chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Malaise, Pancreatitis
Clinical narrative: The next day the patient became ver sick and progressed to severe abdominal pain, went to the ER diagnosed with Pancreatitis. Patient had no stones and does not drink.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling hot, Headache, Tremor
Clinical narrative: 1 week after receiving vaccine; Dizziness, almost faint, Shakiness, Headache, Extreme fatigue/exhaustion, feeling hot but no fever periodically.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Extreme pain in arm shortly following the vaccination. Participant states it felt like it had been re-broken. After a day or two she went out to the mini clinic. Nothing was done.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Fibrin D dimer normal
Clinical narrative: This is a 40y.o. male Unvaccinated for cough in 19 tested positive 11/16/21.  Initially he was having fever and nonproductive cough.  Over the last couple days he began experiencing increasing shortness of breath. In ED he was afebrile, tachycardic, tachypneic and spO2 91%. Patient was placed on 4L NC with improvement. All labs and imaging were reviewed. Labs significant for hyperglycemia without history of diabetes. D-dimer within normal limits, troponin negative. CXR shows changes related to COVID-19. Patients treatment was initiated in the ED with IV decadron as he is requiring supplemental oxygen. ID consult ordered
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperglycaemia, Laboratory test abnormal, Pyrexia, SARS-CoV-2 test positive, Sleep apnoea syndrome
Clinical narrative: This is a 40y.o. male Unvaccinated for cough in 19 tested positive 11/16/21.  Initially he was having fever and nonproductive cough.  Over the last couple days he began experiencing increasing shortness of breath. In ED he was afebrile, tachycardic, tachypneic and spO2 91%. Patient was placed on 4L NC with improvement. All labs and imaging were reviewed. Labs significant for hyperglycemia without history of diabetes. D-dimer within normal limits, troponin negative. CXR shows changes related to COVID-19. Patients treatment was initiated in the ED with IV decadron as he is requiring supplemental oxygen. ID consult ordered
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia, Tachypnoea, Troponin normal
Clinical narrative: This is a 40y.o. male Unvaccinated for cough in 19 tested positive 11/16/21.  Initially he was having fever and nonproductive cough.  Over the last couple days he began experiencing increasing shortness of breath. In ED he was afebrile, tachycardic, tachypneic and spO2 91%. Patient was placed on 4L NC with improvement. All labs and imaging were reviewed. Labs significant for hyperglycemia without history of diabetes. D-dimer within normal limits, troponin negative. CXR shows changes related to COVID-19. Patients treatment was initiated in the ED with IV decadron as he is requiring supplemental oxygen. ID consult ordered
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Oropharyngeal pain, Sinus congestion
Clinical narrative: Symptoms starting 12/9/21: fatigue, sinus congestion, nasal drainage, cough, sore throat; reports frequent sinus infections and last two antibiotics only seem to take the edge off and it comes right back; also needing her inhaler more often essentially 2-3 times per day, dating back to September and questions if needs to try something else.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus operation, Sinusitis
Clinical narrative: Symptoms starting 12/9/21: fatigue, sinus congestion, nasal drainage, cough, sore throat; reports frequent sinus infections and last two antibiotics only seem to take the edge off and it comes right back; also needing her inhaler more often essentially 2-3 times per day, dating back to September and questions if needs to try something else.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Myocarditis, Troponin increased
Clinical narrative: Myocarditis
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Anti-neutrophil cytoplasmic antibody positive vasculitis, Antineutrophil cytoplasmic antibody positive, Blood creatinine increased, Blood phosphorus
Clinical narrative: Anca Vasculitis, acute kidney failure.  Patient had no previous kidney issues, normal creatine levels prior to being given the Covid booster.  Patient went to her family care physician following release from hospital for routine lab work.  Lab work showed Creatine of 6.4 and acute kidney failure.  Patient went to the ER and was admitted into the hospital.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test
Clinical narrative: Anca Vasculitis, acute kidney failure.  Patient had no previous kidney issues, normal creatine levels prior to being given the Covid booster.  Patient went to her family care physician following release from hospital for routine lab work.  Lab work showed Creatine of 6.4 and acute kidney failure.  Patient went to the ER and was admitted into the hospital.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunisation, SARS-CoV-2 test, Vasculitis
Clinical narrative: Anca Vasculitis, acute kidney failure.  Patient had no previous kidney issues, normal creatine levels prior to being given the Covid booster.  Patient went to her family care physician following release from hospital for routine lab work.  Lab work showed Creatine of 6.4 and acute kidney failure.  Patient went to the ER and was admitted into the hospital.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Fatigue, Headache
Clinical narrative: pt states started with symptoms 1 hour after receiving vaccine: fever, chills, body aches, headache, difficulty breathing, nausea, diarrhea, and fatigue
