Received Aug 5, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | LG5579 | IM / RA |
Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; 10046735:URTICARIA; Narrative: Patient was given the Prevnar 20 vaccine in the right deltoid on 2/10/25. He presented to urgent care on 2/14/25 for a rash that began at the injection site on 2/11/25. As of 2/14/25 the rash has progressed to pruritic red bumps on his forearms and lower legs. Per the provider's note in urgent care it appears that the patient was receiving a different type of pneumococcal vaccine every few months. The patient was asked if he had an immunocompromising conditions or knew why he was receiving the vaccine and he was not aware. Patient was also found to have cat scratches on his right forearm, this is reported to not be abnormal for him. Patient was prescribed cetirizine and diphenhydramine. Patient was instructed to talk to his PCP about the indication for receiving the pneumococcal vaccines every few months. Upon further investigation the patient was being offered the vaccine every few months due to a clinical reminder firing from the patient's former alcohol dependence diagnosis (he is currently in remission). The patient refused the previous vaccine inquiries until 2/10/25. Database shows pneumococcal vaccines given on 4/2/18 x3 facilities (PPSV23) and 2/10/25 x1 facility (PCV20). Last year in pneumococcal vaccine history: -2/10/24: received PCV20 -12/10/24: refused all pneumococcal vaccines -10/9/24: refused all pneumococcal vaccines -7/11/24: refused all pneumococcal vaccines -5/1/24: no clinical reminders were firing for vaccines At his 2/19/25 follow-up