Received Feb 6, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 2 | MH9572 | IM / RA |
1/9/26 - Two days after the vaccine injection, the patient began feeling weak, no energy, lehtargic, constant runny nose, headache, slightly febrile, and body spasms. on 1/23/26 visited Urgent Care - Sore Throat, given Cepacol Lozg, Magic Mouthwash, Chlor-Trimeton 4mg | Take all medications as directed. Stay well hydrated. May also try salt water gargles, 50:50 hydrogen peroxide/water gargles, or tea with honey for further symptom relief. Follow up with PCP in 1-2 weeks if no improvement. on 2/3/26 visited Urgent Care. Patient presents with Cough Productive cough X 3 days with moderate-severe chest pain Flu Like Symptoms X 3 weeks TECHNIQUE/EXAM DESCRIPTION AND NUMBER OF VIEW TECHNIQUE/EXAM DESCRIPTION AND NUMBER OF VIEWS: Chest x-ray (two views), 2/3/2026 1:33 PM. COMPARISON: 1/29/2025. FINDINGS: The lungs are clear. There is no focal consolidation, pneumothorax or effusion. The cardiomediastinal silhouette is normal in size. The bones are intact. Impression: No acute cardiopulmonary process. Will treat with a course of Augmentin. Probiotics discussed. Recommend following up with her pulmonologist and/or primary care. Continue with nebulizer treatments for asthma as needed. Follow-up sooner if worse. ER for chest pain. Return clinic for any problems or concerns. FINAL IMPRESSION Patient was seen today for cough and flu like symptoms. Diagnoses and all orders for this visit: Lower respiratory infection - amoxicillin-clavulanate (AUGMENTIN) 875-125 MG Tab; Take 1 Tablet by mouth 2 times a day for 10 days. on 2/5/26 Pt saw PCP Dr. She has been experiencing chronic bronchitis, characterized by the production of yellowish sputum with occasional black dots. Wheezing was reported but not detected during her previous doctor's visit. She is not currently using any inhalers or steroids. She has a nebulizer at home but does not have it with her. Additionally, she reports a persistent runny nose, which temporarily improved with antibiotic treatment but has since returned. She is concerned about the possibility of developing pneumonia. She has been experiencing nausea and has requested medication to alleviate this symptom. The patient's pertinent medical history includes immune deficiency. She received her second pneumonia vaccine on 01/07/2026. Following the vaccine, she experienced weakness, near syncope, and a persistent runny nose. These symptoms were similar to those she experienced when her immune deficiency was first diagnosed. She was advised to undergo testing four weeks post-vaccination to monitor her immune response, but she has not yet done so.
COPD, Asthma, hyperlipidemia, bronchitis, Hyposemia, HTN, Mitral regurgitation, palpitations,
Alendronate 35mg, Cymbalta 60mg, Lasix 20mg, Lorsartan 25mg
ASA, Celecoxib, Tetracycline, Trimethoprim
Chest Xray - The lungs are clear. There is no focal consolidation, pneumothorax or effusion. The cardiomediastinal silhouette is normal in size. The bones are intact. Impression: No