Received Apr 14, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | UNK | 945655 | IM / LA |
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | Z27PB | IM / LA |
4/29/25 - Patient reports left shoulder pain since receiving Hep A and Hep B vaccines; reporting sleep disturbances; constant aching pain with occasional sharp pains; pain radiates through arm and into neck and upper back. No relief from OTC meds, rest, or application of heat or ice. 4/3/26 - Patient reports ongoing left shoulder pain with aching, constant pressure, a pulling sensation, occasional stabbing pain, and periodic weakness, and limited range of motion. She has tried Celebrex, Baclofen, Naproxen, and Ibuprofen with some benefit; two cortisone injections provided minor relief. No other trauma or injury has been reported. Additionally, patient reports numbness in the first three digits of the left hand for the past 3 months.
Seen by PCP on 3/17/25 with symptoms of cough, congestion, sore throat, and fever - Negative for strep, Covid, and Flu.
Hepatitis C
Apple Cider Vinegar; Hydrochlorothiazide; Ibuprofen; Inulin; Multivitamin with Folic Acid; Zepbound; Valacyclovir HCl.
No known allergies.
Imaging from x-ray and MRI show mild AC osteoarthritis and no acute osseous abnormalities.