| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2868740 | 75 | F | AK | 10/27/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9547 |
C-reactive protein increased, Death, Red blood cell sedimentation rate increased...
C-reactive protein increased, Death, Red blood cell sedimentation rate increased, Sudden death
More
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Patient passed away suddenly on Oct 24th, it was suspected she had developed Giant Cell Arteritis (h...
Patient passed away suddenly on Oct 24th, it was suspected she had developed Giant Cell Arteritis (headache, neck and shoulder ache, jaw pain, vision changes) for which she had been started on prednisone.
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โ | |||||
| 2868741 | 4 | F | 10/27/2025 |
COVID19 |
MODERNA |
|
Incorrect dose administered, No adverse event
Incorrect dose administered, No adverse event
|
No adverse events noted, administration error incorrect dose administered.
No adverse events noted, administration error incorrect dose administered.
|
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| 2868742 | 73 | F | CO | 10/27/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052669 409166 |
Chills, Fatigue, Injection site pain, Pain in extremity; Chills, Fatigue, Inject...
Chills, Fatigue, Injection site pain, Pain in extremity; Chills, Fatigue, Injection site pain, Pain in extremity
More
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Patient states she had chills, arm pain in both arms and fatigue for 2-3 days after vaccination. She...
Patient states she had chills, arm pain in both arms and fatigue for 2-3 days after vaccination. She continues to have arm pain in left deltoid below her vaccine injection. She has been self treating with acetaminophen, ibuprofen and heat. These all help but do not resolve the pain. It has not improved or worsened in the last 3 weeks.
More
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| 2868743 | 6 | F | MI | 10/27/2025 |
FLU3 |
SANOFI PASTEUR |
NDC: 49281-0425 |
Injection site erythema, Injection site induration, Injection site pruritus, Inj...
Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
More
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Injection site reaction: red, swollen, induration, itchy
Injection site reaction: red, swollen, induration, itchy
|
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| 2868745 | 28 | F | 10/27/2025 |
FLU3 |
SEQIRUS, INC. |
|
Chills, Fatigue, Immediate post-injection reaction, Impaired work ability, Injec...
Chills, Fatigue, Immediate post-injection reaction, Impaired work ability, Injection site pain
More
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Stinging, burning sensation immediately upon vaccination and continued for several hours despite app...
Stinging, burning sensation immediately upon vaccination and continued for several hours despite application of ice packs to shoulder and 600mg ibuprofen, and keeping arm moving after vaccination. Interrupted normal work badly enough that I contacted the nurse who administrated it. Body chills and fatigue within 4 hours of vaccination. received only flu shot and not COVID
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| 2868746 | 21 | F | OR | 10/27/2025 |
MENB MENB MENB |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
3L339 3L339 3L339 |
Arthralgia, Cyanosis, Dizziness, Dyspnoea exertional, Full blood count normal; M...
Arthralgia, Cyanosis, Dizziness, Dyspnoea exertional, Full blood count normal; Metabolic function test normal, Nausea, Pallor, Palpitations, Tachycardia; Vomiting
More
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RN 10/24/25 1332 Addendum Pt arrives ambulatory to triage, received meningococcal B vaccine this A...
RN 10/24/25 1332 Addendum Pt arrives ambulatory to triage, received meningococcal B vaccine this AM, since then has been having dizziness, nausea, vomiting, SOB on exertion, tachycardia, and achy joints. Pale color in triage. No meds PTA. AO x 4 GCS 15 21 y.o. female presents to the ED with palpitations, dizziness, nausea, vomiting, knee joint soreness after getting a meningococcal vaccine at 0915 today. Received first dose without issue. Notes her lips turned blue and she became out of breath after walking a short distance. Denies rash, swelling of lips, tongue or throat. Did take Vyvanse this am. The history is provided by the patient and a relative (mother).
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| 2868747 | F | WI | 10/27/2025 |
COVID19 FLU3 |
MODERNA GLAXOSMITHKLINE BIOLOGICALS |
3052581 2T543 |
Incorrect dose administered, Pneumonia, Pyrexia; Incorrect dose administered, Pn...
Incorrect dose administered, Pneumonia, Pyrexia; Incorrect dose administered, Pneumonia, Pyrexia
More
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Patient received wrong Covid vaccine dose. Patient was given a high dose of .50ml vaccine but should...
