chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Diverticulitis
Clinical narrative: My diverticulitis in May was a flare up and I was in the hospital for 3 days.  When I was in the hospital the nurse advised that had a lot of the diagnosis of diverticulitis.  In June I was talking to the staff at the dentist, and they had people in the office that had the same issue with the Moderna vaccine.  I wanted to report due to what I was hearing and that maybe it was not just because. I have had two battles of diverticulitis since the vaccine.  I am still trying to deal with one currently.  I am having difficulty taking antibodies due my long list of allergies. I have to so many.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Stress echocardiogram, Syncope
Clinical narrative: After dose 1, patient had mild episodes of lightheadedness/dizziness that resolved spontaneously. Occurred while she was sitting at home. After dose 2, patient had episode of lightheadedness/dizziness that occurred while she was walking in grocery store. Did not have palpitations. She syncopized. Subsequently, has been asymptomatic. Not having dyspnea or chest pain.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Left arm erythema edema localized x 4 days. Started next day. Improving. Pt has taken benadryl and it improved.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, COVID-19, Coronary arterial stent insertion, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted as Observation on this day (10/7/2021) for STEMI (ST elevation myocardial infarction) (*) involving pRCA and mLAD. Patient was transfer to hospital from outside ER and was taken to the cath lab as priority 1. Now S/P DES to pRCA and mLAD.    Patient was tested for COVID-19 and was positive on 10/7/2021.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Injection site pain
Clinical narrative: Pain at place of injections after10 months and immediately after 3 shot
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, Illness, Intensive care
Clinical narrative: Chief Complaint  co illness x 5-6 days with shortness of breath and increasing weakness. negative home covid test 3 days ago. arrives tachypneic, in RD, with O2 54% on RA. history per pt son. History of Present Illness Patient is a 74-year-old male presents to the ER complaining of shortness of breath which started 5-6 days ago.  He took an in-home COVID test 3 days ago was negative.  He tells me had 2 doses of earlier this year  and had the pfizer booster 9-30-21.  In the ED tested positive for COVID.  In triage, patient's room air O2 sat was 54% on room.  He denies any fever chills or any known lung disease.  He says he is a nonsmoker takes no medications and has no cough past medical problems that he is awa
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: Chief Complaint  co illness x 5-6 days with shortness of breath and increasing weakness. negative home covid test 3 days ago. arrives tachypneic, in RD, with O2 54% on RA. history per pt son. History of Present Illness Patient is a 74-year-old male presents to the ER complaining of shortness of breath which started 5-6 days ago.  He took an in-home COVID test 3 days ago was negative.  He tells me had 2 doses of earlier this year  and had the pfizer booster 9-30-21.  In the ED tested positive for COVID.  In triage, patient's room air O2 sat was 54% on room.  He denies any fever chills or any known lung disease.  He says he is a nonsmoker takes no medications and has no cough past medical problems that he is awa
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, Illness, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint  co illness x 5-6 days with shortness of breath and increasing weakness. negative home covid test 3 days ago. arrives tachypneic, in RD, with O2 54% on RA. history per pt son. History of Present Illness Patient is a 74-year-old male presents to the ER complaining of shortness of breath which started 5-6 days ago.  He took an in-home COVID test 3 days ago was negative.  He tells me had 2 doses of earlier this year  and had the pfizer booster 9-30-21.  In the ED tested positive for COVID.  In triage, patient's room air O2 sat was 54% on room.  He denies any fever chills or any known lung disease.  He says he is a nonsmoker takes no medications and has no cough past medical problems that he is awa
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Tachypnoea
Clinical narrative: Chief Complaint  co illness x 5-6 days with shortness of breath and increasing weakness. negative home covid test 3 days ago. arrives tachypneic, in RD, with O2 54% on RA. history per pt son. History of Present Illness Patient is a 74-year-old male presents to the ER complaining of shortness of breath which started 5-6 days ago.  He took an in-home COVID test 3 days ago was negative.  He tells me had 2 doses of earlier this year  and had the pfizer booster 9-30-21.  In the ED tested positive for COVID.  In triage, patient's room air O2 sat was 54% on room.  He denies any fever chills or any known lung disease.  He says he is a nonsmoker takes no medications and has no cough past medical problems that he is awa
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Chills, Pain
Clinical narrative: Severe aches and chills 5/16/21-5/17/21. Responses below tie to these reactions and not the more concerning downstream event of note.  Of note: Unexplained stroke occurred 5/31/21. Please contact me if this is to be explored.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acidosis, Arterial catheterisation, Auscultation, Breath sounds abnormal, COVID-19
