Adverse Event Reporting
| VAERS ID | 926909 |
|---|---|
| Gender | Male |
| Age | 34 |
| StateCode | MN |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EK4176 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-06 |
| Onset | 2021-01-06 |
| Condition | Permanent Disability |
Symptoms
- Injection site pain
- Immediate post-injection reaction
- Injected limb mobility decreased
- Bursitis
- Shoulder injury related to vaccine administration
Current Illness
No acute illness
Preexisting Conditions
Irritable bowel syndrome with diarrhea, eczema, osteopenia, positive human leukocyte antigen b27
Other Medications
None
Previous Vaccinations
Allergies
None
Laboratory Data
Write-up
Immediate pain and loss of range of movement of left shoulder.
Physical examination today demonstrates a healing injection site which is fairly superior on the left shoulder, and abduction of the left shoulder which is limited secondary to pain.
Patient's physician's impression is that he has a subdeltoid bursitis which was temporally associated to the COVID-19 vaccination.
(SIRVA)