Received Jul 28, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PPV | PNEUMO (PNEUMOVAX) | MERCK & CO. INC. | 3 | Y016291 | IM / LA |
Several hours after administration, patient developed pain to the left arm out of proportion to what was expected. She then developed fever to 102.5, fatigue, anorexia. Over the following 72 hours she had recurrent fevers and worsening edema, erythema, pain to the left arm distal to the injection site to extending to the elbow. She had decreased range of motion to the left elbow and presented for care. Imaging showed triceps and deltoid myositis, fluid collection, and cellulitis of the left arm. She was admitted for IV antibiotics.
none
liver transplant for biliary atresia with liver failure
sirolimus, tacrolimus, aspirin, clonidine
none
07/28 x-ray and MRI of the left arm-triceps and deltoid myositis, fluid collection, and cellulitis of the left arm. 07/27-CBC with left shift, ESR 94, CRP 13.5.