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Report #2893331

Received Apr 20, 2026

ER / ED visitOffice visit
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Overview

Sex
Female
Age
33 yrs
State
TX
Recovered
Unknown
Vaccinated
Feb 9, 2026
Onset
Feb 9, 2026
Days to onset
0
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
HPV9HPV (GARDASIL 9)MERCK & CO. INC.2SYR / LA

Symptoms (14)

ArthralgiaBlood pressure decreasedBursa calcificationBursitisCubital tunnel syndromeInjected limb mobility decreasedInjection site painInjection site reactionMagnetic resonance imaging abnormalMuscle strainPyrexiaSleep disorderTendonitisX-ray limb abnormal

Symptom narrative

2/9 - pain at injection; drop of blood pressure 15 minutes after injection; 2/10-2/16: fever first day after injection, pain at injection; decreased range of motion; 2/16 - urgent care visit as pain was impacting sleep; prescribed 50mg methocarbamol (3x/day as needed), 375mg naproxen (2x/day), & patient was told they could supplement w/ acetaminophen for symptom relief; 2/17-3/2 - continued symptoms (pain in left shoulder / upper arm, reduced range of motion); 3/3 - orthopedic visit & x-ray, renewed prescription for napoxen, now at 500mg; 3/4-3/15 - continued symptoms (pain in left shoulder / upper arm + reduced range of motion) and side effects from naproxen: lightheadedness, dizziness; 3/16 - MRI; 3/17-3/31: continued symptoms; 4/1 - ultrasound-guided steroid injection and diagnosis of calcific tendonitis

Current illness

N/A

Medical history

N/A

Other medications

Paraguard IUD

Allergies

Ethanol allergy

Lab data

3/3 - x-ray (normal); diagnosis - pain of shoulder region; strain of left deltoid muscle; cubital tunnel syndrome on left; 3/16 MRI - impressions: 1) bursal-sided irregularity at the posterior inferior infraspinatus tendon insertion with subdeltoid bursal edema, suspicious for bural-sided acute calcific bursitis; 2) mild distal clavicular marrow edema without acromioclavicular separation, possibly contusion or mechanical; 4/1 - calcific tendonitis of left shoulder