Received Jul 29, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | Z006076 | IM / LA |
The day after receiving the pneumonia vaccine, she developed a painful, swollen, and itchy area on her arm with a 'bull's eye' appearance. The area feels hot with a supraclavicular lump that she suspects is a swollen lymph node. The pain is significant, interfering with sleep and causing discomfort upon touch. She has been alternating ibuprofen and Tylenol every four to six hours initially, then as needed, but continues to feel weak with no appetite. She experiences chills and body aches but no fever. She feels too weak to work. She uses cool compresses for warmth and discomfort in the affected area and is concerned about infection, noting the area feels 'bumpy' and is unsure if it is hives. Cellulitis of left upper extremity Localized erythema, warmth, swelling, and pain at injection site. Differential includes localized erythema from injection site reaction versus cellulitis. Likely isolated skin reaction given worsening symptoms and warmth to palpation. - Prescribe doxycycline 100 mg orally twice daily for 7 days. - Advise cool compresses to affected area. - Instruct to use ibuprofen and acetaminophen as needed for pain. - Mark erythema border to monitor expansion.
Arthritis, Dermatitis, Gout of left hand, Anxiety, Depression, Obesity
Lamictal