Clinical narrative: 9/24 PMHx of COPD, pneumonia, pulm HTN, Anxiety who presents for SOB w/ wheezing x 3 days. Diag. w/ Pneumonia upon assessment. 9/25 CT  suspicious for small pulmonary emboli. Examination of the lungs reveals numerous groundglass airspace opacities throughout the upper lobes and lower lobes bilaterally.  9/28  Lungs reduced  to auscultation bilaterally. Right lower lobe crackles. On CT There is interval worsening in aeration with development of bilateral infiltrates diffusely throughout both lungs. The pleural spaces remain clear.  10/4 patient currently requiring warmed high flow oxygen at 45L. Overnihgt desaturations into 10/5  10/6  pt desat to 62%, pt pale, tachypenic, tachycardic. Rapid response called to aid 10/6 Again RRT was called due to hypoxia Osat was in mid 80s%, pt was on high flow 10/6 She has been transferred to the ICU due to worsening respiratory status. Discussed plan for EGD tomorrow with patient and her daughter at the bedside.  10/6 Called to ICU patient showing signs of respiratory fatigue, requested to intubate patient. Patient oxygenated with ambu bag and mask with FiO2 100%. Intubation followed. 10/7 Central Line Placement - Right Internal Jugular 10/7 COIVD+ Result 10/7 Discussed with family poor prognosis, and clinical deterioration, will remain full code 10/8 CRITICAL CARE PROCEDURE NOTE - ARTERIAL CATHETER INSERTION 10/8 Septic shock with multiple organ failure, suspect ischemic bowel 10/8 Code blue called at 05:31 pm. On arrival to room, patient had achieved ROSC. Per nursing staff patient has been severely acidotic throughout the day with pH<7. Patient is on multiple pressors. Renal failure with hyperkalemia. There was suspicion for possible ischemic bowel however CT of abdomen could not be obtained as patient is too unstable. Patient had coded again while I was at rapid response. Per nurse staff ED doctor present for the code and pronounced patient
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardio-respiratory arrest, Central venous catheterisation, Computerised tomogram thorax abnormal, Condition aggravated, Death
Clinical narrative: 9/24 PMHx of COPD, pneumonia, pulm HTN, Anxiety who presents for SOB w/ wheezing x 3 days. Diag. w/ Pneumonia upon assessment. 9/25 CT  suspicious for small pulmonary emboli. Examination of the lungs reveals numerous groundglass airspace opacities throughout the upper lobes and lower lobes bilaterally.  9/28  Lungs reduced  to auscultation bilaterally. Right lower lobe crackles. On CT There is interval worsening in aeration with development of bilateral infiltrates diffusely throughout both lungs. The pleural spaces remain clear.  10/4 patient currently requiring warmed high flow oxygen at 45L. Overnihgt desaturations into 10/5  10/6  pt desat to 62%, pt pale, tachypenic, tachycardic. Rapid response called to aid 10/6 Again RRT was called due to hypoxia Osat was in mid 80s%, pt was on high flow 10/6 She has been transferred to the ICU due to worsening respiratory status. Discussed plan for EGD tomorrow with patient and her daughter at the bedside.  10/6 Called to ICU patient showing signs of respiratory fatigue, requested to intubate patient. Patient oxygenated with ambu bag and mask with FiO2 100%. Intubation followed. 10/7 Central Line Placement - Right Internal Jugular 10/7 COIVD+ Result 10/7 Discussed with family poor prognosis, and clinical deterioration, will remain full code 10/8 CRITICAL CARE PROCEDURE NOTE - ARTERIAL CATHETER INSERTION 10/8 Septic shock with multiple organ failure, suspect ischemic bowel 10/8 Code blue called at 05:31 pm. On arrival to room, patient had achieved ROSC. Per nursing staff patient has been severely acidotic throughout the day with pH<7. Patient is on multiple pressors. Renal failure with hyperkalemia. There was suspicion for possible ischemic bowel however CT of abdomen could not be obtained as patient is too unstable. Patient had coded again while I was at rapid response. Per nurse staff ED doctor present for the code and pronounced patient
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Endotracheal intubation, General physical health deterioration, Hyperkalaemia, Hypoxia
Clinical narrative: 9/24 PMHx of COPD, pneumonia, pulm HTN, Anxiety who presents for SOB w/ wheezing x 3 days. Diag. w/ Pneumonia upon assessment. 9/25 CT  suspicious for small pulmonary emboli. Examination of the lungs reveals numerous groundglass airspace opacities throughout the upper lobes and lower lobes bilaterally.  9/28  Lungs reduced  to auscultation bilaterally. Right lower lobe crackles. On CT There is interval worsening in aeration with development of bilateral infiltrates diffusely throughout both lungs. The pleural spaces remain clear.  10/4 patient currently requiring warmed high flow oxygen at 45L. Overnihgt desaturations into 10/5  10/6  pt desat to 62%, pt pale, tachypenic, tachycardic. Rapid response called to aid 10/6 Again RRT was called due to hypoxia Osat was in mid 80s%, pt was on high flow 10/6 She has been transferred to the ICU due to worsening respiratory status. Discussed plan for EGD tomorrow with patient and her daughter at the bedside.  10/6 Called to ICU patient showing signs of respiratory fatigue, requested to intubate patient. Patient oxygenated with ambu bag and mask with FiO2 100%. Intubation followed. 10/7 Central Line Placement - Right Internal Jugular 10/7 COIVD+ Result 10/7 Discussed with family poor prognosis, and clinical deterioration, will remain full code 10/8 CRITICAL CARE PROCEDURE NOTE - ARTERIAL CATHETER INSERTION 10/8 Septic shock with multiple organ failure, suspect ischemic bowel 10/8 Code blue called at 05:31 pm. On arrival to room, patient had achieved ROSC. Per nursing staff patient has been severely acidotic throughout the day with pH<7. Patient is on multiple pressors. Renal failure with hyperkalemia. There was suspicion for possible ischemic bowel however CT of abdomen could not be obtained as patient is too unstable. Patient had coded again while I was at rapid response. Per nurse staff ED doctor present for the code and pronounced patient
