Received Oct 9, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLULAVAL) | GLAXOSMITHKLINE BIOLOGICALS | N/A | 4GR2B | IM / LA |
Patient presented to Flu clinic yesterday for her Flu vaccine. Due to patient's complex medical history and multiple food allergies, our Doctor at the clinic reviewed patient's chart and history. Risks discussed with mom and patient about receiving a Flu vaccine with an egg allergy. Mother and patient were offered to have pt present to health department for egg-free vaccine. Mom declined. Mom reports that pt has received the normal flu vaccine every year with no difficulty. Mom and pt stated that they understand these risks and agree to take the flu vaccine. Dr. approved the vaccine to be given. Pt monitored for 15 minutes with no reaction. The next morning, mother called office to inform us that pt woke up with a fever of 99.5 - 101.5 and is feeling nauseous/flushed, denies body aches and there is no rash or redness at site. Pt was not sick yesterday. I told mom to give ibuprofen or Tylenol for fever, and make sure she stays hydrated and sticks to bland diet for now. May give Benadryl if needed. Mom is going to continue to monitor and will keep us updated if her symptoms change or worsen. I told mom that patient should probably only get the egg-free vaccine moving forward due to risk of reaction related to her being immunocompromised and having multiple allergies. A VARS report will be submitted.
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Eosinophilic esophagitis, Chronic urticaria, hypermobility syndrome. food allergy
Periactin, sucralfate, zyrtec, Dupilumab injection, pepcid, Auvi-Q
Nuts, Egg white, Banana, compleat, sucumber, egg yolk, milk, pineapple, shellfish
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