| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2872971 | 31 | M | CT | 11/16/2025 |
COVID19 |
MODERNA |
3052668 |
Underdose
Underdose
|
State VFC vaccine administered incorrectly to adult patient.
State VFC vaccine administered incorrectly to adult patient.
|
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| 2872973 | 27 | M | FL | 11/16/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
|
Amnesia, Appendicectomy, Blood test, Blood testosterone decreased, Cholelithiasi...
Amnesia, Appendicectomy, Blood test, Blood testosterone decreased, Cholelithiasis; Colitis, Computerised tomogram abdomen, Computerised tomogram abdomen abnormal, Computerised tomogram pelvis, Computerised tomogram thorax; Disturbance in attention, Diverticulitis, Echocardiogram, Echocardiogram abnormal, Electrocardiogram T wave abnormal; Fatigue, Gastritis, Gastrointestinal ulcer, Hepatic calcification, Hepatic steatosis; Impaired gastric emptying, Mitral valve incompetence, Musculoskeletal stiffness, Tricuspid valve incompetence, Ultrasound abdomen abnormal; Ultrasound biliary tract, Weight decreased
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right ventricular delays, V1-V2, nodules right lobe #7, series 2, tricupsid/mitral regurgitation, T...
right ventricular delays, V1-V2, nodules right lobe #7, series 2, tricupsid/mitral regurgitation, T wave deviation, RSR V1-2, persistent memory loss/concentration (diverticulitis, ulcers, lesions, colitis, Gasteropersesis, gastritis,, gallbladder ,internal sludge, fatty liver with calcification - duct dilation, distal colon collapse. Appendectomy may 27 2021, same date as vaccine.
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โ | โ | โ | |||
| 2872975 | 52 | F | NV | 11/16/2025 |
FLU3 |
SANOFI PASTEUR |
|
Urticaria
Urticaria
|
Hives all over body
Hives all over body
|
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| 2872980 | 3 | M | IA | 11/16/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
P394K |
Circumstance or information capable of leading to medication error, Scratch
Circumstance or information capable of leading to medication error, Scratch
|
Inserted needle to administer vaccine into left arm and patient pulled arm away removing needle, no ...
Inserted needle to administer vaccine into left arm and patient pulled arm away removing needle, no dose was successfully administered. Discarded needle and vaccine and successfully administered dose into right arm. Patient had minor scratch/laceration on right arm from the needle sliding against his arm when he withdrew it.
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| 2872982 | 12 | F | NY | 11/16/2025 |
FLU3 |
SANOFI PASTEUR |
U8864CA |
Dizziness, Nausea
Dizziness, Nausea
|
About 5 minutes after administration of vaccine patient came up to pharmacy counter with mom asking ...
About 5 minutes after administration of vaccine patient came up to pharmacy counter with mom asking for a bag as she was feeling nauseas. She felt lightheaded and nauseas. Patient was supplied with an ice pack and laid on their back, they did not pass out. After about 15 minutes patient was feeling better with no other side effects
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| 2872983 | 13 | F | VA | 11/16/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH GLAXOSMITHKLINE BIOLOGICALS |
na0590 p394k |
Dizziness, Syncope; Dizziness, Syncope
Dizziness, Syncope; Dizziness, Syncope
|
Patient received shots and left pharmacy with complaint. Several minutes later mother of patient ret...
Patient received shots and left pharmacy with complaint. Several minutes later mother of patient returned and said patient fainted in car. When pharmacist went to car patient was alert but complained of lightheadedness. Mother was recommended to seek medical attention.
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| 2872984 | 41 | F | NC | 11/16/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
na0739 407002 |
Anxiety, Electrocardiogram normal, Syncope; Anxiety, Electrocardiogram normal, S...
Anxiety, Electrocardiogram normal, Syncope; Anxiety, Electrocardiogram normal, Syncope
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Fainting/syncope episode for approximately 1 minute. Patient reported feeling anxious. No other sig...
Fainting/syncope episode for approximately 1 minute. Patient reported feeling anxious. No other signs or symptoms of anaphylaxis. Patient stayed seated in chair for 20 minutes.
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| 2872985 | 34 | M | NY | 11/16/2025 |
COVID19 |
PFIZER\BIONTECH |
na0590 |
Loss of consciousness, Syncope, Unresponsive to stimuli
Loss of consciousness, Syncope, Unresponsive to stimuli
|
Patient fainted/passed out in chair. Pharmacist braced patient so he did not hit head or any other ...
Patient fainted/passed out in chair. Pharmacist braced patient so he did not hit head or any other body part. Patient unresponsive for ~30 seconds-1 minute. No clear distress/symptoms upon awakening. 911 was called. Patient evaluated by EMS and then left on foot shortly thereafter.
