| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2861382 | 36 | M | NC | 09/25/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
011J02A 011J02A 011J02A 042L20A 042L20A 042L20A 036C21A 036C21A 036C21A |
Erythema, Fatigue, Headache, Idiopathic urticaria, Papule; Pruritus, Rash, Sebor...
Erythema, Fatigue, Headache, Idiopathic urticaria, Papule; Pruritus, Rash, Seborrhoeic dermatitis, Skin plaque, Urticaria; Urticaria chronic; Erythema, Fatigue, Headache, Idiopathic urticaria, Papule; Pruritus, Rash, Seborrhoeic dermatitis, Skin plaque, Urticaria; Urticaria chronic; Erythema, Fatigue, Headache, Idiopathic urticaria, Papule; Pruritus, Rash, Seborrhoeic dermatitis, Skin plaque, Urticaria; Urticaria chronic
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On 08/23/2021, the patient presented with intermittent hives and rashes. Episodes over the past few ...
On 08/23/2021, the patient presented with intermittent hives and rashes. Episodes over the past few months included scattered papules, erythema, and wheals on the elbow and shoulder, accompanied by itching. These rashes appeared periodically, lasting for a day before resolving, and recurred over the following months. Hydrocortisone cream was attempted without significant relief. Dermatology later diagnosed idiopathic urticaria (11/30/2021). Condition persisted intermittently despite symptomatic treatment with antihistamines. On 02/28/2022, dermatology noted chronic spontaneous urticaria with associated fatigue. Fatigue became an ongoing symptom, persisting alongside the recurring hives and dermatitis. 08/23/2021 ? Rash/Hives: Intermittent breakouts of hives and rashes (papules, erythema, wheals on elbow/shoulder). 11/30/2021 ? Rash/Hives confirmed: Dermatology visit; diagnosed idiopathic urticaria (itchy papules and plaques on arms and trunk recurring for 4?5 months). 02/28/2022 ? Chronic Fatigue: Dermatology documented chronic spontaneous urticaria with associated fatigue; also noted seborrheic dermatitis. Mid-2022 ? Headaches: Multiple follow-ups included recurring headaches and migraines, persisting alongside fatigue. 2022?2023 ? Dizziness: Episodes of dizziness/vertigo in connection with ongoing fatigue and headaches. 2023 ? Shortness of Breath: Intermittent dyspnea/chest tightness noted during routine evaluations. Ongoing ? Nausea: Treated intermittently with promethazine 25 mg as needed; tied to post-vaccine complaints.
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| 2861383 | 13 | M | WY | 09/25/2025 |
FLU3 FLU3 HPV9 HPV9 MNQ MNQ TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
4D255 4D255 Y013768 Y013768 U8562AA U8562AA 37R35 37R35 |
Dizziness, Injection site pain, Loss of consciousness, Muscular weakness, Nausea...
Dizziness, Injection site pain, Loss of consciousness, Muscular weakness, Nausea; Pain, Pallor, Presyncope, Skin discolouration, Vomiting; Dizziness, Injection site pain, Loss of consciousness, Muscular weakness, Nausea; Pain, Pallor, Presyncope, Skin discolouration, Vomiting; Dizziness, Injection site pain, Loss of consciousness, Muscular weakness, Nausea; Pain, Pallor, Presyncope, Skin discolouration, Vomiting; Dizziness, Injection site pain, Loss of consciousness, Muscular weakness, Nausea; Pain, Pallor, Presyncope, Skin discolouration, Vomiting
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Patient was given Tdap and Meningococcal in the L deltoid and HPV and Flu in the R deltoid at 08:15a...
Patient was given Tdap and Meningococcal in the L deltoid and HPV and Flu in the R deltoid at 08:15am. Patient was c/o pain in the R deltoid but it did eventually subside. At 8:30am he was pacing in the room and c/o being light headed. He was asked to sit down to check vital signs. While attempting to obtain blood pressure, he started saying it hurt really bad so I took the cuff off and went to put it on the other arm and he vagaled. Oxygen saturation remained 95% for the 15 seconds he was out. He had 2 seconds of tonic like posturing. He immediately woke up after this and within 10-15 seconds he was A&O x 4. He vomited 20 seconds after waking up. Emesis x 2. Remained pale/green in color for about 20 minutes. He started to gain color back but still c/o nausea. Per VO from Dr, Administer Ondansetron 8mg orally NOW. Waited in clinic 15 minutes after zofran and he stated he was just weak in his legs. Educated about potential sleepiness from medication. Monitor for any seizure like activity and call us or report to the ER if this occurs.
