| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2868993 | 75 | M | MI | 10/28/2025 |
FLU3 |
SEQIRUS, INC. |
409166 |
Cardiac arrest, Death, Resuscitation
Cardiac arrest, Death, Resuscitation
|
Cardiac arrest, CPR, EMS, Death
Cardiac arrest, CPR, EMS, Death
|
โ | |||||
| 2868994 | 81 | F | FL | 10/28/2025 |
FLU3 |
SANOFI PASTEUR |
#UT8781DA |
Heart rate increased
Heart rate increased
|
rapid heartbeat lasting 20-30 minutes
rapid heartbeat lasting 20-30 minutes
|
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| 2868995 | 5 | F | MN | 10/28/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052671 948402 |
Product administered to patient of inappropriate age; Product administered to pa...
Product administered to patient of inappropriate age; Product administered to patient of inappropriate age
More
|
Gave wrong age covid vaccine - Moderna 12+ to 5-year-old client.
Gave wrong age covid vaccine - Moderna 12+ to 5-year-old client.
|
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| 2868996 | 52 | F | MN | 10/28/2025 |
COVID19 FLU3 VARZOS |
PFIZER\BIONTECH SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS |
MY9548 948416 7YD42 |
Oral pruritus, Paraesthesia oral; Oral pruritus, Paraesthesia oral; Oral pruritu...
Oral pruritus, Paraesthesia oral; Oral pruritus, Paraesthesia oral; Oral pruritus, Paraesthesia oral
More
|
Patient experienced tingling and itchy feeling on roof of mouth within a minute or two after adminis...
Patient experienced tingling and itchy feeling on roof of mouth within a minute or two after administration of vaccinations. Benadryl was administered and symptoms abated within 15 minutes.
More
|
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| 2868997 | 72 | M | NY | 10/28/2025 |
COVID19 FLU3 PNC20 RSV |
PFIZER\BIONTECH SANOFI PASTEUR PFIZER\WYETH PFIZER\WYETH |
my9548 ut8763ea mg7416 mm9161 |
Arthralgia, Gait inability, Pain in extremity; Arthralgia, Gait inability, Pain ...
Arthralgia, Gait inability, Pain in extremity; Arthralgia, Gait inability, Pain in extremity; Arthralgia, Gait inability, Pain in extremity; Arthralgia, Gait inability, Pain in extremity
More
|
patient's spouse states that 2 hours after receiving vaccines, the patient could not walk, was ...
patient's spouse states that 2 hours after receiving vaccines, the patient could not walk, was in extreme pain (legs, knees), could not get out of bed for 2 days. Patient refused to go to the ER. It should be noted that patient does suffer from knee issues/arthritis. When I told patient's spouse that this was likely due to an immune response from 4 vaccines, she asked that I still report it. Patient's spouse states that patient is back to his "normal" with minimal issues.
More
|
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| 2869000 | 76 | F | MO | 10/28/2025 |
COVID19 |
MODERNA |
AU3917B |
Computerised tomogram neck abnormal, Computerised tomogram thorax abnormal, Echo...
Computerised tomogram neck abnormal, Computerised tomogram thorax abnormal, Echocardiogram, Jugular vein thrombosis, Pulmonary embolism
More
|
Pt was hospitalized 10/15/25-10/27/25 and diagnosed with acute pulmonary embolism and right internal...
Pt was hospitalized 10/15/25-10/27/25 and diagnosed with acute pulmonary embolism and right internal jugular thrombosis (not common). She has had multiple pregnancies with no clots. She has had Parkinson's Disease for years and is more mobile now with her deep brain stimulator than before.
More
|
โ | โ | ||||
| 2869001 | 77 | M | FL | 10/28/2025 |
FLU3 |
SEQIRUS, INC. |
MY9550 |
Injection site bruising, Injection site pain
Injection site bruising, Injection site pain
|
Patient noticed pain at site of injection and bruising day after vaccination
Patient noticed pain at site of injection and bruising day after vaccination
|
||||||
| 2869002 | 42 | F | NC | 10/28/2025 |
FLU3 |
SANOFI PASTEUR |
U8864BA |
Chest discomfort, Dizziness, Syncope
Chest discomfort, Dizziness, Syncope
|
Fainted withing 5 minutes of vaccine, dizziness, tightness in chest after getting up. BP 132/71, HR ...
