Received Mar 14, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 3X97J | IM / OT |
S- 50 year old, female calls clinic from work and states they received the shingles vaccination at their last drs appointment. Now pt is experiencing body aches & pain on right buttocks where she received the injection; along with a huge bump on it. B- Pt had an office visit on 3/11/25 with Dr. for headache follow up. Pt received Zoster vaccine 0.5ml, IM, right gluete during appointment. A- Pt states that she received shingles vaccine in her right butt check because her arms were too small. At vaccine injection site pt has a "goose egg" size hard lump. It's red but not hot to touch. Pt has been using heat & cold on lump. Heat works better. By utilizing heat and massage the lump goes down a little bit but comes right back an hour later. Pt states the lump hurts but it hurts like a bruise; can't lay down on right side. Pt feels like they have body aches all over their body and aches in their joints. Pt states that symptoms have been occurring since she received shingles vaccination. Pt has been taking 600mg Ibuprofen and 1,000 mg of Tylenol; medications have not really been helping pt. Pt denies hives, swelling of face or throat, difficulty breathing, heart palpitations, dizziness, or severe muscle weakness. R- Based on pt symptoms ER or urgent care not indicated at this time. Will talk to provider about pt symptoms. Pt gave verbal ok for detailed message to be left on her phone. RN Spoke with Dr. regarding pt's symptoms. Dr. states that this is an injection site reaction. This is your [pts] body's immune response to the vaccine. The lump is more noticeable because it is on the butt; It will go away. Keep taking pain medications as needed, stay hydrated (at least 8 cups of water per day) and rest. Lump should be gone by next Tuesday; by latest two weeks. Pt gave verbal ok for a detailed message to be left on her phone. This RN left voicemail on pt's phone communicating Dr.'s recommendations. RN
Headache
Bipolar 1 disorder, depressed, moderate (HCC-CMS) OCCIPITAL NEURALGIA CONSTIPATION, CHRONIC VITAMIN D DEFICIENCY Migraine with aura and without status migrainosus, not intractable Insomnia, persistent PTSD (POST-TRAUMATIC STRESS DISORDER) Anxiety disorder DJD (degenerative joint disease), multiple sites Body mass index (BMI) of 26.0-26.9 in adult Generalized muscle weakness
desmopressin, rizatriptan, methylphenidate, mirtazapine, omeprazole, methylphenidate, clonidine, lamotrigine, bumetanide
Pregabalin, Aripiprazole, Bupropion, Hydroxychloroquine, Lithium, THC, Gabapentin, Melatonin, Oxaprozin, Spironolactone