Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Neuralgia, Periarthritis, Screaming, Sleep disorder
Clinical narrative: Mrs requested a walk-in Pfizer-Biontech COVID-19 booster dose on 10/06/2021. She filled out the COVID-19 Immunization consent form and after the administering Pharmacist (myself) reviewed her paperwork, Mrs. was called back into the immunization room. Mrs. and I discussed her career as a nurse and I understood she was aware of side effects for the booster Pfizer Biontech COVID-19 immunization. I asked which arm she preferred the vaccine to be administered in, and she stated she preferred her right arm in case her arm is sore afterward. She mentioned she previously received two injections in her right arm (June 2021: Pneumovax and Shingrix at the same time) and she experienced heaviness/pain/inability to lift her arm, and in case she has pain/soreness again she wanted it in the right arm. I confirmed she was here to receive the Pfizer Biontech COVID immunization, swabbed her arm with alcohol, and administered the vaccine into the right deltoid using the triangle technique. Immediately, the patient yelped and expressed the vaccination was painful. No bleeding occurred at the injection site. She shook/moved her arm around as I was discarding the needle in the sharps container. I massaged the area with a cotton swab and placed a bandage. I asked if she was okay and she mentioned she had nerve pain like this before due to a car accident which resulted in nerve pain in her neck. She denied wanting to wait in the immunization monitoring area, reminded me she was a nurse, and stated she would be in the near area if anything were to happen. She mentioned again she felt pain in her arm, so before she left the immunization room, I raised her sleeve and examined the vaccination site. I confirmed I administered the vaccine in the appropriate area on her deltoid, and she agreed, and again mentioned has a history of nerve issues/nerves being in the wrong area, and she was okay, and she left the pharmacy to shop.  On 10/07/2021 I received a phone call from Mrs. regarding pain in her arm. She stated she could not sleep the night prior and is unable to lift her arm. She feels like the injection hit a nerve and she has "frozen shoulder", but "doesn't believe the needle went into the bursa". She wants to see her PCP regarding her arm and wanted to know if she would be reimbursed. She again stated she has prior neck/nerve issues due to a car accident and previous vaccines administered. She stated she took Naproxen and it did not provide any relief. When asked if she tried applied hot/cold compress she stated she was currently in a hot tub. She stated she was going to try to take a muscle relaxer that she had gotten from an ER doctor after her car accident. After reviewing my employer's policy/procedures with management, I followed up with the patient and recommended she follows up with her PCP, as it is outside my scope of practice to diagnose and she has tried to alleviate the pain with my suggestions without success. She agreed and understood and is following up with her PCP. I expressed my apologies, and wished her well-being.