Adverse Event Reporting

VAERS ID 981180
Gender Female
Age 19
StateCode IA
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations
Vaccinated 2021-01-18
Onset 2021-01-18
Condition Permanent Disability
Symptoms
  • Pain in extremity
  • Product administered at inappropriate site
  • Injected limb mobility decreased
  • Laboratory test
  • Injection site haemorrhage

Current Illness

None

Preexisting Conditions

None

Other Medications

None

Previous Vaccinations

Allergies

None

Laboratory Data

Underwent lab testing to rule out septic joint.
She will see her orthopedic surgeon today for examination, probable steroid injection into shoulder joint.

Write-up

Vaccine was administered into the subacromial space/joint of right shoulder instead of deltoid muscle.
Patient presents on 1/27/2021 after onset of pain, decreased ROM ongoing since administration.
I was able to visualize ecchymotic area where vaccine was administered and patient has photo evidence.
The physician responsible for the vaccine administration needs to be retrained on where to give deltoid muscle IM injections and to avoid the extremities where recent surgeries occurred (patient had right shoulder labrum repair in October 2020)