| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2863842 | 53 | M | CA | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
na0738 |
Injection site pruritus, Pruritus, Rash
Injection site pruritus, Pruritus, Rash
|
Site: Itching at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergi...
Site: Itching at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Additional Details: pt reported rash that started day after he received flu and covid vaccines, started on chest and spread. md gave him zyrtec and prednisone, Other Vaccines: VaccineTypeBrand: flublok; Manufacturer: sanofi; LotNumber: tfaa2504; Route: im; BodySite: right arm; Dose: ; VaxDate: UNKNOWN
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| 2863843 | 55 | F | CA | 10/07/2025 |
COVID19 |
MODERNA |
3052586 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
More
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Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injec...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: lots of blood and swelling. bruised
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| 2863844 | 15 | F | TX | 10/07/2025 |
COVID19-2 |
PFIZER\BIONTECH |
MY9550 |
Eye movement disorder, Immediate post-injection reaction, Paraesthesia, Syncope,...
Eye movement disorder, Immediate post-injection reaction, Paraesthesia, Syncope, Unresponsive to stimuli
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Systemic: Fainting / Unresponsive-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild...
Systemic: Fainting / Unresponsive-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Today 9/28/2025, I gave Flucelvax and Comirnaty to the patient. She didn't report any prior incidents before. I gave her Flucelvax first, and as soon as I finished giving her Comirnaty, her eyes rolled back and she was unresponsive for about 30-40 seconds. she was breathing normal, heart rate normal, but was unresponsive. when she came back she said she has a tingling sensastion in her body which resolved in less than a minute. she sat in the pharmacy for about 15-20 minutes and then left., Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 948412; Route: IM; BodySite: Left Arm; Dose: 1; VaxDate: 09/28/2025
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| 2863845 | 79 | F | NY | 10/07/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
ec2r9 |
Extra dose administered, Injection site pain
Extra dose administered, Injection site pain
|
Site: Pain at Injection Site-Mild, Additional Details: Patient had alread recieved a dose of rsv vac...
Site: Pain at Injection Site-Mild, Additional Details: Patient had alread recieved a dose of rsv vaccine from another pharmacy, and came in to us to get an another dose. she attested to the fact that she had not rec'd one in the past when asked but after vaccine administration stated she had one before.
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| 2863846 | 80 | F | TX | 10/07/2025 |
COVID19-2 |
MODERNA |
3052155 |
Injection site pain, Sleep disorder
Injection site pain, Sleep disorder
|
Site: Pain at Injection Site-Medium, Systemic: Unable to Sleep-Medium
Site: Pain at Injection Site-Medium, Systemic: Unable to Sleep-Medium
|
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| 2863847 | 24 | M | WA | 10/07/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
z005055 z005055 |
Asthenia, Dizziness, Flushing, Hyperhidrosis, Seizure like phenomena; Syncope, U...
Asthenia, Dizziness, Flushing, Hyperhidrosis, Seizure like phenomena; Syncope, Unresponsive to stimuli
More
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Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed ...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Mild, Systemic: Weakness-Mild, Additional Details: pt fainted after gardasil 9 he exhibit seizure activity for less than 30s. During the incident, we ensure no injury to the pt Due to seizure activity present, we laid pt down on the side to prevent any gastric aspiration, regained conscious within less 1mins. VSS, A&Ox3. but remains very weak. pt reported he has hx of fainting but not to needle or vaccination before, no hx of seizure, npo prior to incident. due to hx and 1st seizure EMS contacted, safe pt handover, Other Vaccines: VaccineTypeBrand: Spikevax; Manufacturer: moderna; LotNumber: 3057241; Route: im; BodySite: right arm; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 407008; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
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| 2863849 | 61 | M | FL | 10/07/2025 |
RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
2293B 2293B |
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; Pruritus, Rash
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: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Other Vaccines: VaccineTypeBrand: Flucelvax 2025/2026 Syringe; Manufacturer: Seqirus, Inc.; LotNumber: 948397; Route: Intramuscular; BodySite: Right Deltoid; Dose: ; VaxDate: UNKNOWN
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| 2863850 | 74 | F | MA | 10/07/2025 |
COVID19-2 |
PFIZER\BIONTECH |
NA0590 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Mild, Other Vaccines: VaccineTypeBrand: Comirnaty; Manufacturer: Pfize...
