Received Aug 15, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 2 | y012921 | IM / LA |
She reports L sharp arm pain starting that evening along with lymphadenopathy on shoulder/neck area. Patient reports Monday night after receiving the vaccine her arm was very sore and had traveled into her shoulder. Wednesday afternoon she put her seatbelt on and noticed her neck was sore and tender to touch. Thursday the pain became worse and she felt a nodule in her neck. The pain has become constant. Patient reports using ibuprofen and ice with minimal relief.
None
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Multivitamin, Trazodone 50mg tab take 1.5-2 tabs nightly, Ortho-cyclen
Fluoxetine, latex
CT soft tissue neck ordered but not completed at this time