Adverse Event Reporting

VAERS ID 932189
Gender Female
Age 37
StateCode TX
Pharmaceutical Company MODERNA
Lot Number 027L20A
Number of vaccinations
Vaccinated 2021-01-08
Onset 2021-01-09
Condition Permanent Disability
  • Pain in extremity
  • Product administered at inappropriate site
  • Injected limb mobility decreased
  • Shoulder injury related to vaccine administration

Current Illness


Preexisting Conditions


Other Medications


Previous Vaccinations



Laboratory Data

None yet.
I?ve been told to wait.


I was injected high on my shoulder, significantly higher than I?ve ever been injected in my life.
I believe I have SIRVA.
The pain has become so severe that I cannot use my left arm.
The pain is intolerable.
I take four Advil every six hours, ice my arm regularly, and keep my arm in a sling.
The pain has gotten significantly worse with time (not better).
I?ve never experienced pain like this from a vaccine in my life.
No history of bursitis or shoulder injury.
Again, the pain gets worse with time.
I?m almost 48 hours post injection