| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2870034 | 76 | M | IA | 11/03/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
NA05E9 UT8804CA |
Musculoskeletal stiffness, Tendonitis; Musculoskeletal stiffness, Tendonitis
Musculoskeletal stiffness, Tendonitis; Musculoskeletal stiffness, Tendonitis
|
11/1. Patient came into pharmacy complaining about stiff arm/hand to move - asked if these vaccines...
11/1. Patient came into pharmacy complaining about stiff arm/hand to move - asked if these vaccines could cause this 11/3 Patient came into pharmacy picking up Rx NSAID for tendonitis in arm
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| 2870095 | 65 | F | FL | 11/03/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Extra dose administered
Extra dose administered
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Patient got Covid (Comirnaty) and Fluzone HD twice 3 weeks apart.
Patient got Covid (Comirnaty) and Fluzone HD twice 3 weeks apart.
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| 2870096 | 61 | M | AR | 11/03/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
UT8852MA UT8852MA |
Extra dose administered, Wrong product administered; Extra dose administered, Wr...
Extra dose administered, Wrong product administered; Extra dose administered, Wrong product administered
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Patient was given 2 doses of seasonal flu vaccines, instead of one flu and a pneumonia
Patient was given 2 doses of seasonal flu vaccines, instead of one flu and a pneumonia
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| 2870098 | 65 | F | ND | 11/03/2025 |
FLU3 |
SEQIRUS, INC. |
407253 |
Unevaluable event
Unevaluable event
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The patient was here for a physical exam. Provider ordered the egg free flu vaccine, flublok. We do ...
The patient was here for a physical exam. Provider ordered the egg free flu vaccine, flublok. We do not have the egg free available, it has to be ordered in. The patient has an egg allergy, but there is a CDC letter that says it is ok to give the patients with egg allergies the regular flu vaccine. Nurse ordered the fluad per protocol and gave it . Nursing told the provider about this . Nursing called the patient that afternoon to make sure she was feeling ok, and told her that in the future the flublok will have to be ordered in if that is what the patient wants. The patient was ok with this and will watch for any adverse reaction.
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| 2870099 | 68 | F | CT | 11/03/2025 |
COVID19 COVID19 COVID19 FLU3 FLU3 FLU3 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
407247 407247 407247 |
Abdominal pain, Back pain, Chills, Defaecation urgency, Dry mouth; Headache, Mic...
Abdominal pain, Back pain, Chills, Defaecation urgency, Dry mouth; Headache, Micturition urgency, Pyrexia, Renal pain, Retching; Tremor; Abdominal pain, Back pain, Chills, Defaecation urgency, Dry mouth; Headache, Micturition urgency, Pyrexia, Renal pain, Retching; Tremor
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3 days of fever, chills, uncontrollable shakes, tremors. Headache brought on dry heaves, wrenching w...
3 days of fever, chills, uncontrollable shakes, tremors. Headache brought on dry heaves, wrenching with only spit and clear bile produced. Horrific abdominal pain that led to extreme pain in lower back/kidney. Kidney pain absolute worst symtom. Constant urge to urinate or bowel movement with no result for 3 days. Drank 2 small glasses of warm milk and 2 large glasses of water over 2 days. Felt very dehydrated but drinking water seemed to bring on the worst kidney pain.
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| 2870100 | 8 | F | MI | 11/03/2025 |
COVID19 |
MODERNA |
8146545 |
Incorrect dose administered
Incorrect dose administered
|
Child & Mother were scheduled for a Flu vaccine. Mother asked if they could get the Covid-19 vac...
Child & Mother were scheduled for a Flu vaccine. Mother asked if they could get the Covid-19 vaccine added on. I administered the mother's vaccines first & then with the help of the mother, quickly gave the child her 2 vaccines. I documented the moms' vaccines & then the child's but had an issue documenting the child's Covid vaccine that I had administered. I realized her age was 8 years old and had given her the Adult Covid-19 dose. Mom was told of the action & was advised to report any adverse reactions.
