chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Erythema, Pain in extremity, Pyrexia
Clinical narrative: Huge red mark on right arm below the vaccination. Began small the next day, has been getting worse every day since.  Now, a WEEK later it is even larger, painful and have even begun to get better. (I have pics from Monday and again today.) She had a fever that did go away the next day. She totally lost her appetite for 5 days and would barely drink anything at all.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Oral herpes, Pyrexia
Clinical narrative: 1/30 08:00 Severe chills, weakness, fever. Slept for approx. 10 hrs. Symptoms began to ease in the evening with full recovery to baseline 1/31.  2/1  05:00 Upon waking, I noticed I could feel cold sores beginning on my lips. I occasionally experience A SINGLE cold sore after extreme exposure to elements, but not usually after illness. This morning I could feel MANY cold sore forming on my lips (top and bottom) as well as insides of my cheeks and gums. I can count at least 15 different sores that all came on simultaneously.  Treating sores as usual with frankincense and balm to reduce cracking and bleeding. Sores taking usual clinical course, not healed yet.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Feeling abnormal, Laboratory test, Paraesthesia
Clinical narrative: I felt like I was about to pass out within 10 minutes. I stood up and continued to feel like I was about to pass out. I felt more comfortable staying at work where I could get immediate help. I had an extreme case of brain fog. That lasted about 3 hours. I started to have the feeling that you get when your limb is asleep. On day 4, I started to exhibit the symptoms again. I felt like I do when I have thyroid issues, so I went to see my endocrinologist, but he didn't do anything. I did have labs done. I started having blood pressure increases as well. I haven't been able to work out like usual since the vaccine and my sleep has been very poor. I wake up in the middle of the night and am unable to go back to sleep. I am now on heart medication, which is what I was taking previously for thyroid flare ups. I go back to see my endocrinologist in March.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: I felt like I was about to pass out within 10 minutes. I stood up and continued to feel like I was about to pass out. I felt more comfortable staying at work where I could get immediate help. I had an extreme case of brain fog. That lasted about 3 hours. I started to have the feeling that you get when your limb is asleep. On day 4, I started to exhibit the symptoms again. I felt like I do when I have thyroid issues, so I went to see my endocrinologist, but he didn't do anything. I did have labs done. I started having blood pressure increases as well. I haven't been able to work out like usual since the vaccine and my sleep has been very poor. I wake up in the middle of the night and am unable to go back to sleep. I am now on heart medication, which is what I was taking previously for thyroid flare ups. I go back to see my endocrinologist in March.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles, Top of left shoulder up into hairline on left side of head, behind ear steriod injection and  antiboitic RX
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic shock
Clinical narrative: anaphylactic shock
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dyspnoea, Palpitations, Pruritus
Clinical narrative: Patient developed chest tightness, palpitations, and SOB approximately 8 min after vaccination. At 12min post-vaccination patient developed throat tightness/itching. 0.3mL epinephrine auto-injector was administered at the vaccination site and the patient was transported to the emergency department for further treatment. Patient reported epinephrine made her symptoms worse. Emergency Department provider diagnoses symptoms as anxiety and gave a dose of lorazepam which improved the patient's condition. The patient was discharged from the ED after being monitored for 4 hours with improvement in symptoms. No further treatment was given.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Injection given too early. First dose administered 1/25/21; second dose administered 2/5/2021
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lethargy, Peripheral swelling, Pharyngeal swelling, Pyrexia
Clinical narrative: Fever, lethargic, Headache  6 days later, swelling and large red rash on arm and face.  Mild throat swelling or irritation
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Swelling face, Throat irritation
Clinical narrative: Fever, lethargic, Headache  6 days later, swelling and large red rash on arm and face.  Mild throat swelling or irritation
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Nausea, Pain
Clinical narrative: Body aches, headache, nausea, sore injection site.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Basophil percentage, Blood creatinine normal, Blood glucose normal, Blood potassium decreased
Clinical narrative: Patient received her second dose of Moderna COVID-19 vaccine on 1/28/21 at 11:39AM. Patient took cetirizine 30 mg the night prior to her dose and cetirizine 20 mg the morning before her dose. At 11:44 AM patient reported symptoms of pruritus, nausea, dry heaving, elevated respiratory rate and feeling hot. Patient was given pepcid, additional cetirizine 10 mg and zofran. She was brought to the ED, reported feeling sob, numbness and tingling in her bilateral hands and feet. No rash but itching. Given epinephrine IM and Solumedrol with good response. Discharged to home on prednisone, zyrtec, pepcid and epipen. At home she felt well the first night. Next night she woke up with fever 103.2F. Took Tylenol.  Temperature was 101F for next 2 days, controlled with Tylenol.  Also diarrhea x 2 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Cholangitis, Diarrhoea, Dyspnoea
