Received Jun 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | UNK | — | IM / RA |
Cellulitis. My right arm swelled and reddened almost immediately, and became extremely hot and painful. The swelling, redness, and heat has continued to spread for 5 days, with constant pain. I received a diagnosis of cellulitis and was prescribed Keflex on June 26, 2025. Here is the provider's note: Skin: General Skin rash, erythema, and abnormally warm. Rash: site of rash: (r arm). Assessment / Plan 1. Acute cellulitis presentation favoring cellulitis vs delayed cutaneous adverse reaction from capvaxie shot. Site is blanchable but spreading per pt. Will treat with Keflex and triamcinolone cream. Will let me know how she's feeling tomorrow. will continue to use ice, tylenol. advil. L03.90: Cellulitis, unspecified cephalexin 500 mg capsule - Take 1 capsule(s) every 12 hours by oral route for 5 days. Qty: (10) capsule. 2. Adverse effect of vaccine, initial encounter capvaxie vaccine T50.Z95A: Adverse effect of other vaccines and biological substances, initial encounter 3. Adverse effect of pneumococcal vaccine, initial encounter Capvaxie vaccine T50.A95A: Adverse effect of other bacterial vaccines, initial encounter Patient Instructions I've added on a steroid cream that may help clear the area sooner.
N/A
high blood pressure
Buproprin, Sertraline, Hydrochlorothiazide
Sulfa drugs
Provider's note: Skin: General Skin rash, erythema, and abnormally warm. Rash: site of rash: (r arm). Assessment / Plan 1. Acute cellulitis presentation favoring cellulitis vs delayed cutaneous adverse reaction from capvaxie shot. Site is blanchable but spreading per pt. Will treat with Keflex and triamcinolone cream. Will let me know how she's feeling tomorrow. will continue to use ice, tylenol. advil. L03.90: Cellulitis, unspecified cephalexin 500 mg capsule - Take 1 capsule(s) every 12 hours by oral route for 5 days. Qty: (10) capsule Refills: 0. triamcinolone acetonide 0.1 % topical cream - APPLY A THIN LAYER TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 2 TIMES PER DAY Qty: (1) 30 gram tube Refills: 0 . Qty: (1) 30 gram tube Refills: 0. 2. Adverse effect of vaccine, initial encounter capvaxie vaccine T50.Z95A: Adverse effect of other vaccines and biological substances, initial encounter 3. Adverse effect of pneumococcal vaccine, initial encounter Capvaxie vaccine T50.A95A: Adverse effect of other bacterial vaccines, initial encounter Patient Instructions I've added on a steroid cream that may help clear the area sooner.