| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2863725 | 64 | F | IL | 10/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
7YD42 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Mild, Systemic: Two injections given due to initial dose did not go int...
Site: Pain at Injection Site-Mild, Systemic: Two injections given due to initial dose did not go into deltoid. See details.-Mild, Additional Details: During administration BD Integra Syringe with Retracting BD PrescrisionGlide Needle malfunctioned. Vaccine dose came out at needle connection to syringe. An additional dose was reconstituted and administered to patient in same arm due to initial dose not adminstered into deltoid of arm.
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| 2863726 | 65 | F | VA | 10/07/2025 |
PNC21 |
MERCK & CO. INC. |
z006889 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
|
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| 2863727 | 69 | F | MN | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
na0589 |
Injection site discomfort, Injection site erythema, Injection site pain, Injecti...
Injection site discomfort, Injection site erythema, Injection site pain, Injection site swelling
More
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Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injec...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: patient states redness swelling discomfort at injection site. pt was prescribed an antibiotic from urgent care
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| 2863728 | 68 | F | MI | 10/07/2025 |
COVID19-2 |
PFIZER\BIONTECH |
my9550 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
|
Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection ...
Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
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| 2863729 | 15 | F | NH | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0738 |
Syncope
Syncope
|
Systemic: Did not see the patient getting a reaction. I was notified by the parent. I was told that ...
Systemic: Did not see the patient getting a reaction. I was notified by the parent. I was told that they fainted in the parking lot.-Mild, Additional Details: patient is doing good as per the parent. I reached out to the parent after about an hour. she was doing good. She had an history of fainting.
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| 2863730 | 73 | M | MA | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
my9548 |
Fatigue, Headache, Lethargy, Nausea, Pyrexia
Fatigue, Headache, Lethargy, Nausea, Pyrexia
|
Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: Headache-Medium, Systemic: Nau...
Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: Headache-Medium, Systemic: Nausea-Mild, Additional Details: patient recieved 2 doses of comirnaty at the same time. pt reported headache, fatigue, nausea starting morning after which resolved by the end of the day.
More
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| 2863731 | 32 | M | TN | 10/07/2025 |
FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. |
407009 407009 |
Dizziness, Flushing, Hyperhidrosis, Nausea, Syncope; Unresponsive to stimuli, Vo...
Dizziness, Flushing, Hyperhidrosis, Nausea, Syncope; Unresponsive to stimuli, Vomiting
More
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed ...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild
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| 2863733 | 31 | M | WI | 10/07/2025 |
COVID19 |
MODERNA |
3052671 |
Syncope, Unresponsive to stimuli
Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient said he felt fine after vaccin...
Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient said he felt fine after vaccines were administered but fainted while paying for his vaccine at the register and fell into the privacy screen. Paramedics assessed and the patient's blood pressure normalized and they told him it was up to him if he went to the hospital. He declined to go to the hospital., Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 406999; Route: Intramuscular; BodySite: Left Deltoid; Dose: 1; VaxDate: 09/21/2025
More
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| 2863734 | 33 | M | MA | 10/07/2025 |
FLUC4 |
SEQIRUS, INC. |
407000 |
Syncope, Unresponsive to stimuli
Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Severe
Systemic: Fainting / Unresponsive-Severe
|
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| 2863735 | 60 | F | IL | 10/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
27LR2 |
Injected limb mobility decreased, Injection site erythema, Injection site pain, ...
Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
More
|
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injec...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: Pt reported that her whole upper right arm was in pain, swollen, and completely hot. Pt also stated that she cannot use her arm, pain going down her elbow. She has been using cold packs and Ibuprofen 400 mg tabs 4 times daily without success. Advised pt to increase Ibuprofen dose w/ cold compress. If condition does not improve, see MD or go to Prompt Care/Hospital and report to MD. Documentation on file showed she got Covid and Flu vaccines in the left arm., Other Vaccines: VaccineTypeBrand: Covid 19 (Cominarty); Manufacturer: Pfizer; LotNumber: MY9548; Route: IM; BodySite: Left deltoid; Dose: 3; VaxDate: 09/19/2025, VaccineTypeBrand: Flu (Flucelvax ); Manufacturer: Seqirus; LotNumber: 409108; Route: IM; BodySite: Left deltoid; Dose: 1; VaxDate: 09/19/2025
More
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| 2863736 | 6 | M | OH | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
na0589 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Mild, Additional Details: patient was 6 years old, the comirnaty 12+ va...