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test, Nausea, Pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: pt states started with symptoms 1 hour after receiving vaccine: fever, chills, body aches, headache, difficulty breathing, nausea, diarrhea, and fatigue
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Cough, Influenza virus test negative, Laryngitis, Pyrexia
Clinical narrative: About 24 hours after receiving my vaccine, I developed a cough. After another 24 hours it turned into a severe cough and I started to experience a fever as well. When I woke up the following morning, I lost my voice. I sought care on 12/07/21, and was given an antibiotic and cough suppressant syrup. I was diagnosed laryngitis. I got my voice back around 12/07 and am still experiencing a lingering cough. My voice does go away still at times.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: About 24 hours after receiving my vaccine, I developed a cough. After another 24 hours it turned into a severe cough and I started to experience a fever as well. When I woke up the following morning, I lost my voice. I sought care on 12/07/21, and was given an antibiotic and cough suppressant syrup. I was diagnosed laryngitis. I got my voice back around 12/07 and am still experiencing a lingering cough. My voice does go away still at times.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine: Patient noted to have hives on hands five minutes after receiving immunization. Administered two doses of oral diphenhydramine with symptom resolution. Patient monitored in clinic: Vital signs stable throughout. No other symptoms noted. Discharged to home stable.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILD'S DATE OF BIRTH WRITTEN AND AGE WRITTEN AS 12 ON CONSENT SIGNED BY INDIVIDUAL IDENTIFYING AS MOTHER. CHILD IDENTIFIED IN SYSTEM WITH DATE OF BIRTH. CHILD TOO YOUNG FOR VACCINE IN SEPTEMBER 2021.  SEE Agency FOR FIRST DOSE ON 8/12/21.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Breast tenderness
Clinical narrative: Swelling of right breast tissue and tenderness on day of and day after vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Facial discomfort, Fatigue, Headache, Nasal congestion
Clinical narrative: SNEEZING, NASAL CONGESTION, FACIAL PRESSURE, HEADACHE, FATIGUE
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: SNEEZING, NASAL CONGESTION, FACIAL PRESSURE, HEADACHE, FATIGUE
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Syncope
Clinical narrative: Syncope morning after injection at 9am - treated with rest and fluids  Fever of 102 12 hours after injection, lasted total of about 20 hours
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site pain, Nausea, Vomiting
Clinical narrative: I felt nauseated right away and threw up about 2 hours later.  After that just the arm pain at the injection site
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received pediatric dose instead of Adult Pfizer dose. Mother called and scheduled children for the pediatric clinic. When documenting in system noted that patient was 16.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia, Skin warm
Clinical narrative: Pt reports pain and swelling to injection site on left upper arm.  States having 'baseball' size swelling at injection site with redness and skin feeling hot that last around 6 days.  Pt notes having a low grade fever for 3 days following injection as well, was reduced with OTC ibuprofen.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Rash
Clinical narrative: Whole body rash and inflammation delayed reaction. I believe it?s cytokine reaction to spike
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chronic respiratory failure, Dyspnoea, Hypoxia, Myalgia
Clinical narrative: This is a 72y.o. male with a PMHx of COPD, HTN, PTSD, and schizophrenia who presents to ED with a chief complaint of shortness of breath, wheezing, and generalized myalgias. Patient COVID test is positive. He had Moderna vaccine x 3 for COVID. Patient still has congestive coughing. No bloody sputum. He denies chest pain, fever, chills, n/v/d, abdominal pain, headache, dizziness, lightheadedness, or LOC. Denies history of renal failure. Denies hematuria or dysuria. No other acute complaints at this time.    On Home O2, chronic resp failure w hypoxia Seen in ER . Poor historian. Tob abuse disorder/ copd. No increased work of breathing. Non-labored resp status
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive, Wheezing
Clinical narrative: This is a 72y.o. male with a PMHx of COPD, HTN, PTSD, and schizophrenia who presents to ED with a chief complaint of shortness of breath, wheezing, and generalized myalgias. Patient COVID test is positive. He had Moderna vaccine x 3 for COVID. Patient still has congestive coughing. No bloody sputum. He denies chest pain, fever, chills, n/v/d, abdominal pain, headache, dizziness, lightheadedness, or LOC. Denies history of renal failure. Denies hematuria or dysuria. No other acute complaints at this time.    On Home O2, chronic resp failure w hypoxia Seen in ER . Poor historian. Tob abuse disorder/ copd. No increased work of breathing. Non-labored resp status
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Ear discomfort, Hypoaesthesia, Pruritus
Clinical narrative: 2-3 weeks later had bruising on the chin and it was numb just for a couple of days. 3-4 days later felt like bruising on left ear and it was also itchy.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Oropharyngeal pain