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Intestinal ischaemia, Lung infiltration, Lung opacity, Multiple organ dysfunction syndrome
Clinical narrative: 9/24 PMHx of COPD, pneumonia, pulm HTN, Anxiety who presents for SOB w/ wheezing x 3 days. Diag. w/ Pneumonia upon assessment. 9/25 CT  suspicious for small pulmonary emboli. Examination of the lungs reveals numerous groundglass airspace opacities throughout the upper lobes and lower lobes bilaterally.  9/28  Lungs reduced  to auscultation bilaterally. Right lower lobe crackles. On CT There is interval worsening in aeration with development of bilateral infiltrates diffusely throughout both lungs. The pleural spaces remain clear.  10/4 patient currently requiring warmed high flow oxygen at 45L. Overnihgt desaturations into 10/5  10/6  pt desat to 62%, pt pale, tachypenic, tachycardic. Rapid response called to aid 10/6 Again RRT was called due to hypoxia Osat was in mid 80s%, pt was on high flow 10/6 She has been transferred to the ICU due to worsening respiratory status. Discussed plan for EGD tomorrow with patient and her daughter at the bedside.  10/6 Called to ICU patient showing signs of respiratory fatigue, requested to intubate patient. Patient oxygenated with ambu bag and mask with FiO2 100%. Intubation followed. 10/7 Central Line Placement - Right Internal Jugular 10/7 COIVD+ Result 10/7 Discussed with family poor prognosis, and clinical deterioration, will remain full code 10/8 CRITICAL CARE PROCEDURE NOTE - ARTERIAL CATHETER INSERTION 10/8 Septic shock with multiple organ failure, suspect ischemic bowel 10/8 Code blue called at 05:31 pm. On arrival to room, patient had achieved ROSC. Per nursing staff patient has been severely acidotic throughout the day with pH<7. Patient is on multiple pressors. Renal failure with hyperkalemia. There was suspicion for possible ischemic bowel however CT of abdomen could not be obtained as patient is too unstable. Patient had coded again while I was at rapid response. Per nurse staff ED doctor present for the code and pronounced patient
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Pallor, Pneumonia, Pulmonary embolism, Rales
Clinical narrative: 9/24 PMHx of COPD, pneumonia, pulm HTN, Anxiety who presents for SOB w/ wheezing x 3 days. Diag. w/ Pneumonia upon assessment. 9/25 CT  suspicious for small pulmonary emboli. Examination of the lungs reveals numerous groundglass airspace opacities throughout the upper lobes and lower lobes bilaterally.  9/28  Lungs reduced  to auscultation bilaterally. Right lower lobe crackles. On CT There is interval worsening in aeration with development of bilateral infiltrates diffusely throughout both lungs. The pleural spaces remain clear.  10/4 patient currently requiring warmed high flow oxygen at 45L. Overnihgt desaturations into 10/5  10/6  pt desat to 62%, pt pale, tachypenic, tachycardic. Rapid response called to aid 10/6 Again RRT was called due to hypoxia Osat was in mid 80s%, pt was on high flow 10/6 She has been transferred to the ICU due to worsening respiratory status. Discussed plan for EGD tomorrow with patient and her daughter at the bedside.  10/6 Called to ICU patient showing signs of respiratory fatigue, requested to intubate patient. Patient oxygenated with ambu bag and mask with FiO2 100%. Intubation followed. 10/7 Central Line Placement - Right Internal Jugular 10/7 COIVD+ Result 10/7 Discussed with family poor prognosis, and clinical deterioration, will remain full code 10/8 CRITICAL CARE PROCEDURE NOTE - ARTERIAL CATHETER INSERTION 10/8 Septic shock with multiple organ failure, suspect ischemic bowel 10/8 Code blue called at 05:31 pm. On arrival to room, patient had achieved ROSC. Per nursing staff patient has been severely acidotic throughout the day with pH<7. Patient is on multiple pressors. Renal failure with hyperkalemia. There was suspicion for possible ischemic bowel however CT of abdomen could not be obtained as patient is too unstable. Patient had coded again while I was at rapid response. Per nurse staff ED doctor present for the code and pronounced patient
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Renal failure, Respiratory fatigue, SARS-CoV-2 test positive, Septic shock, Tachycardia
Clinical narrative: 9/24 PMHx of COPD, pneumonia, pulm HTN, Anxiety who presents for SOB w/ wheezing x 3 days. Diag. w/ Pneumonia upon assessment. 9/25 CT  suspicious for small pulmonary emboli. Examination of the lungs reveals numerous groundglass airspace opacities throughout the upper lobes and lower lobes bilaterally.  9/28  Lungs reduced  to auscultation bilaterally. Right lower lobe crackles. On CT There is interval worsening in aeration with development of bilateral infiltrates diffusely throughout both lungs. The pleural spaces remain clear.  10/4 patient currently requiring warmed high flow oxygen at 45L. Overnihgt desaturations into 10/5  10/6  pt desat to 62%, pt pale, tachypenic, tachycardic. Rapid response called to aid 10/6 Again RRT was called due to hypoxia Osat was in mid 80s%, pt was on high flow 10/6 She has been transferred to the ICU due to worsening respiratory status. Discussed plan for EGD tomorrow with patient and her daughter at the bedside.  10/6 Called to ICU patient showing signs of respiratory fatigue, requested to intubate patient. Patient oxygenated with ambu bag and mask with FiO2 100%. Intubation followed. 10/7 Central Line Placement - Right Internal Jugular 10/7 COIVD+ Result 10/7 Discussed with family poor prognosis, and clinical deterioration, will remain full code 10/8 CRITICAL CARE PROCEDURE NOTE - ARTERIAL CATHETER INSERTION 10/8 Septic shock with multiple organ failure, suspect ischemic bowel 10/8 Code blue called at 05:31 pm. On arrival to room, patient had achieved ROSC. Per nursing staff patient has been severely acidotic throughout the day with pH<7. Patient is on multiple pressors. Renal failure with hyperkalemia. There was suspicion for possible ischemic bowel however CT of abdomen could not be obtained as patient is too unstable. Patient had coded again while I was at rapid response. Per nurse staff ED doctor present for the code and pronounced patient
