Received May 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | LK6655 | IM / LA |
In the evening after receiving vaccine patient developed urticarial rash and pruritis of the neck. Rash spread to left arm and face the following day and patient began feeling "throat tightness". Presented to emergency department. Denies any difficulty swallowing, change in her voice. Denies any nausea, vomiting, shortness of breath, wheezing, lightheadedness or syncopal episodes. Pruritus resolved after over-the-counter treatment. Given sensation in her throat given intramuscular epinephrine, steroids along with antihistamines. After several hours of monitoring, patient was able to discharge home in stable condition.
Diagnosed with frontal fibrosing alopecia and started on pimecrolimus cream, dutasteride, and doxycycline in March 2025.
Gastroesophageal reflux disease without esophagitis, Coronary artery disease involving native coronary artery of native heart without angina pectoris, Mixed hyperlipidemia, Generalized anxiety disorder, Chronic bilateral low back pain without sciatica
acetaminophen, alprazolam, aspirin, atorvastatin, cholecalciferol, clopidogrel, doxycycline, dutasteride, esomeprazole, famotidine, hydroxyzine, magnesium, multivitamin, pimecrolimus, pregabalin, ranolazine, sucralfate
penicillins (rash), sulfa antibiotics (congestion of throat)