Patient received wrong Covid vaccine dose. Patient was given a high dose of .50ml vaccine but should of received a .25ml covid vaccines dose. 2 hours after the vaccine patient developed a fever of 99.0. Patient on 10/24/25 developed a high fever of 101.2-103.5. Was seen in ER. on 10/25 Patient stills has high fever of 103.5. Patient returned to ER on 10/26/25 and was diagnosed with pneumonia. Provider spoke with Mom to let her know of the vaccine dose error and what to watch for adverse side effects.
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| 2868750 | 23 | M | CA | 10/27/2025 |
COVID19 |
MODERNA |
3052550 |
Product preparation error
Product preparation error
|
Timeline of Events 5:11 PM ? Employee removed two boxes of Moderna Spikevax prefilled syringes from ...
Timeline of Events 5:11 PM ? Employee removed two boxes of Moderna Spikevax prefilled syringes from frozen storage (-15๏ฟฝC to -50๏ฟฝC) and placed them into the refrigerator (2๏ฟฝC?8๏ฟฝC) for thawing. She labeled the boxes with an incorrect ?ready-to-use? time of 5:51 PM (40 minutes after removal). Per the XO COVID-19 Vaccine Reference Guide, thawing in the refrigerator requires 2 hours and 40 minutes for a carton of 10 syringes. Therefore, the correct ?ready-to-use? time should have been 7:51 PM. 5:55 PM ? The Moderna Spikevax dose was administered to the patient by employee, approximately 44 minutes after being placed in the refrigerator (well before the required thaw period). During administration: employee met injection resistance and could not fully discharge the syringe. Upon withdrawing the syringe, she noted that the vaccine appeared partially frozen (approximately 1 inch of frozen content remaining). Some vaccine liquid came into contact with her finger during inspection. 6:05 PM ? Employee reported the incident to the MA Lead. Employee, who had assisted in preparing the vaccines (Flu, COVID-19, and HPV #1), confirmed she and employee had verified the syringes together prior to administration. Deviation from Manufacturer and CDC Protocol According to Moderna and CDC storage and handling guidance: A prefilled Spikevax syringe requires at least 1 hour and 40 minutes to thaw in the refrigerator (2๏ฟฝC?8๏ฟฝC) before administration. The administered dose was thawed for only 44 minutes, meaning it was not fully thawed and therefore administered outside of manufacturer protocol. This constitutes a handling deviation.
More
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| 2868752 | 62 | F | MI | 10/27/2025 |
FLU3 |
SANOFI PASTEUR |
U8859CA |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
No adverse event at the time or known at the time of this report; Patient was given HD flu, but is n...
No adverse event at the time or known at the time of this report; Patient was given HD flu, but is not the correct age to receive HD Flu
More
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| 2868753 | 78 | M | MI | 10/27/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0739 |
Rash
Rash
|
RASH ON BOTH FOREARM
RASH ON BOTH FOREARM
|
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| 2868755 | 84 | F | MD | 10/27/2025 |
COVID19 |
MODERNA |
3052671 |
Chills, Tremor
Chills, Tremor
|
Repots violent shaking/rigors lasting approx 1 hour
Repots violent shaking/rigors lasting approx 1 hour
|
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| 2868757 | 62 | F | WI | 10/27/2025 |
FLU3 PNC20 |
SANOFI PASTEUR PFIZER\WYETH |
U8889CA MA2506 |
Injection site cellulitis; Injection site cellulitis
Injection site cellulitis; Injection site cellulitis
|
Injection site cellulitis
Injection site cellulitis
|
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| 2868759 | 18 | F | CA | 10/27/2025 |
FLU3 |
SANOFI PASTEUR |
TFAA2511 |
Exposure during pregnancy
Exposure during pregnancy
|
Pt is 15 weeks pregnant, due date April 19, 2025.
Pt is 15 weeks pregnant, due date April 19, 2025.
|
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| 2868760 | 12 | F | AR | 10/27/2025 |
HPV9 |
MERCK & CO. INC. |
|
Cervix carcinoma, Delivery, Maternal exposure before pregnancy, Myocarditis, The...
Cervix carcinoma, Delivery, Maternal exposure before pregnancy, Myocarditis, Thermal ablation
More
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I believe that I developed cervical cancer cells in 2017 after having a baby, The cells were burnt o...
