Received Mar 8, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 1 | Y008282 | SC / LA |
Per mom and patient, patient received HPV & MMRV on Wed 3/5/25. On Thur 3/6 patient noticed localized redness and swelling, increased pain at injection site (back of L arm) but did not tell anyone. Friday 3/7 it became worse & per patient she noticed a small white dot at injection site so she alerted her mother and older sister. Patient denies any known insect stings or bites. Sister applied hydrocortisone 1% cream that night after patient applied warm water. Today, mother and patient report swelling & redness is reduced. Minimal redness & swelling noted at injection site. No discharge present. Patient reports 8/10 pain when touched at injection site. Oral temp 98.5 F.
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Obesity, binge eating disorder, OSA, hyperinsulinemia, dysmenorrhea, prediabetes, transaminitis, hypovitaminosis D, constipation by delayed colonic transit.
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NKA
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