| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2866988 | 82 | F | IN | 10/20/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052733 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Mild
Site: Pain at Injection Site-Mild
|
||||||
| 2866989 | 65 | F | NY | 10/20/2025 |
FLU4 |
SANOFI PASTEUR |
u8830da |
Injection site discolouration, Injection site pruritus, Rash
Injection site discolouration, Injection site pruritus, Rash
|
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Systemic: Allergic: Ras...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: localized rash went away after 1 day, discoloration of injection site (possibly bruising)
More
|
||||||
| 2866990 | 78 | F | CA | 10/20/2025 |
FLUA4 |
SEQIRUS, INC. |
407244 |
Extra dose administered, Skin abrasion
Extra dose administered, Skin abrasion
|
Systemic: pt said left arm felt warm for few minutes after vaccine but she wasn't sure if it wa...
Systemic: pt said left arm felt warm for few minutes after vaccine but she wasn't sure if it was from shot-Mild, Additional Details: Patient had appt for flu and covid vaccine. She thought she had cancelled the flu shot because she had received it at MD's office a few weeks ago. She thought she was just getting covid because she had seen the covid box. She didn't realize til tech was ready to give second vaccine that she had forgot to cancel flu appt. By that time she had already been given the flu vaccine. She decided to skip covid vaccine for today, We need inform her doctor that she received fluad today .
More
|
||||||
| 2866991 | 11 | F | MA | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
na4452 |
Extra dose administered, Injection site pain
Extra dose administered, Injection site pain
|
Site: Pain at Injection Site-Mild, Additional Details: Patient received 2 doses. 1 adult dose 1 Ped...
Site: Pain at Injection Site-Mild, Additional Details: Patient received 2 doses. 1 adult dose 1 Pediatric dose
More
|
||||||
| 2866992 | 60 | F | OH | 10/20/2025 |
FLUC4 |
SEQIRUS, INC. |
na0590 |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
|
Site: Redness at Injection Site-Mild, Systemic: mild soreness at injection site not improving-Mild, ...
Site: Redness at Injection Site-Mild, Systemic: mild soreness at injection site not improving-Mild, Additional Details: Patient described shoulder pain from flu shot received on 10/04/25. She states she does not have any limitation in movement but soreness is not going away. She states she plan on having examined by her provider., Other Vaccines: VaccineTypeBrand: Comirnaty; Manufacturer: Pfizer; LotNumber: ; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 10/04/2025
More
|
||||||
| 2866993 | 70 | F | DC | 10/20/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052155 |
Expired product administered, Injection site pain
Expired product administered, Injection site pain
|
Site: Pain at Injection Site-Mild, Additional Details: Expired BD SafetyGlide 22G 1.5" Needle d...
Site: Pain at Injection Site-Mild, Additional Details: Expired BD SafetyGlide 22G 1.5" Needle discovered immediately after injeciton and determined reportable by RPHImmunize on 10/10/2025
More
|
||||||
| 2866994 | 16 | F | RI | 10/20/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
NA0589 NA0589 |
Dizziness, Loss of consciousness, Presyncope, Syncope, Unresponsive to stimuli; ...
Dizziness, Loss of consciousness, Presyncope, Syncope, Unresponsive to stimuli; Vision blurred
More
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient with vasovagal episode in the waiting room witness by mother after receiving COVID vaccine. Mom reports she helped guide the patient to the ground when patient had episode, declines any head injury or hitting her head. Patient reports (+) LOC for a few seconds, verified with mom. States that prior to vasovagal episode she had blurry vision, but felt fine after administration. Patient and mom report patient with history of vasovagal episodes with needles.
More
|
||||||
| 2866995 | 39 | M | NY | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
na4452 |
Confusional state
Confusional state
|
Systemic: Confusion-Medium, Other Vaccines: VaccineTypeBrand: fluarix; Manufacturer: fluarix; LotNu...
Systemic: Confusion-Medium, Other Vaccines: VaccineTypeBrand: fluarix; Manufacturer: fluarix; LotNumber: 73bn2; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
|
||||||
| 2866996 | 36 | F | MD | 10/20/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
na4452 na4452 |
Chest discomfort, Chest pain, Dizziness, Dyspnoea, Fatigue; Lethargy
Chest discomfort, Chest pain, Dizziness, Dyspnoea, Fatigue; Lethargy
|
Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe...
Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe
More
|
||||||
| 2866998 | 12 | F | CA | 10/20/2025 |
FLUC4 |
SEQIRUS, INC. |
948395 |
Injection site bruising, Injection site erythema, Injection site swelling
Injection site bruising, Injection site erythema, Injection site swelling
|
Site: Bruising at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at I...
Site: Bruising at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
More
|
||||||
| 2866999 | 57 | F | CA | 10/20/2025 |
PNC20 |
PFIZER\WYETH |
MA2488 |
Injection site cellulitis, Injection site erythema, Injection site pruritus
Injection site cellulitis, Injection site erythema, Injection site pruritus
|
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: cellulitis...
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: cellulitis-Medium, Additional Details: patient has cellulitis at the site of injection, Other Vaccines: VaccineTypeBrand: Flublok; Manufacturer: Sanofi; LotNumber: U8864BA; Route: IM; BodySite: Left Arm; Dose: 1; VaxDate: UNKNOWN
More
|
||||||
| 2867000 | 12 | F | CA | 10/20/2025 |
FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. |
948395 948395 |
Dizziness, Injection site erythema, Injection site swelling, Joint injury, Nause...
Dizziness, Injection site erythema, Injection site swelling, Joint injury, Nausea; Pyrexia
More
|
Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Site: Shoulder Join...
Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Mild, Systemic: Nausea-Mild
More
|
||||||
| 2867001 | 66 | F | NJ | 10/20/2025 |
FLU4 |
SANOFI PASTEUR |
u8862ga |
Immediate post-injection reaction, Injection site bruising, Injection site eryth...
Immediate post-injection reaction, Injection site bruising, Injection site erythema, Injection site haemorrhage, Injection site pruritus
More
|
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Additional Details: pat...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Additional Details: patient took advil day of vaccine. bled immediately which is unusual for her. went home and area around vaccine was itchy and red. she put ice on it and cream
More
|
||||||
| 2867002 | 24 | F | WA | 10/20/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
es4h5 |
Dizziness, Syncope, Unresponsive to stimuli
Dizziness, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium
|
||||||
| 2867003 | 51 | F | FL | 10/20/2025 |
PNC21 PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
z006076 z006076 z006076 |
Chills, Dizziness, Eye swelling, Headache, Injection site pain; Joint injury, Mo...
Chills, Dizziness, Eye swelling, Headache, Injection site pain; Joint injury, Mouth swelling, Pruritus, Pyrexia, Swelling face; Swollen tongue
More
|
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mi...
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Chills-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Mild, Systemic: Headache-Medium, Other Vaccines: VaccineTypeBrand: shingrix; Manufacturer: GSK; LotNumber: FT95N; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 10/08/2025, VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 407799; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 10/08/2025
More
|
||||||
| 2867004 | 77 | F | AL | 10/20/2025 |
COVID19-2 |
MODERNA |
3052036 |
Malaise, Pain
Malaise, Pain
|
Systemic: patient felt sick and achey-Mild, Additional Details: pt said she felt sick after 2 shots ...
Systemic: patient felt sick and achey-Mild, Additional Details: pt said she felt sick after 2 shots will only do 1 at a time now, Other Vaccines: VaccineTypeBrand: fluzone high dose; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN
More
|
||||||
| 2867005 | 75 | M | OH | 10/20/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052735 |
Joint injury, Loss of personal independence in daily activities, Mobility decrea...
Joint injury, Loss of personal independence in daily activities, Mobility decreased
More
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: patient rep...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: patient reported unable to lift his arm so he could not even shave or do other daily activities for a couple of days. The shoulder pain has resolved and patient has regained use of his arm.
More
|
||||||
| 2867007 | 33 | M | IL | 10/20/2025 |
COVID19-2 |
MODERNA |
3052741 |
Flushing, Head injury, Hyperhidrosis, Syncope, Unresponsive to stimuli
Flushing, Head injury, Hyperhidrosis, Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Additional Details: P...
Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Additional Details: Patient received vaccines and fainted and hit his head on table in front of the store., Other Vaccines: VaccineTypeBrand: Fluarix; Manufacturer: GlaxoSmithKline; LotNumber: JE74J; Route: im; BodySite: left arm; Dose: ; VaxDate: 10/10/2025
More
|
||||||
| 2867008 | 64 | M | NY | 10/20/2025 |
COVID19-2 |
PFIZER\BIONTECH |
NA4452 |
Injection site erythema, Rash, Rash pruritic
Injection site erythema, Rash, Rash pruritic
|
Systemic: Allergic: Rash Generalized-Mild, Additional Details: Patient came to the pharmacy 3 days a...
Systemic: Allergic: Rash Generalized-Mild, Additional Details: Patient came to the pharmacy 3 days after the date of vaccination and reported an itchy rash right above the right arm fold after the vaccination. I counseled to continue taking Zyrtec and put a cold compress. I counseled to contact a physician if the rash doesn't resolve after a week.
More
|
||||||
| 2867009 | 11 | M | CA | 10/20/2025 |
FLUC4 |
SEQIRUS, INC. |
407008 |
Dizziness, Fall, Nervousness, Pallor
Dizziness, Fall, Nervousness, Pallor
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: patient was nervous , got pale lips ,pt fell to ...
Systemic: Dizziness / Lightheadness-Mild, Systemic: patient was nervous , got pale lips ,pt fell to the floor while walking under immunizer supervision , but did not lose consciousness ,immunizer was monitoring him while father was getting a vaccine, he got better and was ok to go-Mild
More
|
||||||
| 2867010 | 59 | F | TN | 10/20/2025 |
FLU4 |
SANOFI PASTEUR |
ut8763ga |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
Site: Bruising at Injection Site-Mild, Additional Details: no bruising at injection site
Site: Bruising at Injection Site-Mild, Additional Details: no bruising at injection site
|
||||||
| 2867011 | 76 | AZ | 10/20/2025 |
FLUC4 |
SEQIRUS, INC. |
407008 |
Underdose
Underdose
|
Site: Pain at Injection Site-Mild, Systemic: NA-Mild, Additional Details: The patient is 77 years ol...
Site: Pain at Injection Site-Mild, Systemic: NA-Mild, Additional Details: The patient is 77 years old. Patient was given the wrong dose of the flu vaccine (was given the flu vaccine recommended for <64 years old). Should have been fluzone high dose per CDC recommended age, or fluad.
More
|
|||||||
| 2867012 | 17 | F | CA | 10/20/2025 |
FLUC4 |
SEQIRUS, INC. |
948410 |
Syncope, Unresponsive to stimuli
Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Severe
Systemic: Fainting / Unresponsive-Severe
|
||||||
| 2867013 | 84 | F | CA | 10/20/2025 |
FLUA4 |
SEQIRUS, INC. |
407264 |
Fatigue, Lethargy, Pruritus, Rash
Fatigue, Lethargy, Pruritus, Rash
|
Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generali...
Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Exhaustion / Lethargy-Mild
More
|
||||||
| 2867014 | 5 | F | MA | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0846 |
Abdominal discomfort, Abdominal pain, Dizziness, Immediate post-injection reacti...
Abdominal discomfort, Abdominal pain, Dizziness, Immediate post-injection reaction
More
|
Systemic: Abdominal Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: Dad rep...
Systemic: Abdominal Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: Dad reported her feeling a little dizzy and stomach upset right after getting the vaccine but did not need further follow up, said he would monitor her.
More
|
||||||
| 2867015 | 59 | F | MA | 10/20/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
23E4B |
Rash, Urticaria
Rash, Urticaria
|
Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: REPORTED HI...
Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: REPORTED HIVES
More
|
||||||
| 2867016 | 72 | F | NC | 10/20/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
z005765 z005765 |
Injection site abscess, Injection site bruising, Injection site erythema, Inject...
Injection site abscess, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus; Injection site swelling, Joint injury
More
|
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe
More
|
||||||
| 2867017 | 68 | F | IL | 10/20/2025 |
FLU4 |
SANOFI PASTEUR |
U8830DA |
Product storage error
Product storage error
|
Systemic: PATIENT RECEIVED FLUZONE HD VACCINE TWICE-Mild, Additional Details: PATIENT WAS GIVEN FLUZ...
Systemic: PATIENT RECEIVED FLUZONE HD VACCINE TWICE-Mild, Additional Details: PATIENT WAS GIVEN FLUZONE HD VACCINE ON 9/21/2025 THAT WAS STORED OUT OF RECOMMENDED TEMPERATURE RANGE.PATIENT WAS REVACCINATED ON 10/11/2025.
