| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2870445 | 9 | M | 11/04/2025 |
FLUX FLUX |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
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Back pain, Fall, Hyperhidrosis, Loss of personal independence in daily activitie...
Back pain, Fall, Hyperhidrosis, Loss of personal independence in daily activities, Malaise; Pain in extremity
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After flu vaccine given in the morning, 9 year old boy broke out into a heavy sweat at the doctors o...
After flu vaccine given in the morning, 9 year old boy broke out into a heavy sweat at the doctors office and fell to the floor complaining of feeling very unwell and severe pain also in his back. When returned home he was given acetaminophen due to continuous pain which started to localize just in the arm of the injection. However, then feel asleep for a few hours and was unable to attend school that day. Next day felt better again.
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| 2870448 | 53 | F | WA | 11/04/2025 |
TDAP TDAP |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
|
Fatigue, Headache, Hypersensitivity, Lacrimation increased, Neck pain; Refusal o...
Fatigue, Headache, Hypersensitivity, Lacrimation increased, Neck pain; Refusal of vaccination, Wrong product administered
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I went to pharmacy requested a Tetnus shot because I was cut in their store and was past due , I mar...
I went to pharmacy requested a Tetnus shot because I was cut in their store and was past due , I marked the box on the firm Tetnus only snd bod that Iv had severe reactions , I tokd phsrmidt I can't take anything no other vaccines except Tetnus l, I has severe allergic reaction that night and still having allergic reactions, they told me I was given whooping cough and dystrrus on top of Tetnus , so they lied to me promised I was only getting Tetnus . I have neck pain head ache water eyes fatigue allegiances symptoms nonstop now .
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โ | |||||
| 2870449 | 85 | M | 11/04/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
|
Unevaluable event
Unevaluable event
|
Describe Event, Problem, or Product Use Error: Patient was hospitalized due to a reaction of the COV...
Describe Event, Problem, or Product Use Error: Patient was hospitalized due to a reaction of the COVID booster shot.
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โ | ||||||
| 2870450 | 47 | F | 11/04/2025 |
FLUX |
UNKNOWN MANUFACTURER |
|
Influenza like illness, Oropharyngeal pain, Pyrexia, Sinus congestion
Influenza like illness, Oropharyngeal pain, Pyrexia, Sinus congestion
|
Had flu vaccine on Monday 27th October and then on the Thursday became sick with flu like symptoms (...
Had flu vaccine on Monday 27th October and then on the Thursday became sick with flu like symptoms (sore throat, sinus congestion, fever) and am still sick as on Monday 3rd November
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| 2870483 | 50 | F | OH | 11/04/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
52TM4 |
Erythema, Pruritus, Skin burning sensation
Erythema, Pruritus, Skin burning sensation
|
Half hour after receiving flu shot, face became bright res and was burning. Redness and burning con...
Half hour after receiving flu shot, face became bright res and was burning. Redness and burning continued to spread to neck, chest and arms. Skin was red burning and itching. Went to hospital's walk-in-clinic and was treated with benadryl and steroid shot.
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| 2870485 | 59 | F | PA | 11/04/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Biopsy skin abnormal, Lichenoid keratosis, Pulmonary embolism, Rash, Skin disord...
Biopsy skin abnormal, Lichenoid keratosis, Pulmonary embolism, Rash, Skin disorder
More
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Patient developed a widespread rash soon after Shingrix injection (most recent injection at the end ...
Patient developed a widespread rash soon after Shingrix injection (most recent injection at the end of Februrary). She never had a similar rash in the past and has no history of lichenoid dermatitis. She was treated with topical triamcinolone cream. While her rash has completely resolved, she now has significant post-inflammatory skin changes. Of note, patient developed an unexplained pulmonary embolism in May of 2025. While we cannot say with certainty that this was secondary to Shingrix injection and while I did not see her for her embolism (she went to the emergency room for this), she had no other pre-disposing factors and no other explainable etiology for her embolism. She now takes Xarelto.
