| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2858743 | 24 | F | TN | 09/15/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
|
Antinuclear antibody positive, Arthralgia, Fatigue, Impaired work ability, Loss ...
Antinuclear antibody positive, Arthralgia, Fatigue, Impaired work ability, Loss of personal independence in daily activities; Mixed connective tissue disease
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Autoimmune disease - Mixed Connective Tissue Disease , symptoms began one month after receiving vacc...
Autoimmune disease - Mixed Connective Tissue Disease , symptoms began one month after receiving vaccine. Extreme joint pain, fatigue, hospitalizations, daily limitations, work limitations, income restrictions due to limitations
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โ | โ | ||||
| 2858744 | 52 | F | MA | 09/15/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
946063 |
Fatigue, Sneezing
Fatigue, Sneezing
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Systemic: sneezing and fatigue-Medium, Additional Details: Patient reports that she could get out of...
Systemic: sneezing and fatigue-Medium, Additional Details: Patient reports that she could get out of bed, was sneezing and felt fatigue. She took Motrin for side effects
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| 2858745 | 18 | F | CA | 09/15/2025 |
MNQ |
SANOFI PASTEUR |
u8558ba |
Anxiety, Dizziness
Anxiety, Dizziness
|
Systemic: Dizziness / Lightheadness-Mild, Additional Details: Pt felt dizzy anxious after injection ...
Systemic: Dizziness / Lightheadness-Mild, Additional Details: Pt felt dizzy anxious after injection had her sit after and calm, rest, water, and pt was fine after 5-10 min no other intervention needed was with dad who took her home.
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| 2858746 | 70 | F | NC | 09/15/2025 |
COVID19 |
MODERNA |
3046734 |
Joint injury
Joint injury
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
|
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| 2858747 | 72 | F | CA | 09/15/2025 |
COVID19-2 |
MODERNA |
3052036 |
Injection site bruising
Injection site bruising
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Site: Bruising at Injection Site-Mild
Site: Bruising at Injection Site-Mild
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| 2858748 | 89 | F | NY | 09/15/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
300052000103 300052000103 |
Erythema, Injection site erythema, Injection site pruritus, Injection site swell...
Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Peripheral swelling; Pruritus, Rash
More
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Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at In...
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: Patient received a Prevnar 20 and Fluzone HD immunization at the same visit on 9/3/25. Patient caretaker reported event to us (the pharmacy) on 9/5/25. She showed us a picture of the reaction. Redness/itchy/swelling all over the patients arm, not only around injection site. She reported it as irritating and itchy, not painful. , Other Vaccines: VaccineTypeBrand: Fluzone High Dose 2025-2026; Manufacturer: Sanofi-Pasteur; LotNumber: UT8781CA; Route: IM; BodySite: Left Deltoid; Dose: 1; VaxDate: 09/03/2025
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| 2858750 | 66 | F | TX | 09/15/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
FT95N FT95N |
Fatigue, Headache, Injection site erythema, Injection site pain, Injection site ...
Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling; Lethargy
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Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Mild, Site: Swelling at Injecti...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Medium
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| 2858751 | 82 | F | TX | 09/15/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
MY9550 MY9550 |
Diarrhoea, Dizziness, Hypotension, Injection site pain, Nausea; Vomiting
Diarrhoea, Dizziness, Hypotension, Injection site pain, Nausea; Vomiting
|
Site: Pain at Injection Site-Mild, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Me...
Site: Pain at Injection Site-Mild, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Other Vaccines: VaccineTypeBrand: Fluzone High Dose 25-26; Manufacturer: Sanofi; LotNumber: UT8763GA; Route: IM; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: Boostrix TDap; Manufacturer: GSK; LotNumber: 4YA34; Route: IM; BodySite: right deltoid; Dose: ; VaxDate: UNKNOWN
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| 2858752 | 55 | M | CT | 09/15/2025 |
PNC21 |
MERCK & CO. INC. |
z004302 |
Joint injury
Joint injury
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
|
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| 2858753 | 25 | F | VA | 09/15/2025 |
FLUC4 |
SEQIRUS, INC. |
407799213b4 |
Abdominal pain, Cholecystectomy
Abdominal pain, Cholecystectomy
|
Systemic: Abdominal Pain-Severe, Additional Details: pt was taken by ambulance to hospital for sever...
