| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2871220 | 11 | M | 11/06/2025 |
FLU3 |
SANOFI PASTEUR |
U88488 |
Dizziness, Fall, Pallor
Dizziness, Fall, Pallor
|
Patient became pale and dizzy upon standing after receiving vaccine. Patient stated he felt dizzy be...
Patient became pale and dizzy upon standing after receiving vaccine. Patient stated he felt dizzy before falling forward. Pt was able to catch himself upon falling. Pt was escorted to waiting area by medical personnel at around 0935. Pt presented with pale skin.
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| 2871222 | 33 | F | CA | 11/06/2025 |
COVID19 |
MODERNA |
3052835 |
Injection site erythema, Injection site mass, Injection site pain, Injection sit...
Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
More
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Intense pain at injection site, redness, swelling, tender and lump at injection site.
Intense pain at injection site, redness, swelling, tender and lump at injection site.
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| 2871240 | 83 | F | CO | 11/06/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
|
Chills, Diarrhoea, Fatigue, Flatulence, Gastrointestinal sounds abnormal; Pain i...
Chills, Diarrhoea, Fatigue, Flatulence, Gastrointestinal sounds abnormal; Pain in extremity
More
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Watery diarrhea, stools normal 10-3, 10-4, 10-5 Loose BM's 10-7, 10-8, 10-9 - not watery Took P...
Watery diarrhea, stools normal 10-3, 10-4, 10-5 Loose BM's 10-7, 10-8, 10-9 - not watery Took Pepto Bismol 10-6, 10-7, 10-8 - did NOT help & has always helped with diarrhea or watery stools in past Had gas, stomach noises until 10-8/had arm pain 2 days No fever/very tired with chills until 10-8 Have had x3 Moderna and x5 Pfizer Covid vaccines + never a problem like this
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| 2870638 | 11/05/2025 |
RVX |
UNKNOWN MANUFACTURER |
UNK |
Cardiac failure congestive, Dyspnoea, Fatigue, Malaise
Cardiac failure congestive, Dyspnoea, Fatigue, Malaise
|
had Congestive heart failure/heart was working at 33 percent; got sick a week later; This serious c...
had Congestive heart failure/heart was working at 33 percent; got sick a week later; This serious case was reported by a consumer via interactive digital media and described the occurrence of congestive heart failure in a patient who received RSVPreF3 adjuvanted (RSV vaccine) for prophylaxis. On 31-OCT-2024, the patient received RSV vaccine. In NOV-2024, 1 week after receiving RSV vaccine, the patient experienced sickness (Verbatim: got sick a week later). In FEB-2025, the patient experienced congestive heart failure (Verbatim: had Congestive heart failure/heart was working at 33 percent) (serious criteria GSK medically significant). The outcome of the congestive heart failure and sickness were not reported. It was unknown if the reporter considered the congestive heart failure and sickness to be related to RSV vaccine. The company considered the congestive heart failure to be unrelated to RSV vaccine. It was unknown if the company considered the sickness to be related to RSV vaccine. Additional Information: GSK Receipt Date: 25-OCT-2025 This case was reported by a patient via interactive digital media. Patient received the Respiratory syncytial virus vaccine last day in October last year on 31 Oct 2024, got sick a week later. In Feb 2025 of this year patient was told had Congestive Heart Failure. Patient experienced shortness of breath, tiredness, heart was working at 33 percent. If patient would have known, would have not taken the Respiratory syncytial virus vaccine. The batch number was not provided and unable to contact the reporter.; Sender's Comments: A case of Cardiac failure congestive, Less than 6 months after receiving RSV vaccine, in a patient. Based on the available information a possible causality that the event was caused by GSK vaccine product cannot be ascertained. Consent for further follow up has not been received
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| 2870744 | 5 | F | NC | 11/05/2025 |
FLU3 |
SEQIRUS, INC. |
|
Urticaria
Urticaria
|
Delayed onset hives
Delayed onset hives
|
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| 2870745 | 35 | F | MO | 11/05/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
|
Arthralgia, Pain in extremity
Arthralgia, Pain in extremity
|
Left arm and shoulder pain. Moderate to severe pain. On and off since vaccination administration
Left arm and shoulder pain. Moderate to severe pain. On and off since vaccination administration
|
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| 2870747 | 76 | F | NC | 11/05/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052671 407981 |
Anal incontinence, Balance disorder, Food refusal, Urinary incontinence; Anal in...
Anal incontinence, Balance disorder, Food refusal, Urinary incontinence; Anal incontinence, Balance disorder, Food refusal, Urinary incontinence
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|
A FEW DAYS FOLLOWING VACCINES RESIDENT BACAME UNSTUDY ON FEET NOT WANTING TO GET OUT OF BED BECAME I...
