Received Jun 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | LK6655 | IM / RA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 9N4E7 | IM / LA |
Patient presented to clinic for vaccinations, receiving Prevnar20 in right deltoid and Tdap in left deltoid on Friday afternoon (5/2). Patient complained of some pain during the injection process of the Prevnar 20 vaccine to her right deltoid. The vaccine was given in full, and she said it felt like a muscle spasm in her arm. Patient left message for clinic later that evening that arm had radiating pain from shoulders to fingertips. Clinic called patient back Monday morning upon seeing message where patient states pain increased around 7:30 pm the evening of 5/2, to the point where she was not able to lift her arm above her head. She stated there was no redness or swelling at the injection site. All of her pain resided in her muscle/joint area. She did not seek further medical attention over the weekend. The provider was notified and called the patient advising that patient needs to come in for an exam if she continues to have issues with range of motion of arm. Patient states no improvement in pain and was scheduled to see provider in clinic on 5/7. Patient encouraged to continue taking ibuprofen as needed, ice, and to seek treatment at the ER if her pain worsened. At visit, patient was prescribed prednisone in the morning for 5 days and to follow up in clinic if still no improvement will plan for EMG. A follow-up message was sent to patient on her improvement however patient stated that symptoms have improved minimally, with pain still in shoulder, triceps and radiating down the arm. Provider has planned to schedule and EMG.
None
hypertension
Tretinoin cream, drospirenone (Slynd), amlodipine, potassium citrate, cetirizine, calcium, multivitamin
Morphine (hives and nausea)
None