Received Jun 2, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | Y019158 | IM / LA |
Patient had injection site pain immediately following administration as she normally does after immunizations, however 2-3 hours following administration the pain began to spread to her shoulder and create stiffness. It kept getting worse for 1-2 weeks, but then stopped getting worse and has been a constant and stable pain for about three weeks. She still cannot move her arm above her shoulder. She reached out to her PCP a couple weeks ago and his office told her to make an appointment if it did not improve. She said she has not had time to make an appointment and can't miss any more work for additional doctor's appointments. She said it does still impact her daily activity, but does not interfere with sleep (aside from it being more difficult to get out of bed).
flare of migraine, vertigo due to severe sinus congestions
migraines, hypertension, diabetes, pt had back surgery 11/2024
nortriptyline, furosemide, famotidine, Xiidra, metoprolol succinate, atorvastatin, hydrochlorothiazide, gabapentin, potassium chloride, prednisone, Ajovy (injects on the 20th of every month in her left thigh)
NKDA
Patient has not been seen by her provider, but does go to physical therapy regularly since her back surgery in 11/2024 and the PT gave her some exercises she could do to try to alleviate the pain/stiffness, but they have not worked.