Report #2843983

Received Jun 4, 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: 78 yrs
State: WA
Recovered: Unknown
Vaccinated: May 28, 2025
Onset: —
Days to onset: —
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	LN0591	IM / RA
FLU3	INFLUENZA (SEASONAL) (FLUZONE)	SANOFI PASTEUR	UNK	774KG	IM / LA

Symptoms (3)

Injected limb mobility decreasedPain in extremityShoulder injury related to vaccine administration

Symptom narrative

R & L Shoulder were both sore after injections. R side got better but L did not. Arm was sore and could not lift arm up all the way without pain. No redness, swelling or warmth. Shoulder is sore and has pain even with slight internal rotation. Dx with SIRVA. Referred pt to Physical Therapy

Lab data

MD diagnosed with SIRVA, no tests done