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| 2861384 | 40 | F | IL | 09/25/2025 |
VARCEL |
MERCK & CO. INC. |
2004245 |
Diarrhoea, Fatigue, Headache, Injection site pain
Diarrhoea, Fatigue, Headache, Injection site pain
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Diarrhea, headache, pain in the area of the vaccine and tiredness.
Diarrhea, headache, pain in the area of the vaccine and tiredness.
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| 2861385 | 59 | F | CO | 09/25/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
772YT |
Expired product administered
Expired product administered
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Patient received Adult Hepatitis A vaccine which had expired on 09/23/2025 - date given 09/25/25 the...
Patient received Adult Hepatitis A vaccine which had expired on 09/23/2025 - date given 09/25/25 therefore 2 days expired. i reported to Patient, to patient's primary provider and office manager and now reporting it to VAERS.
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| 2861386 | 68 | F | 09/25/2025 |
FLU3 |
SANOFI PASTEUR |
U8823CA |
Erythema, Immediate post-injection reaction, Pain in extremity, Skin warm
Erythema, Immediate post-injection reaction, Pain in extremity, Skin warm
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Pt states she had pain immediately and felt like she was punched in the arm leaving the store. 18 h...
Pt states she had pain immediately and felt like she was punched in the arm leaving the store. 18 hours after the shot redness and warmth started. Redness expanded and went to MD office today. Possible injection site reaction, early infection, or possible cellulitis. Prescribed cephalexin and medrol dose pack.
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| 2861387 | 20 | F | MN | 09/25/2025 |
DTPPVHBHPB |
MSP VACCINE COMPANY |
U&374BA |
Vaccination error
Vaccination error
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Vaccine admin error
Vaccine admin error
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| 2861388 | 4 | F | NY | 09/25/2025 |
DTAP |
SANOFI PASTEUR |
3CA55C1 |
Injection site cellulitis, Injection site erythema, Injection site induration, I...
Injection site cellulitis, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
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Cellulitis, redness, hard, swollen and warm to touch >10mm rt deltoid
Cellulitis, redness, hard, swollen and warm to touch >10mm rt deltoid
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| 2861389 | 0.33 | M | TN | 09/25/2025 |
DTAPHEPBIP HIBV PNC20 RV5 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
9C295 Z003040 LX2498 Y018515 |
Injection site reaction, Rash, Rash macular; Injection site reaction, Rash, Rash...
Injection site reaction, Rash, Rash macular; Injection site reaction, Rash, Rash macular; Injection site reaction, Rash, Rash macular; Injection site reaction, Rash, Rash macular
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Within a minute after giving vaccines child broke out in a circular splotchy rash around both inject...
Within a minute after giving vaccines child broke out in a circular splotchy rash around both injection sites on both thighs and on forehead. No vomiting, no wheezing, no breathing difficulty. Observed in office. Rash went away on its on within minutes. Referral made to Allergy for evaluation prior to additional immunization.
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| 2861390 | 68 | F | CA | 09/25/2025 |
FLU3 |
SEQIRUS, INC. |
407253 |
Back pain, Immediate post-injection reaction, Pain in extremity
Back pain, Immediate post-injection reaction, Pain in extremity
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Idiopathic. Unsure if that is related to the vaccine. Patient described "intense pain in back ...
Idiopathic. Unsure if that is related to the vaccine. Patient described "intense pain in back and legs" immediately after the vaccination. I asked her if this is allergic reaction, if I should administer an epinephrine shot for her? She was very adamant and stated NO! she does NOT want the shot, it is NOT allergic reaction and she does not want us to do anything. So I asked if I could call paramedics/ambulance. She said yes. Patient was taken away by ambulance immediately.
