Report #2831043

Received Mar 12, 2025

Office visitDisabled

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: 66 yrs
State: WA
Recovered: Not recovered
Vaccinated: Oct 28, 2021
Onset: Nov 12, 2011
Days to onset: —
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	032fz1a	RA

Symptoms (4)

Product administered at inappropriate siteRotator cuff repairRotator cuff syndromeShoulder injury related to vaccine administration

Symptom narrative

Ended up with sirva. Torn cuff and had 2 surgeries to try and repair the torn cuff.

Current illness

None

Medical history

Since getting the covid vaccine I have had 2 shoulder surgeries due to the fact that they administered the vaccine in upper arm joint pocket causing me to have a torn cuff.