Received Feb 26, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | N/A | U8523BA | IM / LA |
| HEPAB | HEP A + HEP B (TWINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 4DS4N | IM / LA |
| IPV | POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | 1 | X1B141M | SC / LA |
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 1 | Y011019 | SC / LA |
Patient reported experiencing bilateral arm pain after receiving vaccines in both arms. However, pain in left upper arm continued. Patient returned 1 month later for second doses and reported pain to RN. Adacel received in left deltoid on 1/21/25. Client reported bilateral arm pain due to vaccination, pain in left upper arm continued. Patient returned to clinic on 2/25/25 to report pain. Describes pain as sharp like a needlestick upon palpation, soreness with movement- hurts/makes getting dressed difficult. Upon evaluation, no obvious bruises, masses, redness, swelling present. Patient denies injury or trauma to site before or after vaccination and reports she does not sleep on that side nor does any work that strains the muscle. Describes pain as 8/10- still feels like she was recently vaccinated.
Not asked
Not asked
naproxen, ibuprofen, tylenol
NKA per client's immunization screening
N/A. Client was advised to see primary for evaluation. Client is (redacted) speaker.