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| 2861391 | 40 | M | IL | 09/25/2025 |
COVID19 FLU3 HPV9 |
PFIZER\BIONTECH SEQIRUS, INC. MERCK & CO. INC. |
|
Pityriasis rosea; Pityriasis rosea; Pityriasis rosea
Pityriasis rosea; Pityriasis rosea; Pityriasis rosea
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6 days after vaccine herald patch for Pityriasis rosacea appeared and rash progressed from there
6 days after vaccine herald patch for Pityriasis rosacea appeared and rash progressed from there
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| 2861392 | 36 | F | MI | 09/25/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
80777011296 70461065503 |
Injection site pain, Injection site pruritus, Injection site rash, Injection sit...
Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth; Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
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3"x 2" rash near injection site: raised, hot, painful and itchy. It appeared 2 days after...
3"x 2" rash near injection site: raised, hot, painful and itchy. It appeared 2 days after vaccination and is about 1" lower from injection site.
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| 2861393 | 30 | M | CA | 09/25/2025 |
FLU3 |
SANOFI PASTEUR |
U8848BA |
Epistaxis, Migraine, Pain, Photophobia
Epistaxis, Migraine, Pain, Photophobia
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VERY BAD MIGRAINE WITH SENSITIVITY TO LIGHT. NOSEBLEEDS (2) AND SORENESS IN WHOLE BODY. i STAYED HYD...
VERY BAD MIGRAINE WITH SENSITIVITY TO LIGHT. NOSEBLEEDS (2) AND SORENESS IN WHOLE BODY. i STAYED HYDRATED AND TRIED TO REST WELL. STILL, ON 25 SEPTEMBER 2025, I DON'T FEEL ANY BETTER . NO MORE NOSEBLEEDS AT THE MOMENT.
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| 2861394 | 65 | M | AL | 09/25/2025 |
FLU3 |
SANOFI PASTEUR |
u8855ca |
Dyspnoea, Lip swelling
Dyspnoea, Lip swelling
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lips swollen and diffuculty breathing
lips swollen and diffuculty breathing
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| 2861395 | 3 | F | TX | 09/25/2025 |
DTAP HEPA |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
JP227 |
Injection site erythema, Injection site induration; Injection site erythema, Inj...
Injection site erythema, Injection site induration; Injection site erythema, Injection site induration
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Patient presenting localized not pruriginous reaction, 2-3 days after DTaP vaccine applied. No syste...
Patient presenting localized not pruriginous reaction, 2-3 days after DTaP vaccine applied. No systemic signs/symptoms, no concerns for IgE-mediated reaction, no concerns for skin infection. On PE: Right thigh (anterolat): erythematous patch with 10.5cm x 9cm, with indurated central potion. No fluctuation. Area where vaccine was applied is visible, no drainage, no signs of abscess
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| 2861396 | 66 | F | OR | 09/25/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
NA0738 UT8794DA |
Injection site erythema, Injection site pain, Injection site rash, Injection sit...
Injection site erythema, Injection site pain, Injection site rash, Injection site swelling; Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
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Mild skin rash, redness, soreness and swelling at the injection site
Mild skin rash, redness, soreness and swelling at the injection site
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| 2861397 | 4 | M | TX | 09/25/2025 |
DTAPIPV MMRV |
SANOFI PASTEUR MERCK & CO. INC. |
U862AA Z010383 |
Injection site erythema, Injection site induration; Injection site erythema, Inj...
Injection site erythema, Injection site induration; Injection site erythema, Injection site induration
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Superficial erythema and induration about 5 cm upper Left Thigh surronding injection site
Superficial erythema and induration about 5 cm upper Left Thigh surronding injection site
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| 2861398 | 11 | M | TX | 09/25/2025 |
HEP IPV TDAP |
MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR |
y009551 x1d141m u7928aa |
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered
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Wrong vaccine given: Patient came with mom and another adult woman on 9/17/2025.Original shot record...
Wrong vaccine given: Patient came with mom and another adult woman on 9/17/2025.Original shot record was provided from another country to the front office staff by the mother. There was some confusion with the record and shots were entered in the database incorrectly. What the school nurse said was needed did not match with what was put in the database, so the HD nurse gave tdap, hep b, and polio based on the historical shot record in the database. Error was discovered, historical record in database was fixed and the patient was back to HD by school nurse get mmrv which is what needed.
