Received Oct 12, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| RSV | RSV (AREXVY) | GLAXOSMITHKLINE BIOLOGICALS | 1 | j9493 | IM / RA |
Patient came into the pharmacy today to see if there was any OTC medicine that she could take to help with her sore arm. She mentioned that she received her vaccine almost 2 weeks ago and that she could not move her arm well due to muscle and joint pain in her right deltoid/shoulder. Upon looking at the arm there was bruising around the arm due to the fact that the patient received the arexvy and fluzone hd in the same arm and is also on blood thinners. She gets flu shot annually with no previous problems. She mentioned that the bruising is not sore and that any time she bruises it lasts a long time due to the blood thinners. However she cannot handle the joint/muscle pain when she raises her arm. She has been taking tylenol otc, and rotating heat and ice for over a week with little relief. She has AFIB and hypertension and does not take NSAIDS. I recommended a sling to help decrease movement, lidocaine to help with pain, to continue the use of heat and ice, and to follow up with pcp. Patient said she would follow up with provider if pain got worse or if there is no signs of improvement in the next few days.
none
hypertension, afib, gerd
tylenol
penicillin
none at this time