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TDAP (ADACEL)

TDAP (ADACEL) Safety Reports Total TDAP (ADACEL) reports: 939.

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TDAP (ADACEL) problem was reported from IA on June 14, 2007. Female patient , 28 years of age, was vaccinated with TDAP (ADACEL) on June 11, 2007. "About 1 hour after injection developed a bad head ache. The following day c/o severe chills and fever 104. Area of injection looked like a pimple. Achy all over, arm very sore, difficult to move due to pain. Reported to us on day 3 arm some better. Can lift it. She c/o swollen area above collar bone too.". Multiple Vitamin. none. Patient recovered.

TDAP (ADACEL) problem was reported from PA on June 14, 2007. Female patient , 22 years of age, was vaccinated with TDAP (ADACEL) on June 14, 2007. left arm swelling 2 dyas after immunization with pain and neuropathy extending down arm and into hand. no weakness appreciated on exam. swelling and erythema with tenderness on exam. benedryl cream applied with ice pack and elevation. tylenol for pain. (patient allergic to po benadryl and antihistamines with palpatations as reaction). "alesse ocp, multivitamins, b12". antihistamines- palpatations. Patient recovered.

TDAP (ADACEL) problem was reported from ND on June 14, 2007. Female patient , 40 years of age, was vaccinated with TDAP (ADACEL) on June 14, 2007. GENERALIZED RASH OVER BODY AFTER RECEIVING TDAP.. N/A. NO. Patient recovered.

TDAP (ADACEL) problem was reported from ND on June 14, 2007. Female patient , 44 years of age, was vaccinated with TDAP (ADACEL) on June 14, 2007. 50 CENT PIECE INDURATION READ AREA AT SITE OF INJECTION.. NONE. NONE. Patient recovered.

TDAP (ADACEL) problem was reported from ND on June 14, 2007. Female patient , 26 years of age, was vaccinated with TDAP (ADACEL) on June 14, 2007. "FEVER OF 102, BODY ACHES, SWOLLEN LYMPH NODES IN NECK, ARM PITS, AND FEMORAL AREAS AND BRUISING IN HER RIGHT ARM.". NONE. NONE. Patient recovered.

TDAP (ADACEL) problem was reported from OR on June 15, 2007. Female patient , 54 years of age, was vaccinated with TDAP (ADACEL) on June 24, 2007. "Adacel - Local redness and swelling, hard breathing.". . "Hx thyroid cancer thyroidectomy, hx egg allergy". Patient recovered.

TDAP (ADACEL) problem was reported from MO on June 18, 2007. Male patient , child 11 years of age, was vaccinated with TDAP (ADACEL) on June 14, 2007. "Initial report received from a health care professional on 31 May 2007. An 11 year old, male patient (with a history of asthma) developed cough after he received Adacel (lot number C2572AA) intramuscularly in the right arm on 26 October 2006. He did not have any illness at the time of the vaccination. On 17 May 2007, he was seen at the physician's office where a nasal pharyngeal culture was done to rule out pneumonia versus pertussis. On 25 May 2007, the report showed positive Bordetella pertussis. He was treated with Zithromax for 5 days and it was reported that he recovered.". Singulair. Asthma. Patient recovered.

TDAP (ADACEL) problem was reported from on June 18, 2007. Female patient , 57 years of age, was vaccinated with TDAP (ADACEL) on May 30, 2007. "Adacel vaccine given (L) deltoid caused persistent pain distal (3"") to site". . . Patient recovered.

TDAP (ADACEL) problem was reported from IN on June 18, 2007. Female patient , 29 years of age, was vaccinated with TDAP (ADACEL) on June 18, 2007. "Right arm at vaccine sit, red, swollen, hot. Patient has chills and hot sweats.". . Biaxin. Patient recovered.

TDAP (ADACEL) problem was reported from NY on June 18, 2007. Female patient , 27 years of age, was vaccinated with TDAP (ADACEL) on June 18, 2007. "I received Adacel in my left arm on a Thursday. On Saturday I noticed a mild pain in my left axilla. By Monday afternoon, I had a dull ache in my entire left arm into my hand. My left arm felt heavy and cold. My fingers felt stiff. I had pins and needles off and on in my entire arm. I started using anti-inflammatories with improvement in symptoms. The symptoms have not completely resolved yet.". "Lamictal, Yasmine, ranitidine, loratidine, Imitrex prn". "environmental allergies, penicillin allergy, complex partial epilepsy, GERD, migraines". Patient recovered.