Clinical narrative: Patient received her second dose of Moderna COVID-19 vaccine on 1/28/21 at 11:39AM. Patient took cetirizine 30 mg the night prior to her dose and cetirizine 20 mg the morning before her dose. At 11:44 AM patient reported symptoms of pruritus, nausea, dry heaving, elevated respiratory rate and feeling hot. Patient was given pepcid, additional cetirizine 10 mg and zofran. She was brought to the ED, reported feeling sob, numbness and tingling in her bilateral hands and feet. No rash but itching. Given epinephrine IM and Solumedrol with good response. Discharged to home on prednisone, zyrtec, pepcid and epipen. At home she felt well the first night. Next night she woke up with fever 103.2F. Took Tylenol.  Temperature was 101F for next 2 days, controlled with Tylenol.  Also diarrhea x 2 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage, Feeling hot, Glomerular filtration rate, Haematocrit normal, Haemoglobin normal
Clinical narrative: Patient received her second dose of Moderna COVID-19 vaccine on 1/28/21 at 11:39AM. Patient took cetirizine 30 mg the night prior to her dose and cetirizine 20 mg the morning before her dose. At 11:44 AM patient reported symptoms of pruritus, nausea, dry heaving, elevated respiratory rate and feeling hot. Patient was given pepcid, additional cetirizine 10 mg and zofran. She was brought to the ED, reported feeling sob, numbness and tingling in her bilateral hands and feet. No rash but itching. Given epinephrine IM and Solumedrol with good response. Discharged to home on prednisone, zyrtec, pepcid and epipen. At home she felt well the first night. Next night she woke up with fever 103.2F. Took Tylenol.  Temperature was 101F for next 2 days, controlled with Tylenol.  Also diarrhea x 2 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lymphocyte percentage increased, Mean cell volume normal, Monocyte percentage, Nausea
Clinical narrative: Patient received her second dose of Moderna COVID-19 vaccine on 1/28/21 at 11:39AM. Patient took cetirizine 30 mg the night prior to her dose and cetirizine 20 mg the morning before her dose. At 11:44 AM patient reported symptoms of pruritus, nausea, dry heaving, elevated respiratory rate and feeling hot. Patient was given pepcid, additional cetirizine 10 mg and zofran. She was brought to the ED, reported feeling sob, numbness and tingling in her bilateral hands and feet. No rash but itching. Given epinephrine IM and Solumedrol with good response. Discharged to home on prednisone, zyrtec, pepcid and epipen. At home she felt well the first night. Next night she woke up with fever 103.2F. Took Tylenol.  Temperature was 101F for next 2 days, controlled with Tylenol.  Also diarrhea x 2 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count normal, Neutrophil percentage decreased, Paraesthesia, Platelet count normal, Pruritus
Clinical narrative: Patient received her second dose of Moderna COVID-19 vaccine on 1/28/21 at 11:39AM. Patient took cetirizine 30 mg the night prior to her dose and cetirizine 20 mg the morning before her dose. At 11:44 AM patient reported symptoms of pruritus, nausea, dry heaving, elevated respiratory rate and feeling hot. Patient was given pepcid, additional cetirizine 10 mg and zofran. She was brought to the ED, reported feeling sob, numbness and tingling in her bilateral hands and feet. No rash but itching. Given epinephrine IM and Solumedrol with good response. Discharged to home on prednisone, zyrtec, pepcid and epipen. At home she felt well the first night. Next night she woke up with fever 103.2F. Took Tylenol.  Temperature was 101F for next 2 days, controlled with Tylenol.  Also diarrhea x 2 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell count normal, Red cell distribution width normal, Respiratory rate increased, Retching
Clinical narrative: Patient received her second dose of Moderna COVID-19 vaccine on 1/28/21 at 11:39AM. Patient took cetirizine 30 mg the night prior to her dose and cetirizine 20 mg the morning before her dose. At 11:44 AM patient reported symptoms of pruritus, nausea, dry heaving, elevated respiratory rate and feeling hot. Patient was given pepcid, additional cetirizine 10 mg and zofran. She was brought to the ED, reported feeling sob, numbness and tingling in her bilateral hands and feet. No rash but itching. Given epinephrine IM and Solumedrol with good response. Discharged to home on prednisone, zyrtec, pepcid and epipen. At home she felt well the first night. Next night she woke up with fever 103.2F. Took Tylenol.  Temperature was 101F for next 2 days, controlled with Tylenol.  Also diarrhea x 2 days.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Tryptase, White blood cell count normal
Clinical narrative: Patient received her second dose of Moderna COVID-19 vaccine on 1/28/21 at 11:39AM. Patient took cetirizine 30 mg the night prior to her dose and cetirizine 20 mg the morning before her dose. At 11:44 AM patient reported symptoms of pruritus, nausea, dry heaving, elevated respiratory rate and feeling hot. Patient was given pepcid, additional cetirizine 10 mg and zofran. She was brought to the ED, reported feeling sob, numbness and tingling in her bilateral hands and feet. No rash but itching. Given epinephrine IM and Solumedrol with good response. Discharged to home on prednisone, zyrtec, pepcid and epipen. At home she felt well the first night. Next night she woke up with fever 103.2F. Took Tylenol.  Temperature was 101F for next 2 days, controlled with Tylenol.  Also diarrhea x 2 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Parosmia
