Received Feb 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | M7G39 | IM / RA |
Pt had an appt with PCP and was administered the shingles vaccine at 9:08. She states she developed a HA and nausea by 11:00 am that lasted the remainder of the day. She woke up the next morning to red spots on her arms, chest and back and felt like her skin was on fire. She also has developed several random bruises on her arms. Her arm is still very painful at the injection site. She has tried cortisone cream and Benadryl with no relief. Pt denies SOB. Keep cool and well-hydrated. Start fexofenadine 180 daily x 1 week. Reviewed red flag signs and symptoms are possible allergic reactions. The patient appears to be comfortable with and have a good understanding of the explanation of the pathophysiology, red flag signs and symptoms, plan and agrees with it. There were no other questions. AVS declined. 25 minutes in records review, face to face patient interaction with history, physical exam, explanation of pathophysiology and treatment options, authorization of treatment and documentation.
Anxiety, Alcoholic Intoxication
Hyperlipidemia, Hepatitis C virus infection without hepatic coma
None
No known drug allergies
No testing performed