I believe that I developed cervical cancer cells in 2017 after having a baby, The cells were burnt out 6 weeks after delivery, also in 2022 I was diagnosed with myocarditis (enlarged heart) I did not follow treatment as it did not align with how I wanted to be treated. I believe both of these events were caused by the HPV vaccine.
More
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โ | โ | ||||
| 2868762 | 50 | M | MO | 10/27/2025 |
COVID19 COVID19 COVID19 COVID19 FLU3 FLU3 FLU3 FLU3 VARZOS VARZOS VARZOS VARZOS |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
MY9547 MY9547 MY9547 MY9547 406984 406984 406984 406984 H97H2 H97H2 H97H2 H97H2 |
Areflexia, Back pain, CSF protein increased, Cyst, Fine motor skill dysfunction;...
Areflexia, Back pain, CSF protein increased, Cyst, Fine motor skill dysfunction; Forced vital capacity decreased, Gait inability, Gastrointestinal tube insertion, Guillain-Barre syndrome, Ileus; Immunoglobulin therapy, Inappropriate antidiuretic hormone secretion, Intensive care, Magnetic resonance imaging spinal abnormal, Muscular weakness; Paraesthesia, Rectal tube insertion, Respiratory muscle weakness, Walking aid user; Areflexia, Back pain, CSF protein increased, Cyst, Fine motor skill dysfunction; Forced vital capacity decreased, Gait inability, Gastrointestinal tube insertion, Guillain-Barre syndrome, Ileus; Immunoglobulin therapy, Inappropriate antidiuretic hormone secretion, Intensive care, Magnetic resonance imaging spinal abnormal, Muscular weakness; Paraesthesia, Rectal tube insertion, Respiratory muscle weakness, Walking aid user; Areflexia, Back pain, CSF protein increased, Cyst, Fine motor skill dysfunction; Forced vital capacity decreased, Gait inability, Gastrointestinal tube insertion, Guillain-Barre syndrome, Ileus; Immunoglobulin therapy, Inappropriate antidiuretic hormone secretion, Intensive care, Magnetic resonance imaging spinal abnormal, Muscular weakness; Paraesthesia, Rectal tube insertion, Respiratory muscle weakness, Walking aid user
More
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Patient developed back pain and tingling the week of 10/6. He was seen by his PCP on 10/10/25 and ha...
Patient developed back pain and tingling the week of 10/6. He was seen by his PCP on 10/10/25 and had a normal neuro exam. Was given a shot of ketoralac and a script for oxycodone. The next day (10/11) he reached back out to PCP because he was weak in his legs and requiring a walker. He also complained of tingling in his arms. He was sent to ER at hospital that day and found to have absent patellar reflexes. MRI spine done which showed a cyst in the lumbar area, but Neurosurgery did not think this corresponded with his symptoms. An LP was done and showed a solo elevated protein and everything else normal. He was admitted for treatment of guillan Barre. He was started on IVIG on 10/12 and completed 5 days. His weakness worsened over the first 3 days of IVIG. He became weaker in his legs and was unable to walk, his fine motor in his arms were also extremely effective. Additionally his FVC was measuring at half of normal, signaling that his truncal muscles were weak as well. He additionally developed severe SIADH and needed to be admitted to the ICU for monitoring of Sodium. On day 6 of hospitalization(10/17) he was found to have a severe ileus. NG tube was placed and patient was placed on bowel rest. On 10/19 he was put on TPN for nutrition. Rectal tube placed the next day. On 10/24 he had his first Bowel movement. NGT clamped and Rectal tube removed. Currently doing well on full liquid diet and TPN likely to be discontinued this week and He will go to Acute rehab. Today (10/27) he was able to walk with walked and assist with PT
More
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โ | โ | โ | |||
| 2868763 | 77 | M | IA | 10/27/2025 |
COVID19 |
MODERNA |
8146367 |
Death
Death
|
resident passed away
resident passed away
|
โ | |||||
| 2868764 | 50 | M | MA | 10/27/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
MY9548 406994 |
Injection site erythema, Injection site swelling, Injection site warmth; Injecti...
Injection site erythema, Injection site swelling, Injection site warmth; Injection site erythema, Injection site swelling, Injection site warmth
More
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REQUESTED BOTH VACCINES BE GIVEN IN LEFT DELTOID. NOTED 48 AFTER INJECTION NOTED TO BE RED, HOT AND...
