| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2871012 | 75 | F | KS | 11/06/2025 |
FLU3 |
SANOFI PASTEUR |
U8874CA |
Chest discomfort, Dysphonia
Chest discomfort, Dysphonia
|
Patient reports experiencing asthma-like symptoms approximately 10-15minutes after vaccine administr...
Patient reports experiencing asthma-like symptoms approximately 10-15minutes after vaccine administration. She reports a "tight" feeling in her chest and voice change. Patient states she has underlying lung conditions. Instructed to call her physician for further guidance. She states she has Benadryl and an inhaler at home. Given patient the package insert for vaccine ingredient list.
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| 2871013 | 16 | F | OR | 11/06/2025 |
UNK |
UNKNOWN MANUFACTURER |
3E99M |
Injection site bruising, Injection site erythema, Injection site mass, Injection...
Injection site bruising, Injection site erythema, Injection site mass, Injection site warmth
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3mm bruise around where needle was inserted and red, hot and raised knot 3 1/2 inches across and 4 i...
3mm bruise around where needle was inserted and red, hot and raised knot 3 1/2 inches across and 4 in down.
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| 2871015 | 46 | F | TN | 11/06/2025 |
FLU3 FLU3 FLU3 FLU3 FLU3 FLU3 FLU3 FLU3 FLU3 FLU3 FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
407003 407003 407003 407003 407003 407003 407003 407003 407003 407003 407003 407003 |
Autoimmune hepatitis, Immediate post-injection reaction, Pyrexia; Abdominal disc...
Autoimmune hepatitis, Immediate post-injection reaction, Pyrexia; Abdominal discomfort, Abdominal pain upper, Alanine aminotransferase increased, Antinuclear antibody positive, Aspartate aminotransferase increased; Blood alkaline phosphatase increased, Blood bilirubin increased, C-reactive protein increased, CSF virus no organisms observed, Ceruloplasmin increased; Chills, Fatigue, Headache, Hepatitis viral test negative, Magnetic resonance cholangiopancreatography; Magnetic resonance imaging abdominal normal, Magnetic resonance imaging head abnormal, Malaise, Nausea, Pain; Procalcitonin increased, Pyrexia, Rash, Rash pruritic, Red blood cell sedimentation rate increased; Autoimmune hepatitis, Immediate post-injection reaction, Pyrexia; Abdominal discomfort, Abdominal pain upper, Alanine aminotransferase increased, Antinuclear antibody positive, Aspartate aminotransferase increased; Blood alkaline phosphatase increased, Blood bilirubin increased, C-reactive protein increased, CSF virus no organisms observed, Ceruloplasmin increased; Chills, Fatigue, Headache, Hepatitis viral test negative, Magnetic resonance cholangiopancreatography; Magnetic resonance imaging abdominal normal, Magnetic resonance imaging head abnormal, Malaise, Nausea, Pain; Procalcitonin increased, Pyrexia, Rash, Rash pruritic, Red blood cell sedimentation rate increased
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Employee received a flu vaccine in Occupational Health on October 30. Informed on 11/04/25 that the...
Employee received a flu vaccine in Occupational Health on October 30. Informed on 11/04/25 that the employee developed a fever immediately following receiving the vaccine and remained febrile throughout the weekend. Employee went to a local ER 11/04/25 around 1 to 2 am and treating healthcare provider is ruling on the side of her developing autoimmune hepatitis related to receiving the flu vaccine.
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โ | |||||
| 2871020 | 51 | F | CO | 11/06/2025 |
TYP VARZOS |
BERNA BIOTECH, LTD. GLAXOSMITHKLINE BIOLOGICALS |
3004343 A5T73 |
Bell's palsy, Facial paralysis, Headache, Laboratory test, Scan; Bell'...
Bell's palsy, Facial paralysis, Headache, Laboratory test, Scan; Bell's palsy, Facial paralysis, Headache, Laboratory test, Scan
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Went to the ER with facial drooping on the left side and severe headache. After testing for everythi...
Went to the ER with facial drooping on the left side and severe headache. After testing for everything she was diagnosed with Bells Palsy. She has been put on a 7 day course of treatment for this. This is listed as a rare side effect of the Shingrix vaccine
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| 2871021 | 40 | M | 11/06/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
94807 948407 |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
|
Employee was given the flu vaccine 10/16/2025 and then again on 11/05/2025
Employee was given the flu vaccine 10/16/2025 and then again on 11/05/2025
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| 2871022 | 55 | M | CO | 11/06/2025 |
FLU3 |
SEQIRUS, INC. |
407245 |
Bone pain, Dizziness, Headache, Muscle spasms, Product administered to patient o...
