Received Apr 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 2 | 010A21A | UN / UN |
Name: Medical Record #: Age: 92 y.o. DOB: 3/XX/1933 Admit date: 4/12/2025 Discharge date: 4/15/2025 Admitting Physician: DO Attending Physician at the Time of Discharge: DO Primary Care Physician: MD Reason for Admission: COVID Infection, COPD exacerbation Brief Summary of Hospital Stay: Patient is a 92 y.o. female with a history of CVA and COPD on 2L NC nightly who presented for flu-like illness since Monday. Of note, her husband was recently diagnosed and hospitalized with COVID-19. On arrival, she was also noted to be positive for COVID-19, complicated further by a COPD exacerbation. She was started on steroids, remdesivir, and other pulmonary hygiene measures. She initially required upwards of 4L nasal cannula. With the aforementioned treatment, she was quickly able to be weaned off supplemental oxygen. She was subsequently requesting discharge. She was sent home with instructions to complete her 5-day course of steroids. She should resume using 2L nasal cannula at night while sleeping. Follow-up with her PCP was scheduled Discharged to Home.