Received Feb 19, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PPV | PNEUMO (PNEUMOVAX) | MERCK & CO. INC. | 1 | X027348 | SC / LA |
She reports persistent arm pain following a vaccination, which has improved with steroid treatment. Initially, she experienced limited range of motion, necessitating support from the counter to perform tasks such as drying her hair. The pain was initially localized but has since spread to both arms and down to her fingers. She had a tingling/electric shock pain to her fingers. She also reports tingling in her fingers, reminiscent of a previous shoulder injury. She describes the sensation as similar to a rotator cuff injury, with associated tingling in her fingers. She has been using red light therapy and over-the-counter analgesics, but these have caused gastrointestinal upset. She has no history of shoulder issues, except for occasional soreness. She has received annual influenza vaccines without complications, but did not receive one this year due to illness. She was unable to lift objects above her head for weeks, and felt like she lost all strength in that arm for about one week.
Acute sinusitis (likely viral)
allergic rhinitis, non-allergic rhinitis, COPD, gastroesophageal reflux, high cholesterol, osteoarthritis, IgG subclass deficiency with poor vaccine response
Atorvastatin, azelastine nasal spray, estriol power (vaginal), famotidine, fluorouracil 5% cream, Breo Ellipta, montelukast, loratadine, omeprazole, testosterone powder (vaginal), tumeric
levofloxacin, Bactrim
None