TDAP (ADACEL) problem was reported from NC on June 18, 2007. Female patient , 48 years of age, was vaccinated with TDAP (ADACEL) on June 18, 2007. "Pain, swelling, redness at injection site. area firm and warm to touch. Patient states that the pain radiated into her neck and under her arm.". "Estrostep, Toprol, Levoxyl, Zoloft". Allergic- Sulfasporin Drugs. Patient recovered.

TDAP (ADACEL) problem was reported from AZ on June 18, 2007. Female patient , 37 years of age, was vaccinated with TDAP (ADACEL) on Apr 04, 2007. "Initial report received from a nurse on 26 March 2007. A 37 year old, female patient (with on known allergies) developed a ""persistent knot""at the injection site (firm nodule about the size of a quarter), 5 days after she received Adacel (lot number C2720AA) sub-cutaneously (instead of intramuscularly) on 15 March 2007. She also has a red, painful 20 mm area at the injection site. At the time of the report, she had not recovered. This case has the same reporter as case 2007-00964.". . No known allergies.. Patient recovered.

TDAP (ADACEL) problem was reported from OH on June 18, 2007. Female patient , 18 years of age, was vaccinated with TDAP (ADACEL) on May 14, 2007. "Initial report received from a parent (who is also a nurse) in the USA on 09 May 2007. An 18 year old, female patient experienced pain spreading up to neck and down top of arm after she received Adacel (lot number and route of administration not reported) on 30 April 2007. The reporter stated the vaccine appeared to be administered high on the arm, in the shoulder area (in the shoulder joint) and the patient experienced the pain as soon as the vaccine was given. It was reported the pain was becoming progressively worse. At the time of the report, the patient had not recovered.". . . Patient recovered.

TDAP (ADACEL) problem was reported from TN on June 18, 2007. Female patient , 44 years of age, was vaccinated with TDAP (ADACEL) on May 15, 2007. "Initial report received from a health care professional in the USA on 09 May 2007. A 44 year old, female patient (with a medical history of allergy to penicillin and sinusitis) developed swelling and redness around the injection site, body aches, tingling and hand and finger pain on the left side and a red rash on the injection site arm (spots) - inferior to the injection site, one day after she received Adacel (lot number C2731AA) intramuscularly in the left deltoid on 01 May 2007. She did not have any laboratory or diagnostic tests done. She did not have any illness at the time of the vaccination. At the time of the report, she had not recovered. Same reporter as cases 2007-01632, 2007-01633 and 2007-01634.". "SINGULAIR, ADVAIR, MOBIC". Allergy to penicillin and sinusitis.. Patient recovered.

TDAP (ADACEL) problem was reported from TN on June 18, 2007. Female patient , 44 years of age, was vaccinated with TDAP (ADACEL) on May 15, 2007. "Initial report received from a health care professional in the USA on 09 May 2007. A 44 year old, female patient (with a medical history of known allergies, hypertension, non insulin dependent diabetes mellitus and hypercholesterolemia) developed body aches, redness and edema around the injection site, and pain from the injection site down the arm to fingers, one day after she received Adacel (lot number C2731AA) intramuscularly in the right deltoid on 07 May 2007. She did not have any laboratory or diagnostic tests done. She did not have any illness at the time of the vaccination. At the time of the report, she had not recovered. Same reporter as cases 2007-01631, 2007-01633 and 2007-01634.". "GLUCOPHAGE, AVANDIA, GLUCOTROL, LISINOPRIL, TRICON". "No known allergies, hypertension, non insulin dependent diabetes mellitus and hypercholesterolemia.". Patient recovered.

TDAP (ADACEL) problem was reported from TN on June 18, 2007. Female patient , 53 years of age, was vaccinated with TDAP (ADACEL) on May 15, 2007. "Initial report received from a health care professional in the USA on 09 May 2007. A 53 year old, female patient (with a medical history of allergies to IVP dye, Reglan and Codeine and elevated cholesterol) developed redness, a knot and swelling at the injection site and tingling down the arm to fingers, one day after she received Adacel (lot number C2731AA) intramuscularly in the left deltoid on 01 May 2007. She did not have any laboratory or diagnostic tests done. She did not have any illness at the time of the vaccination. At the time of the report, she had not recovered. Same reporter as cases 2007-01631, 2007-01632 and 2007-01634.". "CRESTOR, VITAMINS". "Allergies to IVP dye, Reglan and Codeine and elevated cholesterol.". Patient recovered.