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| 2861399 | 1 | M | TN | 09/25/2025 |
HIBV |
SANOFI PASTEUR |
UK016AC |
Expired product administered, No adverse event
Expired product administered, No adverse event
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Gave an expired HIB vaccine, mother made aware same visit around 11 am by provider, no symptoms note...
Gave an expired HIB vaccine, mother made aware same visit around 11 am by provider, no symptoms noted so far.
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| 2861400 | 0.5 | F | RI | 09/25/2025 |
DTPPVHBHPB DTPPVHBHPB HPV9 HPV9 HPV9 HPV9 |
MSP VACCINE COMPANY MSP VACCINE COMPANY MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
U8265AA U8265AA Y013768 Y013768 |
Wrong product administered; Product administered to patient of inappropriate age...
Wrong product administered; Product administered to patient of inappropriate age, Wrong product administered; Wrong product administered; Product administered to patient of inappropriate age, Wrong product administered; Wrong product administered; Product administered to patient of inappropriate age, Wrong product administered
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Wrong Vaccine Given (HPV)
Wrong Vaccine Given (HPV)
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| 2861401 | 7 | F | CT | 09/25/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
NA0846 406991 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event
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PATIENT PRESENTED TO PHARMACY FOR COVID VACCINE ALONG WITH HER PARENTS WHO NEEDED BOTH COVID AND FLU...
PATIENT PRESENTED TO PHARMACY FOR COVID VACCINE ALONG WITH HER PARENTS WHO NEEDED BOTH COVID AND FLU, AFTER ADMINISTERING THE FLU VACCINE AND PREPARING THE SECOND SYRINGE, PATIENT'S MOTHER QUESTIONED THE SECOND VACCINE AND THE VACCINATOR REALIZED THE PEDIATRIC PATIENT WAS ONLY MEAMT TO RECEIVE THE COVID VACCINE. MOTHER REPORTED THE CHILD RECEIVED THE FLU VACCINE LAST MONTH. COUNSELED MOTHER TO WATCH FOR SIDE EFFECTS SUCH AS FEVER OR FATIGUE AND TO REPORT ANY SYMPTOMS TO HER PEDIATRICIAN. AS OF REPORT, NO SIDE EFFECTS HAVE BEEN REPORTED.
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| 2861402 | 10 | M | TN | 09/25/2025 |
COVID19 FLUN3 |
PFIZER\BIONTECH MEDIMMUNE VACCINES, INC. |
NA0738 YF3413B |
No adverse event, Product administered to patient of inappropriate age; No adver...
No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age
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No adverse events, treatments, or outcomes.
No adverse events, treatments, or outcomes.
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| 2861403 | 31 | M | NC | 09/25/2025 |
COVID19 |
MODERNA |
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Blood testosterone, Magnetic resonance imaging, Musculoskeletal disorder, Obesit...
Blood testosterone, Magnetic resonance imaging, Musculoskeletal disorder, Obesity
More
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Obesity and muscle skeleton issues
Obesity and muscle skeleton issues
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| 2861404 | 34 | F | AZ | 09/25/2025 |
UNK |
UNKNOWN MANUFACTURER |
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Electromyogram normal, Muscle spasms, Muscle twitching
Electromyogram normal, Muscle spasms, Muscle twitching
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sx onset of twitches in her lower back the same day as vaccination with twitches in her left thigh a...
sx onset of twitches in her lower back the same day as vaccination with twitches in her left thigh and ankle area the following day. They remain almost constant. Had 2 neuro visits and neg EMG. No diagnosis. No pain, no impairment with activity. No progression. Symptoms: CRAMP AND SPASM(R252).
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| 2861405 | 67 | F | GA | 09/25/2025 |
RSV |
PFIZER\WYETH |
mm9167 |
Epistaxis, Pain in extremity, Rash
Epistaxis, Pain in extremity, Rash
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pain, rash, bumps on arm. bloody nose
pain, rash, bumps on arm. bloody nose
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| 2861406 | 34 | F | VA | 09/25/2025 |
FLU3 FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
IMM114 IMM114 IMM114 |
Crying, Emotional distress, Fatigue, Full blood count, Headache; Incorrect dose ...
