Report #2883478

Received Jan 30, 2026

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: 69 yrs
State: TN
Recovered: Not recovered
Vaccinated: Sep 26, 2025
Onset: Sep 26, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	7+	NA0738	IM / RA

Symptoms (1)

Periarthritis

Symptom narrative

adhesive capsulitis of RUE

Medical history

bipolar, CKD, GERD, HTN, rayanuds, asthma, BPV

Other medications

albuterol, aspirin, atorvastatin, clobetasol, coq10, diclonfenac, fluoxetine, fluticasone, gabapentin, hydroxyzine, levothyroxine, lithium, multivitamin

Allergies

strawberry, sulfa

Lab data

physical therapy and physician physical exam