Clinical narrative: PHANTOSMIA, CHILLS, HEADACHE, BODY ACHES
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus
Clinical narrative: 1/27 noticed redness at site, later that day noticed redness was spreading down arm and was about 3 inches long.  Called 24 hour nurse line and was advised to get some hydrocortisone cream.  Started cream on 1/28, was cleared up on 1/31.   2/4 arm started itching and later that evening noticed redness had returned.  2/5 called and got doctor appointment.  Was advised to continue cream thru weekend and if did not get better begin medrol pak.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: After the first injection there was a localized reaction. After the second vaccine at about 3am I experienced severe chills, fever, body aches and fatigue. I took Tylenol 500mg,2 tabs every 4 hours .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Pain, Pyrexia
Clinical narrative: feels terrible, achy and fever
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood thyroid stimulating hormone normal, Chest pain, Echocardiogram normal, Electrocardiogram ST segment abnormal
Clinical narrative: 12/23 first dose: 12 minutes after injection, racing heart 130 pulse for less than 2 minutes, feeling of impending doom. Repeat episodes ocurred at 1 hr post  injection and 12 hrs post injection 1/19/2023 second dose: 5 minutes after injection, racing heart 130 pulse for less than 2 minutes, feeling of impending doom.  Mild flu like symptoms at around 12 hrs post injection that lasted for 24 hrs.  Around 48 hrs post injection, chest pain, feeling of impending doom 5-10 minutes and presented to urgent care for evaluation.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram T wave inversion, Full blood count normal, Influenza like illness, Laboratory test normal, Lipids normal
Clinical narrative: 12/23 first dose: 12 minutes after injection, racing heart 130 pulse for less than 2 minutes, feeling of impending doom. Repeat episodes ocurred at 1 hr post  injection and 12 hrs post injection 1/19/2023 second dose: 5 minutes after injection, racing heart 130 pulse for less than 2 minutes, feeling of impending doom.  Mild flu like symptoms at around 12 hrs post injection that lasted for 24 hrs.  Around 48 hrs post injection, chest pain, feeling of impending doom 5-10 minutes and presented to urgent care for evaluation.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test normal, Palpitations, Troponin normal
Clinical narrative: 12/23 first dose: 12 minutes after injection, racing heart 130 pulse for less than 2 minutes, feeling of impending doom. Repeat episodes ocurred at 1 hr post  injection and 12 hrs post injection 1/19/2023 second dose: 5 minutes after injection, racing heart 130 pulse for less than 2 minutes, feeling of impending doom.  Mild flu like symptoms at around 12 hrs post injection that lasted for 24 hrs.  Around 48 hrs post injection, chest pain, feeling of impending doom 5-10 minutes and presented to urgent care for evaluation.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure increased, Dizziness, Rash
Clinical narrative: About 5 minutes after vaccine administration she felt dizzy and developed rash upper chest and upper back. BP was elevated 170/105 mmHg  RR14 P99 Sat 99% Glucose 130 mg% After sitting in chair with her legs elevated and observed for 1/2 hour BP dropped to 140/80 mmHg, HR 78 and rash resolved
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dysgeusia, Hypoaesthesia oral
Clinical narrative: Experienced chalky taste in mouth and tongue went numb.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: 2hrs post-vaccination - fatigue, headache, malaise 12hrs post-vaccination - above plus chills and arthralgias 18 hrs post-vaccination - fever to 101.7 plus above Resolution of fever 36hrs post-vaccination, Resolution of headache, fatigue, chills, arthralgias 48 hrs post-vaccination On day 2 developed localized redness, swelling, tenderness and itching at injection site that has persisted so far (today is day 3)
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Malaise
Clinical narrative: 2hrs post-vaccination - fatigue, headache, malaise 12hrs post-vaccination - above plus chills and arthralgias 18 hrs post-vaccination - fever to 101.7 plus above Resolution of fever 36hrs post-vaccination, Resolution of headache, fatigue, chills, arthralgias 48 hrs post-vaccination On day 2 developed localized redness, swelling, tenderness and itching at injection site that has persisted so far (today is day 3)
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Injection given too early. 1st dose given 1/25/21. Second Dose given 2/5/21.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema, Induration, Swelling, Tenderness
Clinical narrative: Swollen, bruised, erythematous, hard, tender-to-touch, radius of erythema size of baseball
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: 7 days after dose 1 of injection, redness and swelling presenting like a rash spread from injection site down the upper arm.  Noticed it the evening of the 14th and by the 15th it had doubled in size. It was painful to the touch and warm. Called the vaccination help line and they directed me to be seen at urgent care. During the ER visit they told me it was presenting like cellulitis but may also just be a local reaction at the injection site. I was given a 5 day course of Keflex and my arm returned to normal once the course was finished. Got the 2nd dose on 2/4/21 and opted to receive injection in the right arm instead of the left.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Local reaction
