Received Aug 5, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MENB | MENINGOCOCCAL B (BEXSERO) | NOVARTIS VACCINES AND DIAGNOSTICS | 2 | 49M9N | IM / LA |
Patient was seen in the office 7/10 with left shoulder pain that extended to her left upper back and the connecting part of her right shoulder. Difficulty lifting her arm due the severity of the pain. The patient also has weakness in her shoulder but maintains normal hand strength and finger mobility without paresthesia. The injection site had no swelling, redness or bruising. She was given home care remedies. The patient reached out on 7/18 stating that she still had limited range of motion and pain. Home remedies recommended. b On 7/24 the patient called back because she was still experiencing pain in her shoulder. Pedi recommended physical therapy (PT) but the PT dept was unable to get patient in soon. We scheduled the patient to be seen in the office 7/25- Xray ordered prior to visit. Follow up appt scheduled in orthopaedics. Patient seen in ortho 7/28 and counseled on a SIRVA etiology and was provided the education materials for next steps.
None that are noted
Lexapro, Nexplanon, Relafen
Penicillins, amoxicillin
Xray order of her should prior to 7/25 appointment. - Results -Shoulder X-ray: Clavicle normal, humeral head smooth and round, scapula normal, acromion normal, glenohumeral joint normal, joint space smooth, bone structures normal, no irregularities or impingement.