Fainted withing 5 minutes of vaccine, dizziness, tightness in chest after getting up. BP 132/71, HR 107; dose of Benadryl 25mg given at ~11:10am (10 min after fainting)
More
|
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| 2869003 | 76 | M | IL | 10/28/2025 |
COVID19 |
MODERNA |
8146670 |
Unevaluable event
Unevaluable event
|
Came to receive the Covid 19 and the Fluzone. He only received the Covid 19.
Came to receive the Covid 19 and the Fluzone. He only received the Covid 19.
|
||||||
| 2869004 | 43 | MN | 10/28/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052581 409413 |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
|
Patient requested Flu shot but received both Flu and Covid shots. He had previously had 12+ covid sh...
Patient requested Flu shot but received both Flu and Covid shots. He had previously had 12+ covid shot 4 weeks ago.
More
|
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| 2869006 | 50 | F | GA | 10/28/2025 |
FLU3 FLU3 FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
406981 406981 |
Arthralgia, Mobility decreased, X-ray; Arthralgia, Injection site pain, Joint in...
Arthralgia, Mobility decreased, X-ray; Arthralgia, Injection site pain, Joint injury; Arthralgia, Mobility decreased, X-ray; Arthralgia, Injection site pain, Joint injury
More
|
Shoulder pain and very limited arm mobility.
Shoulder pain and very limited arm mobility.
|
||||||
| 2869008 | 95 | F | 10/28/2025 |
FLU3 |
SANOFI PASTEUR |
U876408 |
Malaise, Night sweats
Malaise, Night sweats
|
Patient started to feel unwell the evening of the immunization, 10/17. She spent most of the next th...
Patient started to feel unwell the evening of the immunization, 10/17. She spent most of the next three days in bed, probably with fever for part of that time. Although her condition improved significantly on the fourth day, she hasn't felt back to her normal self in the 10 days since she received the shot. She has also been having night sweats intermittently over that period.
More
|
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| 2869009 | 74 | M | KY | 10/28/2025 |
FLU3 |
SANOFI PASTEUR |
u8859ba |
Myalgia, Pain in extremity
Myalgia, Pain in extremity
|
patient came in today 10/28/25 and stated that arm still hurts from shot given on 10/10/25; states i...
patient came in today 10/28/25 and stated that arm still hurts from shot given on 10/10/25; states its a muscular pain; no visible redness or swelling
More
|
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| 2869010 | 9 | F | MN | 10/28/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052671 948407 |
Product administered to patient of inappropriate age; Product administered to pa...
Product administered to patient of inappropriate age; Product administered to patient of inappropriate age
More
|
Mistakenly gave 9-year-old client Moderna 12+ instead of Moderna 6m-11y.
Mistakenly gave 9-year-old client Moderna 12+ instead of Moderna 6m-11y.
|
||||||
| 2869012 | 72 | F | CA | 10/28/2025 |
FLU3 |
SANOFI PASTEUR |
U8847BA |
Injection site inflammation, Injection site pain
Injection site inflammation, Injection site pain
|
Pain and inflammation to Left upper arm area that started the day after the Flu vaccine was given.
Pain and inflammation to Left upper arm area that started the day after the Flu vaccine was given.
|
||||||
| 2869013 | 47 | F | TX | 10/28/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
ah2g4 |
Myalgia
Myalgia
|
persistent deltoid pain post injection of Flulaval vaccination
persistent deltoid pain post injection of Flulaval vaccination
|
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| 2869015 | 57 | F | OH | 10/28/2025 |
FLU3 |
SANOFI PASTEUR |
U8767AA |
Mobility decreased, Pain
Mobility decreased, Pain
|
Caregiver states starting 10-3-25 at 15:30 after working-out she was unable to bend arm overhead. No...