Clinical narrative: 7 days after dose 1 of injection, redness and swelling presenting like a rash spread from injection site down the upper arm.  Noticed it the evening of the 14th and by the 15th it had doubled in size. It was painful to the touch and warm. Called the vaccination help line and they directed me to be seen at urgent care. During the ER visit they told me it was presenting like cellulitis but may also just be a local reaction at the injection site. I was given a 5 day course of Keflex and my arm returned to normal once the course was finished. Got the 2nd dose on 2/4/21 and opted to receive injection in the right arm instead of the left.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Muscle spasms, Muscle spasticity
Clinical narrative: spasms, non verbal, contraction of arm.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Vertigo
Clinical narrative: Heart palpitations Intense vertigo
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient reported seafood allergy. She was instructed to wait 30 min post vaccine for monitoring. 20-25 minutes post, patient said she had to go to the restroom. She was vomiting in the restroom for 5-10minutes. She was responsive. She drank water and sat in the bathroom for 5-10 minutes and then back into the observation room for another 15-20 minutes.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Dyspnoea
Clinical narrative: SOB, lightheaded, cold & clammy skin
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Eye swelling, Hallucination, visual, Ocular hyperaemia, Oedema peripheral
Clinical narrative: NURSE WAS CALLED TO FACILITY.  PT WAS NOTED TO BE MORE CONFUSED THAN USUAL.  HE TOLD NURSE THAT THINGS WERE "FLYING THROUGH THE AIR".  HE DID HAVE 2+ PITTING EDEMA TO BLE(NEW TO HIM).  HE DID THINK THE DATE WAS MARCH 4, 2091.  LEFT EYE ALSO SLIGHTLY RED/SWOLLEN.  VSS AT THIS TIME.  MD NOTIFIED.  CG INSTRUCTED TO MONITOR FOR WORSENING EDEMA, INCREASED SOB, INCREASED CONFUSION/HALLUCINATIONS.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Red itchy swollen rash at injection site
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Peripheral swelling, Tenderness
Clinical narrative: injection site pain,  subsiding as of 3 days later; upper arm tenderness, continuing ; entire arm noticeably swollen down into hand,  still present.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity
Clinical narrative: chills headache painful extremities on the lower part of the body
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Head discomfort, Migraine, Pain in extremity, Photophobia
Clinical narrative: Had a migraine H/A, dizzy, light sensitivities. Felt like a tight band around the head.  Normal sore arm.  Went to the Dr. and rec'd a migraine cocktail and then got a Rx for the migraine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: Neurological: Involuntary lip twitch.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia
Clinical narrative: Headache Body muscle aches  Cold chills
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Injection site pruritus, Injection site warmth
Clinical narrative: Unable to smell unless strong odor was right under my nose. Hot and itchy at injection site/
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Pain , swelling very achy in ankles and knees for a few days.  Later serious pain in hands and fingers, numb feeling, tingling for about a week.  Still have.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Pain , swelling very achy in ankles and knees for a few days.  Later serious pain in hands and fingers, numb feeling, tingling for about a week.  Still have.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site erythema, Injection site pruritus, Injection site rash, Pain in extremity
Clinical narrative: I received my first dose of the Moderna vaccine on 1/21/21. I had a sore arm the day after the injection and very some slight feeling of flu like symptoms for 24 hours. I was fine after that.  Yesterday, 11 days after the initial vaccine, I woke up with a very large red, itchy rash at the injection site. Again, I felt some slight flu-like symptoms. By this morning, the flu symptoms are gone and the redness has subsided dramatically. A large but light pink rash remains.  I googled it and understand it?s a common reaction to Moderna but thought it should be reported. This was a little unusual in that it appeared 11 days after the vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Pyrexia
Clinical narrative: Site pain, body aches, fever.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: This patient was given what was supposed to be first moderna covid vaccine. However, she actually got her first vaccine at a different facility and  no one was aware. She got the first vaccine in January 21st, so she got her second about 2 weeks too soon. The facility was informed, and they know the patient does not need any more doses.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Dizziness, Headache, Hyperhidrosis, Loss of consciousness
Clinical narrative: ?Moderna COVID-19  Morning after receiving vaccine I experienced  severe body aches and a headache. After walking into another room felt faint so went to sit down, got very sweaty & loss conscious. After waking up, I was unable to speak or see anything for  several moments.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Visual impairment
Clinical narrative: ?Moderna COVID-19  Morning after receiving vaccine I experienced  severe body aches and a headache. After walking into another room felt faint so went to sit down, got very sweaty & loss conscious. After waking up, I was unable to speak or see anything for  several moments.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: About eight days after shot, myself and friend got shot one day apart but both  of us developed an intense itching and redness and rash about three inches  around.  Still present  as of nine days total but not as itchy.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Patient's son called stating patient has red itchy rash all over his body.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: FEVER