Site: Pain at Injection Site-Mild, Additional Details: patient was 6 years old, the comirnaty 12+ vaccine was administer into the arm on 9/21/25. Error was found after the patient left, tried calling the mother, but mailbox was full and was nto able to reach the mother to let her know what had occurred., Other Vaccines: VaccineTypeBrand: Covid 19; Manufacturer: Pfizer; LotNumber: na0589; Route: im; BodySite: arm; Dose: ; VaxDate: UNKNOWN
More
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| 2863737 | 72 | M | NM | 10/07/2025 |
COVID19-2 |
PFIZER\BIONTECH |
na0589 |
Injection site erythema
Injection site erythema
|
Site: Redness at Injection Site-Mild, Additional Details: patient received 3 vaccines yesterday and ...
Site: Redness at Injection Site-Mild, Additional Details: patient received 3 vaccines yesterday and returned today with redness on left arm, below injection site, about 3 inch by 4 inch, no complaints of pain or itchiness. will monitor and follow up w pcp if necessary, Other Vaccines: VaccineTypeBrand: fluzone high dose 2025-26; Manufacturer: sanofi; LotNumber: ut8804ca; Route: im; BodySite: left deltoid; Dose: 1; VaxDate: 09/20/2025, VaccineTypeBrand: boostrix tdap vaccine; Manufacturer: gsk; LotNumber: f9k3l; Route: im; BodySite: left deltoid; Dose: 1; VaxDate: 09/20/2025
More
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| 2863738 | 51 | M | VA | 10/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
X5T42 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Pat...
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Patient stops by Pharmacy today Sep 21th, 2025 to report the swelling and redness of Left arm that he is received shingle vaccine (1st dose) on Sep 15th, 2025. The swelling and redness occured on Sep 19th, 2025. Patient visited doctor on Sep 19th and is prescribed Levofloxacin 500mg take one tablet orally daily for one week, Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Sequirus, Inc; LotNumber: 407000; Route: IM; BodySite: Right arm; Dose: ; VaxDate: UNKNOWN
More
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| 2863739 | 69 | M | CA | 10/07/2025 |
COVID19-2 COVID19-2 COVID19-2 |
MODERNA MODERNA MODERNA |
3052087 3052087 3052087 |
Anaphylactic reaction, Asthenia, Dizziness, Dysphagia, Headache; Injection site ...
Anaphylactic reaction, Asthenia, Dizziness, Dysphagia, Headache; Injection site pain, Nausea, Pyrexia, Throat tightness, Tremor; Vomiting
More
|
Site: Pain at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficu...
Site: Pain at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Vomiting-Mild, Systemic: Weakness-Mild, Other Vaccines: VaccineTypeBrand: mnexspike 2025-26; Manufacturer: moderna; LotNumber: 3052087; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
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| 2863740 | 26 | F | FL | 10/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
99d52 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Mild, Additional Details: Patient given vaccine in error
Site: Pain at Injection Site-Mild, Additional Details: Patient given vaccine in error
|
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| 2863741 | 30 | F | TX | 10/07/2025 |
COVID19 |
MODERNA |
8146545 |
Injection site bruising, Injection site swelling, Pyrexia
Injection site bruising, Injection site swelling, Pyrexia
|
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Inje...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Mild, Other Vaccines: VaccineTypeBrand: Flu (Flucelvax 2025-2026); Manufacturer: Seqirus; LotNumber: 406999; Route: intramuscular; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
More
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| 2863742 | 86 | F | NY | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
u8837da |
Injection site pain, Joint injury
Injection site pain, Joint injury
|
Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Me...
Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Other Vaccines: VaccineTypeBrand: mnexspike 2025-26; Manufacturer: moderna; LotNumber: 3052154; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 09/17/2025
More
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| 2863744 | 54 | M | FL | 10/07/2025 |
FLUC4 |
SEQIRUS, INC. |
407000 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Medium
Site: Pain at Injection Site-Medium
|
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| 2863748 | 72 | F | PA | 10/07/2025 |
COVID19-2 |
MODERNA |
3052583 |
Injection site bruising, Injection site erythema, Injection site inflammation, I...
