| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2860396 | 7 | F | PA | 09/22/2025 |
COVID19 |
PFIZER\BIONTECH |
na0589 |
Injection site erythema, Product administered to patient of inappropriate age
Injection site erythema, Product administered to patient of inappropriate age
|
Site: Redness at Injection Site-Mild, Additional Details: made parent aware that the nurse has incor...
Site: Redness at Injection Site-Mild, Additional Details: made parent aware that the nurse has incorrectly administered the 12 year old and up Comirnaty to a patient aged 7 years old. parent was calm and appreciated the quick call to let him know what had happened. counseled parent on increase in potential side effects due to dose. nurse who administered vaccine was very apologetic about the incident, Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: ; LotNumber: ; Route: im; BodySite: ; Dose: ; VaxDate: UNKNOWN
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| 2860398 | 77 | M | NY | 09/22/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3052154 3052154 |
Arthralgia, Chills, Fatigue, Lethargy, Pain; Pyrexia
Arthralgia, Chills, Fatigue, Lethargy, Pain; Pyrexia
|
Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Se...
Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Severe, Systemic: Joint Pain-Severe
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| 2860399 | 22 | F | TX | 09/22/2025 |
RAB RAB |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
FDP007 FDP007 |
Dizziness, Fall, Loss of consciousness, Skin laceration, Syncope; Unresponsive t...
Dizziness, Fall, Loss of consciousness, Skin laceration, Syncope; Unresponsive to stimuli
More
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Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Det...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: SHORTLY AFTER RECEIVED VACCINE PATEINT LOST CONCIOUSNESS AND FELL FORWARD FROM A SITTING POSTION IN A CHAIR NEAR THE VACCCINE AREA, WITNESS STATES SHE WAS UNCONCIOUS FOR ABOUT 2 MINUTES BEFORE WAKING BACK UP, PATEINT RECIEVED A SMALL LACERATION ABOVE LEFT EYEBROW AS A RESULT OF FALLING OUT OF THE CHAIR, HER SCRATCH WAS ATTENDED TO AND SHE WAS PROVIDED ICE. SHE STAYED UNTIL SHE FELT WELL ENOUGH TO LEAVE AND STATED THAT SHE DID NOT NEED FURTHER CARE.
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| 2860400 | 67 | F | MA | 09/22/2025 |
PNC21 |
MERCK & CO. INC. |
z006889 |
Joint injury
Joint injury
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe
|
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| 2860401 | 81 | F | CA | 09/22/2025 |
COVID19-2 |
MODERNA |
3052036 |
Injection site pain, Joint injury
Injection site pain, Joint injury
|
Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Se...
Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe
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| 2860402 | 61 | F | NY | 09/22/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
NY2AT |
Injection site swelling, Injection site warmth
Injection site swelling, Injection site warmth
|
Site: Swelling at Injection Site-Mild, Additional Details: pt called pharmacy on 9/11/19 8pm. I retu...
Site: Swelling at Injection Site-Mild, Additional Details: pt called pharmacy on 9/11/19 8pm. I returned her call 9/12 10am. She c/o of swelling at Shingles injection site and hot. She is able to move her arm normally without any issue and does not have shoulder pain. Advised pt to try otc Advil and follow up if continues.
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| 2860403 | 51 | M | CA | 09/22/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
n2954 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Medium
Site: Pain at Injection Site-Medium
|
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| 2860404 | 57 | F | CA | 09/22/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
Z006889 Z006889 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth; Joint injury
More
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Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection ...
Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Additional Details: size of redness on patient's arm is about 4 inches x 10 inches redness swelling and warm. patient took cetirizine 2 doses. patient will also take benadryl 25 mg 1 capsule every 4-6 hours if not improve by tomorrow night she will see urgent or her pcp or ER
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| 2860405 | 71 | F | CT | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
UT8781CA |
Injection site pain, Joint injury
Injection site pain, Joint injury
|
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, Other Vaccines: VaccineTypeBrand: Pfizer Covid Comirnaty; Manufacturer: Pfizer; LotNumber: NA0738; Route: IM; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN
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| 2860406 | 68 | F | OK | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
u8800ba |
Injection site swelling, Peripheral swelling
Injection site swelling, Peripheral swelling
|
Site: Swelling at Injection Site-Medium, Systemic: allegic reaction causing swelling of upper arm-Me...
