Received Jul 2, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | H4279 | IM / LA |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 1 | Y011019 | SC / LA |
Client called was directed to my phone and client left a voicemail on Tuesday 07/01/2025 at 11:45am stating "I believe that I'm having a severe allergic reaction to the vaccinations" and asked for a call back from a nurse. I returned the call on Tuesday 07/01/2025 at 12:31pm. Client confirmed the two vaccinations listed above were administered on Tuesday 06/24/2025 at her 9:15am appointment, both to her left arm. She confirmed an allergy to sulfa, no previous reactions/problems with receiving vaccinations, no past/current health history and no sick symptoms the day of vaccination. She reported left arm soreness/pain after the vaccinations which she stated she expected to happen and that the injection site discomfort lasted through approximately Saturday 06/28/2025. She also stated she had developed a "knot on my collarbone" and when asked to describe the knot she said It was a knot on the left side of her collarbone that had constant pain associated with it until approximately Saturday 06/28/2025 when the pain changed to only being when the knot was touched. She noted that she looked up vaccine reactions on the Internet. She was concerned that the knot might turn into a more severe problem and/or "travel" to another part of her body. When asked if she had experienced any rash, hives, swelling to the face/mouth/neck/airway, trouble eating/drinking/swallowing or difficulty breathing since the vaccinations and/or while this knot existed, she responded with no. When asked if she had tried any at home treatments, such as a cold/heat compresses, she stated she intended to do some self-care but life events happened and time got away from her. When asked if she had taken any over the counter medications to alleviate any discomfort/soreness/pain, she stated yes but did not specify medication/dose/frequency. When asked if she had gone to a physician/urgent care center/hospital emergency department, she answered no and replied that she wanted to give it a few days to see if it would go away on its own and that she was concerned if she did go somewhere for treatment, that it wouldn't necessarily be treated but would be told to give it time and be asked to follow-up multiple times; she stated she does not have health insurance and that the financial aspect of those visits would be a concern. She asked if the health department offered any physician follow-up services for post vaccination/general medical issues and was told unfortunately not. I recommended that if she was unable or unwilling to seek medical attention, she could try cold compresses for about 10 minutes at a time about three times a day and that she could take over-the-counter medication, such as ibuprofen, as directed on the instructions as ibuprofen has an anti-inflammatory component to it in addition to pain reliever. I did recommend that she seek medical attention in general, but especially if her knot/pain does not go away and absolutely if she experiences any symptoms including rash, hives, swelling to the face/mouth/neck/airway, trouble eating/drinking/swallowing or difficulty breathing as they are serious health complications. She stated that she hoped the phone conversation was documented so it was known that "you tried to help me." I let her know that I would be reporting the event to VAERS which is official documentation and she would receive a copy of the submitted report within 24 hours. She thanked me for my assistance and call back.
None reported/client denied
None reported/client denied
Unknown
Sulfa
None reported/client denied