C09999011 / invoice 20000

Appointment Notes: Post Vax Itchy, eyes closed shutPresenting 5hrs following F3 felo-vax vaccination. 1 other vaccination with F3 on record, no vaccine reaction noted previously. O reports Dodo is an inside only cat. No access to toxinsO noted Dodo scratching at chin and ears and decided to bring him in. No V+ or D+ noted at home. Objective: QAR. Stressed. HR/PR/CV: HR 200bpm. No murmur or arrythmia MM/CRT/Hydration:  pi, moistRESP/RR:  nsfTemp: 39.6GIT/UG: comfortableSkin/Ears: Bilateral erythematous pinnas. Facial features generally swollen - particularly ventral mandible and buccal regions. M/S:  ambulating wellEyes: bright and clearDental:  No obvious trauma inside oral cavity. Lymph Nodes: nsfBCS: 5/9Assessment: facial swelling ddx: hypersensitivity reaction (insect bite vs. oral ingestion vs. vaccine reaction - less likely given history) Treatment: Niramine 0.5ml SC Dexamethasone 2mg/ml 0.24ml SC Plan: Advised O that I think vaccine reaction is less likely due to none recorded in history and unsure of present cause as no evidence of bites elsewhere on the body. Recommended monitoring at home as all other vitals are fine. If deterioration is noted, to go to emergency centre tonight. Advised of EVA or SASH as options as we are nearly closed.     Vital Signs    

Subjective: DUD normal, O reports has been a pickier eater, eating dry food okay, pickier with wet foodFell two stories approx 6 months ago, bleeding from nose and wound on head, O reports for around three days was off food then recovered, no issues with ambulationUTD with parasite prevention Objective:QAR, shy, hiding in towel, nice catHR/PR/CV: 170, no murmur, pulses normalMM/CRT/Hydration:  pi, moist, <1.5sRESP/RR:  normal bronchovesicular soundsTemp: neGIT/UG: soft and comfortableSkin/Ears: nsf, soft coatM/S:  ambulating wellEyes: bright and clearDental:  1/4, 108 grade 2/4, tongue and hard palate nsfLymph Nodes: nsfBCS: 5/9Assessment: ok for vaccinationTreatment: Fel-O-Vax F3 s/c B:  3254011 exp: 20/08/2027Plan: Annual vaccination Discussion with Owner:Discussed dental care, provided handoutDiscussed appetite with wet food, discussed weight is stable so suspect Dodo is self-regulating his intake. Discussed we don't need to feed Dodo more as weight is stable and Dodo is a good weight. Advised not to change wet food too regularly as will encourage picky eating. Discussed keeping feeding regime same daily.Discussed based on physical exam does not seem to have any lingering injuries from fall.____________________________INSURANCE HXInitial Assessment >  annual vaccinationSuspected cause >  annualDate of first clinical signs > noneAny other conditions / treatments > none     Vital Signs    Weight: 4.98;       

Reason: Vx- EARLYSubjective: Here for annual vaccination, fully indoor cat, no concerns at home, DUDE well, no D/V/C/SObjective: BarHR/PR/CV: 200bpm, no murmur/arrhythmia MM/CRT/Hydration: pink mm, CRT<2sRESP/RR:  NADTemp: NEGIT/UG: abdominal palpation comfortable and unremarkable Skin/Ears: NADM/S: ambulating well Eyes: NADLymph Nodes: WNLBCS: 5/9Assessment:Fit for vaccination  Treatment: F3 Fel-O-Vax (inactivated) s/c inj Batch #3254005 22.01.2026Plan: F3 in 12 months    Vital Signs    Weight: 5.05;