chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactoid reaction, Arthralgia, Asthenia, Chest discomfort, Dizziness
Clinical narrative: 25 minutes following inoculation I experienced throat swelling, cough, itchiness of throat, tightness of chest, wheezing, vertigo, nausea, sneezing. Arrived home and immediately took benadryl in hope of improvement with steroid inhaler  3 hours later it progressed to headache of occipital region, fatigue,  continued chest tightness even after use of inhaler, runny nose, fever, body aches, continued nausea and loss of appetite.  By 3am all over body itchiness, 2 bouts of emesis, stomach pain, severe joint pain, increased fatigue   By 830am, itchiness of face and continued all over body aches, joint pain not relieved, throat still mildly swollen, sensitivity to light.  Noon of the 27th, weakness continued, dizziness, numbness of forearms with intermittent muscle spasm of forearms and r calf.   3pm gi issues inclusive of belching, bloating, loose stools, acid reflux.  By 730pm ocular pressure and continued migraine like headache to occipital region. Itching has not resolved. No hives. Bout of emesis.  2300 hours some slight relief of itching and some improvement in throat swelling. No other changes.  0600 hours 28th, continued migraine like headache, nausea with body of emesis, dizziness, Injection site soreness has not improved, body aches remain,  joint pain remains, itchiness with mild improvement, ocular pressure is now mild, dizziness,  brain fog, forearms continue to feel numb, fatigue and weakness, cough and congestion,  mild chest tightness and itchiness of throat.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Dyspnoea, Fatigue, Heart rate increased, Hypoaesthesia
Clinical narrative: 25 minutes following inoculation I experienced throat swelling, cough, itchiness of throat, tightness of chest, wheezing, vertigo, nausea, sneezing. Arrived home and immediately took benadryl in hope of improvement with steroid inhaler  3 hours later it progressed to headache of occipital region, fatigue,  continued chest tightness even after use of inhaler, runny nose, fever, body aches, continued nausea and loss of appetite.  By 3am all over body itchiness, 2 bouts of emesis, stomach pain, severe joint pain, increased fatigue   By 830am, itchiness of face and continued all over body aches, joint pain not relieved, throat still mildly swollen, sensitivity to light.  Noon of the 27th, weakness continued, dizziness, numbness of forearms with intermittent muscle spasm of forearms and r calf.   3pm gi issues inclusive of belching, bloating, loose stools, acid reflux.  By 730pm ocular pressure and continued migraine like headache to occipital region. Itching has not resolved. No hives. Bout of emesis.  2300 hours some slight relief of itching and some improvement in throat swelling. No other changes.  0600 hours 28th, continued migraine like headache, nausea with body of emesis, dizziness, Injection site soreness has not improved, body aches remain,  joint pain remains, itchiness with mild improvement, ocular pressure is now mild, dizziness,  brain fog, forearms continue to feel numb, fatigue and weakness, cough and congestion,  mild chest tightness and itchiness of throat.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine, Nausea, Pharyngeal swelling, Pruritus, Vertigo
Clinical narrative: 25 minutes following inoculation I experienced throat swelling, cough, itchiness of throat, tightness of chest, wheezing, vertigo, nausea, sneezing. Arrived home and immediately took benadryl in hope of improvement with steroid inhaler  3 hours later it progressed to headache of occipital region, fatigue,  continued chest tightness even after use of inhaler, runny nose, fever, body aches, continued nausea and loss of appetite.  By 3am all over body itchiness, 2 bouts of emesis, stomach pain, severe joint pain, increased fatigue   By 830am, itchiness of face and continued all over body aches, joint pain not relieved, throat still mildly swollen, sensitivity to light.  Noon of the 27th, weakness continued, dizziness, numbness of forearms with intermittent muscle spasm of forearms and r calf.   3pm gi issues inclusive of belching, bloating, loose stools, acid reflux.  By 730pm ocular pressure and continued migraine like headache to occipital region. Itching has not resolved. No hives. Bout of emesis.  2300 hours some slight relief of itching and some improvement in throat swelling. No other changes.  0600 hours 28th, continued migraine like headache, nausea with body of emesis, dizziness, Injection site soreness has not improved, body aches remain,  joint pain remains, itchiness with mild improvement, ocular pressure is now mild, dizziness,  brain fog, forearms continue to feel numb, fatigue and weakness, cough and congestion,  mild chest tightness and itchiness of throat.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Arthralgia, Asthenia, Chest discomfort