Caregiver states starting 10-3-25 at 15:30 after working-out she was unable to bend arm overhead. No redness or visible swelling. pain level 7-8/10. 10/10 if trying to remove bra. No OTC medication taken. no heat or ice. Caregiver states she has not thought about taking Tylenol or Advil to relieve the pain. CG states she has an appointment with a provider and will have them look at it. Caregiver is not interested in worker comp just wants it documented.
More
|
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| 2869017 | 46 | F | IA | 10/28/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
MY9548 AH2G4 |
Gait disturbance, Myalgia; Gait disturbance, Myalgia
Gait disturbance, Myalgia; Gait disturbance, Myalgia
|
No fever, all over muscle soreness to the point where it was difficult to walk. Started about 8 hour...
No fever, all over muscle soreness to the point where it was difficult to walk. Started about 8 hours after vaccination and then lasted for 24 hours.
More
|
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| 2869018 | 9 | F | MN | 10/28/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052671 948407 |
Product administered to patient of inappropriate age; Product administered to pa...
Product administered to patient of inappropriate age; Product administered to patient of inappropriate age
More
|
Gave 9-year-old client Moderna 12+ instead of Moderna 6m-11y.
Gave 9-year-old client Moderna 12+ instead of Moderna 6m-11y.
|
||||||
| 2869020 | 11 | M | MN | 10/28/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052671 948407 |
Product administered to patient of inappropriate age; Product administered to pa...
Product administered to patient of inappropriate age; Product administered to patient of inappropriate age
More
|
Gave 11 year old client Moderna 12+ instead of Moderna 6m-11y.
Gave 11 year old client Moderna 12+ instead of Moderna 6m-11y.
|
||||||
| 2869021 | 65 | F | OH | 10/28/2025 |
FLU3 |
SEQIRUS, INC. |
407981 |
Injected limb mobility decreased, Injection site pain
Injected limb mobility decreased, Injection site pain
|
Patient reports pain and limited mobility in shoulder near injection site, starting the evening foll...
Patient reports pain and limited mobility in shoulder near injection site, starting the evening following injection.
More
|
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| 2869023 | 6 | M | MN | 10/28/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052671 948407 |
Product administered to patient of inappropriate age; Product administered to pa...
Product administered to patient of inappropriate age; Product administered to patient of inappropriate age
More
|
Gave 6 year old client Moderna 12+ instead of Moderna 6m-11y.
Gave 6 year old client Moderna 12+ instead of Moderna 6m-11y.
|
||||||
| 2869024 | 24 | F | WI | 10/28/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Arthralgia, Mobility decreased, Periarthritis
Arthralgia, Mobility decreased, Periarthritis
|
Onset of shoulder pain, decreased range of motion, saw PCP for pain ~2 weeks after vaccination, PCP ...
Onset of shoulder pain, decreased range of motion, saw PCP for pain ~2 weeks after vaccination, PCP wrote referral for PT/OT; saw OT for evaluation ~3 weeks after vaccination, dx frozen shoulder and recommended OT therapy 2x/week for length of time to be determined.
More
|
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| 2869027 | 11 | M | OK | 10/28/2025 |
FLU3 HPV9 MNQ TDAP |
SEQIRUS, INC. MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
406987 Y018297 AH7Z3 37R35 |
Injection site swelling; Injection site swelling; Injection site swelling; Injec...
Injection site swelling; Injection site swelling; Injection site swelling; Injection site swelling
More
|
Patient received Tdap, Menveo, flu, and HPV vaccines on 10/24/2025 at 1600. Parents and patient pre...
Patient received Tdap, Menveo, flu, and HPV vaccines on 10/24/2025 at 1600. Parents and patient presented to clinic on 10/27/2025 at 1600 reporting swelling of right arm from below injection site to elbow. Reports swelling started on 10/25/2025 on the weekend and arm has been improving with each day. Patient then added to physician Dr's schedule for evaluation on 10/27/2025. Per Dr recommended Ibuprofen prn for 1 week and scheduled to return in 1 week for follow up.