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โ | โ | ||||
| 2870487 | 68 | F | TX | 11/04/2025 |
COVID19 FLU3 RSV VARZOS |
PFIZER\BIONTECH SEQIRUS, INC. PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
NA0590 407263 MM9148 C9X3R |
Abnormal dreams, Anxiety, Computerised tomogram head normal, Eye haemorrhage, He...
Abnormal dreams, Anxiety, Computerised tomogram head normal, Eye haemorrhage, Head discomfort; Abnormal dreams, Anxiety, Computerised tomogram head normal, Eye haemorrhage, Head discomfort; Abnormal dreams, Anxiety, Computerised tomogram head normal, Eye haemorrhage, Head discomfort; Abnormal dreams, Anxiety, Computerised tomogram head normal, Eye haemorrhage, Head discomfort
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The patient received four vaccinations on 10/07/2025: Fluad, Comirnaty, the first dose of Shingrix, ...
The patient received four vaccinations on 10/07/2025: Fluad, Comirnaty, the first dose of Shingrix, and Abrysvo. Shortly afterward, the patient experienced an adverse reaction, including a hemorrhage in the right eye, and presented to the emergency department due to side effects and a sensation described as feeling like her head had exploded. A CT scan was performed and returned normal results. Since the incident, the patient has reported experiencing unusual, death-related dreams and increased anxiety. After consulting with her physician, the patient has decided to forgo the second dose of the shingles vaccine as a precaution.
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| 2870488 | 60 | F | NC | 11/04/2025 |
FLU3 |
SEQIRUS, INC. |
AX6340A |
Injection site erythema, Injection site pruritus, Injection site warmth
Injection site erythema, Injection site pruritus, Injection site warmth
|
red, warm, itchy at site of injection
red, warm, itchy at site of injection
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| 2870489 | 2 | M | VA | 11/04/2025 |
FLU3 |
SANOFI PASTEUR |
u8787aa |
Extra dose administered
Extra dose administered
|
Patient presented to the office for a routine wellness visit and was due to receive Hepatitis A and ...
Patient presented to the office for a routine wellness visit and was due to receive Hepatitis A and Influenza vaccines. Two medical assistants entered the room to administer the vaccines while the patient?s mother was seated on the exam table holding the patient. This visit was for twins, and two Influenza vaccines and two Hepatitis A vaccines were drawn up in preparation. During administration, the medical assistants inadvertently administered two Influenza vaccines to one twin instead of one Influenza and one Hepatitis A vaccine. The error was identified immediately after administration, and the provider was notified promptly. The second sibling did not receive any vaccines at that time. Poison Control was contacted and provided with all relevant information, including vaccine types and doses administered. Poison Control advised that no serious adverse effects were expected and that the patient might only experience local soreness at the injection site. The parent was notified of the error. The patient remained stable following the event with no immediate adverse reactions observed, and the parent verbalized understanding of the situation.
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| 2870490 | 42 | M | OH | 11/04/2025 |
COVID19 COVID19 |
NOVAVAX NOVAVAX |
|
Arthralgia, Fatigue, Headache, Injection site pain, Malaise; Myalgia, Nausea
Arthralgia, Fatigue, Headache, Injection site pain, Malaise; Myalgia, Nausea
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All minor: Malaise, fatigue, sore muscles and joints, headache, nausea, injection site pain
All minor: Malaise, fatigue, sore muscles and joints, headache, nausea, injection site pain
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| 2870491 | 12 | M | CT | 11/04/2025 |
COVID19 COVID19 FLU3 FLU3 |
MODERNA MODERNA GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
3052583 3052583 5r4cy 5r4cy |
Blood glucose normal, Confusional state, Fall, Retching, Syncope; Vomiting; Bloo...