REQUESTED BOTH VACCINES BE GIVEN IN LEFT DELTOID. NOTED 48 AFTER INJECTION NOTED TO BE RED, HOT AND SWOLLEN AROUND INJECTION SITE.
More
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| 2868765 | 78 | F | SC | 10/27/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
NA0739 UT8869BA |
Injection site discomfort, Injection site pain; Injection site discomfort, Injec...
Injection site discomfort, Injection site pain; Injection site discomfort, Injection site pain
More
|
Soft tissue discomfort at the injection site (right arm). No swelling, hematoma, or signs of infecti...
Soft tissue discomfort at the injection site (right arm). No swelling, hematoma, or signs of infection at the site. Area is tender to palpation only. Patient takes scheduled celebrex and tylenol chronically. Also added heat to treatment regimen.
More
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| 2868766 | 70 | F | OH | 10/27/2025 |
FLU3 |
SEQIRUS, INC. |
407273 |
Rash
Rash
|
Patient states having had influenza vaccine every year with no issues and this year she noticed a fi...
Patient states having had influenza vaccine every year with no issues and this year she noticed a fine pinpoint-type rash that developed 3 days afer getting the vaccine across her trunk. She later in the day developed the rash across her legs after being in the bathtub. Does not itch; no blisters; doesn't bother her at all other than being visual on her skin so no treatment was used. She asked that it be reported and stated that nothing new had been used as far as soaps, medication or food.
More
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| 2868768 | 26 | F | MA | 10/27/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
|
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
N/A - Extra does given in error. No symptoms at that time.
N/A - Extra does given in error. No symptoms at that time.
|
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| 2868769 | 11 | M | CA | 10/27/2025 |
FLU3 MNQ TDAP |
SANOFI PASTEUR NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
|
Cellulitis; Cellulitis; Cellulitis
Cellulitis; Cellulitis; Cellulitis
|
Abx prescribed for cellulitis
Abx prescribed for cellulitis
|
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| 2868770 | 83 | F | OH | 10/27/2025 |
FLU3 |
SANOFI PASTEUR |
|
Injection site pain
Injection site pain
|
Significant pain to the site of injection that has been ongoing for the past 2 weeks.
Significant pain to the site of injection that has been ongoing for the past 2 weeks.
|
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| 2868771 | 69 | M | KS | 10/27/2025 |
FLU3 PNC20 VARZOS |
SEQIRUS, INC. PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
407246 LN4929 47N3y |
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; Product administered to patient of inappropriate age
More
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RSV (Beyfortus) 50MG/0.5ML was administered despite patient being outside recommended age range.
RSV (Beyfortus) 50MG/0.5ML was administered despite patient being outside recommended age range.
|
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| 2868772 | 80 | F | GA | 10/27/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
F27L2 |
Malaise, Pneumonia, Ulcer
Malaise, Pneumonia, Ulcer
|
Around 3 weeks after the vaccine the patient began filling ill, which quickly progressed. Was admitt...
Around 3 weeks after the vaccine the patient began filling ill, which quickly progressed. Was admitted to the hospital shortly after and stayed for 7 days before being discharged. Was told she had pneumonia and ulcers.
More
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โ | |||||
| 2868773 | 2 | F | 10/27/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
|
Extra dose administered
Extra dose administered
|
Provider requests that child should receive flu vaccine. Vaccine record briefly reviewed by this RN ...
Provider requests that child should receive flu vaccine. Vaccine record briefly reviewed by this RN to ensure second Hep A had been completed due to this being a routine vaccine given at this visit. RN reviewed insurance information and vaccine taken from fridge. Administered to child. Following administration, RN attempted to chart vaccine and noted that flu shot had been administered 11 days ago. Advised MD and [withheld name]. Mother advised before leaving office.
More
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| 2868775 | 58 | F | WV | 10/27/2025 |
UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
2L353 2L353 |
Chills, Cough, Influenza like illness, Malaise, Nausea; Pain in extremity, Respi...
Chills, Cough, Influenza like illness, Malaise, Nausea; Pain in extremity, Respiratory tract congestion
More
|
Volunteer reported to the office stating that she felt like the flu vaccine made her feel sick. She ...
Volunteer reported to the office stating that she felt like the flu vaccine made her feel sick. She was ill the next day following administration. Her arm was sore for 2-3 days and she reports chills, nausea, cough and congestion. States that she feels like she has a mild case of the flu.
