Received Apr 28, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | UNK | MN0749 | IM / RA |
Patient received PCV20 vaccine in the right deltoid on 4/13/26 during PCP visit. Same day onset of right arm/shoulder pain with mild swelling and warmth at injection site. On 4/15/26, patient reported persistent pain, swelling, and warmth without improvement or worsening; denied fever, spreading erythema, drainage, dyspnea, hives, or facial/throat swelling. Home care and return to clinic instructions provided by RN. At in person visit on 4/23/26, patient reported ongoing localized right shoulder pain with tenderness, palpable lump/knot at injection site, warmth, and decreased range of motion with difficulty lifting arm. Denied issues related to prior right shoulder arthroplasty (~3 years ago) and denied signs of joint infection. Advised to continue lidocaine patches, apply ice, consider otc pain relievers, perform light range of motion exercises, and monitor symptoms.
Cough and throat concerns
CKD stage 3, Hypertension, OSA, abnormal liver enzymes, hyperlipidemia, asthma, arthritis, peptic ulcer disease, hiatal hernia,
Nystatin 100000 unit/ml suspensionTaking traZODone HCl 100 mg tabletTaking Blood Pressure Cuff/Large miscellaneousTaking amLODIPine Besylate 5 mg tabletTaking Albuterol Sulfate (2.5 mg/3ml) 0.083% nebulization solutionTaking Amitriptyline H
milk: itching; Pecan nuts: anaphylaxis
n/a