| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2874416 | 72 | F | NV | 11/24/2025 |
FLUA4 |
SEQIRUS, INC. |
407243 |
Abdominal pain, Back pain, Pain, Spinal pain
Abdominal pain, Back pain, Pain, Spinal pain
|
Systemic: pain in her back and abdomen-Severe, Additional Details: after getting the vaccine patient...
Systemic: pain in her back and abdomen-Severe, Additional Details: after getting the vaccine patient experienced pain in her [redacted], that radiated across her body to her abdomen. pain occurred shortly after receiving her vaccination, while en route to the ER patient's pain subsided. according to patient her pain lasted approximately 15 minutes, I advised patient to get an MRI done regardless of how she is feeling, to make sure that there is no damage that has been done by the vaccine. Additionally, I also mentioned for her to follow up with her provider
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| 2874417 | 78 | F | RI | 11/24/2025 |
COVID19 |
PFIZER\BIONTECH |
NA4459 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
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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, Additional Details: Patient presents with redness and swelling at administration site (right arm). Started night of administration date. Patient has not seen doctor or received emegent care. Recommended contacting prescriber for further treatment. Believed to be localized site reaction.
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| 2874418 | 65 | F | NC | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
U8874CA |
Injection site bruising, Injection site pain, Injection site swelling
Injection site bruising, Injection site pain, Injection site swelling
|
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Inje...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Advised patient to check with medical provider
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| 2874420 | 59 | F | NY | 11/24/2025 |
FLU4 FLU4 FLU4 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
ld9y5 ld9y5 ld9y5 |
Abdominal pain upper, Eye pruritus, Eye swelling, Injection site pain, Lip swell...
Abdominal pain upper, Eye pruritus, Eye swelling, Injection site pain, Lip swelling; Mouth swelling, Nasal congestion, Nausea, Ocular hyperaemia, Paraesthesia; Pruritus, Rash, Swelling face, Swollen tongue, Urticaria
More
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Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medi...
Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: started with severe stomach cramps a couple hours after shot, eye started to get itchy, red, and swollen, nasal congestion, swelling of lips, a couple hives on legs. all reactions on left side of body (same side as vaccine)
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| 2874421 | 49 | M | TX | 11/24/2025 |
FLUC4 |
SEQIRUS, INC. |
406999 |
Dizziness, Hypoaesthesia, Joint injury, Paraesthesia
Dizziness, Hypoaesthesia, Joint injury, Paraesthesia
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Dizziness / Lighthead...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Dizziness / Lightheadness-Medium, Additional Details: tingling of arm and numbness since vaccine given
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| 2874423 | 17 | M | IN | 11/24/2025 |
FLUC4 |
SEQIRUS, INC. |
2682292 |
Syncope, Unresponsive to stimuli
Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild
Systemic: Fainting / Unresponsive-Mild
|
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| 2874424 | 68 | M | IL | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
ut8781ca |
Arthralgia, Joint injury, Tachycardia
Arthralgia, Joint injury, Tachycardia
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Joint Pain-Severe, Sy...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Joint Pain-Severe, Systemic: Tachycardia-Severe, Other Vaccines: VaccineTypeBrand: mnexspike; Manufacturer: moderna; LotNumber: 3052296; Route: im; BodySite: left arm; Dose: 1; VaxDate: 11/06/2025
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โ | |||||
| 2874425 | 62 | M | CA | 11/24/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
u8864aa |
Injection site erythema, Injection site pruritus
Injection site erythema, Injection site pruritus
|
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild
|
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| 2874426 | 7 | F | GA | 11/24/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3053258 |
Incorrect dose administered, Injection site pain
Incorrect dose administered, Injection site pain
|
Site: Pain at Injection Site-Mild, Additional Details: The parent (withheld) made appointments onlin...
Site: Pain at Injection Site-Mild, Additional Details: The parent (withheld) made appointments online for her daughters and herself to receive Covid shots. The appointment occurred during rush hour on 11.07.2025 and family had been waiting 7 minutes for vaccines. The vaccine was administred with 5/8 syringe but full dose of 0.5ml versus 0.25 ml. it was discovered as i had given the vaccine. Both ped patients over 5+ for protocol but needed 0.25 ml Spikevax that wasn't in stock @17220. Mom reported ok just soreness only no bruises and dr informed
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| 2874427 | 9 | F | GA | 11/24/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3053258 |
Incorrect dose administered, Injection site pain
Incorrect dose administered, Injection site pain
|
Site: Pain at Injection Site-Mild, Additional Details: The parent (withheld name) made appointments ...
