Received Aug 6, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Y020464 | IM / RA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 1 | U8573AA | IM / LA |
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | N/A | 4CA28C1 | IM / LA |
Patient initially developed a lump in her right deltoid muscle with soreness where the vaccine was given. The lump resolved in a few days. She continues to have right upper arm/deltoid pain and also right shoulder pain (anterior and posterior shoulder) with movement, especially with lifting her arm above her hand and playing volleyball. She feels the pain with movement is worsening over time. She came in for an appointment due to the pain today (2 weeks post vaccination). She has tried ibuprofen, tylenol, and ice- which help for a short time then the pain (only with activity) returns. I referred her today to physical therapy for the pain.
none
exercise induced asthma
albuterol inhaler as needed, multivitamin
no known allergies
none