Received Sep 11, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUAD) | SEQIRUS, INC. | N/A | 407242 | IM / LA |
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | N/A | Z006889 | IM / LA |
Patient requested both capvaxive and fluad in her left arm because she wanted to received her covid vaccination in her right arm at a later time. The day after, patient noticed a large red/warm/raised area of skin on her arm below injection sites. Patient states it has not been itching at all and she has not tried any medications or ice pack to reduce swelling. Patient presented today to show me the arm and was not very concerned since she thinks the area of inflammation has been reducing. She then mentioned that she forgot to tell us that she has had a history of breast cancer on the left side with lymph node removal. I advised her to avoid vaccinations in her left arm going forward, and to let us and her provider know if the area of inflammation starts to get worse instead of continuing to improve.
patient has memory problems and has had a history of breast cancer in the past (included lymph node removal)