| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2860451 | 22 | M | PA | 09/22/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
95p4m 95p4m |
Dizziness, Flushing, Hyperhidrosis, Seizure, Syncope; Unresponsive to stimuli
Dizziness, Flushing, Hyperhidrosis, Seizure, Syncope; Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed ...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Mild
More
|
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| 2860452 | 81 | M | NY | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
u8800aa |
Arthralgia, Injection site pain, Joint injury, Paraesthesia
Arthralgia, Injection site pain, Joint injury, Paraesthesia
|
Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Me...
Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Systemic: Joint Pain-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Tingling in extremities
More
|
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| 2860453 | 40 | F | MD | 09/22/2025 |
COVID19 |
PFIZER\BIONTECH |
myy9550 |
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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| 2860454 | 79 | M | MD | 09/22/2025 |
COVID19-2 |
PFIZER\BIONTECH |
na0589 |
Extra dose administered, Wrong product administered
Extra dose administered, Wrong product administered
|
Systemic: nothing adverse effects were noticed-Mild, Additional Details: Patient was given 2 covid s...
Systemic: nothing adverse effects were noticed-Mild, Additional Details: Patient was given 2 covid shots instead of 1 covid and 1 flu shot. Patients was notified he was given duplicate covid shot and he was cool about it and said things happened. He understood it because he worked in healthcare profession. Pharmacist asked him to stay at least 15 min before he can leave to monitor any adverse effects and he felt fine when he left. Patient said he will come back afte 10 days to get his flu shot.
More
|
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| 2860455 | 93 | M | NY | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
u8830da |
Arthralgia, Tendon injury
Arthralgia, Tendon injury
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: daughter in...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: daughter in law stated patient has tendon damage
More
|
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| 2860456 | 16 | M | CA | 09/22/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
NA0589 NA0589 |
Abdominal pain, Abdominal pain upper, Asthenia, Cold sweat, Flushing; Hyperhidro...
Abdominal pain, Abdominal pain upper, Asthenia, Cold sweat, Flushing; Hyperhidrosis, Nausea, Seizure, Tremor
More
|
Systemic: Abdominal Pain-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: S...
Systemic: Abdominal Pain-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Pt fell and reported clammy skin, sweating, and stomach hurting. He ate some snack and drank orange juice and recovered after that
More
|
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| 2860458 | 84 | M | HI | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
u8859ca |
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, Other Vaccines: VaccineTypeBrand: Capvaxive (Pneumococcal 21); Manufacturer: ; LotNumber: Z006076; Route: IM; BodySite: ; Dose: ; VaxDate: UNKNOWN
More
|
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| 2860459 | 85 | F | FL | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
u8764c |
Dizziness, Headache, Pain
Dizziness, Headache, Pain
|
Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Heada...
Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Headache-Severe
More
|
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| 2860460 | 69 | F | TX | 09/22/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3334y |
Injection site pain, Injection site swelling, Injection site vesicles, Injection...
Injection site pain, Injection site swelling, Injection site vesicles, Injection site warmth
More
|
Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: pa...
Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: patient went to the er due to large blisters and sever pain with intense heat, she was given benadry and steroid pill, next day day she went to the dr and prescibed burning cream silver sulfadiazine,cream helped her used for 3 to 4 weeks,
More
|
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| 2860461 | 72 | M | NE | 09/22/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
75D3A |
Injected limb mobility decreased, Injection site pain, Joint injury
Injected limb mobility decreased, Injection site pain, Joint injury
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: Pt says lef...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: Pt says left arm (site of injection) was sore starting day of vaccination, but didn't seem abnormal at the time. Pain continued/got worse of the next few days and continues even now 2 months later. Upon questioning, he says upper range of motion (arm above shoulder) is impaired.
More
|
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| 2860462 | 77 | F | IN | 09/22/2025 |
COVID19 |
MODERNA |
3052155 |
Extra dose administered, Headache, Injection site pain, Pain, Wrong product admi...