Crying, Emotional distress, Fatigue, Full blood count, Headache; Incorrect dose administered, Loss of personal independence in daily activities, Metabolic function test normal, Pain, Suicidal ideation; Tearfulness, Thyroid function test normal, Vision blurred, Vitreous floaters
More
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I am a 34-year-old female who was administered Fluad trivalent adjuvanted (65+ formulation) in error...
I am a 34-year-old female who was administered Fluad trivalent adjuvanted (65+ formulation) in error. This vaccine is intended only for adults =65 and contains approximately 4 times the antigen dose of the standard influenza vaccine. Within 15 minutes of administration, before I had been notified of the dosing error, I experienced sudden and extreme tearfulness for no apparent reason and had to leave the store due to uncontrollable crying. This reaction continued for two days, during which I experienced an intense mental health crisis with overwhelming distress and suicidal thoughts. I remained bedridden for several days due to severe headache, extreme body aches, and profound fatigue. I also experienced significant visual disturbances, including blurred vision and floaters, and was unable to focus my eyes for more than one hour at a time. These symptoms prevented me from completing daily activities and academic assignments. The adverse effects lasted approximately one week.
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| 2861407 | 63 | F | TX | 09/25/2025 |
COVID19 COVID19 COVID19 COVID19 FLU3 FLU3 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH SANOFI PASTEUR SANOFI PASTEUR |
49281-0725-10 49281-0725-10 |
Rash; Rash; Rash; Rash; Rash; Rash
Rash; Rash; Rash; Rash; Rash; Rash
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Body rash beginning 36 hours after vaccination.
Body rash beginning 36 hours after vaccination.
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| 2861408 | 67 | F | WA | 09/25/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
3052549 u8764db |
Back pain, Feeling of body temperature change, Lacrimation increased, Palpitatio...
Back pain, Feeling of body temperature change, Lacrimation increased, Palpitations, Rhinorrhoea; Back pain, Feeling of body temperature change, Lacrimation increased, Palpitations, Rhinorrhoea
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Patient experienced cold and hot, back pain, heart palpitation, running eyes and nose after 12 hours...
Patient experienced cold and hot, back pain, heart palpitation, running eyes and nose after 12 hours from injection. Affect was resolved after 2 hours of sleep.
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| 2861409 | 51 | F | PA | 09/25/2025 |
FLU3 |
SEQIRUS, INC. |
AX4143C |
Chills, Discomfort, Pain, Tremor
Chills, Discomfort, Pain, Tremor
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I had 2 hours of heavy chills couldn't get comfortable and violent shaking, mild body aches.
I had 2 hours of heavy chills couldn't get comfortable and violent shaking, mild body aches.
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| 2861410 | 37 | F | PA | 09/25/2025 |
PPV |
MERCK & CO. INC. |
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Heart rate increased, Injection site erythema, Injection site pain, Injection si...
Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
More
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My left arm at the injection site began to swell up four hours after the shot was administered. The ...
My left arm at the injection site began to swell up four hours after the shot was administered. The redness and swelling went down to my elbow. The area was hot to the touch and painful. I had a rapid heart rate and went to the emergency room on 2/28/25 at 8:00am for treatment for an allergic reaction from the vaccine.
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| 2861411 | 70 | M | CA | 09/25/2025 |
COVID19 |
MODERNA |
3052549 |
Dyspnoea, Muscular weakness, Pain, Tachycardia
Dyspnoea, Muscular weakness, Pain, Tachycardia
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After pt got the Spikevax. Next day, pt started having SOB, Tachycardia, Muscle weakness, soreness,...
After pt got the Spikevax. Next day, pt started having SOB, Tachycardia, Muscle weakness, soreness, difficulty breathing, moving around. Pt says it's been on and off, and is getting better .
