Received Feb 19, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 1 | Y001510 | SC / RA |
Pt reports varicella vaccination at 0950, started eye redness, swelling approx 1030. now reports SOB and trouble breathing, intermittent nasuea, no vomiting maintaining airway in triage. denies taking anything prior to arrival Patient is a 19-year-old male otherwise healthy presented to the emergency department for concerns of difficulty breathing, swollen left eye, nausea and vomiting that started this morning. Patient states that this morning he took the fitness test, afterwards he presented to clinic to receive his varicella vaccine shortly after that time patient went home and began experiencing 2 episodes of nausea and vomiting. 1 of his friends noticed that his left eyelid looked swollen. patient was not aware of this at that time. Additionally he endorsed feeling short of breath. So he came to the emergency department. He is not aware of any allergies, has not had an allergic reaction in the past. Denies any new medications. Denies any issues/illness prior to the fitness test this morning.
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Given the patient's diagnostic work up, the patient's presentation is most consistent with allergic reaction, possibly anaphylaxis in the setting of involvement of more than 2 organ systems related to an exposure with improvement of symptoms. Epinephrine administration, Benadryl, famotidine, methylprednisolone, fluids. The patient was deemed safe for discharge to home with a prescription for 2 EpiPen's. The patient agrees with this treatment plan. The patient was given strict return precautions and all questions and concerns were addressed prior to discharge. At time of discharge, the patient was hemodynamically stable with a reassuring presentation and able to discharge to home.