| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2864637 | 0.33 | F | NY | 10/09/2025 |
DTAPIPVHIB DTAPIPVHIB DTAPIPVHIB DTAPIPVHIB PNC20 PNC20 PNC20 PNC20 RV5 RV5 RV5 RV5 |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR PFIZER\WYETH PFIZER\WYETH PFIZER\WYETH PFIZER\WYETH MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
UK341AA UK341AA UK341AA UK341AA LX2496 LX2496 LX2496 LX2496 2142134 2142134 2142134 2142134 |
Brief resolved unexplained event, Consciousness fluctuating, Differential white ...
Brief resolved unexplained event, Consciousness fluctuating, Differential white blood cell count normal, Electroencephalogram normal, Eye movement disorder; Full blood count normal, Infantile spitting up, Irritability, Lethargy, Metabolic function test normal; Pallor, Respiratory viral panel, Skin discolouration, Somnolence, Viral test negative; Vomiting projectile; Brief resolved unexplained event, Consciousness fluctuating, Differential white blood cell count normal, Electroencephalogram normal, Eye movement disorder; Full blood count normal, Infantile spitting up, Irritability, Lethargy, Metabolic function test normal; Pallor, Respiratory viral panel, Skin discolouration, Somnolence, Viral test negative; Vomiting projectile; Brief resolved unexplained event, Consciousness fluctuating, Differential white blood cell count normal, Electroencephalogram normal, Eye movement disorder; Full blood count normal, Infantile spitting up, Irritability, Lethargy, Metabolic function test normal; Pallor, Respiratory viral panel, Skin discolouration, Somnolence, Viral test negative; Vomiting projectile
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Patient was slightly more fussy after receiving vaccines in the morning but overall well immediately...
Patient was slightly more fussy after receiving vaccines in the morning but overall well immediately afterwards. Took a nap at 4:30pm for 2 h (which is longer than usual for her). Woke up at 6:30pm, fed at 6:45pm and around 7:30pm her family member was holding her she she became very sleepy/lethargic. Looked as if she was falling asleep but was noticed by family to have grey discoloration of her skin. Her lips looked pale and she spit up a little but then then projectile vomited. After that again looked sleepy and her eyes were closing. She then projectile vomited again and her eyes rolled back in her head. For about 20 minutes she was going in and out of consciousness - blue lips, grey skin, falling asleep. EMS arrived and once in the ambulance she started to wake up more. About 5-10min after ambulance arrival she was moving around, gripping, smiling. In ambulance looked a little dazed and fell asleep again but woke up when stimulated. She was back to her normal baseline by the time she got to ER. She was admitted and had a 24 hour VEEG which was normal. Diagnosed with a BRUE and discharged home and was well since that time.
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| 2864638 | 84 | F | OH | 10/09/2025 |
FLU3 |
SANOFI PASTEUR |
u8862ba |
Headache, Pain, Pyrexia, Tremor
Headache, Pain, Pyrexia, Tremor
|
Pt contacted office states last night about 8:00pm last night started with aching and shaking. She h...
Pt contacted office states last night about 8:00pm last night started with aching and shaking. She headed up stairs and she is not sure what happened. She woke up on the floor about 2 am and she had a fever of 103.0 Pt states she had a terrible HA and felt terrible. Pt states she thought about calling EMS but she did not. Pt states she took 1000mg of tylenol this morning and her fever is down to 100.0 She is feeling better than last night. She does not have any redness around her injection site from flu vaccine. She states she has NEVER had a reaction like this. She said the shaking was uncontrollable and she is not sure how she ended up on the floor.
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| 2864639 | 75 | M | 10/09/2025 |
UNK |
UNKNOWN MANUFACTURER |
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Dyspnoea, Heart rate increased
Dyspnoea, Heart rate increased
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Patient states he was feeling out of breath and rapid heart rate the day after getting their shot, t...
Patient states he was feeling out of breath and rapid heart rate the day after getting their shot, two days post shot they were fine
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| 2864640 | 64 | F | PA | 10/09/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
MY9550 U8823CA |
Erythema, Peripheral swelling; Erythema, Peripheral swelling
Erythema, Peripheral swelling; Erythema, Peripheral swelling
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Patient reported swollen, red arm down towards elbow
Patient reported swollen, red arm down towards elbow
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| 2864641 | 8 | M | NJ | 10/09/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
U8863BA U8863BA |
Erythema, Feeling hot, Injection site erythema, Injection site oedema, Injection...
Erythema, Feeling hot, Injection site erythema, Injection site oedema, Injection site urticaria; Injection site warmth, Localised oedema, Urticaria
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Pt presented with erythema, edema, warmth, and urticaria extending from left upper extremity of inje...
Pt presented with erythema, edema, warmth, and urticaria extending from left upper extremity of injection site, down to left elbow, and across left, mid-chest. Afebrile. Non-anaphylaxis. Treated with Benadryl and Keflex 2 days later.
