Age: 69.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Musculoskeletal disorder, Pain, Pain in extremity, Tenderness, X-ray limb normal
Clinical narrative: Contacts 9/11/18 Office Visit ? Wellness check 9/11/18 Flu and pneumonia shot 12/6/18 sent e-mail about my current condition 12/11/18 Office Visit 12/11/18 Radiology 1/3/19 Started PT 2/18/19 Future scheduled office appointment 1/29/19 e-mail This is just an update in regards to my medical progress.  I did review my medical records for the x-rays that were taken on 12/11/18 which noted no abnormalities as it related especially to any arthritic conditions or shoulder injuries which did not surprise me. I did attend four ½ hour sessions of Physical Therapy with as ordered on my December 11th appointment. My progress as far as this type of intervention with physical therapy I believed occurred because my body was fighting back against what felt like an attack on my joints of course mostly on the left hand side of my body. I believe initial report will indicate some loss of motion and weakness of left arm movement and swelling of the left knee. During the PT sessions I did perform some limited exercise but was stressed that I use cold compresses to ease the pain and inflammation.  I used both heat and cold compresses which did start delivering some relief. I also continue to use Tylenol for the pain along with the Celecoxib for inflammation. If you remember, I was given the Celecoxib because of my constant pain in my left chest by my breast area along with pain in my left jaw area during my wellness exam in September 2018. That is also when I received my flu and pneumonia shot both in the left shoulder. I have some real concerns that my illness was caused by the flu and or pneumonia vaccination that I received in September. I did not have an immediate reaction to the vaccinations other than a really sore left shoulder with pain that still lingers in the location of the vaccination. However, within two weeks of the vaccination I noticed I could not raise my left knee and thought that this was unusual but would just go away so I worked around it. There was no pain associated with the loss of movement of my left leg at this time. I could walk and managed steps carefully but I just could not raise my left leg any high. I can only associate it with my brain trying to tell my leg to raise but my leg not responding. I have no problems with raising my right leg. However, a few weeks later I was in a full blown crisis with pain in my left shoulder and left leg. I also then experienced a problem with the use of my left arm not being able to move it without assistance. If I was asked what the pain level was I would put it at a 10 or above. I would get the chills and took hot baths to obtain some relief. I could not sleep on my left side and if I wanted to roll from my back  to my right side I did this only by lifting my left leg and arm with my right arm. With the use of the medication and time I can honestly state that gradually I have regained the use of my left arm but not the full motion of my left leg. I still have pain for both my left shoulder and left knee but it is greatly reduced as long as I take the Celecoxib and Tylenol. During the worse episodes I experienced shooting pains in intervals on both my left shoulder and left leg. These shooting pains still occur but not at the level as I experienced in October ? December. Currently my left shoulder feels like I was punched in the arm but I now have regained  motion but still get small shooting pains in intervals. It is my left leg that I am most concerned about. I still do not have full motion, meaning I cannot actively just lift my left knee up. I can walk and take steps very carefully. However, I do not dare try to run and I am really afraid of falling because the knee is so tender. I also get those funny shooting pains in my left knee. During the month of December while in physical therapy I noticed that first my left elbow then my right elbow was sore. Believe me I have not done anything that should have caused any injury to either elbows because I have been babying my left shoulder and left knee. Now my left elbow is slightly swollen and I am retaining some fluid. I have just started feeling slight shooting pains in my left elbow. Is there any other medical treatment or test that can be conducted i.e. MRI, or other blood test? I have never experienced an adverse reaction to a flu or pneumonia vaccination until this time and I have never had any of these types of systems that just do not seem to go away.