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| 2872986 | 57 | F | FL | 11/16/2025 |
FLU3 PNC20 |
SEQIRUS, INC. PFIZER\WYETH |
|
Cellulitis; Cellulitis
Cellulitis; Cellulitis
|
Pneumonia vaccine cellulitis, 7d dose of 100mg doxycycline
Pneumonia vaccine cellulitis, 7d dose of 100mg doxycycline
|
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| 2872987 | 48 | F | KS | 11/16/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
033H214 033H214 033H214 033H214 033H214 033H214 033H214 033H214 033H214 083J21A 083J21A 083J21A 083J21A 083J21A 083J21A 083J21A 083J21A 083J21A |
Abdominal distension, Abdominal pain, Amnesia, Anaphylactic reaction, Anxiety; A...
Abdominal distension, Abdominal pain, Amnesia, Anaphylactic reaction, Anxiety; Arthralgia, Biopsy bone marrow, Blood test, Bone pain, Brain fog; Condition aggravated, Confusional state, Diarrhoea, Diplopia, Dyspnoea; Fatigue, Flatulence, Flushing, Genetic testing, Headache; Hot flush, Hypertension, Hypoaesthesia, Joint swelling, Lip swelling; Mastocytosis, Muscle twitching, Muscular weakness, Nasal congestion, Nausea; Night sweats, Palpitations, Panic attack, Paraesthesia, Pharyngeal swelling; Pruritus, Rhinorrhoea, Stress, Temperature intolerance, Urine analysis; Urticaria, Vision blurred, Wheezing; Abdominal distension, Abdominal pain, Amnesia, Anaphylactic reaction, Anxiety; Arthralgia, Biopsy bone marrow, Blood test, Bone pain, Brain fog; Condition aggravated, Confusional state, Diarrhoea, Diplopia, Dyspnoea; Fatigue, Flatulence, Flushing, Genetic testing, Headache; Hot flush, Hypertension, Hypoaesthesia, Joint swelling, Lip swelling; Mastocytosis, Muscle twitching, Muscular weakness, Nasal congestion, Nausea; Night sweats, Palpitations, Panic attack, Paraesthesia, Pharyngeal swelling; Pruritus, Rhinorrhoea, Stress, Temperature intolerance, Urine analysis; Urticaria, Vision blurred, Wheezing; Abdominal distension, Abdominal pain, Amnesia, Anaphylactic reaction, Anxiety; Arthralgia, Biopsy bone marrow, Blood test, Bone pain, Brain fog; Condition aggravated, Confusional state, Diarrhoea, Diplopia, Dyspnoea; Fatigue, Flatulence, Flushing, Genetic testing, Headache; Hot flush, Hypertension, Hypoaesthesia, Joint swelling, Lip swelling; Mastocytosis, Muscle twitching, Muscular weakness, Nasal congestion, Nausea; Night sweats, Palpitations, Panic attack, Paraesthesia, Pharyngeal swelling; Pruritus, Rhinorrhoea, Stress, Temperature intolerance, Urine analysis; Urticaria, Vision blurred, Wheezing
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Mastocytosis symptoms: severe headache diarrhea gas bloating abdominal pain/ cramps nausea Numbness...
Mastocytosis symptoms: severe headache diarrhea gas bloating abdominal pain/ cramps nausea Numbness in fingers and toes tingling in arms Flushing hives itching runny nose Brain fog confusion memory loss muscle twitching Chronic fatigue Joint pain and swelling bone pain muscle weakness night sweats hot flashes Blurred vision Dublin vision Swelling lips and throat shortness of breath nasal congestion Wheezing Heart palpitations anxiety panic attacks high blood pressure Anaphylaxis triggered by: Food Allergies, Exercise, Stress, Chemicals Cold Heat Past Appointments Displaying 100 past appointments Visit notes Date: 10/27/2025 11:21 am Visit Reason: Triage Call Provider: RN Location: Date: 10/23/2025 4:00 pm Visit Reason: Telehealth Provider: MD Location: Date: 10/22/2025 3:57 pm Visit Reason: Triage Call Provider: RN Location: Date: 10/20/2025 10:10 am Visit Reason: Warm Handoff Provider: RN Location: Date: 10/16/2025 11:20 am Visit Reason: Triage Call Provider: RN Location: Date: 10/14/2025 2:02 pm Visit Reason: Triage Call Provider: RN Location: Date: 10/09/2025 2:30 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 10/09/2025 10:33 am Visit Reason: Triage Call Provider: RN Location: Date: 10/01/2025 3:30 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 