Report #2856164

Received Aug 29, 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: 67 yrs
State: FL
Recovered: Not recovered
Vaccinated: Dec 1, 2023
Onset: Jan 1, 2024
Days to onset: 31
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	018B21A	SYR / LA

Symptoms (7)

AstheniaBursa removalMagnetic resonance imagingSurgeryTendon ruptureTenodesisX-ray

Symptom narrative

Torn tendon, IT band reattach and bersa sac removed. Moderna shot caused soft tissue to weaken. Dr said he has treated numerous patients with lower back and hip issues that had Moderna but not Pfizer

Current illness

Hormone replacement therapy

Medical history

None

Other medications

Calcium magnesium, multi vitamins

Allergies

None

Lab data

XRays, injections, MRI, surgery 5/2025