Blood glucose normal, Confusional state, Fall, Retching, Syncope; Vomiting; Blood glucose normal, Confusional state, Fall, Retching, Syncope; Vomiting
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patient received 2 vaccines, one in each arm. patient mother instructed him to wait outside vaccinat...
patient received 2 vaccines, one in each arm. patient mother instructed him to wait outside vaccination room due to space restrictions. upon completing patients brothers vaccines a loud crash was heard and banging on vaccine room door. bystander who happened to be physician notified myself (rph) and mother that patient had fainted. patient was instructed to sit in a chair. bp was taken (110/75) physician bystander noted pulse was normal. patient stated he fell on his buttocks and did not hit his head. physician did not see any indication at back of head that would indicate patient hit his head. unknown to rph and mother if patient lost consciousness. after sitting 5-10 minutes patient began to vomit/dry heave. at this time the decision was made to call EMS. ems came and evaluated patient. ems determined that it was not NECESSARY to transport patient to hospital but mother was given the option and decline at that time.
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| 2870494 | 83 | F | PA | 11/04/2025 |
COVID19 |
MODERNA |
3052082 |
Refusal of vaccination
Refusal of vaccination
|
Resident consent was only for flu vaccine given Covid vaccine in addition to influenza in error.
Resident consent was only for flu vaccine given Covid vaccine in addition to influenza in error.
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| 2870496 | 71 | F | MN | 11/04/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
3053483 U8859AA |
Cellulitis, Erythema, Pain; Cellulitis, Erythema, Pain
Cellulitis, Erythema, Pain; Cellulitis, Erythema, Pain
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Patient had large area of redness and pain, determined by medical provider to be cellulitis
Patient had large area of redness and pain, determined by medical provider to be cellulitis
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| 2870498 | 46 | F | IN | 11/04/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
NA0587 UT8770MA |
Arthralgia; Arthralgia
Arthralgia; Arthralgia
|
Patient reports experiencing "constant pain" in shoulder area that has been unresponsive t...
Patient reports experiencing "constant pain" in shoulder area that has been unresponsive to steroids and topical treatments.
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| 2870499 | 8 | F | GA | 11/04/2025 |
FLU3 FLU3 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
LT9HP LT9HP |
Fall, Head injury, Headache, Hyperhidrosis, Pallor; Syncope
Fall, Head injury, Headache, Hyperhidrosis, Pallor; Syncope
|
Patient fainted and fell approximately one minute after the vaccine was given. She hit the right sid...
Patient fainted and fell approximately one minute after the vaccine was given. She hit the right side of head on the wall. Dr came into the exam room to examine patient immediately after she fell. Patient was monitored and vitals (BP, HR, RR, SpO2) where taken. Patient laid on her mother's lap for approximately 10 minutes after fall and then she was helped to the exam table where she continued to lay down and was monitored. She was very pale and sweaty after she fell. Began complaining of headache at the location where she his her head. Patient was monitored for 45 minutes and Dr returned for assessment prior to patient leaving. Patient was able to walk out on her own with her mother.
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| 2870500 | 71 | F | WA | 11/04/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3052296 3052296 |
Chills, Fatigue, Feeling cold, Gait disturbance, Hypersomnia; Tremor
Chills, Fatigue, Feeling cold, Gait disturbance, Hypersomnia; Tremor
|
12 hours after vaccination patient suffered violent shaking chills, couldn't get warm, extreme...
12 hours after vaccination patient suffered violent shaking chills, couldn't get warm, extreme fatigue and had difficulty walking due to severity of chills. No fever. Slept for >36 hours post vaccination
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| 2870503 | 1.67 | F | MA | 11/04/2025 |
FLU3 |
SEQIRUS, INC. |
407005 |
Extra dose administered
Extra dose administered
|
Patient was given an additional flu vaccine in error. She had received her first flu vaccine on 10/...
Patient was given an additional flu vaccine in error. She had received her first flu vaccine on 10/20/25.
More
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| 2870504 | 81 | M | 11/04/2025 |
COVID19 |
PFIZER\BIONTECH |
na4457 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
PATIENT WAS GIVEN A DUPLICATE COVID VACCINE. PATIENT RECEIVED FIRST COVID VACCINE ON 10/15/2025, THE...
