Received May 6, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Z011334 | RA |
Patient recieved HPV vaccine on 3/30/2026 in right deltoid. On 4/20/2026 patient reached out to provider complain of pain to right shoulder immediately after receiving the vaccine that continued. Patient by Dr. on 4/27/2026p/w right shoulder pain following HPV vaccine #1. Presentation and exam is consistent with SIRVA. Patient advised: - continue icing shoulder 2-3x a day - start naproxen 2x a day for minimum of 5 days - referral for PT - follow up with MD if no improvement in 2 months - next dose of HPV vaccine delayed 3 months. Start naproxen 500 mg tablet 1 tablet 2 times a day for 5 days
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