Received Aug 31, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | N/A | Z003579 | IM / LA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | N/A | H4K3S | IM / LA |
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 55KB9 | IM / RA |
Patient received the vaccine on 8/26/25. She received the Capvaxive and Boostrix in the left deltoid IM and she came in on Sunday 8/31/25 at 1:15 pm. Her left arm is extremely red and warm to the touch and she is experiencing left arm pain around the injection site and she said under her arm as well, in her armpit area. She has taken benadryl, zyrtec, ibuprofen and iced the area. She has also used benadryl gel topically. I recommended some Xyzal, which is non-drowsy and then we got them a reusable ice pack and ace bandage wrap to put on it. We also marked the red area with sharpie to determine if the size/swelling of the area is improving or getting worse. If not better tomorrow on 9/1/25, I recommend seeing a physician and getting prescribed and antibiotic.