Bone pain, Dizziness, Headache, Muscle spasms, Product administered to patient of inappropriate age
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"I called patient to discuss vaccinations. Identity was verified by name and DOB. Wife was on...
"I called patient to discuss vaccinations. Identity was verified by name and DOB. Wife was on call as well. On review of chart High Dose Flu was given, when it should have been normal dose Flu vaccine due to him being younger than 65 years old. This could be causing worse side effects. Meningitis vaccine was the correct one per charting. Discussed with patient that this will still protect him from flu this season, but may cause a larger immune response. Current symptoms are: Light headed and different nausea from metformin, muscle spasms and headache and bone pain. Has gotten worse, but is managing with conservative care at home: took aleve and/or Motron as needed. Encouraged patient to drink plenty of water, continue NSAIDs PRN, and rest today. Expect symptoms to improve over the next 48 hours. If not please reach back out to me/on-call team."
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| 2871024 | 28 | F | NY | 11/06/2025 |
COVID19 |
MODERNA |
3052579 |
No adverse event, Underdose
No adverse event, Underdose
|
Adverse event was she was given the pediatric dosage of Covid. NO SYMPTOMS OR REACTIONS
Adverse event was she was given the pediatric dosage of Covid. NO SYMPTOMS OR REACTIONS
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| 2871025 | 76 | M | NY | 11/06/2025 |
COVID19 |
MODERNA |
3052579 |
No adverse event, Underdose
No adverse event, Underdose
|
Adverse event was he was given the pediatric dosage of Covid. NO SYMPTOMS OR REACTIONS
Adverse event was he was given the pediatric dosage of Covid. NO SYMPTOMS OR REACTIONS
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| 2871026 | 28 | F | TX | 11/06/2025 |
FLU3 |
SANOFI PASTEUR |
UT8770JA |
Hypoaesthesia, Injection site coldness, Myalgia, Paraesthesia
Hypoaesthesia, Injection site coldness, Myalgia, Paraesthesia
|
muscle soreness started 2-3 days after injection and has not improved. Today, 11/6/25 patient report...
muscle soreness started 2-3 days after injection and has not improved. Today, 11/6/25 patient reported tingling, numbness down the arm and injection site is cool to the touch
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| 2871027 | 59 | F | MN | 11/06/2025 |
RSV RSV RSV RSV RSV |
MODERNA MODERNA MODERNA MODERNA MODERNA |
30441770 30441770 30441770 30441770 30441770 |
Basal ganglia haemorrhage, Blood brain barrier defect, Brain oedema, Breath soun...
Basal ganglia haemorrhage, Blood brain barrier defect, Brain oedema, Breath sounds abnormal, Cerebral haemorrhage; Cerebral mass effect, Chest X-ray, Computerised tomogram head abnormal, Depressed level of consciousness, Electroencephalogram abnormal; Encephalopathy, Endotracheal intubation, Gastrointestinal tube insertion, Hydrocephalus, Hypopnoea; Intraventricular haemorrhage, Lethargy, Magnetic resonance imaging head abnormal, Mobility decreased, Posture abnormal; Scan with contrast abnormal, Unresponsive to stimuli, Ventricular cisternostomy, Wheelchair user
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11/4/2025 After supper resident was lethargic and not in normal status. Resident in wheelchair arms ...
11/4/2025 After supper resident was lethargic and not in normal status. Resident in wheelchair arms dangling to the side and not responding. Eyes were closed and shallow breathing was noted. No response from resident by calling her name and shaking her. 911 was called for emergency services. VS i BP178/95 HR:103 T:97.8 R18 O291% on RA BS:258. In the ED Neuro exam: Mental Status: Obtunded, sonorous breathing. Slightly opens left eye with noxious stimuli. Decerebrate posturing in the bilateral upper extremities with noxious stimuli. No movement or withdrawal in the lower extremities. GCS: 5 Radiological Review: Head CT reveals a large right basal ganglia hemorrhage with ventricular extension and acute hydrocephalus. Assessment: Encephalopathy., Basal ganglia hemorrhage., Intraventricular hemorrhage. Hydrocephalus Patient continues to be intubated and in the hospital. (11.6.2025)
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โ | โ | ||||
| 2871028 | 75 | F | NY | 11/06/2025 |
COVID19 |
MODERNA |
3052579 |
No adverse event, Underdose
No adverse event, Underdose
|
Adverse event was she was given the pediatric dosage of Covid. NO SYMPTOMS OR REACTIONS
Adverse event was she was given the pediatric dosage of Covid. NO SYMPTOMS OR REACTIONS
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| 2871029 | 46 | M | NY | 11/06/2025 |
COVID19 |
MODERNA |
3052579 |
No adverse event, Underdose
No adverse event, Underdose
|
Adverse event was he was given the pediatric dosage of Covid. NO SYMPTOMS OR REACTIONS
Adverse event was he was given the pediatric dosage of Covid. NO SYMPTOMS OR REACTIONS
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| 2871030 | 69 | F | SC | 11/06/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Injection site pain
Injection site pain
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Periodic soreness in injection site, going on 3 weeks after injection.
