Picked up a 35 year

Picked up a 35 year old guy who lived with his mother and was complaining about left shoulder pain described as muscle tenderness around the deltoid area, and both the patient and his mother insisting on ambulance transport to the ER. Halfway to the hospital, I notice a tiny puncture wound in the middle of his deltoid. Thinking it might have been an insect sting, I ask him about it. The guy told me he got a flu shot the day before in that shoulder.

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