More
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| 2868776 | 0.33 | M | FL | 10/27/2025 |
DTAPHEPBIP HIBV PNC15 RV5 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Z9S4D Y015929 Z010141 2139674 |
Blood culture negative, Body temperature increased, Culture urine positive, Dysk...
Blood culture negative, Body temperature increased, Culture urine positive, Dyskinesia, Enterococcus test positive; Blood culture negative, Body temperature increased, Culture urine positive, Dyskinesia, Enterococcus test positive; Blood culture negative, Body temperature increased, Culture urine positive, Dyskinesia, Enterococcus test positive; Blood culture negative, Body temperature increased, Culture urine positive, Dyskinesia, Enterococcus test positive
More
|
patient developed involuntary movements of his lower extremities which then generalized to his entir...
patient developed involuntary movements of his lower extremities which then generalized to his entire body. his temperature was elevated at 101. this developed approximately 7 hours after his immunizations. he was not ill prior to administration of immunizations.
More
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โ | |||||
| 2868777 | 13 | F | DC | 10/27/2025 |
COVID19 |
MODERNA |
3052995 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
Patient was administered a dose of the Moderna Spikevax 6m-11y, but she is 13 years old. No adverse ...
Patient was administered a dose of the Moderna Spikevax 6m-11y, but she is 13 years old. No adverse reactions.
More
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| 2868779 | 88 | M | MT | 10/27/2025 |
FLU4 |
SANOFI PASTEUR |
U8855BA |
Arthralgia, Product administered at inappropriate site
Arthralgia, Product administered at inappropriate site
|
Patient received vaccination too high up near his shoulder which resulted in adverse effect and prol...
Patient received vaccination too high up near his shoulder which resulted in adverse effect and prolonged pain in his left shoulder.
More
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| 2868780 | 17 | F | IA | 10/27/2025 |
FLU3 MENB |
SANOFI PASTEUR NOVARTIS VACCINES AND DIAGNOSTICS |
u8854aa 95nj4 |
Injection site erythema, Injection site swelling, Pyrexia; Injection site erythe...
Injection site erythema, Injection site swelling, Pyrexia; Injection site erythema, Injection site swelling, Pyrexia
More
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Mother reports patient's left arm swelling to size of baseball and redness where vaccinations w...
Mother reports patient's left arm swelling to size of baseball and redness where vaccinations were received. After visiting urgent care over the weekend, mother reports patient is experiencing high fever and increased redness around injection sight
More
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| 2868782 | 72 | F | IN | 10/27/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
|
Asthenia, Chest pain, Dizziness, Fatigue, Mobility decreased; Nausea
Asthenia, Chest pain, Dizziness, Fatigue, Mobility decreased; Nausea
|
I was laying in bed and all of sudden i get a sharp pain across my chest. I thought it could of been...
I was laying in bed and all of sudden i get a sharp pain across my chest. I thought it could of been a heart attack. So I just thought i could get up and get an asprin but i couldn't really get up because i felt so weak and i am in a wheelcheer and i was in the bed at the time. So i just decided to lay there. So i was breathing in through my nose out through my mouth to calm my body down and that was helpful. And my dogs could tell there was something off. But it was scary when i got up to go to the bathroom and I would feel like i was gonna faint and i had to sit back in my wheel chair and i would go back to bed and do some deep breathing to calm myself. I was taking my medicaitions. I did take a pain pill ahead of schedule and i went to sleep and woke up and felt a little better but it did make me feel a little naueous. and i ate and had some coffee. and i went back and laid down. I am still having a little bit of tired ness but better now.
More
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| 2868784 | 78 | F | NC | 10/27/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Blunted affect, Decreased appetite, Headache, Musculoskeletal stiffness
Blunted affect, Decreased appetite, Headache, Musculoskeletal stiffness
|
pt says the day after vaccine she developed upper body and neck stiffness. Dullness of affect, dull ...
pt says the day after vaccine she developed upper body and neck stiffness. Dullness of affect, dull headache and loss of appetite. She uses Aleve for the stiffness which helps some. She continues to have these symptoms today and is not getting any better yet.
More
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| 2868787 | 77 | F | NC | 10/27/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
407257 |
Injected limb mobility decreased, Pain in extremity; Injected limb mobility decr...