Site: Pain at Injection Site-Mild, Other Vaccines: VaccineTypeBrand: Comirnaty; Manufacturer: Pfizer; LotNumber: NA0587; Route: Intramuscular; BodySite: Left Arm; Dose: 1; VaxDate: 09/08/2025
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| 2863851 | 57 | F | FL | 10/07/2025 |
FLUC4 |
SEQIRUS, INC. |
407000 |
Dermatitis contact, Injection site bruising, Injection site erythema, Skin irrit...
Dermatitis contact, Injection site bruising, Injection site erythema, Skin irritation
More
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Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Mild, Additional Details: Pat...
Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Mild, Additional Details: Patient reported to the pharmacy with a visible bruise on the left arm that took the shape of the bandage applied. At the site of the irritation, some skin was removed from the removal of the band-aide and was bright red in color appearing to be a surface burn/reaction to the band-aide applied.
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| 2863852 | 52 | F | TX | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9548 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Mild
Site: Pain at Injection Site-Mild
|
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| 2863853 | 25 | M | NY | 10/07/2025 |
COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA |
3052030 3052030 3052030 |
Chest discomfort, Chest pain, Dizziness, Fatigue, Flushing; Hyperhidrosis, Injec...
Chest discomfort, Chest pain, Dizziness, Fatigue, Flushing; Hyperhidrosis, Injection site pain, Lethargy, Muscle rigidity, Nervousness; Paraesthesia, Syncope, Tremor, Unresponsive to stimuli
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Site: Pain at Injection Site-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizz...
Site: Pain at Injection Site-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: After giving Covid-19 (Moderna) patient was fine. Also received slu shot (Fluarix) directly after that. He seemed a bit nervous but immediately stated that he is faint and feels like he was going to pass out. I called EMS after he fainted while sitting and verified that he was breathing fine still. He became rigid, stood up after 5 seconds and sat in chair until ambulance came to take him to emergency room for a check up. F/u this Thursday for Cardio doctor (hx of <3 issues)., Other Vaccines: VaccineTypeBrand: Fluarix; Manufacturer: Glaxosmithkline; LotNumber: 9JC49; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN
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| 2863854 | 77 | F | MN | 10/07/2025 |
COVID19 |
MODERNA |
3052154 |
Injection site bruising, Injection site erythema, Injection site pain
Injection site bruising, Injection site erythema, Injection site pain
|
Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection...
Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild
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| 2863855 | 51 | F | TX | 10/07/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
my9550 my9550 |
Eye swelling, Mouth swelling, Peripheral swelling, Pruritus, Rash; Swelling face...
Eye swelling, Mouth swelling, Peripheral swelling, Pruritus, Rash; Swelling face, Swollen tongue, Walking aid user
More
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Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / T...
Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: Patient came to Pharmacy on Sunday presenting with signs of rash and swelling in her legs ( using a walking cane ) she talked to pharmacist on duty and pharmacist advised her to make an appt at clinic. Patient had to leave after being unable to schedule an appt for same day in clinic and was seen by a provider and got 5 rxas sent and filled to pharmacy., Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 948412; Route: IM; BodySite: LD; Dose: 1; VaxDate: 09/24/2025, VaccineTypeBrand: Shingrix; Manufacturer: GSK; LotNumber: 9C75Y; Route: IM; BodySite: LD; Dose: 1; VaxDate: 09/24/2025, VaccineTypeBrand: CAPVAXIVE; Manufacturer: Merck; LotNumber: z006076; Route: IM; BodySite: LD; Dose: 1; VaxDate: 09/24/2025
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| 2863856 | 78 | F | AL | 10/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
g2ha7 |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
|
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Other Vaccines: Vaccin...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Other Vaccines: VaccineTypeBrand: comirnity; Manufacturer: ; LotNumber: my9547; Route: im; BodySite: right deltoid; Dose: ; VaxDate: UNKNOWN
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| 2863857 | 67 | F | PA | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0587 |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
|
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Additional Details: Pat...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Additional Details: Patient stated both vaccines were delivered in the left arm; however, documentation was entered that the COVID vaccine was in the right., Other Vaccines: VaccineTypeBrand: Fluzone High-Dose; Manufacturer: Sanofi; LotNumber: U8830DA; Route: IM; BodySite: Left Deltoid; Dose: 1; VaxDate: 09/15/2025
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| 2863858 | 79 | M | CA | 10/07/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
b5nj9 |
Localised infection
Localised infection
|
Systemic: infection-Mild, Additional Details: Pt came in with an infection in lower left arm stating...