09/30/2025 1:21 pm Visit Reason: Triage Call Provider: RN Location: Date: 09/11/2025 4:29 pm Visit Reason: Warm Handoff Provider: RN Location: Date: 09/11/2025 3:30 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 09/02/2025 2:30 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 08/28/2025 1:56 pm Visit Reason: Triage Call Provider: RN Location: Date: 06/13/2025 4:00 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 06/06/2025 12:51 pm Visit Reason: Triage Call Provider: RN Location: Date: 05/07/2025 3:30 pm Visit Reason: Triage Call Provider: RN Location: Date: 04/15/2025 12:15 pm Visit Reason: Warm Handoff Provider: RN Location: Date: 04/15/2025 11:00 am Visit Reason: Office Visit Established Provider: MD Location: Date: 02/24/2025 11:00 am Visit Reason: Office Visit Established Provider: MD Location: Date: 12/20/2024 11:30 am Visit Reason: Office Visit Established Provider: MD Location: Date: 08/28/2024 12:00 pm Visit Reason: Office Visit Established Provider: APRN-C Location: Date: 07/02/2024 3:00 pm Visit Reason: Telehealth Provider: LCSW Location: Date: 06/26/2024 4:30 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 06/20/2024 2:45 pm Visit Reason: Follow Up Provider: MD Location: Date: 06/11/2024 2:45 pm Visit Reason: Behavioral Health Provider: LCSW Location: Date: 06/11/2024 2:00 pm Visit Reason: Follow Up Provider: MD Location: Date: 06/10/2024 12:56 pm Visit Reason: Triage Call Provider: RN Location: Date: 05/21/2024 3:45 pm Visit Reason: Follow Up Provider: MD Location: Date: 05/09/2024 1:00 pm Visit Reason: Long Visit Provider: MD Location: Date: 05/06/2024 5:15 pm Visit Reason: Wellness Visit Provider: MD Location: Date: 05/06/2024 11:22 am Visit Reason: Triage Call Provider: RN Location: Date: 05/03/2024 3:00 pm Visit Reason: Long Visit Provider: MD Location: Date: 04/29/2024 3:00 pm Visit Reason: Follow Up Provider: PA-C Location: Date: 02/28/2024 12:45 pm Visit Reason: Long Visit Provider: MD Location: Date: 02/27/2024 9:49 am Visit Reason: Triage Call Provider: RN Location: Date: 02/22/2024 2:00 pm Visit Reason: Follow Up Provider: MD Location: Date: 02/19/2024 3:30 pm Visit Reason: Long Visit Provider: MD Location: Date: 02/16/2024 3:04 pm Visit Reason: Triage Call Provider: RN Location: Date: 01/10/2024 2:45 pm Visit Reason: Behavioral Health Provider: LCSW Location: Date: 01/10/2024 2:00 pm Visit Reason: Follow Up Provider: MD Location: Date: 01/04/2024 2:00 pm Visit Reason: Lab Provider: LAB Location: Date: 01/02/2024 5:30 pm Visit Reason: Follow Up Provider: MD Location: Date: 11/28/2023 2:00 pm Visit Reason: Follow Up Provider: MD Location: Date: 07/06/2023 3:30 pm Visit Reason: Follow Up Provider: MD Location: Date: 03/30/2023 10:30 am Visit Reason: Lab Provider: LAB Location: Date: 03/17/2023 2:45 pm Visit Reason: Follow Up Provider: PA-C Location: Date: 02/22/2023 4:30 pm Visit Reason: Follow Up Provider: APRN-C Location: Date: 01/10/2023 5:00 pm Visit Reason: Follow Up Provider: APRN-C Location: Date: 12/29/2022 1:15 pm Visit Reason: Video Call 30 Provider: APRN-C Location: Date: 08/09/2022 4:45 pm Visit Reason: Wellness Visit Provider: MD Location: Date: 04/21/2022 2:00 pm Visit Reason: Follow Up Provider: DO Location: Date: 02/18/2022 8:30 am Visit Reason: Video Call 45 Provider: MD Location: Date: 02/14/2022 3:00 pm Visit Reason: Long Visit Provider: DO Location:
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โ | โ | โ | |||
| 2873015 | 53 | F | WA | 11/16/2025 |
FLU3 |
SANOFI PASTEUR |
U8832BA |
Arthralgia
Arthralgia
|
Soreness around shoulder area
Soreness around shoulder area
|
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| 2872931 | 35 | F | CA | 11/15/2025 |
FLU3 |
SANOFI PASTEUR |
|
Chills, Hyperhidrosis, Pain, Sleep disorder, Vomiting
Chills, Hyperhidrosis, Pain, Sleep disorder, Vomiting
|
Sweats, chills, body aches within two hours. Vomited at 1:30 am for 30 minutes being woken from a fu...
