Received Feb 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (AFLURIA) | SEQIRUS, INC. | N/A | AW1664A | IM / RA |
1. Injury of right shoulder Received influenza vaccine on November 16, 2024 at clinic. Since then, pt developed chronic right shoulder pain. Denied any skin changes. Otherwise, denies any previous shoulder injury/procedures. Exam today otherwise, unremarkable. No TTP around injection site. No skin changes. Pt does recall an unusual higher injection site. - will obtain right shoulder plain film to r/o any bony abnormality - referral sent to physical therapy for evaluation - clinical presentation suggestive of SIRVA (shoulder injury related to vaccine administration), which is not a contraindication for receiving flu vaccine, rather the medical staff may have given the vaccine at the subdeltoid bursa - f/u with me in February 2025 for re-assessment - return precautions provided Ordered: Referral Request 2.0 -
None
Hip pain History of nephrolithiasis Hyperlipoproteinemia Knee pain Menorrhagia Pain in right arm Right flank pain
None
No known allergies
Shoulder X Ray 4 views 12/19/24 Hi, Your shoulder x-ray came back unremarkable. I did read some literature regarding SIRVA and potentially the administration of the injection was around your subdeltoid bursa, which may cause that pain. Primary management is ibuprofen and physical therapy. If it doesn't improve, please follow-up.