Clinical narrative: Patient presented with shortness of breather, chest heaviness, & sore throat. Patient was taken to the ED for evaluation.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Patient had 2 doses of Pfizer COVID vaccine on 2/23/21, and 3/16/21 and patient was hospitalized with COVID on 12/12/21.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Rash macular, Rash pruritic
Clinical narrative: Beginning approx. 8 days post-vaccination and continuing through present I began feeling itchy, rash-like sensations on various parts of my body - waistline, upper chest, forearms - areas I previously never had those sensations. In the following days the itchy patches spread, and read splotches began to appear (notably, around waistline and on R torso, and on upper, backside of L arm). The itching is intermittent and mostly a minor distraction - it's not intense and/or constant. The splotchy areas don't always itch, but are pronounced and have appeared on just about every body part.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram, Tinnitus
Clinical narrative: About 3 months later, I developed tinnitus in my left ear
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Condition aggravated, Dermatitis, Fatigue, Gastrooesophageal reflux disease
Clinical narrative: I noticed my left leg burning about a week after the vaccine. It started off as a blotchy rash, but eventually started into turn into clusters that had liquid filled bumps that burned. I also noticed an uptick in my GERD and my dormant scalp psoriasis started to flare up. I contacted my medical practice, via email with photos of the rash, They initially suggested it could be dermatitis, but I started to develop extreme fatigue and was concerned I was having an autoimmune reaction to something. The rash clearly was not a bug bite or contact dermatitis and eventually I went to see my provider because I was struggling to exercise and my fatigue wasn't improving and was compounded with aches and pains. Because I didn't see my provider in person until the rash was mostly scabbed over, we did a swab for shingles, but she isn't confident it will test positive, although it does appear that I am suffering from shingles. I know shingles can be stressed induced, but I haven't been suffering extreme stress to trigger shingles and am concerned I am having an autoimmune reaction to my booster. I also articles about petechial rashes trigged by the COVID vaccine, which I shared with my provider in the event that is what triggered my rash/physical response.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pain, Psoriasis, Rash, Rash macular
Clinical narrative: I noticed my left leg burning about a week after the vaccine. It started off as a blotchy rash, but eventually started into turn into clusters that had liquid filled bumps that burned. I also noticed an uptick in my GERD and my dormant scalp psoriasis started to flare up. I contacted my medical practice, via email with photos of the rash, They initially suggested it could be dermatitis, but I started to develop extreme fatigue and was concerned I was having an autoimmune reaction to something. The rash clearly was not a bug bite or contact dermatitis and eventually I went to see my provider because I was struggling to exercise and my fatigue wasn't improving and was compounded with aches and pains. Because I didn't see my provider in person until the rash was mostly scabbed over, we did a swab for shingles, but she isn't confident it will test positive, although it does appear that I am suffering from shingles. I know shingles can be stressed induced, but I haven't been suffering extreme stress to trigger shingles and am concerned I am having an autoimmune reaction to my booster. I also articles about petechial rashes trigged by the COVID vaccine, which I shared with my provider in the event that is what triggered my rash/physical response.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID 19 infection not resulting in hospitalization
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site mass
Clinical narrative: Knot/buldge on my arm at the injection site, Chills
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness
Clinical narrative: PATIENT EXPERIENCED HEARING LOSS
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID 19 infection not resulting in hospitalization
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Headache, Injection site induration, Injection site pain
Clinical narrative: ~6 hours post-injection, left deltoid muscles started to feel sore and hardened; the worst ~12 hours post, and mostly resolved 48 hours post. ~48 hours post, I started to have a sore throat and minor dry cough. In the evening of the same day, I started to develop a feeling like a low-grade fever throughout my body and had difficulty sleeping. Did not measure body temperature though. ~72 hours post, today, sore throat recovered a little and had phlegm, and I started to feel minor headaches on the top of my head and became very sensitive to the temperature drops, like wind and cold water. The feeling of fever mostly spread from the thighs and pelvis. Felt weak and soft.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Oropharyngeal pain, Productive cough, Pyrexia
Clinical narrative: ~6 hours post-injection, left deltoid muscles started to feel sore and hardened; the worst ~12 hours post, and mostly resolved 48 hours post. ~48 hours post, I started to have a sore throat and minor dry cough. In the evening of the same day, I started to develop a feeling like a low-grade fever throughout my body and had difficulty sleeping. Did not measure body temperature though. ~72 hours post, today, sore throat recovered a little and had phlegm, and I started to feel minor headaches on the top of my head and became very sensitive to the temperature drops, like wind and cold water. The feeling of fever mostly spread from the thighs and pelvis. Felt weak and soft.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nasal congestion, Paranasal sinus discomfort