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| 2870105 | 86 | M | OH | 11/03/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9548 |
Asthenia, Chest pain, Fatigue, Hyperhidrosis, Nausea
Asthenia, Chest pain, Fatigue, Hyperhidrosis, Nausea
|
Extreme Fatigue within 15 minutes reported day of injection on Wednesday October 29. Admitted to hos...
Extreme Fatigue within 15 minutes reported day of injection on Wednesday October 29. Admitted to hospital on Saturday Nov1 for nausea, fatigue, sweating, chest pain, generalized weakness.
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โ | |||||
| 2870107 | 3 | F | TX | 11/03/2025 |
FLU3 |
SEQIRUS, INC. |
|
Vomiting
Vomiting
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Patient developed vomiting only 2hrs after receiving vaccine. No SOB, diarrhea, rash, facial swellin...
Patient developed vomiting only 2hrs after receiving vaccine. No SOB, diarrhea, rash, facial swelling or other symptoms. She was seen by PCM the following day, given zofran. Remainder of course TBD
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| 2870108 | 48 | F | AL | 11/03/2025 |
FLU3 |
SANOFI PASTEUR |
ut8770np |
Joint range of motion decreased, Myalgia, Pain, Sleep disorder, Weight bearing d...
Joint range of motion decreased, Myalgia, Pain, Sleep disorder, Weight bearing difficulty
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painful arm muscle, limited range of motion, unable to lift arm above head or lift heavier items, pa...
painful arm muscle, limited range of motion, unable to lift arm above head or lift heavier items, pain when getting dressed and when trying to sleep, wakes me up numerous times at night
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| 2870109 | 31 | F | NJ | 11/03/2025 |
FLU3 |
SEQIRUS, INC. |
AX5586A |
Dizziness, Dyspnoea, Flushing, Musculoskeletal stiffness, Paraesthesia
Dizziness, Dyspnoea, Flushing, Musculoskeletal stiffness, Paraesthesia
|
Patient is a 31-year-old female with PMHx of ADHD, depression, and arthritis, who presents from work...
Patient is a 31-year-old female with PMHx of ADHD, depression, and arthritis, who presents from work with shortness of breath, increased work of breathing, feeling flushed, lightheadedness, as well as stiffness and tingling in her bilateral upper extremities after receiving her flu shot. Prior to receiving the flu shot she was in her usual state of health. She has received the vaccine in the past without similar reactions. She states that her only known allergy is Reglan. She denies any other symptoms at this time.
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| 2870110 | 72 | F | 11/03/2025 |
FLU3 |
SANOFI PASTEUR |
U8874AA |
Decreased appetite, Diarrhoea, Pyrexia, Vomiting, Weight decreased
Decreased appetite, Diarrhoea, Pyrexia, Vomiting, Weight decreased
|
High fever (103.5F) for two days, no appetite, unable to keep food/drink drink, diarrhea, weight los...
High fever (103.5F) for two days, no appetite, unable to keep food/drink drink, diarrhea, weight loss (5 pounds in 2 days),
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| 2870113 | 0.33 | F | NC | 11/03/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
3F7A5 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
Patient received flu vaccine below the recommended age range of 6 months of life. We were made aware...
Patient received flu vaccine below the recommended age range of 6 months of life. We were made aware of the error today 11/03/2025. Parents report patient had no adverse reaction or side effects from the vaccine
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| 2870116 | 7 | F | AL | 11/03/2025 |
FLU3 |
SEQIRUS, INC. |
|
Injection site erythema, Injection site pain, Injection site swelling, Injection...
Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
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Student had redness, swelling and warmth to touch around injection site, Left arm. Mom states the ar...
Student had redness, swelling and warmth to touch around injection site, Left arm. Mom states the arm was slightly red and sore the night of the injection, 10/29. By the next moring 10/30 the redness had increased but no swelling. By the afternoon of 10/30 the symptoms had worsened. She had increased redness, swelling and the arm was warm to touch. Parent called pediatricians office and was recommended to give PO Zyrtec and Ibuprofen and to call if no improvements.