Extra dose administered, Headache, Injection site pain, Pain, Wrong product administered
More
|
Site: Pain at Injection Site-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Headache-Mild, A...
Site: Pain at Injection Site-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Headache-Mild, Additional Details: Patient had previously recieved the COVID-19 vaccination on 09/07/2025. The patient came in for a flu vaccination on 9/15/2025 at 11am; however, a COVID-19 was mistakenly given to the patient. The primary care doctor of the patient, was informed of the incident at 12:32 pm the same day. The nurse of the primary care doctor, stated they will follow up in 24 hours to determine if further action is needed. The pharmacist, followed up on 09/16/2025 at 9:30 am.
More
|
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| 2860463 | 78 | F | MA | 09/22/2025 |
COVID19 |
MODERNA |
3052154 |
Pruritus
Pruritus
|
Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium
Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium
|
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| 2860464 | 4 | F | TX | 09/22/2025 |
FLUC4 |
SEQIRUS, INC. |
406999 |
Dizziness
Dizziness
|
Systemic: Dizziness / Lightheadness-Mild
Systemic: Dizziness / Lightheadness-Mild
|
||||||
| 2860465 | 67 | F | NV | 09/22/2025 |
COVID19 |
PFIZER\BIONTECH |
my9550 |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
|
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild
|
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| 2860466 | 2 | M | MA | 09/22/2025 |
FLUC4 |
SEQIRUS, INC. |
406982 |
Circumstance or information capable of leading to medication error, Exposure via...
Circumstance or information capable of leading to medication error, Exposure via skin contact, Injection site erythema, Injection site injury, Underdose
More
|
Site: Redness at Injection Site-Mild, Additional Details: incomplete dose given. Pt was getting 2 va...
Site: Redness at Injection Site-Mild, Additional Details: incomplete dose given. Pt was getting 2 vaccines, the 1st was covid, administered in L thigh (pt was sitting in his father's lap). Then after the start of administration of second vaccine (flu in the R thigh) pt jerked his leg up and down, so the needle came out, I was still pushing the vaccine in so some of the vaccine did come out on his thigh (hard to quantify), and then a few scrapes happened with tip of needle on patient's thigh. Called (withheld) & pedi office, think at least 50% given, no repeat
More
|
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| 2860467 | 79 | F | NY | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
u8800aa |
Chills, Nausea
Chills, Nausea
|
Systemic: Chills-Severe, Systemic: Nausea-Severe
Systemic: Chills-Severe, Systemic: Nausea-Severe
|
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| 2860468 | 21 | F | NY | 09/22/2025 |
PPV |
MERCK & CO. INC. |
y012511 |
Dyspnoea, Flushing, Hyperhidrosis
Dyspnoea, Flushing, Hyperhidrosis
|
Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Flushed / Sweating-Medium, Additional Det...
Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: had flu shot multiple times with no reaction did not think it was reaction to that one, Other Vaccines: VaccineTypeBrand: flucevax; Manufacturer: seqirus; LotNumber: 948397; Route: im; BodySite: left arm; Dose: 1; VaxDate: 09/16/2025
More
|
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| 2860469 | 70 | F | NH | 09/22/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9547 |
Chills, Pruritus, Pyrexia, Rash, Urticaria
Chills, Pruritus, Pyrexia, Rash, Urticaria
|
Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: ...
Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Fever-Mild, Additional Details: Patient described getting chills and hive about 11 hours after receiving the Covid-19 (Comirnaty) and Influenza (Fluzone HD) vaccine. The hives lead to a visit to the urgent care in the morning of the next day. She was prescribed a 5 day course of prednisone as treatment., Other Vaccines: VaccineTypeBrand: Fluzone HD 25-26 Formula; Manufacturer: Sanofi-Pasteur; LotNumber: U8859AA; Route: Intramuscular; BodySite: Left Deltoid; Dose: N/A; VaxDate: 09/15/2025
More
|
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| 2860470 | 13 | F | VA | 09/22/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
H3N97 |
Fall, Injection site pain, Presyncope
Fall, Injection site pain, Presyncope
|
Site: Pain at Injection Site-Mild, Systemic: Vasovagal Event-Mild, Additional Details: Pt had a vaso...
