Received May 22, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | 1 | 945665 | IM / LA |
Immediately after her hepatitis B vaccination she started to get warm feeling flushed developed a rash on her neck and was itchy on the neck symptoms then spread to the entire body where she developed itching throughout the body and felt warm and flushed throughout. She denied any breathing difficulty wheezing or difficulty swallowing. She had no swelling of the lips or tongue. She was given Benadryl 25 mg immediately to see if that would improve symptoms. Vitals were monitored her blood pressure started to drop compared to initial blood pressure. She has a history of anaphylaxis to other drug ingredients in contrast. She also mention that she gets chronic hives intermittently and rashes when eating certain foods but has not pinpointed the specifics as she would like to see an allergist. She also had other med allergies. Discussed with her that she is having a mild anaphylactic reaction with the systemic itching and the rash. Recommended epi 0.3 mg IM which was given today. Following epinephrine administration by my nurses she immediately felt better and the itching improved. Blood pressure was stable she had no breathing difficulty throat swelling lip swelling tongue swelling upon discharge. Recommended Benadryl every 4-6 hours for the next 24 hours. Discussed worrisome signs and symptoms to follow up on or seek urgent medical care for.
none
Colitis, Inflammatory Arthritis, Migraines, Complex Regional Pain Syndrome right upper limb, Paresthesia of lower limb, Low Ferritin and serum vitamin B12
Primrose Oil, Flexeril 10mg, Ferate 240mg, Loratadine 10mg, Zonisamide 100mg
Apple juice, Contrast Dye, Horseradish, Toradol, Seasonal allergies, Influenza vaccine
None
Influenza vaccine. 2019. Rash