More
|
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| 2869028 | 3 | F | MN | 10/28/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052671 948407 |
Product administered to patient of inappropriate age; Product administered to pa...
Product administered to patient of inappropriate age; Product administered to patient of inappropriate age
More
|
Gave 3-year-old client Moderna 12+ instead of Moderna 6m-11y.
Gave 3-year-old client Moderna 12+ instead of Moderna 6m-11y.
|
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| 2869029 | 11 | M | MN | 10/28/2025 |
COVID19 FLUN3 |
MODERNA MEDIMMUNE VACCINES, INC. |
3052671 YH3388 |
Product administered to patient of inappropriate age; Product administered to pa...
Product administered to patient of inappropriate age; Product administered to patient of inappropriate age
More
|
Gave 11-year-old client Moderna 12+ instead of Moderna 6m-11y.
Gave 11-year-old client Moderna 12+ instead of Moderna 6m-11y.
|
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| 2869030 | 15 | F | MA | 10/28/2025 |
COVID19 |
MODERNA |
3052579 |
Unevaluable event
Unevaluable event
|
none
none
|
||||||
| 2869033 | 70 | M | OH | 10/28/2025 |
COVID19 |
MODERNA |
3052860 |
No adverse event, Underdose
No adverse event, Underdose
|
patient received wrong dose. He is 70 and got spikevax which is labeled for 6months-11years- no adv...
patient received wrong dose. He is 70 and got spikevax which is labeled for 6months-11years- no adverse event occurred as far as we can tell.
More
|
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| 2869034 | 74 | F | OH | 10/28/2025 |
COVID19 |
MODERNA |
3052860 |
Underdose
Underdose
|
Have 6months-11 years old to an 74 year old
Have 6months-11 years old to an 74 year old
|
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| 2869035 | 6 | F | CA | 10/28/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
3052741 U8827AA |
No adverse event; No adverse event
No adverse event; No adverse event
|
PATIENT WAS ADMINISTERED COVID VACCINE SPIKEVAX FOR CHILDREN 12 YEARS AND OLDER WHEN PATIENT WAS 6 Y...
PATIENT WAS ADMINISTERED COVID VACCINE SPIKEVAX FOR CHILDREN 12 YEARS AND OLDER WHEN PATIENT WAS 6 YEARS OLD. PATIENTS MOTHER STATED DAUGHTER WAS NOT EXPERIENCING ANY ADVERSE REACTIONS, DID GIVE HER TYLENOL THE MORNING OF 10/28/2025 PROPHYLACTICALLY.
More
|
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| 2869036 | 55 | F | NY | 10/28/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3052784 3052784 |
Chest discomfort, Dyspnoea, Injection site bruising, Musculoskeletal stiffness, ...
Chest discomfort, Dyspnoea, Injection site bruising, Musculoskeletal stiffness, Nasopharyngitis; Pain, Pain in extremity, Peripheral swelling, Pyrexia
More
|
Fever, body aches, cold, shortness of breath, tightness in chest, swollen, painful and stiff left ar...
Fever, body aches, cold, shortness of breath, tightness in chest, swollen, painful and stiff left arm (unable to lift). Bruised left arm around injection site.
More
|
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| 2869038 | 4 | M | MN | 10/28/2025 |
COVID19 COVID19 FLU3 |
MODERNA PFIZER\BIONTECH SEQIRUS, INC. |
NA0846 |
Extra dose administered, Product administered to patient of inappropriate age, W...
Extra dose administered, Product administered to patient of inappropriate age, Wrong product administered; Extra dose administered, Product administered to patient of inappropriate age, Wrong product administered; Extra dose administered, Product administered to patient of inappropriate age, Wrong product administered
More
|
4-year-old client received Moderna 6m-11y and Pfizer 5y-11y covid vaccines. Nurse accidentally grabb...
