Received Apr 28, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | N/A | MD3414 | IM / LA |
| TYP | TYPHOID VI POLYSACCHARIDE (TYPHIM VI) | SANOFI PASTEUR | N/A | Y2A021M | IM / RA |
| YF | YELLOW FEVER (YF-VAX) | SANOFI PASTEUR | N/A | UK125AA | SC / LA |
Patient reports the following: on Tuesday (4/22/25) 1 day after vaccination felt achy and tired, and on Wednesday (4/23/25) 2 days after vaccines noticed tenderness under left arm when applying deodorant. Called on Friday (4/25/25) 4 days after vaccines to discuss symptoms. Also notes discomfort in the underarm area when raising or extending left arm. Not getting worse, but noticeable. No enlarged lymph nodes on palpation of the area per patient. No fever or other systemic symptoms. Assessment - Symptoms are consistent with lymphadenopathy under the left arm following 2 vaccinations, including covid vaccine to the left arm. Rxn has been reported in 15% of vaccinations and usually resolves within 1 week. Asked patient to monitor, hydrate, and treat symptoms with pain reliever as needed, and to report back on 4/28/25 (monday) on progress and to seek medical care if symptoms worsen. Followed up with patient on 4/28/25 who self described 30% improvement in symptoms under his left arm. Only painful if lifts arm and extends over his head. Pt spoke with his primary care Dr who is not overly concerned, MD told pt most likely swollen lymph gland from vaccine and to make appt if no further improvement in a few days. Pt taking 1 advil per day for pain. I told pt to check in with us in a few days (Wednesday 4/30/25)
no
ulcerative colitis
mesalamine DR tablets, flonase nasal
no
none needed