Injected limb mobility decreased, Pain in extremity; Injected limb mobility decreased, Pain in extremity
More
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PATIENT CONTACTED THE PHARMACY ON 10/27/2025 TO SPEAK WITH THE PHARMACIST ON DUTY, TO INFORM HER THA...
PATIENT CONTACTED THE PHARMACY ON 10/27/2025 TO SPEAK WITH THE PHARMACIST ON DUTY, TO INFORM HER THAT HER ARM IS STILL SORE AFTER RECEIVING A TOTAL OF 4 VACCINES ON 9/17/2025. SHE ONLY COMPLAINED ABOUT THE PAIN IN HER RIGHT ARM WHERE SHE RECEIVED THE 2025-2026 COVID AND FLU VACCINES AT PROPER LOCATION AND SPACING BY AN IMMUNIZING PHARMACY TECHNICIAN. PATIENT STATES THAT SHE IS GOING TO BE GOING TO PHYSICAL THERAPY BECAUSE OF THE PAIN SHE STILL HAS AND CLAIMS TO HAVE LIMITED RANGE OF MOTION SINCE RECEIVING VACCINES, BUT ONLY IN HER RIGHT ARM.
More
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| 2868788 | 77 | M | AZ | 10/27/2025 |
COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA |
80777-0400-60 80777-0400-60 80777-0400-60 |
Balance disorder, Blood magnesium, Chest X-ray, Differential white blood cell co...
Balance disorder, Blood magnesium, Chest X-ray, Differential white blood cell count, Disorientation; Dyspnoea, Dysstasia, Full blood count, Gait inability, Metabolic function test; Muscular weakness, Nausea, Vertigo, Vomiting
More
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Approximately 3 hours after receiving the vaccination, I experienced a rapid and severe onset of ver...
Approximately 3 hours after receiving the vaccination, I experienced a rapid and severe onset of vertigo/loss of equilibrium, disorientation, difficulty breathing, weakness in my legs, inability to stand or walk, nausea and vomiting. Received Lactated Ringers (1000mL IV); Ondansetron (2x 4mg IV); Meclizine (25mg Oral) at local emergency room as treatment for nausea and vertigo. After 4-hour stay in emergency room, the nausea subsided, I begin breathing normally again, regained my equilibrium, felt well enough to stand and walk on my own, and was released to return home.
More
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| 2868789 | 26 | M | MA | 10/27/2025 |
FLU3 |
SEQIRUS, INC. |
|
Rash, Skin irritation
Rash, Skin irritation
|
Rash Irritation
Rash Irritation
|
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| 2868790 | 60 | F | MA | 10/27/2025 |
FLU3 |
SANOFI PASTEUR |
U8837AA |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
Patient was here for her Annual wellness appointment and wanted flu shot. I saw birth year and thoug...
Patient was here for her Annual wellness appointment and wanted flu shot. I saw birth year and thought patient was over age 65. I ordered vaccine, had someone double check but realized when documenting after I gave it that she is only 60 years old and should have received regular fluzone not high dose fluzone. Before giving, I even said to the patient "so, I have your high dose flu as you are over 65" and she must have not heard me well because she said "yes". I immediately told the physician and my nurse supervisor the error. It was my mistake. I mistook the 1965 for age 65. The patient feels fine and provider made her aware.
More
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| 2868791 | 26 | F | VA | 10/27/2025 |
FLU3 |
SEQIRUS, INC. |
406983 |
Erythema, Peripheral swelling, Pruritus
Erythema, Peripheral swelling, Pruritus
|
10/27/2025 - Patient called 1530 and reported having "a red, itchy, swollen arm after getting f...
10/27/2025 - Patient called 1530 and reported having "a red, itchy, swollen arm after getting flu shot last week". Reviewed chart, pt received flu vaccine 10/24/2025 1228 administered in Left Deltoid. Denies having any previous reactions to flu vaccine prior, does state it has been about 10 years since she has had one. Consulted with Dr. [withheld], patient reported she thinks the itching started 1-2 days ago. Denies having any additional symptoms other than at the injection site. Dr. [withheld] advised treat with cold pack 3X4 times per day, draw a line around the red area and measure if it is getting bigger or smaller, and benadryl PO for itching. We will call patient back tomorrow and assess. [withheld name], RN 1545
More
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| 2868792 | 65 | M | VA | 10/27/2025 |
PNC20 PNC20 PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH PFIZER\WYETH PFIZER\WYETH |
LN4930 LN4930 LN4930 LN4930 |
Acute respiratory failure, Blood culture negative, Blood gases, Blood glucose, B...
