Received Apr 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | Y013009 | IM / LA |
04/10/25 (Thr Apr 10) 02:05 PM Pt called stating she is not reacting well to the shot she got yesterday. pt states her left arm is in so much pain and it is going to her neck, pt states she can barley move her arm. pt states she knows she is going to be sore but this is more then that pt states she took Advil as the day has gone by it has gotten better but she wanted to inform us. 04/10/25 (Thr Apr 10) 02:05 PM Sent to PA-C 04/11/25 (Fri Apr 11) 11:13 AM PA-C can you call and see how she is today 04/11/25 (Fri Apr 11) 11:13 AM PA-C Forwarded 04/11/25 (Fri Apr 11) 11:26 AM lvm for pt to call office back 04/14/25 (Mon Apr 14) 10:18 AM lvm for pt to call office back 04/14/25 (Mon Apr 14) 10:38 AM pt called back relayed above pt states she feels better now she has full range of motion in her arm pt states she started feeling better on Saturday. pt states she believes she had an allergic reaction pt states her arm was in so much pain she could not even work. 04/14/25 (Mon Apr 14) 10:38 AM Forwarded 04/15/25 (Tue Apr 15) 07:05 AM PA-C Closed 04/15/25 (Tue Apr 15) 03:21 PM LPN Opened 04/15/25 (Tue Apr 15) 03:32 PM LPN Patient called, states that she is "having severe reaction to pneumonia vaccine", states that it was "akin to paralysis" on her left arm and entire left side. States that she has regained mobility. Still has pain in left shoulder, but skin still has discoloration. Reports that she was bed ridden throughout the weekend. Patient wants this reported to CDC for negative vaccine reaction. Do you want me to add vaccine to allergy list?? After talking to patient, states that she felt "weird", after getting vaccine, states that she sat in her car and believed it to be vasovagal. After discussing reactions with her, patient states that she felt chest tightness immediately after. 04/15/25 (Tue Apr 15) 03:41 PM Employee discussed this with me. If pt wants us to report an adverse reaction to the vaccine we need to report on VAERS (Vaccine Adverse Event Reporting System). This can be done online. I will use the information in this triage to report it. I haven't had to report before so Im not sure of the follow up but the process seems pretty simple. 04/15/25 (Tue Apr 15) 03:46 PM PA-C the story is so inconsistent. But yes seems like we should report.... hopefully you can free text what pt stated. With the arm pain I don't suspect it to be an allergic reaction but more so the needle could have hit a nerve or gone into bursa/muscle. Let me know what other info you may need, TY 04/15/25 (Tue Apr 15) 03:46 PM PA-C Forwarded
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Premenstrual tension syndrome, H/O: pulmonary embolus, Generalized anxiety disorder, Dysmenorrhea, H/O: pulmonary embolus, Herpes simplex type 1 infection, History of dysplasia of cervix, IUD check, Menorrhagia
Epinephrine 0.3 mg/0.3ml use as directed Lamotrigine 100 mg 1 by mouth every day Medical Marijuana daily Paragard Intrauterine Copper Contraceptive T380a T380a Paroxetine HCL 20 mg take 1 tablet by mouth every morning Vitamin C
Kiwi
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