Received Aug 29, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | NR4T5 | IM / RA |
Patient called at 9:15 am today (8/29/25) to report that she received her first Shingrix dose on 8/27/25. Beginning the next day on 8/28/25, she began having a reaction where the injection site (right arm) is red, swollen, and warm feeling. This reactionhas lasted over 24 hours and has not gotten any worse but also not getting any better. The patient does not report any systemic effects, no difficulty breathing. The patient told me that she is going to reach out to her PCP to find out if the reaction needs any treatment. We discussed apply ice to reduce the swelling while she waits to hear from her PCP. ------- ------- ------- ------- FOLLOW UP BY PHONE TO SEE HOW PT. DOING: Per patient 8/29/25 11:34 am, followed up to see how she is going. She called her provider (name withheld) and the nurse told her to apply ice. It is a local reaction. The dr. did not have any appt. to see the pt. until next Wednesday at 4:00 pm. The patient decided to watch and wait, and because it will take so long to see her PCP for this acute problem... the pt. plans to seek care at an urgent care if the reaction worsens or does not improve. She received the vaccine on 8/27/25 at 10:21 am and first noticed the reaction when she woke up at 6:00 am on 8/28/25. The reaction has been stable since that time, not getting any worse or any better.
Per patient 8/29/25 11:34 am: NONE
Per patient 8/29/25 11:34 am: she has pre-diabetes, hyperlipidemia, arthritis and sciatic nerve pain
Per patient 8/29/25 11:34 am, the OTC's that she takes include: vitamin E, vitamin D, Centrum Silver Women's vitamin, calcium supplement, Allegra (for allergies) and a probiotic. Her Rx's all come from our pharmacy and include: gabapenti
Per patient 8/29/25 11:34 am, she had a reaction to erythromycin (more of a side effect, diarrhea, than a true allergy in terms of the reaction)
none yet - see notes above as pt. did reach out to her PCP for advice and was told to apply ice for the time being