Clinical narrative: Patient reports adverse side effects after injection , chest tightness, difficulty breathing, swelling in throat, trouble swallowing, dizziness, lightheadedness, elevated heart rate, numbness in fore arms. Patient reports going to urgent care where she was administered benadryl.  Anaphylactic symptoms were controlled thereafter but patient reports of migraines, nausea, vertigo, severe itching all over body , extreme joint pain, weakness and fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Decreased appetite, Diarrhoea, Dizziness, Eructation
Clinical narrative: Patient reports adverse side effects after injection , chest tightness, difficulty breathing, swelling in throat, trouble swallowing, dizziness, lightheadedness, elevated heart rate, numbness in fore arms. Patient reports going to urgent care where she was administered benadryl.  Anaphylactic symptoms were controlled thereafter but patient reports of migraines, nausea, vertigo, severe itching all over body , extreme joint pain, weakness and fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Gastrooesophageal reflux disease, Headache, Hypoaesthesia
Clinical narrative: Patient reports adverse side effects after injection , chest tightness, difficulty breathing, swelling in throat, trouble swallowing, dizziness, lightheadedness, elevated heart rate, numbness in fore arms. Patient reports going to urgent care where she was administered benadryl.  Anaphylactic symptoms were controlled thereafter but patient reports of migraines, nausea, vertigo, severe itching all over body , extreme joint pain, weakness and fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Migraine, Muscle spasms, Nausea, Ocular discomfort
Clinical narrative: Patient reports adverse side effects after injection , chest tightness, difficulty breathing, swelling in throat, trouble swallowing, dizziness, lightheadedness, elevated heart rate, numbness in fore arms. Patient reports going to urgent care where she was administered benadryl.  Anaphylactic symptoms were controlled thereafter but patient reports of migraines, nausea, vertigo, severe itching all over body , extreme joint pain, weakness and fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pharyngeal swelling, Photophobia, Pruritus, Pyrexia
Clinical narrative: Patient reports adverse side effects after injection , chest tightness, difficulty breathing, swelling in throat, trouble swallowing, dizziness, lightheadedness, elevated heart rate, numbness in fore arms. Patient reports going to urgent care where she was administered benadryl.  Anaphylactic symptoms were controlled thereafter but patient reports of migraines, nausea, vertigo, severe itching all over body , extreme joint pain, weakness and fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, Sneezing, Throat irritation, Vertigo
Clinical narrative: Patient reports adverse side effects after injection , chest tightness, difficulty breathing, swelling in throat, trouble swallowing, dizziness, lightheadedness, elevated heart rate, numbness in fore arms. Patient reports going to urgent care where she was administered benadryl.  Anaphylactic symptoms were controlled thereafter but patient reports of migraines, nausea, vertigo, severe itching all over body , extreme joint pain, weakness and fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting, Wheezing
Clinical narrative: Patient reports adverse side effects after injection , chest tightness, difficulty breathing, swelling in throat, trouble swallowing, dizziness, lightheadedness, elevated heart rate, numbness in fore arms. Patient reports going to urgent care where she was administered benadryl.  Anaphylactic symptoms were controlled thereafter but patient reports of migraines, nausea, vertigo, severe itching all over body , extreme joint pain, weakness and fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactoid reaction, Arthralgia, Asthenia, Chest discomfort, Dizziness
Clinical narrative: Patient reports adverse side effects after injection , chest tightness, difficulty breathing, swelling in throat, trouble swallowing, dizziness, lightheadedness, elevated heart rate, numbness in fore arms. Patient reports going to urgent care where she was administered benadryl.  Anaphylactic symptoms were controlled thereafter but patient reports of migraines, nausea, vertigo, severe itching all over body , extreme joint pain, weakness and fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Dyspnoea, Fatigue, Heart rate increased, Hypoaesthesia
