Received Aug 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | LN4932 | IM / RA |
On August 13, 2025, I gave this patient a Pneumococcal Conjugate 20 Valent (Prevnar 20 PCV 20) intramuscular injection vaccine in her right deltoid muscle. The patient immediately complained of a pain in her deltoid muscle. I attributed this to the vaccine solution can sting sometimes at the injection site. I instructed the patient to move her arm around today and tomorrow, putting the deltoid muscle through range of motion. If her arm hurts, she can take whatever she takes for a headache, and if the site becomes warm or swollen she can apply ice to the site. On August 19, 2025: the patient's daughter called because the patient received the pneumonia vaccine and she has minimal ROM and still in quite a bit of pain. No redness or swelling. Per Dr.: the patient needs to go to urgent care tonight and then be seen in the office tomorrow at 12:45. Verbalized understanding and will contact the office if needed. Pt scheduled for 8/20/25 at 12:45 as per Dr. On August 20, 2025 "the patient is here for complaint of arm pain after she was given an injection last week. The patient presents for evaluation of joint pain/weakness in the arm following a pneumococcal vaccine. According to the patient the pain was significant enough to limit her arm mobility, requiring assistance from her aunt for daily activities such as hair combing and dressing. She sought medical attention at an urgent care facility, where she was prescribed prednisone. An x-ray revealed age-related changes and calcification in the rotator cuff. According to the daughter the injection may have aggravated a pre-existing condition. The attending physician at the urgent care recommended a follow-up with orthopedics and possibly an injection of prednisone if not fully alleviate the symptoms. She is currently on a 6-day course of prednisone, which has significantly improved her condition, allowing her to lift her arm. She also took Tylenol and Advil for pain management. joint pain post-vaccination: Acute. - Likely due to nerve damage from the pneumococcal vaccine. Significant pain immediately after the injection, with initial inability to move the arm, which has improved but still causes discomfort. Improved range of motion in the arm compared to yesterday, but there is still pain upon resistance. X-ray showed age-related changes and calcification in the rotator cuff, per report from the daughter - Prednisone regimen to reduce inflammation."
Muscular deconditioning, Carotid atherosclerosis, Essential hypertension, GERD, Osteoporosis, History of Arthritis, Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin.
Muscular deconditioning, Neck pain, Carotid atherosclerosis, Essential hypertension, GERD, Osteoporosis, History of Arthritis, Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin.
Pneumococcal Conjugate 20 Valent (Prevnar 20 PCV 20)
Adhesive Tape-silicones
An X-ray done at Urgent Care, the patient was prescribed prednisone, The attending physician at the urgent care recommended a follow-up with orthopedics and possibly an injection of prednisone did not fully alleviate the symptoms.