Clinical narrative: NASAL CONGESTION, SINUS PRESSURE, COUGH, FATIGUE
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: NASAL CONGESTION, SINUS PRESSURE, COUGH, FATIGUE
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: expired dose
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Death, Dyspepsia, Extra dose administered, Feeling abnormal
Clinical narrative: took the booster shot on the 22nd of November and started feeling bad on Wednesday.  Just sluggish and some discomfort in upper stomach - like heart burn.  Took Pepsid and it subsided.  Did this on and off until he died.   (Had a UTI a month earlier and had heart monitor placed on him and EEG done - heart doctor said heart was beautiful and didn't need to be follow up)
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Sluggishness
Clinical narrative: took the booster shot on the 22nd of November and started feeling bad on Wednesday.  Just sluggish and some discomfort in upper stomach - like heart burn.  Took Pepsid and it subsided.  Did this on and off until he died.   (Had a UTI a month earlier and had heart monitor placed on him and EEG done - heart doctor said heart was beautiful and didn't need to be follow up)
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chillblains
Clinical narrative: Got the shot on Sunday.  On Friday later that week, left foot (specifically the big toe and two toes next to it) got chilblains like sore, which I think is Covid toes.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID 19 infection not resulting in hospitalization
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death 12/12/2021
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Arthralgia, Asthenia, Chills, Fatigue
Clinical narrative: Fatigue Vaccination site pain Headache Paraesthesia  Fever ? 38°C Arthralgia  Pain  Chills Oropharyngeal pain Hyperhidrosis  Abdominal pain Asthenia  Myalgia  Adenopathy/lymphadenopathy
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperhidrosis, Lymphadenopathy, Myalgia, Oropharyngeal pain
Clinical narrative: Fatigue Vaccination site pain Headache Paraesthesia  Fever ? 38°C Arthralgia  Pain  Chills Oropharyngeal pain Hyperhidrosis  Abdominal pain Asthenia  Myalgia  Adenopathy/lymphadenopathy
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Paraesthesia, Pyrexia, Vaccination site pain
Clinical narrative: Fatigue Vaccination site pain Headache Paraesthesia  Fever ? 38°C Arthralgia  Pain  Chills Oropharyngeal pain Hyperhidrosis  Abdominal pain Asthenia  Myalgia  Adenopathy/lymphadenopathy
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: Large black floaters in my eyes
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Influenza A virus test negative
Clinical narrative: This is a 44y.o. male with a past medical history of asthma, gout, morbid obesity and obstructive sleep apnea presenting to the emergency department today with increased shortness of breath and chest pain. Patient states that he was positive for Covid about one week ago. Patient is vaccinated for Covid. Patient is known door saying that over the past 2 days he has been increasingly short of breath. Patient states that he is on oxygen at home but has been increasing his requirements and is currently requiring 4 L with oxygen saturation in the low 90s. Patient also is endorsing chest pain. Chest pain is diffuse and worse with deep inspiration. Patient states that he also has been coughing which is productive of a foam-like substance. Patient endorses fever earlier today for which she feels improved after taking Tylenol. Patient also admits to an episode of nausea earlier which resolved on its own and did not have any vomiting. Patient denies chills, current nausea, vomiting, abdominal pain, lower extremity edema, and changes in bowel or urinary habits.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Influenza virus test negative, Nausea, Painful respiration, Productive cough
Clinical narrative: This is a 44y.o. male with a past medical history of asthma, gout, morbid obesity and obstructive sleep apnea presenting to the emergency department today with increased shortness of breath and chest pain. Patient states that he was positive for Covid about one week ago. Patient is vaccinated for Covid. Patient is known door saying that over the past 2 days he has been increasingly short of breath. Patient states that he is on oxygen at home but has been increasing his requirements and is currently requiring 4 L with oxygen saturation in the low 90s. Patient also is endorsing chest pain. Chest pain is diffuse and worse with deep inspiration. Patient states that he also has been coughing which is productive of a foam-like substance. Patient endorses fever earlier today for which she feels improved after taking Tylenol. Patient also admits to an episode of nausea earlier which resolved on its own and did not have any vomiting. Patient denies chills, current nausea, vomiting, abdominal pain, lower extremity edema, and changes in bowel or urinary habits.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: This is a 44y.o. male with a past medical history of asthma, gout, morbid obesity and obstructive sleep apnea presenting to the emergency department today with increased shortness of breath and chest pain. Patient states that he was positive for Covid about one week ago. Patient is vaccinated for Covid. Patient is known door saying that over the past 2 days he has been increasingly short of breath. Patient states that he is on oxygen at home but has been increasing his requirements and is currently requiring 4 L with oxygen saturation in the low 90s. Patient also is endorsing chest pain. Chest pain is diffuse and worse with deep inspiration. Patient states that he also has been coughing which is productive of a foam-like substance. Patient endorses fever earlier today for which she feels improved after taking Tylenol. Patient also admits to an episode of nausea earlier which resolved on its own and did not have any vomiting. Patient denies chills, current nausea, vomiting, abdominal pain, lower extremity edema, and changes in bowel or urinary habits.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Musculoskeletal pain
