Received Apr 17, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 2 | Z011090 | IM / RA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | FY293 | IM / RA |
HPV vaccine caused pain during administration. Patient reported to continue having pain a week later: pain in shoulder-unable to lift arm above head, pain radiates to hand/wrist making it difficult to perform regular activities. Patient seen on 04/07/26: US ordered, referred to orthopedics, instructed to take ibuprofen 600mg TID x 7 days, perform gentle exercises, apply cool compress, rest shoulder but not immobile.
Anxiety-fear of flying, elevated LDL, Prediabetes Risk.
xanax 0.5 mg prn, Melatonin 5mg prn, Tretinoin 0.025% cream 1g nightly
NKA
US impression: "no abnormality of the musculature or shoulder identified". MD recommended to follow up with Ortho and could consider MRI if shoulder pain persists. Patient has appointment with ortho scheduled.