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| 2864642 | 75 | F | SC | 10/09/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
3052549 U8859BA |
Injected limb mobility decreased, Injection site bruising, Pain in extremity; In...
Injected limb mobility decreased, Injection site bruising, Pain in extremity; Injected limb mobility decreased, Injection site bruising, Pain in extremity
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On 10/6, a few hours after receiving the two vaccines the patient experienced bruising at the inject...
On 10/6, a few hours after receiving the two vaccines the patient experienced bruising at the injection site as well as on the anterior deltoid/inner arm down to her elbow joint. Left arm/vaccine arm was also severely sore and she couldn't move it for a few days. Bruising still present today on 10/9, but patient able to move arm.
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| 2864643 | 18 | F | FL | 10/09/2025 |
MENB MENB |
PFIZER\WYETH PFIZER\WYETH |
LW8911 LW8911 |
Abdominal pain, Chills, Headache, Pain, Pyrexia; Vomiting
Abdominal pain, Chills, Headache, Pain, Pyrexia; Vomiting
|
Acute onset of abdominal pain followed by vomiting. Also experienced fever, chills, headache and bo...
Acute onset of abdominal pain followed by vomiting. Also experienced fever, chills, headache and body aches. Treated at home with Benadryl 25mg and Zofran 8mg.
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| 2864644 | 62 | M | 10/09/2025 |
RSV |
PFIZER\WYETH |
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Extra dose administered, No adverse event
Extra dose administered, No adverse event
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nothing happened at all boss said to report here that patient got a second shot
nothing happened at all boss said to report here that patient got a second shot
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| 2864645 | 11 | M | TX | 10/09/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR |
Y018416 U8558AA U8620BA |
Injection site erythema, Injection site pruritus, Injection site swelling; Injec...
Injection site erythema, Injection site pruritus, Injection site swelling; Injection site erythema, Injection site pruritus, Injection site swelling; Injection site erythema, Injection site pruritus, Injection site swelling
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itchiness, swollen and redness on RT arm injection site
itchiness, swollen and redness on RT arm injection site
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| 2864646 | 81 | F | GA | 10/09/2025 |
FLU3 |
SANOFI PASTEUR |
U8859BA |
Injection site cellulitis, Injection site erythema, Injection site warmth
Injection site cellulitis, Injection site erythema, Injection site warmth
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redness, heat, cellulitis to injection site down to elbow
redness, heat, cellulitis to injection site down to elbow
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| 2864647 | 52 | F | TN | 10/09/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
2L353 |
Acoustic stimulation tests normal, Tinnitus
Acoustic stimulation tests normal, Tinnitus
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Shortly after the vaccine on 10/7 I developed buzzing and crackling (tinnitus) in my left ear. I saw...
Shortly after the vaccine on 10/7 I developed buzzing and crackling (tinnitus) in my left ear. I saw my ENT on 10/9 and they confirmed my hearing was good, no signs of infection or earwax. Their best guess was that this is a side effect from the vaccine and that it will eventually fade away.
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| 2864650 | 42 | F | MD | 10/09/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
|
Fatigue, Headache, Immediate post-injection reaction, Injection site erythema, I...
Fatigue, Headache, Immediate post-injection reaction, Injection site erythema, Injection site rash; Injection site swelling, Local reaction, Myalgia, Pain
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Local adverse reactions - Severe pain, moderate erythema, and swelling (<10cm) - severe pain wa...
Local adverse reactions - Severe pain, moderate erythema, and swelling (<10cm) - severe pain was immediate and lasted for about 24 hours, then reduced to moderate pain. Injection site reaction started 24 hours after the vaccine was administered, with a small rash, and at the 30-hour mark was a larger red and swollen area about 9.5 cm in length on the left deltoid around where the vaccine was administered. Unresolved when reporting. (still under 48 hours when reporting) Systemic reactions - Moderate fatigue, mild headache, mild myalgia - about 12- 15 hours after administration, resolving around 30 hours after administration
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| 2864651 | 0.25 | F | TX | 10/09/2025 |
FLU3 |
SANOFI PASTEUR |
UT8770JA |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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This patient was below the minimum age for this vaccine.
This patient was below the minimum age for this vaccine.
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| 2864652 | 75 | F | AR | 10/09/2025 |
PNC21 |
MERCK & CO. INC. |
z007870 |
Injection site erythema, Injection site paraesthesia, Injection site warmth
Injection site erythema, Injection site paraesthesia, Injection site warmth
|
REDNESS, FEVER, TINGLING IN LEFT ARM BELOW INJECTION SITE
REDNESS, FEVER, TINGLING IN LEFT ARM BELOW INJECTION SITE
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| 2864654 | 60 | F | MD | 10/09/2025 |
COVID19 FLU3 PNC20 |
PFIZER\BIONTECH SEQIRUS, INC. PFIZER\WYETH |
NA0589 409414 LN4930 |
Injection site erythema; Injection site erythema; Injection site erythema
Injection site erythema; Injection site erythema; Injection site erythema
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Patient received 3 vaccines on 10/3/25; covid and pneumonia vaccines on left arm, flu vaccine on rig...