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| 2861412 | 72 | F | 09/25/2025 |
FLU3 |
SANOFI PASTEUR |
U8859BA |
Nausea, Vertigo, Vomiting
Nausea, Vertigo, Vomiting
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Severe vertigo, Nausea and vomiting and Blood pressure increase
Severe vertigo, Nausea and vomiting and Blood pressure increase
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| 2861413 | 74 | F | CA | 09/25/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0738 |
Ophthalmic migraine
Ophthalmic migraine
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Frequent (3 times per day) ocular migraines four days after immunization. This happened one other ti...
Frequent (3 times per day) ocular migraines four days after immunization. This happened one other time when I received a Covid vaccine on 9/30/2022. At that time, the migraines were more frequent--every 15 minutes. Adverse effects were reported by the pharmacist at that time
More
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| 2861414 | 30 | F | VA | 09/25/2025 |
COVID19 COVID19 |
JANSSEN JANSSEN |
1805018 1805018 |
Abdominal pain, Abnormal menstrual clots, Computerised tomogram abdomen abnormal...
Abdominal pain, Abnormal menstrual clots, Computerised tomogram abdomen abnormal, Pelvic floor dysfunction, Pregnancy test negative; Scan with contrast abnormal, Ultrasound pelvis abnormal, Unexpected vaginal bleeding on hormonal IUD, Uterine mass
More
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I received the Johnson & Johnson (Janssen) COVID-19 vaccine while serving as a forward member. A...
I received the Johnson & Johnson (Janssen) COVID-19 vaccine while serving as a forward member. At the time of vaccination, I experienced only mild symptoms immediately afterward. I had not menstruated for approximately ten years due to use of the Mirena IUD. Approximately two weeks after receiving the vaccine, I developed severe abdominal cramping and experienced extreme menstrual bleeding with passage of blood clots approximately the size of a sticky note. I sought evaluation from my healthcare provider at that time. Since then, I have continued to report persistent and unusual pelvic floor pain to multiple providers. Most recently, diagnostic evaluation revealed a mass approximately the size of a golf ball located above my uterus.
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โ | |||||
| 2861415 | 87 | M | MD | 09/25/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
NA0738 U8837AA |
Headache, Pyrexia; Headache, Pyrexia
Headache, Pyrexia; Headache, Pyrexia
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PT REPORTED FEVER AND HEADACHES AND HAS TAKEN 4 TYLENOLS TO THE REPORTING TIME
PT REPORTED FEVER AND HEADACHES AND HAS TAKEN 4 TYLENOLS TO THE REPORTING TIME
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| 2861416 | 33 | F | NH | 09/25/2025 |
COVID19 |
MODERNA |
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Abortion spontaneous, Exposure during pregnancy, Laboratory test abnormal
Abortion spontaneous, Exposure during pregnancy, Laboratory test abnormal
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was pregnant, had a miscarriage one month after receiving the vaccine. Then, had a second miscarriag...
was pregnant, had a miscarriage one month after receiving the vaccine. Then, had a second miscarriage three months after that. No previous history of infertility or issues with pregnancy (had two other healthy children).
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โ | |||||
| 2861417 | 14 | F | FL | 09/25/2025 |
HPV9 VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y018416 Z005232 |
Bowel movement irregularity, Dizziness, Nausea, Pallor, Vomiting; Bowel movement...
Bowel movement irregularity, Dizziness, Nausea, Pallor, Vomiting; Bowel movement irregularity, Dizziness, Nausea, Pallor, Vomiting
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approximately 10 minutes after the administration of Varicella and HPV vaccines the client stated sh...
approximately 10 minutes after the administration of Varicella and HPV vaccines the client stated she was dizzy and felt nauseous. The clients' lips were pale. The client went to the bathroom and vomited and had a bowel movement.
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| 2861418 | 0.25 | F | CA | 09/25/2025 |
FLU3 |
SANOFI PASTEUR |
UT8468LA |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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Pt was vaccinated with influenza (fluzone) when the patient was 3 months. vaccine was not given at t...
Pt was vaccinated with influenza (fluzone) when the patient was 3 months. vaccine was not given at the appropriate age range. No adverse reactions or symptoms were reported by patients parents
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| 2861419 | 50 | F | KS | 09/25/2025 |
FLU3 VARZOS |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
U8790BA 332L4 |
Blister, Erythema, Rash, Skin tightness, Swelling; Blister, Erythema, Rash, Skin...
