Received Feb 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | N/A | HN5970 | IM / LA |
Patient was awakened by burning discomfort on L hand overnight on the evening after receiving the vaccination. He developed a blistering rash on L palm that was somewhat painful. He likened it to when he had shingles years ago. He did not seek medical evaluation at the time but reported it to his providers later. The blisters resolved and the pain has also resolved but as of 2/21/25 he has a persistent L palmar rash with clustered flat erythematous lesions across multiple dermatomes which was examined and photographed by this clinician on 2/21/25 .
none
HIV/AIDS (CD4 > 200 at time of immunization), hyperlipidemia, history of esophageal ulcer, former smoker
Biktarvy, meloxicam
levofloxacin = unknown reaction, pork = N/V, shellfish = swelling
Treponemal pallidum Ab IgG negative 11/7/2024.