Received Sep 11, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | MA2523 | IM / RA |
Patient received the vaccine on 08/18/2025. she noticed redness, approx 3 days later she started to have itching and then 2 days after that diffuse swelling of the arm with difficult with movement. She was seen in clinic on 08/25 and was found to have an irregularly shaped, mildly indurated right upper extremity with mild warmth to touch and mild tenderness. some central areas of clearing present. mild ttp antecubital fossa. no distal swelling. Rash was itchy. Reported pain, reports hot flashes. Reports taking ibuprofeun before work, temp was 99.6. no recorded fever. no signs of anaphylaxis. Was prescribed antihistamines and steroid cream as well as antibiotic for potential cellutitis, and advised to take if worsening. Patient was contacted several days )(8/30/2025) later and had not had time to pick up medications and reports that redness improved, did not spread, less itchy, not as painful. reports a small lump of swelling under the skin but no redness like before. given strict ER and return to clinic precautions.
unaware of any illness
depression, MVP, pre-diabetes
paroxetine 10mg
NKDA