Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Insomnia, Joint noise, Joint range of motion decreased, Limb discomfort
Clinical narrative: This is a summary and time line of the issues that I have had since my vaccine on April 1, 2021.  No matter what my pain level was, I always moved and stretched my arm through the pain. I felt that if I stopped moving it, the pain and range of motion would get worse.   April 1: received J&J shot. Shot was administered by an MD. The needle made a squirting noise at the end when he pulled it out. Later at night my arm became sore. I could not sleep on it. The pain was internal ? there was no soreness to the exterior touch and no redness. I?ll note here that the injection site NEVER hurt to be touched from the outside, there has never been any injection site soreness to the touch or bumps or redness. The injection site was high up on my arm and to the side.  April 2: range of motion limited. Extremely painful to move (symptoms are like Rotator cuff injury).  Cannot sleep on it.   April 3: same as day before. I called the on call doc. She called me back. She asked some questions about the symptoms. She said she got a COVID vaccine and her arm was super sore too could sleep on it etc., worst arm pain she?s ever had. She also asked me what symptoms I was having and to call back the next day if there was no improvement.   April 4: I didn?t call the doctor again as there seemed to be improvement. Range of motion not great but a little better. Hurts a little less. Can?t sleep on it.   April 5 ? 8: small improvements but still limited range of motion and pain. Twinges here and there and also when arm moved a certain way it pops.  (the ?pop? is in the shoulder - I have never had this prior to shot and pain).  April 9:  woke up to arm being way worse.  A relapse.  Limited range of motion.  Can lift above head but hurts a lot. Taking off shirts/clothing hurts. Cannot sleep on it or on my back without pain. Cannot sleep most of the night.  April 10 -11:  same  April 12: same as above.  Called doctor. Confirms it shouldn?t be this way. Warm compresses.  Ibuprofen. Says if not better can come in for ultrasound. I say I may just go to orthopedic doctor ? saves some steps.  April 13: same as above. I made an appointment with the orthopedic doctor for May 5th.   April 13-28. basically the same as above. There has been little to no improvement and perhaps shoulder is more stiff in some ways (i.e. lifting it to my head difficult).  Range of motion is limited.  Cannot put on or take off clothes without pain.  Arm is very weak and I cannot push myself off the bed or couch with the arm.  Cannot sleep on back have to lie on opposite side and prop arm up on pillow. Doesn?t stay comfortable.  Try to lie on back. Cannot lie this way for long.  Up most of the night.  All through night and morning arm is hard to lift and feels like there?s 50 pounds of weight on it.  Harder to lift forward than up or to back.  Shoulder ?pops? on occasion.  April 29-30:  all symptoms are the same as above, but it feels like that this a tiny bit of improvement.  I cannot lift my arm ?normally? to itch my head. It feels like there is heavy weight on it.  The arm is very weak compared to my other arm and there is a lot of pain when I use it for most tasks.  The pain is in the shoulder. The ?popping? in the shoulder continues.  May 5th ? Appointment with orthopedic doctor. X-rays.  Prescribed physical therapy for 4-6 weeks and if I am not better then perhaps an MRI.  May 5-19 ? I have had two weeks of physical therapy (six sessions). Pain keeps me up nightly and I do not have full range of motion without pain. Range of motion improving slowly.   May 20-June 7 ? Another 8 sessions of physical therapy. Based upon discussions about my pain and progress made, I have been told that I probably saved myself from frozen shoulder by moving it constantly since getting injured (before PT). I have had improvements in how I move my arm, but certain movements still create a lot of pain for me. For instance, I can lift my shirt off with ?some? pain, but it?s much worse if I have use any sort of exertion or use my muscle to pull on the shirt. I also cannot move my arm suddenly or fast without causing pain. At night the pain no longer wakes me up, but when I wake up on my own and have to shift and pull on the covers, I can barely pull them on and my arm pops or ?tweaks?.  Then it hurts the rest of the night and I tend to wake up sore in the morning.  It?s difficult to exactly describe the pain without visually showing movements, etc.   The PT office has projected 5 more sessions (and at home stretching) ending 6/25/21, but they will be assessing my progress.  At that point it will be determined if an MRI should be obtained.  I believe that on April 1 - the needle was placed too high up on my shoulder (in fact when I first looked at the band aid I couldn?t believe how high and to the side it was). It was NOT in the area when the needle should go. I believe that my neck degeneration and my shoulder issues are NOT related.  I believe that if the needle had been placed properly that I would not be in this situation today.