Acute respiratory failure, Blood culture negative, Blood gases, Blood glucose, Blood lactic acid; Chest X-ray abnormal, Chills, Dyspnoea exertional, Eye pain, Full blood count; Influenza virus test, Lung opacity, Metabolic function test, Pneumonia, Pyrexia; Respiratory syncytial virus test, SARS-CoV-2 test, Sepsis, Tachycardia, Urine analysis
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Acute hypoxic respiratory failure due to pneumonia Sepsis without organ dysfunction Patient presente...
Acute hypoxic respiratory failure due to pneumonia Sepsis without organ dysfunction Patient presented to hospital with fever and rigors, found to be hypoxic to 85% put on 2 L, chest x-ray with opacity concerning for community acquired pneumonia. Interestingly patient does not have cough or shortness of breath, although he has some mild DOE. Patient was treated with 1 L of fluids for tachycardia to 100, otherwise hemodynamically stable. Ceftriaxone azithromycin was given inpatient. Given significant rigors, blood cultures were taken and remain negative at 24 hours, less concerns for bacteremia. He was afebrile at discharge, weaned off o2, and maintained O2 SATs above 93% on walk test. Smoking cessation was counseled. He will leave on Moxifloxacin for three more days to complete 5 days of CAP treatment. Incidentally he has had ongoing eye pain, intermittent, not worse with eye movements, not needing inpatient assessment, for which he would like to follow up with his outpatient ophthalmologist.
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| 2868793 | 63 | F | VT | 10/27/2025 |
COVID19 |
MODERNA |
3057891 |
Injection site discolouration, Injection site erythema, Injection site induratio...
Injection site discolouration, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
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My upper arm swelled up the next day. The vaccine site turned light purple and hard, like a rock. S...
My upper arm swelled up the next day. The vaccine site turned light purple and hard, like a rock. Swelling is going down. Still pink. But also still a hard bump that hurts to touch.
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| 2868794 | 22 | F | IL | 10/27/2025 |
COVID19 COVID19 FLUC4 FLUC4 |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER SEQIRUS, INC. SEQIRUS, INC. |
3052732 3052732 409415 409415 |
Inadequate aseptic technique in use of product, Injection site erythema, Injecti...
Inadequate aseptic technique in use of product, Injection site erythema, Injection site rash, Injection site reaction, Injection site warmth; Product administered at inappropriate site, Urticaria; Inadequate aseptic technique in use of product, Injection site erythema, Injection site rash, Injection site reaction, Injection site warmth; Product administered at inappropriate site, Urticaria
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Patient received both vaccinations on 10/15 in left arm. On 10/16 she noticed 2 ball size red areas...
Patient received both vaccinations on 10/15 in left arm. On 10/16 she noticed 2 ball size red areas and injection site. On 10/17 she noticed bumps in injection site areas. On 10/17 the injection sites felt hot with one of the injection sites having welts. Patient went to urgent care and states that provider said one of the injections sites was below the deltoid muscle. Prescriber gave patient antibiotic (sulfamethoxazole/trimethoprim.) Patient claims that injection site was not wiped down with alcohol prior to injections. When talking with patient on 10/21 welts were improving and redness improving at both injection sites. Referred patient to PCP for further evaluations & revaccination if needed. Patient did follow up with PCP on 10/24/25 and is improving.
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| 2868795 | 28 | F | VA | 10/27/2025 |
FLU3 |
SEQIRUS, INC. |
946610 |
Urticaria
Urticaria
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hives
hives
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| 2868796 | 64 | F | NJ | 10/27/2025 |
FLU3 |
SANOFI PASTEUR |
tfaa2544 |
Shoulder injury related to vaccine administration
Shoulder injury related to vaccine administration
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Patient has reported SIRVA.
Patient has reported SIRVA.
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| 2868797 | 41 | F | CA | 10/27/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
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Oral herpes; Oral herpes
Oral herpes; Oral herpes
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Approximately 4 hours after dosage, multiple cold sores appear on lip. Though I have had cold sores ...
