Received Jul 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | MF0425 | IM / LA |
Injection site reaction - Persistent pain and swelling at the site of recent pneumococcal vaccination - Onset of new redness and increased swelling yesterday - Pain is constant and severe, disrupting sleep - Tylenol provides no relief of symptoms - No similar reactions to previous vaccinations Cellulitis Cellulitis at vaccination site, likely bacterial. Bactrim chosen due to penicillin allergy and stomach upset history. - Prescribe Bactrim DS (sulfamethoxazole and trimethoprim) for 14 days, minimum 7 days. - Advise Bactrim twice daily with food. - Prescribe Zofran (ondansetron) 4 mg as needed for nausea. - Recommend dietary prebiotics and probiotics. - Prescribe naproxen for pain and inflammation, advise with food. - Outline redness with skin pen for monitoring. - Schedule follow-up in 7 days. - Instruct to return if no improvement by Wednesday.
No acute illnesses
HLD, Hypothyroidism
Lactobac no.41/Bifidobact no.7 (PROBIOTIC-10 ORAL) levothyroxine (SYNTHROID, LEVOTHROID) 75 MCG tablet 75 mcg, Daily naproxen (NAPROSYN) 500 mg tablet 500 mg, 2 Times Daily With Breakfast and Dinner ondansetron
PCN