Received Apr 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 2 | 019B21A | UN / UN |
Hospitalization related to COVID 19 following completion of primary vaccine series
1. Anemia (D64.9) 2. Aspiration pneumonia (J69.0) 3. CAD (coronary artery disease) (I25.10) 4. Cataract (H26.9) 5. CHF (congestive heart failure) (I50.9) 6. Chronic insomnia (F51.04) 7. Constipation (K59.00) 8. Depression (F32.9) 9. H/O steroid-induced osteopenia (Z87.39) 10. History of 2019 novel coronavirus disease (COVID-19) (Z86.16) 11. Hypokalemia (E87.6) 12. Impaired mobility and ADLs (Z74.09,Z78.9) 13. Ischemic cardiomyopathy (I25.5) 14. Multiple sclerosis (G35) 15. Neurogenic bladder (N31.9) 16. NSTEMI, initial episode of care (I21.4) 17. Suprapubic catheter (Z93.59)
1. Anemia (D64.9) 2. Aspiration pneumonia (J69.0) 3. CAD (coronary artery disease) (I25.10) 4. Cataract (H26.9) 5. CHF (congestive heart failure) (I50.9) 6. Chronic insomnia (F51.04) 7. Constipation (K59.00) 8. Depression (F32.9) 9. H/O steroid-induced osteopenia (Z87.39) 10. History of 2019 novel coronavirus disease (COVID-19) (Z86.16) 11. Hypokalemia (E87.6) 12. Impaired mobility and ADLs (Z74.09,Z78.9) 13. Ischemic cardiomyopathy (I25.5) 14. Multiple sclerosis (G35) 15. Neurogenic bladder (N31.9) 16. NSTEMI, initial episode of care (I21.4) 17. Suprapubic catheter (Z93.59)
1. Aspirin 81 MG Oral Tablet Chewable; CHEW AND SWALLOW 1 TABLET DAILY; Therapy: 14Jan2021 to Recorded 2. Atorvastatin Calcium 40 MG Oral Tablet; TAKE 1 TAB BY MOUTH AT BEDTIME; Therapy: 06Jan2021 to Recorded 3. Baclofen 20 MG Oral Tabl
1. Aspirin 81 MG Oral Tablet Chewable; CHEW AND SWALLOW 1 TABLET DAILY; Therapy: 14Jan2021 to Recorded 2. Atorvastatin Calcium 40 MG Oral Tablet; TAKE 1 TAB BY MOUTH AT BEDTIME; Therapy: 06Jan2021 to Recorded 3. Baclofen 20 MG Oral Tablet; TAKE 1 TABLET 4 TIMES DAILY; Therapy: (Recorded:11Feb2021) to Recorded 4. Brilinta 90 MG Oral Tablet; TAKE 1 TAB BY MOUTH TWICE A DAY; Therapy: 06Jan2021 to Recorded 5. Bumetanide 1 MG Oral Tablet; Give 1mg by mouth twice daily for stented coronary artery; Therapy: 06Jan2021 to (Evaluate:24Feb2021) Recorded 6. Cyclobenzaprine HCl - 5 MG Oral Tablet; Give 5mg by mouth at bedtime related to MS (Effective 3/4/2021.); Therapy: 09Dec2020 to Recorded 7. Ditropan XL 10 MG Oral Tablet Extended Release 24 Hour; TAKE 1 TABLET EVERY MORNING; Therapy: (Recorded:07May2021) to Recorded 8. FiberCon 625 MG Oral Tablet; (Polycarbophil) Take 2 at H.S; Therapy: (Recorded:27Aug2020) to Recorded 9. Fluticasone Propionate 50 MCG/ACT Nasal Suspension; 1 spray in each nostril twice daily as needed for epistaxis; Therapy: 14Jan2021 to Recorded 10. Fosamax 70 MG Oral Tablet; TAKE 1 TABLET ONCE WEEKLY; Therapy: (Recorded:07May2021) to Recorded 11. Levalbuterol HCl - 1.25 MG/0.5ML Inhalation Nebulization Solution; USE 1 VIAL IN NEBULIZER 4 TIMES DAILY AS NEEDED; Therapy: (Recorded:07May2021) to Recorded 12. Lisinopril 2.5 MG Oral Tablet; TAKE 1 TABLET DAILY;Therapy: (Recorded:11Feb2021) to Recorded 13. Melatonin 3 MG Oral Tablet; TAKE 1 TABLET Bedtime; Therapy: (Recorded:21Oct2020) to Recorded 14. Metoprolol Succinate ER 25 MG Oral Tablet Extended Release 24 Hour; Take 1 tablet by mouth daily in the AM; Therapy: (Recorded:23Feb2021) to Recorded 15. Milk of Magnesia 400 MG/5ML Oral Suspension; 30ml by mouth daily as needed for constipation; Therapy: (Recorded:02Jun2021) to Recorded 16. MiraLax 17 GM/SCOOP Oral Powder; MIX 1 CAPFUL IN 8 OUNCES OF WATER AND DRINK AT BEDTIME AS NEEDED FOR CONSTIPATION; Therapy: (Recorded:07May2021) to Recorded 17. Misc Medical Supply; JOBST Stockings- apply in AM reove in HS; Therapy: 14Jan2021 to Recorded 18. Nitroglycerin 0.4 MG Sublingual Tablet Sublingual; DISSOLVE ONE TABLET UNDER THE TONGUE EVERY 5 MINUTES AS NEEDED FOR CHEST PAIN. DO NOT EXCEED A TOTAL OF 3 DOSES IN 15 MINUTES; Therapy: (Recorded:14Jan2021) to Recorded 19. Omeprazole 20 MG Oral Capsule Delayed Release; TAKE 1 CAPSULE Daily; Therapy: (Recorded:27Aug2020) to Recorded 20. Oxygen Therapy; Apply oxygen 1-4 LIters per NC as needed for dyspnea/ wheezing; Therapy: 14Jan2021 to Recorded 21. Phospha 250 Neutral 155-852-130 MG Oral Tablet; Take 1 tablet twice daily; Therapy: (Recorded:21Oct2020) to Recorded 22. Potassium Chloride ER 20 MEQ Oral Tablet Extended Release; Take 1 tablet po BID; Therapy: 16Feb2021 to Recorded 23. PROzac 10 MG Oral Capsule; TAKE 3 CAPSULES DAILY; Therapy: (Recorded:07May2021) to Recorded 24. SOLU-Medrol 1000 MG Injection Solution Reconstituted; 2,000mg via IV every 30 days for MS at LRHC Infusion Center; Therapy: (Recorded:23Feb2021) to Recorded 25. Temazepam 30 MG Oral Capsule; TAKE 1 CAPSULE AT BEDTIME AS NEEDED; Last Rx:28Apr2021 Ordered 26. Tylenol 325 MG Oral Tablet; Give 650mg by mouth every 4 hours as needed for pain. Not to exceed 4,000mg in 24 hours; Therapy: (Recorded:14Jan2021) to Recorded 27. Vitamin D3 25 MCG (1000 UT) Oral Tablet; Give 1 tablet by mouth in the AM; Therapy: 14Jan2021 to Recorded
Covid positive test date 3/10/25