Received Jul 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MENB | MENINGOCOCCAL B (BEXSERO) | NOVARTIS VACCINES AND DIAGNOSTICS | 2 | 77KA5 | IM / RA |
She reports experiencing pain in her right shoulder, which she describes as severe and debilitating. The pain is so intense that it restricts her mobility, making daily activities such as showering and driving extremely difficult. She also mentions a sharp, shooting pain that radiates down her entire arm to her forearm, past her elbow, and into her back. She has not noticed any swelling, redness, numbness, or tingling in the area. She has been managing the pain with ibuprofen and Tylenol for the past week, along with the application of heat and IcyHot, but these measures have not provided relief. She received a meningitis B vaccine (Bexsero) 7 days ago. This was the second (and final dose). She has never had any other experiences like this with a vaccine. No fevers. Right shoulder pain with limited range of motion of the right upper extremity. There is point tenderness of the posterior (over the superior angle of the scapular) shoulder. She has pain moving the right arm up to 90 degrees and is unable to fully raise her arm over her head. The pain radiates down the arm past the elbow to the forearm. No redness or swelling or subjective warmth is noted. She describes the pain elicited as sharp and shooting. Determined this is acute right shoulder pain after meningococcal vaccine - Likely result of meningitis B vaccine administered on 06/24/2025 - Pain not improved with ibuprofen, Tylenol, heat, or IcyHot - Prescription for meloxicam 15 mg provided; take half a tablet (7.5 mg) once daily, can increase to twice daily if necessary - Follow regimen for a maximum of one week - Referral to consultant for further evaluation - Advised to call if worsening pain; consider oral or intra-articular steroid injection if there's no improvement but I'd like to see what hand or orthopedic surgery would think
N/A
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Cetirizine 10 mg daily
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