Received May 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (DAPTACEL) | SANOFI PASTEUR | 1 | — | IM / LA |
Patient contacted us to evaluate her for left upper extremity pain and paresthesias that started less than 24 hours after she received dtap in her left deltoid region. Symptoms started the day after the shot and initially involved her entire arm from site to her fingers and interrupted her sleep, not relieved with Tylenol. She states it does not feel like the CRPS symptoms she tends to get in her right hand. Does not feel like neuropathy she gets in her right foot. After 24 hours she reports it improved somewhat and only now involves her forearm and hand on the left. She has waited 4 days to see if it got better and it is not improving now. She is concerned it is related to the dtap injection as it started shortly after receiving it. She had pain to touch in the left arm and forearm, pain with movement of the extremity. She was able to move through a rom but painful. Temperature difference is present with the left upper extremity cooler than the right upper extremity. Strength is hindered by pain. Prescribed Prednisone 20mg qd x 5 days, Tylenol.
None
CRPS
None
None
none