Report #2834635

Received Apr 8, 2025

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Overview

Sex: Male
Age: 11 yrs
State: AL
Recovered: Not recovered
Vaccinated: Apr 3, 2025
Onset: Apr 6, 2025
Days to onset: 3
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y--7322	IM / LA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U84(4AA	IM / RA
TDAP	TDAP (BOOSTRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	54G74	IM / RA

Symptoms (5)

Injection site erythemaInjection site indurationInjection site maculeInjection site painInjection site warmth

Symptom narrative

The patient developed two warm, erythematous, tender, indurated macules around the injection sites of his Tdap and meningitis vaccines on his right arm. He did not run a fever. The patient went to stay with his father shortly after receiving his vaccines, so mom did not note the cutaneous reaction until patient can back to her house on 4/6/25. She is not sure how long before that the reaction was present. As of today, 4/8/25, the patient is starting to feel better with Tylenol and ibuprofen. The erythematous areas are shrinking per mom. I suspect a local reaction.

Current illness

None

Medical history

ADHD, ODD, benign hypermobility syndrome, and allergic rhinitis

Other medications

Azstarys 26.1/5.2 mg qAM, Intuniv 1 mg daily, Xyzal 5 mg daily

Allergies

Amoxicillin causes rash. Patient also has positive allergy testing to many pollens.

Lab data

None