Conversation: The conversation between human and AI assistant.
[|Human|] My daughter received a Tdap shot a week ago.  She is pregnant. Her arm hurts so bad that she cant move it. Shes in tears. She feels as though shes not being tough enough to handle it. But shes hurting badly. Is this normal?  She received the shot way up by her shoulder and she is a thin person. Should she go to the ER?  What should she do?
[|AI|]  Hello, Thanks for letting us know your health concern. I have gone through your query and would like to offer some suggestions. It is common to encounter some induration and pain after the vaccination. Cold compression is usually sufficient to relieve the pain. As she is a thin person the muscle mass is likely to be less and hence the pain. Please inform her health care provider if there is no relief with rest and cold compression. Analgesics may be needed and should be used under guidance as she is pregnant. Hope this helps.