Received Apr 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 7+ | GT2524 | UN / UN |
Name: Medical Record #: Age: 65 y.o. DOB: 2/XX/1960 Admit date: 4/13/2025 Discharge date: 04/18/2025 Attending Physician at the Time of Discharge: D.O. Reason for Admission: COVID 19 pneumonia Brief Summary of Hospital Stay: Patient is a 65 y.o. female history of cerebral palsy due to childhood meningitis, non verbal and non ambulatory at baseline presented from facility due to cough and breathing problems. She was found to have COVID 19 and admitted for management of COVID 19 pneumonia. During her stay, she was placed on IV Unasyn and Decadron. She was successfully weaned off of supplemental oxygen. Her stay was complicated by mild hypokalemia and hypernatremia. This was suspected from NS infusion and poor oral intake as well. It was suspected that her intake continued to be poor here as she requires a certain person to feed her. Our staff has tried one-on one feeds but she continues to refused large food intake. I have spoken with her POA/sister and she verifies that she likely will eat better back in facility with (redacted name). BMP ordered in a week to recheck electrolytes. Strict return precautions given. The patient was discharged in stable condition with improvement of symptoms and appropriate follow up planned. Discharged to Home Health Care.