Received Apr 9, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Z002437 | IM / LA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENVEO) | NOVARTIS VACCINES AND DIAGNOSTICS | 1 | LL347 | IM / RA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 4YA34 | IM / RA |
Localized urticarial reaction following recent Tdap and meningococcal vaccination. Symptoms mild and limited to injection site. No evidence of systemic allergic reaction or anaphylaxis. In-office interventions-Ice pack applied to right upper arm for 15 minutes with improvement in discomfort. Injection site cleansed with alcohol wipes. Topical hydrocortisone and diphenhydramine cream applied, covered with 4x4 gauze and Tegaderm dressing. Loratadine 10 mL administered in office x 1 dose. Discussed alarm signs and symptoms of anaphylactic reaction. Continue cool compresses as needed. Avoid scratching.
none
moderate persistent asthma
albuterol HFA 108 (90 Base) MCG/ACT IN inhaler Dose: 2 puff Route: Inhalation Frequency: Every 6 hours PRN for wheezing, shortness of breath, mometasone-formoterol (DULERA 100) 100-5 MCG/ACT inhaler Dose: 2 puff Route: Inhalation Frequen
No known food or drug allergies
N/A