PATIENT WAS GIVEN A DUPLICATE COVID VACCINE. PATIENT RECEIVED FIRST COVID VACCINE ON 10/15/2025, THEN PATIENT RECEIVED SECOND COVID VACCINATION ON 11/03/2025. PATIENT'S CAREGIVER REPORTS NO ADVERSE EFFECTS HAVE OCCURED.
More
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| 2870505 | 38 | F | AZ | 11/04/2025 |
COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA |
|
Arthropathy, Bone densitometry, Bone lesion, Bone loss, Fatigue; Imaging procedu...
Arthropathy, Bone densitometry, Bone lesion, Bone loss, Fatigue; Imaging procedure, Ligament disorder, Magnetic resonance imaging, Magnetic resonance imaging joint, Osteopenia; Palpitations, Weight increased, X-ray limb, X-ray of pelvis and hip
More
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Multiple issues overall affecting entire body. Bone lesion found in arm where shot was given. Bone...
Multiple issues overall affecting entire body. Bone lesion found in arm where shot was given. Bone loss, joint/ligament issues, heart palpitations, fatigue, weight gain.
More
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โ | |||||
| 2870507 | 68 | F | CA | 11/04/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
|
Chills, Fatigue, Helicobacter test negative, Malaise, Nausea; Pain, Pain in extr...
Chills, Fatigue, Helicobacter test negative, Malaise, Nausea; Pain, Pain in extremity, Pyrexia, Vomiting
More
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Had the mega dose inflenza shot. Sore arm for 3 days. Then severe fatigue for almost a week. Then n...
Had the mega dose inflenza shot. Sore arm for 3 days. Then severe fatigue for almost a week. Then nausea, vomiting, severe body aches, fever, chills, general malaise, couldn't hold down food for almost 2 weeks. I still have severe fatigue.
More
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| 2870509 | 32 | M | MD | 11/04/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
EW0170 EW0168 |
Herpes zoster, Skin culture positive; Herpes zoster, Skin culture positive
Herpes zoster, Skin culture positive; Herpes zoster, Skin culture positive
|
Shingles Viral Outbreak requiring medical intervention
Shingles Viral Outbreak requiring medical intervention
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โ | |||||
| 2870512 | 30 | F | CT | 11/04/2025 |
FLU3 |
SEQIRUS, INC. |
Unknown |
Menstrual clots, Menstruation irregular, Pyrexia, Vaginal haemorrhage
Menstrual clots, Menstruation irregular, Pyrexia, Vaginal haemorrhage
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Had a flu vaccine mid-morning. By around 5pm that evening I started bleeding vaginally dark red mixe...
Had a flu vaccine mid-morning. By around 5pm that evening I started bleeding vaginally dark red mixed with clots. Have been bleeding vaginally off and on for 5 days now. Had a fever of 101.2 24 hours after vaccine. This is Two weeks before my menstrual cycle is suppose to start.
More
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| 2870515 | 27 | M | OK | 11/04/2025 |
FLU3 FLU3 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Dizziness, Gingival swelling, Headache, Lymphadenopathy, Musculoskeletal stiffne...
Dizziness, Gingival swelling, Headache, Lymphadenopathy, Musculoskeletal stiffness; Neck pain, Sinusitis, Tinnitus
More
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Swollen lymph nodes, headache, sinus infection, swollen gum, back of head/neck pain/ stiffness, tin...
Swollen lymph nodes, headache, sinus infection, swollen gum, back of head/neck pain/ stiffness, tinnitus, dizziness.
More
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| 2870516 | 71 | F | MT | 11/04/2025 |
COVID19 |
MODERNA |
3043930 |
Transient global amnesia
Transient global amnesia
|
Transient global amnesia
Transient global amnesia
|
โ | |||||
| 2870517 | 10 | F | MI | 11/04/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
4F2AJ |
Electrocardiogram normal, Syncope
Electrocardiogram normal, Syncope
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Pt received IM flu vaccine in arm sometime around 10:44 to 10:58 am. We received report from our bui...
Pt received IM flu vaccine in arm sometime around 10:44 to 10:58 am. We received report from our building security later that a patient had fainted in the Elevator. Pt was seen in ED that same day, within an hour later and diagnosed with vasovagal syncope. After EKG done and read as reassuring, the pt was well enough to be discharged home.