Patient received 3 vaccines on 10/3/25; covid and pneumonia vaccines on left arm, flu vaccine on right arm. She reports back today 10/9/2025 with a red area on her right arm at the injection site. Redness is circular and is about an inch in diameter. She reports that it was previously itchy but not anymore. She does not report any other side effects. She says that she was taking Tylenol for symptoms, but the redness does not seem to be improving. Patient appeared to be in good condition and was in no distress. Patient was advised to take Benadryl for symptoms and to follow-up with her provider if symptoms persist.
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| 2864655 | 71 | F | MI | 10/09/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
342XP |
Injection site pain, Mobility decreased, Muscular weakness, Pain, Pain in extrem...
Injection site pain, Mobility decreased, Muscular weakness, Pain, Pain in extremity
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Patient states has pain that started at injection site that has radiated down arm after 4 days of in...
Patient states has pain that started at injection site that has radiated down arm after 4 days of injection. She states she has wrist weakness and unable to use wrist after 4 days of injection
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| 2864657 | 65 | M | PA | 10/09/2025 |
FLU3 |
SANOFI PASTEUR |
U8837DA |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient was inadvertently given 2 doses of high dose influenza vaccine, 1st dose 9/17/2025 2nd dose ...
Patient was inadvertently given 2 doses of high dose influenza vaccine, 1st dose 9/17/2025 2nd dose 10/07/2025. patient was made aware patient has not reported any adverse reactions at this time.
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| 2864658 | 80 | F | NC | 10/09/2025 |
COVID19 |
PFIZER\BIONTECH |
na0590 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Patient got Comirnatry 2025-2026 once on 9.8.25 and accidentally again on 10.8.25. Patient did not r...
Patient got Comirnatry 2025-2026 once on 9.8.25 and accidentally again on 10.8.25. Patient did not report any signs or symptoms of side effects. Patient did not report any adverse event.
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| 2864659 | 76 | F | PA | 10/09/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
my9548 407249 |
Injected limb mobility decreased, Injection site erythema, Injection site pain, ...
Injected limb mobility decreased, Injection site erythema, Injection site pain, Pain in extremity; Injected limb mobility decreased, Injection site erythema, Injection site pain, Pain in extremity
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patient started feeling redness around injection site and then soreness around injection site. after...
patient started feeling redness around injection site and then soreness around injection site. after couple days the redness went away but patient feeling sore arm and can not lift arm. and when patient reported i feel sore on the arm.
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| 2864660 | 17 | F | IL | 10/09/2025 |
MNQ RSV |
NOVARTIS VACCINES AND DIAGNOSTICS PFIZER\WYETH |
n4ty2 mn0307 |
Wrong product administered; Wrong product administered
Wrong product administered; Wrong product administered
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pt received a RSV vaccine instead of the menveo that was requested. did also get the menveo at the s...
pt received a RSV vaccine instead of the menveo that was requested. did also get the menveo at the same time
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| 2864661 | 17 | F | KS | 10/09/2025 |
FLU3 |
SANOFI PASTEUR |
UT8792MA |
Erythema, Perioral dermatitis, Swelling face
Erythema, Perioral dermatitis, Swelling face
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Rash around mouth, facial swelling and redness
Rash around mouth, facial swelling and redness
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| 2864662 | 15 | M | NC | 10/09/2025 |
FLU3 FLU3 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
9FG5M 9FG5M |
Cold sweat, Feeling cold, Headache, Hyperhidrosis, Memory impairment; Posture ab...
Cold sweat, Feeling cold, Headache, Hyperhidrosis, Memory impairment; Posture abnormal, Seizure, Seizure like phenomena, Unresponsive to stimuli
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Convulsions, slumped over to the side, non-responsive (appeared to be a seizure or other reaction wi...
Convulsions, slumped over to the side, non-responsive (appeared to be a seizure or other reaction with convulsions lasting approximately 30 seconds to a minute), clammy/sweaty/cold feeling after, no memory of event, headache for a few hours following.
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| 2864665 | 42 | F | WI | 10/09/2025 |
FLU3 PNC20 |
SANOFI PASTEUR PFIZER\WYETH |
UT8770HA MA2519 |
Cellulitis, Rash erythematous; Cellulitis, Rash erythematous
Cellulitis, Rash erythematous; Cellulitis, Rash erythematous
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both vaccines were administered into the same arm at the same time. Patient developed a red rash th...
both vaccines were administered into the same arm at the same time. Patient developed a red rash the next day that did not resolve over the next few days or after apply hydrocortisone cream to the area. Patient went to the doctor and was diagnosed with cellulitis and given and antibiotic.
