Received Oct 20, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | 2 | 946889 | IM / RA |
| MMR | MEASLES + MUMPS + RUBELLA (PRIORIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 2JX7Y | IM / RA |
pt emailed clinic on Saturday 10/18: "When I got home [on Wednesday], I started having chills, migraines, and tachycardia. On Thursday, I had a nosebleed that lasted all day. The headache continued, and a rash appeared on my chest. I also felt unwell, with tremors in my body and weakness." Spoke with pt on Monday 10/20, pt states she feels better today, denies concerning s/s. She reported she took her BP Thursday and was WNL (118/82), did not measure HR, Temp was afebrile but pt was taking tylenol and OTC antihistamines. pt denies any Hx of prior vaccine reactions, no SOB/difficulty breathing during illness. She was able to attend classes at local college although she states it was difficult and her professor expressed concern.
no known illness
Eczema, hypothyroidism, chronic fatigue syndrome, gallbladder sludge
Ursodiol 300mg BID, Levothyroxine 50mcg QAM, clobetasol 0.05% topical BID PRN, Vitamin D3 25mcg daily. OTC acetaminophen and antihistamine to manage s/s of reaction.
Procaine