4-year-old client received Moderna 6m-11y and Pfizer 5y-11y covid vaccines. Nurse accidentally grabbed siblings vaccination in error and gave both. Informed family that client received 2 covid vaccines. Parents still wanted him to get flu vaccine, so nurse administer flu as well. Director of Clinical Operations called to check in with family.
More
|
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| 2869040 | 65 | F | CO | 10/28/2025 |
COVID19 PNC21 |
MODERNA MERCK & CO. INC. |
3052732 Z010761 |
Feeling hot, Immediate post-injection reaction, Injected limb mobility decreased...
Feeling hot, Immediate post-injection reaction, Injected limb mobility decreased, Pain; Feeling hot, Immediate post-injection reaction, Injected limb mobility decreased, Pain
More
|
IMMEDIATELY WHEN PT WAS INJECTED WITH THE 2 VACCINES SHE HAD A HOT SENSATION AND SHARP PAIN ABOUT 1...
IMMEDIATELY WHEN PT WAS INJECTED WITH THE 2 VACCINES SHE HAD A HOT SENSATION AND SHARP PAIN ABOUT 1 HOUR LATER SHE EXPERIENCED IMMOBILITY OF HER RIGHT ARM WHICH HAS SLOWLY RESOLVED BUT IS STILL VERY LIMITED
More
|
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| 2869041 | 44 | F | FL | 10/28/2025 |
FLU3 |
SANOFI PASTEUR |
U8790AA |
Rash
Rash
|
Patient came in to the pharmacy today (10/28/25) stating she is experiencing a rash on her chest and...
Patient came in to the pharmacy today (10/28/25) stating she is experiencing a rash on her chest and back only that started 2 days after her vaccination and it has not gotten better. She went to her doctor and they prescribed a cream nut she said it has not gotten better with that either.
More
|
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| 2869042 | 64 | F | OH | 10/28/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9547 |
Hypoaesthesia, Loss of personal independence in daily activities, Pain in extrem...
Hypoaesthesia, Loss of personal independence in daily activities, Pain in extremity, Paraesthesia, Sleep disorder
More
|
Patient reports pain in the left arm to the point of struggling to use her arm for daily tasks and u...
Patient reports pain in the left arm to the point of struggling to use her arm for daily tasks and unable to sleep on her side. Patient reports tingling and numbness the length of her arm to her fingertips.
More
|
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| 2869045 | 52 | F | GA | 10/28/2025 |
FLU3 |
SANOFI PASTEUR |
U8848AA |
Arthralgia
Arthralgia
|
Patient experiencing pain upper arm consistent with SIRVA
Patient experiencing pain upper arm consistent with SIRVA
|
||||||
| 2869047 | 11 | F | MD | 10/28/2025 |
MNQ TDAP |
NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
|
Henoch-Schonlein purpura; Henoch-Schonlein purpura
Henoch-Schonlein purpura; Henoch-Schonlein purpura
|
Developed hsp/ iga vasculitis severe going on 4 weeks now
Developed hsp/ iga vasculitis severe going on 4 weeks now
|
โ | |||||
| 2869048 | 34 | F | IL | 10/28/2025 |
FLU3 |
SANOFI PASTEUR |
F4A7R |
Depression, Fatigue, Inflammation, Muscle spasms, Musculoskeletal stiffness
Depression, Fatigue, Inflammation, Muscle spasms, Musculoskeletal stiffness
|
Severe fatigue with depression not otherwise explained. Significant cramping and stiffness with infl...
Severe fatigue with depression not otherwise explained. Significant cramping and stiffness with inflammatory reaction.
More
|
||||||
| 2869049 | 36 | F | VA | 10/28/2025 |
FLU3 |
SEQIRUS, INC. |
AX6338A |
Injection site discolouration, Injection site pain, Pain
Injection site discolouration, Injection site pain, Pain
|
Patient reports muscle pain in upper left arm into left shoulder. Constant pain with range of motio...