A FEW DAYS FOLLOWING VACCINES RESIDENT BACAME UNSTUDY ON FEET NOT WANTING TO GET OUT OF BED BECAME INCONTENT OF BOWEL AND BLADDER STARTED REFUSING MEDS LIGUIDS AND FOOD
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โ | |||||
| 2870752 | 34 | F | PA | 11/05/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
2CA5M |
Arthralgia, Asthenia, Mobility decreased, Shoulder injury related to vaccine adm...
Arthralgia, Asthenia, Mobility decreased, Shoulder injury related to vaccine administration, X-ray limb normal
More
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Per patient---Flu shot given 10/10/25, approximately 9:40 am. Shoulder pain, decreased AROM, weakne...
Per patient---Flu shot given 10/10/25, approximately 9:40 am. Shoulder pain, decreased AROM, weakness started following day and continued to worsen over next 10 days. Tried OTC pain meds, ice, gentle ROM-no relief. Saw PCP on 10/21/25 and diagnosed with shoulder injury related to vaccine administration. She prescribed 10 course of prednisone. Symptoms only worsened when coming off the steroid.
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| 2870753 | 16 | M | WI | 11/05/2025 |
FLU3 |
SEQIRUS, INC. |
|
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Additional flu vaccine given that was not necessary. No symptoms or harm to patient other then the a...
Additional flu vaccine given that was not necessary. No symptoms or harm to patient other then the additional dose
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| 2870754 | 72 | M | SC | 11/05/2025 |
COVID19 COVID19 FLU3 FLU3 |
PFIZER\BIONTECH PFIZER\BIONTECH SANOFI PASTEUR SANOFI PASTEUR |
|
Asthenia, Eye pain, Influenza, Loss of personal independence in daily activities...
Asthenia, Eye pain, Influenza, Loss of personal independence in daily activities, Pain; Sleep disorder; Asthenia, Eye pain, Influenza, Loss of personal independence in daily activities, Pain; Sleep disorder
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pt says he felt like he had the flu. He was achy all over and had pain in both eyes. He woke up duri...
pt says he felt like he had the flu. He was achy all over and had pain in both eyes. He woke up during the night with these symptoms that he felt was life threatening at that time. His wife went to the pharmacy to pick up some medication for him and let them know he was having reaction to the flu vaccine and she was told they had been seeing this with some of their patients. His symptoms lasted well into the next day. He feels some better now but still has an overall feeling of weakness. There are some things he cannot still do from being so weak. He contacted his doctors office to let them know he was having events following the vaccine. No appt for follow up made.
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โ | |||||
| 2870758 | 56 | F | MI | 11/05/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
U8881BA U8881BA |
Blood glucose normal, Condition aggravated, Malaise, Postictal state, Seizure; U...
Blood glucose normal, Condition aggravated, Malaise, Postictal state, Seizure; Urinary incontinence, Vomiting
More
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Patient came to me, Immunization Specialist at about 9:45am for her flu vaccine. Stated that she has...
Patient came to me, Immunization Specialist at about 9:45am for her flu vaccine. Stated that she has been feeling sick to her stomach all morning and thought about going home, still wanted her flu vaccine. Approximately an hour later, patient stated that she was feeling ill. Patient went outside and began vomiting. Nurses were alerted to patient's condition and went to assist. Patient stated that she felt like she was going to have a seizure (hx of seizures and under the care of a neurologist). She was assisted to the ground. Nurse alerted other nurses of need for equipment and assistance. Husband called. Patient began having a seizure- Nurse Stat called. BP 151/102 HR 104. O2 91%. Blood sugar 81. EMS called. Repeat BP 143/74 HR 102 97% on 3L O2. Patient post-ictal and incontinent of urine. Husband arrived. EMS arrived. EMS informed of history of seizures, vomiting and that patient had seizure. Medic asked who witnessed the seizure and was informed that all team members present witnessed the seizure. . Patient was assisted to the cart and placed in the ambulance. Patient went to ER and was sent home shortly after.
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| 2870759 | 87 | M | OH | 11/05/2025 |
COVID19 |
PFIZER\BIONTECH |
my9550 |
Injection site pain
Injection site pain
|
injection site reaction- stabbing pain
injection site reaction- stabbing pain
|
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| 2870760 | 1 | F | OK | 11/05/2025 |
FLU3 HEPA HIBV MMR PNC20 VARCEL |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
UT8852KA MB599 y011267 Z004960 MA2523 z008427 |
Injection site rash, Rash; Injection site rash, Rash; Injection site rash, Rash;...
Injection site rash, Rash; Injection site rash, Rash; Injection site rash, Rash; Injection site rash, Rash; Injection site rash, Rash; Injection site rash, Rash
More
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Mother of patient stated the following day after recieving 12 mo vaccines noticed a small rash on he...