Clinical narrative: 12/09/2021- ARM PAIN AT INJECTION SITE AND A FEVER OF 101 DEGREES FAHRENHEIT 12/10/2021- EXTREME JOINT AND MUSCLE PAIN THROUGHOUT THE BODY AND A HIGH TEMPERATURE OF 103 DEGREES FAHRENHEIT. 12/11/2021- SWOLLEN ARM TO THE ELBOW AND SCAPULA PAIN, EXTREME VERTIGO, JOINT PAIN THROUGHOUT THE BODY, AND SEVERE HEADACHE AND FATIGUE.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Peripheral swelling, Pyrexia, Vertigo
Clinical narrative: 12/09/2021- ARM PAIN AT INJECTION SITE AND A FEVER OF 101 DEGREES FAHRENHEIT 12/10/2021- EXTREME JOINT AND MUSCLE PAIN THROUGHOUT THE BODY AND A HIGH TEMPERATURE OF 103 DEGREES FAHRENHEIT. 12/11/2021- SWOLLEN ARM TO THE ELBOW AND SCAPULA PAIN, EXTREME VERTIGO, JOINT PAIN THROUGHOUT THE BODY, AND SEVERE HEADACHE AND FATIGUE.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiomegaly, Catheterisation cardiac, Echocardiogram, Electrocardiogram, Electroencephalogram
Clinical narrative: Enlarged Heart. Pumping at 20%. Never had any heart issues befor this always normal physicals and ekg's.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia, Syncope
Clinical narrative: Patient states that he day after receiving her 1st COVID vaccine she had 2 syncopal episodes and experienced severe dizziness and felt as if her head was "vibrating."
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was hospitalized 37 days after receiving covid vaccine #2
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Discomfort, Feeling hot, Flushing, HIV test negative
Clinical narrative: Full-body hives/itching began about 9 days after receiving my COVID 19 booster. Hives were all over body: chest, legs, waist line, groin, hands, feet, face, neck, scalp, arms. They move around from place-to-place. Some red flushing as well, where hands, face, ears feel red hot.   After 2 weeks, went to urgent care. Took predisone 6-day dose pack. Didn't seem to help much. Also started taking OTC Claritin antihistamine, which seemed to give some relief from the itching, but hives still present. Did a bunch of labs, and no indicators of anything else going on (see labs below).  After 3 weeks, went to Allergy specialist who indicated he'd seen ~5 patients this week who started getting hives about 1 week after their booster. Hives looked very similar. Given no medical history and all labs looking ok, seemed most likely to be related to C19 Moderna booster. Prescribed Allegra to take in the AM and Xyzal to take in the PM. Have been taking for ~3 days now. Helps with itching, but hives still very present and face flushing pretty common and uncomfortable.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Mononucleosis heterophile test negative, Pruritus, SARS-CoV-2 test negative, Urine analysis normal
Clinical narrative: Full-body hives/itching began about 9 days after receiving my COVID 19 booster. Hives were all over body: chest, legs, waist line, groin, hands, feet, face, neck, scalp, arms. They move around from place-to-place. Some red flushing as well, where hands, face, ears feel red hot.   After 2 weeks, went to urgent care. Took predisone 6-day dose pack. Didn't seem to help much. Also started taking OTC Claritin antihistamine, which seemed to give some relief from the itching, but hives still present. Did a bunch of labs, and no indicators of anything else going on (see labs below).  After 3 weeks, went to Allergy specialist who indicated he'd seen ~5 patients this week who started getting hives about 1 week after their booster. Hives looked very similar. Given no medical history and all labs looking ok, seemed most likely to be related to C19 Moderna booster. Prescribed Allegra to take in the AM and Xyzal to take in the PM. Have been taking for ~3 days now. Helps with itching, but hives still very present and face flushing pretty common and uncomfortable.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Full-body hives/itching began about 9 days after receiving my COVID 19 booster. Hives were all over body: chest, legs, waist line, groin, hands, feet, face, neck, scalp, arms. They move around from place-to-place. Some red flushing as well, where hands, face, ears feel red hot.   After 2 weeks, went to urgent care. Took predisone 6-day dose pack. Didn't seem to help much. Also started taking OTC Claritin antihistamine, which seemed to give some relief from the itching, but hives still present. Did a bunch of labs, and no indicators of anything else going on (see labs below).  After 3 weeks, went to Allergy specialist who indicated he'd seen ~5 patients this week who started getting hives about 1 week after their booster. Hives looked very similar. Given no medical history and all labs looking ok, seemed most likely to be related to C19 Moderna booster. Prescribed Allegra to take in the AM and Xyzal to take in the PM. Have been taking for ~3 days now. Helps with itching, but hives still very present and face flushing pretty common and uncomfortable.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient received 2 doses of Pfizer vaccine on 2/13/21, and 3/6/21, and was hospitalized for COVID acute respiratory failure and COVID pneumonia on 12/12/21