Sweats, chills, body aches within two hours. Vomited at 1:30 am for 30 minutes being woken from a full sleep, has never woken to vomit in the past.
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| 2872932 | 86 | F | FL | 11/15/2025 |
FLU3 |
SANOFI PASTEUR |
ut8781da |
Injection site bruising
Injection site bruising
|
Patient reported bruising on bicep part of right arm.
Patient reported bruising on bicep part of right arm.
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| 2872933 | 58 | M | NV | 11/15/2025 |
COVID19 |
MODERNA |
|
Thrombosis, Ultrasound scan
Thrombosis, Ultrasound scan
|
developed blood clot throughout both legs
developed blood clot throughout both legs
|
โ | |||||
| 2872934 | 66 | F | FL | 11/15/2025 |
FLU3 RSV |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
u8874ca bg5j4 |
Extra dose administered, Fatigue, Myalgia; Extra dose administered, Fatigue, Mya...
Extra dose administered, Fatigue, Myalgia; Extra dose administered, Fatigue, Myalgia
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The patient received a second dose of Arexvy on 11/13/25, her first dose was on 11/3/2023. The patie...
The patient received a second dose of Arexvy on 11/13/25, her first dose was on 11/3/2023. The patient reported only muscle aches and fatigue for the night following the vaccine and into the morning of 11/14/25. The patient stated that she is no longer experiencing any effects from the vaccine as of 11/14/25 at 8:30 PM.
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| 2872936 | 62 | F | AZ | 11/15/2025 |
COVID19 |
MODERNA |
8146545 |
Pain, Swelling
Pain, Swelling
|
A patient started having pain after injection (11/11/2025) but the swollen starting on 11/13/2025.
A patient started having pain after injection (11/11/2025) but the swollen starting on 11/13/2025.
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| 2872937 | 59 | M | FL | 11/15/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9550 |
Injection site pain
Injection site pain
|
patient is experiencing pain in injection site after injection. It has been over 1 month and has tro...
patient is experiencing pain in injection site after injection. It has been over 1 month and has trouble laying on that side. Applied menthol in that area, explain that was not correct action.
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| 2872938 | 68 | F | AL | 11/15/2025 |
FLU3 PNC20 TDAP |
SANOFI PASTEUR PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
|
Extra dose administered; Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered; Extra dose administered
|
Patient received second Prevnar 20 vaccination when not indicated. Patient did not recall previously...
Patient received second Prevnar 20 vaccination when not indicated. Patient did not recall previously having this vaccination and none was documented on state data base.
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| 2872940 | 6 | M | MI | 11/15/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH GLAXOSMITHKLINE BIOLOGICALS |
NA0846 N4D3J |
Back pain, Confusional state, Drooling, Staring; Back pain, Confusional state, D...
Back pain, Confusional state, Drooling, Staring; Back pain, Confusional state, Drooling, Staring
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Patient came in very nervous and anxious. Took a while to calm him down prior to Covid injection an...
Patient came in very nervous and anxious. Took a while to calm him down prior to Covid injection and Flu injection. As soon as his was done he was happy and trying to help his little brother for an injection. About 2 minutes when by while I took care of his brother [withheld]. As soon as [withheld name] was done, we heard a thump from the door area. Patient had been standing next to the stand where the child stickers were. When I looked over, he was sliding down the wall and onto his back. I looked at him both fist was clinched. He was drooling at the mouth, eyes wide open. I attempted to turn him toward his side and he started talking. Wanted to stand up. Asked " where am I. My back hurts". He was given juice and snack, although he just drank some of the juice. His dad saw all this happening. Agreed with summation. Patient's mom was holding brother. Took Patient's bp and it was 131/68 pulse 88@ 11:10 and in 5 minutes, it was 108/84 pulse 77 with pulse ox of 98%. He was engaged in his dad's phone. Talking to commands and very cooperative. Ambulance had been called for since Patient had no history of seizures.
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| 2872941 | 71 | F | NY | 11/15/2025 |
FLU3 VARZOS |
SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS |
|
Balance disorder, Dizziness, Gait inability, Vertigo, Vertigo positional; Balanc...
Balance disorder, Dizziness, Gait inability, Vertigo, Vertigo positional; Balance disorder, Dizziness, Gait inability, Vertigo, Vertigo positional
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I received both the influenza shot and the Shingrix shot on 10/15/25. On 10/17/25 when I went to be...