Site: Pain at Injection Site-Mild, Systemic: Vasovagal Event-Mild, Additional Details: Pt had a vasovagal event and fell to floor after standing up.
More
|
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| 2860471 | 36 | M | MI | 09/22/2025 |
HPV9 |
MERCK & CO. INC. |
2002580 |
Loss of consciousness, Syncope, Unresponsive to stimuli
Loss of consciousness, Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted after the 3rd vaccine wa...
Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted after the 3rd vaccine was given. I was able to catch the patient before hitting the ground. Put patient in recovery positon came too and patient had a bottle of gatorade. 911 was call but patient recovered and did not want an ems team, Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 407000; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 09/16/2025, VaccineTypeBrand: Spikevax 25/26; Manufacturer: Moderna; LotNumber: 3052549; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 09/16/2025
More
|
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| 2860472 | 82 | F | NC | 09/22/2025 |
FLU4 FLU4 |
SANOFI PASTEUR SANOFI PASTEUR |
U8764CB U8764CB |
Extra dose administered, Injection site bruising, Injection site erythema, Injec...
Extra dose administered, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus; Injection site swelling, Joint injury
More
|
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, Additional Details: Vaccine was administered in AUgust at different pharmacy location and then administered again in September at store number (withheld). Patient scheduled vaccines online and selected Spikevax, Prevnar, and Fluzone. Upon arrival and prior to immunization immunizer read out loud vaccines being given to her prior to injecting. Patient was distracted and later admitted to pharmacist she was distracted. For a second time after vaccination immunizer mentioned which arm had received which vaccine which lead to discovery
More
|
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| 2860473 | 64 | F | CA | 09/22/2025 |
COVID19-2 COVID19-2 |
PFIZER\BIONTECH PFIZER\BIONTECH |
na0587 na0587 |
Injection site erythema, Injection site pain, Musculoskeletal stiffness, Myalgia...
Injection site erythema, Injection site pain, Musculoskeletal stiffness, Myalgia, Neck pain; Rash
More
|
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash ...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: Pt experienced redness on arm around 2 inches wide. pain in neck and muscles. and stiffness in fingers , Other Vaccines: VaccineTypeBrand: Flublok; Manufacturer: sanofi; LotNumber: u8823ba; Route: Intramuscular; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
More
|
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| 2860474 | 62 | F | MD | 09/22/2025 |
PNC21 |
MERCK & CO. INC. |
z005765 |
Cellulitis, Injection site erythema, Injection site pain, Injection site pruritu...
Cellulitis, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
|
Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Inject...
Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: cellutis-Severe
More
|
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| 2860475 | 82 | F | CA | 09/22/2025 |
COVID19 |
MODERNA |
3052030 |
Injection site pruritus, Rash
Injection site pruritus, Rash
|
Site: Itching at Injection Site-Mild, Additional Details: she just got some mild rash for 3 days
Site: Itching at Injection Site-Mild, Additional Details: she just got some mild rash for 3 days
|
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| 2860476 | 22 | M | TX | 09/22/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
9fg5m |
Dizziness, Gait disturbance, Nausea, Vomiting
Dizziness, Gait disturbance, Nausea, Vomiting
|
Systemic: Dizziness / Lightheadness-Medium, Additional Details: Patient was dizziness with nausea th...
Systemic: Dizziness / Lightheadness-Medium, Additional Details: Patient was dizziness with nausea therefore vomited. He almost fell when he got up to leave the vaccine room but i was able to held on to the patient and kept him back to the seat. I kept patient for 30 minutes just to monitor symptoms. Patient was much better after 30 minutes and left the pharmacy
More
|
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| 2860477 | 85 | F | CA | 09/22/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
5Y9CA |
Chest discomfort, Chest pain, Dyspnoea, Injection site erythema, Injection site ...
Chest discomfort, Chest pain, Dyspnoea, Injection site erythema, Injection site pruritus
More
|
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Diff...
