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Report #2854818

Received Aug 19, 2025

ER / ED visitOffice visit
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Overview

Sex
Female
Age
54 yrs
State
VA
Recovered
Not recovered
Vaccinated
Jul 31, 2025
Onset
Aug 1, 2025
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
PNC20PNEUMO (PREVNAR20)PFIZER\WYETH1—SYR / RA

Symptoms (8)

ArthralgiaBlood test normalInjected limb mobility decreasedMuscle spasmsPainPain in extremityTendonitisX-ray limb abnormal

Symptom narrative

7/31/2025 - received Prevanar 20 vaccination as part of routine visit to PCP 8/1/2025 - arm became increasingly sore throughout the day 8/2/2025 - pain increased to the point I was unable to lift my right arm above my head 8/3/2025 - sever pain continued; unable to move right arm without pain 8/4/2025 - contacted doctor's office 8/5/2025 - doctor visit; Dr. prescribed methylprednisolon (MEDROL, PAK) 4mg tablet for acute pain in the right shoulder 8/6/2025-8/7/2025 - improvement noted, although still did not regain range of motion 8/8/2025-8/9/2025 - pain increased; started having intense burst of pain in upeer arm (muscle spasms) 8/9/2025 - treated at health clinic and later that evening treated at Hospital. Patient First physician prescribed Methocarbamol 500mg tablets and Tramadol 50mg tablets. ER physician administered morphine intravenously to relieve pain. Lab (blood tests) run with no significant findings noted. ER advised to stop taking Tramadol and instead prescribed Hyrocodone-Acetamin in addition to the Methcarbamol. 8/10/2025 - 8/12/25 - Pain was managed, but range of motion was still very limited. 8/13/2025 - Follow-up visit to PCP. Dr. referred me to orthopedic specialist. 8/14/2025 - Was seen by orthodpedic specialist. She performed an X-ray and then proceeded to give me a bethasone acetate-betamethasone sodium phosphate (CELESTONE) injection 6mg 8/14-2025 - 8/19/2025 - significant improvement noted in pain level and range of motion; can still feel light spasms at times but can move my arm as needed

Current illness

n/a

Medical history

n/a

Other medications

Dicoflenac Sodium, Tumeric, Tertinoin

Allergies

n/a

Lab data

8/9/2025 - lab test at ER; no significant findings 8/14/2025 - X-ray at Orthopedic Specialists; large calcific lesion in the region o