Received Jun 4, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 6 | 346731 | IM / RA |
Patient was given the Moderna COVID-19 2024-2025 booster in her home on 5/30/25 by the Health Department as one of our home bound resident's. This was her 6th Moderna COVID-19 vaccine and 2nd given by us with no reactions until after this last dose on 5/30/25. Patient received the vaccine at approximately 12pm on 5/30/25 in her right deltoid. Nursing staff waited approximately 15 min to observe for any adverse effects, none noted. Patient explained that when she woke up at approximately 6am on Saturday 5/31/25 her left leg felt tight and when she looked down it was swollen. She continued that when she looked in the mirror after getting up, they area around her eye brows looked swollen as well. She notified me, RN a nurse at the Health Department on 6/3/25. She experienced no other symptoms and explained that the swelling was going down. She denies shortness or breath or pain. She was instructed to call her physician and explain the above, she understood and agreed. This writer then went out to her house to assess the left leg swelling. Upon assessment her left leg was noted to have slight edema, non pitting, positive pedal pulses, denies pain, no redness or dusky discoloration noted, skin temperature WNL. Encouraged to keep leg elevated to decrease edema, she understood and agreed. No further swelling noted around her eye brows. Follow up done on 6/4/25, she feels well again today and has a follow up appointment with her Primary Care Physician on Friday 6/6/25 and report back then.
None noted
NIDDM, Hypertension, Hyperlipidemia, History of left leg cellulitis
Baby Aspirin daily, Benadryl 1 tab in the am & pm, Metoprolol Succinate ER 50mg daily, Pantaprazole 40mg daily, Simvistatin 20mg daily at bedtime, Alprazolam 0.5mg BID
Shellfish
None at this time