Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Received 1st round of the Pfizer vaccine on April 7th 2021 around 8:20 am. Received vaccine shot in my left arm. After i received my shot my arm started hurting right away, i was informed that was normal and it should go away in a couple of days. Later that day my arm swelled up and was still hurting i couldn't even lay on my arm. My arm continued to be hurting and the swelling would come and go. On April 28th 2021 i went in for my second dose of Pfizer and right away after the shot was giving to me my arm swelled up and the pain was still there in my left arm. I was informed it would go away that it's reacting to the vaccine. Months went on with my arm swelled up and in pain constantly still can't lay on my arm. When my kids went in for there second round of vaccine i asked the nurse about my arm and she said that they may have gotten a nerve. I went on with my arm being swollen and the pain in my arm until i couldn't move my arm and the pain was really intense on October 2nd 2021 when i ended up in the urgent care, they noticed my arm was swollen and was not sure what it was but thought it might be a blood clot and they sent me to the emergency room. At the emergency room they did a ultra sound and an x-ray on my arm. I was diagnosed with rotator cuff tendinitis, shoulder impingement syndrome, was sent home with my arm in a sling and pain meds to help with the pain. I was referred to  Slocum and to have a follow up with my primary Dr. I didn't have a primary dr so i called around to find one that was taking patients when i found Dr. and made a follow up appt with her. I saw Dr. on October 13th 2021 and was diagnosed with Calcific tendinitis of the left shoulder. At this appt i was given a cortizone shot in my left arm to see if that would help with the pain and was referred to physical therapy for 8weeks and was to see Dr. on Dec. 8th for a follow up. I started physical therapy on October 22nd 2021 and went  once a week for 8 weeks. I had my follow up with Dr. on Dec. 8th 2021 and he informed me i have 2 options and one is try a Barbotage procedure or have surgery, with surgery i was looking at a 6 month recovery or i can try the barbotage procedure and have a recovery of 2 weeks. We decided to try the barbotage procedure first. I spoke with Dr on Dec. 21st 2021 and was a candidate for the procedure and will have this procedure done on Jan. 21st @ 8:25 am. If this procedure doesn't work then i go back and see Dr for the surgery. During physical therapy i only had a 25% improvement on some motion of my arm and other areas a zero improvement. My arm is still swollen and in pain, the pain is so intense that my primary dr has me on Ibuprofen 800mg 3x's a day along with tylenol at it's max dosage along with hydrocodone-acetaminophen 5mg-325mg 3x's a day and icing my arm left shoulder as needed. I can't do much of anything with my left arm as the pain is to intense. The reason why i waited to see a actual dr is because i didn't have one and was going off of what nurses had informed me that it should go away, But here i am almost a year later and the pain and swollen arm are still constant. I did not have any injuries or problems with my left shoulder until i received my Covid vaccine. I believe the vaccine was administered wrong which caused my arm to swell and be in so much pain. Treatment at this point is on going and not sure what's going to happen. I was informed by Dr that the tendinitis will not be going anywhere.