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachypnoea, Wheezing, pH body fluid
Clinical narrative: 9/24 PMHx of COPD, pneumonia, pulm HTN, Anxiety who presents for SOB w/ wheezing x 3 days. Diag. w/ Pneumonia upon assessment. 9/25 CT  suspicious for small pulmonary emboli. Examination of the lungs reveals numerous groundglass airspace opacities throughout the upper lobes and lower lobes bilaterally.  9/28  Lungs reduced  to auscultation bilaterally. Right lower lobe crackles. On CT There is interval worsening in aeration with development of bilateral infiltrates diffusely throughout both lungs. The pleural spaces remain clear.  10/4 patient currently requiring warmed high flow oxygen at 45L. Overnihgt desaturations into 10/5  10/6  pt desat to 62%, pt pale, tachypenic, tachycardic. Rapid response called to aid 10/6 Again RRT was called due to hypoxia Osat was in mid 80s%, pt was on high flow 10/6 She has been transferred to the ICU due to worsening respiratory status. Discussed plan for EGD tomorrow with patient and her daughter at the bedside.  10/6 Called to ICU patient showing signs of respiratory fatigue, requested to intubate patient. Patient oxygenated with ambu bag and mask with FiO2 100%. Intubation followed. 10/7 Central Line Placement - Right Internal Jugular 10/7 COIVD+ Result 10/7 Discussed with family poor prognosis, and clinical deterioration, will remain full code 10/8 CRITICAL CARE PROCEDURE NOTE - ARTERIAL CATHETER INSERTION 10/8 Septic shock with multiple organ failure, suspect ischemic bowel 10/8 Code blue called at 05:31 pm. On arrival to room, patient had achieved ROSC. Per nursing staff patient has been severely acidotic throughout the day with pH<7. Patient is on multiple pressors. Renal failure with hyperkalemia. There was suspicion for possible ischemic bowel however CT of abdomen could not be obtained as patient is too unstable. Patient had coded again while I was at rapid response. Per nurse staff ED doctor present for the code and pronounced patient
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Headache, Nausea, Pain
Clinical narrative: chills, body aches, headache, abdominal pain, nausea, vomiting
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: chills, body aches, headache, abdominal pain, nausea, vomiting
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Dose administered at a pharmacy to an 11 year old. Birthdate was submitted incorrectly.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Discomfort, Muscle spasms
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 10/08/2021, started experiencing symptoms 10/11/2021 of lower back pain, muscle spasms (continuous), and discomfort. No noted Primary visit.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Peripheral swelling
Clinical narrative: 4-5 days after my vaccine, my arm started to swell and get red and itchy at the injection site, and it stayed that way for about a week until gradually the redness and itchiness went away.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Dizziness, Nausea, Pruritus, Throat tightness
Clinical narrative: patient began to have itching all over starting 15 minutes after her vaccine.  She then complained about having throat tightness and feeling faint and nauseous. 911 was called at that time for further evaluation.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Hypertension, Thrombosis
Clinical narrative: Blood clots, joint pain, hypertension
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Arthralgia, Catheterisation cardiac abnormal, Chest pain, Coronary artery occlusion
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization - NSTEMI/Myocarditis Patient received Pfizer Vaccines on 2/2/2021, 2/23/2021, and 10/6/2021. Presented to ED on 10/8/2021 after developing chest pain. Patient reports shoulder/neck pain started on 10/7. EKG demonstrates nonspecific ST abnormalities in lateral leads. Labs were notable for Trop 0.12 > 0.15 > 2.66. LHC reported Incidental finding of chronic total occlusion of mid circumflex in the setting of acute myopericarditis associated with COVID-19 vaccination. Echo reported EF 55-60% and grade 2 diastolic dysfunction. Patient diagnosed with Myocarditis from Acute COVID Vaccination. Patient discharged on ASA 81mg, Metoprolol 25mg BID
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Diastolic dysfunction, Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram ST segment abnormal, Laboratory test
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization - NSTEMI/Myocarditis Patient received Pfizer Vaccines on 2/2/2021, 2/23/2021, and 10/6/2021. Presented to ED on 10/8/2021 after developing chest pain. Patient reports shoulder/neck pain started on 10/7. EKG demonstrates nonspecific ST abnormalities in lateral leads. Labs were notable for Trop 0.12 > 0.15 > 2.66. LHC reported Incidental finding of chronic total occlusion of mid circumflex in the setting of acute myopericarditis associated with COVID-19 vaccination. Echo reported EF 55-60% and grade 2 diastolic dysfunction. Patient diagnosed with Myocarditis from Acute COVID Vaccination. Patient discharged on ASA 81mg, Metoprolol 25mg BID
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myocarditis, Neck pain, Troponin increased, Vaccination complication