I received both the influenza shot and the Shingrix shot on 10/15/25. On 10/17/25 when I went to bed, I laid my head down on my right side, I immediately became very dizzy and experienced my eyes swirling in my head. When I got up I was very off balanced and unable to walk. I sat down on a chair and waited a few minutes and the symptoms subsided. I was okay the rest of the day while upright. I assumed it was a side effect of the two vaccines I received two days prior. These symptoms have continued daily though less aggressively when I lay down on my right side which I now avoid. I saw my GP doctor on 11/12/25 who sent me to an ENT, Dr who confirmed I am experiencing Cupulolithiasis. (BPPV).. Dr prescribed Meclizine 25 mg.
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| 2872942 | 23 | F | GA | 11/15/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
tfaa2501 u8859da |
Dizziness, Extra dose administered, Product administered to patient of inappropr...
Dizziness, Extra dose administered, Product administered to patient of inappropriate age, Syncope; Dizziness, Extra dose administered, Product administered to patient of inappropriate age, Syncope
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Patient accidentally received two flu shots, one for regular (flublok) and one for high-dose (fluzon...
Patient accidentally received two flu shots, one for regular (flublok) and one for high-dose (fluzone HD). Patient fainted and had dizziness and lightheadedness.
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| 2872943 | 18 | M | MI | 11/15/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9550 |
Extra dose administered
Extra dose administered
|
11/03/25 Patient's mother, came to pharmacy with concerns of adult son getting 2 immunizations...
11/03/25 Patient's mother, came to pharmacy with concerns of adult son getting 2 immunizations and patient's mother believes she did not see pharmacist take cap off of syringe when giving second immunization on right side. Patient's mother believes cap was left off on the table when pharmacist moved to the other side. Spoke with pharmacist that gave immunization and they stated that did not happen. Patient's mother states that this is a lie but voiced concerns but did not want pharmacy to contact son (patient) in any way concerning this matter and with no indication of patient of feeling ill on unwell when asked if they were feeling okay. Patient and mother came to pharmacy 11/15/25 at 12:26 pm to pick up written documentation of requested concerns addressed. Patient then directly stated themselves that they have been "feeling sharp pain since day of immunization (COVID) on 10/17/25 and everyday since in right arm. When moving the right arm can move for a few minutes but cannot move much for long." Patient states left arm is feeling okay and no other symptoms. Contacted physician with message and will re-contact when in on Monday.
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| 2872944 | 14 | F | MI | 11/15/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
NA0590 U8864CA |
Dizziness, Somnolence; Dizziness, Somnolence
Dizziness, Somnolence; Dizziness, Somnolence
|
Patient received Flu and Covid vaccine (pfizer) today, She felt dizzy & sleepy after 5 minute bu...
Patient received Flu and Covid vaccine (pfizer) today, She felt dizzy & sleepy after 5 minute but was feeling fine when left.
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| 2872945 | 76 | M | 11/15/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
UT8781CA UT8781CA |
Arthritis bacterial, Aspiration joint, Pain, Purulent discharge, Pyrexia; Sepsis...
Arthritis bacterial, Aspiration joint, Pain, Purulent discharge, Pyrexia; Sepsis, Staphylococcal bacteraemia, Staphylococcus test positive
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had flu shot on 11/4, developed pain and fever, was found to have sepsis secondary to septic arthrit...
had flu shot on 11/4, developed pain and fever, was found to have sepsis secondary to septic arthritis and MSSA bacteremia, treated with IV antibiotics
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โ | โ | |||||
| 2872946 | 82 | M | NJ | 11/15/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9550 |
Arthralgia, Pain
Arthralgia, Pain
|
Left shoulder pain when patient lifts arm
Left shoulder pain when patient lifts arm
|
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| 2872949 | 74 | F | SC | 11/15/2025 |
COVID19 |
MODERNA |
3052735 |
Chest injury, Chills, Head injury, Loss of consciousness
Chest injury, Chills, Head injury, Loss of consciousness
|
Patient reported having chills the evening and night after the vaccination. The following morning, ...
Patient reported having chills the evening and night after the vaccination. The following morning, the patient passed out in the bathroom and hit her ribs on the bathtub and hit her head on the floor. Patient was unable to stand on her own upon coming to, and was escorted via EMS to the hospital. Patient reports no longer having any issues beyond bruising.
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| 2872950 | 86 | F | PA | 11/15/2025 |
COVID19 |
MODERNA |
8146862 |
Urticaria
Urticaria
|
Pt said she had one hive on her thigh from the flu shot she received the day before, however she did...
Pt said she had one hive on her thigh from the flu shot she received the day before, however she did not receive any vaccines the day before but rather a spikevax 2 days prior. injection site was fine but one hive on thigh she was convinced could have resulted from shot.
