[MCOH-EH] A rash of rashes

Swift, Melanie melanie.swift at Vanderbilt.Edu
Fri Oct 21 12:39:01 PDT 2016


Is this fluvirin or afluria? That manufacturer makes both.

If you haven't submitted VAERS reports on these already, please do. That would help the good folks at the CDC who monitor vaccine safety identify if there was a hinky lot of vaccine or something. Most likely this is coincidental - but the only way to know is for people to report. The power of sentinel surveillance systems!

Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic
http://occupationalhealth.vanderbilt.edu

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Spivey, Christine
Sent: Friday, October 21, 2016 2:00 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question

I have had one employee that has developed a rash within 24 hours of the vaccine and progressed for the next few days.  She was placed on po Benadryl and steroids.  The manufacturer was also Sequius and it was a single dose pre-filled syringe.
Christine


Christine Spivey BSN, RN
Employee Health / Worker's Compensation
Carteret Health Care
3500 Arendell Street, Morehead City, NC 28557
Office: 252 808-6480  |  Fax:  252 808-6676  |  cspivey at ccgh.org

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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Derrico, Barbara (IHS/OKC/LAW)
Sent: Friday, October 21, 2016 11:51 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question

SEQIRUS is the manufacturer and it is multidose vials.

Barbara Derrico BSN RN
Lawton Indian Hospital
OR Supervisor
Office 2-35   2nd Floor  Day Surgery
Phone:  580-354-5454
Fax:  580-354-5212
Barbara.derrico at ihs.gov
Follow us on Facebook - http://www.facebook.com/ocaihs https://www.facebook.com/LawtonIHS

Prevention is Proactive...wash in-wash out.   Every patient-every day!

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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Conlin, Diane
Sent: Friday, September 30, 2016 8:18 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question

Can I inquire if this was a single dose or from a multi dose vaccine?  



Diane Conlin, RN

Employee Health and Safety

St Joseph Hospital and Midway Campus



Phone:  651-232-4487

Fax:  651-326-3083

Email:  dlconlin at healtheast.org

________________________________________
From: MCOH-EH [mcoh-eh-bounces+dlconlin=healtheast.org at mylist.net] on behalf of Janet Riese [jriese at marylanning.org]
Sent: Thursday, September 29, 2016 5:02 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question

Can I inquire to the manufacturer of this vaccine you're seeing rashes in?  You can message me privately.

Thank you.  Have a great day!!

JANET RIESE
 Employee Health/Infection Prevention Manager


MARY LANNING HEALTHCARE
715 North St. Joseph Avenue
Hastings, NE 68901
O: 402/461-5341
F: 402/460-5734
www.marylanning.org

Prevention starts with you!  Wash your hands!

----- Original Message -----
From: Sampson, Deborah <Deborah.Sampson at snhhs.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Sent: Wed, 28 Sep 2016 15:30:50 -0500 (CDT)
Subject: Re: [MCOH-EH] Question

I just had someone come in today with a full body rash as well-24 hours after flu vaccine. No other explanation in history for the rash.

Deborah A. Sampson, PhD, APRN, COHN-S, FAANP Director Employee Health and Wellness Services
Southern New Hampshire Health   P.O.Box 2014   8 Prospect Street   Nashua, NH 03060
p(603) 281-8583  f (603) 577-5665
deborah.sampson at snhhealth.org





-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Derrico, Barbara (IHS/OKC/LAW)
Sent: Wednesday, September 28, 2016 3:22 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question

We have had one with rash over entire body directly related to the flu vaccine.  Sent to the ED and treated with steroids.  Three others with site reactions.

Barbara Derrico BSN RN
Lawton Indian Hospital
OR Supervisor
Office 2-35   2nd Floor  Day Surgery
Phone:  580-354-5454
Fax:  580-354-5212
Barbara.derrico at ihs.gov
Follow us on Facebook - http://www.facebook.com/ocaihs https://www.facebook.com/LawtonIHS

Prevention is Proactive.wash in-wash out.   Every patient-every day!