Mother of patient stated the following day after recieving 12 mo vaccines noticed a small rash on her legs and then got better through out the day. Woke up today (5 Nov 2025) noticing the rash has spread all over her body then got seen in clinic by Dr.
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| 2870763 | 69 | M | TN | 11/05/2025 |
FLU3 PNC21 |
SANOFI PASTEUR MERCK & CO. INC. |
u8859ba z003579 |
Hypoaesthesia, Paraesthesia; Hypoaesthesia, Paraesthesia
Hypoaesthesia, Paraesthesia; Hypoaesthesia, Paraesthesia
|
patient has numbness and tingling in left arm where he received both shots - numbness has subsided b...
patient has numbness and tingling in left arm where he received both shots - numbness has subsided but is still having some numbness in thumb
More
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| 2870765 | 77 | M | FL | 11/05/2025 |
FLU3 |
SANOFI PASTEUR |
Ut8781da |
Injection site bruising
Injection site bruising
|
Heavy dark bruising at injection site.3 to 4 inch circle
Heavy dark bruising at injection site.3 to 4 inch circle
|
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| 2870767 | 17 | F | WI | 11/05/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
2T543 |
Extra dose administered
Extra dose administered
|
The Influenza vaccine was administered as part of our school-based mass vaccination clinics. The chi...
The Influenza vaccine was administered as part of our school-based mass vaccination clinics. The child's legal guardian had signed consent for the child to receive the influenza vaccination at school on 10/16/25. The vaccine was administered at school on 10/16/25 by LPN (County Department of Public Health). When we went into the Immunization Registry to enter the immunization, the system would not allow us to enter the vaccine, stating the the child had received an influenza vaccine on 10/10/25. I contacted the child's guardian to discuss this. She reported that the child was seen to receive her COVID-19 vaccine. I advised the guardian to contact facility to verify what the child had received. Facility verified that she received influenza at her visit. The child's guardian did not understand how this had happened, as she expressed to me that she explicitly requested the COVID-19 vaccine at the child's appointment. We discussed that the child had now received 2 doses of influenza and no doses of COVID-19. I educated her to monitor for signs and symptoms of adverse reactions and what steps to take should this occur. Guardian stated understanding. No adverse outcomes were reported by the guardian as of this date.
More
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| 2870769 | 48 | F | DE | 11/05/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
025B21A 025B21A 025B21A 822C21A 822C21A 822C21A |
Biopsy, Computerised tomogram, Hypocalcaemia, Influenza virus test negative, Lym...
Biopsy, Computerised tomogram, Hypocalcaemia, Influenza virus test negative, Lymphadenopathy; Lymphatic fistula, Oropharyngeal pain, Palpitations, Parathyroidectomy, SARS-CoV-2 test negative; Streptococcus test negative, Thyroid cancer metastatic, Ultrasound scan; Biopsy, Computerised tomogram, Hypocalcaemia, Influenza virus test negative, Lymphadenopathy; Lymphatic fistula, Oropharyngeal pain, Palpitations, Parathyroidectomy, SARS-CoV-2 test negative; Streptococcus test negative, Thyroid cancer metastatic, Ultrasound scan
More
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In July 2021, approximately two months after my second Moderna COVID-19 vaccination, I began experie...
In July 2021, approximately two months after my second Moderna COVID-19 vaccination, I began experiencing severe heart palpitations, prompting me to schedule an appointment with a cardiologist. I was evaluated on August 19, 2021. All cardiac tests were normal, and the cardiologist recommended that I have my thyroid checked. I did not pursue thyroid testing at that time. In mid-September 2021, I developed significant throat pain localized to the center of my neck. I visited my primary care provider, and over the following month, underwent multiple tests for COVID-19, strep throat, and influenza๏ฟฝall of which were negative. Despite two rounds of antibiotics, the pain persisted. In early November 2021, I noticed enlarged lymph nodes in my neck and along my collarbone. I was referred for diagnostic imaging, including an ultrasound on November 8, a CT scan on November 10, and a biopsy on November 19. I was subsequently diagnosed with metastatic thyroid cancer. I had no prior history of thyroid disease or related symptoms before this sequence of events. My surgery lasted approximately twelve hours and was complicated by a severe chyle leak caused by a large lymph node encasing the thoracic duct. It took more than a month and multiple procedures to resolve the leak. During surgery, three of my four parathyroid glands were removed, and the remaining gland is nonfunctional, resulting in chronic hypocalcemia. Physicians expressed concern because I have no family history of this aggressive form of thyroid cancer and no known exposure to radiation. I have also never tested positive for COVID-19. I would like to reference the study My cancer presentation closely mirrors the cases described in this report. When comparing my pathology findings to those outlined in the study, the conclusion was: "The extent of lymph node involvement and extranodal extension places your cancer closer to the more aggressive profile described in this study."