Site: Swelling at Injection Site-Medium, Systemic: allegic reaction causing swelling of upper arm-Medium, Additional Details: allegic reaction causing swelling of upper arm, Other Vaccines: VaccineTypeBrand: fluzone high dose; Manufacturer: sanofi; LotNumber: u8800ba; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
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| 2860408 | 48 | F | MD | 09/22/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
TFAA2503 |
Erythema, Flushing, Headache, Hyperhidrosis, Ocular hyperaemia
Erythema, Flushing, Headache, Hyperhidrosis, Ocular hyperaemia
|
Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Additional Details: BLOOD SHOT EYES ...
Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Additional Details: BLOOD SHOT EYES AND RED FACE.
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| 2860409 | 9 | F | TX | 09/22/2025 |
FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. |
406999 406999 |
Dizziness, Fall, Fatigue, Head injury, Headache; Lethargy, Loss of consciousness...
Dizziness, Fall, Fatigue, Head injury, Headache; Lethargy, Loss of consciousness, Syncope, Unresponsive to stimuli
More
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Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainti...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: 9 year old, very nervous to get the flu vaccine. Received vaccine and was waiting on her father to get his vaccine. Fainted and fell to floor hitting her head. Unconscious for a couple minutes. Then came to and drank some water. Complained of head hurting. Provided an orange drink and water. Had them sit in waiting area for a while. Patient was able to walk and talk. Dad was advised to take her to er to have her head examined.
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| 2860410 | 26 | F | AK | 09/22/2025 |
COVID19-2 |
MODERNA |
3052549 |
Back pain, Pain
Back pain, Pain
|
Systemic: Body Aches Generalized-Mild, Additional Details: patient got her covid and gardasil shot y...
Systemic: Body Aches Generalized-Mild, Additional Details: patient got her covid and gardasil shot yesterday. she informed me her back hurt. apparetnyl it hurt last time but she thought maybe she had just hurt it last time and then realized it was the shot. said i would document both events. , Other Vaccines: VaccineTypeBrand: gardasil shot; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: 09/12/2025
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| 2860411 | 26 | F | AL | 09/22/2025 |
COVID19-2 |
MODERNA |
3046731 |
Pain
Pain
|
Systemic: Body Aches Generalized-Mild, Additional Details: pt told me today that last time shes gott...
Systemic: Body Aches Generalized-Mild, Additional Details: pt told me today that last time shes gotten back aches that last a couple of days. i told patient i would document.
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| 2860412 | 12 | M | PA | 09/22/2025 |
FLUC4 |
SEQIRUS, INC. |
406981 |
Confusional state, Headache, Seizure, Syncope, Unresponsive to stimuli
Confusional state, Headache, Seizure, Syncope, Unresponsive to stimuli
|
Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild, Systemic:...
Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild, Systemic: Seizure-Mild
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| 2860413 | 11 | F | NY | 09/22/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
f9k3l |
Syncope, Unresponsive to stimuli
Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild, Additional Details: pt has history of fainting with vaccines...
Systemic: Fainting / Unresponsive-Mild, Additional Details: pt has history of fainting with vaccines. This was discussed with nurse they reviewed what to watch for. The patient breifly fainted and came to quickly. She did not fall had pulse whole time. Stayed in pharmacy drank water used ice pack and chatted with nurse while waiting. dad was present whole time
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| 2860414 | 32 | F | VA | 09/22/2025 |
COVID19 |
PFIZER\BIONTECH |
my9547 |
Dizziness, Paraesthesia
Dizziness, Paraesthesia
|
Systemic: Dizziness / Lightheadness-Severe, Systemic: Tingling (specify: facial area, extemities)-Me...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Tingling (specify: facial area, extemities)-Medium, Other Vaccines: VaccineTypeBrand: comirnaty; Manufacturer: pfizer; LotNumber: my9547; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 406981; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
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| 2860415 | 9 | M | VA | 09/22/2025 |
HPV9 |
MERCK & CO. INC. |
z002437 |
Asthenia, Dizziness, Dysphagia, Dyspnoea, Throat tightness
Asthenia, Dizziness, Dysphagia, Dyspnoea, Throat tightness
|
Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tig...
Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Weakness-Mild
More
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| 2860416 | 68 | F | CA | 09/22/2025 |
COVID19 |
PFIZER\BIONTECH |
my9550 |
Rash
Rash
|
Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium
Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium
|
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| 2860417 | 69 | F | NJ | 09/22/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
ln4932 ln4932 |
Cellulitis, Dysphagia, Injection site erythema, Injection site pain, Injection s...
Cellulitis, Dysphagia, Injection site erythema, Injection site pain, Injection site swelling; Lymphadenopathy, Rash, Throat tightness
More
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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: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: probable cellulitis-Medium, Systemic: Lymph Node Swelling-Medium, Additional Details: pt prescribed doxycycline from walk in clinic
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| 2860418 | 87 | F | NJ | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
u8830da |
Injection site bruising, Injection site pain
Injection site bruising, Injection site pain
|
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Mild
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Mild
|
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| 2860419 | 50 | M | CA | 09/22/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
px3p7 |
Injection site bruising, Injection site erythema, Injection site haemorrhage, In...
Injection site bruising, Injection site erythema, Injection site haemorrhage, Injection site swelling, Injection site warmth
More
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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, Additional Details: patient had blood pulse from injection site. site did swell and have warmth. did ask patient to place ice pack on arm and monitor site. also told he can take ibuprofen or apap if needed for any pain.
More
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| 2860420 | 48 | M | FL | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
UT8804AA |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Medium
Site: Pain at Injection Site-Medium
|
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| 2860421 | 61 | F | MD | 09/22/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
tfaa2503 |
Herpes zoster, Injection site erythema, Injection site pain, Injection site prur...
Herpes zoster, Injection site erythema, Injection site pain, Injection site pruritus
More
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Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injectio...
Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Other Vaccines: VaccineTypeBrand: shingles; Manufacturer: gsk; LotNumber: 7523J; Route: IM; BodySite: LD; Dose: 1; VaxDate: 09/11/2025
More
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| 2860422 | 11 | F | KS | 09/22/2025 |
COVID19 |
MODERNA |
3052553 |
Nausea
Nausea
|
Systemic: Nausea-Mild, Additional Details: reported nausea after vaccine in waiting room to father ...
Systemic: Nausea-Mild, Additional Details: reported nausea after vaccine in waiting room to father who was in waiting room, asked if they wanted to bring pt back in the room for provider to evulate- parents declined. Called on 9/14 to check on patient, no answer- left VM with call back number , Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: ; LotNumber: 406981; Route: IM; BodySite: Right Deltoid; Dose: ; VaxDate: 09/13/2025
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| 2860423 | 64 | F | GA | 09/22/2025 |
PNC20 |
PFIZER\WYETH |
MA2505 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
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
More
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| 2860424 | 30 | M | MA | 09/22/2025 |
FLUC4 |
SEQIRUS, INC. |
406982 |
Hypotonia, Syncope, Unresponsive to stimuli
Hypotonia, Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient moments after receiving both t...
Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient moments after receiving both the Flucelvax and Boostrix slumped down and fainted. I tapped the patient several times & called out to him while having staff call 911 & patient woke up w/in 15-20 secs. He stated he felt he fell asleep & was dreaming. Pt was alert + I gave him juice & he's drinking and felt normal again. Patient had stated he did not like needles, but after the incident, he disclosed he had something similar when he donated blood, but didnt say before. 911 cleared pt., Other Vaccines: VaccineTypeBrand: BOOSTRIX; Manufacturer: GSK; LotNumber: 4YA34; Route: IM; BodySite: Left Arm; Dose: 1; VaxDate: 09/14/2025
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| 2860425 | 61 | F | TN | 09/22/2025 |
FLUC4 |
SEQIRUS, INC. |
406998 |
Eye swelling, Lip swelling, Mouth swelling, Swelling face, Swollen tongue
Eye swelling, Lip swelling, Mouth swelling, Swelling face, Swollen tongue
|
Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: Pt had swel...
Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: Pt had swelling on her lower right lip starting 09/13/2025. She went to Urgent Care 9/14/2025 and was given Prednisone x5days and Famotidine x14days. When she came to pick up those meds today, her condition has shown improvement. Pt stated she has no other allergens that may cause her reaction including possible food/bugs bites/etc. No other symptoms or issues.
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| 2860426 | 29 | M | CA | 09/22/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
9fg5m |
Dizziness, Loss of consciousness, Syncope, Unresponsive to stimuli
Dizziness, Loss of consciousness, Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild, Additional Details: pt has known reaction to flu shot of occ...
Systemic: Fainting / Unresponsive-Mild, Additional Details: pt has known reaction to flu shot of occasionally feeling faint, was sat back in chair, did faint and regained conciousness in less than a minute, sat and then laid down for roughly 20 ish minutes, felt well enough to go home, Other Vaccines: VaccineTypeBrand: boostrix; Manufacturer: gsk; LotNumber: 4ya34; Route: im; BodySite: left arm; Dose: 1; VaxDate: 09/14/2025
More
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| 2860427 | 19 | F | OH | 09/22/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0587 |
Dizziness, Loss of consciousness
Dizziness, Loss of consciousness
|
Systemic: Dizziness / Lightheadness-Severe, Additional Details: Patient passed out after receiving v...
Systemic: Dizziness / Lightheadness-Severe, Additional Details: Patient passed out after receiving vaccines, Other Vaccines: VaccineTypeBrand: Flucelvax influenza vaccine; Manufacturer: Seqirus; LotNumber: 406982; Route: IM Right arm; BodySite: right arm; Dose: 1; VaxDate: 09/14/2025
More
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| 2860428 | 88 | F | MO | 09/22/2025 |
COVID19 |
PFIZER\BIONTECH |
my9548 |
Decreased appetite, Dizziness, Fatigue, Lethargy, SARS-CoV-2 test negative
Decreased appetite, Dizziness, Fatigue, Lethargy, SARS-CoV-2 test negative
|
Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Additional Detai...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Additional Details: Loss of appetite also reported. Pt tested negative for COVID
More
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| 2860429 | 52 | F | CA | 09/22/2025 |
FLUR4 FLUR4 |
PROTEIN SCIENCES CORPORATION PROTEIN SCIENCES CORPORATION |
TFAA2504 TFAA2504 |
Cerebrovascular accident, Computerised tomogram normal, Headache, Magnetic reson...
Cerebrovascular accident, Computerised tomogram normal, Headache, Magnetic resonance imaging normal, Mobility decreased; Speech disorder
More
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Systemic: Bell's Palsy-Severe, Systemic: Headache-Severe, Systemic: Stroke-Severe, Additional D...
Systemic: Bell's Palsy-Severe, Systemic: Headache-Severe, Systemic: Stroke-Severe, Additional Details: Per husband, patient complained of headache after receiving Flublok, which persised ~7 days. Roughly about a month after receiving vaccine patient was hospitalized for stroke presentation. Imaging (CT/MRI) did not confirm stroke. Possible Bell's Palsy, suffered speech and mobility impairment.
More
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| 2860430 | 58 | F | CA | 09/22/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
5Y9CA |
Rash
Rash
|
Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: patient cal...
Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: patient called the pharmacy saying she has bumped rash on the top of the left shoulder of the vaccined arm. Not remmemering for how may days already. She said she will go see her dr or er for the rash
More
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| 2860431 | 67 | F | RI | 09/22/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
7YD42 7YD42 |
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; Joint injury, Lymphadenopathy
More
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Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Systemic: Lymph nodes in neck a little swollen-Mild, Systemic: Lymph Node Swelling-Mild, Additional Details: Patient was in for her first shingles shot and experienced severe swelling in her arm along with redness and lymph node swelling in her neck. She did not have any shortness of breath or troubled breathing. She had been taking tylenol. I advised her to try benadryl and ibuprofen to help with the swelling. I advised that if it gets any worse she should contact her doctor to see if they could prescribe something (steroid, etc) to help with lymphnode swelling.
More
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| 2860433 | 7 | M | CA | 09/22/2025 |
FLUC4 FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
406984 406984 406984 |
Bite, Confusional state, Dizziness, Flushing, Head injury; Hyperhidrosis, Inject...
