Received Oct 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLULAVAL) | GLAXOSMITHKLINE BIOLOGICALS | N/A | 4D255 | IM / RA |
| MENB | MENINGOCOCCAL B (TRUMENBA) | PFIZER\WYETH | 2 | HP9988 | IM / LA |
Patient received Trumenba on left arm on 09/23/2025. On 09/26/2025 approx, she felt left shoulder pain. on approx 09/27/2025, an erythematous lesion noted on left deltoid area, then a vesicle noted. Seen by NP (name withheld) in office (who had done her physical on 09/23/2025) on 10/03/2025 for multiple vesicles grouped together on an erythematous base on left deltoid area. another patch had shown on distal to left elbow area a few days later and another again a few days later again on wrist/left thenar area. all present at time of visit on 10/03/2025. Seen on 10/10/2025, after Varicella PCR came back positive, see below, and deltoid lesion is essentially resolved. mild irritation noted, adjacent to elbow lesion is crusted over vesicles. and left wrist/thenar lesions are mostly crusted over but some still vesiculated but to dry up soon. Shoulder pain is now 1-2 over 10 when it was 6 to 7 over 10 initiallly. No other symptoms reported I am aware of. Placed on Keflex on 10/03/2025 for concern for skin infection. and on Valcyclovir by Derm who saw her on 10/06/2025 for concern for HSV lesions (swab came back negative for HSV)
None
Sleep disorder, ADD, "Chronic diarrhea"
Clonidine, Focalin, Hydroxyzine
NKA
from 10/03/2025: VZV DNA PCR positive. HSV DNA Type I and II negative. No blood work done.