Received Jul 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | — | LA |
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | 1 | — | IM / RA |
Patient received Tdap (right) and pneumonia (left) vaccine on 06.25.25, on Friday she started with localized pruritus bilaterally. Saturday with appearance of 4-6 0.5cm clear vessicles on the ventral surface of the left arm, located between the deltoid area and the lateral epicondyl, with associated symptoms of bilateral mild erythema and induratio, limited to ventral surface of bilateral upper arms. Patient pain, mouth ulcers, fever, headache, dizziness, peeling skin, fatigue, dysphagia, abdominal pain, or edema. She has had vaccines in the past, with no adverse response and has no known allergies. Left arm with around 6 clear, non-purulent vesicles, each approximately 0.5 cm, non-tender on the ventral surface, in the deltoid area; Bilateral skin is erythematous, blanchable, with mild induration confined to ventral upper aspect of the arm between the lower deltoid and lateral epicondyle area No signs of local infection, no mucosal involvement, no systemic symptoms. Findings consistent with delayed hypersensitivity reaction to vaccine, will treat with prednisone, cetirizine, and 1% hydrocortisone with follow-up in 3-days for improvement.
none
Other epilepsy, not intractable, without status epilepticus E78.5 Hyperlipidemia, unspecified Z12.11 Encounter for screening for malignant neoplasm of colon E66.9 Obesity (BMI 30-39.9) M54.2 Neck pain G40.309 Generalized epilepsy E78.2 Mixed hyperlipidemia
carBAMazepine 200 MG TabletTaking Valproic Acid 250 MG CapsuleTaking Lovastatin 40 MG TabletTaking Prevnar 20 0.5 ML Suspension Prefilled SyringeTaking Adacel 5-2-15.5 LF-MCG/0.5 SuspensionTaking Atorvastatin Calcium 20 MG TabletTaking carB
No known allergies