Systemic: infection-Mild, Additional Details: Pt came in with an infection in lower left arm stating the infection was from the vaccine, consulted pt in visiting the doctor to get antibiotics for the infection but the site of infection was lower than where IM injections were given , Other Vaccines: VaccineTypeBrand: Fluad; Manufacturer: ; LotNumber: 407243; Route: IM; BodySite: Left arm; Dose: ; VaxDate: 09/03/2025
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| 2863859 | 92 | F | CA | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
na0587 |
Herpes zoster, Injection site bruising, Injection site erythema, Paraesthesia
Herpes zoster, Injection site bruising, Injection site erythema, Paraesthesia
|
Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: herpes zoster...
Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: herpes zoster outbreak on face-Severe, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: patient has a herpes zoster out break on face was taken to the urgent care on 09/27/25 and diagnosis confirmed no indication of bruising or break out on the day it started on 9/26/25 and progressed through the weekend, Other Vaccines: VaccineTypeBrand: fluad; Manufacturer: seqirus; LotNumber: 407244; Route: im; BodySite: left arm; Dose: 1; VaxDate: 09/24/2025
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| 2863860 | 80 | F | MA | 10/07/2025 |
COVID19-2 COVID19-2 |
MODERNA MODERNA |
3052154 3052154 |
Angiogram normal, Blood test, Chest X-ray, Chest discomfort, Chest pain; Electro...
Angiogram normal, Blood test, Chest X-ray, Chest discomfort, Chest pain; Electrocardiogram normal, Neck pain, Pain
More
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Systemic: Chest Tightness / Heaviness / Pain-Severe, Additional Details: severe pain in chest, radia...
Systemic: Chest Tightness / Heaviness / Pain-Severe, Additional Details: severe pain in chest, radiating to neck unilateral, had bloodwork, EKG, Chest xray CT angiogram, all tests came back unremarkable(normal), physician determined cause was due to the vaccine she received the day prior. She has previously had Moderna vaccines with no incidence
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| 2863861 | 61 | F | IN | 10/07/2025 |
FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. |
406981 406981 |
Asthenia, Hypoaesthesia, Immediate post-injection reaction, Injection site pain,...
Asthenia, Hypoaesthesia, Immediate post-injection reaction, Injection site pain, Joint injury; Pain, Pain in extremity, Paraesthesia, Sleep disorder
More
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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, Systemic: Body Aches Generalized-Mild, Systemic: Arm pain-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Unable to Sleep-Mild, Systemic: Weakness-Medium, Additional Details: Patient felt a sharp pain immediately after shot was given. The pain started from the top of her arm all the way down to her fingers. The pain persists as she tries to lift her arm below the half way point. The pain is affecting her sleep habits. Patient was advised to see her primary physician to get her arm looked at. She will attempt to see a doctor tomorrow @ 09/30/2025
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| 2863862 | 60 | F | WI | 10/07/2025 |
RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
4TY55 4TY55 |
Chills, Flushing, Hyperhidrosis, Injection site bruising, Injection site erythem...
Chills, Flushing, Hyperhidrosis, Injection site bruising, Injection site erythema; Injection site pain, Injection site swelling, Pyrexia, Syncope, Unresponsive to stimuli
More
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Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injec...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: Flushed / Sweating-Medium
More
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| 2863863 | 35 | F | AZ | 10/07/2025 |
RSV |
PFIZER\WYETH |
HP1193 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Systemic: No reaction reported. Vaccine was expred 4/30/2025-Mild, Additional Details: No bad reacti...