Clinical narrative: Patient reports adverse side effects after injection , chest tightness, difficulty breathing, swelling in throat, trouble swallowing, dizziness, lightheadedness, elevated heart rate, numbness in fore arms. Patient reports going to urgent care where she was administered benadryl.  Anaphylactic symptoms were controlled thereafter but patient reports of migraines, nausea, vertigo, severe itching all over body , extreme joint pain, weakness and fatigue.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine, Nausea, Pharyngeal swelling, Pruritus, Vertigo
Clinical narrative: Patient reports adverse side effects after injection , chest tightness, difficulty breathing, swelling in throat, trouble swallowing, dizziness, lightheadedness, elevated heart rate, numbness in fore arms. Patient reports going to urgent care where she was administered benadryl.  Anaphylactic symptoms were controlled thereafter but patient reports of migraines, nausea, vertigo, severe itching all over body , extreme joint pain, weakness and fatigue.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Upon entering in vaccination administration data in to the Immunization Information System website, it was noted that patient received COVID PFR booster on 1/21/22.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ED on 1/26/22 with chest pain. She tested positive for COVID on 1/26/22. She is currently on 4L of nasal canula Oxygen.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Injection site erythema, Injection site swelling
Clinical narrative: Patient presents with chest tightness/SOB. Arm at injection site is red and slightly swollen.  Injection given at 10:10; reaction noted 10:15; oral diphenhydramine 25 mg administered @ 10:19. Patient reports improved symptoms at 10:35. At 10:40, pt reports additional tightness.  Discussed options with patient and patient mom - can administer dose of epinephrine, call ambulance. Could also administer additional dose of benadryl and pt go to ED. Patient and patient mom elect for additional dose of benadryl and report immediately to ED (ambulance declined).  Patient got additional dose of diphenhydramine 25 mg and departs with mom to emergency department.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products, No adverse event
Clinical narrative: RESIDENT RECEIVED PFIZER VACCINE ON 1/21/22  WHEN RESIDENT DISCHARGED FROM HOSPITAL. WHEN RESIDENT ADMITTED TO FACILITY DAUGHTER SIGNED CONSENT FORM FOR VACCINE AND REPORTED THAT RESIDENT DID NOT RECEIVE VACCINE. ON 1/26/22 RESIDENT WAS GIVEN MODERNA VACCINE. RESIDENT DOES NOT HAVE ANY ADVERSE REACTIONS AT THIS TIME.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Pain
Clinical narrative: I was on a mission trip and started having achiness, sore throat, severe headache, fever and cough. On Jan 12 & 13. I took home test and it was positive. On the 15th I got tested and it was positive. On, the 17th I traveled home, with a letter stating I could with an N95 mask. On the 18th when I was back home, I took another in home test and it was positive. On the 19th my symptoms began to get better. However, I still have a cough. Though a lingering cough is not unusual for me. I only took Tylenol.  On Dec 15th I received Hep B and Typhoid  vaccinations so I could go on my mission trip.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I was on a mission trip and started having achiness, sore throat, severe headache, fever and cough. On Jan 12 & 13. I took home test and it was positive. On the 15th I got tested and it was positive. On, the 17th I traveled home, with a letter stating I could with an N95 mask. On the 18th when I was back home, I took another in home test and it was positive. On the 19th my symptoms began to get better. However, I still have a cough. Though a lingering cough is not unusual for me. I only took Tylenol.  On Dec 15th I received Hep B and Typhoid  vaccinations so I could go on my mission trip.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Fatigue, Feeling abnormal, Paranasal sinus discomfort
Clinical narrative: It start with sinus pressure, fever, brain fog, congestive, and fatigue. I also have dizziness. These symptoms are still ongoing as of today Jan 28th. I was tested positive for Covid-19 on Jan 22nd.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: It start with sinus pressure, fever, brain fog, congestive, and fatigue. I also have dizziness. These symptoms are still ongoing as of today Jan 28th. I was tested positive for Covid-19 on Jan 22nd.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paresis
