Received Jul 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | 2HJ99 | IM / RA |
Approximately 1 day following administration of the vaccination, patient began to experience severe pain in the right shoulder which progressively worsened to diffuse, generalized pain particularly in his upper and lower extremities. He did seek ER treatment on July 20 as symptoms progressed. He was re-evaluated in my office on July 23, with little improvement.
Acute DVT, PE
Type 2 DM, HTN, dyslipidemia, Adrenal nodule, diabetic neuropathy, rotator cuff syndrome, GERD, CKD, Hyperparathyroidism, elevated PSA
Gabapentin, Lisinopril, Eliquis, Zyrtec, Jardiance, Oxybutynin, Toujeo, Remeron, Pravastatin, Amlodipine
None
7/20/2025 ER evaluation: CBC , mildly elevated wbc 13.26, neutrophils 11, BMP consistent with his CKD baseline creatinine 2.06, eGFR 32, calcium 10.7, normal BNP and troponin. Ct abdomen and pelvis showed Thickening of the distal gastric antrum. Correlate for gastritis. 2. Moderate fecal retention throughout the colon. 3. Over distended urinary bladder. Correlate for urinary retention. 4. Right adrenal adenoma , normal CT brain. = Normal ekg... additional lab tests were ordered on recheck in office 7/24 that included repeat BMP, TSH, vitamin b12, crp, esr, CK, vitamin d, parathyroid hormone, ionized calcium as well as an xray of the right shoulder. These results are still pending.