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| 2870117 | 25 | M | TX | 11/03/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
73BN2 |
Decreased appetite, Headache, Nausea
Decreased appetite, Headache, Nausea
|
chronic headache, loss of appetite, and nausea. Took tylenol and advil for the headache. Not abl...
chronic headache, loss of appetite, and nausea. Took tylenol and advil for the headache. Not able to eat for 20 hours, still complaining of loss of appetite and intermittent headaches as of 11/3/2025
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| 2870118 | 78 | F | MI | 11/03/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052733 407981 |
Rash, Rash pruritic; Rash, Rash pruritic
Rash, Rash pruritic; Rash, Rash pruritic
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Rash on right under arm and all over her back. Rash was itchy. Reported it to her doctor who prescri...
Rash on right under arm and all over her back. Rash was itchy. Reported it to her doctor who prescribed her a steroid. Unsure if doctor reported.
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| 2870119 | 16 | F | IA | 11/03/2025 |
FLU3 FLU3 FLU3 MENB MENB MENB |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
F4A7R F4A7R F4A7R LT7C9 LT7C9 LT7C9 |
Asthma, Breath sounds abnormal, Chest discomfort, Chest pain, Condition aggravat...
Asthma, Breath sounds abnormal, Chest discomfort, Chest pain, Condition aggravated; Diarrhoea, Dizziness, Dyspnoea, Feeling hot, Influenza virus test negative; Nausea, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test negative; Asthma, Breath sounds abnormal, Chest discomfort, Chest pain, Condition aggravated; Diarrhoea, Dizziness, Dyspnoea, Feeling hot, Influenza virus test negative; Nausea, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test negative
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Reported sharp chest pains, SOB, temp of 99F, and that her face got hot the evening she got her vacc...
Reported sharp chest pains, SOB, temp of 99F, and that her face got hot the evening she got her vaccines. Presented at the ED the next morning with SOB, chest tightness, chest pain, decreased breath sounds, (reported) fever, diarrhea, nausea, dizziness. Treated with DuoNeb breathing treatment and prednisone PO. Discharged with refill of albuterol nebulizer solution and methylprednisolone 4mg dosepak. Diagnosed with vaccination complication, initial encounter and mild intermittent asthma without complication.
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| 2870120 | 1.17 | F | CA | 11/03/2025 |
FLUN3 |
MEDIMMUNE VACCINES, INC. |
TF3413 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
Flumist administered in error to patient at 14 months of age. Mother notified same day of administra...
Flumist administered in error to patient at 14 months of age. Mother notified same day of administration error. No reported adverse effects from mother to date.
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| 2870121 | 50 | M | 11/03/2025 |
FLU3 |
SANOFI PASTEUR |
u87908a |
Extra dose administered
Extra dose administered
|
Patient received another flu vaccine
Patient received another flu vaccine
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| 2870122 | 62 | F | 11/03/2025 |
FLU3 |
SEQIRUS, INC. |
409493 |
Product administered to patient of inappropriate age, Wrong product administered
Product administered to patient of inappropriate age, Wrong product administered
|
Patient age 62 was given FLUAD vaccine for age 65 years +. Verbal order for Fluad given to nurse. 2...
Patient age 62 was given FLUAD vaccine for age 65 years +. Verbal order for Fluad given to nurse. 2nd check was given to vaccine. Nurse administered Fluad high dose flu shot. during documentation of flu vaccine it was noticed that the wrong vaccine was administered. Provider notified and manager notified. pt was notified and pt was monitored for 15 mins and no reactions occurred
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| 2870123 | 76 | M | GA | 11/03/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
80777-0400-60 80777-0400-60 |
Abdominal pain upper, Appendicectomy, Appendicitis, Blood test, Computerised tom...
Abdominal pain upper, Appendicectomy, Appendicitis, Blood test, Computerised tomogram; Condition aggravated, Seizure
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1. On 10/20/25 at 11:00 AM, patient had a Covid shot. On 10/21/25, patient had a seizure at 3:30 A...