Site: Pain at Injection Site-Mild, Additional Details: The parent (withheld name) made appointments online for her daughters and herself to receive Covid shots. The appointment occurred during rush hour on 11.07.2025 and family had been waiting 7 minutes for vaccines. The vaccine was administred with 5/8 syringe but full dose of 0.5ml versus 0.25 ml. it was discovered as i had given the vaccine. Both ped patients over 5+ for protocol but needed 0.25 ml Spikevax that wasn't in stock @17220. Mom reported ok just soreness only no bruises and dr informed
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| 2874428 | 71 | F | PA | 11/24/2025 |
FLUA4 |
SEQIRUS, INC. |
407243 |
Injection site pain, Joint injury, Pain, X-ray limb normal
Injection site pain, Joint injury, Pain, X-ray limb normal
|
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, Additional Details: Patient reports pain at site of injection that began night of vaccine as per typical expectation, but has been lingering/worsening. She reports pain going down her arm & also up into her shoulder. No bruising or swelling; none was noted on day of shot either. Pt was at orthopedic visit (established MD, treating for unrelated prior leg injury) - MD ordered x-ray (unremarkable) & gave coritsone shot (pt reports no improved Sx from cortisone). Pt f/u with ortho this week & will update us as well.
More
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| 2874432 | 75 | F | PA | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
48874ba |
Injection site erythema, Injection site pruritus, Pruritus, Rash
Injection site erythema, Injection site pruritus, Pruritus, Rash
|
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: ...
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium
More
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| 2874433 | 64 | M | TX | 11/24/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
js74h |
Arthralgia, Injection site pain, Joint injury, Paraesthesia, Product administere...
Arthralgia, Injection site pain, Joint injury, Paraesthesia, Product administered at inappropriate site
More
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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, Systemic: was given the shot too high on the arm and it went into the bursa in the shoulder-Severe, Systemic: Joint Pain-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Additional Details: patient has been to the doctor several times concerning his shoulder pain. didnt think much about it at first but has progressively gotten worse, Other Vaccines: VaccineTypeBrand: fluarix; Manufacturer: glaxosmithkline; LotNumber: js74h; Route: im; BodySite: rd; Dose: 01; VaxDate: 09/18/2025
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| 2874434 | 55 | F | MA | 11/24/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
TFAA2501 |
Injected limb mobility decreased, Injection site pain, Joint injury, Pain, Parae...
Injected limb mobility decreased, Injection site pain, Joint injury, Pain, Paraesthesia
More
|
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, Additional Details: Patient called pharmacy and stated she recieved flu shot on 11/1/25. She reported normal soreness and stated she noticed that later in the week she had shooting/tingling pain the in upper arm area (where the vaccine was adminstered), and has limited range of motion. I apologized, and counseled the patient to follow up with her primary care physician for treatment. I confirmed with the patient I would submit the error report for the incorrect administration on our end.
More
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| 2874435 | 9 | F | PA | 11/24/2025 |
COVID19 |
PFIZER\BIONTECH |
na0590 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Medium, Systemic: patient was incorrectly administered adult covid pfiz...
Site: Pain at Injection Site-Medium, Systemic: patient was incorrectly administered adult covid pfizer dose-Medium, Additional Details: Patient is being monitored for side effects by parent will call pharmacy and dr with and asverse affects, Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 948421; Route: intermuscular; BodySite: left deltoid; Dose: ; VaxDate: 11/11/2025
More
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| 2874437 | 14 | M | CA | 11/24/2025 |
COVID19-2 |
PFIZER\BIONTECH |
na4457 |
Cold sweat, Dizziness, Loss of consciousness, Visual impairment
Cold sweat, Dizziness, Loss of consciousness, Visual impairment
|
Systemic: Dizziness / Lightheadness-Medium, Systemic: clammy and said lost ability to see colors but...
