Received May 15, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | MF0416 | IM / LA |
| RSV | RSV (ABRYSVO) | PFIZER\WYETH | 1 | KD0161 | IM / LA |
Patient reported on 5/13/25 that her left shoulder was swollen, painful, red and itchy. Triage nurse spoke with the patient and the patient explained the area was warm to the touch, even more swollen and painful and had chills the previous day. The nurse recommended the patient to visit out urgent care clinic. Patient visited the urgent care clinic and was evaluated. The findings was a 7X8 cm area of slightly raised, erythematous ovular shaped nonindurated skin at the left deltoid, minimally tender. DDX: delayed hypersensitivity reaction, cellulitis. Antihistamine was recommended over the next few days and if it did not resolve the patient was instructed to return for reconsideration of antibiotics.
Rash nonspecified- Fairly well-demarcated red patches on chest and extensor upper/lower extremities
Nervous: Back pain Chest wall pain Circulatory: Essential hypertension Genitourinary: Simple endometrial hyperplasia without atypia Musculoskeletal: Degeneration of intervertebral disc of lumbar region Primary osteoarthritis of right hip Strain of thoracic back region Endocrine/Metabolic: Mixed hyperlipidemia Type 2 diabetes mellitus without complication, without long-term current use of insulin (CMS/HCC) Immune: Systemic lupus erythematosus (SLE) in remission (CMS/HCC) Other: Anxiety Astigmatism Depression Low libido Memory change Panic attacks Presbyopia Severe episode of recurrent major depressive disorder, without psychotic features (CMS/HCC)
aspirin 81 mg EC tablet buPROPion XL (WELLBUTRIN XL) 300 mg 24 hr tablet cholecalciferol, vitamin D3, 50 mcg (2,000 unit) capsule cinnamon bark 500 mg capsule clobetasoL (TEMOVATE) 0.05 % ointment cyanocobalamin 500 mcg tablet Dexcom G6 Sen
Adhesive Tape-siliconesRash Sulfa (Sulfonamide Antibiotics)Rash, Hives, Other (see comments)