Received Apr 11, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 7+ | LN0591 | IM / RA |
Patient presents to clinic for right sided shoulder pain following Pfizer covid-19 vaccine at the clinic yesterday 4/10 at approx 2:30 pm. Patient has had Moderna and Pfizer covid vaccines in past w/o incident Patient reports that at the time of injection there was no pain. However within 1 hour a sharp aching discomfort developed at injection site. Overnight the pain worsened and patient cannot move his arm all the way. Pain at rest 0/10 Pain with movement 8/10 OTC denies no previous injuries to the right shoulder, no surgeries to right shoulder. Patient expresses concern over "seeing the nurse drop the vaccine on the floor before giving it to me"
None reported
CAD, GERD, BLOOD CLOTS, SMOKER
Omeprazole 40 MG Capsule Delayed Release 1 cap(s) orally once a day. Pantoprazole Sodium 40 MG Tablet Delayed Release Oral. Cilostazol 50 MG Tablet Oral. Clopidogrel Bisulfate 75 MG Tablet Oral. Isosorbide Mononitrate ER 30 MG Tablet Extend
NONE