Received Jul 28, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | MG5S9 | IM / LA |
Patient called to report side effects following her shingles and pneumonia vaccinations in her left arm. She mentioned experiencing tenderness that began last night, and this morning she observed a knot larger than a quarter. There is no itching, but she noted swelling, warmth, and redness in the area. The patient is seeking recommendations on how to alleviate these symptoms. 0908 am: I have spoken with patient and advised ice to affected area and Motrin as needed for pain/swelling. Call clinic if symptoms persist or worsen. Suspect local reaction to Shingles vaccine. Denies shortness of breath, fever, chills. Patient verbalized understanding and agreeable with treatment plan.
NONE
MIGRAINES, TYPE II DM, MIXED HYPERLIPIDEMIA
BIOTIN ORAL, calcium carbonate/vitamin D3 (VITAMIN D-3 ORAL), fluticasone propionate (Flonase) 50 mcg/actuation spray, MAGNESIUM ORAL, montelukast (Singulair) 10 mg tablet, MULTIVITAMIN ORAL, omeprazole (PriLOSEC) 20 mg capsule, POTASSIUM O
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