Received Aug 12, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | UNK | — | — |
Patient describes painless and event free vaccination for rabies in early May with a 2 vaccine series. Patient describes ongoing arthralgia 1 week following vaccination, exacerbated by strenuous physical exercise. Patient was not experiencing the left deltoid pain until 1 week following vaccination, to be clear. The pain was brought on initially when driving, exacerbated while rowing a raft. She was encouraged to follow up with a physical therapist and primary care, as I believe the cause is most likely not associated with vaccination, though could have been exacerbated by introduction of IM injection. Patient is very clear that vaccination itself was painless, uneventful, and without symptoms for days following.
M12.812. Musculoskeletal arthropathy, exacerbated by heavy physical activity following vaccination.
Spironolactone 25 mg and Lexapro 10 mg
NKFDA