Periodic soreness in injection site, going on 3 weeks after injection.
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| 2871031 | 1.58 | M | 11/06/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
5EF45 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient brought in by mother for immunizations including second dose of flu vaccine. It was discover...
Patient brought in by mother for immunizations including second dose of flu vaccine. It was discovered that patient already received initial 2 doses during the previous season. No signs or symptoms noted in chart review.
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| 2871032 | 61 | F | OH | 11/06/2025 |
COVID19 |
NOVAVAX |
10802068 |
Blood test, Chest X-ray, Electrocardiogram, Limb ultrasound, Pulmonary embolism
Blood test, Chest X-ray, Electrocardiogram, Limb ultrasound, Pulmonary embolism
|
I am writing in regards to the Johnson and Johnson Covid vaccine that I took in March 2021. In Febru...
I am writing in regards to the Johnson and Johnson Covid vaccine that I took in March 2021. In February 2022 I was diagnosed with a pulmonary embolism and just recently in October 2025 I was diagnosed with another pulmonary embolism. In February 2022 after the first pulmonary embolism I did a lot of testing to find out that there?s something wrong with my blood and I don?t know if this is from the Johnson & Johnson vaccine but it?s just seem to happen shortly after I received it. After reading that the Johnson & Johnson vaccine was removed because of causing these types of situation. I now believe that this also is what has happened to me. I am now going to need to be on Eliquis for the rest of my life, which is a very expensive medication I believe that something should be done as a compensation to me for now causing me a life-threatening illness. I would really like to talk to somebody about this, and I would hope that somebody would be able to call me and let me know. I pray that I can stay healthy on this medication, but I am 65 years old so I?m very worried about this and it?s something I should not have had to worry about so I hope to hear from someone soon.
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โ | โ | ||||
| 2871033 | 71 | F | MO | 11/06/2025 |
FLU3 VARZOS |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
U8862EA NM35M |
Erythema, Peripheral swelling, Skin warm; Erythema, Peripheral swelling, Skin wa...
Erythema, Peripheral swelling, Skin warm; Erythema, Peripheral swelling, Skin warm
More
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Patient says she was having an allergic reaction. Patient reports having a red, swollen, hot to touc...
Patient says she was having an allergic reaction. Patient reports having a red, swollen, hot to touch arm that is sore.
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| 2871035 | 69 | F | PA | 11/06/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
407243 407243 |
Abdominal pain upper, Asthenia, Chills, Dry mouth, Electrocardiogram normal; Fat...
Abdominal pain upper, Asthenia, Chills, Dry mouth, Electrocardiogram normal; Fatigue, Influenza virus test negative, Migraine, Pain, SARS-CoV-2 test negative
More
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Got FluAd on 10/8/2025 then 5-7 days later had migraines (never had before this bad before), dry mou...
Got FluAd on 10/8/2025 then 5-7 days later had migraines (never had before this bad before), dry mouth, chills, aches/pains, stomach pain, lack of energy. Did NOT have shortness of breath, swelling/closing of airway structures, or chest pain. Went to urgent care 5-7 days after the shot when these things came about and the Flu and COVID tests done were negative and an EKG was normal. They sent her home with guidance for symptomatic pain management with Tylenol. She's doing much better as of 11/6/2025 after around 2 weeks of rest. She's still struggling with fatigue.
More
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| 2871036 | 38 | F | UT | 11/06/2025 |
FLU3 |
SEQIRUS, INC. |
948418 |
Injection site pain, Injection site warmth
Injection site pain, Injection site warmth
|
Patient called on Tuesday complaining of a sore to the touch and hot spot after receiving an immuniz...
Patient called on Tuesday complaining of a sore to the touch and hot spot after receiving an immunization. She said she could move her arm but the spot that was hot was where the shot was given.
