Received Aug 4, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PPV | PNEUMO (PNEUMOVAX) | MERCK & CO. INC. | 4 | X022827 | IM / LA |
Reported Symptoms: 10003028:APPETITE LOST; 10016558:FEVER; 10016797:FLU-LIKE SYMPTOMS; 10019211:HEADACHE; Narrative: Pt seen by PCP on 7/11/24 for routine F/u and received pneumococcal vaccine. Pt reached by telephone 7/23/24 by rheumatology MD regarding labs with elevations in ALT, and ALP. Pt noted that she had a recent pneumonia vaccine and felt sore, achy, with swollen joints which have been improving and feverish with a sore throat since then. Reported intermittent fevers up to 102 which lasted approximately 10 days. During this time was taking Tylenol around the clock for fevers and joint pain Noted 7/23/24 was the first day that she felt improvement and almost back to her normal self. Provider recognized symptoms could represent a viral infection, however, concerned about a reaction to vaccine. Pt had received previous vaccines including PPSV23 without this side effect. Pt reported taking increased Tylenol which could've been contributing to her LFTs, however, she has not had this elevation before and was started on leflunomide several months ago. Other Relevant HX: Other: INFLUENZA-LIKE ILLNESS; LOSS OF APPETITE