Received Jun 25, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | LN4928 | IM / LA |
Localized reaction to pneumococcal vaccine-symptoms started 1 hour after shot. Shot was given on 5/30/25 at office visit for a routine physical, patient called the RN triage line to on 6/3/25 to report symptoms of increased redness, pain 10/10, body aches and fatigue Stated she felt feverish but had not taken her temp. Skin on Left arm was hot, red with small fluid filled bumps forming. Patient reported that area was also itchy. Was deposed to go to Urgent care to be seen. She did so and was diagnosed with focal reaction to recent pneumococcal vaccine. The redness and swelling is due to focal inflammatory allergic response. Assessment/ Plan Diagnoses and associated orders for this visit: Allergic reaction, initial encounter - CREATINE KINASE; Future - C-REACTIVE PROTEIN, INFLAMMATORY; Future - famotidine (PEPCID) 40 mg oral Tablet; Take 1 Tablet (40 mg) by mouth in the morning and 1 Tablet (40 mg) in the evening. Do all this for 7 days. - methylPREDNISolone (MEDROL DOSPACK) 4 mg oral Tablets, Dose Pack; Take 1-6 Tablets (4-24 mg) by mouth as directed for 6 days. Take per package instructions. - triamcinolone acetonide (KENALOG) 0.1 % topical Cream; Apply to the affected area(s) as needed in the morning and as needed in the evening for rash. Denies any trouble breathing no lip or tongue swelling no dizziness no weakness. Focal reaction to recent pneumococcal vaccine pictures uploaded into my chart I think the redness and swelling is from focal inflammatory allergic response Treating with above medications discussed I did not think this was cellulitic but if symptoms not improving with above treatment or worsening to return to clinic they are agreeable with plan attempted to reach out to patient x3 for follow up and left message to call back.. no return call. to date.
Iron Deficiency-Anemia , Overactive Bladder
Osteo-BiFlex, Loestrin FE, Kenalog Cream 0.1%
Ibuprofen eyes swell
see above notes