Received Aug 22, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 2 | Y015599 | IM / RA |
| MNP | MENINGOCOCCAL CONJUGATE (PENBRAYA) | PFIZER\WYETH | 1 | LX5014 | IM / LA |
Patient was last seen in office 8/20/2025 and received the HPV and meningitis vaccine. She states that the next night she started getting hives on her ear. Her scalp then started itching, and hives spread to her neck and jaw. This morning, the hives are spreading to her back. She denies any difficulty breathing, throat itchiness, or tongue swelling. Patient is able to swallow without difficulty. Patient states the itching is very bothersome. Patient has not tried taking any benadryl. Patient is advised to schedule an appointment for today and to go to the ED if she were to start getting throat or tongue itchiness or swelling. Patient is transferred to schedule same day appointment.