Received Oct 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUCELVAX) | SEQIRUS, INC. | UNK | 406989 | IM / RA |
| MENB | MENINGOCOCCAL B (TRUMENBA) | PFIZER\WYETH | 1 | HP9988 | IM / LA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 2 | U8573AA | IM / RA |
12 - 24 hours after vaccine, patient develop pain, redness, swelling and warmth at injection site on L deltoid. Reaction spread to a greatest dimension of 15 cm x 7 cm. Advised NSAIDs PRN, cold compresses. Given history of immunoglobulin deficiency, size of reaction, warmth, treated with Keflex for possible cellulitis on 10/3/25.
IgG and IgA deficiency, PLMD, OSA, ADHD
famotidine, doxycycline, Claritin, iron, vitamin D, Anafranil, Colace, midodrine, Azstarys, magnesium, riboflavin, protandim
erythromycin