Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Breath sounds abnormal, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Cough
Clinical narrative: Daughter reporting after her mother's death .  She got her vaccine and called her daughter in the afternoon around 2:00 and told her that she got it.  At 6:00 she received a VM where she said that she was having joint pain and wanted to know if she could call her doctor to get her joint pain medicine.  Later that evening her daughter told her that was why she was put on the Hydroxychloroquine and they wanted her to see the rheumatologist.  She complained of pain a lot, but she specifically asked for joint pain medicine.  On the 22nd on another VM her daughter noticed that she sounded raspy hoarse sounding and congested and had a cough.  Then subsequent messages after that the hoarseness was there that didn't go away.  Her daughter took her to the dentist on 4/15/21 and she remembered that the caregiver told her that she did not want to go to the dentist as she did not feel good.  She did not like to get out of the apartment.  Then on 4/19/21 she was admitted to the hospital and that she had pneumonia.  They were going to discharge her home and she was going to pick her up on 4/22/21, and then they called her back and told her that she sounded junky and they were going to keep her another day.  She made arrangements to pick her up on Friday and then her oxygens dropped and would discharge her on Monday.    She normally gets oxygen 1 liter of oxygen only at night, and when she was admitted her oxygen levels were low and they put her on 6 liters when she was admitted.  Then she was weaned off oxygen completely, and her daughter informed them that she slept with oxygen and that's when they were talking about going home.  On Friday she dropped her oxygen level into the 60's  On Saturday 4/24/21 she was on 9 liters of oxygen and the doctor came in and said that she was on 14.  By Saturday night she was on the Critical care Unit, but her on Vancomycin and was on Vapotherm on high-flow oxygen and she had maxed out at 40 liters at 100% oxygen.   They talked to the daughter about putting her on ventilation and thought it was toxicity to Vancomycin and other things and couldn't figure it out and said that it was some sort of inflammation of her lungs.  They put her on high levels of steroids and was then taken off of high-flow oxygen and then was still on 20% liters.  They recommended hospice and palliative care.  They decided to bring her home on Hospice with 15 liters of oxygen.  It was up and down levels.  She was given steroids when she came home on Hospice and was given steroids.  She then started to decline and hospice nurse came and she was admitted to Hershey and they repeated her chest x-ray and COVID testing, and that her lungs were so scarred there was nothing that they could do for her.  They tested her for COVID multiple times, the CAT Scans came back that it was worsening and consistent with COVID but tested negative twice while was there.  She was then sent to Hospital and tested again and was negative, and she passed on 5/10/2021.    HOSPITAL ADMISSIONS: She was admitted to  on 4/19/21 discharged home on hospice on 5/6/21.    She was admitted to Medical Center on 5/6/21 and she died on 5/10/21 at 5:48 PM.