Clinical narrative: Presented to ER 8 days post booster vaccination with 1 day h/o left facial weakness. Diagnosis: left Bells palsy.  Treated with prednisone 60 mg qd x 7 d, 40 mg qd x 5 d, 20 mg qd x 5 d  and valacyclovir 1 gm tid x 7 d Facial weakness gradually resolved over 10 days. Seen by me 1/28/22 and has normal exam.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Chest pain, Headache, Hypoacusis, Muscle tightness
Clinical narrative: Severe throbbing headaches with feeling of burns at the top of my head, intermittent chest pain, sinus pain, blurry vision, sensitivity to sun, generalized body tightness, aches and pains, heard of hearing (hearing was fuzzy, and muffled for more than two months). All these symptoms lingers for more than two months (from 31st May to 29th August 2021 as I was on my way to the Airport early in the morning and suddenly felt a relief. I could see clearly again, could hear clearly again and the headache released and my body felt lighter
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Photophobia, Vision blurred, White blood cell count decreased
Clinical narrative: Severe throbbing headaches with feeling of burns at the top of my head, intermittent chest pain, sinus pain, blurry vision, sensitivity to sun, generalized body tightness, aches and pains, heard of hearing (hearing was fuzzy, and muffled for more than two months). All these symptoms lingers for more than two months (from 31st May to 29th August 2021 as I was on my way to the Airport early in the morning and suddenly felt a relief. I could see clearly again, could hear clearly again and the headache released and my body felt lighter
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Basophil percentage increased
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood chloride decreased, Blood creatinine increased
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood magnesium normal, Blood potassium normal, Blood sodium decreased, Blood urea increased
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Carbon dioxide increased
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Diabetes mellitus inadequate control, Diarrhoea, Dyspnoea
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Eosinophil percentage decreased, Exfoliative rash, Fatigue, Fibrin D dimer increased
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Glycosylated haemoglobin increased, Haematocrit normal, Haemoglobin decreased, Hypertension
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Hypoxia, Immature granulocyte count, Inflammatory marker increased, Insulin therapy, International normalised ratio normal
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Lymphocyte percentage decreased, Mean cell volume normal, Monocyte percentage increased, Neuropathy peripheral, Neutrophil count
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Neutrophil percentage increased, Nucleated red cells, Platelet count normal, Prothrombin time prolonged, Pruritus
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: Psoriasis, Rash, Rash papular, Red blood cell count normal, Red cell distribution width increased
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin I normal, White blood cell count normal
Clinical narrative: 58 y/o man with severe obesity with BMI of 50, OSA on CPAP, history of T2DM ( a1c of 9.7 as of 12/29/21), diabetic CKD3 (baseline creatinine 1.3-1.6) , AFib (single episode, not on AC), who presents with fatigue, shortness of breath and diarrhea was found to have covid pneumonia with hypoxemic respiratory failure. His symptoms started on 1/3 or 1/4.  Lives at home with his mother, who has no symptoms. Completed 2nd Pfizer vaccine in May. No known sick contacts but regularly visits a local Bingo hall.    Hospital course:    COVID-19 Disease with acute hypoxemic respiratory failure: Pt s/p 2 Pfizer vaccine in May 2021. Symptoms started 1/3/22. COVID + 1/5/22. Hypoxic to high 80s with ambulation/exertion. Mild lung involvement on CXR and mildly elevated inflammatory markers. Risks for severe disease include obesity, poorly controlled DM2. He has completed 5 days of remdesivir on 1/10. He is on D5 of decadron, will prescribe on discharge to complete a 10 day course. Albuterol MDI PRN. Isolation 20 days from start of symptoms per ID, until 1/25. He requires 1L NC on ambulation to keep O2 sat above 88%. Referral sent to oxygen clinic.    Poorly controlled T2DM: A1c >9% recently. On insulin 70/30 at 62 units BID. Gabapentin for peripheral neuropathy. He required NPH 30-35 units here on steroids. Discharged on lower doses of insulin. Close follow up.    