Received May 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MENB | MENINGOCOCCAL B (BEXSERO) | NOVARTIS VACCINES AND DIAGNOSTICS | 2 | 5AR2D*PRVT-YAHC | IM / RA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | U8352AA*PRVT-YA | IM / RA |
24-48hrs after started to hives on bilateral shoulder expanding to rest of body (side abdomen, thighs/legs, back). Put hydrocortisone and Calamine lotion. Side effect really itchy thus the medication and ice cold baths. Then started to get water retention (swollen feet, ankles). After a day of swollen feet it started to hurt when standing. The swelling progressed behind knees and at elbows. Didn't resolved until two weeks ago. Started using the ibuprofen 2-3days after realizing the swelling was not going away. It relieved a little bit but didn't remove the inflammation completely still felt stiff. Maybe the lymph nodes are clogged told by another person. Tried oiling body and doing "Gah-sha" (chinese remedy?). Was extreme sore 3 days after this. Slowly was getting better. The "Gah-sha" treatment started after most recent telephone call from provider on 4/24 when she explained the symptoms multiple joint pain and hives. Prescribed naproxen for suspected reactive arthritis on 4/25. Swelling joint pain 4 days after the "Gah-sha" started to improve. Not completely resolved about 75% relieved today (5/7). Have to take breaks from arts and crafts. Noticed red eyes about 2-3wks ago. Denies chest pain, palpitations, coughing, wheezing, abdominal pain, N/V, diarrhea, constipation. +dyspnea (only when walk) after initial hives getting little better Didn't seek ED care, because naturally gets hives during the summer. Was somewhere on 4/12-13 which was very sunny and hot. Didn't notice any bug bites in the area. Hives happened about 2-3 other times in the past years. In the past the hives would last 1-2 days and goes away with calamine and hydrocortisone. If didn't then would take allegra. didn't take the allergra this time around. Swelling on bottom of feet started the day after initial visit followed by joint pain two days after. Joint pain started with ankles bilaterally but the moved up to knees, then few days in wrists and elbows. Now every night how she sleeps will feel the joint pain.
none noted
Obesity, depression, anxiety. Denies long term health problems with heart, lung, kidney, or metabolic disease (e.g., diabetes), asthma, a blood disorder, no spleen, a cochlear implant, or a spinal fluid leak. No other immune system problems, cancer, leukemia or HIV/AIDS.
Unknown if taking any dietary supplements or herbal remedies. Ordered cetirizine, fluticasone for allergic rhinitis and terbinafine cream for fungal foot infection.
No known drug allergies or food in the past. No allergies to vaccine component or latex.
CRP, sed rate, CBC, HLA-B27, Rheumatoid factor were completed 4/29. Noted to have severely elevated CRP and sed rate of 99.950 and >119. HLA-B27, RF were negative. CBC showed no lymphocytosis but slightly elevated platelet 484 with absolute neutrophils 6.88, elevated.