Received Apr 2, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 2 | X023717 | SC / LA |
The patient is a Female that is 44 Years old here for possible vaccine reaction. patient seen in clinic on 01 April 2025 for employment physical. patient advise that dose 3 of Twinrix and dose 2 of Varicella needed to be completed. patient completed with both injection being administered in left arm. patient has no history of adverse reactions to vaccines. patient stated this morning she noticed redness at the site of the Varicella vaccine and the area is tingling and itchy. she has not taken any medication or done any home care to the site. patient stated she reported to clinic due to site appearance, symptoms, and no history of this reaction from first injection. the site measured 3.5cm across widest portion on the reaction site. patient stated no NKDA and no other symptoms reported. provider advised and assessed the site. provider advised patient of signs and symptoms of infection and other items to look for that would need to be addressed via ER or UC facility to include fever, increased pain, and spreading of redness and/or soreness of site. patient advised to taken OTC pain aid and apply cold compression to help with healing process and that healing will take some time. patient advised VAERS will be completed on her behalf and given ice pack and VIS to utilized. patient understood instructions and left clinic.
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