Injection site bruising, Injection site erythema, Injection site inflammation, Injection site pain, Product administered at inappropriate site
More
|
Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injec...
Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Additional Details: Patient was given the vaccine too low in the arm (3 fingerwidths above the elbow) leading to intense bruising, redness, and inflammation of injection site. All has resolved other than a residual bruise at site, pt is not upset but wanted us to be aware in case this happened to other patients. District leader and pharmacy manager made aware of incident.
More
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| 2863749 | 43 | M | TX | 10/07/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
z007396 z007396 |
Dizziness, Fatigue, Injection site erythema, Lethargy, Syncope; Unresponsive to ...
Dizziness, Fatigue, Injection site erythema, Lethargy, Syncope; Unresponsive to stimuli
More
|
Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion...
Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: patient fainted after recieveing the gardasil and fluarix vaccine, blood pressure was normal ems came to check on patient and was released without complications , Other Vaccines: VaccineTypeBrand: fluarix; Manufacturer: gsk; LotNumber: 73bnc; Route: intramuscular; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
More
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| 2863751 | 61 | M | MD | 10/07/2025 |
PNC20 |
PFIZER\WYETH |
LN4932 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Severe, Additional Details: pt says he has been having pain in the righ...
Site: Pain at Injection Site-Severe, Additional Details: pt says he has been having pain in the right arm that did not resolve after taking naproxen, and steroid shot. He is going to be seen by a specialist
More
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| 2863752 | 49 | F | PA | 10/07/2025 |
FLUC4 |
SEQIRUS, INC. |
948397 |
Injection site erythema, Injection site pain, Injection site pruritus, Rash
Injection site erythema, Injection site pain, Injection site pruritus, Rash
|
Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Inject...
Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Other Vaccines: VaccineTypeBrand: comirnaty; Manufacturer: pfizer; LotNumber: na0587; Route: im; BodySite: right arm; Dose: ; VaxDate: UNKNOWN
More
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| 2863753 | 87 | F | FL | 10/07/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
my9547 my9547 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pruritus; Rash
More
|
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Inject...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium
More
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| 2863754 | 63 | F | AL | 10/07/2025 |
COVID19-2 |
PFIZER\BIONTECH |
my9547 |
Injection site swelling
Injection site swelling
|
Site: Swelling at Injection Site-Medium, Additional Details: patient has a raised circular coin size...
Site: Swelling at Injection Site-Medium, Additional Details: patient has a raised circular coin sized reaction on left deltoid. no involvment in lower arm or elbow. no pain , numbness or tingling when moving or raising the arm
More
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| 2863755 | 70 | M | IL | 10/07/2025 |
FLUC4 |
SEQIRUS, INC. |
406999 |
Injection site swelling
Injection site swelling
|
Site: Swelling at Injection Site-Mild
Site: Swelling at Injection Site-Mild
|
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| 2863756 | 51 | M | IL | 10/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4zs72 |
Burning sensation, Rash, Rash pruritic
Burning sensation, Rash, Rash pruritic
|
Systemic: Allergic: Rash Generalized-Medium, Systemic: shingles like rash few places on chest it bur...
Systemic: Allergic: Rash Generalized-Medium, Systemic: shingles like rash few places on chest it burns and is itchy no fever or sun exposure-Medium, Other Vaccines: VaccineTypeBrand: rsv abrysvo act-o vial; Manufacturer: pfizer; LotNumber: md5462; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: flucelvax flu; Manufacturer: serirus inc; LotNumber: 406984; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
More
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| 2863757 | 22 | F | AZ | 10/07/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
U8790AA |
Injected limb mobility decreased, Injection site pain, Joint injury, Product adm...
Injected limb mobility decreased, Injection site pain, Joint injury, Product administered at inappropriate site
More
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: pt reports ...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: pt reports pain at the injection site and limited mobility. Also, stated the vaccine was given way too high
More
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โ | |||||
| 2863758 | 35 | F | NY | 10/07/2025 |
HPV9 |
MERCK & CO. INC. |
z011449 |
Hypotonia, Injection site pain, Seizure, Staring, Unresponsive to stimuli
Hypotonia, Injection site pain, Seizure, Staring, Unresponsive to stimuli
|
Site: Pain at Injection Site-Mild, Additional Details: Patient did not loose conciousness, but was n...
