Received Aug 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 2HJ99 | IM / RA |
Pt showed up at pharmacy on 8/21/25 with concerns about possible allergic rxn with shingrix vaccine dose given on 8/18/25. Pt reported a brief episodes of SOB that went away after a few seconds after receiving the vaccine on 8/18/25. Pt reported mild headache that appeared 2 days after vaccine admin, feverish, flu-like symptoms that appeared 2 days after vaccine admin as well. Upon visual examination, Pt's arm showed signed of local reaction such as warmth, erythema, (swelling that happened the day before and went down). Rash appeared to migrate. RPh on duty troubleshoot Pt's reports of symptoms and explained to Pt that all the local reactions happened to Pt as well as systemic adverse reactions and that those are common with shingrix vaccine and vaccines in general. Prior to going to the pharmacy today, Pt went to seek advice at local pharmacy and was told by RPh that her local reaction was possibly due to too low or too high site of vaccine administration. RPh on duty demonstrated the technique to the Pt and concluded that it was a proper site for administration and to reiterate to Pt that all her symptoms are norm al adverse reactions that were reported in the literature as high incidence of occurrence and local reactions are normal with vaccine in general, which is an indication of her immune system and the vaccine are working well the way it was supposed to. RPh on duty counseled Pt to continue taking benadryl 25mg q46h prn redness, motrin q6h prn swelling and pain , hydrocortisone 1% crm for redness, icepack for pain/swelling. Pt was also counseled to continue monitoring her erythema and make sure it does not spread any further and if it does, she should go see her PCP or urgent care. Pt was reassured that no vaccine errors or error in administration occurred and seemed to be understanding about it. Pt was counseled risk vs benefits, even though erythema and rash might occur with the vaccine but the vaccine is every effective so it's still more beneficial for her to get her second dose and maybe some post-admin meds such as benadryl and motrin/apap should be taken after receiving the vaccine.
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N/A , Pt does not fill meds here at this pharmacy
NKDA, Pt confirmed no allergic history to injectable medications or vaccines in the past