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| 2871038 | 11 | M | AZ | 11/06/2025 |
FLUN3 HPV9 MNQ TDAP |
MEDIMMUNE VACCINES, INC. MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
YF3413B Y019459 AH7Z3 37R35 |
Syncope; Syncope; Syncope; Syncope
Syncope; Syncope; Syncope; Syncope
|
Patient fainted, the provider came into the exam room and evaluated and assesed the patient. Patient...
Patient fainted, the provider came into the exam room and evaluated and assesed the patient. Patient became alert and well. Patient remained in office for an additional 30min for observation.
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| 2871039 | 64 | M | ID | 11/06/2025 |
FLU3 FLU3 |
GLAXOSMITHKLINE BIOLOGICALS SEQIRUS, INC. |
NB3X7 407266 |
Extra dose administered, Product administered to patient of inappropriate age, W...
Extra dose administered, Product administered to patient of inappropriate age, Wrong product administered; Extra dose administered, Product administered to patient of inappropriate age, Wrong product administered
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Staff pulled a Fluad 65+ for pt that is 64 yrs and a Prevnar 20. When staff scanned the Fluad it ale...
Staff pulled a Fluad 65+ for pt that is 64 yrs and a Prevnar 20. When staff scanned the Fluad it alerted her to pt only being 64. She then grabbed the Flulaval and all three were on her desk. She thought she grabbed the Fluad to put back in the refrigerator but she actually grabbed the Prevnar 20 and put it back where the Fluad goes. She then gave pt both a the Fluad and Flulaval influenza vaccines. She noticed later that the Prevnar was what she put back and told the pt and the provider. Provider said pt would be fine and to have him come back in two weeks to get the Prevnar 20.
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| 2871040 | 48 | F | OH | 11/06/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
|
Abdominal pain, Diarrhoea, Dizziness, Lethargy, Nausea; Pain
Abdominal pain, Diarrhoea, Dizziness, Lethargy, Nausea; Pain
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Nausea, diarrhea, abdominal pain, lethargy, achiness and dizziness
Nausea, diarrhea, abdominal pain, lethargy, achiness and dizziness
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| 2871041 | 68 | F | NJ | 11/06/2025 |
FLU3 FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
U8847BA U8847BA U8847BA |
Blood test, Cardiomegaly, Carditis, Chest discomfort, Decreased appetite; Echoca...
Blood test, Cardiomegaly, Carditis, Chest discomfort, Decreased appetite; Echocardiogram abnormal, Electrocardiogram normal, Heart rate increased, Heart valve incompetence, Hypersomnia; Weight decreased
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after getting the vaccine her health started to decline. She sweated for 6 days and started loosing ...
after getting the vaccine her health started to decline. She sweated for 6 days and started loosing weight wanting to sleep all of the time. She was having chest pressure. She went to [withheld] community clinic UC. She was told her heart was elevated. She declined blood work since she was having it at her doctors office within the next couple of days. After two weeks she was told that her cardiac numbers 35.5 and that she was at the point of having a stroke or heart attack. She had inflammation around her heart. She was told to come back in and do more blood work and EKG. Her cardiac numbers were at 1.5 at this time and EKG was good. Echocardiogram showed a little leak in a heart valve and an enlarged atrium. She is scheduled at [withheld] heart and lung clinic to have a second opinion this week. She is now getting her appetitive back and gaining some weight. She still has pressure on her chest.
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| 2871043 | 68 | F | OR | 11/06/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
|
Decreased appetite, Erythema, Headache, Lethargy, Pyrexia; Rhinorrhoea
Decreased appetite, Erythema, Headache, Lethargy, Pyrexia; Rhinorrhoea
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At 03:00 on 11/5/2025: Experienced: 1) Fever 2) Chronic Headache 3) Red Face, 4) Runny Nose, 5) No ...
At 03:00 on 11/5/2025: Experienced: 1) Fever 2) Chronic Headache 3) Red Face, 4) Runny Nose, 5) No Appetite 6) Severe Lethargy,
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| 2871044 | 12 | F | MI | 11/06/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0846 |
Underdose
Underdose
|
Given lower dosage than recommended for age
Given lower dosage than recommended for age
|
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| 2871046 | 8 | F | WA | 11/06/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052668 AX5812A |
Incorrect dose administered; Incorrect dose administered
Incorrect dose administered; Incorrect dose administered
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This child was given Spikevax 12+ at age 8 years old. Monitored and tolerated well. No adverse react...