Systemic: No reaction reported. Vaccine was expred 4/30/2025-Mild, Additional Details: No bad reaction reported. Lot was expired product.
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| 2863864 | 33 | F | FL | 10/07/2025 |
FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. |
407009 407009 |
Dizziness, Electrocardiogram, Flushing, Hyperhidrosis, Hypotension; Injection si...
Dizziness, Electrocardiogram, Flushing, Hyperhidrosis, Hypotension; Injection site erythema, Tremor
More
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Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / ...
Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Additional Details: pt refused to go to hospital with the emt personnel, they did a 12 lead ekg on her as well to rule out heart attack, pt had hypotension and she reported having her period to emt. she left home with her husband and 2 kids she had with her. pt advised to proceed with followup care with her doctor and also to receive future vaccinations in medical provider office and not bring her 2 young children. she may have anxiety/panic attack like symptoms per emt and needs to be further evaluated for anemia
More
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| 2863865 | 24 | F | WA | 10/07/2025 |
FLU4 FLU4 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
2cA5m 2cA5m |
Dizziness, Flushing, Hyperhidrosis, Hypotension, Loss of consciousness; Pallor, ...
Dizziness, Flushing, Hyperhidrosis, Hypotension, Loss of consciousness; Pallor, Syncope, Unresponsive to stimuli
More
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Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushe...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Additional Details: post vaccination pt went to Rx counter to pick up RX. Pt stated they felt dizzy and came back to vaccine station and sat down. Pt became pale and lost conciouness for <30 seconds. Pt was sweating. BP obtained and pt was hypotensive. legs elevated and ice packs provided. pt states she has HX and flairups of faining unrelated to vaccines and sees a naturalpath for this condition. Pt remained with RN for 15 minutes. When pt left, A&Ox4. escorted by pt partner. No physical injury to pt occured., Other Vaccines: VaccineTypeBrand: covid 19 spikevax; Manufacturer: moderna; LotNumber: 3052741; Route: intramuscular; BodySite: Left arm; Dose: 1; VaxDate: 09/29/2025
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| 2863866 | 78 | M | MA | 10/07/2025 |
PNC20 |
PFIZER\WYETH |
ma2488 |
Injection site erythema, Injection site pain, Injection site swelling, Joint inj...
Injection site erythema, Injection site pain, Injection site swelling, Joint injury
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, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: pt reports having lots of pain while trying to move arm over the weekend, still hard to move but not as bad now (monday) still has a lump and red patch that feels warm but no itching, Other Vaccines: VaccineTypeBrand: nuvaxovid; Manufacturer: novavax; LotNumber: 6315mf002c; Route: IM; BodySite: Right arm; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: fluzone high dose; Manufacturer: sanofi; LotNumber: ut8781ca; Route: IM; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN
More
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| 2863867 | 74 | M | RI | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
u8830DA |
Arthralgia, Joint injury
Arthralgia, Joint injury
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Systemic: Joint Pain-Medium, Ot...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Systemic: Joint Pain-Medium, Other Vaccines: VaccineTypeBrand: Mnexspike 2025-26; Manufacturer: Moderna; LotNumber: 3052154; Route: Intramuscular; BodySite: Left Arm; Dose: 1; VaxDate: 09/24/2025
More
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| 2863868 | 24 | F | CT | 10/07/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
2L353 |
Dizziness, Nausea, Syncope, Tremor, Unresponsive to stimuli
Dizziness, Nausea, Syncope, Tremor, Unresponsive to stimuli
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Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Naus...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Mild, Additional Details: pt fainted after flu vaccine. EMS 911 called. Pt was unresponsive about 30 seconds but was aware of surroundings after episode. EMS asked her if she wanted to go the hospital. EMS took vitals had her stand and deemed her OK to leave as she was with a friend who was her driver.Pt declined and signed EMS paper. Pt left of her own volition.
More
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| 2863869 | 28 | M | CA | 10/07/2025 |
COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA |
3052671 3052671 3052671 |
Anaphylactic reaction, Asthenia, Chest discomfort, Chest pain, Chills; Dizziness...