1. On 10/20/25 at 11:00 AM, patient had a Covid shot. On 10/21/25, patient had a seizure at 3:30 AM in the bathroom. It took him 3 1/2 hours after the seizure to be able to get up and return to bed. 2. On 10/26/25, patient woke up with severe pain in his stomach. He has transported by ambulance to hospital at 7:30 AM. Patient had acute appendicitis. At 10:30 PM on 10/26, patient had an appendectomy. I believe both events are related to his getting a COVID shot.
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| 2870124 | 73 | M | TX | 11/03/2025 |
FLU3 |
SANOFI PASTEUR |
u8875ba |
Injection site pain, Pain
Injection site pain, Pain
|
patient is complaining of pain radiating from injection site all the way down to the elbow for seve...
patient is complaining of pain radiating from injection site all the way down to the elbow for several days and has not subsided
More
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| 2870125 | 43 | F | CA | 11/03/2025 |
FLU3 |
SEQIRUS, INC. |
|
Arthralgia, Headache, Hypoaesthesia, Pain in extremity, Paraesthesia
Arthralgia, Headache, Hypoaesthesia, Pain in extremity, Paraesthesia
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pt says her arm was sore after getting the vaccine. She had pain in her arm that went down into her ...
pt says her arm was sore after getting the vaccine. She had pain in her arm that went down into her hand and made it numb. She developed a bad headache. The next morning she had pain in her left shoulder that went down her arm that made her hand making her finger numb like she had pins and needles in them. These symptoms are getting worse and not better. She reached out to her work where she was vaccinated to let them know to contact her PCP.
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| 2870127 | 67 | F | NE | 11/03/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
LD9Y5 |
Loss of personal independence in daily activities, Mobility decreased, Pain in e...
Loss of personal independence in daily activities, Mobility decreased, Pain in extremity
More
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Got the flu shot done on September 11,2025 and had a sore arm all weekend. Around September 15th not...
Got the flu shot done on September 11,2025 and had a sore arm all weekend. Around September 15th noticed difficulty lifting arm up and dressing the right arm.
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| 2870129 | 77 | F | VA | 11/03/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
NA0738 NA0738 |
Arthralgia, Blindness transient, Erythema, Influenza like illness, Pain in extre...
Arthralgia, Blindness transient, Erythema, Influenza like illness, Pain in extremity; Sensitive skin, Tenderness, Tremor, Urinary incontinence, Visual impairment
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shaking (started about 10:30pm - roughly 6 hours after injection); loss of bladder control (started ...
shaking (started about 10:30pm - roughly 6 hours after injection); loss of bladder control (started 24 hours after injection); vision disturbances - blind in both eyes when pt woke up then felt like look at the sun in an eclipse (started 7:30am the next day) - pressed on eyebrow, which was painful at first, but then all vision returned; tips of fingers in injection arm bright red and sensitive (started during the day following injection, lasted for about 24 hours); pain in opposing arm as if the vaccine had been given there; bright red elbow joints of both arms and knuckle of index finger on injection arm; flu like symptoms with pain in most joints
More
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| 2870132 | 73 | F | TN | 11/03/2025 |
FLU4 |
SANOFI PASTEUR |
ut8820ca |
Injection site pain, Pain
Injection site pain, Pain
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Site: Pain at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Systemic: OBC made to ...
Site: Pain at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Systemic: OBC made to patient 5 times left message once unable to reach. pt did leave a message stating she had a severe reaction to the vaccine that was administered and wanted to know which vaccine she received. she left message thursday 10/23/25 10:33 am-Severe, Additional Details: I reached out to patient to find out what her symptoms were and obtain additional information. I called several times yesterday and this morning, but was unable to reach her. Her number screens calls, but I followed the prompts and left a message once but there was no call back and I was unable to reach her. She left a message stating she had a vaccine on Tuesday 10/21/25 and had a severe reaction to it and wanted to know what the name of it was. I'm not sure if benadryl/epi given
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| 2870133 | 69 | F | ME | 11/03/2025 |
FLU4 |
SANOFI PASTEUR |
u8862ba |
Computerised tomogram normal, Dizziness, Gait disturbance, Vertigo, Visual impai...