Systemic: Dizziness / Lightheadness-Medium, Systemic: clammy and said lost ability to see colors but did not pass out-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Pt informed immunizer that he was dizzy. he asked if he could remain seated. she went to grab him water and I went out to assist. His mother ad I laid him down and I elevated his feet . I stayed with him until clamminess and dizzyness subsided. had pt remain seated on floor for few more min then helped him up into chair and had him sit and drink water til Mom determined he was steady enough to walk. Mom said this has happened before when gets vaccines. pt was able to talk while time. , Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: segirus; LotNumber: 410515; Route: im; BodySite: unknown; Dose: ; VaxDate: UNKNOWN
More
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| 2874438 | 68 | M | TN | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
U8875BA |
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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| 2874441 | 10 | M | NM | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
UT8861MA |
Loss of consciousness, Syncope, Unresponsive to stimuli
Loss of consciousness, Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild, Systemic: PATIENT FAINTED TWICE ABOUT 3 MIN APART-Mild, Addi...
Systemic: Fainting / Unresponsive-Mild, Systemic: PATIENT FAINTED TWICE ABOUT 3 MIN APART-Mild, Additional Details: PATIENT WAS GIVEN A VACCINE. 2 MIN LATER HE FAINTED AND FELL TOWARDS ME. I DID CATCH HIM. HE DID NOT HIS HEAD. HE WAS LAID DOWN AND LEGS ELAVATED. GAINED CONSCIOUS 5-10 SECONDS LATER AND SAT DOWN WITH HIS DAD. 2 MIN LATER HE FAINTED/UNSCONSCIOS AND WAS PLACED ON THE FLOOR THIS WAS A SHORTER INCIDENT CALLED 911. A DR WHO WAS SHOPPING CAME AND HELPED WITH THE SITUATION WITH THE SECOND INCIDENT. PT LAID DOWN UNTIL PARAMEDICS CAME. DR AND I TOOK BP, PULSE AND OXYGEN LEVELS. HE LEFT WITH PARAMEDI
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| 2874442 | 64 | M | CA | 11/24/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
tfaa2504 |
Injection site pain, Pain in extremity
Injection site pain, Pain in extremity
|
Site: Pain at Injection Site-Medium, Additional Details: patient experienced pain on the whole left ...
Site: Pain at Injection Site-Medium, Additional Details: patient experienced pain on the whole left arm for over 1 month after receiving the vaccine
More
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| 2874443 | 12 | M | PA | 11/24/2025 |
FLUC4 |
SEQIRUS, INC. |
407010 |
Discomfort, Injection site pain, Syringe issue
Discomfort, Injection site pain, Syringe issue
|
Site: Pain at Injection Site-Mild, Additional Details: Syringe failed to expell vaccine on administr...
Site: Pain at Injection Site-Mild, Additional Details: Syringe failed to expell vaccine on administration. I had to re-try with a new needle. BD Glide 25 G x 5/8 inch, Exp 06-30-2029, Lot 4211339. The patient was mildly uncomfortable but otherwise unharmed.
More
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| 2874444 | 63 | F | CA | 11/24/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
U8832AA |
Headache, Visual impairment
Headache, Visual impairment
|
Systemic: Headache-Mild, Systemic: Visual Changes/Disturbances-Medium, Other Vaccines: VaccineTypeB...
Systemic: Headache-Mild, Systemic: Visual Changes/Disturbances-Medium, Other Vaccines: VaccineTypeBrand: COVID; Manufacturer: PFIZER; LotNumber: NA4452; Route: IM; BodySite: LEFT DELTOID; Dose: ; VaxDate: UNKNOWN
More
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| 2874445 | 76 | F | CA | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
UT8820BA |
Chest discomfort, Chest pain, Dyspnoea
Chest discomfort, Chest pain, Dyspnoea
|
Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: shortness of breath, dyspnea-Severe
Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: shortness of breath, dyspnea-Severe
|
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| 2874448 | 75 | M | FL | 11/24/2025 |
COVID19 |
PFIZER\BIONTECH |
na4457 |
Injection site pain, Joint injury
Injection site pain, Joint injury
|
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
More
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| 2874452 | 55 | F | MO | 11/24/2025 |
COVID19 |
PFIZER\BIONTECH |
na0738 |
Injection site erythema, Injection site swelling, Nausea, Vomiting
Injection site erythema, Injection site swelling, Nausea, Vomiting
|
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Nausea-Se...
