Received Mar 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | 1967338 | IM / RA |
Pt reports ongoing shoulder pain since the vaccine was administered, which has not dissipated over time. States it "burned excruciatingly" when administered but she wasn't sure if that was normal for HPV vaccine, as this was her first dose. States she recalls thinking at the time that it was administered very high up on her arm. States pain is not debilitating, but that its significant enough to wake her up at night and affects ability to do certain activities. Pt was treated with lidocaine patch and Medrol Dosepack steroids, with some relief. Pt has been evaluated and treated in Physical therapy, starting 9/3/24. Rates pain between a 1-7 at it's best/worst. PT describes as "pain along rotator cuff referral pattern, does not go to or past elbow. Abduction more painful than flexion. Abduction pain at shoulder height and above."
N/A
Migraines, asthma
Breo ellipta inhale 1 puff by inhalation route every day at the same time each day; Eluryng 0.12 mg-0.015 mg/24 hr vaginal ring, insert 1 vaginal ring by vaginal route every month; Proair digihaler 90 mcg/actuation aerosol powder, as need
ADHESIVE, NSAIDS (NON-STEROIDAL ANTI-INFLAMMATORY DRUG), PENICILLIN, SULFA (SULFONAMIDE ANTIBIOTICS)
N/A