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization - NSTEMI/Myocarditis Patient received Pfizer Vaccines on 2/2/2021, 2/23/2021, and 10/6/2021. Presented to ED on 10/8/2021 after developing chest pain. Patient reports shoulder/neck pain started on 10/7. EKG demonstrates nonspecific ST abnormalities in lateral leads. Labs were notable for Trop 0.12 > 0.15 > 2.66. LHC reported Incidental finding of chronic total occlusion of mid circumflex in the setting of acute myopericarditis associated with COVID-19 vaccination. Echo reported EF 55-60% and grade 2 diastolic dysfunction. Patient diagnosed with Myocarditis from Acute COVID Vaccination. Patient discharged on ASA 81mg, Metoprolol 25mg BID
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Basal ganglia stroke, Cardiac monitoring, Dysarthria, Echocardiogram, Facial paralysis
Clinical narrative: Right basal ganglia stroke 11 days following his second COVID vaccine. Left facial drooping, slurred speech, change in demeanor. Started on Aspirin and Eliquis. Have resolved except for change in demeanor.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Lipids, Magnetic resonance imaging head, Personality change, Ultrasound Doppler
Clinical narrative: Right basal ganglia stroke 11 days following his second COVID vaccine. Left facial drooping, slurred speech, change in demeanor. Started on Aspirin and Eliquis. Have resolved except for change in demeanor.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Admission to critical care hospital with COVID-19 diagnosis on admission
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Chills, Condition aggravated, Decreased appetite, Dyspepsia
Clinical narrative: Within a few hours she started having achy joints, chills, hands and feet were freezing, then hot flushes and sweats.  Fever at home 101.9 F  1 week ago, tested neg for COVID, fever 102.1 F 3 days ago.  More heartburn than usual.  At night palpitations, HR 110-125 bpm.  She has been sweating since AM. Joints were achy all day.  She has been nauseous and had decreased appetite.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Hot flush, Hyperhidrosis, Nausea, Palpitations, Peripheral coldness
Clinical narrative: Within a few hours she started having achy joints, chills, hands and feet were freezing, then hot flushes and sweats.  Fever at home 101.9 F  1 week ago, tested neg for COVID, fever 102.1 F 3 days ago.  More heartburn than usual.  At night palpitations, HR 110-125 bpm.  She has been sweating since AM. Joints were achy all day.  She has been nauseous and had decreased appetite.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Within a few hours she started having achy joints, chills, hands and feet were freezing, then hot flushes and sweats.  Fever at home 101.9 F  1 week ago, tested neg for COVID, fever 102.1 F 3 days ago.  More heartburn than usual.  At night palpitations, HR 110-125 bpm.  She has been sweating since AM. Joints were achy all day.  She has been nauseous and had decreased appetite.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Frequent bowel movements, Intestinal obstruction, Mass, Paraesthesia
Clinical narrative: A few hours after the vaccination i started having increase bowel movements and my arm was tingling more often. Since then I had been hospitalized for a bowel obstruction in September and I also developed a mass/ lump in my gland on the right side of my jaw/ chin which i never had before.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine
Clinical narrative: Increase in migraines: 8/28/2021, 9/16/2021, 9/20/2021 More frequent intense headaches
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Diarrhoea, Hot flush, Muscular weakness, Pain in extremity
Clinical narrative: Day following vaccination I experienced bilateral hand swelling along with drowsiness, hot flashes and diarrhea. Bilateral hand swelling was noted to have started on 10/1 and I am still experiencing it along with pain/weakness in entire right arm and burning sensation in right foot.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Somnolence
Clinical narrative: Day following vaccination I experienced bilateral hand swelling along with drowsiness, hot flashes and diarrhea. Bilateral hand swelling was noted to have started on 10/1 and I am still experiencing it along with pain/weakness in entire right arm and burning sensation in right foot.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: ALERGIC REACTION
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic shock, Blood test, Electrocardiogram, Pruritus
Clinical narrative: After I received the vaccine I had anaphylactic shock it look 3 rounds of EPI pens in the ER to break the reaction. I was then admitted to the hospital. Then 12 hours after injection I went into anaphylactic shock again. I was in the hospital for 23HR observation. I had bloodwork while I was admitted. I had to take to oral Benadryl for 4 days following being realized from the hospital to stop the itching.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, COVID-19, Condition aggravated, Cough, Exposure to SARS-CoV-2
Clinical narrative: 10/7 Pt to ED for syncopal episode at home this morning in the shower, cough and congestion x 1 week, exposure to COVID pt approx 3 wks ago, COVID + diag.  10/9-10 patient's heart rate keeps going brady below 40 bpm
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate decreased, Respiratory tract congestion, SARS-CoV-2 test positive, Syncope
Clinical narrative: 10/7 Pt to ED for syncopal episode at home this morning in the shower, cough and congestion x 1 week, exposure to COVID pt approx 3 wks ago, COVID + diag.  10/9-10 patient's heart rate keeps going brady below 40 bpm
Age: 77.0
Sex: M
Vaccine: FLUA4
Symptoms: Pruritus, Rash, Rash erythematous, Rash vesicular