History of hypertension/HLP: on PTA lisinopril 20 mg daily, lasix 20 mg daily and Atorvastatin 40 mg daily. He was hypertensive so increased lisinopril to 20 mg bid. Please monitor blood pressure.    Diabetic CKD 3 ( creatinine 1.3-1.6): creatinine at baseline   Chronic papular/scaly rash neck/back: photos (HC) appear to be psoriasis per Dr. She review the photos and feels most likely psoriasis and chronic. Most likely does not need treatment but since patient has itchiness she recommended triamcinolone 0.1% bid for 2 weeks then bid only Sat/Sun chronically. I talked to patient, he wants the prescription.    Primary Procedures:  none   Secondary Procedures: None   Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: 12/09/2021: pt admitted 10 days after COVID symptoms. Received medrol dose-pak and monoclonal antibody as outpatient before admission. Presented due to worsening O2 requirements at home. 12/10-12/11: symptoms improved. Discharged after observation on  Decadron.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Malaise, Pain, Pain in extremity
Clinical narrative: Patient received a dose of vaccine that was not reconstituted prior to administration. Patient reported fatigue, chills, fever, body aches and not feeling well at all on day 1 following administration of vaccine but is recovered now and just has a sore arm.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error, Pyrexia
Clinical narrative: Patient received a dose of vaccine that was not reconstituted prior to administration. Patient reported fatigue, chills, fever, body aches and not feeling well at all on day 1 following administration of vaccine but is recovered now and just has a sore arm.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: The morning after I received the vaccine I started with a headache and numbness tingling in my fingertips/toes. the headaches continued mostly all the time for 3 weeks and then they started to diminish. I went to the ER per my Dr's request because of the headaches and chest pain, numbness and tingling . They did an EKG and told me to see headache specialist or my pcp about the HA. Date of ER visit 12/29/21. Still have nightly headaches which have improved but numbness/tingling in hands/feet continues.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Chills, Cough, Dyspnoea
Clinical narrative: 12/25/21: Pt admitted at 2043 to the hospital due to SOB, chest pain, generalized body aches and cough. Onset of symptoms occured 12/22. Also reports fever/chills (pt report Tmax 104F), also nausea with 1 episode of vomiting. COVID diagnosed 12/25. Pt took tylenol 500 mg at 2000 with minimal improvement.  12/26: PRN tylenol for fevers and tessalon for cough. Pt was eligible for monoclonal Ab infusion but currently unavailable at pharmacy. Pt was discharged at 0743 since she was stable and not requiring o2.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: 12/25/21: Pt admitted at 2043 to the hospital due to SOB, chest pain, generalized body aches and cough. Onset of symptoms occured 12/22. Also reports fever/chills (pt report Tmax 104F), also nausea with 1 episode of vomiting. COVID diagnosed 12/25. Pt took tylenol 500 mg at 2000 with minimal improvement.  12/26: PRN tylenol for fevers and tessalon for cough. Pt was eligible for monoclonal Ab infusion but currently unavailable at pharmacy. Pt was discharged at 0743 since she was stable and not requiring o2.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram
Clinical narrative: Prior Covid patient prior to getting the vaccination Dose 1, anaphylaxis situation, vomiting for six hours, off work for few days; then recommended to have second dose by workplace. Three days after the Dose 2, chest pains, called primary care right away advised to wait, then she made office appointment appointment was not able to be seen until one month later and scheduled currently still waiting for ECHOcardiogram due to community COVID this delayed.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Fatigue, Laboratory test abnormal
Clinical narrative: 11/15/2021: Pt was admitted to the hospital due to fatigue and 3 days cough. Symptom onset was 11/12. Tested positive 11/15, 21-days post positive test on 10/6.  11/16: Started on decadron, 10 day course ends 11/24. combivent MDI daily, albuterol MDI PRN. Vitamin D3, zinc, and melatonin started. She was also discharged this day
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 11/15/2021: Pt was admitted to the hospital due to fatigue and 3 days cough. Symptom onset was 11/12. Tested positive 11/15, 21-days post positive test on 10/6.  11/16: Started on decadron, 10 day course ends 11/24. combivent MDI daily, albuterol MDI PRN. Vitamin D3, zinc, and melatonin started. She was also discharged this day