesh color turn red then look like a scab.  They itch.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: getting moderna booster dose (0.25) but recieved full dose of 0.5 moderna dose by mistake
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Wrong pfizer vaccine adminstered. Patient was given Pfizer for ages 5-11.  Physician and mother notified. Physician recommended additional 0.1ml of Pfizer 5-11 be adminstered.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Effusion, Incorrect route of product administration, Joint range of motion decreased, Loss of personal independence in daily activities
Clinical narrative: Vaccine given too high in the arm, into the left shoulder joint. Caused severe shoulder pain, effusion, and extremely limited range of motion--patient is unable to use the left shoulder (unable to dress, unable to prepare food, unable to perform duties at work). Diagnosis: Shoulder Injury Related to Vaccine Administration
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Shoulder injury related to vaccine administration, X-ray limb
Clinical narrative: Vaccine given too high in the arm, into the left shoulder joint. Caused severe shoulder pain, effusion, and extremely limited range of motion--patient is unable to use the left shoulder (unable to dress, unable to prepare food, unable to perform duties at work). Diagnosis: Shoulder Injury Related to Vaccine Administration
Age: 14.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Underdose
Clinical narrative: Wrong pfizer vaccine adminstered. Patient was given Pfizer for ages 5-11.  Physician and mother notified. Physician recommended additional 0.1ml of Pfizer 5-11 be adminstered.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Wheezing
Clinical narrative: 11/20/2021 Wheezing on Saturday, was constant by that Tuesday (10/23/2021) and was constantly coughing and cough syrup and rescue inhaler was not helping much. It was very hard to breath correctly and couldn't converse much. Went to Urgent care but they did not have the facilities for my asthma. Referred to ER. After observation and confirming 3 prior COVID-19 test (negative) Oral corticosteroid administered Dexamethasone was issued a new inhaler and was told to resume my Q bar for treatment.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Heart rate decreased, Mydriasis, Nausea
Clinical narrative: Patient stated she had blurred vision. Her pupils were dilated, she felt dizzy and then nauseous. We offered water and a Dramamine chewable. She became pale and her pulse was hard to feel. We took her blood pressure, it was 88/43 mmHg. We called the supervising physician, the doctor and EMS.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Vision blurred
Clinical narrative: Patient stated she had blurred vision. Her pupils were dilated, she felt dizzy and then nauseous. We offered water and a Dramamine chewable. She became pale and her pulse was hard to feel. We took her blood pressure, it was 88/43 mmHg. We called the supervising physician, the doctor and EMS.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given an adult dose of Pfizer diluted using 1.3mL of sodium chloride and drawn up to administer 0.2mL dose. Patient observed for 15 minutes with no signs of allergic reaction.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received J&J on 11/22/2021, he had Pfizer first dose on 10/18/2021.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea
Clinical narrative: Difficulty breathing continued months after injection. Continued non productive cough
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE VIAL WAS FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: low grade fever, chills, body aches, headache and swollen lymph node by right clavicle
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Dyspnoea, Electrocardiogram normal, Tachycardia, X-ray normal
Clinical narrative: When I woke up early in the morning, I felt a little short of breath. I had a pulse detector, so I checked my pulse, and it was up to 130 BPM and up to 150 BPM when I started walking around. I was out of breath, but I tried to wait it out to see if it would go down. After 30 minutes it still wavered between 130 and 150. I went to the ER on 11/20/2021 around 3AM that same day. The doctor ran test on me and said I had tachycardia. He also said that it is a reaction to the COVID-19 vaccine. They gave me some metoprolol, and that brought pulse down to 109BPM. I wasn't prescribed anything, but I was informed that if it happens again to take an extra propranolol.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Had hives starting on cheek and both arms that itched.  This started around 5pm on Sunday 14th.  We continued to watch him without giving him any medication.  After a shower and going to bed the next morning they were mostly gone. The following day Monday they came back in the early afternoon around 3pm starting on his right eyelid.  Also located on both arms, Right cheek and a couple spots on abdomen.  I gave him liquid Benadryl as the hives over the eyelid were really bothering him.  The hives completely disappeared around 4pm.  The third day on Tuesday, Nov 16th the hives returned on both arms just a couple spots and one on cheek.  We did not treat the hives as there were so few.  By Wednesday 17th no return of hives.