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: "Pfizer-Bio-Tech COVID-19 Vaccine EUA" ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬Individual came in Clinic for 2 ND dose of Covid-19 Vaccine.  When individual was asked if this is visit for the second dose of Pfizer vaccine she said yes. He did not have his vaccination card for the first dose on hand.  His vaccine card was misplaced.  I give the Pfizer vaccine then proceeded to complete the client vaccine card. I went to computer to get the 1 st information that is when I noticed she had received Moderna as the 1st dose. Patient did not report any reaction to the vaccine during he 30-minute wait period.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness on the right side of my face after having spent 35 minutes after having the vaccine, the duration was 45 minutes after this time it was waking up little by little.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: dizziness occurred; observed additional 15 minutes zero s/s
Age: 70.0
Sex: M
Vaccine: UNK
Symptoms: Arrhythmia, Dyspnoea, Heart rate increased
Clinical narrative: Increased heart rate, arrhythmia, very labored breathing lasting two days.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chest pain, Dizziness, Dyspnoea, Pain
Clinical narrative: Intermittent sharp pain, dizziness and lightheadedness. Patient reports anxiety, left-sided chest pain (2-6/10) that comes and goes. Mild SOB. No signs of heart attack. BP 118/73, HR - 85, respiratory rate 20.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face, Urticaria
Clinical narrative: Facial swelling and hives all over body. does not itch
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Peripheral swelling, Rash, Rash erythematous
Clinical narrative: Red rash over both arms to her back. Her arm doubled in size, fever, Couldn't move arm. Rash is still on her arm. Her doctor told her to use benadryl 25 mg three times daily.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nervousness, Syncope
Clinical narrative: Patient felt extremely lightheaded, nervous, experienced syncope approximately five minutes after administration.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Ten days after injection I am having itching, swelling and redness at the injection site.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Chest discomfort, Dizziness, Heart rate irregular, Pallor
Clinical narrative: During the 15 minute post-vaccination observation window, Patient began reporting dizziness and chest heaviness. She denied SOB, itching, throat irritation, or rash. Denies previous adverse reaction to vaccine or injectible.    Vital signs obtained: BP 112/75 O2 sats 98% on room air Heart rate inconsistent by automatic monitor Apical HR 57 with irregular rhythm   Gen: WDWN Asian female with mild distress CV: irregular heart rate, bradycardic  Resp: CTA bilaterally, no wheezing Skin: pale, no rashes/hives Neuro: awake, alert, oriented x 3   Medcom called, report given, and patient transported via wheelchair to hospital adult ER triage.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Physical examination, Vital signs measurement
Clinical narrative: During the 15 minute post-vaccination observation window, Patient began reporting dizziness and chest heaviness. She denied SOB, itching, throat irritation, or rash. Denies previous adverse reaction to vaccine or injectible.    Vital signs obtained: BP 112/75 O2 sats 98% on room air Heart rate inconsistent by automatic monitor Apical HR 57 with irregular rhythm   Gen: WDWN Asian female with mild distress CV: irregular heart rate, bradycardic  Resp: CTA bilaterally, no wheezing Skin: pale, no rashes/hives Neuro: awake, alert, oriented x 3   Medcom called, report given, and patient transported via wheelchair to hospital adult ER triage.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Headache, tired, chills with body ache, nausea.  chills still with fever.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, tired, chills with body ache, nausea.  chills still with fever.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Rash
Clinical narrative: Patient developed a rash starting at ankles and spreading up over legs and torso,  also slight cough reportedly got worse, but no wheezing or shortness of breath.  Patient  was given prednisone course 60mg x 2 days, 50 mg x 2 days, 40 mg x 2 days, 30 mg x 2 days, 20 mg x 2 days, 10 mg x 2 days and will follow up
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Nausea, Pharyngeal swelling, Throat irritation
Clinical narrative: itchy throat, nausea, vomiting, SOB, coughing, gave oral benadryl, pt vomited it up, throat swelling. Benadryl IM 50mg given in right deltoid and epi injection, EMS called, pt went to ER.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: itchy throat, nausea, vomiting, SOB, coughing, gave oral benadryl, pt vomited it up, throat swelling. Benadryl IM 50mg given in right deltoid and epi injection, EMS called, pt went to ER.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Client was seen in the emergency room 1/8/2021 (9 days after vaccination) for sever redness at site of vaccination.  Seen and given medication.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Rash erythematous
Clinical narrative: Red Rash  around injection site with itching appeared 1 week post injection.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Injection given too early. First dose administered 1/25/2021. Second Dose administered 2/5/21