This child was given Spikevax 12+ at age 8 years old. Monitored and tolerated well. No adverse reactions noted.
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| 2871047 | 13 | M | OR | 11/06/2025 |
COVID19 COVID19 FLU3 FLU3 |
MODERNA MODERNA GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Blindness, Dizziness, Gait disturbance, Headache, Sleep disorder; Tinnitus, Visi...
Blindness, Dizziness, Gait disturbance, Headache, Sleep disorder; Tinnitus, Vision blurred; Blindness, Dizziness, Gait disturbance, Headache, Sleep disorder; Tinnitus, Vision blurred
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He got COVID and flu booster shots on Saturday Sunday morning (3a), wasn't feeling terrible bu...
He got COVID and flu booster shots on Saturday Sunday morning (3a), wasn't feeling terrible but vision was off" Got up at 3a and couldn't fall asleep He went to get water and got the cup Trying to get there water jug and pick up the cup Was stumbling and couldn't see and dad caught him and dad let him to the floor He woke up on the floor. He remembers openng the fridge, remembers vision going blurry, ears were ringing When he woke up, still ciyldn't see well Laid down the floor and then went to bed Sunday, had a headache and then feels fine Head hurts in the middle No nausea Sometimes, when he stands up too fast, he gets lightheaded The next day, he had a low grade temp og 99.8 No palps, chest pain, exertional intolerance
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| 2871049 | 60 | M | TX | 11/06/2025 |
FLU3 |
SANOFI PASTEUR |
406990 |
Electric shock sensation, Injection site haemorrhage, Irritability, Pain in extr...
Electric shock sensation, Injection site haemorrhage, Irritability, Pain in extremity
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Pt received the flu shot on 9/15/2025 on left deltoid. pt has no complaints after receiving vaccine....
Pt received the flu shot on 9/15/2025 on left deltoid. pt has no complaints after receiving vaccine. VIS form was provided to pt. Infomed pt he may have pain, tenderness at the injection site and he can take tylenol/ibuprofen to the area. If there is swelling it should subside. If swelling develops and does not resolve, pt is to go to ER or f/u. Pt comes into clinic today 11/6/25 stating that since the flu shot, he has intermittent "shocking" sensation of left thumb that radiates to forearm with driving or sitting . When asked initially if he had pain of left shoulder , he denied. Later he changes the history and said he has pain from left shoulder down ,NO numbness, NROM of left shoulder and thumb with all movements. No swelling of left thumb or shoulder. MA informed clinician pt has not been taking his psychiatric meds. Pt is a poor historian . He is difficult to understand due to thick accent, Explained to pt next plan of care is to refer to neurology for nerve conduction test. Pt declined. "I do not have the money." I want to file a claim." "I will take this to court." It was recommended to pt that imaging such as MRI can be done prior to neuro referral , pt declined and he left the clinic. pt mentioned at one point that there was bleeding at injection site. Pt was not clear whether it was after the injection or later. He would no answer question directly. He did not quanitfy the amount of bleeding. "I want to file a claim". This may be with reference with what is written in the VIS form for flu. pt never came in earlier to discuss the issue in clinic. Pt was in a irritated mood. Pt walked out of clinic prior to completion of office visit. Nurse Practitioner student from university was also present in the room during the encounter.
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| 2871050 | 10 | M | MA | 11/06/2025 |
COVID19 UNK UNK |
MODERNA UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
3052581 |
Incorrect dose administered, No adverse event; Incorrect dose administered, No a...
Incorrect dose administered, No adverse event; Incorrect dose administered, No adverse event; Incorrect dose administered, No adverse event
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pt given Moderna SpikeVax 0.5mL for children 12+ years. Pt was 10 years at time of administration. ...
pt given Moderna SpikeVax 0.5mL for children 12+ years. Pt was 10 years at time of administration. Provider informed pt and parents, no known side effects at this point
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| 2871051 | 41 | F | AL | 11/06/2025 |
FLU3 |
SEQIRUS, INC. |
AX6342A |
Pruritus, Rash
Pruritus, Rash
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I noticed mild itching starting on the evening of 10/29/2025 after receiving the vaccine. By the mor...
I noticed mild itching starting on the evening of 10/29/2025 after receiving the vaccine. By the morning of 10/30/2025, the itching became much more intense and a rash appeared.
More
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| 2871052 | 3 | F | MO | 11/06/2025 |
DTPPVHBHPB FLU3 HEPA MMRV PNC20 |
MSP VACCINE COMPANY SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH |
|
Gait disturbance, Injection site erythema, Injection site swelling, Injection si...