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โ | โ | ||||
| 2870774 | 1.5 | F | SC | 11/05/2025 |
COVID19 FLU3 HEPA |
MODERNA GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
3052553 AH2G4 Z003748 |
Injection site urticaria, Urticaria; Injection site urticaria, Urticaria; Inject...
Injection site urticaria, Urticaria; Injection site urticaria, Urticaria; Injection site urticaria, Urticaria
More
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She was improving from an asthma exacerbation and on low dose steroids and albuterol as needed. She ...
She was improving from an asthma exacerbation and on low dose steroids and albuterol as needed. She had had the first two COVID shots as the pfizer vaccines, and was getting the moderna as we did not have the pfizer for her age. After about 10 minutes of getting immunizations (COVID, Flu, and Hep A) she had full body hives. more around the right thigh where the flu shot went in, but all over her body.
More
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| 2870775 | 74 | F | FL | 11/05/2025 |
COVID19 |
MODERNA |
3052581 |
Asthenia, Fall, Musculoskeletal chest pain, Pyrexia, Vomiting
Asthenia, Fall, Musculoskeletal chest pain, Pyrexia, Vomiting
|
Patient states woke up in the middle of the night with high fever (103.8F), vomiting, weakness, and ...
Patient states woke up in the middle of the night with high fever (103.8F), vomiting, weakness, and she fell twice (landed on her ribs and area was still sore)
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| 2870777 | 69 | F | WI | 11/05/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
NA0589 U8862CA |
Injected limb mobility decreased, Pain in extremity; Injected limb mobility decr...
Injected limb mobility decreased, Pain in extremity; Injected limb mobility decreased, Pain in extremity
More
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Patient's ex-Husband reported that Pt received 2 vaccines in her left arm. Experienced extreme...
Patient's ex-Husband reported that Pt received 2 vaccines in her left arm. Experienced extreme pain and decrease in motion of left arm. Was seen in urgent care 2 days after shot and prescribed meloxicam for the pain. Meloxicam did not take pain away. Pt was then seen by healthcare professional and received a cortisone shot in left shoulder.
More
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| 2870778 | 45 | F | TX | 11/05/2025 |
FLU3 |
SEQIRUS, INC. |
|
Rash, Rash erythematous, Rash pruritic, Urticaria
Rash, Rash erythematous, Rash pruritic, Urticaria
|
Hives on top of hands and arms. Small red itchy bumps on top of hands.
Hives on top of hands and arms. Small red itchy bumps on top of hands.
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| 2870779 | 40 | F | PA | 11/05/2025 |
FLU3 |
SEQIRUS, INC. |
409415 |
Syncope
Syncope
|
Patient fainted a few minutes after flu vaccine, we called ems but patient was hesitant to EMS help,...
Patient fainted a few minutes after flu vaccine, we called ems but patient was hesitant to EMS help, so police came and checked on her. Her husband came and took her home.
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| 2870780 | 11 | F | MT | 11/05/2025 |
COVID19 |
MODERNA |
3052741 |
Incorrect dose administered
Incorrect dose administered
|
Inadvertent Adult dose administration for a pediatric patient.
Inadvertent Adult dose administration for a pediatric patient.
|
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| 2870781 | 15 | F | WI | 11/05/2025 |
FLUN3 |
MEDIMMUNE VACCINES, INC. |
YH3388 |
Extra dose administered
Extra dose administered
|
The Influenza vaccine was administered as part of our school-based mass vaccination clinics. The chi...
The Influenza vaccine was administered as part of our school-based mass vaccination clinics. The child's legal guardian had signed consent for the child to receive the influenza vaccination at school on 10/16/25. The vaccine was administered at school on 10/16/25 by LPN (County Department of Public Health). When we went into the Immunization Registry to enter the immunization, the system would not allow us to enter the vaccine, stating the the child had received an influenza vaccine 10/15/25. I contacted the child's guardian to discuss this. She reported that the child was seen at facility to receive her COVID-19 vaccine. I advised the guardian to contact facility to verify what the child had received. Facility verified that she received influenza vaccine at her visit. The child's guardian did not understand how this had happened, as she expressed to me that she explicitly requested the COVID-19 vaccine at the child's appointment. We discussed that the child had now received 2 doses of influenza and no doses of COVID-19. I educated her to monitor for signs and symptoms of adverse reactions and what steps to take should this occur. Guardian stated understanding. No adverse outcomes were reported by the guardian as of this date.