Computerised tomogram normal, Dizziness, Gait disturbance, Vertigo, Visual impairment
More
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Systemic: Dizziness / Lightheadness-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional Details: vaccine adminsitered at 12pm 10/21/25. patient felt fine and went to work on 10/22/25. at 5:30am on the morning of 10/23 patient experienced visual disturbances (when looking at clock) resolved within 10 minutes. but upon waking up was having dizziness/vertigo that was affecting her ability to walk straight. called ambulance and went to ER, did multiple tests including CT scan with no findings. no medication administered in response to adverse event. today 10/24/25 patient is now asymptomatic
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| 2870134 | 68 | F | NY | 11/03/2025 |
FLU4 |
SANOFI PASTEUR |
u8874ba |
Seizure
Seizure
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Systemic: Seizure-Mild, Additional Details: patient had a seizure 45min to 1 hour after receiving va...
Systemic: Seizure-Mild, Additional Details: patient had a seizure 45min to 1 hour after receiving vaccination, Other Vaccines: VaccineTypeBrand: fluzone high-dose; Manufacturer: sanofi; LotNumber: u8874ba; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
More
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| 2870135 | 75 | M | IN | 11/03/2025 |
FLU4 |
SANOFI PASTEUR |
U8837CA |
Injection site pain, Joint injury
Injection site pain, Joint injury
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Site: Pain at Injection Site-Mild, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medi...
Site: Pain at Injection Site-Mild, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium
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| 2870136 | 54 | F | NY | 11/03/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
9jc49 |
Injected limb mobility decreased, Injection site pain, Joint injury, Product adm...
Injected limb mobility decreased, Injection site pain, Joint injury, Product administered at inappropriate site
More
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Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Me...
Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: pt states that immunizer gave shot too high up into top of shoulder and hit bone had to go ot the md and physical therapist with limited arm mobility
More
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| 2870138 | 85 | M | NY | 11/03/2025 |
COVID19-2 |
PFIZER\BIONTECH |
na0587 |
Joint injury, Pain in extremity
Joint injury, Pain in extremity
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Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: Left arm so...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: Left arm sore since recieved vaccine
More
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| 2870139 | 78 | M | NY | 11/03/2025 |
COVID19-2 |
PFIZER\BIONTECH |
na4452 |
Asthenia, Confusional state, Joint injury, Muscle twitching
Asthenia, Confusional state, Joint injury, Muscle twitching
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Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Systemic: Confusion-Mild, Systemi...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Systemic: Confusion-Mild, Systemic: Weakness-Mild, Additional Details: night twitching of the muscles, confusion and weakness
More
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โ | |||||
| 2870140 | 73 | F | CT | 11/03/2025 |
FLU4 |
SANOFI PASTEUR |
u8862da |
Injection site erythema
Injection site erythema
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Site: Redness at Injection Site-Medium, Additional Details: red patch appear 2 inches under the inje...
Site: Redness at Injection Site-Medium, Additional Details: red patch appear 2 inches under the injection site....just red and no fever and it starts as small area and grew bigger
More
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| 2870141 | 74 | F | PA | 11/03/2025 |
FLU4 |
SANOFI PASTEUR |
u8837da |
Hypoaesthesia, Joint injury, Pain, Paraesthesia, Sleep disorder
Hypoaesthesia, Joint injury, Pain, Paraesthesia, Sleep disorder
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Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient fee...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient feels that the injection hit a nerve. She still experiences pain and can't sleep on that arm. She also has numbness and tingling in that hand and is unable to lift objects. She has an appointment with her PCP next week. Her Chiropractor and heart doctor told her it may never get better. She is concerned.
More
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| 2870142 | 79 | F | NY | 11/03/2025 |
COVID19 |
PFIZER\BIONTECH |
NA4457 |
Extra dose administered, Injection site pain, No adverse event, Wrong product ad...
