PedvaxHIB given at the incorrect time. No adverse reactions noted.

Three days after vaccine given an oval area of redness developed on arm where shot was given, now spreading toward elbow. I referred patient to provider to seek care

Pain, in shoulder after initial vaccination

Additional dose of Arexvy vaccine was administered outside of clinical guideline recommendations. Patient received one dose of Arexvy on 1/11/24, and this additional dose on 1/26/25

Patient was given a Prevnar 20 shot on 01/27/25, It was realized on 01/28/25 patient had received the shot in 09/2023 and a second dose was not needed. Spoke with patient on 01/28/25 and she had no adverse effects.

Mom reports pt started getting rash on bilateral thighs & abdomen around 5pm, called clinic and told her to return to clinic to allow him to be assessed by provider. Rash appeared to be hives. No wheezing noted on auscultation. Pt given Benadryl prior to arriving at clinic. Benadryl & prednisolone RX sent into pharmacy.

Patient is 7 years old and was prescribed Menveo liquid form, as he was traveling. Per CDC guidelines, it must be given for ages 10+

LARGE RED RING AROUND THE VACCINATION SITE

Menveo – 1 vial was ordered by Physician and given by Medical Assistant, but is meant for patients aged 10-55 years, and this patient was 2 when she received the vaccine. Should have received the 2-vial formulation for patients aged 2-10. No harm to the patient as dosing is the same, however, not FDA approved for single vial to be given to patients under 10.

9-10-2024 awoke to stiff neck, painful arms and hips. Cannot raise my arms above my head without extreme pain. Arms feel like they are being ripped off when I try to raise them up. Massage helps a little. Heat helps a bit.. I can’t dress myself and have a hard time bathing and walking up stairs or for very far. Huge fatigue and loss of appetite. My cardiologist says not to use Ibuprofin since I have had a cardiac issue and a stent put in. Oxycodone takes away about 10% of my pain. Doctor tested for PMR but the test came back negative, Doctor started me on Prednisone 20mg tapering down to 5mg. 50 to 60% pain relief, but when tapering off, the pain comes back. When the pain started shortly after the Flu vaccine, I talked to my doctor and he assurred me that the vaccine is not the problem but, I have taken several flu shots over the the last several decades with no problems but, the Senior flu vaccine is the only thing that was different and now I have PMR and I can’t get off the Predisone without the pain returning. I am still working with my doctor to see about maybe taking a bigger dose but I am gaining weight at an alarming pace for the Prednisone, but what else can I do? This is not what I want but waht now?