More
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| 2870782 | 79 | F | 11/05/2025 |
FLU3 |
SANOFI PASTEUR |
U8862DA |
Urticaria
Urticaria
|
hives that started post vaccination and lasted for nearly 2 weeks when assessed in office
hives that started post vaccination and lasted for nearly 2 weeks when assessed in office
|
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| 2870783 | 71 | F | OH | 11/05/2025 |
UNK |
UNKNOWN MANUFACTURER |
407259 |
Guillain-Barre syndrome, Muscular weakness
Guillain-Barre syndrome, Muscular weakness
|
Patient developed weakness of bilateral legs 2 weeks after receiving the flu vaccine. Work-up done i...
Patient developed weakness of bilateral legs 2 weeks after receiving the flu vaccine. Work-up done in the hospital is consistent with Guillain-Barre Syndrome.
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โ | โ | ||||
| 2870784 | 44 | F | CA | 11/05/2025 |
FLU3 |
SANOFI PASTEUR |
UT8836KA |
Rash
Rash
|
Delayed rash
Delayed rash
|
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| 2870785 | 48 | M | TN | 11/05/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0589 |
Fatigue, Pain in extremity
Fatigue, Pain in extremity
|
PATIENT REPORTED SORENESS IN THE ARM THAT WAS SELF RESOLVING AND LASTED ABOUT 24 HOURS. HE ALSO REPO...
PATIENT REPORTED SORENESS IN THE ARM THAT WAS SELF RESOLVING AND LASTED ABOUT 24 HOURS. HE ALSO REPORTED FEELING TIRED AND FATIGUED FOR 24 HOURS FOLLOWING THE VACCINE.
More
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| 2870786 | 71 | F | NC | 11/05/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
|
Erythema, Peripheral swelling, Skin reaction, Skin warm; Erythema, Peripheral sw...
Erythema, Peripheral swelling, Skin reaction, Skin warm; Erythema, Peripheral swelling, Skin reaction, Skin warm
More
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localized skin reaction, erythema, redness, warmth and mild swelling in bilateral arms starting 6-8 ...
localized skin reaction, erythema, redness, warmth and mild swelling in bilateral arms starting 6-8 hours ago
More
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| 2870788 | 6 | M | MI | 11/05/2025 |
FLU3 |
SANOFI PASTEUR |
UT8852MA |
Injection site discomfort, Injection site pain, Injection site swelling
Injection site discomfort, Injection site pain, Injection site swelling
|
left thigh and knee swelling after the flu vaccine in the left thigh 2 days ago. He had a similar re...
left thigh and knee swelling after the flu vaccine in the left thigh 2 days ago. He had a similar reaction last year though also had a fever then. No fevers this time. The swelling and discomfort are improved slightly today. The leg is primarily tender though it also is uncomfortable to walk when he first gets up. Advised 3 days of prednisone to help with reaction.
More
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| 2870790 | 44 | F | NE | 11/05/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3052835 3052835 |
Asthenia, Blood lactic acid, Full blood count, Influenza virus test, Metabolic f...
Asthenia, Blood lactic acid, Full blood count, Influenza virus test, Metabolic function test; Paraesthesia oral, Pharyngeal paraesthesia, Procalcitonin, SARS-CoV-2 test, Throat tightness
More
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tingling and tightness in throat and tingling in mouth; weakness occurred; vitals remained stable; e...
tingling and tightness in throat and tingling in mouth; weakness occurred; vitals remained stable; epinephrine given and sx of tingling and tightness resolved within a few minutes; weakness lasted until she left with EMS. Transported to ER. No further tx needed. Recovered completely.
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| 2870791 | 55 | F | OH | 11/05/2025 |
FLU3 |
SEQIRUS, INC. |
ax5590a |
Immediate post-injection reaction, Injection site pain, Pain, Psoriasis
Immediate post-injection reaction, Injection site pain, Pain, Psoriasis
|
Immediately after administration of vaccine I felt a shooting pain from my left deltoid into my the ...
Immediately after administration of vaccine I felt a shooting pain from my left deltoid into my the anterior aspect of my left shoulder. Since the vaccine I have had shooting pain when lifting my left arm above my head, trying to put on my shirt or steering my car. I have sharp shooting pain when lying on the left shoulder to where I am unable to lay on the left side. This pain is still present almost 4 weeks later.
More
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| 2870793 | 73 | M | GA | 11/05/2025 |
COVID19 |
PFIZER\BIONTECH |
EN6200 |
Vision blurred, Vitreous floaters
Vision blurred, Vitreous floaters
|
Blurred vision, floaters in the eyes, both ever since I got the shots
Blurred vision, floaters in the eyes, both ever since I got the shots
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| 2870794 | 47 | F | IL | 11/05/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
5R4CY |
Burning sensation, Chest discomfort, Hypoaesthesia, Immediate post-injection rea...