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID 19 infection not resulting in hospitalization
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Pt was initially "injected" with a syringe that contained no vaccine.  Following this, a syringe with vaccine was given.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Headache, Pain, Pyrexia
Clinical narrative: Chills, body aches, headache, low grade temp
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial infection, Cellulitis, Chills, Dizziness, Injection site erythema
Clinical narrative: 12/10 pm:  Dizzy, Nausea 12/11: all day: Cold chills, nausea, upper arm - injection site: soreness, warm, hard center, redness  12/12:  All symptoms continued.  The injection site: soreness, warm, hard center, redness increased dramatically - spread to my entire upper arm.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site reaction, Injection site warmth, Nausea
Clinical narrative: 12/10 pm:  Dizzy, Nausea 12/11: all day: Cold chills, nausea, upper arm - injection site: soreness, warm, hard center, redness  12/12:  All symptoms continued.  The injection site: soreness, warm, hard center, redness increased dramatically - spread to my entire upper arm.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Pain in extremity, Peripheral swelling, Tenderness
Clinical narrative: The next morning I woke up to my arm hurting really bad.  My injection site was really red, the arm was swollen and it was a lot of tenderness associated.  I was very fatigued but by day 2 the fatigue intense and  I felt really run down and tired, no fever just felt real tired all of which lasted about 4 days.  I took Tylenol and Benadryl on day 2  and all symptoms subsided by day 4.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILD'S DATE OF BIRTH WRITTEN AND AGE WRITTEN AS 12 ON CONSENT SIGNED BY INDIVIDUAL IDENTIFYING AS MOTHER. CHILD IDENTIFIED IN SYSTEM (#151931417) WITH DIFFERENT DATE OF BIRTH. CHILD TOO YOUNG FOR VACCINE ON 09/02/2021.  SEE VAERS #685372 REPORTED FOR FIRST DOSE ON 8/12/21.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Received Booster 4 weeks early
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID 19 infection not resulting in hospitalization.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Bacterial test, Blood albumin decreased
Clinical narrative: This is a 77y.o. male with a PMHx of CABG on ASA, HTN on Coreg who presents to the ED for generalized weakness. He states that for the last 20 days his felt intermittent fatigue that has not resolved. He also endorses nonproductive cough that worsens when he lays down, lack of taste/smell or appetite, and dizziness when standing up from a seated position. He denies syncopal episodes with exertion or while having bowel movements. At times his dizziness has forced him to crawl from room to room, and also prompted him to call EMS as he was unable to drive himself to the ED. He lives in a condo with another individual who he suspects gave him COVID prior to symptom onset. He otherwise denies any other interactions with individuals who may have been sick. He endorses compliance with his home medications. He denies tobacco, alcohol, or recreational drug use. He is vaccinated against COVID, and has received his booster.   In the ED: BP 93/55, HR 79, RR 19, SPO2 96%, T 97.5F. labs remarkable for HAGMA, Hgb 13.4, D-dimer 835, Albumin 2.7, BHB 1.12, UA shows +LE, +Bacteria. CXR suggests ground glass opacities in RUL concerning for acute process. COVID test positive. Patient is admitted to internal medicine with consult to infectious disease.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood ketone body, COVID-19, Chest X-ray abnormal, Cough, Decreased appetite
Clinical narrative: This is a 77y.o. male with a PMHx of CABG on ASA, HTN on Coreg who presents to the ED for generalized weakness. He states that for the last 20 days his felt intermittent fatigue that has not resolved. He also endorses nonproductive cough that worsens when he lays down, lack of taste/smell or appetite, and dizziness when standing up from a seated position. He denies syncopal episodes with exertion or while having bowel movements. At times his dizziness has forced him to crawl from room to room, and also prompted him to call EMS as he was unable to drive himself to the ED. He lives in a condo with another individual who he suspects gave him COVID prior to symptom onset. He otherwise denies any other interactions with individuals who may have been sick. He endorses compliance with his home medications. He denies tobacco, alcohol, or recreational drug use. He is vaccinated against COVID, and has received his booster.   In the ED: BP 93/55, HR 79, RR 19, SPO2 96%, T 97.5F. labs remarkable for HAGMA, Hgb 13.4, D-dimer 835, Albumin 2.7, BHB 1.12, UA shows +LE, +Bacteria. CXR suggests ground glass opacities in RUL concerning for acute process. COVID test positive. Patient is admitted to internal medicine with consult to infectious disease.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Fibrin D dimer increased, Haemoglobin decreased, Impaired driving ability
