Received Feb 19, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 2 | Y000206 | IM / RA |
Patient described the vaccine as extremely painful when administered, unlike the first dose and felt like it contributed to her shoulder popping out of her socket. Patient reported swelling, and inflammation, but I observed no abnormalities when I compared her right and left arm in person on 2/19/2025 at 11 AM, but vaccine was administered on 2/11/2025. She reported her shoulder being partially dislocated during this time. Her physical therapist recommended patient reach to the pharmacy to inform us in which I has patient present to the pharmacy to observe.
Unknown
Previous shoulder injury: recovering through Physical Therapy
Ibuprofen Liquid
NKDA
I observed the patient's arm on 2/19/2025 at 11 AM. Patient reported having physical therapy where her symptoms of her shoulder being dislocated have worsened on 2/18/2025. Recommended patient be seen by primary care provider.