Burning sensation, Chest discomfort, Hypoaesthesia, Immediate post-injection reaction
More
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pt experience numbness in R cheek immediately after the immunization. Then later, started feeling b...
pt experience numbness in R cheek immediately after the immunization. Then later, started feeling burning on the bottom of feet and tightness around calves bilateral feet same day. no changes in sxs since then (started on 10/25 when first given the vaccine)
More
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| 2870795 | 16 | M | WI | 11/05/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
2T543 |
Extra dose administered
Extra dose administered
|
The influenza vaccine was administered as part of our school-based mass vaccination clinics. The chi...
The influenza vaccine was administered as part of our school-based mass vaccination clinics. The child?s legal guardian had provided written consent for the child to receive the influenza vaccination at school on 10/16/25. The vaccine was administered on 10/16/25 by RN of the County Department of Public Health. Upon attempting to enter the immunization into the Immunization Registry, the system indicated that the child had already received an influenza vaccine on 10/15/25. I contacted the child?s guardian to clarify this discrepancy. The guardian reported that the child had attended facility to receive a COVID-19 vaccine. I advised the guardian to contact facility for verification. Facility confirmed that the child had, in fact, received an influenza vaccine during that visit. The guardian expressed surprise, noting that she had explicitly requested the COVID-19 vaccine. We discussed that the child had now received two doses of influenza vaccine and no doses of COVID-19 vaccine. I provided education to the guardian on monitoring for signs and symptoms of adverse reactions and appropriate steps to take if they occurred. The guardian indicated understanding. No adverse outcomes have been reported as of this date.
More
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| 2870796 | 82 | F | OR | 11/05/2025 |
COVID19 |
MODERNA |
3052668 |
Dizziness, Rhinorrhoea, Sensory disturbance, Throat clearing, Vision blurred
Dizziness, Rhinorrhoea, Sensory disturbance, Throat clearing, Vision blurred
|
10 min post inj. pt. reports feeling "off and light headed". Pt. BP 160/98, pulse 69, ox 9...
10 min post inj. pt. reports feeling "off and light headed". Pt. BP 160/98, pulse 69, ox 97. Gave pt. some water, eval her breathing and respirations (wnl). Pt. then stated that she felt like she needed to clear her throat and that her eyes and nose were watering. Pt. give 50mg benadryl tabs. Cont. to feel light headed and off. complaints of blurry vision. Offered to call EMS, pt refused stating she just wanted to go home an lay down. Pt. questioned regarding health conditions and blood sugar stability, pt. said she had nothing to eat for breakfast but denied health conditions. Pt. given crackers and she ate 4. Pt. states she is starting to feel a little better but her "head feels weird". Retook bp after 15 minutes. 148/80, pulse 63, ox 98. Discussed with pt. husband that she needs to be monitored, pt. refuse help to her car and verbal instructions to follow up with EMS if symptoms persist or get worse.
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| 2870797 | 11 | M | IA | 11/05/2025 |
FLU3 FLU3 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
9CC9K 9CC9K |
Fall, Feeling hot, Hyperhidrosis, Lip injury, Nausea; Pain in extremity, Syncope
Fall, Feeling hot, Hyperhidrosis, Lip injury, Nausea; Pain in extremity, Syncope
|
Patient fainted shortly after leaving the immunization room and fell to the floor. Patient quickly r...
Patient fainted shortly after leaving the immunization room and fell to the floor. Patient quickly regained consciousness and was aware of where he was and what he was doing. Patient lacerated lip and complained of thumb pain and brief nausea. Patient was warm and slightly sweaty. No sign of allergic reaction. Patient sat upright and given water. Patient observed until feeling better and let with parents.
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| 2870799 | 16 | M | WI | 11/05/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
2T543 |
Extra dose administered
Extra dose administered
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The influenza vaccine was administered as part of our school-based mass vaccination clinics. The chi...
The influenza vaccine was administered as part of our school-based mass vaccination clinics. The child?s legal guardian had provided written consent for the child to receive the influenza vaccination at school on 10/16/25. The vaccine was administered on 10/16/25 by RN of the County Department of Public Health. Upon attempting to enter the immunization into the Immunization Registry, the system indicated that the child had already received an influenza vaccine on 10/15/25. I contacted the child?s guardian to clarify this discrepancy. The guardian reported that the child had attended facility to receive a COVID-19 vaccine. I advised the guardian to contact facility for verification. Facility confirmed that the child had, in fact, received an influenza vaccine during that visit. The guardian expressed surprise, noting that she had explicitly requested the COVID-19 vaccine. We discussed that the child had now received two doses of influenza vaccine and no doses of COVID-19 vaccine. I provided education to the guardian on monitoring for signs and symptoms of adverse reactions and appropriate steps to take if they occurred. The guardian indicated understanding. No adverse outcomes have been reported as of this date.