TDAP (ADACEL) problem was reported from TN on June 18, 2007. Female patient , 48 years of age, was vaccinated with TDAP (ADACEL) on May 15, 2007. "Initial report received from a health care professional in the USA on 09 May 2007. A 48 year old, female patient (with a medical history of no known allergies, hypertension and depression) developed fatigue, weakness, ""flu like symptoms"". . . Patient recovered.

TDAP (ADACEL) problem was reported from NJ on June 18, 2007. Female patient , 66 years of age, was vaccinated with TDAP (ADACEL) on May 18, 2007. "Initial report received from a patient on 16 May 2007. A 66 year old male patient (with a medical history of allergy to sulfas, hypertension and seasonal allergies) complained of pain and swelling in the left axillary region. approximately one week after she received Adacel (lot number not reported) intramuscularly in the left deltoid on 26 March 2007. Two weeks after vaccination, she experienced generalized muscle aches, weakness and increased aching in the left axillary region. She had her blood drawn on 15 May 2007 for ""CMP, CPK, sed rate and amylase"". She did not have any illness at the time of vaccination. At the time of the report, the symptoms continue and she had not recovered.". "HYPERTENSIVES, FLONASE". "Allergy to sulfas, hypertension and seasonal allergies. She did not have any illness at the time of vaccination.". Patient recovered.

TDAP (ADACEL) problem was reported from AZ on June 19, 2007. Female patient , 69 years of age, was vaccinated with TDAP (ADACEL) on June 13, 2007. "Patient first noticed red welt size of quarter at injection site on Sunday 06/10/07, about 2 pm, it spread rapidly after that to become a large hot, red welt extending around mid upper left arm. Patient treated with Prednisone 20mg, 2 PO qd x 4 days and Keflex 250mg QID x 7 days on 06/12/07.". "COZAAR, KCL, TAGAMET, PREMARIN, LASIX, ZYRTEC". "Allergy to Darvocet, Novocaine". Patient recovered.

TDAP (ADACEL) problem was reported from MT on June 19, 2007. Female patient , 50 years of age, was vaccinated with TDAP (ADACEL) on June 13, 2007. "prolonged pain at injection area; pain with lifting arm over head and certain other movements, has used Ibuprofen p.r.n.; no other treatment". Is on synthroid. Hypothyroidism; allergy to Penicillin. Patient recovered.

TDAP (ADACEL) problem was reported from MN on June 19, 2007. Female patient , 46 years of age, was vaccinated with TDAP (ADACEL) on June 15, 2007. "Pt called from home received Tdap L deltoid 6/6/07; described that she felt a ""zing"" when injection given. Pain at injection continues especially at night; pt rated pain a ""8"" on 1-10 scale. Pt states any ROM intensifies pain. Uses 800 mg Motrin with noc for discomfort. Plans to make appointment with local provider for evaluation; has a prickly sensation in fingers only at NOC when pt awakes her.". "Singulair, Nasonex, Tricor, Ortho Novum". . Patient recovered.

TDAP (ADACEL) problem was reported from WI on June 19, 2007. Male patient , 15 years of age, was vaccinated with TDAP (ADACEL) on June 13, 2007. Lump in arm pit of left arm. Denies erythema or induration at shot site.. . none. Patient recovered.

TDAP (ADACEL) problem was reported from PA on June 19, 2007. Female patient , 25 years of age, was vaccinated with TDAP (ADACEL) on June 19, 2007. "On 6/18/07 awoke with swelling and tenderness at injection site. Applied cold and warm compresses as needed, today 6/19 small amount of swelling no reddness, some tenderness to touch.". none. Hepatitis C. Patient recovered.

TDAP (ADACEL) problem was reported from NE on June 20, 2007. Female patient , 52 years of age, was vaccinated with TDAP (ADACEL) on June 19, 2007. "Pt developed rash, especially on upper body, less on legs.". PPD. . Patient recovered.

TDAP (ADACEL) problem was reported from IN on June 21, 2007. Female patient , 67 years of age, was vaccinated with TDAP (ADACEL) on June 20, 2007. Large erythema warm to touch edematous area 14 cm x 3 cm just below and boarding injection site. Pt to take Benadryl PO PRN for itching and Medrol dose pack.. Levorthyroxine. Hypothyroidism. Patient recovered.