Systemic: Abdominal Pain-Severe, Additional Details: pt was taken by ambulance to hospital for severe abdominal pain a few hours after vaccination. She required surgery to remove her gallbladder and remained in hospital for several days.
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โ | |||||
| 2858755 | 97 | F | MO | 09/15/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3051995 3051995 |
Dizziness, Nausea, Syncope, Tremor, Unresponsive to stimuli; Vomiting
Dizziness, Nausea, Syncope, Tremor, Unresponsive to stimuli; Vomiting
|
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Naus...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Systemic: Vomiting-Severe, Additional Details: Patient was seated in wheelchair. Roughly 5 minutes after administration of both vaccines, she was unresponsive to voice and touch with eyes closed. About 5 minutes later, she started to open her eyes and make made mouth movements indicating she was going to vomit. By the time paramedics arrived, she was speaking and said she was dizzy and nauseous. Went on stretcher to ambulance to evaluate possible need to transport to hospital. Unable to reach family for follow-up by end of day., Other Vaccines: VaccineTypeBrand: Fluzone High Dose 2025-2026; Manufacturer: Sanofi-Pasteur; LotNumber: UT8804AA; Route: Intramuscular; BodySite: Left arm; Dose: 1; VaxDate: 09/05/2025
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| 2858756 | 39 | M | TX | 09/15/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
my9548 my9548 |
Dizziness, Dyskinesia, Hypotension, Respiration abnormal, Syncope; Tremor, Unres...
Dizziness, Dyskinesia, Hypotension, Respiration abnormal, Syncope; Tremor, Unresponsive to stimuli
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Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypote...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Additional Details: Episode of syncope ~5 minutes after vaccination. Because patient had spasmodic movements and brief interruption of visible/audible breaths during period of unresponsiveness, EMS was contacted. Pt resumed normal breathing after a short time and ~30 seconds later regained conciousness. BP monitored until EMS arrived and was low (96-100/64-68), but patient reported this was normal for him. He also reported previous faintness with prior vaccines/medical procedures but this reaction was more severe
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| 2858757 | 43 | F | MA | 09/15/2025 |
HEP HEP HEP |
DYNAVAX TECHNOLOGIES CORPORATION DYNAVAX TECHNOLOGIES CORPORATION DYNAVAX TECHNOLOGIES CORPORATION |
946908 946908 946908 |
Erythema, Feeling hot, Injected limb mobility decreased, Injection site abscess,...
Erythema, Feeling hot, Injected limb mobility decreased, Injection site abscess, Injection site erythema; Pain, Pain in extremity, Pyrexia, Skin warm, Sleep disorder; Tenderness
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Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Systemic: Body Aches Ge...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Fever-Medium, Additional Details: pt said right arm pain started right after shots in right arm, she could barely lift her arm, it hurt so bad. It hurt to touch and sleep on. She took Ibuprofen and tylenol. She confirmed not joint pain, not shoulder impingment, more of a tissue hurt. She had a mild fever 9/4/25 and 9/5/25 99.9/99.7, she took APAP and IBU for pain and fever. Her whole body continues to hurt, feels warm (no fever but still taking ibu and apap), pain decreased in arm but the right arm red/hot to touch. , Other Vaccines: VaccineTypeBrand: prevnar; Manufacturer: wyeth/pfizer; LotNumber: lc1279; Route: im; BodySite: right arm; Dose: 1; VaxDate: 09/02/2025, VaccineTypeBrand: flucelvax; Manufacturer: seqiris; LotNumber: 406982; Route: im; BodySite: left arm; Dose: 1; VaxDate: 09/02/2025
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| 2858758 | 81 | F | TX | 09/15/2025 |
ADEN_4_7 |
TEVA PHARMACEUTICALS |
4ya34 |
Joint injury
Joint injury
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Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Other Vaccines: VaccineTypeBra...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Other Vaccines: VaccineTypeBrand: fluzone high dose; Manufacturer: sanofi; LotNumber: ut8804aa; Route: im; BodySite: right arm; Dose: ; VaxDate: UNKNOWN
More
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| 2858759 | 15 | M | PA | 09/15/2025 |
FLUC4 |
SEQIRUS, INC. |
948397 |
Dizziness, Electrocardiogram normal, Syncope, Unresponsive to stimuli
Dizziness, Electrocardiogram normal, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Det...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient received vaccine. okay after receiving but came back to pharmacy 5 minutes after administration feeling faint and lightheaded. called EMS who responded. patient recovered and had normal ekg, bp and 49 pulse after 10 minutes per ems. patient was alert and oriented after 10 minutes. no medications given by pharmacy.