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness bilateral, Tinnitus
Clinical narrative: Constant and prolonged ringing in the ear/tinnitus starting a few days after the vaccine was administered.  I have never experienced this constant and prolonged tinnitus before and it has continued since it first started around January 20th.  I thought it would go away, but it never did.  It appears I may have some hearing loss at this time now as well, which I did not previously have.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular
Clinical narrative: red raised area 3" length and 2" wide. shot was administered on outside on the my arm, far away from the deltoid muscle.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia, Tremor
Clinical narrative: chills, shakes, body aches, 100.8-103.9 fever, fatigue
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Seizure Activity: Nursing assessment: 1/28/2021 17:55  Staff asked writer to check on resident, stating that there was something wrong with him. Resident found sitting up in wheelchair. Resident noted to be nonverbal, making small jerking movements with upper extremities and head articulated to the left. As writer attempted to assess pupils, resident squeezed eyes shut and grimaced. Resident did squeeze with both hands, equal strength. VS: 94, 16, 138/86, 97% on RA. Resident put into bed with assist of two staff and hoyer lift.  MD notified: 1/28/2021 18:10  Return phone call received from Physician. Advised to continue to monitor and OK to send to ED if resident representative wants further evaluation done.  Nursing assessment: 1/28/2021 18:35  Resident found to be alert and smiling at this time. Resident speech is garbled per baseline. VS: 111, 20, 129/77, 100% on RA. Resident able to follow commands. ROM equal with strength at baseline. No incontinence noted. Resident noted to be fatigued. Start of episode of seizure-like activity not witnessed. The time between first found by staff to noted resolution was approximately 40 minutes.  No further  seizure  episodes noted.  No previous hx of seizure activity.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Feeling cold, Headache, Nausea
Clinical narrative: Full body aches, fatigue, shaking and cold all over, headache, earache, nausea. Ended up taking ibuprofen 2/5 at 10:30am.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tremor
Clinical narrative: Full body aches, fatigue, shaking and cold all over, headache, earache, nausea. Ended up taking ibuprofen 2/5 at 10:30am.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Chills, Cold sweat, Feeling abnormal, Heart rate decreased
Clinical narrative: Woke up feeling very nauseated. Took a Zofran. While standing to get medication from cabinet my vision went completely black and face cold and clammy. I slowly laid down with feet above heart until it subsided and slowly went back to bed. My galaxy watch says pulse dropped to 40. Normally 60's. Later in the morning at 7am chills started and migraine with light aura (kind of like the pixels on an old tv). Took asa, tylenol, and drank water to help. Feeling hazy all day.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine with aura, Nasopharyngitis, Nausea
Clinical narrative: Woke up feeling very nauseated. Took a Zofran. While standing to get medication from cabinet my vision went completely black and face cold and clammy. I slowly laid down with feet above heart until it subsided and slowly went back to bed. My galaxy watch says pulse dropped to 40. Normally 60's. Later in the morning at 7am chills started and migraine with light aura (kind of like the pixels on an old tv). Took asa, tylenol, and drank water to help. Feeling hazy all day.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Headache
Clinical narrative: joint pain, back pain, headache, chills
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: Body aches, fatigue
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Vomiting
Clinical narrative: Fever(102.4), headache, chills, body aches, vomiting symptoms varying/lasting from 9 pm feb 3 until 8 am feb 5
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Since receiving my second shot, I have had 3 bloody noses. I never get bloody noses. Im not sure what this is from.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Patient stated that her right hand started itching and turned red at 12pm after receiving the vaccine at 11:40am.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Nausea, Pain, Pyrexia
Clinical narrative: N/v/d beginning at 0245 on 02/05 going on 12+ hrs. Vx3, dx8.  Began use of peptobismal a 9:45 am with minimal improvement. Rehydration with pedialyte. Symptoms ongoing.  all over body aches and chills, possible low grade fever (temp unknown). Treated with Motrin and Tylenol. Mostly tesolved
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: N/v/d beginning at 0245 on 02/05 going on 12+ hrs. Vx3, dx8.  Began use of peptobismal a 9:45 am with minimal improvement. Rehydration with pedialyte. Symptoms ongoing.  all over body aches and chills, possible low grade fever (temp unknown). Treated with Motrin and Tylenol. Mostly tesolved
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Patient developed red, hot, spots around the injection site of the left arm after one week of receiving Moderna Vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Pain, Pyrexia
Clinical narrative: fever, achy, headache and dizziness
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Injection site erythema, Injection site rash