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| 2864667 | 73 | M | IN | 10/09/2025 |
COVID19 FLU3 PNC21 |
PFIZER\BIONTECH SANOFI PASTEUR MERCK & CO. INC. |
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Gait disturbance, Pain in extremity; Gait disturbance, Pain in extremity; Gait d...
Gait disturbance, Pain in extremity; Gait disturbance, Pain in extremity; Gait disturbance, Pain in extremity
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sore right shin hard to walk on it
sore right shin hard to walk on it
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| 2864668 | 10 | M | VA | 10/09/2025 |
UNK |
UNKNOWN MANUFACTURER |
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Product dose omission issue
Product dose omission issue
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Client's mother [withheld name] signed for a TDAP, Hep A, influenza, MMRV, and polio but the TD...
Client's mother [withheld name] signed for a TDAP, Hep A, influenza, MMRV, and polio but the TDAP was not administered. Hence, the client ended up getting 4 vaccines instead of 5. Client's mother was contacted by RN and made aware of the error. Mother reported that she will be bring the child in on 10/20/25 for the TDAP dose that was missed.
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| 2864669 | 4 | F | CA | 10/09/2025 |
FLU3 |
SANOFI PASTEUR |
ut8836na |
Erythema, Urticaria
Erythema, Urticaria
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Acute urticaria and localized erythema following influenza vaccination Atypical reaction to flu vacc...
Acute urticaria and localized erythema following influenza vaccination Atypical reaction to flu vaccine with urticaria and erythema appearing 48 hours post-vaccination. Low likelihood of allergic reaction to vaccine. Differential includes viral trigger or mild vaccine reaction. - Continue Zyrtec 5 mL as needed for hives. - Advise cool baths or ice application for pruritic areas. - Report the reaction to VAERS. - Refer to allergist for further evaluation of vaccine and egg allergy though doubtful allergic reaction.
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| 2864671 | 11 | F | NM | 10/09/2025 |
DTAP HPV9 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
JF7DM 1957404 |
Expired product administered; Expired product administered
Expired product administered; Expired product administered
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I GAVE AN EXPIRED VACCINE TO THIS PATIENT. VACCINE IS HPV( GARDASIL 9) EXP: 10/05/2025. VACCINE GIVE...
I GAVE AN EXPIRED VACCINE TO THIS PATIENT. VACCINE IS HPV( GARDASIL 9) EXP: 10/05/2025. VACCINE GIVEN ON 10/09/2025
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| 2864672 | 1.25 | M | SC | 10/09/2025 |
DTAPIPVHIB DTAPIPVHIB FLU3 FLU3 PNC20 PNC20 |
SANOFI PASTEUR SANOFI PASTEUR SEQIRUS, INC. SEQIRUS, INC. PFIZER\WYETH PFIZER\WYETH |
UK305AB UK305AB 407003 407003 MA2502 MA2502 |
Cyanosis, Diarrhoea, Eye movement disorder, Hypotonia, Irritability; Mobility de...
Cyanosis, Diarrhoea, Eye movement disorder, Hypotonia, Irritability; Mobility decreased, Somnolence, Vomiting; Cyanosis, Diarrhoea, Eye movement disorder, Hypotonia, Irritability; Mobility decreased, Somnolence, Vomiting; Cyanosis, Diarrhoea, Eye movement disorder, Hypotonia, Irritability; Mobility decreased, Somnolence, Vomiting
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Information pulled directly from urgent care visit: Pt did not want to move after nap today -increa...
Information pulled directly from urgent care visit: Pt did not want to move after nap today -increased nap length today 2 hours, woke 1530 Acting hisself but fussy, his normal after vaccine response Ate dinner Vomitted after dinner Right after the emesis episode he went limp -Denies being upset or crying prior to either Mom noticed he had diarrhea at this time Was trying to arouse him by tapping on his foot Episode lasted ~ 1 minute -eyes appeared to be rolling, denies eye deviation or "flickering" -lips turned blue -body was limp, no tonic or clonic movements -breathing through entire episode Mom immediately got him into the car, to bring him here In the car he was smiling, normal behavior Has been warm but denies known fever No previous episode similar to today Denies family history of seizures or breathholding spells Denies other sick symptoms, had wcc this am
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| 2864674 | 55 | F | IL | 10/09/2025 |
FLU3 |
SANOFI PASTEUR |
u8832aa |
Asthenia, Dizziness, Dyspnoea, Hyperhidrosis, Unresponsive to stimuli
Asthenia, Dizziness, Dyspnoea, Hyperhidrosis, Unresponsive to stimuli
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Pt got shot, went to take a break had a snack, came back started working and felt very dizzy, she sa...
Pt got shot, went to take a break had a snack, came back started working and felt very dizzy, she sat down and started sweating a lot, was not responding to initial questions, taking short breathes , felt very weak but did not loss consciousness.
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| 2864675 | 28 | F | ID | 10/09/2025 |
FLU3 TDAP |
SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS |
407280 F9K3L |
Exposure during pregnancy, Product administered to patient of inappropriate age,...
