Received Sep 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | N/A | — | IM / LA |
Patinent states started feeling pain in knuckle of right hand on 9/3, with continued, worsening pain at date of report 9/10. Patient reports she is sure this is secondary to vaccine. Declines further evaluation. Insistent that this author make report.
puncture wound on right middle finger
Acute headache 09/12/2016 ? AF (atrial fibrillation) (HCC,) ? Anxiety ? CAD (coronary artery disease) abnormal stress test 2013 ? Cataract ? Coronary artery disease was advied to see Dr as concern for LAD distribution lesion. pt declined ? Costochondritis ? DCIS (ductal carcinoma in situ) of breast LCIS breast cancer. Breast u/s 2010: cysts in both breasts. Mammo 1998 - neg. Mammo 1999 - stable calcifications. Mammo 2002 - complex cyst r breast, microcalcifications left breast. FNA r breast 1998 - favor medullary carcinoma over ductal. Right excisional biopsy 1998 - atypical lobular hyperplasia. Lest breast biopsy 2006 - superficial ulceration without neoplasm ? Fatty liver on ultrasound Oct 2012 ? Herpes genitalia 1987 ? History of breast cancer ? Hyperlipidemia 2004: LDL 176, HDL 57 ? IBS (irritable bowel syndrome) 2000 ? Mucocele of mouth intraoral - followed by oral surgeon ? Nevus 2010 removed by Dr Path: acutely inflamed compound nevus with mild atypia ? Pap smear for cervical cancer screening 2010, 2008 neg ? Pneumonia 1974 ? PTSD (post-traumatic stress disorder) ? Raynaud phenomenon 2007 ? Reflux ? Thyroid nodule u/s 2013 - benign multinodular goiter ? Tinnitus 1991 ? Tobacco abuse Pt hand-makes her own
acetaminophen, aspirin, atenolol, diazepam, famotidine, amoxicillin
Mastisol [wound Dressing Adhesive] High Swelling Pain to skin Tropicamide High Horrible vision Articaine Not Specified Other (See Comments) Residual pain and swelling from dental procedure Azithromycin Not Specified Other (See Comments) Latex