Clinical narrative: On 1-27-21 in the afternoon her mouth felt "tingly" and at around 5p.m. patient felt pain in arm. and the arm swelled. it also hurt for her to mover her arm. She also felt fatigued and she rested the rest of the evening. The next day she also felt fatigued. Her arm felt warm to the touch. She also had a headache and felt "spacey." She took a Benadryl to see if it would make her feel better.  Today (Feb 5, 2021) she noticed redness at 2 p.m. around the site of injection and it looked a little "rashy." Patient applied Vaseline intensive care to rash. She says it still feels warm to the touch.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Paraesthesia oral, Peripheral swelling, Skin warm
Clinical narrative: On 1-27-21 in the afternoon her mouth felt "tingly" and at around 5p.m. patient felt pain in arm. and the arm swelled. it also hurt for her to mover her arm. She also felt fatigued and she rested the rest of the evening. The next day she also felt fatigued. Her arm felt warm to the touch. She also had a headache and felt "spacey." She took a Benadryl to see if it would make her feel better.  Today (Feb 5, 2021) she noticed redness at 2 p.m. around the site of injection and it looked a little "rashy." Patient applied Vaseline intensive care to rash. She says it still feels warm to the touch.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Received 2nd dose 2 days early (day 15)
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Injection Jan 19 - Jan 29  two red itching circles, one at injection site and one below.  Grew together and formed large circle that was also slightly sore.  Upset stomach.  Both improving on Feb 5.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pruritus, Rash, Urticaria
Clinical narrative: Approximately 20 minutes after receiving the immunization patient developed itching, rash and hives on her chest, neck and arms. Denied any facial swelling, trouble breathing/swallowing, palpitations or chest tightness, nausea, HA. Moved patient from observation to an exam room, VS were 122/82,  98% on RA, 80bpm with no wheezing, rales, respiratory distress or facial/throat swelling. Gave Benadryl 50mg PO at 4:23pm. At 4:46pm she reported that her itching was improved but she felt light headed. Repeat VSD were 118/90, 99% on RA and 86bpm, with physical exam unchanged.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red swelling at injection site
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Delirium, Injection site pain, Pyrexia, Skin discolouration
Clinical narrative: razor sharp pain at injection site delirious with fever chills whitening of skin  lasting 5 hours
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Vaccination was not done in the deltoid.  It was done lower on the upper arm.  Client came back to clinic to show PHN. Client has ben contacted by EMS.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: VOMITING
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia
Clinical narrative: Pt reported having tingling in fingers and arm after second vaccination "I felt it almost immediately."  @1400 she reports that she felt "palpitations" BP 166/109 HR 106 BS 165 @1412 99% o2 99 HR @1415 BP 155/99 HR 98 @ 1420 BP 135/91 HR 96 reports feeling "better"
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Oropharyngeal pain, Pain in extremity
Clinical narrative: sore arm; nausea; headache; fatigue; ; got a sore throat and rash but the rash happened two days after the vaccine - rash was on my feet, knee and hands. It was pretty itchy, got really red bumps; had to put some cortisone cream on it. The rash lasted through day four (so had it day three and four). The rest of the symptoms got the worse the next day after the vaccine and slowly disappeared within about four days after vaccine. Sore throat went away at day 3. When the rash got to my fingers, I had a healthcare screen telemed through my doctor's office -  and they had me go to Urgent care where my PCP is located.  Just did visual examination and they did not tests.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: sore arm; nausea; headache; fatigue; ; got a sore throat and rash but the rash happened two days after the vaccine - rash was on my feet, knee and hands. It was pretty itchy, got really red bumps; had to put some cortisone cream on it. The rash lasted through day four (so had it day three and four). The rest of the symptoms got the worse the next day after the vaccine and slowly disappeared within about four days after vaccine. Sore throat went away at day 3. When the rash got to my fingers, I had a healthcare screen telemed through my doctor's office -  and they had me go to Urgent care where my PCP is located.  Just did visual examination and they did not tests.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Swelling
Clinical narrative: Localized redness and swelling (dime sized), ice pack applied.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Feeling abnormal, Headache, Injection site pain
Clinical narrative: Symptoms started a few hours after vaccination.  Initial symptoms were injection site pain and tiredness.  I later developed a mild headache, moderate muscle and joint pain, to which I applied a heating pad.  I then developed a low fever and chills.  Temp was 99.7 11:30pm on Feb 4, and 99.9 at 10:20 on Feb 5.  I then began to feel nauseous and generally terrible, so I went to the bathroom, where I fell and may have passed out.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Myalgia, Nausea, Pyrexia
Clinical narrative: Symptoms started a few hours after vaccination.  Initial symptoms were injection site pain and tiredness.  I later developed a mild headache, moderate muscle and joint pain, to which I applied a heating pad.  I then developed a low fever and chills.  Temp was 99.7 11:30pm on Feb 4, and 99.9 at 10:20 on Feb 5.  I then began to feel nauseous and generally terrible, so I went to the bathroom, where I fell and may have passed out.
