Received Apr 8, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 2 | W026152 | IM / RA |
On 4-7-25 patient contacted County Health Department regarding third dose of HPV vaccine needed. While discussing the vaccine patient reported a vaccine reaction following the HPV vaccine given on 11-26-24. Patient reported hives one week after vaccine received, around 12/3/24. She described the hives like welts and very itchy. The hives were located on her neck, chest, stomach, armpits, and back. She reported taking Benadryl and Allegra every night for five days and applying Calamine lotion. Hives cleared up after 2-3 weeks. Patient reported no trouble breathing and no other symptoms. Patient then added that after the first dose of HPV vaccine on 10/2024 a week later she noticed a few spots on her stomach (4-5) on the side the vaccine was given. She reported the spots as hives and they cleared up in 2 weeks with no medication. I explained to patient that as a nurse I do not feel comfortable administering the 3rd dose of HPV vaccine due to the reaction from her last HPV vaccine. Also the reaction worsened from the first to 2nd dose and we do not know how she will react to the 3rd dose. Also I added that the the hives were near her airway. I referred patient to her medical provider to discuss the 3rd dose of HPV based on risk/benefit and if her provider recommended the 3rd dose, I recommneded her medical provider administer the vaccine.
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On 4-7-25 patient reported 4-5 hives (spots) on stomach area on the side the vaccine was given. The vaccine given was HPV vaccin