Adverse Event Reporting
| VAERS ID | 930081 |
|---|---|
| Gender | Female |
| Age | 42 |
| StateCode | NE |
| Pharmaceutical Company | MODERNA |
| Lot Number | 025J202A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-30 |
| Onset | 2020-12-31 |
| Condition | Permanent Disability |
Symptoms
- Arthralgia
- Product administered at inappropriate site
Current Illness
none
Preexisting Conditions
none
Other Medications
birth control pill,
Previous Vaccinations
Allergies
macrobid, sulfa, minocycline, cephalexin,codeine
Laboratory Data
Doctor vist with on January 8, 1:45pm, physical therapy appt scheduled for January 11, 2021 at 08:00 am
Write-up
shoulder joint pain, injection was given in joint.
.
.
.
I am now on prednisone, physical therapy, if this doesnt help will need a MRI .