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| 2872951 | 36 | F | MS | 11/15/2025 |
FLU3 |
SANOFI PASTEUR |
u8875ba |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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fluzone high dose was given to 36 year old female, unable to reach patient yet but no adverse reacti...
fluzone high dose was given to 36 year old female, unable to reach patient yet but no adverse reaction reported at this time
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| 2872952 | 79 | F | FL | 11/15/2025 |
COVID19 |
PFIZER\BIONTECH |
NA4457 |
Headache, Urticaria
Headache, Urticaria
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The patient received a Covid vaccine 11/10/20205. Her symptoms started the same evening. Her symptom...
The patient received a Covid vaccine 11/10/20205. Her symptoms started the same evening. Her symptoms include headache and hives on her arms, legs and chest areas. The patient has been taking Claritin once daily.
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| 2872953 | 66 | F | PA | 11/15/2025 |
FLU3 |
SANOFI PASTEUR |
U8855AA |
Axillary mass, Furuncle, Lymphadenopathy, Pain
Axillary mass, Furuncle, Lymphadenopathy, Pain
|
Approximately 24-48 hours after vaccination patient developed a swollen single axillary lymph node t...
Approximately 24-48 hours after vaccination patient developed a swollen single axillary lymph node that became a hard spherical lump sore and painful. Patient used warm compress and lump came to the surface and eventually as a boil where she expressed it.
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| 2872954 | 53 | F | PA | 11/15/2025 |
FLU3 |
SANOFI PASTEUR |
u8823da |
Arthralgia, Neck pain, Product administered at inappropriate site
Arthralgia, Neck pain, Product administered at inappropriate site
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Patient reports pain at time of injection and continued pain in right shoulder and up into neck area...
Patient reports pain at time of injection and continued pain in right shoulder and up into neck area. Felt injection site was too high at time of injection and following.
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| 2872955 | 66 | F | AZ | 11/15/2025 |
FLU3 |
SANOFI PASTEUR |
UT8794CA |
Pain in extremity
Pain in extremity
|
Patient complained that her arm has hurt since receiving the Fluzone HD back on 10/13/2025, although...
Patient complained that her arm has hurt since receiving the Fluzone HD back on 10/13/2025, although it was apparently not Swollen or redden
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| 2872956 | 10 | M | SC | 11/15/2025 |
COVID19 |
NOVAVAX |
6315mf001c |
Wrong product administered
Wrong product administered
|
The patient was supposed to receive a dose of Flublok and in error received a dose of Nuvaxovid.
The patient was supposed to receive a dose of Flublok and in error received a dose of Nuvaxovid.
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| 2872958 | 81 | M | NC | 11/15/2025 |
COVID19 |
PFIZER\BIONTECH |
NA4459 |
Extra dose administered
Extra dose administered
|
Pt presented to pharmacy with family member with appointments to receive Covid vaccination. Pt had p...
Pt presented to pharmacy with family member with appointments to receive Covid vaccination. Pt had previously received current Covid vaccine in September 2025, but did not remember this; potential duplication of vaccine was caught by neither pharmacy staff nor pharmacy computer system. Pt received non-recommended dose of Comirnaty at that appointment. Per in-person check-in with pt 5 days following event, pt is not experiencing any adverse signs/symptoms related to administration error.
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| 2872959 | 80 | F | NM | 11/15/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
Unkown Unkown |
Asthenia, Brain fog, Cough, Fatigue, Headache; Laboratory test normal
Asthenia, Brain fog, Cough, Fatigue, Headache; Laboratory test normal
|
None at time of vaccine
None at time of vaccine
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| 2872960 | 55 | F | AZ | 11/15/2025 |
UNK |
UNKNOWN MANUFACTURER |
seasonal influe |
Arthralgia, Chest pain, Injection site pain, Neck pain, Pain in extremity
Arthralgia, Chest pain, Injection site pain, Neck pain, Pain in extremity
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pain at puncture site which expanded to whole left upper arm into left shoulder, left antibiotic che...
pain at puncture site which expanded to whole left upper arm into left shoulder, left antibiotic chest then to neck
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| 2872962 | 74 | F | KS | 11/15/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
NA0589 NA0589 |
Chills, Diarrhoea, Loss of consciousness, Muscular weakness, Myalgia; Pain in ex...
Chills, Diarrhoea, Loss of consciousness, Muscular weakness, Myalgia; Pain in extremity, Vomiting
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She woke up the following morning after vaccination experiencing weakness in the legs and chills. Sh...
She woke up the following morning after vaccination experiencing weakness in the legs and chills. She even blacked out at one point she stated. That evening she had diarrhea and vomiting. The next day on Sunday and into Monday she had myalgias and pain in her legs.