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Other Vaccines: VaccineTypeBrand: fluarix; Manufacturer: glaxosmithkline; LotNumber: 2l353; Route: intramuscular; BodySite: left deltoid; Dose: 1; VaxDate: 10/17/2025
More
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| 2874453 | 72 | M | CA | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
UT8804CA |
Injection site erythema, Injection site vesicles
Injection site erythema, Injection site vesicles
|
Site: Redness at Injection Site-Mild, Additional Details: Pt states he got a blister at the injectio...
Site: Redness at Injection Site-Mild, Additional Details: Pt states he got a blister at the injection site. Blister is wet and still healing. Pt mentioned the blister that formed might not be at the injection site. Pt believes the bandage was placed at the wrong spot. Pt states he removed the bandage about 24 hours after the injection after his shower.
More
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| 2874455 | 61 | M | NY | 11/24/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
JE74J |
Injection site pain, Joint injury, Product administered at inappropriate site
Injection site pain, Joint injury, Product administered at inappropriate site
|
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, Additional Details: The patient came back to the pharmacy on 11/12/25 and stated that the vaccines were given above the left deltoid area which resulted in brusitis. He stated that he visited an orthopedic doctor and received a Cortisone shot which relieved the pain over time. The patient stated he is 95% recovered. The patient did not want to take action against the pharmacy but wanted to inform the pharmacy of what happened. , Other Vaccines: VaccineTypeBrand: Comirnaty 2025-26; Manufacturer: Pfizer; LotNumber: NA0739; Route: IM; BodySite: Left deltoid; Dose: ; VaxDate: UNKNOWN
More
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| 2874456 | 15 | M | MA | 11/24/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052864 |
Fall, Head injury, Syncope, Unresponsive to stimuli
Fall, Head injury, Syncope, Unresponsive to stimuli
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Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient was unconcious for approximately...
Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient was unconcious for approximately 30 seconds. Patient fainted 2-5 seconds after immuniztion completed. Patient fell off side of chair and hit head, Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: seqirus, inc; LotNumber: 407009; Route: im; BodySite: right deltoid; Dose: ; VaxDate: UNKNOWN
More
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| 2874458 | 71 | F | WV | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
u8874ba |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
More
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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, Site: Swelling at Injection Site-Mild
More
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| 2874460 | 65 | F | WV | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
UT8763EA |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
More
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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-Medium
More
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| 2874462 | 29 | F | IL | 11/24/2025 |
FLUC4 |
SEQIRUS, INC. |
409108 |
Circumstance or information capable of leading to medication error
Circumstance or information capable of leading to medication error
|
Systemic: Patient twiched and moved arm away as needle was being inserted-Mild, Additional Details: ...
Systemic: Patient twiched and moved arm away as needle was being inserted-Mild, Additional Details: During injection patient moved arm away, vaccine leaked out on arm (left) and greater than 75% of dose still remained in syringe. Redosed in right arm.
More
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| 2874463 | 70 | F | IL | 11/24/2025 |
COVID19 |
PFIZER\BIONTECH |
NA4457 |
Injection site bruising, Injection site pain
Injection site bruising, Injection site pain
|
Site: Bruising at Injection Site-Mild, Additional Details: Pt c/o L arm being black and blue 10 days...
Site: Bruising at Injection Site-Mild, Additional Details: Pt c/o L arm being black and blue 10 days after receiving injection. Originally had gone down to elbow, but has now retreated up the arm. Still a little sore, but not as bad.
More
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| 2874464 | 40 | F | NY | 11/24/2025 |
FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. |
410514 410514 |
Eye swelling, Mouth swelling, Pruritus, Rash, Swelling face; Swollen tongue
Eye swelling, Mouth swelling, Pruritus, Rash, Swelling face; Swollen tongue
|
Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Genera...
Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Additional Details: patient presented after urgent care visit after self administering benadryl to treat red rash/hives allergic reaction, urgent care prescribed short course prednisone and epipen
More
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| 2874465 | 75 | F | MA | 11/24/2025 |
COVID19 |
PFIZER\BIONTECH |
my9547 |
Asthenia, Chest discomfort, Chest pain, Vomiting
Asthenia, Chest discomfort, Chest pain, Vomiting
|
Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Vomiting-Medium, Systemic: Weakness-S...
Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Vomiting-Medium, Systemic: Weakness-Severe
More
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| 2874466 | 87 | F | CA | 11/24/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052155 |
Injection site pain, Joint injury
Injection site pain, Joint injury
|
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Me...
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
More
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| 2874467 | 65 | M | MA | 11/24/2025 |
COVID19 |
PFIZER\BIONTECH |
na4457 |
Diarrhoea, Injection site pain, Malaise
Diarrhoea, Injection site pain, Malaise
|
Site: Pain at Injection Site-Medium, Systemic: Diarrhea-Severe, Additional Details: Patient reported...
Site: Pain at Injection Site-Medium, Systemic: Diarrhea-Severe, Additional Details: Patient reported he felt very ill and had diarrhea.
More
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| 2874468 | 58 | F | CA | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
unknown |
Feeling cold, Injection site swelling, Pain, Pyrexia
Feeling cold, Injection site swelling, Pain, Pyrexia
|
Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-M...
Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Fever-Medium, Additional Details: Patient mentioned that she didn't take her temperature but she felt like she had a fever
More
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| 2874469 | 41 | F | MA | 11/24/2025 |
FLUC4 |
SEQIRUS, INC. |
407010 |
Loss of consciousness, Syncope, Unresponsive to stimuli
Loss of consciousness, Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient felt normal walking out of the...
Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient felt normal walking out of the vaccine room, but as she was walking towards the chairs she fainted and lost consciousness, knocking over a clothing display. Was unresponsive for a few moments, but soon was able to answer questions and returned to normal. EMS was called to the scene and cleared her to go home. F/U with [withheld name] the husband two days later and he reports pt has no residual symptoms.
More
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| 2874471 | 77 | F | NV | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
ut8804ca |
Coccydynia, Computerised tomogram, Fatigue, Headache, Lethargy
Coccydynia, Computerised tomogram, Fatigue, Headache, Lethargy
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Systemic: Exhaustion / Lethargy-Severe, Systemic: Headache-Severe, Additional Details: Patients stat...
Systemic: Exhaustion / Lethargy-Severe, Systemic: Headache-Severe, Additional Details: Patients stated that she had extreem severe pain from head towards the tail bone section. she had to have ct scan done to rule out cancer
More
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| 2874472 | 12 | F | NH | 11/24/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
2ly39 |
Syncope, Unresponsive to stimuli
Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Medium, Additional Details: patient fainted briefly and recovered ...
Systemic: Fainting / Unresponsive-Medium, Additional Details: patient fainted briefly and recovered with no intervention
More
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| 2874473 | 52 | F | VA | 11/24/2025 |
COVID19 |
PFIZER\BIONTECH |
my9548 |
Injection site erythema, Injection site pain, Injection site swelling, Joint inj...
Injection site erythema, Injection site pain, Injection site swelling, Joint injury
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-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient said that the redness is growing day by day and since this morning, Other Vaccines: VaccineTypeBrand: Capvaxiv; Manufacturer: Merck Sharp & D; LotNumber: z005765; Route: IM; BodySite: Left Deltoid; Dose: ; VaxDate: UNKNOWN
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| 2874474 | 69 | M | IN | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
U8862AA |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Medium, Additional Details: saw patient today and provided information ...
Site: Pain at Injection Site-Medium, Additional Details: saw patient today and provided information on VAERS if patient would also like to self-report. Patient brough this to my attention today even though it happened on 10-17.
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| 2874477 | 15 | F | FL | 11/24/2025 |
COVID19-2 |
PFIZER\BIONTECH |
NA4457 |
Dizziness, Syncope, Unresponsive to stimuli, Vomiting
Dizziness, Syncope, Unresponsive to stimuli, Vomiting
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Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Vomi...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Vomiting-Medium, Other Vaccines: VaccineTypeBrand: FLUCELVAX; Manufacturer: SEQIRUS; LotNumber: 407009; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: UNKNOWN
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| 2874479 | 68 | F | MI | 11/24/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3053756 |
Eyelid ptosis, Visual impairment
Eyelid ptosis, Visual impairment
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Systemic: Droopy eyelid-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Pa...