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| 2870519 | 16 | M | MI | 11/04/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
4GR2B |
Syncope
Syncope
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Patient was given his flu vaccine and shortly after, experienced a syncopal episode. Nurse laid pati...
Patient was given his flu vaccine and shortly after, experienced a syncopal episode. Nurse laid patient flat on exam table and alerted nearby staff. Ice pack applied to patients neck and vitals machine brought into room. Patient able to speak and answer questions. Nurse monitored patient for some time before sitting patient up half way and giving patient some juice. Patient drank the juice and started to feel light headed again and syncoped a second time. Patient laid back down and Dr called to room. Patient placed on some oxygen and remained laying flat for 15 minutes. Patient speaking in full sentences and vitals monitored. Patient safety maintained. Patient moved to a sitting position and BP remained stable. Patient denied symptoms. Patient then moved to a standing position and BP remained stable. Patient denied symptoms. Patient allowed to leave clinic after monitoring.
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| 2870521 | 79 | F | PA | 11/04/2025 |
COVID19 UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
|
Herpes simplex; Herpes simplex
Herpes simplex; Herpes simplex
|
Herpes Simplex outbreak
Herpes Simplex outbreak
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| 2870523 | 40 | M | TN | 11/04/2025 |
FLU3 HEP MMR TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
|
Extra dose administered; Extra dose administered; Extra dose administered; Extra...
Extra dose administered; Extra dose administered; Extra dose administered; Extra dose administered; Extra dose administered
More
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PATIENT DID NOT HAVE VACCINE RECORD AT TIME OF CLINIC VISIT AND WAS REQUESTING VACCINES REQUIRED. NU...
PATIENT DID NOT HAVE VACCINE RECORD AT TIME OF CLINIC VISIT AND WAS REQUESTING VACCINES REQUIRED. NURSE GAVE VACCINES BASED ON NO HISTORY OF BEING VACCINATED DUE TO NO RECORD AVAILABLE. PATIENT BROUGHT VACCINE IN TO CLINIC AT A LATER DATE AND HAD A COMPLETED SERIES OF MMR, HEP B, AND TETANUS.
More
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| 2870524 | 68 | F | MN | 11/04/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
MY9548 MY9548 |
Asthenia, Dizziness, Dysstasia, Fatigue, Nausea; Syncope
Asthenia, Dizziness, Dysstasia, Fatigue, Nausea; Syncope
|
" After appx 4 hours I started to feel weak and nauseated, and this continued throughout the da...
" After appx 4 hours I started to feel weak and nauseated, and this continued throughout the day on 10/31 with weakness and lightheadedness increasing. By that evening I was so weak I collapsed while getting ready for bed, and was unable to stand even w assist for appx 20 minutes. My BP after I was starting to feel better was 76/41 w p of 41. 11/1 I slept most of day, on 11/2 I continued to feel fatigued but was able to attend church service." By 11/4, patient reports feeling back to baseline and BP is normal.
More
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| 2870525 | 72 | M | AZ | 11/04/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
na4452 u8837ca |
Pain in extremity, Product administered at inappropriate site; Pain in extremity...
Pain in extremity, Product administered at inappropriate site; Pain in extremity, Product administered at inappropriate site
More
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Patient reports extra sore arms. Patient believes vaccines were administered to high in the arm. The...
Patient reports extra sore arms. Patient believes vaccines were administered to high in the arm. The vaccines were administered approximately 2 fingerbreadths below the acromion process.
More
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| 2870526 | 32 | F | OK | 11/04/2025 |
FLU3 HEP HPV9 TDAP |
SANOFI PASTEUR DYNAVAX TECHNOLOGIES CORPORATION MERCK & CO. INC. SANOFI PASTEUR |
U8864AA 946064 Z011449 U8654AA |
Injection site induration, Injection site nodule, Injection site swelling; Injec...
