Received Oct 28, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | 1 | UT8475JA | IM / RA |
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 3 | Y010656 | IM / RA |
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | 1 | U8264AA | IM / LA |
Two weeks following injection, patient developed muscle aches, weakness, and fatigue. Went to PCP 2/18/25 with initial labs showing elevated inflammatory markers. Additional labs order and showed severely elevated liver enzymes. Sent for Stat Liver ultrasound and Stat referral to Hepatolgy 3/7/25. Given and initial round of oral steroids and had extensive lab work confirming an autoimmune reaction to the vaccines. Then referred to rheumatology 4/14/25 and had additional lab work drawn to rule out rheumatoid arthritis or other causes of the elevated lab values. Rheumatology confirmed that this was likely an autoimmune reaction to the vaccines. Continued to require labwork to monitor liver enzymes and inflammatory markers until 8/2025.
None
ADHD. Autism. Anxiety. Depression.
Fluoxetine . Buspirone. Minocycline.
None
stat liver US., sed rate, CRP, ALT, AST, Hep A, hep B, hep C, CBC, bilirubin, CK, C3 and C4 complement, ceruloplasmin, IgA, IgG, IgM, urobiliogen, ANA Ab, Anti-dsDNA, ENA SS-A, ENA-SSb, ENA RHP, ENA Smith/RNP, RH factor, Smooth muscle Ab, HIstone AB, CMV, Alpha 1 anti-trypsin, EBV. (all completed between 2/2025 and 8/2025)