Gait disturbance, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia; Gait disturbance, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia; Gait disturbance, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia; Gait disturbance, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia; Gait disturbance, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
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Left leg swelling and redness around injection site with warmth to touch. Started a few hours after ...
Left leg swelling and redness around injection site with warmth to touch. Started a few hours after vaccine and started to worsen on Day 3. Fever the night of vaccination that resolved by the next day. Difficulty walking the first 1-2 days that resolved.
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| 2871053 | 69 | M | IA | 11/06/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
7345R |
Audiogram abnormal, Deafness unilateral
Audiogram abnormal, Deafness unilateral
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Patient developed left sided hearing loss a couple of hours after receiving his flu vaccine. He had...
Patient developed left sided hearing loss a couple of hours after receiving his flu vaccine. He had an audiogram and is currently taking prednisone burst and tapper and then will see ENT again on 11/11.
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| 2871054 | 78 | F | TX | 11/06/2025 |
FLU3 FLU3 VARZOS VARZOS |
SANOFI PASTEUR SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
U8875AA U8875AA C9X3R C9X3R |
Disorientation, Dizziness, Head injury, Hypoaesthesia, Injection site reaction; ...
Disorientation, Dizziness, Head injury, Hypoaesthesia, Injection site reaction; Lethargy, Loss of consciousness, Seizure, Sleep disorder; Disorientation, Dizziness, Head injury, Hypoaesthesia, Injection site reaction; Lethargy, Loss of consciousness, Seizure, Sleep disorder
More
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Patient received two vaccines in the morning. Went to bed and woke up disoriented at 02:00 the next ...
Patient received two vaccines in the morning. Went to bed and woke up disoriented at 02:00 the next morning. She went to the restroom and sat on the toilet where she thinks she lost consciousness or had a seizure and hit her head on the wall three times. She then regained consciousness and walked back to her bed. She was unable to go back to sleep and couldn't feel her arm. The next day she was dizzy and lethargic until she went to bed. On the morning of 11/05/2025 she had recovered from lethargy and dizziness but had a know at injection site and head was sore where she hit it against the wall. She didn't seek medical advice but called our store to notify me.
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| 2871057 | 44 | F | WA | 11/06/2025 |
COVID19 |
MODERNA |
|
Menstruation irregular, Polymenorrhoea
Menstruation irregular, Polymenorrhoea
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Irregular menstrual cycle. It caused early onset of menstrual period
Irregular menstrual cycle. It caused early onset of menstrual period
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| 2871060 | 33 | F | IL | 11/06/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
4929010 4929010 |
Arthralgia, Limb discomfort, Pain, Paraesthesia, Product administered at inappro...
Arthralgia, Limb discomfort, Pain, Paraesthesia, Product administered at inappropriate site; Sleep disorder
More
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Arm heaviness and tingling at time of injection (likely due to problematic injection site-too superi...
Arm heaviness and tingling at time of injection (likely due to problematic injection site-too superior), pain in shoulder with abduction and at night
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| 2871061 | 47 | F | NC | 11/06/2025 |
UNK UNK FLU3 FLU3 |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER SANOFI PASTEUR SANOFI PASTEUR |
U8875AA U8875AA U875AA U875AA |
No adverse event, Product administered to patient of inappropriate age; No adver...
No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age
More
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Fluzone HD was administered instead of Flublok. No adverse reactions reported by patient.
Fluzone HD was administered instead of Flublok. No adverse reactions reported by patient.
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| 2871062 | 8 | F | CO | 11/06/2025 |
COVID19 |
MODERNA |
3052668 |
Incorrect dose administered
Incorrect dose administered
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Moderna Spikevax for 12+ was given to an 8 y/o
Moderna Spikevax for 12+ was given to an 8 y/o
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| 2871063 | 6 | F | MI | 11/06/2025 |
FLU3 FLU3 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5EF45 4D255 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event
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patient received a dose of FluLaval influenza vaccine on 08/22/2025. Patient received another dose ...
patient received a dose of FluLaval influenza vaccine on 08/22/2025. Patient received another dose of the FluLaval influenza vaccine on 11/04/2025. The parent had reported that the child had not yet received a dose of the seasonal influenza vaccine prior to administration. There were no immediate adverse events after administration of the vaccine. Parent was notified immediately at the time of the incident and advised to monitor for and report any adverse events/signs/symptoms.
