Received Feb 26, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | N/A | U8252AA | IM / LA |
Patient presented 02/21/2025 for office visit and described the event. No report of the event was reported to our clinic prior to this date. Patient reported: - Experienced pain in the left shoulder after receiving a vaccine on November 27, 2023. - Pain began the same day as the vaccine administration. - Pain intensifies with arm movement, particularly when raising the arm or doing hair. Pain located in shoulder (deltoid region), and feelings a "weird feeling" radiate down arm over lateral arm and forearm with certain movements - She notes that the pain sometimes starts radiates from the mid left side of her neck and radiates neck down the left arm.
None
Osteoarthritis of the right knee
naproxen 250 mg tablet
No known drug allergies or food/product allergies
Radiograph of cervical spine, left shoulder and humorous were obtained. Images were obtained on 2/21 /2025. Results demonstrated: FINDINGS: The cervical vertebra are normal in height. There is minimal anterior subluxation of C4 on C5. There is disc space narrowing and spurring at multiple levels. There is no spondylolisthesis or spondylolysis. IMPRESSION: Cervical spondylosis, moderately advanced for age.