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Report #2874338

Received Nov 24, 2025

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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
58 yrs
State
CA
Recovered
Not recovered
Vaccinated
Jan 5, 2022
Onset
Mar 1, 2022
Days to onset
55
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH3FJ1611SYR / LA

Symptoms (5)

BursitisPainPeriarthritisShoulder injury related to vaccine administrationX-ray

Symptom narrative

SIRVA, bursitis, frozen shoulder within a month of the shot. Extreme pain in doing daily tasks like showering and dressing.

Current illness

No

Medical history

No

Other medications

Sertraline, Irbesartan, Atorvastatin

Allergies

No

Lab data

xrays on 11/22/23 and 12/13/23