TDAP (ADACEL) problem was reported from NY on June 21, 2007. Male patient , 37 years of age, was vaccinated with TDAP (ADACEL) on June 21, 2007. Immunized on 6/18/07 then 6/20/07 noticed arm redness and swelling. Then 6/20/07 mnoticed underarm swelling and mass. Left anterior axillary lymphnode 2 cm largest diameter. . . Patient recovered.

TDAP (ADACEL) problem was reported from MN on June 22, 2007. Female patient , 33 years of age, was vaccinated with TDAP (ADACEL) on June 22, 2007. "Fever, severe headache, body aches. Administered IV fluids. No redness at injection site.". . . Patient recovered.

TDAP (ADACEL) problem was reported from WA on June 22, 2007. Male patient , 21 years of age, was vaccinated with TDAP (ADACEL) on June 21, 2007. "Pt received tetanus shot (Tdap) am 5/31/07 when treated by nurse at urgent care. Developed chest pain PM 6/3/07. Seen in ER 6/4/07 PM with elevated CK, CK-MB, Troponin and temp 100. and ECG changes. Cath was normal arteries but left ventricle hypokinesis, EF c/o diagnosed with myocarditis". "At time of symptom onset, only on Keflex". Depression. Patient was hospitalized Patient recovered.

TDAP (ADACEL) problem was reported from CA on June 22, 2007. Male patient , 22 years of age, was vaccinated with TDAP (ADACEL) on May 29, 2007. Received Tdap 5/18/07. 5/22/07 felt catching a cold and took 2 aspirins (525mgs each) 5 hours later lips swelled went to ER at hospital. Told ER probably ASA not the Tdap. Reporting just in case.. . LTBI. Patient recovered.

TDAP (ADACEL) problem was reported from WI on June 22, 2007. Female patient , 18 years of age, was vaccinated with TDAP (ADACEL) on June 22, 2007. "Cellulitis diagnosed 2 days after vaccine given 8 1/2cm red area, warm, swollen. Treated with Augmentin 875mg BID x 10 days.". . 1. Undiagnosed neurological condition 2. Hx of pancytopenia. Patient recovered.

TDAP (ADACEL) problem was reported from WI on June 22, 2007. Male patient , child 12 years of age, was vaccinated with TDAP (ADACEL) on June 22, 2007. Fever of 104 with headache. None. Hx of appendectomy. Patient recovered.

TDAP (ADACEL) problem was reported from PA on June 22, 2007. Female patient , 46 years of age, was vaccinated with TDAP (ADACEL) on June 22, 2007. Local site reaction - swelling. . . Patient recovered.

TDAP (ADACEL) problem was reported from VA on June 24, 2007. Female patient , 22 years of age, was vaccinated with TDAP (ADACEL) on June 24, 2007. "Patient recieved Adacel on 6/16/07. She complained of mild swelling and pain at injection site, starting 1 day after injection. She noted that pain and swelling became progressively worse starting on day 4 (06/20/07)post injection through her presentation on day 6 post-injection (06/22/07). Upon exam of injection site (left arm, deltoid muscle) - pt had a slightly raised, erythematous patch (approximately 4"" across by 2 1/2"" high), with approximately 1/2"" diameter induration under the injection site. The site was HOT to touch and tender to palpation. There was no visible exudate. The patients temperature was 98.1, heart rate - 72. The patient last had DTP in 1987; patient has no medical history, and was taking only oral contraceptive pills for medication. Diagnosis is sterile abcess. Treatment for patient is Cephalexin 500mg by mouth three times a day for 10 days. I also reccomended warm compresses at injection site, and tylenol for pain/swelling.". Ortho Tri-Cyclen Lo. none. Patient recovered.

TDAP (ADACEL) problem was reported from IN on June 25, 2007. Female patient , 46 years of age, was vaccinated with TDAP (ADACEL) on June 21, 2007. "A case was received from a health care professional on 13 June 2007. SERIOUSNESS CRITERIA: OTHER - MEDICALLY SIGNIFICANT. A 46-year-old female patient with a medical history of mitral valve prolapse and morphine allergy had received an injection of Adacel (lot number C2734AA) on 04 Jun 2007. ""One and one-half hours: after vaccination she began experiencing nausea, and on 07 June 2007 developed a sore throat and was achey. On 08 June 2007 she presented to the hospital with complaints of shortness of breath and weakness: CBC, chest x-ray, and liver profile were all within normal limits. She was treated with compazine, Zofran, Toradol, and Benadryl. On 11 June 2007 she was seen by her family doctor with continued complaints of nausea, in addition to fever (over 100 degrees Fahrenheit), dizziness, and an ""extreme pressure headache"". She also complained of chills, excess mucus, and loss of appetite. Concomitant medication included hormone replaced. The events had not yet resolved.". HORMONE REPLACEMENT. History of mitral valve prolapse and morphine allergy; no illness at time of vaccination.. Patient recovered.