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| 2872963 | 14 | F | TX | 11/15/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
NA0739 U8864CA |
Loss of consciousness, Presyncope; Loss of consciousness, Presyncope
Loss of consciousness, Presyncope; Loss of consciousness, Presyncope
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Patient blacked out, vasal vagal reaction about 5-10 minutes post vaccination
Patient blacked out, vasal vagal reaction about 5-10 minutes post vaccination
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| 2872964 | 67 | M | NC | 11/15/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0589 |
Blood pressure decreased, Dysgeusia, Headache, Hyperhidrosis, Nausea
Blood pressure decreased, Dysgeusia, Headache, Hyperhidrosis, Nausea
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HE COULD TASTE COPPER WHEN INJECTED, STARTED SWEATING SHORTLY AFTER, BLOOD PRESSURE DROPPED AND STAY...
HE COULD TASTE COPPER WHEN INJECTED, STARTED SWEATING SHORTLY AFTER, BLOOD PRESSURE DROPPED AND STAYED LOW FOR 3 DAYS, GOT A HEADACHE AND NAUSEOUS FOR 3 DAYS. HE COULD SENSE THAT SOMETHING WASN'T RIGHT WITH THAT SHOT
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| 2872965 | 48 | F | CA | 11/15/2025 |
FLU3 |
SEQIRUS, INC. |
407007 |
Neck pain
Neck pain
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Patient reports significant neck pain today and suspects it was due to the vaccine. Her children who...
Patient reports significant neck pain today and suspects it was due to the vaccine. Her children who also received the same vaccine report no issues. Patient does not report any pain at injection site or shoulder, only the neck but is unable to relieve the pain with OTC ibuprofen.
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| 2872692 | 64 | M | MA | 11/14/2025 |
COVID19 FLU3 |
MODERNA GLAXOSMITHKLINE BIOLOGICALS |
80777-0112-96 58160-0912-52 |
Blood uric acid normal, Condition aggravated, Gout; Blood uric acid normal, Cond...
Blood uric acid normal, Condition aggravated, Gout; Blood uric acid normal, Condition aggravated, Gout
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Gout flare up began around 10pm, as soreness on my right foot behind big toe -accompanied by body a...
Gout flare up began around 10pm, as soreness on my right foot behind big toe -accompanied by body aches. Next morning it was much worse, red and swollen and could not walk on it. Around 11am I took colchisine tablets - I d had them leftover from my last flare up in 2018 - I ve only ever had 2 gout flare ups ever. Symptoms improved on 11/13 and I went to doctor got a new colchisine RX .
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| 2872702 | NJ | 11/14/2025 |
MMR |
MERCK & CO. INC. |
Z004811 |
No adverse event, Product storage error
No adverse event, Product storage error
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No adverse event; Medical assistant reports MMR II was administered to 3 patients following a TE. HC...
No adverse event; Medical assistant reports MMR II was administered to 3 patients following a TE. HCP did not want to evaluate the MMR II for stability, and stated she was already sending it back to VFC she did not need it evaluated. No further details provided. Addit; This spontaneous report was received from a medical assistant concerning a patient of unknown age and gender. The patient's pertinent medical history, past drug reactions or allergies, concurrent conditions and concomitant therapies were not provided. On 31-OCT-2025, the patient was vaccinated with an improperly stored dose of Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II), (lot #Z004811, expiration date: 20-FEB-2027) (dose, route, anatomical location were not provided) as prophylaxis. The vaccine was reconstituted with sterile diluent (MERCK STERILE DILUENT) (lot number and expiration date not reported). The operator of the device was a healthcare professional (HCP). Additionally, the HCP did not want to evaluated the Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II) for stability and stated that she (the reporter) already send it back to ''VFC'' she did not needed it evaluated. No adverse events reported. Temperature: Caller reported Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II), reached about 70 Fahrenheit (F) Time frame: 3 hours and 15 minutes Previous temperature excursion? YES caller reported the time frame above was cumulative. This is one of the 3 cases received from the same reporter.
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| 2872756 | 1 | IL | 11/14/2025 |
VARCEL |
MERCK & CO. INC. |
Y015100 |
No adverse event, Product storage error
No adverse event, Product storage error
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No adverse effects were reported.; Pharmacist called to report that a dose of VARIVAX was administer...
No adverse effects were reported.; Pharmacist called to report that a dose of VARIVAX was administered while it was inadvertently being stored out of range. Pharmacist stated that it may have been being stored improperly as early as March 2025 and it was just discovered this week; This spontaneous report was received from a pharmacist and refers to a 1-year-old patient of unknown gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On early March 2025, a dose of Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX) injection was inadvertently stored out of range. It was discovered on 04-NOV-2025 (also reported as "this week"), when the patient was inadvertently vaccinated with it, 0.5 mL, lot #Y015100 [which has been verified to be valid lot number for Varicella Virus Vaccine Live (Oka-Merck)], expiration date reported and upon internal validation establish as 06-SEP-2026, administered for prophylaxis (strength, route and anatomical site of administration were not provided). The vaccine was reconstituted with sterile diluent (Hollister-Stier STERILE DILUENT), (lot # and expiration date were not reported) (Product storage error). No adverse effects were reported.