Injection site induration, Injection site nodule, Injection site swelling; Injection site induration, Injection site nodule, Injection site swelling; Injection site induration, Injection site nodule, Injection site swelling; Injection site induration, Injection site nodule, Injection site swelling
More
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Patient described 3 of the 4 IMZ as having a softball sized swelling with a hard knot in the middle...
Patient described 3 of the 4 IMZ as having a softball sized swelling with a hard knot in the middle. Patient did not have any systemic reactions. She reached out to her PCP who is referring her to an allergy specialist.
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| 2870528 | 61 | M | TX | 11/04/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
49281-425-50 49281-425-50 |
Asthma, Condition aggravated, Cough, Dysphonia, Otitis media; Pharyngitis, Rhino...
Asthma, Condition aggravated, Cough, Dysphonia, Otitis media; Pharyngitis, Rhinorrhoea, Upper respiratory tract infection, Upper-airway cough syndrome
More
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I am a ICU doctor and 2-3 days after the vaccination began to have URI. I assumed it was rhinovirus...
I am a ICU doctor and 2-3 days after the vaccination began to have URI. I assumed it was rhinovirus as I have been exposed to patients with it. The URI (rhinorrhea, cough, and post-nasal drip) became severe with bilateral otitis media (first time in my life), and pharyngitis that lasted 5 days. I began to have exacerbation of my night time asthma. I had no fever and no hypoxemia. This illness improved with Augmentin and Symbicort but remains ongoing to this day (4 weeks later). My voice is still hoarse. I still have post-nasal drip. No fever and rare cough now.
More
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| 2870529 | 14 | F | GA | 11/04/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
LT9HP |
Feeling hot, Malaise, Pallor, Tinnitus, Vision blurred
Feeling hot, Malaise, Pallor, Tinnitus, Vision blurred
|
I gave patient her flu vaccine. After administering vaccine patient says she did not feel well. She ...
I gave patient her flu vaccine. After administering vaccine patient says she did not feel well. She looked pale. Patient said her vision went blurry, ears ringing and she got hot. I assisted her up on the bed and took her BP. BP measurement was 64/33, HR was 49, O2 was 98%. I then let my supervisor RN and got Dr. I then got her a cold pack because she was feeling warm. Along with a ice pop and chips per Dr.
More
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| 2870531 | 78 | KS | 11/04/2025 |
COVID19 |
MODERNA |
3051997 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
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Mnexspike was administered instead of intended vaccine of Abrysvo. At this time, no adverse effects.
Mnexspike was administered instead of intended vaccine of Abrysvo. At this time, no adverse effects.
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| 2870533 | 75 | F | IA | 11/04/2025 |
COVID19 |
MODERNA |
3052669 |
Death
Death
|
Resident passed away.
Resident passed away.
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โ | |||||
| 2870534 | 40 | M | 11/04/2025 |
FLU3 |
SEQIRUS, INC. |
406989 |
Extra dose administered
Extra dose administered
|
Patient received 2 doses of Influenza ccIIV3 6 months+ (Flucelvax); clinician consulted - was OK to ...
Patient received 2 doses of Influenza ccIIV3 6 months+ (Flucelvax); clinician consulted - was OK to move forward with no extended wait time following vaccination and advised patient that they may have a stronger immune response than normal.
More
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| 2870537 | 14 | M | NV | 11/04/2025 |
FLU3 |
SEQIRUS, INC. |
|
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
Pt given Fluad 65 + vaccine, no known reaction
Pt given Fluad 65 + vaccine, no known reaction
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| 2870542 | 48 | F | CO | 11/04/2025 |
FLU3 |
SEQIRUS, INC. |
406986 |
Imaging procedure, Injected limb mobility decreased, Pain in extremity, Product ...
Imaging procedure, Injected limb mobility decreased, Pain in extremity, Product administered at inappropriate site, Rotator cuff syndrome
More
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Our pharmacy just received a call from a patient who received a flu shot (only) on 9/10/25. Our phar...
