Received Apr 9, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MENB | MENINGOCOCCAL B (BEXSERO) | NOVARTIS VACCINES AND DIAGNOSTICS | UNK | DD72H | IM / RA |
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | UNK | LX4483 | IM / RA |
Acute pain of right shoulder - Right upper arm and shoulder pain post-vaccination x 1 week - Pain deep in shoulder joint, extending into deltoid muscle insertion with swelling and tenderness - Icing and ibuprofen provide some relief - Prescribed meloxicam 15 mg once daily for pain management - Prescribed methocarbamol, starting with half dose at night for muscle relaxation and sleep - full DUR performed including discussion regarding use, possible side effects, and all questions answered. - Advised against operating machinery or driving taking muscle relaxer - initial x-ray of right shoulder given reduce ROM and TTP over anterior AC joint - US of upper arm given ongoing swelling and tenderness near insertion of deltoid muscle - r/o hematoma, abscess, - Will continue to monitor symptoms; red flag precautions given for when to seek immediate medical attention. Orders: meloxicam (MOBIC) 7.5 mg tablet; Take 1 tablet by mouth Daily as needed for Pain. methocarbamol (ROBAXIN) 750 mg tablet; Take 1-2 tablets by mouth every 6 hours as needed for Muscle spasms for up to 3 days.
None
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Adderall XR 30 mg 24 hr cap, Adderall 10 mg tab, Lamictal 200 mg tab,
NKA
XR Shoulder Right 2 + Vw; Future- 4/2/2025/ US Soft Tissue Other; Future