Received Apr 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPAB | HEP A + HEP B (TWINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | M4B34 | IM / RA |
Tinnitus starting within a few hours, He notices it mostly when it is quiet. The tinnitus does not impact his ability to communicate or listing to TV. Not impacting sleep, but hears it when he wakes up. Will cancel the subsequent Twinrix doses, as repeat vaccine could make things worse Little is reported on Tinnitus and HBV vaccine, though it is listed as a side effect.
none
1. Admits alcohol use 2. Tobacco use 3. Insomnia AHI 11 cpap 6-12 MQ med 4. Exposure to environmental pollution 5. Allergic rhinitis, Onset 00/00/99 6. Gastro-esophageal reflux disease with esophagitis, Onset 00/00/99 7. Irritable bowel syndrome with diarrhea 8. Polyuria 9. Long-term current use of anticoagulant - unprovoked PE 2018 (negative d-dimer , so AC stopped) ; - right LE DVT dx per US 2019 10. H/O: pulmonary embolus 11. Obstructive sleep apnea of adult 12. Palpitations 13. Prediabetes 14. Microscopic hematuria 3/2023, culture ordered 15. Exposure to potentially hazardous substance 16. Alcoholic liver disease 17. HTN - Hypertension (SCT 38341003)
1) ACYCLOVIR 200MG CAP TAKE TWO CAPSULES BY MOUTH THREE TIMES A ACTIVE DAY 2) AMLODIPINE BESYLATE 10MG TAB TAKE ONE TABLET BY MOUTH EVERY ACTIVE DAY Indication: FOR BLOOD PRESSURE 3) CARBOXYMETHYLCELLULOSE NA 1%
Allergies: Patient has answered NKA
na