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| 2872758 | 61 | F | MA | 11/14/2025 |
FLU3 PNC21 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
es4h5 Z009681 |
Injection site erythema, Injection site pruritus, Injection site swelling, Injec...
Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Swelling; Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Swelling
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erythema extending from shoulder to elbow with swelling, warmth and itchiness in area below location...
erythema extending from shoulder to elbow with swelling, warmth and itchiness in area below location of vaccine. No hives, no respiratory issue. Also notes small swelling under chin. These began after hot shower. Seen in Urgent Care and advised to use ibuprofen, cool compress and will have follow-up in 3 days
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| 2872759 | 9 | M | AR | 11/14/2025 |
FLU3 |
SEQIRUS, INC. |
AX4143 |
Multiple use of single-use product
Multiple use of single-use product
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HAD 2 BROTHERS BOTH GETTING AFLURIA, SO I HAD 2 SETS OF SYRINGES/NEEDLES. I VACCINATED THE OLDER BRO...
HAD 2 BROTHERS BOTH GETTING AFLURIA, SO I HAD 2 SETS OF SYRINGES/NEEDLES. I VACCINATED THE OLDER BROTHER FIRST BUT WHEN I VACCINATED PATIENT I ACCIDENTLY USED THE SYRINGE/NEEDLE THAT I USED ON HIS BROTHER. I THEN PROPERLY VACCINATED PATIENT BUT UNFORTUNATELY HE GOT STUCK WITH USED NEEDLE
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| 2872760 | 53 | F | OK | 11/14/2025 |
COVID19 |
MODERNA |
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Condition aggravated, Dry eye
Condition aggravated, Dry eye
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dry eyes significantly worsened and have begun to improve after six weeks
dry eyes significantly worsened and have begun to improve after six weeks
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| 2872764 | 40 | F | FL | 11/14/2025 |
FLU3 |
SANOFI PASTEUR |
U8864BA |
Eyelid margin crusting, Ocular hyperaemia, Pruritus, Urticaria
Eyelid margin crusting, Ocular hyperaemia, Pruritus, Urticaria
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Patient Called 9am on 11/14/25 to reports vaccine caused itchy hands, hives on the necks, and crust ...
Patient Called 9am on 11/14/25 to reports vaccine caused itchy hands, hives on the necks, and crust blood shot eyes. Symptoms began after shot yester 11/13/25. Patient reports that she took 1/2 a benadryl at midnight and still has symptoms of allergic reaction.
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| 2872765 | 72 | M | FL | 11/14/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Haemorrhage, Immune thrombocytopenia, Platelet count decreased, Rash
Haemorrhage, Immune thrombocytopenia, Platelet count decreased, Rash
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developed a rash and bleeding within a week of the vaccination, later presented to the hospital when...
developed a rash and bleeding within a week of the vaccination, later presented to the hospital when lab work reveals a platelet count of 1
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| 2872766 | 11/14/2025 |
FLUN3 |
MEDIMMUNE VACCINES, INC. |
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Peripheral swelling
Peripheral swelling
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her arm will blow up like it always does (if she has to get the flu vaccine injection).; A spontaneo...
her arm will blow up like it always does (if she has to get the flu vaccine injection).; A spontaneous report has been received from a non-health professional. The report concerns a patient of unknown gender (age not provided). No medical history was reported. No concomitant products were reported. The patient received Flumist, via unspecified route, on an unknown date. The patient received 1 dose(s). On an unknown date, the patient experienced her arm will blow up like it always does (if she has to get the flu vaccine injection). (preferred term: Limb discomfort). The outcome of the event(s) of her arm will blow up like it always does (if she has to get the flu vaccine injection). was unknown. The event was considered non-serious. Minor correction on 14-Nov-2025: Vaccine Facility Nullflavor for Telephone/fax updated due to NACK.
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| 2872767 | 40 | F | TN | 11/14/2025 |
FLU3 |
SEQIRUS, INC. |
AX4143C |
Urticaria
Urticaria
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PT DEVELOPED HIVES UNDER BOTH ARMS AND ON HER HEAD. SHE STILL HAD THEM ON 11/13/2025
PT DEVELOPED HIVES UNDER BOTH ARMS AND ON HER HEAD. SHE STILL HAD THEM ON 11/13/2025
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