Site: Pain at Injection Site-Mild, Additional Details: Patient did not loose conciousness, but was not responsive to verbal queues. Patient was seated but slouched over to the left, slighted craned head up to ceiling and eyes were glazed over but open and had a convulsion like reaction post vaccination that lasted a couple seconds then patient came out of it. Patient states never having a reaction like this before and stated not having any underlying condition of epilepsy or seizures. Kept 15 mins for observation and informed to see MD for eval, Other Vaccines: VaccineTypeBrand: Flucelvax 2025-2026; Manufacturer: SEQIRUS, INC.; LotNumber: 407008; Route: IM; BodySite: LEFT ARM; Dose: ; VaxDate: 09/22/2025, VaccineTypeBrand: SPIKEVAX 2025-26; Manufacturer: MODERNA US, INC.; LotNumber: 3052550; Route: IM; BodySite: RIGHT ARM; Dose: ; VaxDate: UNKNOWN
More
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| 2863760 | 42 | M | CA | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
UT8804CA |
No adverse event, Product administered to patient of inappropriate age, Wrong pr...
No adverse event, Product administered to patient of inappropriate age, Wrong product administered
More
|
Systemic: NONE-Mild, Additional Details: Received Fluzone HD instead of Flucelvax, which was put in ...
Systemic: NONE-Mild, Additional Details: Received Fluzone HD instead of Flucelvax, which was put in the wrong vaccine box. The correct vaccine was scanned out. Pt awared of receiving Fluzone HD, and would reported any side effects if any. Waited at the pharmacy after 5-10 minutes, no issues before leaving the facility.
More
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| 2863761 | 10 | M | CA | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0846 |
Blepharospasm
Blepharospasm
|
Systemic: eye twitching-Medium
Systemic: eye twitching-Medium
|
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| 2863762 | 81 | M | FL | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
UT8763GA |
Injection site pain, Mobility decreased
Injection site pain, Mobility decreased
|
Site: Pain at Injection Site-Medium, Additional Details: Pain at the injection site, difficulty lift...
Site: Pain at Injection Site-Medium, Additional Details: Pain at the injection site, difficulty lifting arm overhead - will get Xray, Other Vaccines: VaccineTypeBrand: Comrinaty 24-25; Manufacturer: Pfizer; LotNumber: ME6072; Route: IM; BodySite: Left; Dose: 1; VaxDate: 07/31/2025
More
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| 2863763 | 79 | F | FL | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
Ut8794BA |
Asthenia, Dizziness, Fatigue, Lethargy, Pain
Asthenia, Dizziness, Fatigue, Lethargy, Pain
|
Systemic: Body Aches Generalized-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhau...
Systemic: Body Aches Generalized-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Weakness-Severe, Other Vaccines: VaccineTypeBrand: Shingles (Shingrix); Manufacturer: Glaxosmithkline; LotNumber: 99D52; Route: Intramuscular; BodySite: Left Deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: Covid (Comirnaty); Manufacturer: Pfizer Pharm; LotNumber: MY9547; Route: Intramuscular; BodySite: Left Deltoid; Dose: ; VaxDate: UNKNOWN
More
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| 2863766 | 72 | F | VA | 10/07/2025 |
FLUC4 |
SEQIRUS, INC. |
407009 |
Joint injury
Joint injury
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
|
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| 2863768 | 65 | F | PA | 10/07/2025 |
COVID19 |
MODERNA |
3052030 |
Dizziness, Injection site bruising, Injection site swelling, Photopsia
Dizziness, Injection site bruising, Injection site swelling, Photopsia
|
Site: Bruising at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Dizziness / ...
Site: Bruising at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: reported "seeing stars", bump at injection site-Mild, Additional Details: Patient had bump/bruising at injection site, went home and was upset and started "seeing stars", felt like she was might faint but did not. She was concerned the injection was given in a "fat pocket" instead of being administered in the muscle. Concerned she may possibly need revaccination and wants to ensure she is given adequate protection from this vaccine.