Exposure during pregnancy, Product administered to patient of inappropriate age, Wrong product administered; Exposure during pregnancy, Product administered to patient of inappropriate age, Wrong product administered
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Patient is 28 years old and pregnant. She is at 28 weeks' gestation and EDD is 12/24/2025. Pati...
Patient is 28 years old and pregnant. She is at 28 weeks' gestation and EDD is 12/24/2025. Patient received her Tdap and Influenza vaccines on 10/07/2025 at 03:00 pm. The Influenza vaccine given was the FLUAD HD instead of the regular dose vaccine. Patient did not state any symptoms at the time. We have been trying to contact patient via phone but have been unable to get in contact with her. CDC was notified and guidelines were given in regard to incident. Guidelines were emailed to me and this was forwarded to supervisor so that this could be given to patient. CDC case ID number was provided. Case ID #. Recommendation to contact the FDA was given from the CDC representative. Have not been able to get in contact with them due to hold time.
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| 2864676 | 74 | M | MN | 10/09/2025 |
COVID19 |
MODERNA |
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Chest pain, Hypopnoea
Chest pain, Hypopnoea
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Severe chest pain with shallow breathing starting at 1:00PM on Oct 04, lasting until appox. 8:00PM ...
Severe chest pain with shallow breathing starting at 1:00PM on Oct 04, lasting until appox. 8:00PM that evening
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| 2864677 | 9 | M | CA | 10/09/2025 |
FLU3 |
SANOFI PASTEUR |
UT8858JA |
Presyncope
Presyncope
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Vasovagal episode after flu vaccine was administered. Required O2 for < 2 min Vitals normal afte...
Vasovagal episode after flu vaccine was administered. Required O2 for < 2 min Vitals normal after O2 Pt monitored in office for 30 min Tolerating drinking water. Ambulated well Pt was stable to discharge home
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| 2864679 | 76 | F | MN | 10/09/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9548 |
Injected limb mobility decreased, Injection site erythema, Injection site mass, ...
Injected limb mobility decreased, Injection site erythema, Injection site mass, Injection site pain, Pain
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Day of encountered a lump under the vaccine location. For the past week has had redness that is pain...
Day of encountered a lump under the vaccine location. For the past week has had redness that is painful to touch surrounding the site. The pain is radiating to shoulder making it difficult to raise arm. No evidence of skin infection/cellulitis.
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| 2864680 | 63 | F | IA | 10/09/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
J5T3B |
Extra dose administered
Extra dose administered
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Second dose given this season
Second dose given this season
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| 2864681 | 65 | F | SC | 10/09/2025 |
PNC21 |
MERCK & CO. INC. |
Z009681 |
Injection site pruritus, Injection site warmth
Injection site pruritus, Injection site warmth
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Patient is experiencing injection site reaction which is itching and is warm to touch.
Patient is experiencing injection site reaction which is itching and is warm to touch.
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| 2864682 | 52 | F | WI | 10/09/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Pain, Rash
Pain, Rash
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A few hours after receiving Shingrix series one, I developed a rash below my right ear. It has since...
A few hours after receiving Shingrix series one, I developed a rash below my right ear. It has since spread to the back of my neck, up my scalp, along my chest & face; all on the right side. Pain & burning associated with rash.
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| 2864683 | 47 | M | NJ | 10/09/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
946912 |
Rash, Rash erythematous
Rash, Rash erythematous
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My body is covered in red bumps. I had a shot on Monday, but the red bumps haven't subsided yet...
My body is covered in red bumps. I had a shot on Monday, but the red bumps haven't subsided yet.
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| 2864684 | 19 | F | OH | 10/09/2025 |
FLU3 |
SEQIRUS, INC. |
407009 |
Hyperhidrosis, Pallor
Hyperhidrosis, Pallor
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Pale, diaphoretic. B/P Right arm 127/65, Pulse 57, respirations 18. Sat patient in clinic room wit...
Pale, diaphoretic. B/P Right arm 127/65, Pulse 57, respirations 18. Sat patient in clinic room with mom present, observed for 20 min. Gave patient water and mom got her a granola bar. Within 5 minutes patient felt better and skin color WNL, no diaphoresis. Gave patient water and mom instructions to call EMS for any swelling of tongue, lips, throat or for and issues breathing. Mom and patient verbalized understanding. Patient left, walked out without difficulty. Call place to patient several hours later by this nurse, voicemail mail left , will call again to check up on patient:
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| 2864685 | 57 | F | FL | 10/09/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
NA4452 NA4452 |
Chest pain, Computerised tomogram normal, Electrocardiogram normal, Ophthalmolog...
Chest pain, Computerised tomogram normal, Electrocardiogram normal, Ophthalmological examination normal, Pain in extremity; Ultrasound scan normal, Vitreous floaters
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pt reported waking up 10/06 with right calf pain and chest pain at 6 am. She went to the ER to get c...
pt reported waking up 10/06 with right calf pain and chest pain at 6 am. She went to the ER to get checked out. Pt reported floaters in left eye at 6:30 am 10/09. ER visit came back all normal and no medication was given. Pt went to eye dr to get eye checked out and there was nothing out of ordinary 2 months prior.
