Received Aug 8, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MNQ | MENINGOCOCCAL CONJUGATE (MENVEO) | NOVARTIS VACCINES AND DIAGNOSTICS | 2 | 343DD | IM / LA |
Patient received Menveo vaccination on 7/30/25. Patient stated she started having tingling in both arms on 8/1/25 and her left ring finger went numb on 8/2/25. Patient went to the lake on 8/2/2025 and had some bug bites on her right leg after which she developed hives all over both legs and then both arms. Patient stated she then felt both ears were hot as well. She drove home and had brain fog on her way home and got lost. She eventually drove home and was panicked and hyperventilating. Patient stated both of her wrists contracted. Denied any fevers, chills, headache, syncope, or facial swelling. Patient's parents called EMS, and pt was brought to the ER. Patient had normal vitals in ER and was given a dose of Decadron and Benadryl with resolution of hives and wrist contractures. Patient stated her right index finger PIP swelled up after ER visit. She took Benadryl with some improvement, but not resolution, of right index finger PIP swelling and redness. Pt denied pain or injury. Patient was seen in office for a F/U ER visit on 08/06/2025. Patient denied current tingling, numbness, hives, brain fog, or trouble breathing. She had blood work done and was give a prescription for predniSONE (DELTASONE) 20 MG tablet; Take 3 tabs PO daily x 5 days, then 2 tabs PO daily x 5 days, then 1 tab PO daily x 5 days. Spoke to patient on 08/07/2025 and she had not picked up her prednisone prescription but was feeling much better.
Left leg and knee injury which occurred during horseback riding.
Hx of Lyme disease
Multivitamin
Cephalexin
CBC with diff, TSH, and CMP were drawn. Chemistry panel, blood sugar, kidney tests, liver tests, blood count, and thyroid screen were normal.