Systemic: Droopy eyelid-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Patient states she has had a droopy eyelid since receiving the covid vaccine. This has impaired her vision. I am reporting this on behalf of pharmacy manager (name withheld). She was unable to submit this report, she called the help desk. Ticket # INC5707613
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| 2874480 | 59 | M | CT | 11/24/2025 |
FLUC4 |
SEQIRUS, INC. |
UNKNOWN |
Influenza like illness, Pneumonia
Influenza like illness, Pneumonia
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Systemic: FLU-LIKE SYMPTOMS AND PNEUMONIA-Severe, Additional Details: CAREGIVER SAYS EVERY TIME PATI...
Systemic: FLU-LIKE SYMPTOMS AND PNEUMONIA-Severe, Additional Details: CAREGIVER SAYS EVERY TIME PATIENT GETS A FLU SHOT HE HAS FLU-LIKE SYMPTOMS AND PNEUMONIA SHORTLY AFTERWARDS. PATIENT'S DOCTOR HAS ADVISED HIM NOT TO GET THE FLU VACCINE.
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| 2874481 | 32 | M | MA | 11/24/2025 |
FLUC4 |
SEQIRUS, INC. |
UNKNOWN |
Diarrhoea, Vomiting
Diarrhoea, Vomiting
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Systemic: Diarrhea-Severe, Systemic: Vomiting-Severe, Additional Details: PATIENT SAYS EVERY TIME HE...
Systemic: Diarrhea-Severe, Systemic: Vomiting-Severe, Additional Details: PATIENT SAYS EVERY TIME HE GETS THE FLU VACCINE, HE EXPERIENCES VOMITING AND DIARRHEA. UNKNOWN DATE.
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| 2874484 | 33 | F | PA | 11/24/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052581 |
Dizziness, Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
Dizziness, Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
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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 had stated that she had been light-headed when receiving a vaccine in the past. However, she stated that she would be able to take both the Flu & Covid vaccines. However, after giving the Covid vaccine, she had become very faint for about a minute, but then she then recovered and sat in the vaccination chair. Patient also stated that she had not eaten much before her appointment as well.
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| 2874488 | 67 | F | CA | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
ut8829aa |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
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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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| 2874491 | 74 | F | CA | 11/24/2025 |
FLU4 |
SANOFI PASTEUR |
u8859aa |
Blood pressure fluctuation, Confusional state, Hypertension, Nausea
Blood pressure fluctuation, Confusional state, Hypertension, Nausea
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Systemic: Confusion-Medium, Systemic: Hypertension-Severe, Systemic: Nausea-Medium, Additional Detai...
Systemic: Confusion-Medium, Systemic: Hypertension-Severe, Systemic: Nausea-Medium, Additional Details: Pt reports high blood pressure since 11/7/25 after getting flu shot. And her blood pressure has been fluctuating. Also reports nausea
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| 2874492 | 21 | F | IN | 11/24/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
2LY39 |
Face injury, Loss of consciousness, Syncope, Unresponsive to stimuli
Face injury, Loss of consciousness, Syncope, Unresponsive to stimuli
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Systemic: Fainting / Unresponsive-Severe, Additional Details: Pt went back to waiting area after vac...
Systemic: Fainting / Unresponsive-Severe, Additional Details: Pt went back to waiting area after vaccination. Immunizer asked twice if she felt ok, pt stated she felt fine. Pt was seated in chair in waiting room, then passed out. Fell out of chair, hit her head on the metal end cap. EMS was called. Pharmacist applied pressure to wound above eyebrow until EMS arrived. Pt was transported to hospital. , Other Vaccines: VaccineTypeBrand: Comirnaty; Manufacturer: Pfizer; LotNumber: NAO587; Route: IM; BodySite: Left Arm; Dose: 1; VaxDate: 11/15/2025
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| 2874493 | 55 | M | MA | 11/24/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
U8923AA |
Joint injury
Joint injury
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Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
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