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| 2858760 | 67 | F | TX | 09/15/2025 |
COVID19-2 |
MODERNA |
3052030 |
Rash, Urticaria
Rash, Urticaria
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Systemic: Allergic: Rash Generalized-Medium, Additional Details: Patient called dermatologist about ...
Systemic: Allergic: Rash Generalized-Medium, Additional Details: Patient called dermatologist about hives but doctor was out of town. staff recommened combination of allegra during day and benadryl at night
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| 2858761 | 51 | F | MO | 09/15/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
425CR |
Dizziness, Presyncope, Syncope, Unresponsive to stimuli
Dizziness, Presyncope, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: At 9:32 AM, pt did have a vasovagal response and slid down chair in waiting room. She did not hit any body parts. She quickly became alert and oriented x 3 after 1 min. Pt elevated her legs and was given cool paper towel. Vitals were stable (Heart rate: 56, O2: 99%, B/P: 114/68) before she left. She did come with someone who was able to transport her home. , Other Vaccines: VaccineTypeBrand: Flu; Manufacturer: Flublok; LotNumber: TFAA2503; Route: IM; BodySite: right arm; Dose: 1; VaxDate: 09/06/2025, VaccineTypeBrand: Covid; Manufacturer: Moderna; LotNumber: 3052549; Route: IM; BodySite: right arm; Dose: 1; VaxDate: 09/06/2025
More
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| 2858762 | 61 | M | NC | 09/15/2025 |
COVID19 |
MODERNA |
3052549 |
Dizziness
Dizziness
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Systemic: Felt dizzy/lightheaded --Mild, Additional Details: Pt rec'd both the Sequierus Flubok...
Systemic: Felt dizzy/lightheaded --Mild, Additional Details: Pt rec'd both the Sequierus Flubok flu vaccine (RD) and the Moderna covax covid vaccine (LD) and advised to wait for several minutes. Patient said he felt a little dizzy. Vitals were monitored in clinic waiting area and he was given 6g rapid acting sugar (Patient w/ diabetes) and I put his legs up. He felt fine after several minutes and left the clinic, Other Vaccines: VaccineTypeBrand: Flubox Trivalent Flu vaccine; Manufacturer: Sanofi Pasteur; LotNumber: U8790BA; Route: IM; BodySite: RA; Dose: 1; VaxDate: UNKNOWN
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| 2858763 | 17 | F | GA | 09/15/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9547 |
Syncope, Unresponsive to stimuli
Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild, Other Vaccines: VaccineTypeBrand: Seqirus Flucelvax; Manufa...
Systemic: Fainting / Unresponsive-Mild, Other Vaccines: VaccineTypeBrand: Seqirus Flucelvax; Manufacturer: seqirus; LotNumber: 948397; Route: Intramuscular; BodySite: Right Arm; Dose: 1; VaxDate: 09/06/2025
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| 2858764 | 23 | F | VA | 09/15/2025 |
FLU4 FLU4 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
LD9Y5 LD9Y5 |
Anaphylactic reaction, Dizziness, Dysphagia, Eye swelling, Flushing; Hyperhidros...
Anaphylactic reaction, Dizziness, Dysphagia, Eye swelling, Flushing; Hyperhidrosis, Mouth swelling, Swelling face, Swollen tongue, Throat tightness
More
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Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-...
Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: EpiPen given at 5:03 pm, EMS arrived and evaluated patient at 5:18 pm. Patient when with EMS to the hospital.
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| 2858765 | 77 | M | MI | 09/15/2025 |
FLU4 |
SANOFI PASTEUR |
u8764bb |
Injection site erythema, Injection site pruritus
Injection site erythema, Injection site pruritus
|
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium
|
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| 2858766 | 31 | F | MD | 09/15/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
FT95N FT95N |
Cold sweat, Dizziness, Flushing, Hyperhidrosis, Loss of consciousness; Syncope, ...
Cold sweat, Dizziness, Flushing, Hyperhidrosis, Loss of consciousness; Syncope, Unresponsive to stimuli
More
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Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patie...
Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient began to experience symptoms within few minutes after last vaccine. While patient was informed they needed to wait for observation patient started feeling faint and become unresponsive with clammy hands but still alert and awake. Patient was attempting to respond but only making audible noises and pulse faint. 911 called. Patient gently brought to floor and elevated feet which brought patient back into consciousness. Patient began to regain color and and pulse was felt when rechecked., Other Vaccines: VaccineTypeBrand: Comirnaty; Manufacturer: pfizer; LotNumber: my9550; Route: IM; BodySite: Right Arm; Dose: ; VaxDate: 09/06/2025, VaccineTypeBrand: Flucelvax; Manufacturer: seqirus; LotNumber: 407000; Route: IM; BodySite: Right Arm; Dose: ; VaxDate: 09/06/2025
More
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| 2858767 | 46 | M | CA | 09/15/2025 |
FLUC4 |
SEQIRUS, INC. |
406984 |
Circumstance or information capable of leading to medication error
Circumstance or information capable of leading to medication error
|
Systemic: please refer to "additional details/descriptions" section-Mild, Additional Detai...
Systemic: please refer to "additional details/descriptions" section-Mild, Additional Details: Patient (Husband) came in with wife and son so family can recieve their flu vaccines. Wife received her flu vaccine first followed by the patient (husabnd) and then son was the last to recieve their vaccine. Patient was stuck by wife's used needle because it was not immediately placed in sharps container. Error was fully disclosed to patient and assured patient that needle was only used by his wife. After taking all sanitary measures patient was okay with continuing with receiving vaccine.
More
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| 2858768 | 16 | M | NC | 09/15/2025 |
FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. |
948397 948397 |
Blood glucose, Dizziness, Flushing, Hyperhidrosis, Loss of consciousness; Seizur...
Blood glucose, Dizziness, Flushing, Hyperhidrosis, Loss of consciousness; Seizure, Syncope, Unresponsive to stimuli
More
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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-Medium, Systemic: Seizure-Severe, Additional Details: Patient received vaccine and with in 2-5 mintes got light headed and passed out. Patient had slight convulsions. Called 911, EMS checked vitals, upon pricking finger for blood gucose check, patient fainted and convulsed again. EMS took patient to hospital.
More
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| 2858769 | 78 | M | MD | 09/15/2025 |
FLU4 |
SANOFI PASTEUR |
U8830DA |
Arthralgia, Joint injury, Pain
Arthralgia, Joint injury, Pain
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: Patient sta...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: Patient stated having shoulder pain and unable to lift their arm without pain. After visual inspection of the injection site, it does seem like the vaccine was given a little high. Patient does not need follow up from pharmacy and will make a primary care visit with their provider.
More
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| 2858770 | 68 | F | NY | 09/15/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
PJ323 PJ323 |
Chills, Headache, Injection site erythema, Injection site pain, Injection site p...
Chills, Headache, Injection site erythema, Injection site pain, Injection site pruritus; Injection site rash, Malaise
More
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Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Mild, Site: Redness at Injectio...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Systemic: Circular rash at injection site lasting >2 weeks, not improving-Severe, Systemic: Headache-Mild, Additional Details: Unlike the first dose, circular rash has developed in conjunction with general malaise (headache, chills), and rash has not gone away for 14+ days. Patient was advised to seek care with her primary ASAP
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| 2858771 | 33 | F | KS | 09/15/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
3052549 3052549 3052549 3052549 3052549 3052549 3052549 3052549 |
Injection site erythema, Injection site pain, Injection site swelling, Injection...
Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Lymph node pain; Lymphadenopathy, Pyrexia; Arthralgia, Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling; Joint injury, Joint stiffness, Lymphadenopathy, Mobility decreased, Musculoskeletal stiffness; Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Lymph node pain; Lymphadenopathy, Pyrexia; Arthralgia, Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling; Joint injury, Joint stiffness, Lymphadenopathy, Mobility decreased, Musculoskeletal stiffness
More
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Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injecti...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Fever-Mild, Systemic: Lymph Node Swelling-Medium, Additional Details: Patient has red swollen circle on left deltoid where injection was given and it is warm to the touch. She also reports low grade fever and swelling/pain in the lymph nodes in armpit and neck on the left side as well.
More
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| 2858772 | 80 | F | NC | 09/15/2025 |
RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
2293b 2293b |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling; Pruritus, Rash
More
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Site: Bruising at Injection Site-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-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Mild, Additional Details: i told her to begin to take benadryl every 4 to 6 hours and to see her primary dr if not better tomorrow, Other Vaccines: VaccineTypeBrand: fluzone high-dose; Manufacturer: sanofi; LotNumber: u8800aa; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
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| 2858773 | 70 | F | TX | 09/15/2025 |
COVID19-2 |
MODERNA |
3052154 |
Incorrect route of product administration, Injection site erythema, Injection si...
Incorrect route of product administration, Injection site erythema, Injection site pain, Product administered at inappropriate site
More
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Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Additional Details: The vac...
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Additional Details: The vaccine was given too low... it was mostly considered sub Q. She is concerned that she did not get the full benefit of the vaccine
More
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| 2858775 | 62 | F | MA | 09/15/2025 |
COVID19 |
MODERNA |
3046734 |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Mild, Systemic: no reaction., old vaccine given in error-Mild, Additio...
Site: Pain at Injection Site-Mild, Systemic: no reaction., old vaccine given in error-Mild, Additional Details: no adverse reactions. pt was administered the 2024-25 vaccine in error., Other Vaccines: VaccineTypeBrand: flublok; Manufacturer: sanofi; LotNumber: u88238a; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
More
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| 2858776 | 17 | F | CA | 09/15/2025 |
FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. |
406984 406984 |
Asthenia, Dizziness, Fatigue, Feeling hot, Hypotension; Lethargy, Syncope, Unres...
Asthenia, Dizziness, Fatigue, Feeling hot, Hypotension; Lethargy, Syncope, Unresponsive to stimuli
More
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Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainti...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Medium, Additional Details: patient complained feeling hot
More
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| 2858778 | 36 | F | NY | 09/15/2025 |
FLUC4 |
SEQIRUS, INC. |
406982213aw |
Injection site erythema, Injection site pruritus
Injection site erythema, Injection site pruritus
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Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Severe
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Severe
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| 2858779 | 79 | F | OH | 09/15/2025 |
COVID19 |
MODERNA |
3052583 |
Headache, Injection site erythema, Injection site pain, Injection site pruritus,...
Headache, Injection site erythema, Injection site pain, Injection site pruritus, Pruritus
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-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Headache-Mild
More
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| 2858780 | 45 | F | OH | 09/15/2025 |
FLUR4 FLUR4 FLUR4 FLUR4 |
PROTEIN SCIENCES CORPORATION PROTEIN SCIENCES CORPORATION PROTEIN SCIENCES CORPORATION PROTEIN SCIENCES CORPORATION |
TFAA2503 TFAA2503 TFAA2503 TFAA2503 |
Chest X-ray normal, Chest discomfort, Chest pain, Cold sweat, Confusional state;...
Chest X-ray normal, Chest discomfort, Chest pain, Cold sweat, Confusional state; Cough, Dizziness, Dysphagia, Dyspnoea, Eye swelling; Flushing, Hyperhidrosis, Mouth swelling, Swelling face, Swollen tongue; Tachycardia, Throat tightness
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Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat T...
Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Confusion-Mild, Systemic: Flushed / Sweating-Severe, Systemic: Tachycardia-Medium, Additional Details: Patient showed reaction 30 seconds after receiving injections: both flublok and pfizer covid. SOB, Chest heaviness/hard to breathe, coughing, clammy, stated was dizzy and going to pass out. Denies having any sort of rx to shots in past. EMS activated, took her to ER. Discharged from service two hours later, feeling better. Negative chest X-ray. , Other Vaccines: VaccineTypeBrand: covid; Manufacturer: Pfizer; LotNumber: MY9550; Route: left deltoid; BodySite: arm; Dose: 1; VaxDate: 09/08/2025
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| 2858782 | 57 | F | MD | 09/15/2025 |
COVID19 |
MODERNA |
3052663 |
Arthralgia, Joint injury, Mobility decreased, Product administered at inappropri...
Arthralgia, Joint injury, Mobility decreased, Product administered at inappropriate site
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Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Can't move shoul...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Can't move shoulder-Severe, Systemic: Joint Pain-Severe, Additional Details: Vaccine administered too high into the shoulder. Patient has severely limited range of motion in left shoulder
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| 2858783 | 71 | F | NY | 09/15/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9547 |
Feeling cold, Muscle spasms, Pyrexia, Sleep disorder, Tremor
Feeling cold, Muscle spasms, Pyrexia, Sleep disorder, Tremor
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Systemic: Fever-Severe, Systemic: Shakiness-Severe, Systemic: Unable to Sleep-Severe, Additional Det...
Systemic: Fever-Severe, Systemic: Shakiness-Severe, Systemic: Unable to Sleep-Severe, Additional Details: Patients husband called on 9/9/2025 to report adverse events starting the night of the vaccine administration. Husband reported patient has never had adverse reactions to any vaccine given in the past. Husband reported patient was "up all night with extreme spasms, shakes and icy cold". Husband reported he had to place 4-5 blankets on her to keep her comfortable.
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| 2858784 | 71 | F | FL | 09/15/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
2293B |
Injection site bruising, Injection site erythema, Injection site swelling
Injection site bruising, Injection site erythema, Injection site swelling
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Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injec...
Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
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| 2858785 | 78 | F | CA | 09/15/2025 |
COVID19-2 |
MODERNA |
3052296 |
Pain
Pain
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Systemic: Body Aches Generalized-Mild, Additional Details: patient had Spikevax vaccine on 09/04/202...
Systemic: Body Aches Generalized-Mild, Additional Details: patient had Spikevax vaccine on 09/04/2025 and when arrived for 09/09/2025 for appointment that was made also for covid vaccine she received another vaccine for mnexspike
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| 2858786 | 65 | F | NJ | 09/15/2025 |
FLU4 |
SANOFI PASTEUR |
na0738 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Joint injury
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Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injec...
Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
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| 2858788 | 55 | F | IN | 09/15/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
K73J3 |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
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Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium
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| 2858789 | 75 | F | OH | 09/15/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0738 |
Injection site swelling, Joint injury
Injection site swelling, Joint injury
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Site: Swelling at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc....
Site: Swelling at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient came to pharmacy on Tuesday 9/9/25 complaining of shoulder and collarbone pain on her right side. She said she is having difficulty lifting her arm and performing daily activities. I advised her to used OTC pain relievers (acetaminophen) along with her prescription anti-inflammatory, to use ice throughout the day and to rest. I also advised her that if the pain got worse, to visit her primary care provider. I will follow up with her on 9/10/25.
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| 2858790 | 82 | F | NV | 09/15/2025 |
COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
na0738 na0738 na0738 |
Arthralgia, Fatigue, Feeling of body temperature change, Injection site bruising...
Arthralgia, Fatigue, Feeling of body temperature change, Injection site bruising, Injection site erythema; Injection site pain, Injection site swelling, Joint injury, Nausea, Pain; Pyrexia, Vision blurred, Vomiting
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Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injec...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Mild, Systemic: Fever-Mild, Systemic: Joint Pain-Mild, Systemic: Nausea-Medium, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Medium, Additional Details: Patient received the vaccine at 12pm noon 09/08/2025. That night at 3am patient woke up with local and general pain/fatigue, chills/heat, vomiting, blurred vision, and injection site pain. patient had pfizer before but never comirnaty specifically. Patient was mostly recovered 24 hurs after immunization. Advised monitoring for fever or worsening of condition.
