Received Jul 22, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (ENGERIX-B) | GLAXOSMITHKLINE BIOLOGICALS | 2 | 4D333 | IM / RA |
| MENB | MENINGOCOCCAL B (BEXSERO) | NOVARTIS VACCINES AND DIAGNOSTICS | 1 | 49M9N | IM / RA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 2 | U8375AB | IM / LA |
Right Shoulder Pain - Persistent right shoulder discomfort began with a few hours after an injection in the right deltoid during the last visit. - Limited mobility prompted an urgent care visit on 7/10 - He describes a sensation of the shoulder blade caving in when both arms are raised and notes a size difference between shoulders. - Pain occurs when sleeping on the right side and crossing the right arm over the body, accompanied by a crunching sound. He is unable to fully adduct and flex to start a golf swing - Pain and reduced flexion, extension, abduction and adduction - No swelling, redness, or rash. - No strenuous activities since onset. - Pain subsided after 3 days, leading to cancellation of follow-up from facility, but continued limited ROM prompted a visit with PCP on 7/21/25 - Using lidocaine patch, ice, ibuprofen, and Tylenol as recommended, providing some relief. - on Exam- limited right shoulder ROM with pain over the posterolateral deltoid in the groove c/w rotator cuff tendonitis
Ankle sprain
None
Fluoride
Lactose
None