Received Jun 13, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | 1 | 946060 | IM / LA |
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | 1 | U8389AA | IM / LA |
- Patient having hives within 15 minutes after heplisav and tdap vaccines - Benadryl 50mg given in office and instruction was given to provider partners to monitor for 30 min - about 20 min after administration of benadryl patient reported respiratory difficulty, 0.3mg intramuscular epi was given at that time. - Patient endorsed improvement of symptoms, team continued to monitor patient for 30 minutes after epi administration. - Patient reported symptoms had not returned at time of discharge, 30 min after intramuscular epi injection - Patient discharged in stable condition with strict ED precautions.
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