C10015209 / invoice 10000

Reason: Reaction From Vaccination Appointment Notes: Physical only EP8.5kgBART did not attemptP 136R pantMM pink <2vaccines given at gp today, no hx reactionsno swelling or hives noticed by o but very painful to the touch were the vaccines were given, will cry outpanting, unable to settleotherwise healthy, no med hxo gave meloxicam at home roughly 30 minutes agotakes trazodone as needed for separation anxietydid not attempt tempHistory:- C7 vaccination administered at 5pm today, booster due in two weeks.- Post-vaccination: hunched and uncomfortable when walking down steps, appears sore all over body.- No vomiting or diarrhoea.- During vaccination: normal, ate treats afterwards.- Known to be anxious during vaccinations.- Not up to date with parasite prevention - missed January and February doses.Physical examination:Demeanour: BARBCS: 5/9EENT: Moist nasal planum with bilateral airflow, no nasal or ocular discharge, no blepharospasm, no conjunctivitis. No cataracts bilaterally. No peri-ocular swellingPeripheral lymph nodes: No peripheral lymphadenopathyIntegument: Negative skin tent, clean coat. No uticaria or hives present. Cardiovascular: SSFP, no arrhythmia or murmur. Respiratory: No crackles or wheezes, no respiratory effort. Abdominal: No abdominal pain, no organomegaly, no fluid wave. Musculoskeletal: Ambulatory on all 4 limbs, full MSK exam not conducted..Rectal: NADUrogenital: NADNeurological: No pain on spinal palpation, no cervical pain on manipulation, WNL proprioception, mild hunched posture.Assessment & Plan:1. Post-vaccination reaction- Possible anaphylactic reaction vs anxiety/pain response.- Discussed options including CBC/CRP/Biochem/POCUS(would require sedation given anxiety) VERSUS gabapentin for anxiety/pain, and niramine injection (antihistamine) then monitor at home or in hospital- Owner elected to proceed with niramine injection and gabapentin then monitor at home- Gabapentin 100mg BID PO for 3 days- Niramine 0.5mL given S/C- If still symptoms persist or worsen, return to UVTHS or GP.    Vital Signs