Report #2861098

Received Sep 24, 2025

Disabled

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: Male
Age: 48 yrs
State: NY
Recovered: Not recovered
Vaccinated: May 21, 2021
Onset: May 24, 2021
Days to onset: 3
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	1	04zaz1a	SYR / LA

Symptoms (4)

Bursa injuryMagnetic resonance imaging abnormalMagnetic resonance imaging jointPeriarthritis

Symptom narrative

Frozen sholder went to therapy a few times. Went to orthopedic and got an MRI that show a bursa tear.

Current illness

None

Medical history

Right knee CRPS after 3 surgery

Other medications

Vitamins, tylenol

Allergies

No e

Lab data

MRI