Blister, Erythema, Rash, Skin tightness, Swelling; Blister, Erythema, Rash, Skin tightness, Swelling
More
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Patient calls clinic to report possible allergic reaction to shingles vaccine. Pt reports redness, ...
Patient calls clinic to report possible allergic reaction to shingles vaccine. Pt reports redness, swelling, "hard as a rock" upper arm that worsened and now rash and blistered noted. Was evaluated by APRN at PCP's office who rx prednisone and encouraged benadryl to help with symptoms. Was seen 9/25/25 by APRN **Patient requested both immunizations in same arm due to side sleeping and other arm being "bad one."
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| 2861420 | 58 | F | NY | 09/25/2025 |
FLU3 |
SANOFI PASTEUR |
U8848BA |
Hypoaesthesia, Peripheral swelling
Hypoaesthesia, Peripheral swelling
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Administered vaccine in morning. Reports no pain at time of vaccination or throughout the work day. ...
Administered vaccine in morning. Reports no pain at time of vaccination or throughout the work day. Returned home and developed severe numbness in the ulnar distribution of the L hand in the pm associated with swelling. No erythema, no other organ system changes. Presented to occupational health clinic in morning, got ring off the hand to prevent further injury. Will monitor swelling during day with an afternoon recheck. Employee called personal provider and recommended to go home.
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| 2861421 | 17 | M | NJ | 09/25/2025 |
FLU3 HEP |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
U8854AA GC3N4 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event
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On 9/22/2025 The youth received an extra dose of Hep B vaccine, during the clinic. The MA contacted ...
On 9/22/2025 The youth received an extra dose of Hep B vaccine, during the clinic. The MA contacted (withheld) County Health Department for guidance, as per Infectious Disease nurse (name withheld), An additional Hepatitis B vaccine dose for a youth who already completed a series is generally not harmful, recommended to follow up with PCP for further instructions. The MA followed up with PCP whom stated that mild reactions like injection site pain, headache, and fatigue are possible. Very rare side effects are similar to those of a regular dose, including allergic reactions, joint pain, or skin rashes. It is important to note that an extra dose is not considered harmful. Recommendations from the PCP are to monitor the youth for new developing symptoms. The minor did not develop any adverse reactions or complained of any symptoms.
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| 2861423 | 11 | M | NY | 09/25/2025 |
MENB TDAP |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
LP6524 793PT |
Wrong product administered; Wrong product administered
Wrong product administered; Wrong product administered
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Patient (and parent: father) expected to receive Meningococcal Conjugate (MenQUADfi) Vaccine, but r...
Patient (and parent: father) expected to receive Meningococcal Conjugate (MenQUADfi) Vaccine, but received Meningococcal Type-B inadvertently.
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| 2861424 | 79 | F | 09/25/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
8146545 ut8763ha |
Peripheral swelling; Peripheral swelling
Peripheral swelling; Peripheral swelling
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patient experience right hand swelling, although they received both covid and flu shot on left arm
patient experience right hand swelling, although they received both covid and flu shot on left arm
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| 2861425 | 34 | F | 09/25/2025 |
FLU3 |
SEQIRUS, INC. |
406981 |
Pruritus, Swelling, Urticaria
Pruritus, Swelling, Urticaria
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0825 Pt c/o rt outer FA, pen size raised hive, near elbow-red, itchy, and raised, denies dysphagia, ...
0825 Pt c/o rt outer FA, pen size raised hive, near elbow-red, itchy, and raised, denies dysphagia, BP 126/72, oxygen saturation 98%, HR82, denies SOB, CP. 0827 Pt c/o nausea, dry heaving. Benadryl, 25mg, po, given w/sip of water. 0830 BP 110/70, O2 Saturation 99%, HR 88. 0840 I spoke w supervisor informed of symptoms, recommended not to return to work. 0855 Employee stable, hive flat to touch, pink in color, itching decreased. 0909 Discharge instructions given w VIS statement. Informed to notify doctor. Pt verbalized understanding. Discharged to husband.