Sex: U
Vaccine: COVID19
Symptoms: Neck pain, Nodule, Swelling
Clinical narrative: Swelling, soreness, and knot in left side of neck above collar bone.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rashes on over 50% of my body; major itching
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: COVID-19 vaccine was given one week too early First Dose given on 01/21/2021 Second Dose given on 02/05/2021 Administered on day 15 rather than on the 21 day interval
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Malaise, Nausea
Clinical narrative: Pt got up after 15 minutes and felt sick-reported nausea and feeling hot.  Gave water and called rapid response, no other intervention.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Anogenital warts, Injection site bruising, Injection site swelling, Swelling
Clinical narrative: Patient had localized reaction in left deltoid with bruising and swelling and left anterior chest wall swelling. Day 6 after vaccination Patient had new onset of genital warts on day 2 following vaccination
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Respiratory distress
Clinical narrative: Difficulty swallowing.  Moderate distress, finding it difficult to catch her breath.  Stated had similar reaction ?many years ago? to clindamycin.  Onset ~12-15 min post vaccine. Was on 30 min wait time.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Pain, Pyrexia
Clinical narrative: After second, very ill with fever, body aches, headache, debilitating lassitude headache.  Lasted 36 hours.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Chills, Pain
Clinical narrative: Reports that he had pain at the site of injection X2 days; Noted chills and body aches for 2 days
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram normal, Aphasia, Cardiomegaly, Cerebrovascular accident, Echocardiogram abnormal
Clinical narrative: Patient received her vaccine on 01/25/2021.  Two days later, she presented with an acute right MCA stroke with aphasia.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Glycosylated haemoglobin normal, Magnetic resonance imaging head abnormal
Clinical narrative: Patient received her vaccine on 01/25/2021.  Two days later, she presented with an acute right MCA stroke with aphasia.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test, Cerebrovascular accident, Magnetic resonance imaging
Clinical narrative: Patient received her vaccine on 01/25/2021.  Two days later, she presented with an acute right MCA stroke with aphasia.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac monitoring, Cerebrovascular accident
Clinical narrative: Patient received her vaccine on 01/25/2021.  Two days later, she presented with an acute right MCA stroke with aphasia.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: I had gone online and scheduled the second dose appointment in the system for the Pfizer dose on 2/11/2021.  I received an email from the system that the appointment was cancelled at the facility.  I called the facility to see if they were still administering the vaccines. They are still administering the vaccines but somehow my appointment was cancelled.  There are no appointments now available.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient's wife called to report that the patient has had a fever >100 degrees Fahrenheit since the morning after receiving the vaccine.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blister, Confusional state, Dyspnoea, Fall
Clinical narrative: Approximately 20 minutes later had numbness in her fingers, once got home had blisters and hives in her arms.  Had night sweats very bad.  The following day, 1/6/21, saw a PA for the blisters and hives due to the itchiness and hydrocortisone was not helping.  Then had a headache, body aches and flushes for at least a week.  She did have shortness of breath and by the weekend she was feeling confused like the feeling of waking up from anesthesia.  She started loosing her balance, could not go up the stairs, trip and fall.  They did lab work, told her that she was fine.  She was having confusion and forgetful and let it run it's course.  She did have the 2nd vaccine, but is still having hot flushes from it.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Headache, Hypoaesthesia, Memory impairment, Mobility decreased
Clinical narrative: Approximately 20 minutes later had numbness in her fingers, once got home had blisters and hives in her arms.  Had night sweats very bad.  The following day, 1/6/21, saw a PA for the blisters and hives due to the itchiness and hydrocortisone was not helping.  Then had a headache, body aches and flushes for at least a week.  She did have shortness of breath and by the weekend she was feeling confused like the feeling of waking up from anesthesia.  She started loosing her balance, could not go up the stairs, trip and fall.  They did lab work, told her that she was fine.  She was having confusion and forgetful and let it run it's course.  She did have the 2nd vaccine, but is still having hot flushes from it.