Received Mar 5, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TD | TD ADSORBED (TENIVAC) | SANOFI PASTEUR | 1 | U7745AA | IM / RA |
| TD | TD ADSORBED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 3 | U7745AA | — |
The patient reports 10 minutes after receipt of vaccine he experienced onset of tongue tingling, similar to numbing associated with dental procedures. The duration was hours and resolved by morning. He denies any other symptoms to suggest IgE mediated reaction, such as pruritis, urticaria, oral/fac/throat/tongue swelling, flushing, warmth, red, watery eyes, SOB, wheezing, dyspnea, cough , CP, n/v/d. He denies any symptoms to suggest pre-syncope such as dizziness, pallor or cool, clammy skin. Two days later he experienced onset of dry itchy left eye. On inspection he noted left facial droop and loss of forehead wrinkles. He sought care in ER and was diagnosed with Bells palsy. He was treated with steroids (prednisone), in addition to valcyclovir and ocular lubricant. Symptoms fully resolved in 1-2 weeks. He was not referred to neurology. He denies any other prodromal or associated symptoms such as oral ulcers, ear pain, pressure, or other illness symptoms such as fever, chills, malaise, arthralgias, myalgias, cough, SOB, CP, n/c/d, rashes lesions or ulcers. He denies any household illnesses. He denies any prior history or Bell?s palsy. He denies symptoms recurrence. predniSONE (Sterapred 5 mg oral tablet)take five tablets by mouth every day for 3 days, then take four tablets every day for 3 days, then take three tablets every day for 3 days, then take two tablets every day for 3 days, then take one tablet every day for 3 days. take with food.; Oral (given by mouth). Refills: 0. valACYclovir (Valtrex 1 g oral tablet)1 tabs Oral (given by mouth) 2 times a day for 7 Days. Refills: 0.