Extra dose administered, Injection site pain, No adverse event, Wrong product administered
More
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Site: Pain at Injection Site-Medium, Additional Details: The patient received two covid vaccines ins...
Site: Pain at Injection Site-Medium, Additional Details: The patient received two covid vaccines instead of one covid and one flu. patient is fine, has been informed, will get their flu shot monday
More
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| 2870144 | 71 | F | GA | 11/03/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9548 |
Injection site erythema, Injection site pruritus, Injection site swelling, Injec...
Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
More
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Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Inject...
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: The patient came in 2 days after the injection and her arm was swelling and hot to touch around the injection site. She is doing alright and asked for recommendation. The pharmacist talked to her and recommend her to take benadryl or motrin to see if the swelling goes down, if not in a day or 2 go to her doctor and check it out and let us know. I called her couple times to follow up but she did not answer the phone.
More
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| 2870145 | 43 | F | CT | 11/03/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052917 |
Injection site pruritus, Injection site swelling
Injection site pruritus, Injection site swelling
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Site: Itching at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Other Vaccines: Vaccin...
Site: Itching at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Other Vaccines: VaccineTypeBrand: flublok; Manufacturer: sanofi-pasteur; LotNumber: u88238a; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
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| 2870146 | 82 | F | CA | 11/03/2025 |
FLU4 |
SANOFI PASTEUR |
ut8820BA |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Systemic: no effects-Mild, Additional Details: pt came to pharmacy wanting a flu shot plus she gave ...
Systemic: no effects-Mild, Additional Details: pt came to pharmacy wanting a flu shot plus she gave us 3 papers that md wants her to get. one of which is pneumonia. had her filled out paperwork and before we gave her vaccine, verified her DOB plus what we are given her. after flu was given, she said she already had flu at the md's office. there was a miscommunication on both party. apologize to pt and called md to inform of situation. pt is ok. no need to contact
More
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| 2870148 | 69 | F | MA | 11/03/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052734 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
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Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Inject...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
More
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| 2870150 | 35 | M | DE | 11/03/2025 |
FLU4 FLU4 |
SANOFI PASTEUR SANOFI PASTEUR |
UT8861MA UT8861MA |
Chills, Confusional state, Dizziness, Fatigue, Hypotension; Lethargy, Nausea, Sy...
Chills, Confusional state, Dizziness, Fatigue, Hypotension; Lethargy, Nausea, Syncope, Tremor, Unresponsive to stimuli
More
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Systemic: Chills-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Syste...
Systemic: Chills-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild
More
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| 2870151 | 67 | M | NY | 11/03/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052154 |
Diplopia, Visual impairment
Diplopia, Visual impairment
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Systemic: Visual Changes/Disturbances-Severe, Additional Details: Double vision 2 weeks after shot. ...
Systemic: Visual Changes/Disturbances-Severe, Additional Details: Double vision 2 weeks after shot. Went to md then to ER. Did a full work up and later the double vision subsided. Told to be on aspirin in case have to do a heart problem. All exams were normal. When went to eye doctor the eye doctor said that there has been a double vision cases increase after 2 weeks after covid shot. , Other Vaccines: VaccineTypeBrand: mnexspike; Manufacturer: Moderna; LotNumber: 3052154; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
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| 2870152 | 17 | M | GA | 11/03/2025 |
FLUC4 |
SEQIRUS, INC. |
407010 |
Joint injury, Paraesthesia
Joint injury, Paraesthesia
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Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Additional Details: MOM REPORTED ...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Additional Details: MOM REPORTED ON 10/25/2025 AT 1:23PM THAT PATIENT FELT TINGLING IN THE RIGHT ARM AND LEG FOR ABOUT 30 MINS. AT TIME OF REPORTING, SHE CONFIRMED PATIENT WAS FEELING BETTER.
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| 2870153 | 65 | F | TX | 11/03/2025 |
FLU4 |
SANOFI PASTEUR |
UT8829BA |
Injection site bruising
Injection site bruising
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Site: Bruising at Injection Site-Mild, Additional Details: Patient report bruising over injection si...
