Received Oct 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUARIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 9JC49 | IM / RA |
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | 1 | 946910 | IM / RA |
The patient received the influenza and hepatitis B (Heplisav-B) vaccines at the end of her visit today. She left the office in return shortly after stating that she did not feel well, complaining of shortness of breath and generalized itching and with two small hives appearing on the face. The patient states that she has has had the flu vaccine in the past with no adverse reaction. She believes she had the hepatitis B vaccine as a child but reports no adverse reaction. The only known allergy is to penicillin which causes a rash. Initially, her blood pressure was elevated with normal pulse rate and normal SpO2. Repeat vital signs 3 minutes later showed normal blood pressure and normal heart rate with normal SpO2. I offered a steroid injection but the patient declined. I advised her that the symptoms of allergic reaction will likely get worse. She declined to go to urgent care or emergency room. She is driving herself. I have sent in prescriptions for a Medrol Dosepak and diphenhydramine every 4 hours as needed. I advised the patient to go to the ER with any worsening symptoms. Will place a referral to allergist. Will avoid a second hepatitis B vaccine.
No other illness prior to this.
No chronic or long standing health conditions.
No medications were being taken during this time.
Penicillin