TDAP (ADACEL) problem was reported from CA on June 25, 2007. Female patient , 26 years of age, was vaccinated with TDAP (ADACEL) on June 25, 2007. Pt in to the office on 6/25/07 for blood work. She reported arm that Adacel given in became red and swollen for 03 days after injection given. SX now resolved on 6/25/07.. Seasonal 0.15 mg. . Patient recovered.

TDAP (ADACEL) problem was reported from NY on June 26, 2007. Female patient , 36 years of age, was vaccinated with TDAP (ADACEL) on June 26, 2007. "The very next day after the administration of the Tdap (Adecel)I woke up with a very sore, red, hot, swollen shoulder just at the injection site and approximately 6-8 inches around the site and a stiff neck on the right side. I used a cool compress at the site for the first 48 hrs and then went to the doctors to have it checked and they suggested i start using warm compresses now so that is what i am doing right now.Area is still very sore, red,hot and swellen and has a hard lump under the skin and I continue with a slight stiff neck on the right side". none. NKDA. Patient recovered.

TDAP (ADACEL) problem was reported from OR on June 26, 2007. Female patient , 20 years of age, was vaccinated with TDAP (ADACEL) on June 26, 2007. "Approximately 12 hours after injection of vaccine, patient reported body aches, joint aches, fever, chills, abdominal discomfort. Temp of 103.0". Nortriptyline. . Patient recovered.

TDAP (ADACEL) problem was reported from TX on June 27, 2007. Female patient , 34 years of age, was vaccinated with TDAP (ADACEL) on June 27, 2007. left sided lymphadenopathy. Adderall and Demulen. . Patient recovered.

TDAP (ADACEL) problem was reported from CO on June 27, 2007. Male patient , 22 years of age, was vaccinated with TDAP (ADACEL) on June 27, 2007. "Approximatley 12 hours after vaccination given patient experienced fever(102.0), body aches,and malaise.Symptoms lasted about 24 hours. No redenss or swelling at the site of injection. Mother states that patient did react with fever with some chilhood vaccinations.". None.. Hay Fever. Patient recovered.

TDAP (ADACEL) problem was reported from IL on June 27, 2007. Female patient , 32 years of age, was vaccinated with TDAP (ADACEL) on June 27, 2007. "Sick for 2 weeks, chill with fever 102.6, body aches, vomitting, nausea, headaches and neck pain. Hospitalized for testing.". "Motrin, Tylenol, Naproxen". "Environmental allergies, Arthritis, Carpal Tunnel Syndrome, Migraines, Partial knee replacement.". Patient was hospitalized Patient recovered.

TDAP (ADACEL) problem was reported from on June 27, 2007. Female patient , 60 years of age, was vaccinated with TDAP (ADACEL) on June 25, 2007. Patient was given Tdap right deltoid on 6/23 phoned this AM to say over weekend was awoke from sleep with sharp pain in that deltoid and was red and raised by Sunday. Had rash encompassing arm from shoulder to wrist. Used Benadryl with good results but wanted us to know it was terrible pain at the time.. Numerous other medical allergies none to Tdap prior to injection.. . Patient recovered.

TDAP (ADACEL) problem was reported from on June 27, 2007. Female patient , 61 years of age, was vaccinated with TDAP (ADACEL) on June 25, 2007. "Just 1 hour after injection started having her typical reaction to egg products including shortness of breath severe cough - used her rescue inhalers and allergy meds with some relief than on Monday 6-25-07 patient states developed into an upper respiratory infection, did fully resolve.". . Other Medicine allergies none prior to incident noted to Tdap eggs and chocolate as well. Patient recovered.

TDAP (ADACEL) problem was reported from NH on June 27, 2007. Male patient , 64 years of age, was vaccinated with TDAP (ADACEL) on June 21, 2007. Fatigued and dizziness 1 hour after Tdap. Cardizem 260 Diovan HCT 320/25 Prilosec 20. "NKDA PMH: HTN, OA". Patient recovered.