Site: Bruising at Injection Site-Mild, Additional Details: Patient report bruising over injection site that does not go away after 1 week post vaccination. No fever, pain, irritation; however, the bruising seems to go away slowly but still clearly visible.
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| 2870154 | 67 | F | TX | 11/03/2025 |
FLUA4 |
SEQIRUS, INC. |
407265 |
Injection site erythema, Injection site pruritus, Skin warm
Injection site erythema, Injection site pruritus, Skin warm
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Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch...
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Additional Details: Patient states her arm felt "hot" the evening of the vaccine administration. Itching started the night of 10/20/25. On 10/21/25, patient noticed redness on right deltoid along with pruritis, Other Vaccines: VaccineTypeBrand: Capvaxive; Manufacturer: Merck; LotNumber: z009681; Route: Intramuscular; BodySite: Right deltoid; Dose: 1; VaxDate: 10/14/2025
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| 2870155 | 69 | M | MA | 11/03/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052741 |
No adverse event, Wrong patient
No adverse event, Wrong patient
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Systemic: Patient did not report any adverse reactions-Mild, Additional Details: Patient was adminis...
Systemic: Patient did not report any adverse reactions-Mild, Additional Details: Patient was administered Spikevax vaccine under registration of wrong patient with same first name and last name (different DOB). Patient's wife reported on 10/25/2025 by identifying wrong DOB on the vaccine record. Patient who was administered vaccine did not report any adverse reactions from the vaccine.
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| 2870156 | 71 | F | PA | 11/03/2025 |
COVID19 |
PFIZER\BIONTECH |
na4457 |
Extra dose administered, Headache, Injection site pain
Extra dose administered, Headache, Injection site pain
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Site: Pain at Injection Site-Mild, Additional Details: a second pfizer covid shot was accidentally a...
Site: Pain at Injection Site-Mild, Additional Details: a second pfizer covid shot was accidentally administered. Patient's prescriber's office was notified on 10-24, and the patient was followed up on on 10-25 with a phone call. Patient had a headache the previous evening but was doing well as of 3:30 pm saturday
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| 2870159 | 23 | F | AZ | 11/03/2025 |
COVID19-2 |
PFIZER\BIONTECH |
na4457 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
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Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
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| 2870161 | 7 | M | CA | 11/03/2025 |
FLUC4 |
SEQIRUS, INC. |
407009 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
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Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Mild, Site: Redness at Injecti...
Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Severe, Additional Details: swelling and bump at vaccine site
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| 2870162 | 15 | M | SC | 11/03/2025 |
COVID19-2 COVID19-2 |
PFIZER\BIONTECH PFIZER\BIONTECH |
na4457 na4457 |
Anaphylactic reaction, Bell's palsy, Chills, Confusional state, Dizziness; ...
Anaphylactic reaction, Bell's palsy, Chills, Confusional state, Dizziness; Dyspnoea, Pain
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Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: B...
Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Bell's Palsy-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Other Vaccines: VaccineTypeBrand: 00069252810; Manufacturer: biontech/pfizer; LotNumber: na4457; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
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| 2870163 | 80 | M | HI | 11/03/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052296 |
Herpes zoster, Pustule
Herpes zoster, Pustule
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Systemic: Patient said he developed shingles symptoms (pustules)-Medium, Additional Details: Patient...
Systemic: Patient said he developed shingles symptoms (pustules)-Medium, Additional Details: Patient reported several days after receiving vaccinations he developed symptoms of shingles. He was unsure of whether it was an association or causal relationship after receiving both vaccines on 9/16/25, Other Vaccines: VaccineTypeBrand: Fluad; Manufacturer: Sequris; LotNumber: 407243; Route: Intramuscular; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
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| 2870165 | 80 | F | FL | 11/03/2025 |
FLUA4 |
SEQIRUS, INC. |
407265 |
Injection site bruising, Injection site pain, Injection site swelling
Injection site bruising, Injection site pain, Injection site swelling
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Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Inje...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium
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