Our pharmacy just received a call from a patient who received a flu shot (only) on 9/10/25. Our pharmacy technician, spoke to the patient first, then she put the patient on hold, and I spoke to the patient directly. The patient relayed the same information to both the technician and the pharmcist. The patient stated that she since receiving the shot, her arm has remained very sore. She further explained that she has been unable to lift her arm since the day she received the shot. She then told me that she went to her doctor, who told her the shot was "given too high". When I asked how the doctor verified that (i.e. was this statement made based on bandaid placement, visual of the blood or puncture site), she said that "the doctor could not see anything," but made this assumption based on symptoms. She further stated that "the shot was injected into something it shouldn't have been injected to and that caused her to tear her rotator cuff and the imaging I've received showed this" She went on to state that she wants "Pharmacy to cover my medical expenses for this."
More
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| 2870543 | 43 | F | WI | 11/04/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
34N52 |
Tinnitus
Tinnitus
|
11/3/25 Reported ringing of left ear 15 minutes after vaccination and improving.
11/3/25 Reported ringing of left ear 15 minutes after vaccination and improving.
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| 2870545 | 59 | M | NC | 11/04/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9550 |
Incorrect route of product administration, Injection site discolouration, Inject...
Incorrect route of product administration, Injection site discolouration, Injection site erythema, Injection site pain
More
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the vaccine was given in between the muscle and not into the muscle. He now has a black and blue mar...
the vaccine was given in between the muscle and not into the muscle. He now has a black and blue mark about 2.5 inches big and is bright red around the injection site. It was slightly painful but seems to be better now. He reported to pharmacy about the vaccination error.
More
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| 2870546 | 63 | F | CA | 11/04/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
|
Dysgeusia, Hypoaesthesia oral, Laboratory test normal, Tongue erythema, Transien...
Dysgeusia, Hypoaesthesia oral, Laboratory test normal, Tongue erythema, Transient lingual papillitis; Vitamin B12 normal
More
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Lingual papillitis, metalic taste, distal numbness of tongue with erythema lasting > 6 weeks in a...
Lingual papillitis, metalic taste, distal numbness of tongue with erythema lasting > 6 weeks in absence of other potential causes.
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| 2870547 | 37 | F | WI | 11/04/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
7345R |
Injected limb mobility decreased, Pain in extremity
Injected limb mobility decreased, Pain in extremity
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11/5/25 REported left arm pain with limitted range of motion.
11/5/25 REported left arm pain with limitted range of motion.
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| 2870548 | 30 | F | CO | 11/04/2025 |
FLU3 HEP IPV TDAP |
SEQIRUS, INC. DYNAVAX TECHNOLOGIES CORPORATION SANOFI PASTEUR SANOFI PASTEUR |
AX5588A 944906 Y1D49P1 U8638AA |
Cold sweat, Confusional state, Syncope, Unresponsive to stimuli; Cold sweat, Con...
Cold sweat, Confusional state, Syncope, Unresponsive to stimuli; Cold sweat, Confusional state, Syncope, Unresponsive to stimuli; Cold sweat, Confusional state, Syncope, Unresponsive to stimuli; Cold sweat, Confusional state, Syncope, Unresponsive to stimuli
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Patient was sitting in chair to receive vaccines. RN first administered Flu and Tdap in the left arm...
Patient was sitting in chair to receive vaccines. RN first administered Flu and Tdap in the left arm; patient tolerated well. RN then administered Hepatitis B and Polio in the right arm; patient appeared uneasy. RN asked patient if she would like some water and patient agreed. RN went to get water for patient and patient was talking to her sister in law. Patient's sister in law then said, "I think she fainted." RN walked back into room to see patient sitting in chair with head back and unresponsive; respirations were visible and palpated pulse was strong. RN used ammonia inhalant to wake patient; patient awakened initially confused; but quickly became AAOx4. Patient was cold and clammy. RN checked BP 117/90 and HR 81. SaO2 97%. Brought patient ice pack for forehead and apple juice. Patient finished apple juice and stated that she was feeling much better. Patient continued talking to RN and her sister in law. Proceeded with patient's blood draw which patient tolerated well. Patient stayed for an additional 30 minutes from vaccine administration with no other symptoms noted or reported. Discussed follow up with ER if difficulty breathing, hives, or additional syncope; discussed following up with PCP if needed.
