vaccine given past the beyond use date of 01/16/25

Patient received the vaccine on 1/2/25 and notified me of her arm and shoulder hurting on 1/27/25. I told her to try Voltaren gel and a Lidocaine patch. She tried a lidocaine patch and it did help for awhile. She is going to the doctor 1/29/25.

duplicate vaccine

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 9 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.

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 7 when he 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.

SUNDAY NIGHT, THEY GOT VERY TIRED SLEPT FROM 6 TO MONDAY . APPETITE LOSS, CHEST IS IN PAIN WHEN THEY COUGH, HOLE IN HEART HURTS WHEN THEY COUGH, HAVE FLUTUATING TIMES OF BEING TOO COLD, AND BEING TOO HOT. They feel sick, took two tylenols on the 27th, had no effect. patient also says they have headache, since the time they got their vaccine.

immunization administered past beyond use date. called manufacture was beyond use 1 day. reviewed with provider ok to readminister 1-2 months mother notified

immunization administered past beyond use date. called manufacture was beyond use 1 day. reviewed with provider ok to readminister 1-2 months mother notified

Pt was administered 2nd Prevnar20 3 years after receiving first one

Tinnitus in both ears. Unknown how many days it started after vaccine. Head and neck pressure that started after that and has never gone away. Had CT chest done in 2024 to look at vasculature that did not show any abnormality. Still affected by tinnitus and this head/neck pressure.