HCPs: Attend the next COCA Call, Tuesday, March 2, at 2pm ET. Topic: What Clinicians Need to Know About the J&J/Janssen #COVID19 Vaccine. More: bit.ly.

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middle age woman usually fit and well but has possible fibromyalgia under rheumatolgist had multiple scans in past inconclusive. however her symptoms have been stable. until she had the second AstraZeneca vaccine 5 days ago. she developed constant occipital headaches and upper arms pain today noticed bruising to ventral aspect of both arms. on examination looks well but has headache moderate severity. cns examination nil significant. arms examined and bruised ventral as illustrated in pictures above palpable knots along possible superficial venous clots/ thrombophlebitis.

New From Docwire News: The American Academy of Pediatrics now recommends COVID-19 vaccination for children aged 6 to 23 months, diverging from current federal guidelines. Updated guidance also includes recommendations for respiratory syncytial virus and influenza vaccines. The Academy emphasized that its guidance remains based on scientific evidence and aims to protect children’s health, especially as misinformation and changes to advisory committees influence national vaccine policy.

HCPs: CDC issued interim recommendations for the use of the Janssen #COVID19 Vaccine (Johnson & Johnson) in the U.S. for people 18 and older.

Covid vaccine component (polysorbate 80 in the form of refresh eye drops) intradermal positive skin test site post inflammatory hypopigmentation. Skin tests are now performed with vaccine instead of the components Follow up to prior unsolved case - now solved.

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?