Received Oct 14, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | 1 | UT8836KA | IM / RA |
Patient experienced red, hot, induration beginning less than 24 hours after receiving immunization 1.5-2 inches above right elbow. Patient presented to clinic 3 days after receiving immunization with red patch on right arm. Patient is now presenting to clinic 7 days later, reports experiencing discomfort when flexing tricep and when laying on his arm. Redness has decreased, but patient describes discomfort as "feeling it beyond the muscle, all the way inside."
None.
Left shoulder anterior-inferior labral repair; pain s/p left should arthroscopy
acetaminophen 325 mg tablet; aspirin DR 325 mg tablet; celecoxib 200 mg capsule; clindamycin-benzoyl peroxide 1.2%-5% topical gel; docusate 100 mg capsule; fluoride topical 1.1! topical paste; gabapentin 300 mg capsule; ibuprofen 600 mg tab
No known allergies
None at this time. Recommended follow-p with DH immunization clinic.