Report #2826420

Received Feb 16, 2025

Office visit

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Overview

Sex: Female
Age: 43 yrs
State: FL
Recovered: Unknown
Vaccinated: Feb 14, 2025
Onset: Feb 15, 2025
Days to onset: 1
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
PNC21	PNEUMO (CAPVAXIVE)	MERCK & CO. INC.	UNK	y013009	IM / LA
VARZOS	ZOSTER (SHINGRIX)	GLAXOSMITHKLINE BIOLOGICALS	1	93kk4	IM / LA

Symptoms (4)

ArthralgiaInjection site erythemaInjection site painInjection site warmth

Symptom narrative

Patient reports having left arm pain, red circular area that has been spreading after having shingrix and prevnar vaccinations on left deltoid. During clinic visit, site measured 9 cm by 6 cm in diameter, warm to touch. Reports left shoulder pain and entire body feels "angry". She applied cool compresses but site is still painful and got, and had ibuprofen as well. Reports she has had bone marrow biopsies in the past and this pain is worse. Advised follow up with urgent care. Medrol pak prescribed in clinic today.

Current illness

Recurrent UTI, psoriatic arthritis, depression, anxiety, ADHD

Medical history

psoriatic arthritis, recurrent UTI, depression, anxiety, ADHD

Other medications

carisoprodol 350 mg , dextroamphetamine-amphetamine (mydayis) 50 mg, famotidine, folic acid, ibuprofen 800 mg, lubiprostone, hiprex, methotrexate, minodixil, multivitamin, tizanidine PRN, zenzedi

Allergies

morphine, zofran

Lab data

patient referred to urgent care from clinic.