Patient reports muscle pain in upper left arm into left shoulder. Constant pain with range of motion/movement. Discoloration beneath skin noted on left upper arm extending from injection site toward elbow.
More
|
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| 2869050 | 91 | M | AZ | 10/28/2025 |
COVID19 |
MODERNA |
|
Erythema, Induration, Pain in extremity, Peripheral swelling, Pyrexia
Erythema, Induration, Pain in extremity, Peripheral swelling, Pyrexia
|
24 hours after I had very hard painful bump on the right arm and i got a fever 99 degrees and it las...
24 hours after I had very hard painful bump on the right arm and i got a fever 99 degrees and it lasted 4 hours or so and then the fever went down. My arm remains red and swollen ever 48 hours later and its still red but not swollen on the thrid day. I have never had a reaction to covid shots or any other vaccine. The swelling is a good 3 to 4 inches
More
|
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| 2869051 | 63 | M | PA | 10/28/2025 |
FLU3 |
SANOFI PASTEUR |
|
Product storage error
Product storage error
|
patient came to pharmacy for flu shot on friday 10/24/25, he did not want to wait on friday for th...
patient came to pharmacy for flu shot on friday 10/24/25, he did not want to wait on friday for the shot so the shot was filled and ready and put in the frig for when he came back. saturday he came back and did not want to wait again, we had a new technician working register who sold the shot out and he took the shot home with him. he then called to let us know he had put the shot up his nose.
More
|
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| 2869052 | 64 | M | MN | 10/28/2025 |
FLU3 TDAP |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
UT8779NA PX3P7 |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
|
Tdap vaccine given too soon. Last Tdap was given on 10/09/2023.
Tdap vaccine given too soon. Last Tdap was given on 10/09/2023.
|
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| 2869053 | 69 | F | MI | 10/28/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3053483 407273 |
Dizziness, Myalgia, Nausea, Pyrexia; Dizziness, Myalgia, Nausea, Pyrexia
Dizziness, Myalgia, Nausea, Pyrexia; Dizziness, Myalgia, Nausea, Pyrexia
|
fever of 100.5, dizziness, muscle aches and pains, nausea, treatment recommended tylenol and call ba...
fever of 100.5, dizziness, muscle aches and pains, nausea, treatment recommended tylenol and call back if symptoms persist, to call pharmacy back
More
|
||||||
| 2869055 | 40 | F | NH | 10/28/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
247L3 |
Dizziness, Hypotonia, Loss of consciousness
Dizziness, Hypotonia, Loss of consciousness
|
After getting injection patient stated that she felt lighthead and dizzy. While sitting the chair sh...
After getting injection patient stated that she felt lighthead and dizzy. While sitting the chair she slumped forward and put her head on the table. She then passed out
More
|
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| 2869057 | 68 | F | IL | 10/28/2025 |
COVID19 |
PFIZER\BIONTECH |
lm7786 |
Atrial fibrillation
Atrial fibrillation
|
Pt reports having symptoms of a-fib 2 weeks after last covid vaccine. she made an appointment with ...
Pt reports having symptoms of a-fib 2 weeks after last covid vaccine. she made an appointment with her primary care doctor regarding this issure. pt says symptoms are resolved. pt has a history of a-fib
More
|
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| 2869058 | 66 | F | OR | 10/28/2025 |
COVID19 |
MODERNA |
3052133 |
Abdominal discomfort, Abdominal pain
Abdominal discomfort, Abdominal pain
|
Around 3 hours after vaccination pt had tightness around upper abdomen, Pain intensified into the ev...
Around 3 hours after vaccination pt had tightness around upper abdomen, Pain intensified into the evening. Pain was excruciating around 10-11 o'clock that night. Took meloxicam (probably expired) around midnight and that took the edge off. Pt was able to fall asleep and was better in the morning. Pt was very close to going to the hospital, but it was very late at night.
More
|
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| 2869059 | 32 | M | MN | 10/28/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052671 948406 |
Hyperhidrosis, Hypotonia, Immediate post-injection reaction, Pain, Tremor; Hyper...
