Received Jul 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MENB | MENINGOCOCCAL B (BEXSERO) | NOVARTIS VACCINES AND DIAGNOSTICS | 1 | 7mn4c | IM / LA |
Two weeks post injection (7/11/25) parent called office to report patient complaints of arm throbbing when she's trying to sleep, hurts during the day, and hurts when she lifts her arm. Patient seen 3 days later (7/14/2025) in office for examination as pain was still present. There was no point tenderness, swelling or redness in her deltoid muscle near site of injection. No pain with passive range of motion. Treatment with naproxen sodium 220mg AM and 440mg PM since pain was worse in the evening. Recommended gentle stretching exercises to prevent stiffness, heat and ice depending which makes it feel better. 7/18/2025 Mom called back stating patient was still in discomfort. Patient was taking naproxen sodium 440mg qhs which helped but not taking the 220mg qam regularly. Still complaints of "pinching/burning" pain intermittently. Recommended increasing naproxen sodium to 440 mg BID, starting Medrol dose pack and range of motion exercises 2x/day. Recommended ortho evaluation if not improving.
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Retin-A Micro 0.04% topical gel, Clindamycin 1% lotion
Bactrim, Latex
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