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| 2864686 | 33 | M | CO | 10/09/2025 |
COVID19 |
MODERNA |
3052671 |
Asthenia, Fatigue, Muscle spasms
Asthenia, Fatigue, Muscle spasms
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Greatly overall fatigue and weakness (more than usual). Lower back spasm
Greatly overall fatigue and weakness (more than usual). Lower back spasm
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| 2864687 | 26 | F | ME | 10/09/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
946907 |
Pruritus, Urticaria
Pruritus, Urticaria
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vaccine given at 1300. At 1420 pt contacted the office stating she had itching and hives. She had ...
vaccine given at 1300. At 1420 pt contacted the office stating she had itching and hives. She had taken 50 mg of Benadryl 10 min prior. No resp symptoms. Discussed with PCP who recommended pt go to ER. Pt went to Hospital.
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| 2864688 | 70 | F | TX | 10/09/2025 |
FLU3 |
SANOFI PASTEUR |
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Chest pain, Nausea, Pain in extremity
Chest pain, Nausea, Pain in extremity
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I was fine after she gave me the shot, and as soon as i got hom it hit me my chest were hurting and ...
I was fine after she gave me the shot, and as soon as i got hom it hit me my chest were hurting and my arm was hurting. I then got nauesous and thought it was because i didn't eat. I took a something and ate and then i felt fine like nothing happen to me. Then Sunday it came back again and i felt the same thing so i did the same thing and it went away and hasnt came back since.
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| 2864690 | 65 | F | AK | 10/09/2025 |
COVID19 FLU3 PNC20 |
MODERNA SANOFI PASTEUR PFIZER\WYETH |
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Injection site erythema, Injection site pain, Injection site warmth; Injection s...
Injection site erythema, Injection site pain, Injection site warmth; Injection site erythema, Injection site pain, Injection site warmth; Injection site erythema, Injection site pain, Injection site warmth
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My upper left arm, where I received the Pneumo Conjugate injection, was very sore. About 2 days late...
My upper left arm, where I received the Pneumo Conjugate injection, was very sore. About 2 days later, redness, heat and itchiness developed. The red patch spread from the injection site near my shoulder down the front and inside of my arm almost to the elbow. For several days I applied a topical analgesic cream several times throughout the day. It helped somewhat, but not enough. Finally I gave up on that and started slathering the area with Calamine Lotion. I applied that generally twice during the day, as well as before bedtime. This is day 12 and the redness, heat and itchiness have diminished substantially. I anticipate that in a couple days I'll quit using Calamine Lotion and all will be dandy. Somehow I inadvertently uploaded only a partially completed form earlier today. Please scrap that. With luck this one will upload fully and properly with all the necessary info. The incomplete one to delete is was Completed: 10/09/2025 03:35 PM Temporary VAERS E-Report No:
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| 2864691 | 35 | M | VA | 10/09/2025 |
UNK |
UNKNOWN MANUFACTURER |
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Headache, Nausea
Headache, Nausea
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Patient reported having headache the night after receiving vaccine, patient woke up feeling nauseous...
Patient reported having headache the night after receiving vaccine, patient woke up feeling nauseous with increase headache and subsequently went Urgent care, received prednisone, went home. Went to ER 0030 Oct. 8, and admitted to r/o viral mengitits.
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| 2864692 | 81 | F | SC | 10/09/2025 |
COVID19 |
PFIZER\BIONTECH |
NA4452 |
Arthralgia, Asthenia, Balance disorder, Dizziness, Tinnitus
Arthralgia, Asthenia, Balance disorder, Dizziness, Tinnitus
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pt was hurting from shoulder to shoulder the night of the vaccine. The next morning, her wrist, knee...
pt was hurting from shoulder to shoulder the night of the vaccine. The next morning, her wrist, knees and ankles were hurting. Her balance was off and was concerned about walking. Her ears started ringing. She was dizzy and lighted with no energy. She continues to have the ringing in the ears, dizziness and being off balance.
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| 2864693 | 59 | F | VA | 10/09/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
T9DX2 |
Asthenia, Blood glucose, Fall, Gait disturbance, Slow response to stimuli
Asthenia, Blood glucose, Fall, Gait disturbance, Slow response to stimuli
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Employee complained of weakness and was unable to walk without assistance for about 1.5 hours, fell ...
Employee complained of weakness and was unable to walk without assistance for about 1.5 hours, fell to the floor on 3 occasions. Slow to answer questions.
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| 2864694 | 56 | F | MA | 10/09/2025 |
FLU3 FLU3 FLU3 FLU3 FLU3 FLU3 FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
U8832AA U8832AA U8832AA U8832AA U8832AA U8832AA U8832AA U8832AA |
Arteriogram carotid, Blood creatine phosphokinase, Blood immunoglobulin A, Blood...