Clinical narrative: Reaction started with itchy wrist. spreading to body except for below knees and face.  Rash is red and rash blistered on wrist and chest.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: cough
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: Very fatigue, major dizzy spells. That continued for about a month in a half.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood test abnormal, Chills, Chronic sinusitis, Electrolyte imbalance
Clinical narrative: after the vaccine I had a 35 hours response, lethargy and mild fever, a week later, I had my routine allergy shot ( 3 shots of different allergen) and one week. 22 apr2021 chills and shaking.  after I ridgos which lasted 2-3 hours with high fever . next day I was tested negative for covid, Body aches . resolved by next day. In July 2021,annual visit to the doctor. I went out of town and had altitude sickness on returning, I went back to the doctor because I felt very sick and very tired. This lasted till last Oct2021. My allergist also chronic sinus, virus in 1 Sep2021 by my doctor. I wasnt able to work full days. bactrom was given.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Lethargy, Malaise, Pain
Clinical narrative: after the vaccine I had a 35 hours response, lethargy and mild fever, a week later, I had my routine allergy shot ( 3 shots of different allergen) and one week. 22 apr2021 chills and shaking.  after I ridgos which lasted 2-3 hours with high fever . next day I was tested negative for covid, Body aches . resolved by next day. In July 2021,annual visit to the doctor. I went out of town and had altitude sickness on returning, I went back to the doctor because I felt very sick and very tired. This lasted till last Oct2021. My allergist also chronic sinus, virus in 1 Sep2021 by my doctor. I wasnt able to work full days. bactrom was given.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Tremor
Clinical narrative: after the vaccine I had a 35 hours response, lethargy and mild fever, a week later, I had my routine allergy shot ( 3 shots of different allergen) and one week. 22 apr2021 chills and shaking.  after I ridgos which lasted 2-3 hours with high fever . next day I was tested negative for covid, Body aches . resolved by next day. In July 2021,annual visit to the doctor. I went out of town and had altitude sickness on returning, I went back to the doctor because I felt very sick and very tired. This lasted till last Oct2021. My allergist also chronic sinus, virus in 1 Sep2021 by my doctor. I wasnt able to work full days. bactrom was given.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine negative, Ultrasound scan normal, Urinary tract pain, Urine analysis
Clinical narrative: I had pain in my urinary track which I thought was a UTI which became severe after drinking lots of water & cranberry juice, called a telehealth professional for antibiotics,  then went to an emergency care which they gave me an injection for UTI and lastly went to my OBGYN who informed me the urine culture was negative for a UTI & they need not treat me for a UTI but to look for where else this pain is coming from which through ultrasound & testing they found nothing & recommended I see a urogynocologist.  Pain persisted through out the day & night for almost 3 wks which is when it completely subsided.   I went for my 2nd covid vaccine & was informed other women have complained of urinary track & bladder pain after getting the vaccine & was informed to take Benadryl prior to receiving the 2nd vaccine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Hypertension
Clinical narrative: Exstream high Blood pressure for about a month.  Danger of stroke.  Increased blood pressure medicine.  Still on medicine.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Chest discomfort, Nervousness
Clinical narrative: Patient reports having chest pressure and nervousness. Paramedic proceeds to take action of the situation. Patient reports only having an early breakfast. Paramedic takes her Vital signs BP 130/75, Sat 98, pulse 91, Dextrose 110. Patient was offered water and food, after ingesting food, she reports feeling good. She waited a few minutes and then left in perfect condition.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hypoaesthesia, Nasal congestion, Paraesthesia
Clinical narrative: She describes L side numbness on face, arm, leg.  some tingling.  Can moe the arm and has strength but very numb.  Pt coming to urgent care for evaluation.  NO fevers.  some cold/ chills. + nasal congestion.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine dose given to an 11 year old.  Date of birth was wrong.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Dizziness, Dyspnoea, Headache
Clinical narrative: Sore arm, headaches, dry cough, shortness of breath, dizziness, weak.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm, headaches, dry cough, shortness of breath, dizziness, weak.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: Developed an eye floater in my right eye four hours after receipt of shot
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: On October 10 2021 i received my 2nd dose of moderma and hours later my shoder was in pain by the time i was going to sleep the pain was worseand aa of today that im doing this report i can not raise my arm as i have really bad shoulder pain. With the 1st shot i had arm pain that went away in one day now with the 2nd shot im experiencing bad pain in my shoulder. I do not know what to do because i have no insurance and i should not be going thru this. What can i do and is there someone that can ease explain to me how long will i have this pain.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Atrioventricular block second degree, Bradycardia, Cardiac pacemaker insertion, Chest X-ray, Drug screen negative
