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Report #2894701

Received Apr 28, 2026

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
74 yrs
State
IN
Recovered
Unknown
Vaccinated
Apr 24, 2026
Onset
Apr 25, 2026
Days to onset
1
Hospital days

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
PNC21PNEUMO (CAPVAXIVE)MERCK & CO. INC.UNKZ013321IM / RA

Symptoms (6)

Electric shock sensationLoss of personal independence in daily activitiesMobility decreasedPain in extremityPeriarthritisShoulder injury related to vaccine administration

Symptom narrative

Patient received PCV 21 at office visit 4/24/26 at 2:05 pm. Patient reported on Saturday she woke with pain in R arm and could not "use my right arm not to comb hair or put on clothes." Pain reported 8 or 9. Patient attempted to alleviate symptoms with ice and then a heating pad and Tylenol. Patient attempted to reach pulmonology office and then contacted PCP office. Patient was seen in PCP office on 4/27. Patient reported to PCP after injection she immediately developed a sharp pain at the injection site with an "electric shock-like" sensation radiating down the arm. By that night she developed marked functional limitation with inability to raise or abduct the arm beyond a minimal range. Patient was diagnosed by provider with shoulder injury related to vaccine administration (SIRVA) with adhesive capsulitis. Patient was prescribed oral steroids. Plan for follow-up on 4/29/26 and if no improvement in symptoms, MRI will be ordered to further assess.

Current illness

None

Medical history

CHF, arthritis, atrial fibrillation, COPD, HTN (benign essential), mild aortic regurgitation, RLS

Other medications

Apixaban 5 mg BID; Diltiazem 120 mg ER daily; furosemide 40 mg BID; losartan 50 mg BID; Metoprolol 25 mg XL 0.5 tab daily; spironolactone 25 mg daily;

Allergies

Gabapentin: hallucinations