Received Oct 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | UNK | — | IM / LA |
Patient reports left shoulder pain began after receiving the PCV 21 vaccine in left arm on 10/9/2025. . Patient denies redness or swelling to the site. Pain 10/10. Patient reports symptoms are associated with pain, loss of motion, and stiffness. Patient treatment consisted of rest, ice and aleve and salon pas patches. Patient referred to urgent ortho. consult note - left shoulder skin intact, no rashes or lesions. Recommendations for rest and ice, compression and elevation. Orthopedics ordered a hely weber sling
none reported
Chronic constipation Depression with anxiety Factor V Leiden mutation (CMS/HCC) Mixed hyperlipidemia Hypothyroidism Fibromyalgia Bulging lumbar disc GERD without esophagitis Spinal stenosis of lumbar region Migraine without aura and without status migrainosus, not intractable Primary insomnia Recurrent sinusitis Numbness and tingling Pain in neck Cervical stenosis of spinal canal
aspirin 81 mg EC tablet ,azelastine (ASTELIN) 137 mcg (0.1 %) nasal spray, buPROPion SR (Wellbutrin Sr) 150 mg 12 hr tablet CALCIUM CITRATE ORAL 96 cyclobenzaprine (Flexeril) 10 mg tablet ,fluoride, sodium, 1.1 % paste, fluticasone propion
Belladonna Alkaloids Medium Dobutamine Medium During cardiac evaluation study English Walnut Gemfibrozil Sulfa and tingling around the mouth Gabapentin Nickel Low Nut - Possibly macadamia, Prednisone Tramadol Low Wheat Low
xray of left shoulder - no fracture