Clinical narrative: I started having heart pal[itations about 15 minutes apart I passed out. My husband took me to the ER had tests done told I was having Bradycardia, sinus node wasn't conducting correctly needed a pacemaker and I was diagnosed with Mobitz heart block. I was hospitalized for 3 days. I received the implant on Aug.2 for my pacemaker.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Laboratory test, Loss of consciousness, Magnetic resonance imaging, Palpitations
Clinical narrative: I started having heart pal[itations about 15 minutes apart I passed out. My husband took me to the ER had tests done told I was having Bradycardia, sinus node wasn't conducting correctly needed a pacemaker and I was diagnosed with Mobitz heart block. I was hospitalized for 3 days. I received the implant on Aug.2 for my pacemaker.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinus node dysfunction, Ultrasound scan
Clinical narrative: I started having heart pal[itations about 15 minutes apart I passed out. My husband took me to the ER had tests done told I was having Bradycardia, sinus node wasn't conducting correctly needed a pacemaker and I was diagnosed with Mobitz heart block. I was hospitalized for 3 days. I received the implant on Aug.2 for my pacemaker.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Headache, Malaise
Clinical narrative: Complaint of shortness of breath, difficulty breathing, cough, sore/scratchy throat, headache, runny nose, congestion, myalgia, and malaise.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Complaint of shortness of breath, difficulty breathing, cough, sore/scratchy throat, headache, runny nose, congestion, myalgia, and malaise.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat irritation
Clinical narrative: Complaint of shortness of breath, difficulty breathing, cough, sore/scratchy throat, headache, runny nose, congestion, myalgia, and malaise.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heavy menstrual bleeding
Clinical narrative: I was 3 days into my menstrual cycle when I received the vaccine. Normally by day 4 my bleeding would get very light almost spotty in nature rather than a constant bleeding. By day 9 it was extremely heavy with a serious amount of large, golf ball size clots. Bleeding was so heavy and has been since receiving the vaccine that when going to the bathroom it sounds like I am voiding rather than changing a tampon. The super plus tampons and a heavy pad are saturated in less than 2 hours and to date it has just got to the point that a super plus tampon will last 2 hours and will be leaking before that 2 hours is up. My normal menstrual cycle lasts a max of 5 to 6 days with the last two days being spotty not even a light consistent flow.  I have had a severe headache for 2 weeks now and nothing is helping it at all. Have been to the GYN and my PCP and nothing else is wrong that could be causing this so I was instructed to file this because it is an adverse reaction. I am also a Nurse and will be forced to take the 2nd injection in 8 days and with the wax the bleeding is still going, I will more than likely still be bleeding when I get the 2nd injection. Somebody has to study this and make sure this doesn't happen to others and figure out how to change the FDA approved vaccine so that it doesn't do this for the future injections we have to get.  Thanks
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: PT STARTED FEELING LIGHTHEADED.  AFTER EATING AND HAVING SOME COFFEE SHE STATED SHE STARTED TO FEEL BETTER. PT LEFT THE CLINIC WITH HER SISTER.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chills, Cough, Dizziness, Headache
Clinical narrative: Cough, congestion, severe headache, lethargic, dizziness, chills, fever
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test, Laboratory test normal, Lethargy, Lumbar puncture, Pyrexia
Clinical narrative: Cough, congestion, severe headache, lethargic, dizziness, chills, fever
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Respiratory viral panel, SARS-CoV-2 test
Clinical narrative: Cough, congestion, severe headache, lethargic, dizziness, chills, fever
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient got moderna at 15yo as mistakenly ordered by provider. This RN noticed. Patient received 2nd dose moderna as recommended by the state - received on 10/11/21. No adverse reactions reported.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Swollen tongue
Clinical narrative: I had blister on the bottom of my tongue and my tongue swelled but went down by the next day. Blister lasted a couple days.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue
Clinical narrative: Developed continuous dry cough in about one hour. Fatigue. Next morning congested sounding cough fever headache. Next day or maybe two days no taste or smell
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Developed continuous dry cough in about one hour. Fatigue. Next morning congested sounding cough fever headache. Next day or maybe two days no taste or smell
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 10/11/21 after being fully vaccinated.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Tenderness turned to moderate pain at injection site. This lasted about 5 days.  Tight chest - resolved in 24 hours. Cardiologist was contacted and spoke to ARNP.  No treatment, monitor condition and call office back or go to ER. Neither was needed.   Large, round, red, warm, itchy welt about 4 inches. Lasted about 14 days diminishing in size and symptoms after 10 days. Initially used Cortisone 10 cream for itching for several days and then switched to Benadryl Cream on day 5 which was very helpful.    Slight tender bump remains under skin at injection site after 14 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Urticaria