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Additional Details: pt states symptoms have been recent. Only about a week.
More
|
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| 2860478 | 50 | F | HI | 09/22/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
U8823CA |
Injection site pain, Injection site swelling, Joint injury
Injection site pain, Injection site swelling, Joint injury
|
Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Site: Shoulder Joint I...
Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Other Vaccines: VaccineTypeBrand: CAPVAXIVE; Manufacturer: ; LotNumber: Z006076; Route: IM; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN
More
|
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| 2860479 | 78 | F | KY | 09/22/2025 |
FLU4 FLU4 |
SANOFI PASTEUR SANOFI PASTEUR |
ut8781BA ut8781BA |
Arthralgia, Hypoaesthesia, Injection site bruising, Injection site pain, Injecti...
Arthralgia, Hypoaesthesia, Injection site bruising, Injection site pain, Injection site swelling; Insomnia, Joint injury, Pain, Pain in extremity, Paraesthesia
More
|
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Swelling at Inje...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Joint Pain-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Unable to Sleep-Medium, Additional Details: swelling/bruizing at site of injection. pain at site, down arm into neck and back. unable to sleep, states major pain. numbness/tingling in fingers. site inspected and confirm in deltoid.
More
|
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| 2860480 | 45 | F | CA | 09/22/2025 |
COVID19 |
MODERNA |
3046734 |
Injected limb mobility decreased, Injection site pain, Joint injury, Product adm...
Injected limb mobility decreased, Injection site pain, Joint injury, Product administered at inappropriate site
More
|
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Se...
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient states immunizer went too high on both vaccines and been 26 days and arm pain and mobility difficulty scared of permanent damage going to ER and please call patient and follow up, Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 948394; Route: IM; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
|
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| 2860481 | 71 | F | SC | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
ut8820aa |
Diarrhoea, Headache
Diarrhoea, Headache
|
Systemic: Diarrhea-Medium, Systemic: Headache-Medium
Systemic: Diarrhea-Medium, Systemic: Headache-Medium
|
||||||
| 2860482 | 57 | M | WV | 09/22/2025 |
COVID19 |
PFIZER\BIONTECH |
my9550 |
Bell's palsy, Eyelid function disorder
Bell's palsy, Eyelid function disorder
|
Systemic: Bell's Palsy-Medium, Additional Details: diagnosed with bell's palsy at ER. had ...
Systemic: Bell's Palsy-Medium, Additional Details: diagnosed with bell's palsy at ER. had difficulty sipping coffee and spilled out of right side of mouth and rt eye lid would not blink. prescribed prednisone, valtrex, and carboxymethycel 0.5% eye drops for 7 days. symptoms are not improving at time of conversation but just picked up meds. told to follow up with primary if symptoms worsen or do not improve. patient understood. , Other Vaccines: VaccineTypeBrand: comirnaty 2025-2026; Manufacturer: pfizer; LotNumber: my9550; Route: IM; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
|
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| 2860483 | 73 | F | PA | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
U8830DA |
Joint injury
Joint injury
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
|
||||||
| 2860484 | 63 | F | AZ | 09/22/2025 |
FLUC4 |
SEQIRUS, INC. |
948394 |
Cough, Oropharyngeal pain, Respiratory tract congestion, Vomiting
Cough, Oropharyngeal pain, Respiratory tract congestion, Vomiting
|
Systemic: sore throat, cough that wont go away-Medium, Systemic: Vomiting-Mild, Additional Details: ...
Systemic: sore throat, cough that wont go away-Medium, Systemic: Vomiting-Mild, Additional Details: pt states the vaccine made her sick, she says she experiences cough, sore throat, congestion, OTC meds will help but sympstoms come back
More
|
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| 2860485 | 48 | F | VA | 09/22/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0738 |
Injection site pain, Injection site swelling, Subcutaneous emphysema
Injection site pain, Injection site swelling, Subcutaneous emphysema
|
Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: SU...
Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: SUBCUTANEOUS EMPHYSEMA, Other Vaccines: VaccineTypeBrand: FLUCELVAX; Manufacturer: SEQIRUS; LotNumber: 40700; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: UNKNOWN
More
|
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| 2860486 | 6 | F | NY | 09/22/2025 |
FLUC4 |
SEQIRUS, INC. |
406982 |
Dizziness, Fall
Dizziness, Fall
|
Systemic: Dizziness / Lightheadness-Medium, Additional Details: patient left vaccine area about 10-1...
Systemic: Dizziness / Lightheadness-Medium, Additional Details: patient left vaccine area about 10-15 minutes after injection and told her patents she felt dizzy. she fell down. patents gave her orange juice and then came back to the pharmacy and got me. they said she did not lose consciousness. we talked a bit and she was okay . no bruises no blood. parents and I will reach out to pediatrian in the morning.
More
|
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| 2860487 | 83 | F | OK | 09/22/2025 |
COVID19 |
MODERNA |
3022154 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
More
|
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injec...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
More
|
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| 2860488 | 50 | M | CA | 09/22/2025 |
COVID19 |
MODERNA |
3052549 |
Injected limb mobility decreased, Injection site pain, Sleep disorder
Injected limb mobility decreased, Injection site pain, Sleep disorder
|
Site: Pain at Injection Site-Medium, Systemic: Pain at injection site and surrounding area, limited ...
Site: Pain at Injection Site-Medium, Systemic: Pain at injection site and surrounding area, limited range of motion-Medium, Systemic: Unable to Sleep-Medium
More
|
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| 2860489 | 68 | F | AL | 09/22/2025 |
COVID19-2 |
PFIZER\BIONTECH |
not known |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Mild, Additional Details: was painful patient said would not go back to...
Site: Pain at Injection Site-Mild, Additional Details: was painful patient said would not go back to that pharmacy and only wants shots here. we said wed document as patient is adament we document everything.
More
|
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| 2860490 | 67 | F | FL | 09/22/2025 |
PNC20 |
PFIZER\WYETH |
MG7421 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
|
||||||
| 2860491 | 64 | M | TX | 09/22/2025 |
COVID19 |
MODERNA |
3052586 |
Headache, Pain
Headache, Pain
|
Systemic: Body Aches Generalized-Medium, Systemic: Headache-Medium
Systemic: Body Aches Generalized-Medium, Systemic: Headache-Medium
|
||||||
| 2860492 | 61 | F | TX | 09/22/2025 |
COVID19 |
MODERNA |
3052586 |
Headache, Injection site erythema, Pain
Headache, Injection site erythema, Pain
|
Site: Redness at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Headache-...
Site: Redness at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Headache-Mild, Additional Details: SHE TOOK TYLENOL FOR BODY ACHES.
More
|
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| 2860493 | 69 | F | TX | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
UT8820A |
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-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection...
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: PATIENT ALSO STATES AREA OF INJECTION AND SURROUNDING PART OF ARM IS WARM TO THE TOUCH
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| 2860494 | 31 | F | MA | 09/22/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3052549 3052549 |
Asthenia, Dizziness, Flushing, Hyperhidrosis, Hypotension; Loss of consciousness...
Asthenia, Dizziness, Flushing, Hyperhidrosis, Hypotension; Loss of consciousness, Seizure, Syncope, Tremor, Unresponsive to stimuli
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Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flus...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Seizure-Medium, Systemic: Shakiness-Severe, Systemic: Weakness-Medium, Additional Details: lost consciousness, caught pt and didn't hit head. ems called and evaulated. refused treatment/emergency room. father came to pick up, Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 407799; Route: im; BodySite: left arm; Dose: 1; VaxDate: 09/17/2025
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| 2860495 | 28 | F | AL | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
ut8820ca |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Mild, Systemic: none as of now-Mild, Additional Details: Patient was gi...
