Age: 56.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pain in extremity, Paraesthesia, Peripheral swelling, Product administered at inappropriate site, Pyrexia
Clinical narrative: I received a Tdap shot in my left upper arm administered by Dr's nurse after he performed a procedure to remove a dog hair from the bottom of my left foot for a foot abscess that was infected on December 27, 2018.  I immediately knew that the shot was given incorrectly by the way she jabbed me in my upper arm because I instantly felt pain and I felt that I was sitting to high on the table.  Hours later that night I began to experience rash on my upper arm but didn't think anything was wrong. Early the next day I began to feel pain in the shoulder area of the left arm and swelling and I used ice and ibuprofen to calm the pain. By the middle of the day my shoulder began to hurt more and I started to feel more pain and numbness and tingling down the arm and my hand began to swell and I became very fatigued.  I slept for most of the day.  As the day went on, I had a slight fever and I had more tingling and numbness and when I took a shower I had to put a glove on my hand because my hand was so sensitive when the water hit it; that it hurt so bad and I couldn't even hold the soap. This lasted  on and off for about three weeks and I used ice and heat to calm the swelling, tingling and numbness. I had no idea I was having a reaction to the vaccine, as I had never experienced this before nor anyone of my children. Since this was over the holiday and I was on vacation I could rest.   On 1/15/19 while at work the pain and swelling because so bad I had to leave work and go the ER. I went to Hospital Center, only to be misdiagnosed and looked at like I was crazy because when I told the doctor about the vaccine, he didn't believe me and without any testing, told me I had carpal tunnel.    Because my hand and forearm were still swelling and now my shoulder and neck were swelling I went on 1/22/19 I went to Dr a hand/arm specialist and again was misdiagnosed without testing.  Becoming very frustrated I tried to care for myself at home and after nothing worked, and the pain increased, I tried to get an appointment with my neurologist, however, I wasn't told that he was out with a broken foot until after a month, and then I scheduled with his partner Dr. I saw Dr on 3/29/19 and he knew about the dangers of administering vaccines improperly and began testing the process of testing me and prescribed medication.  At that time I also told him that I used to go to acupuncture and he said that it could also help, so I called Dr who had always been good with pain management and I saw Dr on 4/8/19 for pain management and from the pain and areas I mentioned he explained that I was experiencing inflammation and I had shot in the deltoid muscle and more than likely injured because the injection was to high and had probably torn the rotator cuff. And initially, I probably had parsonage turner syndrome and have neuropathy.  On 4/19/19 Dr did an EMG test to see if I had nerve damage, and I was diagnosed with permanent damage..  By recommendation of a friend on 5/28/19, I saw Dr an orthopedic doctor, and he ordered an MRI on 6/3/19, and that confirmed that the rotator cuff was torn and that a bursa sac had formed.  Dr wanted to do a nerve block and I was against that, because it was something that he was fairly new at doing and I didn't want to walk around with pain meds in my body, then he suggested surgery and I wanted to try other methods, and I was continuing to see Dr, twice a week when I could as I work full time.  On 9/24/19 I consulted with an orthopedic doctor with a more holistic approach and we discussed Plasma Rich Platelet Therapy  (PRP) to repair the rotator cuff and I also told her about the pain I still have on the deltoid muscle. She said that the PRP Therapy may help and in the meantime, I should try physical therapy. I did ten sessions of physical therapy and then on 12/6/19, I had the PRP done. I'm still healing it helped a little for the left rotator cuff, it did nothing for the deltoid muscle.    I had Dr order an ultrasound for the deltoid because I still have so much pain and I can never sleep on my left side without pain and it wakes me up even if I rollover during the night. On 12/5/19 I had an ultrasound done and the tech said he has never seen so much inflammation, has never seen anything like that.    On 12/27/19 Dr ordered an MRI for the right shoulder because I tore the rotator cuff using that shoulder to much trying not to use the left shoulder.   To dated, I still continue to see Dr neuropathy and for medication, Dr as I may eventually need surgery or another PRP treatment and Dr for pain management.