Received Feb 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | CRM197 | IM |
Below it the information from the nurse that administered the vaccine. I saw Pt on 2/19/25, this was when I was made aware of adverse reaction from vaccine RN (Registered Nurse) ? Encounter Date: 2/3/2025 ? Signed is a 71 y.o. male who presents to the 2/3/2025 for immunization(s) ordered by provider . Immunizations administered: Pneumococcal conjugate (PCV20) (Prevnar 20) polysaccharide CRM197, adjuvant, PF 6 WKS+ IM (90677) (216) See Immunization activity for required documentation. Post-treatment monitoring done per protocol. Patient observed for adverse reactions for 15 minutes. Adverse reaction(s): None On 2/19/25 , Pt reported the following...... During shot felt it in his fingertips Worst symptoms 3-4 days after injection - states he couldn't actively lift left harm. Currently with arm hanging at his side feels an abnormality in upper left arm When he actively abducts left arm localized pain increases. States it is still painful to put coat on. States he is still uncomfortable when trying to sleep on left side No bruising or rash in the area at time or after injection Pt had pain with active abduction of left arm on exam 2/19/25, no anatomical abnormalities noted. Ultrasound of area ordered and conservative treatment with Tylenol and heat/ice recommended. No additional follow up at this time to report.
n/a
Factor V Leiden, HLD, Hx of DVT
Atorvastatin, Xarelto, Protonix
NKDA