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| 2861426 | 60 | F | OH | 09/25/2025 |
FLU3 |
SANOFI PASTEUR |
U8859CA |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Patient was given Fluzone HD at the age of 60 instead of Fluzone/ Flublok approved for age group. At...
Patient was given Fluzone HD at the age of 60 instead of Fluzone/ Flublok approved for age group. At this time, she does not have symptoms. No qualifying factors to make eligible for HD fluzone.
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| 2861427 | 33 | M | AZ | 09/25/2025 |
COVID19 |
PFIZER\BIONTECH |
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Rotator cuff syndrome, Shoulder operation, X-ray limb normal
Rotator cuff syndrome, Shoulder operation, X-ray limb normal
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COVID vaccine-induced subacromial impingement Per Dr ..I also had injections done to try to help and...
COVID vaccine-induced subacromial impingement Per Dr ..I also had injections done to try to help and ultimately had to have surgery done on my shoulder.
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| 2861428 | 1 | F | 09/25/2025 |
HIBV MMR PNC20 |
MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH |
Y018168 Z008440 LN4932 |
Anaphylactic reaction, Diarrhoea, Injection site urticaria, Pyrexia, Urticaria; ...
Anaphylactic reaction, Diarrhoea, Injection site urticaria, Pyrexia, Urticaria; Anaphylactic reaction, Diarrhoea, Injection site urticaria, Pyrexia, Urticaria; Anaphylactic reaction, Diarrhoea, Injection site urticaria, Pyrexia, Urticaria
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The child received MMR, PCV20 and PedvaxHIB vaccines on 09/12/25 at 14:42. Monitored the child for 1...
The child received MMR, PCV20 and PedvaxHIB vaccines on 09/12/25 at 14:42. Monitored the child for 15 min. after receiving the vaccines with no complaints or complications. Following morning on 09/13/25 Mom noticed the hives on arms, legs and groin area. Mom took the child to UC then ER. The child was given steroid, ibuprofen and antihistamine. The child had fever during ER visit. The child had f/u ER visit with PCM on 09/15/25. Mom stated that the child had also diarrhea over the weekend. PCM has suspicion for anaphylaxis. The child has referral placed to follow up with allergies specialist.
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| 2861429 | 33 | M | NC | 09/25/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
PX3P7 |
Computerised tomogram head, No adverse event
Computerised tomogram head, No adverse event
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No adverse events noted
No adverse events noted
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| 2861430 | 53 | F | TX | 09/25/2025 |
FLU3 |
SANOFI PASTEUR |
U8848AA |
Diarrhoea, Headache, Paraesthesia oral, Rash, Urticaria
Diarrhoea, Headache, Paraesthesia oral, Rash, Urticaria
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Rash, urticaria, headaches, diarrhea, lip/tongue tingling. Treated self with oral benadryl with reli...
Rash, urticaria, headaches, diarrhea, lip/tongue tingling. Treated self with oral benadryl with relief. Symptoms occurred soon after injection and now into day 3 with only urticaria persisting.
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| 2861431 | 83 | F | MN | 09/25/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
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Asthenia, Blood pressure decreased, Dizziness, Hypotension, Mental impairment; N...
Asthenia, Blood pressure decreased, Dizziness, Hypotension, Mental impairment; Nausea, Urinary incontinence, Visual impairment, Vomiting
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Uncontrolled urination (incontinence) every hour for many hours, then nausea and vomiting. Was weak ...
Uncontrolled urination (incontinence) every hour for many hours, then nausea and vomiting. Was weak and dizzy and had vision and mentation problems with sever drop in blood pressure. She had to receive 2 bags of IV fluids via a home nurse IV company. Blood pressure was 89/60 with heart rate at 57 bpm. Due to atherosclerosis, patient has permissive hypertension and an episode of hyoptension puts her at severe risk for CVA.
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| 2861432 | 67 | F | CA | 09/25/2025 |
COVID19 |
MODERNA |
3052036 |
Feeling of body temperature change, Migraine
Feeling of body temperature change, Migraine
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hot, cold, and horrible migraine that lasted 8 hours. pt had taken migraine meds and ibuprofen.
hot, cold, and horrible migraine that lasted 8 hours. pt had taken migraine meds and ibuprofen.
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