Received Feb 15, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | — | IM / RA |
Patient received a TDAP vaccine last week as part of routine 28 week prenatal care, which caused significant pain and discomfort in her right arm and shoulder. The pain was immediate and has persisted for eight days, making it difficult to sleep. It is described as throbbing and deep, not typical muscle soreness. Patient is concerned that the vaccine was administered too high, possibly affecting the rotator cuff. There are no visible signs of redness, warmth, or rash on the arm. No numbness or tingling in the fingers, but the pain is severe enough to interfere with daily activities. She is also concerned about the potential impact of the vaccine on her baby. Planning for RT shoulder ultrasound. treating with cyclobenzaprine and tylenol.
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prenatal, tylenol 1000mg tid prn
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Ultrasound right shoulder scheduled.