Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Presyncope, Product administered at inappropriate site, Product administration error, Rotator cuff syndrome
Clinical narrative: Adverse event(): Following the administration of the Tdap vaccine near her shoulder, the patient experienced a transient blackout, feelings of faintness, blurred and black vision, and ringing in the ears. The healthcare provider administering the vaccine quickly left the patient unattended at this time, having gone to another room to grab a bandage. The patient was not supervised during that time but was also not inquired about her well-being despite almost fainting. The name we were given for the nurse who administered the vaccine.  The patient was advised that pain associated with the Tdap vaccine is common and should resolve within a few days. However, despite trying Tylenol and ice as that doctor's office suggested, the pain persisted. Upon returning to the same Gynecologist's office, they would not attribute the pain to the vaccine administration and did not file a VAERS report themselves despite the difficult situation my wife is going through because of the error in vaccine administration. The patient had no prior history of pain or issues with her arm, and the discomfort began immediately after the vaccine administration.  The patient then sought care from a different gynecology office and consulted a chiropractor/therapist. It was determined that the patient had left infraspinatus and supraspinatus tendonitis, left anterior deltoid weakness, and left trap muscle spasms, all resulting from the vaccine being administered in the wrong location. More details are in the medical test/report secion. The chiropractor  mentioned that this occured because vaccine was administered in the the wrong spot and directly hit the patients tendon, leading to severe inflammation and worsening pain over time.  The patient, who is in the final weeks of her pregnancy, has visited the physical therapist multiple times for treatment, but the pain has not improved. Icing the affected area has become increasingly painful, causing the patient to scream in agony. Due to the late stage of her pregnancy, she has been advised against taking any medication or undergoing an MRI scan by multiple doctors to further analyze the issue but plans to do so after giving birth. The patient is struggling to sleep due to persistent pain and has had considerable difficulty caring for her son and performing household tasks. As a result, her spouse has had to take time from work to provide assistance. The family is concerned that the negligence in administering the vaccine will also affect the patient's ability to care for the newborn.  In summary, the adverse event following the Tdap vaccine administration has led to significant pain, inflammation, and functional limitations for the patient. Despite seeking treatment from a physical therapist, her condition has not improved. The ongoing pain has impacted her daily life, raising concerns about her well-being and ability to care for her family, particularly with the imminent arrival of a new child. The patient plans to have an MRI scan after giving birth to investigate the issue further and determine the appropriate course of action for recovery.  Treatment: The patient has received multiple treatments from the chiropractor, including ultrasound, soft tissue work, cryotherapy, ice application, and stretching exercises. However, the pain and inflammation continue to worsen.  Outcome(s): The patient's pain and inflammation have not improved, making it difficult for her to perform daily tasks, care for her child, and sleep. She is in the final weeks of pregnancy and has been advised against getting on shots or getting an MRI to further analyze the issue. The ongoing pain and discomfort are expected to affect her ability to care for her newborn.  Pregnancy history: The patient is currently in the final weeks of her pregnancy with estimated delivery date of 05/05/2023. This is the second pregnancy Birth weight is not yet available