Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal hypoaesthesia, Pruritus, Psoriatic arthropathy, Pyrexia, Respiratory tract congestion
Clinical narrative: 2019 novel coronavirus disease (COVID-19)  Cough  Clinical Support 3/25/2021 Infusion Flex  RN Oncology COVID-19 Dx IV Medication Reason for Visit Progress Notes RN (Registered Nurse) ? ? Oncology ? ? Encounter Date: 3/25/2021 ? ? Signed    VERBAL CONSENT FOR MONOCLONAL ANTIBODY INFUSION OBTAINED FROM PT.  PT MONITORED DURING INFUSION AND POST INFUSION FOR ONE HOUR.  PT GIVEN PULSE OXIMETER AND THERMOMETER WITH INSTRUCTIONS TO RECORD TEMP AND PULSE OX TWICE DAILY FOR ONE WEEK.  PT TOLERATED INFUSION WELL.  Instructions   Return in about 1 week (around 4/1/2021), or follow up with your doctor in one week, for Recheck. COVID 19 Monoclonal Antibody (MAB) Infusion Patient Reference Guide   ED Discharged  3/28/2021 (3 hours) Hospital ED  DO Last attending ? Treatment team 2019 novel coronavirus disease (COVID-19) Clinical impression Chest Pain Chief complaint ED Provider Notes DO (Physician) ? ? Emergency Medicine Expand All Collapse All      HPI      Chief Complaint Patient presents with ? Chest Pain     HPI Patient 33-year-old female presents today for evaluation of chest pains, shortness of breath, cough, congestion and diarrhea. Patient diagnosed with COVID-19 on 3/23/2021.  Symptom onset was 8 days ago.  Patient reports all of her family was have similar symptoms.  Patient per symptoms is not resolved which is why she did the emergency department today.  She reports that she has some shortness of breath and chest tightness.  She reports no known exacerbating factors for symptoms.  Reports history of psoriatic arthritis.  She does receive erenumab-aooe injections as well as Depo-Provera injections.  Patient also has prescription for medical marijuana.  Patient states that she has no urinary complaints.  She reports she has had had subjective fevers and chills throughout the week.  She did not try any medication as well for symptoms.  She is currently on any antibiotics.  ED Discharged  3/29/2021 (1 hours) Hospital ED  MD Last attending ? Treatment team Allergic reaction, initial encounter Clinical impression Allergic Reaction Chief complaint Chief Complaint Patient presents with ? Allergic Reaction     Patient presents emergency room for evaluation of possible allergic reaction.  Patient was seen in the emergency room yesterday and had an extensive work-up to evaluate her symptomatic Covid.  She had blood work and a chest x-ray that is unremarkable.  Her vital signs were stable and she was discharged home.  She states that last night while in emergency room she started to become itchy and thought she was developing allergic reaction.  She called her family doctor today who prescribed her Vistaril.  She states an hour after taking the Vistaril she felt as if her throat was numb so she called her family doctor who told her to come to the emergency room for evaluation.  In the emergency room patient is alert and oriented and in no acute distress.  She states she had some redness earlier that has since resolved.  She states she feels as if her hands and wrists are swollen.  Patient has not noticed any new chest pain or shortness of breath.  She denies any fever, chills, nausea, vomiting, diarrhea or dysuria.  Patient has been using Benadryl today.