Received Sep 25, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | 3052549 | IM / RA |
Patient speaking another language-so her Brother in-law (patient caretaker) called on her behalf 9/25/25 at 9:15am. He stated after the Spikevax Covid vaccine yesterday, patient got adverse reactions where the left side of her face was swollen and her lips were drooping. I asked if there is any pain and shortness of breath or other symptoms. He said no pain, fever, or shortness of breath. I advised him to have patient apply ice over the swollen area on the face and taking benadryl and keep hydrating herself.I also advised patient to call her primary care doctor for a follow up and double check to make sure everything is fine. I also advise patient to watch out for any sign of breathing problem or adverse reaction getting worse to reach out to us or go to the doctor for help. I called patient back at 3:27pm, spoke to patient care taker, he said patient went to ER to get it checked out with the doctor there. Doctor test her lips and said there was no nerve damage. They advised her to take benadryl same as my recommendations. They told patient everything is fine. Patient already already have a regular doctor appointment with her doctor on upcoming Saturday 9/27/25. Patient said don't want me to contact her doctor, she will follow up with her doctor then. Patient and care taker was very satisfied with the care and advise they received from us. He also mentioned her face swelling was 80% improved and the lip no longer drooping. Things are improving as getting back to normal.
None
Blood pressure and heart disease.
Patient taking medications purchase elsewhere: Valvular 0.25mg (for arrhythmia), Lixiana 60mg (blood thinner), and Lopivon 5mg (blood pressure).
NKA or food allergy
Patient went to ER-patient Care taker mention Dr. did check out her lips and confirmed no nerve problem. They said she is fine and will get better. They advise patient to take benadryl to help in the meantime.