Arteriogram carotid, Blood creatine phosphokinase, Blood immunoglobulin A, Blood immunoglobulin G, Blood immunoglobulin M; C-reactive protein increased, Chills, Computerised tomogram head normal, Electric shock sensation, Electrocardiogram; Electrocardiogram normal, Eyelid ptosis, Full blood count, Headache, Hyperhidrosis; Lipids, Menopausal symptoms, Metabolic function test, Mobility decreased, Mononeuritis; Musculoskeletal pain, Musculoskeletal stiffness, Myalgia, Myositis, Neck pain; Pain, Pyrexia, Rash, Red blood cell sedimentation rate, Red blood cell sedimentation rate increased; SARS-CoV-2 test negative, Scan with contrast normal, Skin discolouration, Torticollis, Trigeminal neuralgia; Urine analysis abnormal, Vasculitis, White blood cell count normal
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Patient had vaccine 09/23/25. She was seen at the office on 09/29/2025 by Dr.- "Patient is a 56...
Patient had vaccine 09/23/25. She was seen at the office on 09/29/2025 by Dr.- "Patient is a 56 year old female who presents with neck stiffness and rash following a flu vaccine. She received a flu vaccine at pharmacy on Tuesday. That night, she developed a low-grade fever and a headache localized to the left side of her head. She has a history of headaches but no previous migraines. The following day, she experienced neck stiffness and pain, making it difficult to turn her head. The symptoms persisted into Thursday, with the headache becoming more severe and extending between her shoulder blades, causing significant discomfort. She described the pain as feeling like 'someone needed to punch me right there just to relieve the pressure.' She managed her symptoms with alternating doses of Tylenol and Advil from Tuesday until Friday morning. On Friday, she noticed a discoloration from underneath her breast around the left side, which was not itchy and was discovered after a shower. Her fever resolved over the last couple of days. No chills or sweats, although she experiences menopausal symptoms, which include sweating. No photophobia. She has been informed of elevated blood pressure, which she states has never been high before, and she is concerned about the implications for her job. Assessment & Plan Myositis, neck and back muscle inflammation, and acute neck pain following influenza vaccination Acute myositis and muscle inflammation in the neck and back following influenza vaccination, with significant torticollis and muscle pain. Symptoms likely due to inflammatory response to the vaccine or reactivation from previous COVID vaccinations. Symptoms include severe neck stiffness and pain radiating between shoulder blades. - Order blood tests to assess inflammation markers - Prescribe Flexeril for muscle relaxation - Prescribe dexamethasone to reduce inflammation - Advise against taking Flexeril before flying Headache following influenza vaccination Headache localized to the left side of the head following influenza vaccination, persistent over several days. Likely related to the inflammatory response from the vaccine. - Prescribe Fioricet for headache management Allergic rash following influenza vaccination Development of a non-itchy rash on the left side of the body following influenza vaccination, likely an allergic reaction to the vaccine. Rash is not causing significant discomfort. - Prescribe dexamethasone to address the rash Elevated blood pressure secondary to acute illness Elevated blood pressure likely secondary to stress and discomfort from acute illness and inflammation. Not a chronic issue as blood pressure has been normal in the past. Expected to resolve as inflammation decreases. - Reassess blood pressure on follow-up visit tests ordered CBC, CMP< Creatine kinase, and lipid panel." She then went to ER on 09/29/25 for worsening symptoms. "Patient 56-year-old female with PMH as above here for evaluation of chills as well as neck pain and headaches that the patient has been experiencing over the past 6 days since receiving her influenza vaccination. She saw her primary care physician yesterday and was diagnosed with a reaction to the influenza vaccine. She was given a prescription for prednisone but did not take it yet. She was also given a prescription for Flexeril which did not help her with the pain. Physical exam as above. Labs reviewed are grossly unremarkable and reassuring. She is noted to have a slight elevation in her ESR and CRP levels which represents inflammation. White blood cell count is normal. COVID-19 testing was negative. Urinalysis was questionable for urinary tract infection. When the patient was questioned, she did not has been a urinary tract infection symptoms. Urine culture has been performed by the lab and we will contact the patient back if the results are positive for a bacteria that will require antibiotics for treatment. CT angiogram of the head and neck performed showed no evidence of any acute intracranial/vascular pathology. The patient has been reassured by the negative workup. She felt better with the medications that she received here. I has been discontinued her Flexeril and has been given her a prescription for tizanidine to help her with the neck pain. She does not have any signs or symptoms to suggest that she has meningitis/encephalitis at this time. The patient feels comfortable being discharged home. She has been instructed take the prednisolone that she was prescribed. Patient will follow up with PCP and return if any worsening symptoms. Amenable to