Approximately 4 hours after dosage, multiple cold sores appear on lip. Though I have had cold sores in the past and carry the virus, it is well-regulated and I hadn't had an outbreak for years. I do carry a prescription for Zovirax and was able to take it, so they are minimal. However, the appearance of them was strange given that they usually only appear if there is an injury to my lip.
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| 2868798 | 87 | F | MT | 10/27/2025 |
COVID19 FLU3 TDAP |
MODERNA SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS |
3052549 407981 4YA34 |
Diffusion-weighted brain MRI abnormal, Embolic stroke; Diffusion-weighted brain ...
Diffusion-weighted brain MRI abnormal, Embolic stroke; Diffusion-weighted brain MRI abnormal, Embolic stroke; Diffusion-weighted brain MRI abnormal, Embolic stroke
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Patient had a cardioembolic stroke within 1 hour of receiving these vaccines. Was Admitted to Hospit...
Patient had a cardioembolic stroke within 1 hour of receiving these vaccines. Was Admitted to Hospital in (withheld city, state) on 10/15/25 and was transferred to (withheld name) Hospital in (withheld city, state) 10/27/2025 for new areas of infarct on DWI. I do not have access to medical records in Hospital (name withheld) at this time.
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| 2868799 | 73 | F | NJ | 10/27/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
na0587 407263 |
Shoulder injury related to vaccine administration; Shoulder injury related to va...
Shoulder injury related to vaccine administration; Shoulder injury related to vaccine administration
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The patient reported SIRVA.
The patient reported SIRVA.
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| 2868800 | 0.5 | F | DC | 10/27/2025 |
COVID19 DTAPIPVHIB PNC20 RV5 |
MODERNA SANOFI PASTEUR PFIZER\WYETH MERCK & CO. INC. |
3053238 UK364AA MA2506 Y019505 |
Needle issue, Soft tissue foreign body; Needle issue, Soft tissue foreign body; ...
Needle issue, Soft tissue foreign body; Needle issue, Soft tissue foreign body; Needle issue, Soft tissue foreign body; Needle issue, Soft tissue foreign body
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Patient was receiving their 6 month vaccines. Patient received 3 injections without incident. When...
Patient was receiving their 6 month vaccines. Patient received 3 injections without incident. When the 4th injection, for the Pentacel vaccine was being administered, the syringe separated from needle during vaccine administration causing the vaccine to spill out. Unknown amount failed to be administered to patient. Unknown what amount was administered to patient. At the time of the incident there was no bruising, no redness, no sign of injury. The needle was removed from patient intact. Patient left the office before provider could do physical evaluation of patient after incident. Provider gave father instructions of what to monitor for. Dr. followed up with mom via phone call in the afternoon as well as a second phone call on Saturday 10/25/25 and offered to have the patient come in for an evaluation.
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| 2868801 | 18 | F | MN | 10/27/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052581 948402 |
Dizziness, Syncope; Dizziness, Syncope
Dizziness, Syncope; Dizziness, Syncope
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Patient felt dizzy/faint after receiving flu/covid vaccines. Lowered to the floor for a few minutes,...
Patient felt dizzy/faint after receiving flu/covid vaccines. Lowered to the floor for a few minutes, ice packed received. Pt felt better and was able to walk out after a few minutes.
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| 2868802 | 71 | F | NJ | 10/27/2025 |
FLU3 |
SEQIRUS, INC. |
407263 |
Shoulder injury related to vaccine administration
Shoulder injury related to vaccine administration
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The patient reported SIRVA.
The patient reported SIRVA.
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| 2868803 | 4 | M | OR | 10/27/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3053253 3053253 |
Pyrexia, Vomiting; Pyrexia, Vomiting
Pyrexia, Vomiting; Pyrexia, Vomiting
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Patient inadvertently received two COVID-19 vaccines. Patient reported fever and vomiting the next d...
Patient inadvertently received two COVID-19 vaccines. Patient reported fever and vomiting the next day. by the second day, symptoms resolved.
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| 2868805 | 0.5 | M | WA | 10/27/2025 |
DTPPVHBHPB PNC20 |
MSP VACCINE COMPANY PFIZER\WYETH |
U83133AA LX2496 |
Febrile convulsion, Pyrexia; Febrile convulsion, Pyrexia
Febrile convulsion, Pyrexia; Febrile convulsion, Pyrexia
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Fever within 6 hours resulting in febrile seizure
Fever within 6 hours resulting in febrile seizure
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