Hyperhidrosis, Hypotonia, Immediate post-injection reaction, Pain, Tremor; Hyperhidrosis, Hypotonia, Immediate post-injection reaction, Pain, Tremor
More
|
2nd vaccine administered (flu), client reported "it hurt" then immediately slumped in his ...
2nd vaccine administered (flu), client reported "it hurt" then immediately slumped in his chair (no fall) and became diaphoretic. Fainting lasted approximately 5 seconds before client perked up and asked what happened. BP initially was 80/40, 5 minutes later 120/80, 5 mins later 118/78. HR 80s with spont. respirations. Responded appropriately. Reported intake was "a croissant" today (incident at ~2:55pm). Client drank water and had something sweet to eat. Remained seated 40 minutes, drank water, and partial cookie. Remained shaky, but felt much better.
More
|
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| 2869060 | 78 | F | NC | 10/28/2025 |
PNC20 |
PFIZER\WYETH |
MG7421 |
Death, Malaise, Peripheral swelling
Death, Malaise, Peripheral swelling
|
FAMILY NOTICED PATIENT WAS NOT FEELING WELL AROUND 5 DAYS PRIOR TO ADVERSE EVENT TO MY UNDERSTANDING...
FAMILY NOTICED PATIENT WAS NOT FEELING WELL AROUND 5 DAYS PRIOR TO ADVERSE EVENT TO MY UNDERSTANDING. HER DAUGHTER NOTICED HANDS SWELLING I BELIEVE AROUND 3 DAYS PRIOR TO ADVERSE EVENT. TO MY UNDERSTANDING WHEN FAMILY WAS CONTINUING TO SEE SWELLING, THEY WERE WANTING TO CALL DR., BUT DID NOT BECAUSE HIS OFFICE WAS CLOSED. DAUGHTER WAS GOING TO CALL DR. THE NEXT DAY HER DOCTOR WAS IN. TO MY UNDERSTANDING NO OTHER MEDICAL PERSONEL OR EMS WAS NOT CALLED BECAUSE DAUGHTER WAS WAITING ON HER PRIMARY CARE DOCTOR TO OPEN THE NEXT DAY. THE NIGHT OF THE ADVERSE EVENT AROUND 11PM ONE DAUGHTER CHECKED ON HER MOTHER AND SHE WAS SLEEPING. AROUND MIDNIGHT THE OTHER DAUGHTER CHECKED ON MOTHER AND SHE HAD PASSED. THE FAMILY AT SOME POINT DURING THIS NOTICED THE PATIENT IN THE FETAL POSITION. THE DAUGHTER CALLED ME ON 10/27/2025 AND GAVE ME THIS INFORMATION. THE DAUGHTER DID NOT KNOW IF THE SHOT WOULD HAVE HAD ANYTHING TO DO WITH HER PASSING.
More
|
โ | |||||
| 2869063 | 64 | F | AL | 10/28/2025 |
FLU3 |
SEQIRUS, INC. |
407243 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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PATIENT YOUNGER THAN 65 YEARS OLD ADMINISTERED FLUAD 65+
PATIENT YOUNGER THAN 65 YEARS OLD ADMINISTERED FLUAD 65+
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| 2869064 | 70 | M | KS | 10/28/2025 |
FLU3 |
SANOFI PASTEUR |
UT8829BA |
Extra dose administered
Extra dose administered
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Patient scheduled appt for Hi Dose Flu Shot. Presents today for appt for shot. VIS reviewed with hi...
Patient scheduled appt for Hi Dose Flu Shot. Presents today for appt for shot. VIS reviewed with him. Signs consent. Immunization given. After patient leaves clinic, today's dose was entered into vaccine record. It was then discovered that per vaccine record, patient had received Hi Dose Flu shot 9/03/2025 by medical clinic. Client was contacted by phone and notified that he had previous shot and had received same dose again today. He agreed to contact his personal care provider and notify them and follow in advice they give to him. He was also told he could call this office and report any adverse reactions.
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