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| 2870800 | 5 | F | VA | 11/05/2025 |
DTAPHEPBIP FLU3 HEPA IPV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR |
9359N 33CM4 273H3 Y1A212M |
Extra dose administered; Extra dose administered; Extra dose administered; Extra...
Extra dose administered; Extra dose administered; Extra dose administered; Extra dose administered
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The child received a Pediarix (DTAP,HEPB,IPV) and a IPV. She was given 2 doses of IPV in the same o...
The child received a Pediarix (DTAP,HEPB,IPV) and a IPV. She was given 2 doses of IPV in the same office visit.
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| 2870801 | 47 | F | AR | 11/05/2025 |
FLU3 FLU3 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
3F7A5 3F7A5 |
Injection site erythema, Injection site swelling, Rash, Rash pruritic; Injection...
Injection site erythema, Injection site swelling, Rash, Rash pruritic; Injection site erythema, Injection site swelling, Rash, Rash pruritic
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Patient received seasonal flu vaccine 10/29/2025. 11/3/2025, Patient first reported to PHN starting...
Patient received seasonal flu vaccine 10/29/2025. 11/3/2025, Patient first reported to PHN starting 10/30/2025 she noticed the left arm was swollen and red where the injection was given. Also, rash spreading to center of the back and under the right arm. 11/4/2025, PHN attempted to call patient at 8am to fill out VAERS. No answer via phone number on file. Patient did call and spoke with PHN stated did not receive a call from the HD this morning. She is reporting Redness to injection site-( LD), rash that goes to the center of her back and under her right arm. Also some bumps on the collar bone and neck area. All areas itch. Stated applied cortizone cream this morning and it helped the itching. Patient stated she has not been to a Medical Doctor or Emergency Room for these symptoms, but is going to go to the Emergency Room today. PHN asked if she will call after her appointment. Stated she will. Patient stated still having symptoms of: red swollen area at injection site, rash, bumps, itching. Patient also stated has had a flu vaccine in the past and no side effects. She believes her last flu vaccine was in 2017. As of 11/4/2025 at 16:34, PHN has not received a phone call from patient regarding MD/ER visit.
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| 2870802 | 12 | F | AR | 11/05/2025 |
FLU3 FLU3 HPV9 HPV9 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
4D255 4D255 YO13818 YO13818 |
Crying, Dyskinesia, Injection site haemorrhage, Musculoskeletal stiffness, Seizu...
Crying, Dyskinesia, Injection site haemorrhage, Musculoskeletal stiffness, Seizure; Tremor, Unresponsive to stimuli; Crying, Dyskinesia, Injection site haemorrhage, Musculoskeletal stiffness, Seizure; Tremor, Unresponsive to stimuli
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This reporter was called in to room evaluate patient after witnessed seizure like activity post immu...
This reporter was called in to room evaluate patient after witnessed seizure like activity post immunizations (Flu followed by HPV vaccine). At time of my evaluation, patient no long er seizing, sitting up in bed, sobbing, while mom was holding patient and nursing staff at bedside. She was back to baseline at this time. Per nursing staff report who witnessed seizure like activity CMA: Per Dr administered influenza and hpv vaccine to the patient's right deltoid. Mom was holding the patient, she was bracing her arms around patient's both arms. Patient tolerated flu vaccine good, but when getting hpv vaccine the patient complained of severe pain as the vaccine was being injected. Upon needle withdrawal, a brief stream of blood was noted running down the patient's arm. Bleeding was controlled without complications. Right as the patient saw the blood, she got very rigid, especially both legs. Became unresponsive to the surroundings, skin got pale. Body was jerking/shaking. I wasn't able to see her eyes/face at that moment due to her head slouching forward. Patient's mom said "She is seizing, finally someone else is able to witness her having a seizure". The episode lasted about 10-20 seconds, I've got control over the lower part of the body (also retracted foot rest for her), while mom was holding her upper body, to make sure the patient wouldn't fall of the examine table. As soon as me and mom made sure she was positioned safely, I went out of the room to call for nurses/provider. When patient was coming out of the episode, she was taking deep breaths and started crying. Mom confirmed, from her observations, that how she presents when she is finished seizing. Patient was adjusted to lay down on the examine bed that was moved close to the wall and a provider and mom on her other side. Dr examined the patient and ordered to have her vitals checked every 10 minutes for the next 30 minutes. Her vitals was progressively improving, patient was looking and reported to be feeling much better. At the end of the 30 minutes, after last set of vitals and examine by a nurse, patient was stable to leave, accompanied by mom and her brother.