Anaphylactic reaction, Asthenia, Chest discomfort, Chest pain, Chills; Dizziness, Dysphagia, Dyspnoea, Flushing, Hyperhidrosis; Syncope, Throat tightness, Unresponsive to stimuli
More
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Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: A...
Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Weakness-Medium
More
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| 2863871 | 71 | M | HI | 10/07/2025 |
FLU4 FLU4 |
SANOFI PASTEUR SANOFI PASTEUR |
U8859CA U8859CA |
Arthralgia, Joint swelling, Musculoskeletal stiffness, Neck pain, Sleep disorder...
Arthralgia, Joint swelling, Musculoskeletal stiffness, Neck pain, Sleep disorder; Swelling
More
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Systemic: NECK STIFFNESS, SHOULDER/NECK SWELLING-Severe, Systemic: Unable to Sleep-Severe, Additiona...
Systemic: NECK STIFFNESS, SHOULDER/NECK SWELLING-Severe, Systemic: Unable to Sleep-Severe, Additional Details: PATIENT REPORTED SWELLING/PAIN IN THE NECK AND SHOULDER AREA, FEELINGS OF HAVING A STIFF NECK THAT IS STILL PRESENT. PATIENT WENT TO URGENT CARE TO GET MEDICATIONS TO HELP WITH THE PAIN. URGENT CARE PRESCRIBED HIM MUSCLE RELAXANTS.
More
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| 2863872 | 62 | F | HI | 10/07/2025 |
RSV |
PFIZER\WYETH |
MF218 |
Asthenia, Joint injury, Mobility decreased
Asthenia, Joint injury, Mobility decreased
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: UNABLE TO LIFT LEFT A...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: UNABLE TO LIFT LEFT ARM-Severe, Systemic: Weakness-Severe, Additional Details: PATIENT CALLED STATING SHE HAS BEEN IN PAIN SINCE HER VACCINATIONS AND SHE IS UNABLE TO LIFT HER LEFT ARM BECAUSE OF IT. , Other Vaccines: VaccineTypeBrand: FLUBLOK; Manufacturer: SANOFI-PASTEUR; LotNumber: U8832AA; Route: IM; BodySite: RIGHT ARM; Dose: 1; VaxDate: 09/20/2025, VaccineTypeBrand: PREVNAR 20; Manufacturer: WYETH/PFIZER; LotNumber: MA2488; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 09/20/2025
More
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| 2863873 | 15 | M | IL | 10/07/2025 |
COVID19-2 |
PFIZER\BIONTECH |
na0739 |
Dizziness, Syncope, Unresponsive to stimuli
Dizziness, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Det...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: 15 year old patient w/history of fainting. parents stated he has had shots recently and been fine. after vaccination he complained of feeling a litted dizzy. i offered for him to stay seated in room for as long as necessary. after a few mins he left with his parents, but fainted down one of the aisles. my tech ran and got him some water. i grabbed the chair from vaccine room and elevated his legs. he remained concious the whole time and said he was fine. did not hit head as dad partially caught
More
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| 2863874 | 67 | F | MA | 10/07/2025 |
FLU4 FLU4 FLU4 FLU4 |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
UT8829ba UT8829ba UT8829BA UT8829BA |
Discomfort, Dizziness, Injection site pain; Dizziness, Paraesthesia; Discomfort,...
Discomfort, Dizziness, Injection site pain; Dizziness, Paraesthesia; Discomfort, Dizziness, Injection site pain; Dizziness, Paraesthesia
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Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Additional Details: P...
Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Additional Details: Patient stated that she never had an issues with the regular vaccine but the Fluzone high dose vaccine caused her to be very dizzy, almost like vertigo. She said her lungs felt a little funny as well.The effects started about 8 hours after receiving the vaccine . She went to bed due to how she was feeling, around 2:30-3:00am she woke up to use the restroom and she was still very dizzy. She feels better today but still a little odd.
