Received Feb 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPAB | HEP A + HEP B (TWINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 4DS4N | IM / LA |
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | Y011819 | IM / LA |
Patient comes to report adverse reactions to immunizations received two days prior. The left arm injection site demonstrated continuous bleeding in comparison to the right arm injection sites per patient. The left arm showed redness and swelling down the entire upper portion with pain and a little itching. The patient said that the swelling, redness, and warmth improved a little after the second night. Lethargy and "sickness" feeling reported for two days, Motrin and Tylenol was taken by the patient to alleviate the symptoms. The patient stated that she has never experienced any adverse reactions to her previous vaccinations and was contemplating going to the ER the prior day but did not. I visually inspected the sites and redness was present but was much better as per patient. I instructed the patient to take diphenhydramine if the redness or itching continued and to let us know if the areas did not continue to improve. The patient was satisfied with consult about this reaction.
nka
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