TDAP (ADACEL) problem was reported from MN on June 27, 2007. Female patient , 45 years of age, was vaccinated with TDAP (ADACEL) on June 27, 2007. "Adacel given at 11:30am, 6/26/07 at office visit. Pt said joint pain (all joints) started at 8pm same day. Then fever of up to 101.0 Ce). She took her husband's Darvocet for the pain: called to report 6/27/07 event-Improved today-taking ibuprofen". "Lantus, Avandia, Byetta, Rozerem, Melantonin Fiber laxative". "Pt states had joint pain reaction with Latex, bee venom, 2nd Hep B, but not 3rd Hep B". Patient recovered.

TDAP (ADACEL) problem was reported from WA on June 27, 2007. Male patient , 57 years of age, was vaccinated with TDAP (ADACEL) on June 20, 2007. "Woke approx. 2 AM 6-2-07 nauseous, stomach ache-Cold sweats 7 AM-Treatment OTC Claritin 10 mg once daily x 7 days Vistaril 25 mg 1-2 QID PRN". . . Patient recovered.

TDAP (ADACEL) problem was reported from AZ on June 28, 2007. Female patient , child 12 years of age, was vaccinated with TDAP (ADACEL) on June 25, 2007. Patient's mother was called 19 hour after immunization given. She said child's injection site was slightly sore without swelling or discoloration.. None. None. Patient recovered.

TDAP (ADACEL) problem was reported from MD on June 28, 2007. Female patient , 48 years of age, was vaccinated with TDAP (ADACEL) on June 12, 2007. Nausea and body aches 48 hr large local reaction greater than 10 cm. "Zoloft, Allegra D". Sulfa allergy. Patient recovered.

TDAP (ADACEL) problem was reported from GA on June 28, 2007. Female patient , 33 years of age, was vaccinated with TDAP (ADACEL) on May 11, 2007. "Tdap given IM Lt deltoid, client came in today with c/o pain and swelling in arm 5-11-07 (started yesterday 5-10-07) also started having muscle spasms, Lt arm very warm to touch area of shot swollen, 12 cm also noted below shot area red patch areas x3, did apply cold compress". "Aspirin, Tylenol". None. Patient recovered.

TDAP (ADACEL) problem was reported from GA on June 28, 2007. Female patient , 61 years of age, was vaccinated with TDAP (ADACEL) on Apr 19, 2007. "Days after receiving Tdap shot, redness, swelling and itching. Saw private Dr. He advised to put cold pack on area, take over the counter allergy med. at night Also gave a prescription to take should condition worsen. Condition appeared to get better, with redness becoming less. Total redness did not go away and area ached at times. Started the prescription of sulfameth/trimeth 800/160 mg two days later. Shot given 4-11-07 started Rx 4-16-07". "Protonix, Lisinopril 20 mg". NKA High Blood Pressure Acid Reflux. Patient recovered.

TDAP (ADACEL) problem was reported from IN on June 28, 2007. Female patient , 26 years of age, was vaccinated with TDAP (ADACEL) on June 28, 2007. "PATIENT RECEIVED ADACEL AND PPD (TUBERSOL) ON 6-22-07. ON 6/25/07,REPORTED LEFT UPPER ARM SWELLING, ERYTHEMIA, MILD BLISTERING AND INDURATION AT INJECTION SITE. ERYTHEMIA 50MM X 40MM. SWELLING MODERATE, VISIBLE THROUGH SHIRT SLEEVE. USED OCCASIONAL TYLENOL DURING WEEKEND. ADVISED TO USE ADVIL Q 4-6 HOURS AND ICE PACKS TO UPPER LEFT ARM 10 MIN ON AND 10 MIN OFF REPEATEDLY DURING DAY (MINIMUM 10-12 TIMES) AND TO REPORT STATUS ON 6/26/07. ON 6/26/07, PATIENT CALLED, REPORTING CONTINUED PAIN BUT SLIGHT IMPROVEMENT OF ERYTHEMIA. ADVISED TO CONTACT PHYSICIAN FOR FURTHER ADVICE AND TO REPORT IF NO FURTHER IMPROVEMENT AT INJECTION SITE.". "DEPAKOTE, LITHIUM, ABILFY, TRAZADONE (PRN), INDERAL, ATTERAL, ARMERL (THYROID)". BIPOLAR. Patient recovered.

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