Pt called ~4pm in Wednesday 1/29/25 asking about what to do with swelling, redness and heat of upper right arm. Recommended going to Walk-in care, trying cold compress for swelling (about 4 inches in diameter) as well as taking some ibuprofen (not to exceed 32oomg/day). She mentioned a similar reaction when receiving the first Shingrix but not as expansive in area.