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Life Threatening? No
Write-up: Patient reported after receiving vaccine that she felt tingly. Mom noticed faint red rash to her anterior neck. Patient reported that she felt "weird." No angioedema, SOB, wheezing or stridor noted. Patient had taken benadryl prior to arrival due to history of developing a rash 3 days after her previous Pfizer dose. Patient admits that she is very anxious. Due to rash, we administered solu-medrol 125mg IM and pepcid 40mg PO. VS were BP 144/90 HR 120 RR 24 Spo2. Patient very anxious appearing. Approx 10 minutes after receiving meds, patient reporting feeling slightly better. Rash appears fainter. No SOB, angioedema, stridor. Patient in no distress. Continued to monitor patient for at least 30 more minutes. Patient reports feeling much better. Symptoms continuing to improve. Prior to arrival, rash noted to be gone. No further development of symptoms. BP 133/83. HR 106. RR 18 Spo2 100%. Patient has been eating goldfish and drinking water. Reports that she feels much better. Mom feels comfortable continuing to monitor at home. If there is any concern for needing a booster dose, would advise allergy consult.
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