CONFIDENTIALITY NOTE: This transmission is intended solely for the use of the individual(s) to whom it is addressed and may contain information that is privileged, confidential, or otherwise exempt from disclosure under applicable law.  If the reader of this message is not the intended recipient, or an authorized representative of the intended recipient, you are hereby notified that any review, retransmission, dissemination, distribution, copying of or taking of any action in reliance upon this communication is strictly prohibited.  If you have received this communication in error, please delete it from your system without copying or forwarding it, and notify the sender of the error by reply e-mail






-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+barbara.derrico=ihs.gov at mylist.net] On Behalf Of Sampson, Deborah
Sent: Wednesday, September 21, 2016 1:20 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question

Sounds like an unlikely presentation for flu vax rash to me.

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Belinda D. Mead
Sent: Wednesday, September 21, 2016 1:16 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question

The rash was from his feet to knee bilaterally-splotchy, blanched, no itching, no SOB or chest pain.
 Rash just appeared.


Belinda Mead RN, MSN, PLNC
Education Coordinator/Occupational Health Nurse Williamson Medical Center
4321 Carothers Parkway
Franklin, TN. 37067
Phone 615-435-5128
FAX  615-435-7403
Email:bmead at wmed.org

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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Wednesday, September 21, 2016 11:39 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question

We have seen it but can't conclude it is due to the shot per se Seems likely

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Belinda D. Mead
Sent: Wednesday, September 21, 2016 12:35 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Question

Good morning: I have a question totally unrelated (sorry) but has anyone seen a rash appear after a flu immunization?  We had an employee who received flu vaccine Friday and yesterday has a rash.  We sent them to ER for eval but was inconclusive of course as relating to injection.

Belinda Mead RN, MSN, PLNC
Education Coordinator/Occupational Health Nurse Williamson Medical Center
4321 Carothers Parkway
Franklin, TN. 37067
Phone 615-435-5128
FAX  615-435-7403
Email:bmead at wmed.org

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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+bmead=wmed.org at mylist.net] On Behalf Of Diane Shaw
Sent: Thursday, September 15, 2016 9:51 AM
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] Question

We switched to IGRA blood draws instead. More costly up front, put saved labor hours chasing down staff for the second step, eliminated the inconvenience of returning to have the TST read, and also eliminated any errors in reading the TST.

Diane M. Shaw, RN, B.S.N.,CIC, COHN-S
Employee Health Nurse/Employee Health Services Tuality Healthcare OHSU Partner
335 S.E. 8th Ave.
Hillsboro, OR 97123
diane.shaw at tuality.org
tel: 503-681-1444 l fax: 503-681-4170

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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of mcoh-eh-request at mylist.net
Sent: Wednesday, September 14, 2016 10:46 AM
To: mcoh-eh at mylist.net
Subject: MCOH-EH Digest, Vol 251, Issue 273

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Today's Topics:

   1. Re:  Question (Upfal, Mark)


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Message: 1
Date: Wed, 14 Sep 2016 13:45:49 -0400
From: "Upfal, Mark" <mupfal at dmc.org>
To: "'MCOH/EH'" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Question
Message-ID:
        <9EE8412E15F7E148AAA54922744E618D034DEFD05D34 at MAIL03.dmcnt1.local>
Content-Type: text/plain; charset="us-ascii"

[cid:981324517 at 14092016-21DD]

Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs

__________________________________________


This e-mail message and any attachments may be privileged and confidential and protected information. If you are not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, use, disclosure, dissemination, distribution or copying of this communication may be a violation of the law. Please contact the sender immediately by replying to the message and delete it from your computer. Thank You.

________________________________
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Whitney Shores
Sent: Wednesday, September 14, 2016 1:36 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Question

I am new in the Employee Health position.  I am looking for suggestions to improve the 2step TST compliance.  Currently New hires are screened and  the first step test is given with instruction to return following orientation for 2nd step.  This process does not seem efficient as I am constantly chasing down employees for their 2nd step! Any help would be appreciated.


Whitney Shores RN
Employee Health & Wellness Coordinator
Jackson Hospital and Clinic
Montgomery, AL
Office 293-8939
Fax 293-8929
[cid:981324517 at 14092016-21E4]





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