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| 2870803 | 46 | F | OH | 11/05/2025 |
UNK |
UNKNOWN MANUFACTURER |
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Arthralgia, Mobility decreased
Arthralgia, Mobility decreased
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Severe persistent left shoulder pain and decreased ROM beginning within 48 hours after influenza vac...
Severe persistent left shoulder pain and decreased ROM beginning within 48 hours after influenza vaccine administration on 10/6/2025, consistent with SIRVA
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| 2870805 | 41 | M | NE | 11/05/2025 |
COVID19 |
PFIZER\BIONTECH |
PRX # 2296882 |
Urticaria
Urticaria
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Woke up with multiple areas on my body with hives. Right wrist, belt line, Both ankles, back 11/4/...
Woke up with multiple areas on my body with hives. Right wrist, belt line, Both ankles, back 11/4/25 6:00 AM Broke out in hives on my hands 11/4/25 at 7:00 PM.
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| 2870806 | 53 | F | OH | 11/05/2025 |
FLU3 TDAP |
SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS |
948411 5N9L9 |
Injection site pain, X-ray; Injection site pain, X-ray
Injection site pain, X-ray; Injection site pain, X-ray
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Initial injection was painful. Pain continued to get worse after 2 days. Contacted pharmacy after a ...
Initial injection was painful. Pain continued to get worse after 2 days. Contacted pharmacy after a week and a half of pain. Pharmacist suggested that I seek medical attention or physical therapy. On 10/15/2025, I spoke to a NP during a telemedicine visit. She suggested that I use OTC medications. On 10/21/2025, I went to urgent care. I was prescribed 5 days of Prednisone and given a referral to orthopedics. The Prednisone did not help. The pain continued to get worse. On 11/5/2025, I saw Dr, orthopedic surgeon. X-rays were done, and showed only a small calcification, which may or may not have already been there. Dr performed some physical tests, which caused more pain. Suspecting a possible rotator cuff tear, Dr ordered an MRI. The MRI is scheduled for 11/14/2025. A follow-up will be scheduled to report MRI results.
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| 2870810 | 24 | F | PA | 11/05/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
9JC49 |
Arthralgia, Product administered at inappropriate site
Arthralgia, Product administered at inappropriate site
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The woman who injected me injected it into my shoulder, not my muscle. It was way too high up. It ha...
The woman who injected me injected it into my shoulder, not my muscle. It was way too high up. It has been three weeks since the injection and I have severe shoulder pain. I just saw an MD and am receiving a referral to a physical therapist.
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| 2870812 | 61 | F | NY | 11/05/2025 |
FLU3 PNC20 |
GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
948408 MA2506 |
Injection site erythema, Injection site swelling, Skin infection; Injection site...
Injection site erythema, Injection site swelling, Skin infection; Injection site erythema, Injection site swelling, Skin infection
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Patient experienced redness and swelling at and around the injection site about 24 hours after recei...
Patient experienced redness and swelling at and around the injection site about 24 hours after receiving the vaccine. Couple days after, she went to the ER and got some antibiotics and called to inform us she had a skin infection. Patient is already on meloxicam so I advised her against ibuprofen otc due to therapeutic duplication but a Tylenol was ok if she experienced pain or fever as well.
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| 2870813 | 64 | M | MN | 11/05/2025 |
FLU3 |
SANOFI PASTEUR |
U8800CA |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Patient given fluzone high dose at 64 years old. Should have received the flublok vaccine.
Patient given fluzone high dose at 64 years old. Should have received the flublok vaccine.
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| 2870814 | 43 | F | MN | 11/05/2025 |
COVID19 FLU3 |
MODERNA GLAXOSMITHKLINE BIOLOGICALS |
8146743 NB3X7 |
Product administered at inappropriate site; Product administered at inappropriat...
Product administered at inappropriate site; Product administered at inappropriate site
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Both vaccines reported to be given too low for correct administration site. Stated nurse did not uti...
Both vaccines reported to be given too low for correct administration site. Stated nurse did not utilize landmarks. Today, I assessed the site. Vaccine was given low, but upon assessment was within the deltoid muscle for both vaccines. Education given to administration nurse. Patient was educated on signs and symptoms of any concerning issues as well as given information to report back to us if any concerns arose.
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| 2870815 | 60 | F | MN | 11/05/2025 |
FLU3 |
SANOFI PASTEUR |
U8800CA |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Received the fluzone high dose when they should have been administered the flublok based on age.
Received the fluzone high dose when they should have been administered the flublok based on age.
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| 2870816 | 7 | F | AR | 11/05/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
P394K |
Erythema multiforme
Erythema multiforme
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Erythema Multiforme rash
Erythema Multiforme rash
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