Received Mar 4, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| SMALLMNK | SMALLPOX + MONKEYPOX (JYNNEOS) | BAVARIAN NORDIC | 1 | 484113 | SC / RA |
Patient (38 y/o male) received the JYNNEOS smallpox/mpox vaccine in his right arm (subcutaneously, Lot: 484113) on 2/17/26. Pt has NKA with a PMH of HTN, controlled w/ medication (lisinopril 20mg). Pt complained of no abnormal pain or discomfort immediately following inoculation or in days following to personnel. In the AM 2/21/26, pt self-transported to local urgent care with c/c swelling of R upper arm x3 days. Urgent care prescribed Keflex. Pain worsened later in the afternoon and pt self-transported to ED at Hospital. Pt did take 2 doses of Keflex prior to self-transport. In ED, pt admitted of neck stiffness and headache w/ pain near injection site 8/10, along with redness and swelling at injection site, 24 hours post inoculation. In ED redness was tracking down from injection site down into posterior aspect of the arm into the antecubital fossa. ED also noted some induration at the injection site. Labs and ultrasound performed in ED. Labs revealed several remarkable values [CRP Quantitative .90; Creatine Phosphokinase (CPK) 639; Creatinine 1.58]. Ultrasound revealed ?7mm somewhat focal area of edema or fluid along the superficial aspect of the musculature? and no evidence of DVT. Pt underwent I&D in the ED and fluid sent for culture. Pt was admitted to inpatient due to cellulitis, rhabdomyolysis and AKI and placed on vancomycin and cefazolin. Vancomycin was d/c due to AKI and rhabdomyolysis. Pt was evaluated by Infectious Disease, who placed pt on cefadroxil 500mg bid for another 5 days. Pt was discharged from Hospital on 2/24/26. Cultures had no growth during the hospital stay. Of note, pt previously received ACAM2000 in 28NOV2012 with no reaction.
N/A
Hypertension, chronic.
Lisinopril - 20mg
NKA
Labs and ultrasound performed in ED. Labs revealed several remarkable values [CRP Quantitative .90; Creatine Phosphokinase (CPK) 639; Creatinine 1.58]. Ultrasound revealed ?7mm somewhat focal area of edema or fluid along the superficial aspect of the musculature? and no evidence of DVT