Received Oct 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | N/A | UT8779LA | IM / LA |
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | 93N9J | IM / LA |
Patient received Fluzone & Shingrix on same arm IM on 9-30-25. Patient reports while at work late on 9-30-25 around 6PM she started having fatigue & malaise. Was sent home from work. Next day on 10-1-25, pt woke up with runny nose, headache, and itchiness, redness to injection sites. Pt also reports she started having bilateral ear pain. Later on at night on 10-1-25 to next day at 3AM Pt reports fever of 102F. Pt reports she took Tylenol at the time with little relief. Pt came in on 10-3-2025 for sick visit appointment. Covid/Flu test negative. On 10-3-25 pt reports symptoms of fatigue, malaise, runny nose with clear discharge, bilateral ear pain / discomfort, headache and dizziness. Severe itching on 10-3-25. Noted redness, tenderness and injection site warm to touch. Pt denies symptoms of nausea, vomiting, diarrhea, abdominal pain. Temperature 98.2F. Pt prescribed Prednisone 10mg 1 tab daily for 4 days and generic Flonase nasal spray given f/u appt for 10-6-2025. Patient cancelled appointment 10-6-25. Called and spoke with patient on 10-17-2025, patient reports she is doing much better now, no symptoms to report. Patient states the rash/redness at injection site was there for 2 weeks before it went away.
None
diabetes, hypertension, asthma, dyslipidemia
None
see notes