Received Feb 6, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 1 | X026330 | SC / RA |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 1 | Y013347 | SC |
Patient received MMR II and Varivax on 01/27/2025. Patient reported that on Monday 01/27/2025 around 6:00pm she began to feel her right upper chin region becoming rigid, then on Tuesday 01/28/25 around 5:00PM began to feel numbness to the right side of her tongue . On Wednesday 1/29/25 upon arising patient reported that she was not able to close her right eyelid and could not blink and in the evening around 5pm was having difficulty talking and drinking water. On Saturday 2/1/2025 patient reported that around 7:00PM she began to feel pressure to front right side of head, back right side of head and right side of neck. Patient went to Clinic on Thursday 01/30/2025, was evaluated and told she had Bells Palsy. Patient was prescribed Vitamin B12 tablets and Artificial Tears. Per patient she also was instructed to massage face and do exercise. At time of follow up clinic appointment on Tuesday 02/04/2025, patient reported that she still cannot close her right eye, has numbness to back right side of tongue and in the evenings continues to feel pressure to front right side of head, back right side of head and right side of neck. Health Center was informed of above, evaluated patient and and concurred with PMD diagnoses of Bells Palsy. Dr. informed this nurse that patient needed further medical treatment as soon as possible to prevent permanent facial paralysis and was recommended to seek further medical care and treatment for Bells Palsy. Patient was provided Department of Health Services Hospital List and instructed patient to go immediately to Medical Center or other option Medical Center. This nurse will contacted patient to see if recommendations were followed, however patient did not answer the phone and a message was left.
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