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| 2863876 | 80 | F | NY | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
u8800aa |
Injection site erythema
Injection site erythema
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Site: Redness at Injection Site-Mild
Site: Redness at Injection Site-Mild
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| 2863877 | 17 | F | NC | 10/07/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
2ng23 |
Dizziness, Syncope, Unresponsive to stimuli
Dizziness, Syncope, Unresponsive to stimuli
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Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: pt faint...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: pt fainted-Mild
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| 2863878 | 53 | F | MO | 10/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
9L944 |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Mild, Additional Details: Epic Chart Error: Acknowledge of combination ...
Site: Pain at Injection Site-Mild, Additional Details: Epic Chart Error: Acknowledge of combination of vials question: Answered "No" when combination of vials were mixed and meant to chart "Yes". Proper administration given. Chart review requires Safety Net report submission
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| 2863879 | 59 | F | FL | 10/07/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
C9X3R C9X3R |
Injection site erythema, Injection site pain, Injection site swelling, Neck pain...
Injection site erythema, Injection site pain, Injection site swelling, Neck pain, Pain; Pain in extremity
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Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injec...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Additional Details: Pain in right arm, right side of neck and along right side of torso. Swelling and redness at injection site and below. Patient complains of lots of body aches that she has never felt that way after a vaccination and was in bed the next day after receiving.
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| 2863880 | 83 | F | MI | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
my9548 |
Fatigue, Lethargy
Fatigue, Lethargy
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Systemic: Exhaustion / Lethargy-Severe, Additional Details: very tired for 7 days
Systemic: Exhaustion / Lethargy-Severe, Additional Details: very tired for 7 days
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| 2863881 | 56 | F | CT | 10/07/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
2ca5m |
Dizziness, Hypoaesthesia
Dizziness, Hypoaesthesia
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Systemic: Dizziness / Lightheadness-Mild, Systemic: Numbness (specify: facial area, extremities)-Mil...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild
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| 2863882 | 75 | F | MN | 10/07/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0587 |
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-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, Additional Details: Patient came in and said her arm that had her covid shot in a couple weeks ago is still hurting. She can't move that arm above her head and needs to use her good arm to help lift her injured arm now.
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| 2863883 | 45 | F | CT | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
UT8763A |
Injection site erythema, Injection site pain, Joint injury
Injection site erythema, Injection site pain, Joint injury
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Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Mild, Site: Shoulder Joint Inju...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Mild, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe
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| 2863884 | 28 | F | TX | 10/07/2025 |
FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. |
409108 409108 |
Asthenia, Chills, Discomfort, Injection site erythema, Injection site pain; Inje...
Asthenia, Chills, Discomfort, Injection site erythema, Injection site pain; Injection site swelling, Injection site warmth, Pyrexia
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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, Systemic: Chills-Medium, Systemic: Fever-Medium, Systemic: Weakness-Medium, Additional Details: Patient came in on 9/29/2025 due to discomfort from shots given on 9/25/2025. Her left arm was warm to the touch, swollen and redness just above the elbow, not at the injection site. Advised of shots possibly given to low on the arm. Also, advised to take benadryl, tylenol and ice the area., Other Vaccines: VaccineTypeBrand: spikevax; Manufacturer: moderna inc; LotNumber: 3052550; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 09/25/2025
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| 2863885 | 87 | F | CA | 10/07/2025 |
COVID19-2 COVID19-2 |
PFIZER\BIONTECH PFIZER\BIONTECH |
my9548 my9548 |
Fatigue, Injection site erythema, Injection site pain, Injection site swelling, ...
Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Lethargy; Pruritus
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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, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: itching on back and stomach-Medium, Additional Details: pt said fully recovered and has several allergies on file. has had other covid vaccines in past with no reaction but had similar reaction to shingrix vaccine so never got second vaccine of shingrix. she will contact her md before having any more covid vaccines
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| 2863886 | 54 | F | MA | 10/07/2025 |
COVID19-2 |
MODERNA |
3052741 |
No adverse event, Refusal of vaccination
No adverse event, Refusal of vaccination
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Systemic: no reaction reported, just not happy-Mild, Additional Details: Patient came into pharmacy ...
