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The following is all the information available on report# VAERS_ID: 758759
Vaccine(s) were received on 11/21/2016
Vaccine(s) were received in the state: HI
At the time of vaccination, patient was : 50 of age
Patient sex : M
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: N
Patient eventually died?: N

The following Lab Data for this case is available: MRI has revealed SLAP tears, rotator cuff tear and inflammation, infraspinatus tearing in the Injection area. PT found loss of r

The following Data for this patients HISTORY is available: None

The following Data for this patients ALLERGIES is available: [Sulpha ]

Description of adverse reaction: Ever since my flu injection on 11/21/2016 directly into my left shoulder joint, pain has been increasing on a daily basis. A sore developed in the joint and surrounding deltoid region. My sleep patterns have been interrupted up to 10-20 times a night due to discomfort and pain. I feel to be aging rapidly since this incident. My high school students have commented to this effect. I have felt tearing in my shoulder joint on multiple occasions, as my shoulder strength is weakening, my daily activities of distance swimming and golf have virtually ceased due to this injection. I've had an MRI which verifies tendonitis and inflammation and SLAP tears of the rotator cuff. Infraspinatus tear. PT results in inflammation.


Vaccine(s) associated with report# 758759

TypeNameManufacturerVaccine LOT #Dose SeriesROUTESite
FLU3INFLUENZA (SEASONAL) (AFLURIA) CSL LIMITED1IMLA

Symptoms(s) associated with report# 758759

Arthralgia
Asthenia
Discomfort
Inflammation
Joint range of motion decreased
Loss of personal independence in daily activities
Musculoskeletal discomfort
Nuclear magnetic resonance imaging abnormal
Pain
Rotator cuff syndrome
Sleep disorder
Tendonitis