Received Apr 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | 4 | X1C891M | IM / LA |
| JEV1 | JAPANESE ENCEPHALITIS (IXIARO) | INTERCELL AG | 1 | JEV23K07E | IM / LA |
In my office today (4/10/2025) for 2nd Japanese Encephalitis vaccine for her upcoming trip overseas. States had a mild non-hive rash after vaccines last visit (3/19/2025) to L upper arm and upper L chest near neck, mild itching but not severe. Had Polio IPV and JE (IXIARO) in that arm. States noticed it while driving home (15-20 mins post vaccines). States took Benadryl and rash was gone in <15 mins (carries Benadryl with her). Did not go to medical provider or urgent care. States is hypersensitive to many things and has had a "reaction to all her Covid vaccines, including golfball sized enlargement to axilla, my lymph nodes". States still gets Covid vaccines but "I just take benadryl now before I get them". I called Valneva Rep on speaker for client to hear and inquired about risk with a second dose, he was not able to reach their "medical team" but said even a mild case of an actual allergic reaction is not a contraindication for a second dose, only severe. Client states is comfortable going ahead with a 2nd JE vaccine today. States has never had vaccine reactions before and "is not worried about it today", "I brought some Benadryl with me in case". Denies other changes to medical Hx, allergies or meds since last visit. Looks and states feels well today. JE #2 given and mild flat scattered petechiae-type rash (not hives) developed immediately after today's vaccine, 3" diameter area above but not on the vaccine site (took a picture). States no itching. Did not spread, and began to fade within 3-5 minutes. Client did take her oral benadryl, but rash was already receding by then. Kept client for 30 mins post-vaccine. Client was pleasant, friendly and talkative, not alarmed by event and stated she felt ready to go and that she fine. Understands to go to ER if it redevelops, worsens or other symptoms occur.
None
Environmental Allergies
OTC Claritin PRN environmental allergies (last used 1 week prior to vaccine), Albuterol Inhaler PRN allergy induced asthma (last used 1 week prior to vaccine), Bendryl PO "when gets Covid Vaccines", due to reaction history.
Covid Vaccines (but still gets them), Chia Seeds
None, did not seek medical intervention.
All Covid vaccines - rash and axilla swelling