Systemic: no reaction reported, just not happy-Mild, Additional Details: Patient came into pharmacy to receive flu and shingles vaccine on 9/27/2025, accidentally also received a covid vaccine (appropriate dose, patient is eligible). pharmacy staffs apologied, patient were fine with receving covid vaccine, they also stated that they were going to come back to receive it anyways. 4 days later patient filed a complaint regarding this matter saying they were not happy about it. no adverse reaction reported from patient. pharmacy already contacted doctor's office., Other Vaccines: VaccineTypeBrand: flublok 2025-2026; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: shingrix; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN
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| 2863887 | 68 | F | CA | 10/07/2025 |
FLUC4 |
SEQIRUS, INC. |
948395 |
Dizziness
Dizziness
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Systemic: Dizziness / Lightheadness-Mild, Additional Details: AFTER GETTING FLUCELVAX VAC FOR ABOUT ...
Systemic: Dizziness / Lightheadness-Mild, Additional Details: AFTER GETTING FLUCELVAX VAC FOR ABOUT 5-10 MINUTES, PT SAID SHE FELT DIZZY. RPH ADVICED PT TO SIT DOWN. RPH CHECK PT'S BP. HR WAS 62. BP WAS ABOUT 138. PT SAID SOMETIMES SHE WAKES UP IN THE MORNING SHE HAS SAME SYMPTOMS. BUT THIS MORNING SHE DID NOT HAVE DIZZINESS. DIZZINESS HAPPENED AFTER VAC. SHE SAT DOWN FOR ABOUT 5 MINUTES AND GOT UP AND SAID SHE WOULD WALK AROUND THE STORE. ADVICED PT TO REPORT BACK TO PHARMACY IF SHE FEELS BAD OR NEED TO CALL 911. SHE WALKED AROUND AND DID NOT COME BACK
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| 2863888 | 75 | F | MO | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
ut8820ca |
Injection site bruising, Injection site erythema, Injection site swelling
Injection site bruising, Injection site erythema, Injection site swelling
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Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Inj...
Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
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| 2863889 | 73 | M | VA | 10/07/2025 |
PNC21 |
MERCK & CO. INC. |
z006076 |
Injection site pain, Joint injury, Pain, Paraesthesia
Injection site pain, Joint injury, Pain, Paraesthesia
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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, Systemic: Body Aches Generalized-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe
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| 2863890 | 11 | F | GA | 10/07/2025 |
COVID19 |
MODERNA |
3052549 |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Mild, Additional Details: patient was administered spikevax 12year-65 ...
Site: Pain at Injection Site-Mild, Additional Details: patient was administered spikevax 12year-65 years version 0.5 ml instead of 0.25ml dose for under 12 years
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| 2863891 | 9 | F | GA | 10/07/2025 |
COVID19 |
MODERNA |
3052549 |
Incorrect dose administered, Injection site pain
Incorrect dose administered, Injection site pain
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Site: Pain at Injection Site-Mild, Additional Details: pediatric patient was administered 0.5 ml dos...
Site: Pain at Injection Site-Mild, Additional Details: pediatric patient was administered 0.5 ml dosing for 12years - 65 year instead of 0.25ml.
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| 2863892 | 71 | F | PA | 10/07/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
2293B |
Injection site pain, Joint injury
Injection site pain, Joint injury
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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
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| 2863894 | 55 | F | CA | 10/07/2025 |
COVID19 COVID19 |
NOVAVAX NOVAVAX |
6315mf002c 6315mf002c |
Haemorrhage, Injection site erythema, Injection site pain, Injection site prurit...
Haemorrhage, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling; Joint injury, Paraesthesia
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Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Mild, Site: Pain at Injecti...
Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Systemic: nonstop bleeding-Severe, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: tingling, bleeding that doesn't stop
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| 2863895 | 68 | F | AZ | 10/07/2025 |
FLU4 |
SANOFI PASTEUR |
ut8804ca |
Extra dose administered, Injection site pain
Extra dose administered, Injection site pain
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Site: Pain at Injection Site-Medium, Additional Details: Patient received 2 flu shots, instead of 1 ...
Site: Pain at Injection Site-Medium, Additional Details: Patient received 2 flu shots, instead of 1 flu shot and 1 covid shot.
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