this plan and appreciative of care delivered. Amount and/or Complexity of Data Reviewed: Labs: ordered and details documented in ED Course Radiology: ordered, independent interpretation and details documented in ED Course Details: I have independently interpreted the patient's CT angiogram of the head and neck and see no evidence of any acute intracranial/vascular pathology. ECG/medicine tests: ordered, independent interpretation and details documented in ED Course Details: I have independently interpreted the patient's EKG and see no evidence acute ischemic changes. Risk Medication(s): OTC drugs and prescription drug management Escalation of care including admission / observation considered: Admission considered but there is little to suggest that the patient requires admission to the hospital at this time. Therefore, deferred. Then seen by Dr. on 10/01/25- Active problems addressed during this encounter: 1. Other myositis of left shoulder (Primary) 2. Postimmunization reaction, initial encounter Improving. No evidence of phlebitis. Monitoring clinically. " Then symptoms worsened again- on 10/06/25 "Good Morning Dr., I had been feeling much better after my reaction to the flu vaccine and all seemed to be going fine but on Thursday, I began having a dull headache on the left side of my head again with random "electrical shocks" to my ear drum and down the back of my head. Not excruciating, but annoying and a constant dull ache just below my rib cage on the left side of my back. I was supposed to fly on Saturday but I did a telecom appointment and Dr. advised I go back on steroids and start with the muscle relaxers and Zyrtec again, so I called out for my flight. He prescribed me a course of Prednisone and I have been taking all the meds he recommended. Is this something I should be concerned about, or did I just need more meds to counter the effects of the reaction? Thank You, Patient" Seen on 10/09/25 by Dr. for follow-up. "Follow Up (Pt was feeling much better and all seemed to be going fine but on Thursday (10/02), she began having a dull headache on the L side of her head again with random "electrical shocks" to L ear drum and down the back of head. Not excruciating, but annoying and a constant dull ache just below rib cage on the left side of back.She has a rash, face discoloration, weakness in left arm, fatigue, dry mouth, & voice (raspy). Done muscle relaxer. Never took oxy. Only taking prednisone taper. No supplements. )" "Active problems addressed during this encounter: 1. Acute vasculitis (Primary). Postimmunization reaction, subsequent encounter. Other myositis of left shoulder. Allergic dermatitis. Left ptosis and trigeminal neuralgia? Other intractable trigeminal autonomic cephalgia (TAC) Mononeuritis multiplex and (dermato)myositis in postvaccination vasculitis are a concern. GBS-like symptoms or MFS are theoretical possibilities but are unlikely. Will follow on steroids and order work-up. Will consider repeat imaging if further progression happens. - BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC Routine - COMPREHENSIVE METABOLIC PANEL Routine - SEDIMENTATION RATE RBC AUTOMATED Routine - C-REACTIVE PROTEIN Routine - CREATINE KINASE TOTAL Routine - COMPLEMENT TOTAL HEMOLYTIC Routine - IMMUNOGLOBULIN PANEL (IGG, IGA, IGM), SERUM Routine - predniSONE (DELTASONE) 10 mg tablet; Take 4 Tablets by mouth once daily for 3 days, THEN 2 Tablets once daily for 14 days, THEN 1.5 Tablets once daily for 7 days, THEN - anti-ganglioside Gq1b antibodies - REFERENCE TEST Blood Blood Routine"
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| 2864695 | 74 | F | IA | 10/09/2025 |
FLU3 |
SANOFI PASTEUR |
U8862CA |
Injection site discolouration, Injection site erythema
Injection site discolouration, Injection site erythema
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PT STATED ON 2ND DAY AFTER VACCINE HAS A LITTLE BLACK AND BLUE AT THE SITE AND IS RED ABOUT 3x5 IN...
PT STATED ON 2ND DAY AFTER VACCINE HAS A LITTLE BLACK AND BLUE AT THE SITE AND IS RED ABOUT 3x5 INCH, NOT PAINFUL , NOT HOT
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| 2864697 | 49 | F | WA | 10/09/2025 |
FLU3 |
SEQIRUS, INC. |
948401-06/8/26 |
Rash, Rash erythematous, Skin warm, Urticaria
Rash, Rash erythematous, Skin warm, Urticaria
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Hives/ rash to face chest and arm within an hour of shot. Redness and heat to skin where rash was at...
Hives/ rash to face chest and arm within an hour of shot. Redness and heat to skin where rash was at.
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| 2864698 | 26 | F | IA | 10/09/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
Zl4r5 |
Exposure during pregnancy, Product use issue, Wrong product administered
Exposure during pregnancy, Product use issue, Wrong product administered
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Pt presents to the clinic for routine prenatal visit at 35 weeks 6 days with her nurse midwife on 10...
Pt presents to the clinic for routine prenatal visit at 35 weeks 6 days with her nurse midwife on 10/9/25. Pt elected to receive the RSV vaccination approved for maternal use Abrsyvo. Pt received the Arexvy instead due to clinical error. Pt did not have any immediate side effects. Due date 11/7/2025. CDC guidance received to continue to monitor pt with routine prenatal visits, baby will need the beyfortus at birth according to CDC site.
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