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Report #2828454

Received Feb 26, 2025

Office visit
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Female
Age
71 yrs
State
GA
Recovered
Not recovered
Vaccinated
Oct 8, 2024
Onset
Oct 9, 2024
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.N/A388461IM / LA

Symptoms (7)

ArthralgiaInjected limb mobility decreasedPainPain in extremityPeriarthritisShoulder injury related to vaccine administrationX-ray limb

Symptom narrative

Left arm sore, aching. Did not subside and worsened over time to painful deltoid area and joint, loss of ROM. Saw , NP 12/17/24 who directed me to see Orthopedist. Earliest appointment 01/28/2025 obtained and saw Dr . XRays taken w/ no Bone abnormalities found. Six weeks PT ordered and started Feb 4, 2025. Pain now radiating into upper left arm down to elbow, sometimes to left hand or to left clavicle w/ radiation into neck. Ortho dx: Shoulder injury r/t vaccine administration (SIRVA) (S49.80XA, T50.Z95A), Adhesive Capsulitis with ROM loss.

Current illness

No

Medical history

GERD, Migraines

Other medications

Levothyroxing 50 mcg po QD, Vit C 1000 mg po QD, Total Restore Vitamin for gut health 3 capsules QD, Vit D3 2000 iu po QD

Allergies

Erythromycin po, Codeine po, Doxycycline po

Lab data

Shoulder X Rays in Ortho office