Received Jun 26, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MNP | MENINGOCOCCAL CONJUGATE (PENBRAYA) | PFIZER\WYETH | 1 | LJ007 | IM / LA |
Pt c/o left arm pain and body aches about 2 hours after vaccine was given. She woke up next morning with body hives and itching and headache. She called office at 716am and was advised to take Benadryl and Motrin. Mom worried it is an allergic reaction and will get worse. F/u call 3 hrs later. Pt was able to go back to sleep. Mom states the last time she got vaccines her arm was swollen and very painful. This was in 2020 and she received Tdap and Menveo. Mm also states pt has seasonal allergies and some "weird ones". She can not use most face makeup product d/t reactions. Another f/u 3 hors later now Hives have blended together, but body aches and H/a is gone. No fevers. Hives/rash started on feet and legs. Then arms and neck no facial hives. No difficulty breathing. No vomiting no lip or tongue swelling. Advised to continue Benadryl every 6 hrs. and ER if needed. Now 3 days later mom calls states pt eyes are swollen. Appt made for today. Pt seen no rash or hive present. No acute distress. v/s wnl. arm is not swollen. Eyes are slightly puffy but no redness or drainage. Will continue to monitor can change to Zyrtec if needed and VAERS form filled out on line. Penbraya information package insert given to Dad. F/u as needed
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snoring referral to ENT. hx seasonal allergies and eczema
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Horse dander, Rabbit, Box elder, dust mites, per allergy test Gold per pt. Mom also state she is sensitive to Most makeup products, d/t reactions
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states arm pain and swelling in 2020 after relieving Tdap and Menveo