pt says after about 2 hours after getting the RSV vaccine she became very sleepy. She had malaise and felt very ill with no upper respiratory issues. She took tylenol extended release and went to bed. She has slept alot and her symptoms are better but she has still not totally recovered. She has never felt so bad after getting vaccinated before.

N/A

fever tmax 104F temporal at home and vomiting

Approximately 15 minutes after receipt of these vaccines patient experienced dizziness and blurred vision. Approximately 1 hour after receipt patient experienced numbness/tingling to face and mouth and felt as if his mouth and throat were swelling. Symptoms improved following receipt of Benadryl 50mg IV x 1 and EpiPen 0.3mg IM x 1.

Mom reports >24 hr after vaccination, child’s arm swollen.

Mom reported to this writer. Onset of generalized rash ~90 min after immunization. Hives starting on trunk w/ spread to ears, chest, face. Gave OTC

Patient was given a dose of Hep B, Pentacel and PCV20 erroneously. She was given the same vaccines at 15 months – due to a change in the well child visit schedule this was an oversight

pain in the right arm

Adhesive capsulitis

Patient is trying to get appointment with neurologist for next week. She states the next day after the shot her muscles in right arm felt heavy when trying to lift. Some tingling in the fingers when holding things and pain from pinky finger all the way up the arm. The symptoms are worse when lifting something and then dull throughout the day with little pain but it is annoying. States it also feels like she has a knot in her arm but it is on the underside/backside of arm, not where the shot was given. It also feels like she has a knot in the back of her shoulder. States she also had ghost pain in the same spot in her other arm that lasted for a few days but then went away. Patient stated she had a similar issue years ago so she is not sure if this is from the shot or not or if the shot irritated the nerve pain. She had to do physical therapy years ago due to nerve pain/damage in her arm from leaning on it and long commutes. Patient also stated she has chronic nerve pain she is being treated for. After the shot she went shopping and used her right arm where the shot was given to lift a bag of oranges and that may have been the start of it. Patient also had fatigue for about 5 days after that vaccine.