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| 2871066 | 12 | F | ME | 11/06/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
my9548 407001 |
Injection site haemorrhage, Lethargy, Loss of consciousness, Malaise, Pallor; In...
Injection site haemorrhage, Lethargy, Loss of consciousness, Malaise, Pallor; Injection site haemorrhage, Lethargy, Loss of consciousness, Malaise, Pallor
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Patient came in for flu and covid vaccine. After the second vaccine, patient noticed she was bleedin...
Patient came in for flu and covid vaccine. After the second vaccine, patient noticed she was bleeding. She stated she did not feel well. She started changing color, turning pale, then passed out for a few seconds. Mother was with patient and comforted daughter. Mother also stated this has happened before. Even after coming to, immediately, patient remained lethargic. She was able to talk and able to answer questions. Mother refused our offer to call for emergency services. We provided patient cold compress, placed it on the back of her neck. She threw up at this point. We then grabbed her a water and she passed out again for a few seconds. She remained lethargic for few minutes, then her skin color returned to normal. Patient was able to stand and felt she was much better at this point, after which mother and daughter left.
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| 2871067 | 60 | M | FL | 11/06/2025 |
UNK |
UNKNOWN MANUFACTURER |
U8864aa |
Peripheral swelling
Peripheral swelling
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arm swelled
arm swelled
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| 2871070 | 64 | M | KS | 11/06/2025 |
FLU3 |
SEQIRUS, INC. |
407246 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Gave a high-dose influenza to this patient instead of a regular.
Gave a high-dose influenza to this patient instead of a regular.
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| 2871071 | 55 | M | CA | 11/06/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
don't know don't know |
Biopsy skin, Biopsy skin normal, Burning sensation, Condition aggravated, Discom...
Biopsy skin, Biopsy skin normal, Burning sensation, Condition aggravated, Discomfort; Nerve conduction studies normal, Small fibre neuropathy
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Prior to the Vaccination as indicated, I had a pre-existing conditon of non length dependent small f...
Prior to the Vaccination as indicated, I had a pre-existing conditon of non length dependent small fiber nueropathy. The presentation prior to the vaccination was on my front torso, 25% of my upper mid back and thighs. ***I received the second dose of the shingles vaccine at the beginning of October 2024. 3-4 after the second dose of the shingles vaccine, "my body exploded." I had 30 days of my entire body burning in the middle of the night (arms, legs, torso and even face). I would sit in the bath tub at 2-3 in the morning. After the explosion stopped. My non length dependent small fiber nueropathy had spread to 100 percent of my back, buttocks, back of my legs, top of my calves and up my neck. Dr-Rhuemotologist believed I had an adverse event to the Shingrix Vaccine. I now cannot sit comfortably, wear clothing etc. This as ruined my entire life!
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| 2871075 | 33 | F | CT | 11/06/2025 |
FLU3 |
SEQIRUS, INC. |
407006 |
Pruritus, Rash, Urticaria
Pruritus, Rash, Urticaria
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DEVELOPED ITCHINESS WITH IN 2 HOURS AFTER VACCINATIONTHEN DEVELOPED RASH AND HIVES. RASH AND HIVES O...
DEVELOPED ITCHINESS WITH IN 2 HOURS AFTER VACCINATIONTHEN DEVELOPED RASH AND HIVES. RASH AND HIVES ON LOWER ASPECT OF BOTH ARMS, RIGHT SIDE OF NECK PROGRESSING TO FRONT OF THROAT AREA AND LOWER BACK. TREATMET WAS WITH ORAL BENADRYL AND TOPICAL BENADRYL
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| 2871077 | 45 | M | WA | 11/06/2025 |
FLU3 FLU3 PNC20 PNC20 |
SEQIRUS, INC. SEQIRUS, INC. PFIZER\WYETH PFIZER\WYETH |
948402 948402 MG7418 MG7418 |
Chills, Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Lo...
Chills, Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities; Monoplegia, Muscular weakness, Paraesthesia, Sleep disorder; Chills, Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities; Monoplegia, Muscular weakness, Paraesthesia, Sleep disorder
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Patient is still in severe pain from 1 of the 2 shots. Patient has lost range of motion in his arm, ...
Patient is still in severe pain from 1 of the 2 shots. Patient has lost range of motion in his arm, numbness & tingling radiant down his arm to his elbow. He cannot lift his arm. lost range of motion and moderate paralysis of the arm. He has bolts of excruciating pain. He has to make adjustments to daily living trying not to further aggravate the arm/point of injection. He has difficulty sleeping. It impacts him when trying to put clothes on. The day is the shot he radiates chills though his body and went to bed at 8;45 when usually he is awake until 1-2am Patient is autistic avoiding human contact. his emotions are muted. So for patient to daily express pain from the injection is a big deal. I believe his auxiliary nerve in his upper arm was punctured when the shot was given. We need a follow up and diagnostic testing.