Site: Pain at Injection Site-Mild, Systemic: none as of now-Mild, Additional Details: Patient was given the High Dose Fluzone shot instead of Flucelvax - a message has been left for the patient to call us back so that we can communicate the mixup. No serious adverse effect has been reported at this point, Other Vaccines: VaccineTypeBrand: comirnaty 25-26; Manufacturer: pfizer; LotNumber: my9550; Route: im; BodySite: arm; Dose: ; VaxDate: UNKNOWN
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| 2860496 | 21 | F | CA | 09/22/2025 |
FLUC4 |
SEQIRUS, INC. |
406984 |
Feeling abnormal, Syncope, Unresponsive to stimuli, Urinary incontinence
Feeling abnormal, Syncope, Unresponsive to stimuli, Urinary incontinence
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Systemic: Fainting / Unresponsive-Severe, Additional Details: Administerd Covid, then Flu, after flu...
Systemic: Fainting / Unresponsive-Severe, Additional Details: Administerd Covid, then Flu, after flu pt stated that she feels funny. Informed her I will go get her some water. As I got up pt fainted but still breathing normally. Her father and I held her. Team came to support. Pt urinated while she was unconscious. Pt was laid down. Placed hand under head for support. Pt woke up and paramedics arrived shortly after. Father states she gets faint from dehydration. Pt states she faints when going to get allergy shots from allergists. Pt did not leave with FD, Other Vaccines: VaccineTypeBrand: Comirnaty 2025-26; Manufacturer: Pfizer; LotNumber: NA0589; Route: IM; BodySite: Left Deltoid; Dose: ; VaxDate: UNKNOWN
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| 2860497 | 39 | F | PA | 09/22/2025 |
COVID19 |
MODERNA |
3052583 |
Confusional state, Dizziness, Syncope, Unresponsive to stimuli
Confusional state, Dizziness, Syncope, Unresponsive to stimuli
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Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unrespo...
Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Other Vaccines: VaccineTypeBrand: gardasil 9; Manufacturer: merck sharp&d; LotNumber: y020531; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 407799; Route: im; BodySite: right deltoid; Dose: ; VaxDate: UNKNOWN
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| 2860498 | 89 | M | PA | 09/22/2025 |
RSV |
PFIZER\WYETH |
MF2187 |
Rash
Rash
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Systemic: Allergic: Rash Generalized-Medium
Systemic: Allergic: Rash Generalized-Medium
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| 2860499 | 72 | M | TX | 09/22/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9550 |
Arthralgia, Pain in extremity, Paraesthesia
Arthralgia, Pain in extremity, Paraesthesia
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Systemic: Joint Pain-Severe, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional ...
Systemic: Joint Pain-Severe, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient reports severe pain at base of thumb on right wrist starting mild and worsening to severe then abating after approximately 4 to 5 days. Patient also report mild tingling and pain from base of right elbow, down forearm, and to base of right thumb. Patient also reports he went to an urgent care Sunday morning where they recommended over-the-counter pain medication (Tylenol). Patient reports symptoms largely resolved as of today, 09/18/2025., Other Vaccines: VaccineTypeBrand: Fluzone High Dose 25-26; Manufacturer: Sanofi-Pasteur; LotNumber: UT8804AA; Route: Intramuscular; BodySite: Left Arm; Dose: 1; VaxDate: 09/13/2025
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| 2860500 | 69 | M | MI | 09/22/2025 |
FLU4 |
SANOFI PASTEUR |
u8830da |
No adverse event, Product storage error
No adverse event, Product storage error
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Site: Pain at Injection Site-Mild, Systemic: no reaction, just vaccine as part of temp excursion-Mil...
Site: Pain at Injection Site-Mild, Systemic: no reaction, just vaccine as part of temp excursion-Mild
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| 2860501 | 40 | F | MD | 09/22/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
406982 |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Mild, Additional Details: After injection was given, patient expressed ...
Site: Pain at Injection Site-Mild, Additional Details: After injection was given, patient expressed she it was painful and had a previous injection site injury 10 years ago. checked on pt 1 hour after injection and said pain had gotten better. did not have tingling down arm or hand numbness.
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