More
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| 2863769 | 83 | F | CA | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
UT8763FA |
Injection site pain, Joint injury
Injection site pain, Joint injury
|
Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mi...
Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Other Vaccines: VaccineTypeBrand: MNEXSPIKE 2025-26; Manufacturer: MODERNA; LotNumber: 3052030; Route: IM; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN
More
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| 2863770 | 70 | M | FL | 10/07/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3052583 3052583 |
Headache, Injection site bruising, Injection site erythema, Injection site pain,...
Headache, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus; Injection site swelling
More
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Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injec...
Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Headache-Medium, Additional Details: Pt visited MD on Monday 9/21 and MD thinks it could be possible cellulitis and prescribed Cephalexin as a 5 day therapy. Pt will reevaluate after the 5 days. I called the pt today and he states seems to be getting better but starting to itch. I will follow up as needed
More
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| 2863771 | 13 | F | CT | 10/07/2025 |
COVID19 |
MODERNA |
3052550 |
Consciousness fluctuating, Syncope, Unresponsive to stimuli
Consciousness fluctuating, Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient recieved 2 vaccines on 9/23/25...
Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient recieved 2 vaccines on 9/23/25 at 11:19am. We gave her the flu and moderna vaccine. After administering both vaccines the patient fainted and we called the ambulance. She was going in and out of conciousness but was breathing and was not having an allergic reaction. EMS came and took her to the Hospital. A couple hours later I called the father and he informed us that she is home and resting. Medical doctors checked her out and they were able to send her home. , Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 407009; Route: IM; BodySite: Arm; Dose: 1; VaxDate: 09/23/2025
More
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| 2863773 | 61 | F | OH | 10/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3E27G |
Contusion, Ecchymosis
Contusion, Ecchymosis
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Systemic: BRUISING AT THE RIGHT ELBOW-Mild, Systemic: Joint Pain-Mild, Additional Details: SHE CALLE...
Systemic: BRUISING AT THE RIGHT ELBOW-Mild, Systemic: Joint Pain-Mild, Additional Details: SHE CALLED US AND HER DOCTOR - HE WANTED TO SEE HER - I WAS GOING TO TELL HER TO GO SEE HIM, BUT SHE WAS ALREADY THERE WHEN I CALLED HER BACK. NO WARMTH - HE DIDNT FEEL IT WAS INFECTED BUT CALLED IT TRAUMATIC ECCHYMOSIS - PT STATES SHE DID NOT HIT HER ELBOW ON ANYTHING AND THE SHOT WAS GIVEN IN THAT ARM.
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| 2863774 | 61 | F | NV | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
U8847BA |
Injection site erythema, No adverse event, Product administered to patient of in...
Injection site erythema, No adverse event, Product administered to patient of inappropriate age
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Site: Redness at Injection Site-Mild, Additional Details: Patient came in with husband for flu shots...
Site: Redness at Injection Site-Mild, Additional Details: Patient came in with husband for flu shots. Patient was to receive Flucelvax vaccination but accidently given Fluzone High Dose vaccination instead. Patient experienced no ADE at location and was informed of mistake. Patient was happy to receive higher coverage; patient's age at vaccination is 61.
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| 2863775 | 86 | F | CA | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
na0589 |
Injection site bruising, Injection site erythema, Injection site rash
Injection site bruising, Injection site erythema, Injection site rash
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Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: rash lower th...
Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: rash lower than the administration site. looks like bruising about about a palm size. no pain . or discomfort-Mild, Additional Details: pt came in . left arm looks like rash or bruising lower than the site of administraion. pt states no other rxn. no pain. no swelling. no warmth to touch or feverf. rash is getting better from date of administration. , Other Vaccines: VaccineTypeBrand: fluzone high dose; Manufacturer: sanofi- pasteur; LotNumber: ut8794da; Route: im; BodySite: left arm; Dose: ; VaxDate: 09/20/2025
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| 2863777 | 49 | F | CA | 10/07/2025 |
COVID19-2 |
PFIZER\BIONTECH |
MY9548 |
Dizziness, Injection site pain
Dizziness, Injection site pain
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Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: ALS...
Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: ALSO PATIENT RECEIVED AT THE SAME TIME AND DAY THE FOLLOWING VACCINES : FLUARIX -LOT #7CF5M AND HEPLISAV-B LOT #946909,
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| 2863778 | 86 | F | CA | 10/07/2025 |
COVID19 |
MODERNA |
3052296 |
Joint injury, Mobility decreased, Pain in extremity
Joint injury, Mobility decreased, Pain in extremity
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Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient cam...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient came in to pharmacy on 9/25 AM to report adverse event. States she went to ER due to extreme arm pain and inability to move arm. She was prescribed Norco for the pain. On visit to pharmacy there is no visible injection site reaction, redness, or irritation present. Patient expressed concern that immunizer may have administered dose too high. Patient has follow up with primary care scheduled and plans to seek PT for arm mobility issues. She is otherwise in good spirits. , Other Vaccines: VaccineTypeBrand: Fluad; Manufacturer: Seqirus, Inc; LotNumber: 407243; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN
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| 2863779 | 87 | M | NY | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
u8837da |
Asthenia, Dizziness, Fatigue, Muscular weakness, Syncope
Asthenia, Dizziness, Fatigue, Muscular weakness, Syncope
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Systemic: faint,dizzy,weak legs,tired-Medium, Systemic: Weakness-Medium
Systemic: faint,dizzy,weak legs,tired-Medium, Systemic: Weakness-Medium
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| 2863780 | 58 | F | VA | 10/07/2025 |
COVID19-2 COVID19-2 |
MODERNA MODERNA |
3052549 3052549 |
Chills, Dizziness, Fatigue, Injection site erythema, Injection site pain; Inject...
Chills, Dizziness, Fatigue, Injection site erythema, Injection site pain; Injection site pruritus, Injection site swelling, Lethargy, Pain
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Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Inject...
Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Weakness-Severe, Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 407000; Route: injection; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
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| 2863781 | 81 | M | PA | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9547 |
Dizziness, Fatigue, Lethargy, Syncope, Unresponsive to stimuli
Dizziness, Fatigue, Lethargy, Syncope, Unresponsive to stimuli
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Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainti...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Pt became unresponsive (still breathing) while waiting 15 minutes in the chair outside the vaccine room. Ambulance and EMS alerted and took patient to receive care.
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| 2863782 | 74 | F | FL | 10/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
99D52 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
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Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Other Vaccines: VaccineTypeBrand: Fluzone High-Dose 2025; Manufacturer: Sanofi Pasteur; LotNumber: u8855ca; Route: Intramuscular; BodySite: Left arm; Dose: 1; VaxDate: 09/23/2025
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| 2863783 | 76 | M | CA | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
ut8804ca |
Injected limb mobility decreased, Injection site pain, Joint injury, Pain in ext...
Injected limb mobility decreased, Injection site pain, Joint injury, Pain in extremity
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Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Se...
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: patient came to pharmacy the day after vaccination to complain that his arm and site of injection had severe pain. he had a hard time moving his arms. he says he will his doctor in a few days for another issue on the other arm so will ask when sees doctor
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| 2863784 | 51 | F | PA | 10/07/2025 |
PNC21 |
MERCK & CO. INC. |
z005765 |
Dizziness, Syncope
Dizziness, Syncope
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Systemic: Dizziness / Lightheadness-Severe, Systemic: fainting-Mild, Additional Details: pt fainted ...
Systemic: Dizziness / Lightheadness-Severe, Systemic: fainting-Mild, Additional Details: pt fainted in store after having immunization, when pt was called later she says she thinks it's because she didn't eat or drink anything before coming in, pt was not transported by ems, and patient says she is fine , Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: ; LotNumber: 948397; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
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| 2863785 | 84 | F | NY | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
my9550 |
Fatigue, Laryngitis, Lethargy
Fatigue, Laryngitis, Lethargy
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Systemic: Exhaustion / Lethargy-Medium, Systemic: Laryngitis-Medium
Systemic: Exhaustion / Lethargy-Medium, Systemic: Laryngitis-Medium
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| 2863786 | 9 | M | NY | 10/07/2025 |
FLUC4 |
SEQIRUS, INC. |
407009 |
Injection site erythema, Injection site pruritus
Injection site erythema, Injection site pruritus
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Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium
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