Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: Patient is a 96 year old MALE presents this evening with shortness of breath with nasal congestion and chest congestion. Symptoms started earlier 09/14/2024. He states he had a fever but does not know how high. He has hot and cold sensations. He has had a sore throat. He does have a cough but no sputum production. No diarrhea. Eating and drinking normally. No chest pain or palpitations. He has been weak, tired and fatigued more than usual. No vision changes. Positive myalgias and arthralgias out of the ordinary. No leg swelling or pain out of the ordinary. No abdominal pain. No diarrhea. No dysuria. No rashes. No headache. Patient did nothing at home to improve his symptoms. Time seems to be worsening things. As the day went on his weakness persisted and got worse as the day progressed. Some mild confusion that waxes and wanes. He is taking his medications and no recent changes in medications. Occasional muscle cramping. HOSPITAL COURSE: Found to have COVID19, treated as noted below. Issues with disposition initially but step son agreed to take home. COVID-19 infection, resolved, on room air, s/p dex, azithro, remdesivir 3 day course. Pt became stable and was discharged 09/20/2024 Other Relevant HX: PROBLEM 1. Hyperlipidemia (55822004) 2. Obesity (414916001) 3. Elevated PSA (396152005) 4. Benign prostatic hyperplasia (266569009) 5. Dermatitis/Eczema 6. Intermittent

Reported Symptoms: 10054115:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: Patient was admitted to the hospital on 7/31 and was discharged to home on 8/1/24. Other Relevant HX: PMH: T2DM, HTN, HLD, osteomyelitis; hx of hip fracture, hx of CABG, atrial flutter, BPH Other: Hospitalization due to Covid-19 infection after having received Covid-19 Vaccination

Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: 77 year old MALE with PMH significant for recent NSTEMI (6/30/2024 sp LHC (no intervention), recent covid infection (1 mtn ago), Afib (on eliquis), severe COPD Gold Grade 4(FEV<30%), GroupD on 3-4L O2 NC at home, dilated cardiomyopathy (EtOH?) LVEF 55-60%, HTN, HLD, chronic cystitis, severe spinal stenosis, sacral wounds (follows with wound care) and previous smoker presented to hospital with dyspnea from his living facility. Patient admitted to the MICU for acute hypoxic respiratory failure requiring bipap secondary to concern for COPD exacerbation and decompensated diastolic heart failure exacerbation. Patient underwent treatment with steroids and azithromycin for COPD exacerbation and decompensated diastolic heart failure. He was downgraded to the medicine team on 9/2. Patient became stable and was discharged on 9/6. Other Relevant HX: PMH significant for NSTEMI, sp LHC, covid infection, Afib, severe COPD Gold Grade 4(FEV<30%),GroupD on 3-4L O2 NC at home, dilated cardiomyopathy, LVEF 55-60%, HTN, HLD, chronic cystitis, severe spinal stenosis, sacral wounds, and previous smoker. Other: Hospitalization due to Covid-19 infection after having received Covid-19 Vaccination

Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: 88-year-old female with past medical history significant for hypertension, hyperlipidemia, hypothyroidism, fibromyalgia. HOSPITAL COURSE: #COVID-19 infection #Migrainous headache likely secondary to above #Fibromyalgia – No respiratory symptoms – Remdesivir x 3 days completed #Generalized Weakness due to COVID-19 and inactivity – PT/OT evaluations and recommendation for home safety evaluation – additionally will provide home health PT for follow up on discharge. – Patient and Daughter at bedside in agreement with plan #Hyponatremia likely secondary to poor oral intake from acute viral illness. – No significant change in the sodium level with NS IV – seems hypoosmolar, UNa > 20, suspect SIADH in the setting COVID. – Would not aggressively fluid restrict, continue PO intake at home Pt recovered, became stable at discharge, and discharged to home on 09/04/2024 Other Relevant HX: PROBLEM 1. Hypothyroidism 2. Osteoporosis 3. Cataract 4. Benign essential hypertension 5. Hyperlipidemia 6. Low Back Pain 7. Shoulder Pain 8. Pain in both hip joints 9. Urinary Incontinence 10. Fibromyalgia 11. Osteoarthritis 12. Benign neoplasm of larynx 13. Dysphagia 14. Perforation of nasal septum Other: Hospitalization due to Covid-19 infection after having received Covid-19 Vaccination

Reported Symptoms: 10054115:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: Patient is a 76 year old MALE with PMH of COPD on 4L home 02, previous PE on apixaban, and recent COVID + status who presents to the ED with increased difficulty breathing and worsening dyspnea. He was admitted 08/28/2024. Patient was recently seen in the ED on 08/23 for complaint of feeling unwell and increased shortness of breath with increased 02 requirements and was diagnosed with COVID 19 at that time, and started on molnupiravir. Over the weekend patient states that he did not get any better despite therapy, and today he feels subjectively worse than previous so decided to seek care. He denies any chest pain, palpitations, vomiting, diarrhea, headache. Pt was admitted and then after being medically stabilized he was discharged 09/02/2024. Patient was encouraged to seek out his pulmonologist for follow up appointment and to get prescription for specific at home oxygen usage. Other Relevant HX: PMH of Gout, BPH, Essential hypertension, Chronic obstructive lung disease, Vitamin B12 deficiency, Obesity, Gastroesophageal reflux disease, Pulmonary embolism, and Raised prostate specific antigen. Other: : Hospitalization due to Covid-19 infection after having received Covid-19 Vaccination

Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: Patient was admitted on 7/23 and discharged back to group home on 7/27. Other Relevant HX: Other: Hospitalization due to Covid-19 infection after having received Covid-19 Vaccination

Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: Pt was admitted October 3rd, 2024. Patient is a 60 year old MALE who was admitted to the ED due to 3 days of shortness of breath. Pmhx of hypertension, substance use disorder, alcohol use disorder (abstinent for > 1 year) and tobacco use (last use 1 month ago). Pt states that his SOB has been persistent for the past three days. Nothing has relieved it, and it is worsened with exercise and laying down flat while trying to sleep. He has never had these symptoms before. Pt states that while he has been tired, he does get woken up multiple times by it, and ends up gasping for breath. Pt stated that he had no illness before leading up to his SOB. He denies systemic symptoms, no fevers, chills. Patient was also found to be Covid positive in the ED and he recieved remdesivir 200mg once and 2 days of 100mg for symptoms. Symptomatic treatment was continued during hospitalization. Pt became medically stable was discharged on October 5th, 2024 Other Relevant HX: 1. gerd 2. hypertension 3. h/o cocaine and etoh abuse 4. s/p right bunionectomy 2001 5. Major-Recurernt 6. Dupuytren’s disease of palm of bilateral hands (16314671000119104) 7. Inguinal hernia, without mention of obstruction or gangrene 8. Hypertension (38341003) 9. Sciatica * 10. Chronic back pain (134407002) 11. Esophageal Reflux 12. Polysubstance dependence 13. Plantar fibromatosis * 14. Bipolar affective disorder (13746004) 15. Pain in left knee

Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: Patient was admitted on October 3rd, 2024 Patient is 79 year old MALE with PMHx of chronic back pain, HTN, HLD, CAD, HFrEF (40-45%), OSA, DM, prostate cancer with suprapubic catheter, hypothyroidism, mood disorder, parkinson’s disease, restless leg syndrome, with recent hospitalization (9/27-10/1) for segmental PE with LE DVT and found to be COVID positive during hospital stay has returned to the ED one day after discharge for severe throat pain preventing him from eating or drinking. He feels he is just too weak and his daughter brought him to the ER because she was concerned with his inability to eat or drink anything. The sore throat started the day he was tested for COVID in his last admission and has gotten progressively worse. He doese endorse chest pain in the center of his chest when he takes a deep breathe. He has been compliant with his new medications including the apixaban for his known PE. He also notes a cough with some sputum but he cannot comment on what the sputum looks like. He reports subjective chills but no recorded temperature at home. He did vomit upon arrival to the ED and believes he has been having diarrhea. He denies headache, difficulty breathing, palpitations, leg swelling, abdominal pain, or constipation. Patient also found to have a UTI during prior hospitalization. Denies any dysuria. Upon admission, patient was started on IV remdesivir course for COVID-19 infection, which was continued for

Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: 77yo male w/ PMh sig for Prostate CA, Barrett’s esophagus, h/o esophageal stricture, COPD, and dysarthria admitted to hospital on 09/26 for evaluation/management of Acute hypoxemic respiratory failure thought to be due to an exacerbation of COPD triggered by COVID infection after presenting to hospital w/ 1-2d h/o worsening cough, malaise, weakness, and dyspnea in the setting of COVID19 infection. Patient subsequently noted to have black stools and anemia with concern for UGI bleeding. Pt became medically stable and was discharged on October 3rd, 2024. Other Relevant HX: 1. Asthma (195967001) 2. History of malignant neoplasm of prostate (428262008) 3. Hypertensive heart disease (64715009) 4. Barrett’s esophagus (302914006) 5. Abnormal gait (22325002) 6. Chronic low back pain 7. Morbid obesity 8. Osteopenia 9. Primary malignant neoplasm of prostate 10. Arthritis 11. Chronic back pain 12. Degeneration of lumbosacral intervertebral disc 13. Impacted cerumen 14. Arthritis of knee 15. Allergic rhinitis 16. Acute exacerbation of chronic obstructive airways disease 17. Arthropathy of knee joint 18. Chronic obstructive lung disease 19. Nocturia 20. Edema 21. Contact dermatitis 22. At moderate risk of venous thromboembolism 23. Osteoporosis 24. Iron deficiency anemia 25. Gastroesophageal reflux disease 26. Exposure to potentially hazardous substance (133261000119105) Other: Hospitalization

Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: Patient is a 43-year-old male (F->M) with a history of asthma, GAD, mood disorder, PTSD, Htn, anxiety, depression, headache, neck pain diabetes hyperlipidemia who presented with cough, myalgias, and headache. He is a nursing student who has had recent exposure to COVID, flu,and meningitis. He reports double vision that is worse in the left eye. His COVID test came back positive and the patient was admitted on 9/26 for further workup and meningitis rule out. Imaging including CT head, MRI brain were negative for acute process. On 9/27 he underwent a fluoro guided LP by IR to r/o meningitis. His sx were improving at this time. CSF studies showed marginally elevated protein, no other significant findings and biofire resulted as normal for all viral and bacterial pathologies. Pt experienced fever, myalgia, and chills and also received remdesivir treatment He was cleared for d/c on 9/28. Other Relevant HX: 1. Posttraumatic stress disorder (SNOMED CT 47505003) 2. Intervertebral Disk Displacement * 3. LBP * 4. Hyperkinetic Synd Nos 5. Acne 6. Mastectomy 7. Seizure (SNOMED CT 91175000) 8. Mood Disorder due to a General Medical Condition 9. Asthma (SNOMED CT 195967001) 10. Headache (SNOMED CT 25064002) 11. Neck Pain 12. Hypothyroidism (SNOMED CT 40930008) 13. Hyperlipidemia 14. Cholecystectomy 15. Diarrhea * 16. Vision, Subnormal * 17. Colonoscopy through Stoma 18. Pulp Necrosis 19. Acute apical periodontitis of pulpal origin 20. Seizure (SNOMED CT 91175000)