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| 2858791 | 62 | F | TX | 09/15/2025 |
FLUC4 |
SEQIRUS, INC. |
406984 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
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Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild
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| 2858792 | 31 | M | NY | 09/15/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
H4K3S |
Accident at work, Injury associated with device
Accident at work, Injury associated with device
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Systemic: Needlestick Exposure-Medium, Additional Details: I (the immunizer) accidentally pricked my...
Systemic: Needlestick Exposure-Medium, Additional Details: I (the immunizer) accidentally pricked myself during an immunization. I gave the patient a Boostrix shot and after taking the needle out, I pricked myself on my left pointer finger. This happened before I was able to deploy the needle safety device. Immediately washed my hand and followed the protocol on accidental needle pricks. Went to MD to get checked. Spoke with patient and discussed situation.
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| 2858793 | 50 | M | TX | 09/15/2025 |
FLUC4 |
SEQIRUS, INC. |
40699 |
Cellulitis, Injection site bruising, Injection site pain, Injection site swellin...
Cellulitis, Injection site bruising, Injection site pain, Injection site swelling
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Site: Bruising at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details...
Site: Bruising at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Patient had swelling and pain at injection site, he went to urgent care and was diagnosed with cellulitis and given antibiotics and to monitor progress, Other Vaccines: VaccineTypeBrand: Capvaxive; Manufacturer: Merck; LotNumber: z006076; Route: IM; BodySite: Arm; Dose: ; VaxDate: UNKNOWN
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| 2858794 | 49 | F | TX | 09/15/2025 |
FLUC4 |
SEQIRUS, INC. |
406981 |
Hypoaesthesia, Injection site pain, Joint injury, Limb discomfort, Pain in extre...
Hypoaesthesia, Injection site pain, Joint injury, Limb discomfort, Pain in extremity
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Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Me...
Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: Patient felt rph gave shot too low, complained of numbness still of extremity, arm heavy, pain and numbness at base of thumb. I told her to contact her PCP and relay this information for additional treatment if necessary.
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| 2858795 | 65 | F | CA | 09/15/2025 |
FLUA4 |
SEQIRUS, INC. |
407244 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
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Systemic: no adverse reaction; no symptoms presented-Mild, Additional Details: Spoke to patient at 6...
Systemic: no adverse reaction; no symptoms presented-Mild, Additional Details: Spoke to patient at 6 PM issued apology wants to come back for covid vaccine.
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| 2858796 | 9 | M | NV | 09/15/2025 |
FLUC4 |
SEQIRUS, INC. |
406983 |
Injection site pruritus
Injection site pruritus
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Site: Itching at Injection Site-Medium
Site: Itching at Injection Site-Medium
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| 2858797 | 75 | F | NY | 09/15/2025 |
PNC21 |
MERCK & CO. INC. |
z006889 |
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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| 2858798 | 36 | F | MD | 09/15/2025 |
PNC21 PNC21 PNC21 PNC21 PNC21 PNC21 PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Z006889 Z006889 Z006889 Z006889 z006889 z006889 z006889 z006889 |
Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swel...
Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Joint injury; Paraesthesia; Flushing, Hyperhidrosis, Injection site erythema, Injection site pain, Injection site swelling; Paraesthesia; Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Joint injury; Paraesthesia; Flushing, Hyperhidrosis, Injection site erythema, Injection site pain, Injection site swelling; Paraesthesia
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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, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: PATIENT CALLED THE PHARMACY ON 09/09/2025 AND COMPLAINED ABOUT THE PAIN, SWELLING, REDNESS,NUMBING AND TINGLING AFTER THE SHOT , SHE SAID SHE WILL COUNSULT WITH HER DR WHILE ON HER PHYSICAL APPOINTMENT TODAY.
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