Received Jun 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MNQ | MENINGOCOCCAL CONJUGATE (MENVEO) | NOVARTIS VACCINES AND DIAGNOSTICS | 1 | 9X7CD | IM / LA |
Notable swelling, pain and redness on his left shoulder near the area he was given the Menveo vaccine yesterday. He reports he initially felt fine after the vaccine. About an hour after the vaccine, he started to have some muscles soreness. He became more concerned today when he woke up and saw the left shoulder was very visibly more swollen than the right shoulder as well as red and hard to the touch. He has no past history of allergies or vaccine reactions. He denies any breathing issues like wheezing or shortness of breath. The onset was 1 day ago with worsening symptoms since that time. No fever. Symptoms include erythema located on left shoulder to the side of the injection site of the vaccine, pain is moderate.. Denies fever and chills. There is history of trauma to the area. Involved area: Location: left shoulder in the deltoid area. There is a 10 cm by 10 cm area of erythema without fluctuance noted. The area is tender, warm and indurated. There is not presence of axillary lymphadenopathy. No rash or swelling elsewhere. The mark from where his vaccine was given is just posterior on the deltoid to the area of erythema and swelling Assessment: 1. Vaccine reaction, initial encounter 2. Cellulitis of left upper extremity Plan: The diagnosis was discussed along with the usual course and treatment. We discussed that the initial swelling could be a localized allergy to the vaccine, so I would like him to see allergy prior to him getting his second Menveo. I offered allergy referral today but mom would like to hold off on this until he is older and closer to needing his second Menveo vaccine. Supportive care of swelling with icing and NSAIDs Will prescribe prednisone for a couple days to help get the swelling down.
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