Received Sep 26, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | UNK | Y013565 | IM / RA |
Patient received three vaccines on 09/17/2025: two administered in the right deltoid (influenza vaccine and Gardasil) and one in the left deltoid (hepatitis B). Patient presented today reporting localized side effects only in the right arm, where two vaccines were administered. Swelling in the right arm, underarm, and associated lymph nodes Tingling sensation at the tips of the fingers Pulsating sensation and intermittent numbness in the fingers Pain in the right shoulder Tenderness and pain upon touch at the right deltoid injection site Symptoms began one day after vaccination Patient reports that taking ibuprofen and applying an ice pack significantly reduces pain
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