Clinical narrative: This is a 77y.o. male with a PMHx of CABG on ASA, HTN on Coreg who presents to the ED for generalized weakness. He states that for the last 20 days his felt intermittent fatigue that has not resolved. He also endorses nonproductive cough that worsens when he lays down, lack of taste/smell or appetite, and dizziness when standing up from a seated position. He denies syncopal episodes with exertion or while having bowel movements. At times his dizziness has forced him to crawl from room to room, and also prompted him to call EMS as he was unable to drive himself to the ED. He lives in a condo with another individual who he suspects gave him COVID prior to symptom onset. He otherwise denies any other interactions with individuals who may have been sick. He endorses compliance with his home medications. He denies tobacco, alcohol, or recreational drug use. He is vaccinated against COVID, and has received his booster.   In the ED: BP 93/55, HR 79, RR 19, SPO2 96%, T 97.5F. labs remarkable for HAGMA, Hgb 13.4, D-dimer 835, Albumin 2.7, BHB 1.12, UA shows +LE, +Bacteria. CXR suggests ground glass opacities in RUL concerning for acute process. COVID test positive. Patient is admitted to internal medicine with consult to infectious disease.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: This is a 77y.o. male with a PMHx of CABG on ASA, HTN on Coreg who presents to the ED for generalized weakness. He states that for the last 20 days his felt intermittent fatigue that has not resolved. He also endorses nonproductive cough that worsens when he lays down, lack of taste/smell or appetite, and dizziness when standing up from a seated position. He denies syncopal episodes with exertion or while having bowel movements. At times his dizziness has forced him to crawl from room to room, and also prompted him to call EMS as he was unable to drive himself to the ED. He lives in a condo with another individual who he suspects gave him COVID prior to symptom onset. He otherwise denies any other interactions with individuals who may have been sick. He endorses compliance with his home medications. He denies tobacco, alcohol, or recreational drug use. He is vaccinated against COVID, and has received his booster.   In the ED: BP 93/55, HR 79, RR 19, SPO2 96%, T 97.5F. labs remarkable for HAGMA, Hgb 13.4, D-dimer 835, Albumin 2.7, BHB 1.12, UA shows +LE, +Bacteria. CXR suggests ground glass opacities in RUL concerning for acute process. COVID test positive. Patient is admitted to internal medicine with consult to infectious disease.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Mechanical urticaria, Pruritus, Urticaria chronic
Clinical narrative: Chronic dermatographia urticaria. Nov 30, 2021, I really noticed itching and the first hives appeared on hands and wrists. Itching increased each day from then on. I have intense itching on the hands, hives on hands and wrists. Then they started moving around the body, showing up in one location, intensely itching for 30-45 minutes, fading and showing up elsewhere. The hands and feet tend to be the worst with intense itching (felt like they are burning inside and out). I saw a doctor on Dec. 6th and was given a Kenalog shot. I don't see relief unless I take Benadryl at night and a Claritin during the day. This keeps the hives generally at bay, but my hands and feet will often be itchy/light burning as the day progresses.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria break outs happening daily.  Triggered by any pressure or friction against the skin.  Still ongoing as of 13Dec2021.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Neuralgic amyotrophy
Clinical narrative: Relapse of Parsonage Turner syndrome  , I was symptom free for 2 years before my vaccination
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pain in extremity
Clinical narrative: The next day after of my vaccination my arm was pretty sore and I felt like I had a cold. I took alka seltzer to help with the side effects and the symptoms and the next day I felt normal and the symptoms just died down.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody, Arthralgia, Arthritis, Blood thyroid stimulating hormone, C-reactive protein
Clinical narrative: severe arthritis/ache joints, fatigue
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Full blood count, Hepatitis C antibody, Laboratory test, Metabolic function test
Clinical narrative: severe arthritis/ache joints, fatigue
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: severe arthritis/ache joints, fatigue
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, SARS-CoV-2 test positive
Clinical narrative: NEW ONSET OF AFIB RVR
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives and itchiness-starting 8 days after booster.  Took Benadryl and was prescribed a Medrol Pak. Symptoms have continuously improved, however, they are not 100% gone yet.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Mammogram normal, Pain, Pain in extremity
Clinical narrative: I had a enlarged lymph node or sore spot in my arm. It was tender to the touch and felt like it radiated towards by breast. I gave it a week but it did not seem to resolve. I saw my doctor and she said that it was likely due to vaccine. I had a mammogram done and it was negative. I was able to palpate. It took about 12 weeks for it to resolve.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19
Clinical narrative: Patient had Janssen COVID vaccine on 5/11/2021, and was hospitalized with COVID acute respiratory failure on 12/11/2021
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID 19 infection not resulting in hosptialization
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: Patient received third dose , Pfizer, booster. After administration , switching to other arm for flu shot, patients stated that he felt lightheaded and then fainted. Was out for approximately 15 seconds. Put a cold rag on the back of his neck and called for help from pharmacy. Technician gave patient water and diet with patient. Patient called his mother to come pick him up.