Bite, Confusional state, Dizziness, Flushing, Head injury; Hyperhidrosis, Injection site haemorrhage, Loss of consciousness, Peripheral coldness, Syncope; Tremor, Unresponsive to stimuli
More
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Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unrespons...
Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: Patient bleed from injection site after admin caused from tensing up arm. After 2-3 min after injection, patient fainted and hit head on vaccine privacy curtain. Patient lost consciousness for few seconds, meanwhile I propped patient in rescue position. When patient came to, extremities were cold and mouth hurt from biting cheek/tongue. Call 911, EMS came promptly and took patient to (withheld name) ER.
More
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| 2860434 | 52 | M | OH | 09/22/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
27lr2 |
Injection site erythema, Injection site pain, Injection site swelling, Injection...
Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
More
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Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injec...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Mild, Additional Details: bright red warm area sorrounding shot - area covered full deltoid but began to subside after about 6 days. followed up on day 7 and pt states was getting better
More
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| 2860435 | 37 | M | NY | 09/22/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3052550 3052550 |
Dizziness, Fall, Hyperhidrosis, Hypotension, Loss of consciousness; Pallor, Sync...
Dizziness, Fall, Hyperhidrosis, Hypotension, Loss of consciousness; Pallor, Syncope, Unresponsive to stimuli
More
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Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypo...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Additional Details: After receiving all three vaccines, I advised patient to have a seat for a few minutes. Shortly after, he fell over the chair losing consciousness. We rushed over, called to him, gently shaking him, then he gained awareness, he was pale and sweating profusely. We called the ambulance and monitored him until he was taken away., Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: sequrus; LotNumber: 407000; Route: Intramuscular; BodySite: left arm; Dose: 1; VaxDate: 09/15/2025, VaccineTypeBrand: twinrix; Manufacturer: glaxosmithkline; LotNumber: az2a3; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 09/15/2025
More
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| 2860436 | 39 | M | MA | 09/22/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
MY9547 MY9547 |
Dizziness, Fatigue, Hypotension, Lethargy, Nausea; Pallor, Vomiting
Dizziness, Fatigue, Hypotension, Lethargy, Nausea; Pallor, Vomiting
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Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Hypotensio...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Hypotension-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: PT stated that he gets very nervous with shots, also said he didnt eat or drink much before the vaccine. The Imz tech used correct vaccines/technique. After the vaccine was given, pt stated that he felt dizzy and looked pale. that's when the tech called the RPH. RPH went over to access the situation. Water was given to Pt. The RPH took pt's vitals BP: 97/42 and HR was 66, Pt started to vomit, That is when the RPH called EMS and pt went to ER. Pt came back said he is Ok, Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 407000; Route: IM; BodySite: Right; Dose: ; VaxDate: UNKNOWN
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| 2860437 | 25 | F | OH | 09/22/2025 |
TYP TYP |
SANOFI PASTEUR SANOFI PASTEUR |
X1A261M X1A261M |
Asthenia, Dizziness, Flushing, Hyperhidrosis, Nausea; Syncope, Unresponsive to s...
Asthenia, Dizziness, Flushing, Hyperhidrosis, Nausea; Syncope, Unresponsive to stimuli
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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: Nausea-Mild, Systemic: Weakness-Mild
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| 2860438 | 67 | F | LA | 09/22/2025 |
COVID19-2 |
PFIZER\BIONTECH |
my9547 |
Chills, Dizziness, Myalgia, Pain, Pyrexia
Chills, Dizziness, Myalgia, Pain, Pyrexia
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Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadnes...
Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Medium, Additional Details: Patient states she had fever, chills, muscle aches, and dizziness 9 days after receiving vaccine, and symptoms lasted for 24 hours. Patient feels much better when she called to report her symptoms on 9/15/2025
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| 2860439 | 65 | M | LA | 09/22/2025 |
COVID19-2 |
PFIZER\BIONTECH |
my9547 |
Chills, Dizziness, Pain, Pyrexia
Chills, Dizziness, Pain, Pyrexia
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Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadnes...
Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Medium
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| 2860440 | 39 | M | DC | 09/22/2025 |
COVID19 |
MODERNA |
3052671 |
Dizziness, Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
Dizziness, Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
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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, Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 406982; Route: Intermuscular; BodySite: Left Arm; Dose: 1; VaxDate: 09/15/2025
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| 2860441 | 61 | F | FL | 09/22/2025 |
HEPAB HEPAB |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
az2a3 az2a3 |
Erythema, Injection site bruising, Injection site erythema, Injection site pain,...
Erythema, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus; Injection site swelling, Pyrexia, Skin warm, Vomiting
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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, Additional Details: patient said she had a fever, her arm is red/warm, and was vomiting, this was all on saturday, Other Vaccines: VaccineTypeBrand: capvaxive; Manufacturer: ; LotNumber: z009681; Route: IM; BodySite: ; Dose: ; VaxDate: UNKNOWN
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| 2860444 | 32 | F | MA | 09/22/2025 |
HPV9 |
MERCK & CO. INC. |
yo15599 |
Exposure during pregnancy
Exposure during pregnancy
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Systemic: pt is pregnant and its a catgory c-Mild, Additional Details: pt is pregnant and its a cate...
Systemic: pt is pregnant and its a catgory c-Mild, Additional Details: pt is pregnant and its a category c
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| 2860445 | 57 | F | CT | 09/22/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
k73j3 |
Dizziness, Loss of consciousness, Syncope, Unresponsive to stimuli
Dizziness, Loss of consciousness, Syncope, Unresponsive to stimuli
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Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Additional Detai...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt got flu shot in right arm then passed out briefly (10 seconds) right after the arexvy given in left arm. We did not call EMS. Pt became aware very quickly. She was sitting and she did not fall out of chair. Staff prevented her from falling forward with her hand. After incident Pt said that this has happened before (although she checked off no in the questionaire), Other Vaccines: VaccineTypeBrand: flublok; Manufacturer: sanofi pasteur; LotNumber: u8823ba; Route: im; BodySite: right deltoid; Dose: 1; VaxDate: 09/15/2025, VaccineTypeBrand: covid spikevax; Manufacturer: moderna; LotNumber: 3052586; Route: im; BodySite: right deltoid; Dose: 1; VaxDate: 09/04/2025
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| 2860446 | 39 | F | MD | 09/22/2025 |
FLUR4 FLUR4 |
PROTEIN SCIENCES CORPORATION PROTEIN SCIENCES CORPORATION |
U8823BA U8823BA |
Flushing, Hyperhidrosis, Nausea, Syncope, Unresponsive to stimuli; Vomiting
Flushing, Hyperhidrosis, Nausea, Syncope, Unresponsive to stimuli; Vomiting
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Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medi...
Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Other Vaccines: VaccineTypeBrand: Moderna spikevax covid-19 o.5ml; Manufacturer: moderna; LotNumber: 8146545; Route: Intramuscular; BodySite: Left arm; Dose: 1; VaxDate: 09/15/2025
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| 2860447 | 63 | F | NY | 09/22/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
na0587 na0587 |
Chills, Cough, Fatigue, Pyrexia, Rhinorrhoea; Sneezing
Chills, Cough, Fatigue, Pyrexia, Rhinorrhoea; Sneezing
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Systemic: fever,chills,tired,coughing,sneezing,running nose-Mild
Systemic: fever,chills,tired,coughing,sneezing,running nose-Mild
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| 2860448 | 21 | F | PA | 09/22/2025 |
FLUC4 |
SEQIRUS, INC. |
948397 |
Injection site bruising, Injection site erythema, Injection site pain
Injection site bruising, Injection site erythema, Injection site pain
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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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| 2860449 | 23 | F | OH | 09/22/2025 |
FLUC4 |
SEQIRUS, INC. |
407799 |
Dizziness, Immediate post-injection reaction, Syncope, Unresponsive to stimuli
Dizziness, Immediate post-injection reaction, Syncope, Unresponsive to stimuli
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Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Det...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient fainted soon after receiving a vaccine. Paramedics came to check out patient and she did not need further care. She stayed in the pharmacy until she felt okay to leave on her own.
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| 2860450 | 68 | F | CA | 09/22/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
35A77 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
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Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Inject...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
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