Age: 59.0
Sex: U
Vaccine: COVID19
Symptoms: Nail discolouration, Pain in extremity
Clinical narrative: I have covid toes, toe nails have a line that is white and discolored 3/4 up the nails. Big toes ached about a week after getting the shot.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Bone pain, Myalgia, Pyrexia, Rash
Clinical narrative: High fever (101.0 F). Bad aches in bones, muscles, and intestines for two days. Rash on deltoid of my left arm. Took until mid-day Wednesday for the effects to clear up.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event-- Patient was given the adult dose of COVID vaccine.  Patient was given adult dose of 0.3 mL instead of the age recommended 0.2 mL dose.  This administration was done in error.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine vial frozen too long. Vaccine may have been compromised.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Pain in extremity
Clinical narrative: Sore arm initially - other that that, no problems.  Noticed bruising on the morning of Friday 11/19/21.  Saturday bruising was almost double in size,  Sunday larger still.  Just seemed odd to have no bruising for two days before the bruise appeared and then stared to spread out across my arm
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Immediate post-injection reaction, Injection site pain
Clinical narrative: Injection site pain was immediate and continued for 12 hours at a very strong level, from 12 to 20 hours, the pain gradually subsided. General fatigue began within about 30 minutes of the injection and continued for approximately 30 hours.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE VIAL WAS FROZEN TOO LONG. VACCINE MAY HAVE BEEN COMPROMISED
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abstains from alcohol, Alcoholism, Asymptomatic COVID-19, Blood magnesium normal, Blood potassium decreased
Clinical narrative: Patient had routine lab work done due to an upcoming endoscopy she is to have for her dysphagia.  She was found to have a potassium 2.2 and so was directed to the ER.  Patient's magnesium level is normal.  Today her potassium level is 2.3.  Patient states this happened to her in the past and it is all related to her diarrhea.  Her diarrhea in turn is related to use of naloxone which she takes for her alcohol cravings.  Patient has been sober for 2 years now.  Patient has received 40 mg p.o. potassium so far, she is currently receiving another 40 mEq via IV.  EKG with no significant changes.  Patient is also COVID positive but did not have any clinical signs or symptoms of active disease. Discharged on 11/19/21
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dysphagia, Electrocardiogram normal, Laboratory test, SARS-CoV-2 test positive
Clinical narrative: Patient had routine lab work done due to an upcoming endoscopy she is to have for her dysphagia.  She was found to have a potassium 2.2 and so was directed to the ER.  Patient's magnesium level is normal.  Today her potassium level is 2.3.  Patient states this happened to her in the past and it is all related to her diarrhea.  Her diarrhea in turn is related to use of naloxone which she takes for her alcohol cravings.  Patient has been sober for 2 years now.  Patient has received 40 mg p.o. potassium so far, she is currently receiving another 40 mEq via IV.  EKG with no significant changes.  Patient is also COVID positive but did not have any clinical signs or symptoms of active disease. Discharged on 11/19/21
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Axillary pain, Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: Several hot red welts radiating from injection site (>6 inches long, 3/4 inches wide). Welts are painful on the surface but the shoulder & underarm are significantly more painful.  Have had this vaccine before without this reaction.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Urticaria
Clinical narrative: Several hot red welts radiating from injection site (>6 inches long, 3/4 inches wide). Welts are painful on the surface but the shoulder & underarm are significantly more painful.  Have had this vaccine before without this reaction.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Chest X-ray normal, Computerised tomogram normal, Condition aggravated, Echocardiogram
Clinical narrative: Progressive asthma Need to seperate pedisone on day 6 which will last 10 to 14 days depends on how I'm doing, Had to change my inhaler: switch from Symbicort to Trelegy 200 1 puff 1xday, Asmanex 200 2 puffs at bedtime, Proair 1 to 2 puffs 3 to 4 times daily as needed (have needed it). Dose 3 received - 0.5 ml, because I don't have a spleen.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Full blood count normal, Lung disorder, Red blood cell sedimentation rate normal
Clinical narrative: Progressive asthma Need to seperate pedisone on day 6 which will last 10 to 14 days depends on how I'm doing, Had to change my inhaler: switch from Symbicort to Trelegy 200 1 puff 1xday, Asmanex 200 2 puffs at bedtime, Proair 1 to 2 puffs 3 to 4 times daily as needed (have needed it). Dose 3 received - 0.5 ml, because I don't have a spleen.