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| 2870550 | 10 | F | NY | 11/04/2025 |
FLU3 TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
F4A7R 9JT4S |
Feeling hot, Urticaria; Feeling hot, Urticaria
Feeling hot, Urticaria; Feeling hot, Urticaria
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Approximately 5 to 10 minutes after receiving both vaccines, the patient and mother was putting the ...
Approximately 5 to 10 minutes after receiving both vaccines, the patient and mother was putting the patient's top on and noticed the development of hives. The patient developed hives on her neck, chest and stomach. Patient complained of feeling hot. She denied SOB, GI discomfort, remained alert and oriented x5, no coughing, wheezing or respiratory reaction, no itchiness (urticaria). MD was immediately called and present. Benadryl and Prednisolone. Patient was observed for 30 minutes. Patient was stable and sent home with her mother. Instructed to use both Benadryl and prednisolone as instructed via provider.
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| 2870553 | 86 | F | WI | 11/04/2025 |
COVID19 |
MODERNA |
3052835 |
Abdominal pain upper, Asthenia, Loss of consciousness, Malaise, Pyrexia
Abdominal pain upper, Asthenia, Loss of consciousness, Malaise, Pyrexia
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Patient received Spikevax on 10/31/2025 and became very ill on 11/01/2025. She reports having a feve...
Patient received Spikevax on 10/31/2025 and became very ill on 11/01/2025. She reports having a fever, weak, stomach pain, and almost passed out twice. She was see at the local hospital and fluids were administered and tests were ran. She is feeling back to normal at time of call on 11/03/2025.
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| 2870554 | 7 | M | AZ | 11/04/2025 |
FLU3 |
SEQIRUS, INC. |
AX9140A |
Extra dose administered, Pyrexia
Extra dose administered, Pyrexia
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Child had received influenza vaccine at Hospital on 10/24/2025. Child received 2nd dose influenza 6 ...
Child had received influenza vaccine at Hospital on 10/24/2025. Child received 2nd dose influenza 6 days later on 10/30/2025 at vaccine clinic at School. Per mother, "child was feverish that evening most likely from COVID vaccine, he has been doing okay since". Child received the COVID vaccine on 10/30/2025. Patient was not hospitalized or seen at the clinic.
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| 2870557 | 69 | F | WA | 11/04/2025 |
COVID19 |
MODERNA |
3052996 |
Ataxia
Ataxia
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Patient states that she began having symptoms of ataxia 10 hours after receiving the vaccine and it ...
Patient states that she began having symptoms of ataxia 10 hours after receiving the vaccine and it continued into the following morning.
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| 2870558 | 66 | M | TX | 11/04/2025 |
COVID19 |
MODERNA |
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Abdominal pain upper, Fatigue, Headache, Nausea
Abdominal pain upper, Fatigue, Headache, Nausea
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Nausea, bad headache, stomach ache, extreme fatigue.
Nausea, bad headache, stomach ache, extreme fatigue.
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| 2870559 | 79 | M | CT | 11/04/2025 |
FLU3 |
SANOFI PASTEUR |
U8862DA |
Urticaria
Urticaria
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During acute care provider visit on 10/30/2025 patient having hives since getting the flu vaccine on...
During acute care provider visit on 10/30/2025 patient having hives since getting the flu vaccine on 10/13/2025 below his waistline, on his neck & both arms below the elbow.
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| 2870560 | 35 | F | NV | 11/04/2025 |
COVID19 FLU3 FLU3 HPV9 TDAP |
PFIZER\BIONTECH SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
na4452 tfaa2538 tfaa2538 y018297 k4979 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event
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Patient did not have any adverse effects during the time of administrating the 2nd flu shot. Patient...
Patient did not have any adverse effects during the time of administrating the 2nd flu shot. Patient will come back to pharmacy for second Gardasil dose and will follow up.
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