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| 2871078 | 3 | M | AR | 11/06/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
ze423 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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This patient was given his booster flu vaccine today, he was given a flu vaccine on 10/20/25 and was...
This patient was given his booster flu vaccine today, he was given a flu vaccine on 10/20/25 and was supposed to get a booster in 28 days but it was scheduled and given today, which was 17 days after the last flu vaccine.
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| 2871079 | 74 | F | MD | 11/06/2025 |
FLU3 |
SANOFI PASTEUR |
U8862CA |
Mobility decreased, Pain, Pain in extremity, Tenderness
Mobility decreased, Pain, Pain in extremity, Tenderness
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Arm is painful when moving and to the touch, difficult to lift arm above shoulder height, pt iced ar...
Arm is painful when moving and to the touch, difficult to lift arm above shoulder height, pt iced arm and applied heat and tried lidocaine patch and regularly takes pain med for back which did not improve arm pain. Pain began morning after vaccine when she pushed down with that arm to get out of bed and has hurt since. advised to contact md, I tried contacting him, waiting on call back. advised continue ice and heat
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| 2871080 | 37 | F | LA | 11/06/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
U8848AA U8848AA |
Chills, Flushing, Muscle tightness, Nausea, Tremor; Vomiting
Chills, Flushing, Muscle tightness, Nausea, Tremor; Vomiting
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1030- Noted patient annotated yes on history of passing out while donating blood on Flu vaccine scre...
1030- Noted patient annotated yes on history of passing out while donating blood on Flu vaccine screening sheet. Dr notified to come access patient prior to giving vaccine. 1040- Dr to clinic and completed his assessment clearing patient to receive Flu vaccine and signed screening form. 1045- Flu vaccine administered, and she was instructed to wait 15 minutes for possible reaction then nurse would bring her completed memo to give to her supervisor. 1100- Nurse was following up with patient and her completed memo and ask how she was feeling. She stated ? I was fine until you walked up? Nurse noted she was flushed in the face, and she started c/o N/V. Then she started having shaking and chills and c/o neck muscles being tight. 1105- After consulting with RN patient was transported to ER via wheelchair. LPN assisted with check in at ER and transferred care to ER nurse.
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| 2871085 | 78 | F | IL | 11/06/2025 |
COVID19 PNC21 |
PFIZER\BIONTECH MERCK & CO. INC. |
MY9518 Z009681 |
Rash; Rash
Rash; Rash
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Skin rash all over body.
Skin rash all over body.
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| 2871086 | 70 | F | CO | 11/06/2025 |
COVID19 |
MODERNA |
80777-112-01 |
Loss of consciousness, Syncope
Loss of consciousness, Syncope
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Patient reports after covid injection on 10/20/2025 when she was home she fainted and was unconsciou...
Patient reports after covid injection on 10/20/2025 when she was home she fainted and was unconscious for apprx 4hrs. Patient reports this is the second time she believes she has had a reaction to the covid injection, last time it also included fainting
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| 2871087 | 23 | F | 11/06/2025 |
FLU3 FLU3 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
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Dizziness, Immediate post-injection reaction, Nausea, Pyrexia, Skin warm; Urtica...
Dizziness, Immediate post-injection reaction, Nausea, Pyrexia, Skin warm; Urticaria, Vomiting
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Patient received the flu vaccine and immediately after their arm was hot. The next day the patient w...
Patient received the flu vaccine and immediately after their arm was hot. The next day the patient was dizzy, nauseous/vomiting, and had fever and hives.
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| 2871088 | 54 | F | MA | 11/06/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
946621 946621 |
Balance disorder, Blood test normal, Dizziness, Feeling abnormal, Magnetic reson...
Balance disorder, Blood test normal, Dizziness, Feeling abnormal, Magnetic resonance imaging normal; Malaise, Pain, Vertigo, Vestibular migraine
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I have gotten the flu vaccine every year for 15+ years I got the vaccine October 2024 and within 48 ...
I have gotten the flu vaccine every year for 15+ years I got the vaccine October 2024 and within 48 hours I started feeling ill, achey and just not myself then in December I had an episode of vertigo and since then I have been off balance, dizzy, woozy etc.
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