Adverse Event Reporting

VAERS ID 926473
Gender Female
Age 30
StateCode SD
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EK9231
Number of vaccinations 1
Vaccinated 2020-12-22
Onset 2020-12-22
Condition Permanent Disability
  • Arthralgia
  • Pain
  • Immediate post-injection reaction
  • Muscular weakness
  • Musculoskeletal discomfort
  • Joint range of motion decreased
  • Inflammation
  • X-ray limb
  • Magnetic resonance imaging joint

Current Illness

Preexisting Conditions

Type 1 Diabetic POTS Migraines

Other Medications

Novolog, Trokendi, Metoprolol, Biotin, Vitamin D, Vitamin C, Potassium

Previous Vaccinations


Morphine Tomatoes

Laboratory Data

xrays 12/31/2020 (orthopedic provider recommended) MRI 12/31/2020 (orthopedic provider recommended) upcoming surgical consultation d/t this ongoing issue


When vaccine was administered, seemed high on my arm.
I had immediate soreness and shoulder discomfort, I was told this was normal.
It continued to progress and I eventually had decreased ROM, weakness and sharp shooting pain in my shoulder.
Working at OI, I consulted provider, xrays were obtained and I was evaluated.
He strongly suggested an MRI be obtained as well.
That was completed the same day as my evaluation on 12/31/2020 (1 week and 2 days after the vaccine was administered).
The provider informed me that they have had patients with similar situations that were evaluated for frozen shoulder after having a vaccine d/t administration site and vaccine going into subacromial space.
He does report that this was my case/situation, upon my exam, I had severe inflammation with this as well-he is now having me follow up for a surgical consultation for my shoulder to be repaired.
Today's date is 1/7/2021, I have these same ongoing symptoms that have continued since day of administration, without diminishing in severity.
He is unable to provide an injection d/t my upcoming second dose of the COVID vaccine this next week, 1/12/2021.
He strongly suggests that my 2nd vaccine be administered elsewhere-advised NOT be administered in the same shoulder OR in opposite to cause these symptoms to flare.
He advised in gluteus if possible to avoid any further issues if at all possible.