Age: 2.0
Sex: F
Vaccine: DTAPIPV, FLU4
Symptoms: Wrong product administered
Clinical narrative: Child with sibling at well visit and should have received flu vaccine only. Child was mistakenly given the DTAP/IPV (Quadracel) during the visit (was intended for 4 y/o sibling) Nurse administered Quadracel first and mom went to lift child off table and nurse still had flu vaccine to give, which was administered.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Coagulation test, Computerised tomogram, Echocardiogram, Hemiplegia, Ischaemic stroke
Clinical narrative: Ischemic Stroke 11/15/2021, received Alteplase within 90min of stroke symptoms (Left side paralysis, speech and vision changes, made full recovery
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Scan with contrast, Speech disorder, Visual impairment
Clinical narrative: Ischemic Stroke 11/15/2021, received Alteplase within 90min of stroke symptoms (Left side paralysis, speech and vision changes, made full recovery
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Fatigue, Hyperhidrosis, Lymphadenopathy
Clinical narrative: Fever day 2-3; swelling around and sore lymph nodes under arm and in neck on left side, chills, sweats, tiredness
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever day 2-3; swelling around and sore lymph nodes under arm and in neck on left side, chills, sweats, tiredness
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia, Blood creatinine increased, COVID-19, Chest X-ray abnormal, Diarrhoea
Clinical narrative: Shortness of Breath      Per pt, "I've tested positive for covid 9 days ago. I feel a lot better but my wife made me come in."        HPI:   This is a 43y.o. male with significant past medical history of HTN, T2DM, and morbid obesity that presented to the hospital with chief complaint of COVID-19 infection. He reports he became symptomatic on 11/17 and tested positive on 11/22. He has since had worsening headache, loss of smell, and diarrhea. He developed shortness of breath yesterday prompting him to seek ED evaluation. He denies any fever, chills, chest pain, palpitations, cough, abdominal pain, nausea, vomiting, constipation, or urinary complaints.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. Cr 1.78, troponin 0.05, d-dimer 755. EKG with sinus tachycardia. CXR with multifocal pneumonia. He has been admitted for further evaluation and management with ID consultation.    Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Fibrin D dimer increased, Headache, Pneumonia
Clinical narrative: Shortness of Breath      Per pt, "I've tested positive for covid 9 days ago. I feel a lot better but my wife made me come in."        HPI:   This is a 43y.o. male with significant past medical history of HTN, T2DM, and morbid obesity that presented to the hospital with chief complaint of COVID-19 infection. He reports he became symptomatic on 11/17 and tested positive on 11/22. He has since had worsening headache, loss of smell, and diarrhea. He developed shortness of breath yesterday prompting him to seek ED evaluation. He denies any fever, chills, chest pain, palpitations, cough, abdominal pain, nausea, vomiting, constipation, or urinary complaints.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. Cr 1.78, troponin 0.05, d-dimer 755. EKG with sinus tachycardia. CXR with multifocal pneumonia. He has been admitted for further evaluation and management with ID consultation.    Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus tachycardia, Troponin
Clinical narrative: Shortness of Breath      Per pt, "I've tested positive for covid 9 days ago. I feel a lot better but my wife made me come in."        HPI:   This is a 43y.o. male with significant past medical history of HTN, T2DM, and morbid obesity that presented to the hospital with chief complaint of COVID-19 infection. He reports he became symptomatic on 11/17 and tested positive on 11/22. He has since had worsening headache, loss of smell, and diarrhea. He developed shortness of breath yesterday prompting him to seek ED evaluation. He denies any fever, chills, chest pain, palpitations, cough, abdominal pain, nausea, vomiting, constipation, or urinary complaints.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. Cr 1.78, troponin 0.05, d-dimer 755. EKG with sinus tachycardia. CXR with multifocal pneumonia. He has been admitted for further evaluation and management with ID consultation.    Patient seen and examined only by the attending physician; NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Cardiac failure congestive, Fall, Injury, SARS-CoV-2 test positive
Clinical narrative: Client admitted to Hospital on 11/17/2021. She had a fall this 11/17/2021 and was tested at the emergency department and came out positive. She is asymptomatic for COVID but has CHF and is being treated for other injuries. All information received. This writer does not have any additional information. If additional information requested the hospital information is: (Privacy).
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Injection site pain
Clinical narrative: dibilitating pain, headache, nausea, injection site pain/head, arm swollen, diarrhea, chills, fatigue, fever
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Peripheral swelling, Pyrexia
Clinical narrative: dibilitating pain, headache, nausea, injection site pain/head, arm swollen, diarrhea, chills, fatigue, fever
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Mass, Pain in extremity
Clinical narrative: the first 2 days , my arm was very sore, then I took some IBprofin and the pain subsided. On the 2nd day I noticed a lump, located on my clavicle, between my bra strap & the base of my neck. It will roll around when pressed with my fingers.    after 5 days, it has gotten smaller.