Clinical narrative: Tenderness turned to moderate pain at injection site. This lasted about 5 days.  Tight chest - resolved in 24 hours. Cardiologist was contacted and spoke to ARNP.  No treatment, monitor condition and call office back or go to ER. Neither was needed.   Large, round, red, warm, itchy welt about 4 inches. Lasted about 14 days diminishing in size and symptoms after 10 days. Initially used Cortisone 10 cream for itching for several days and then switched to Benadryl Cream on day 5 which was very helpful.    Slight tender bump remains under skin at injection site after 14 days.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Exposure during pregnancy, Malaise, Pain, Premature delivery
Clinical narrative: I was 7 months pregnant at the time that I was taking my second dose of the Covid-19 Vaccine. My due date was April 20th. On Thursday, February 18th I got my 2nd dose. That morning, I had been checked by my doctor and had  a 32 sonogram and everything was deemed healthy. On Friday, I felt achy and had slight fever- I attributed it to the vaccine and took it easy that day, resting. On Saturday, I was still achy. I also started having Braxton hicks contractions (or so I thought) around 12 pm. I was achy and not feeling well all day and again attributed that to the vaccine. Early Sunday morning (2/21) around 12:30 am, I realized that my braxton hicks contractions were increasing and getting worse. By the time I realized I was in labor it was 2 am.  We rushed to the hospital and I had my son at 32 weeks. The adverse event is that I gave birth 8 weeks early and that my son had to spend 2 weeks in the NICU just days after receiving my second dose. (In my previous two pregnancies, my body had never gone into labor itself. I had to be induced.)
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Premature labour, Pyrexia, Uterine contractions during pregnancy, Uterine hypertonus
Clinical narrative: I was 7 months pregnant at the time that I was taking my second dose of the Covid-19 Vaccine. My due date was April 20th. On Thursday, February 18th I got my 2nd dose. That morning, I had been checked by my doctor and had  a 32 sonogram and everything was deemed healthy. On Friday, I felt achy and had slight fever- I attributed it to the vaccine and took it easy that day, resting. On Saturday, I was still achy. I also started having Braxton hicks contractions (or so I thought) around 12 pm. I was achy and not feeling well all day and again attributed that to the vaccine. Early Sunday morning (2/21) around 12:30 am, I realized that my braxton hicks contractions were increasing and getting worse. By the time I realized I was in labor it was 2 am.  We rushed to the hospital and I had my son at 32 weeks. The adverse event is that I gave birth 8 weeks early and that my son had to spend 2 weeks in the NICU just days after receiving my second dose. (In my previous two pregnancies, my body had never gone into labor itself. I had to be induced.)
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, COVID-19, Cough, Diarrhoea, Malaise
Clinical narrative: Complaint of cough, elevated temperature, sore/scratchy throat, runny nose/congestion, myalgia, malaise and diarrhea
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Complaint of cough, elevated temperature, sore/scratchy throat, runny nose/congestion, myalgia, malaise and diarrhea
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat irritation
Clinical narrative: Complaint of cough, elevated temperature, sore/scratchy throat, runny nose/congestion, myalgia, malaise and diarrhea
Age: 36.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Inadvertent 2nd flu vaccine; already received seasonal flu vaccine the week before, on 9/30/2021
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling on left arm, tender and warm to touch . Started morning after vaccination continued to expand over 4 days following vaccination, resolved on day 5. Extended from surrounding injection site to nearly patient's elbow.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: SECOND DOSE GIVEN TOO SOON. FIRST DOSE OF MODERNA WAS GIVEN ON 09/03/2021.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Cardiac failure, Computerised tomogram abnormal, Dyspnoea, Echocardiogram abnormal
Clinical narrative: I was having a fast heartbeat, and then in the morning I couldn't breathe. I was wheezing and having difficulty breathing. I went to the hospital, and discovered that I was having heart failure. I did not have any blocked arteries in my heart so it's an undiscovered reason as to why I have heart failure. The doctor believes it had something to do with a upper respiratory virus I had in February 2020 that involved a bad cough. The virus I had was not covid though. My heart efficiency is at 40% and it should be at 55%. I am able to breathe normal again, but I still have heart failure. My doctor prescribed me 4 different medications, and one of them is Entresto.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Magnetic resonance imaging abnormal, Wheezing
Clinical narrative: I was having a fast heartbeat, and then in the morning I couldn't breathe. I was wheezing and having difficulty breathing. I went to the hospital, and discovered that I was having heart failure. I did not have any blocked arteries in my heart so it's an undiscovered reason as to why I have heart failure. The doctor believes it had something to do with a upper respiratory virus I had in February 2020 that involved a bad cough. The virus I had was not covid though. My heart efficiency is at 40% and it should be at 55%. I am able to breathe normal again, but I still have heart failure. My doctor prescribed me 4 different medications, and one of them is Entresto.