Received Jun 3, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 4799G | IM / RA |
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 1 | 947357 | IM / RA |
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 1 | Y1D49P1 | IM / LA |
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 1 | Z005996 | SC / LA |
Client called Health District Call Center on 05/20/2026 as she missed her follow-up immunization (IMZ) appointment on 05/19/2026 and wanted to talk to someone about her previous IMZ appointment due to side effects she believe were caused by vaccinations. Her request was forwarded to me and I called client back same day with a Spanish interpreter; client stated she was at work and would like to schedule another time to talk. We agreed on 05/26/2026. I again called with a interpreter on 05/26/2026 and was able to find out client started to have a red pimple acne-like rash to her face, neck, arms and legs that followed with swelling, appearing approximately 10 days after receiving vaccinations (client unsure of exact day). Client stated she also had a low grade fever (client could not report an exact temperature), swollen glands, lump on neck near lymph nodes and mild joint pain to legs, knees and ankles. On 05/26/2026 call, she stated she continues to have swollen hands, especially to her right middle finger. Client reported a change to her menstrual cycle. Client denied allergies, chronic or acute illnesses or other medications taken. Client stated no changes to her usual routine of cleaning/hygiene/laundry supplies that could be a rationale for skin sensitivity. Client states stress level heightened as the weekend after her vaccinations was her wedding, but otherwise calm. Client denied having any severe allergic reaction symptoms such as difficulty breathing, shortness of breath, wheezing, swelling of airway, dizziness or fast/rapid heartbeat; these symptoms were reiterated on both phone calls, 05/20/2026 and 05/26/2026 and RN noted that she experiences any of those symptoms, to immediately seek emergency care; client verbalized understanding. When RN asked if client self-administered any over-the-counter medications or provided herself any interventions, she was unsure if she took acetaminophen and stated she contemplated taking an anti-histamine and may have taken one dose on the second day of symptoms. Client stated she does not generally like to take over-the-counter medications such as acetaminophen or ibuprofen. This RN provided education on the vaccines client received, side effects, rationale and timeframes in which side effects can present, especially in regards to the MMR vaccine. Since client is still reporting side effects, this RN recommended at-home interventions including over-the-counter medications, such as acetaminophen and/or ibuprofen, antihistamines taken as directed on the medication labels and as tolerated to see if symptoms changed/improved. RN also recommended contacting her PCP directly as soon as possible to make an appointment, as the RCHD does not have a PCP/physical assessment option on staff. Client states she has seen someone recently for an annual exam; I confirmed this provider would be an appropriate choice to follow-up with when client asked what type of provider to see. RN explained that in scheduling an appointment with an advanced provider, the provider would be able to help determine a plan of care that could potentially include a course of treatment (if necessary) for managing any lingering side effects and deciding if client should proceed with continuing any/all vaccination series, as client currently has a follow-up appointment for her second dose of Heplisav-B, IPV and TDAP scheduled for Tuesday 06/16/2026 or if she should modify what vaccines she gets/document an allergy/sensitivity. RN answered all other questions and gave contact information in case client had any further questions but noted, I could not provide diagnosis or other healthcare outside of my nursing scope of practice. I thanked the client for reporting her side effects and concerns and that a VAERS would be submitted; client thanked me for taking the time to listen and discuss her experience and concerns. Will follow-up with client if/when she returns for her next scheduled vaccination appointment or if she calls back with further details.
None stated/denied
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