Received Sep 19, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| RSV | RSV (ABRYSVO) | PFIZER\WYETH | 1 | LL8396 | IM / RA |
Patient received Abrysvo vaccination 9/18/25 at 0917. Patient then brought to hospital by ambulance for concerns of left sided facial droop and left hand numbness. Patient admitted to hospital at 36w4d by 7 week US with preeclampsia with severe features, bells palsy. Patient had cesarean section for preeclampsia with severe features. Neurology consulted, plan for treatment of Bells palsy with prednisone burst.
PIH risks - ASA 81mg >12w and Baseline labs wnl
hypothyroidism
aspirin 81 mg daily, levothyroxine 100 mcg daily, ondansetron 4 mg PRN, TUMS PRN, prenatal vitamin
latex - swelligng (angioedema) and rash, amoxicillin - rash, bee vemon - swelling (no anaphylaxis)
Bells palsy - MRI negative. Preeclampsia - Proteinuria, LFTs WNL, platelets WNL, only one isolated elevated BP but given neurologic symptoms (severe headache with vision changes that didn't respond to treatment and proteinuria magnesium was started and decision was made to move toward delivery.