More
|
||||||
| 2867018 | 72 | M | IL | 10/20/2025 |
FLU4 |
SANOFI PASTEUR |
U8830DA |
Product storage error
Product storage error
|
Systemic: PATIENT WAS GIVEN 2 DOSE OF THE FLUZONE HD-Mild, Additional Details: PATIENT WAS GIVEN FLU...
Systemic: PATIENT WAS GIVEN 2 DOSE OF THE FLUZONE HD-Mild, Additional Details: PATIENT WAS GIVEN FLUZONE HD THAT WAS OUT OF TEMPERATURE RANGE ON 9/21/2025.PATIENT WAS REVACCINATED ON 10/11/2025.
More
|
||||||
| 2867019 | 66 | F | NM | 10/20/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
z009681 z009681 |
Ear pain, Erythema, Injection site pain, Injection site pruritus, Injection site...
Ear pain, Erythema, Injection site pain, Injection site pruritus, Injection site swelling; Pruritus, Rash, Skin warm
More
|
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-Severe, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: Patient presented with redness and swelling around injection site, travelling down patient's arm. warm to the touch. patient has only applied ice to area. Recommended to take bendaryl and if redness does not resolve or worsens to seek further medical attention., Other Vaccines: VaccineTypeBrand: fluzone high-dose; Manufacturer: sanofi; LotNumber: ut8804ca; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 10/08/2025
More
|
||||||
| 2867020 | 47 | M | MD | 10/20/2025 |
FLUC4 |
SEQIRUS, INC. |
406999 |
No adverse event, Refusal of vaccination
No adverse event, Refusal of vaccination
|
Site: Pain at Injection Site-Mild, Additional Details: patient given dose of flu vaccine, when he di...
Site: Pain at Injection Site-Mild, Additional Details: patient given dose of flu vaccine, when he didn't request it , patient not experiencing any symptoms , Other Vaccines: VaccineTypeBrand: Covid; Manufacturer: Pfizer; LotNumber: na4452; Route: IM; BodySite: LA; Dose: n/a; VaxDate: 10/11/2025
More
|
||||||
| 2867022 | 18 | M | OH | 10/20/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
na4457 na4457 |
Confusional state, Dizziness, Fatigue, Lethargy, Syncope; Unresponsive to stimul...
Confusional state, Dizziness, Fatigue, Lethargy, Syncope; Unresponsive to stimuli
More
|
Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Letha...
Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: There was no redness in injection site as far as I recall. I cant submit the report without choosing one of the injection site reactions that were displayed
More
|
||||||
| 2867023 | 54 | M | CA | 10/20/2025 |
PNC21 |
MERCK & CO. INC. |
Z009681 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
|
||||||
| 2867024 | 77 | F | CA | 10/20/2025 |
FLUA4 |
SEQIRUS, INC. |
407241 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Medium, Additional Details: pt said arm still sore from 10/8/25 after v...
Site: Pain at Injection Site-Medium, Additional Details: pt said arm still sore from 10/8/25 after vaccination. She said vaccination hurt and she has been icing her arms several times daily
More
|
||||||
| 2867025 | 31 | M | TX | 10/20/2025 |
HPV9 |
MERCK & CO. INC. |
z002397 |
Asthenia, Dizziness, Fall, Syncope, Unresponsive to stimuli
Asthenia, Dizziness, Fall, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Weak...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Weakness-Medium, Additional Details: patient fainted and fell 5 minutes after his vaccination. He recovered and was fine after couple minutes lying on the floor. EMS came and checked on him. No injured reported and left fine with his girlfriend after 30 mins of the incident , Other Vaccines: VaccineTypeBrand: flu (flucelvax); Manufacturer: seqirus; LotNumber: 948412; Route: Im; BodySite: left arm; Dose: 1; VaxDate: 10/11/2025, VaccineTypeBrand: covid (spikevax); Manufacturer: moderna; LotNumber: 3052741; Route: im; BodySite: left arm; Dose: 1; VaxDate: 10/11/2025
More
|
||||||
| 2867026 | 78 | F | GA | 10/20/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
X5T42 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injec...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: PATIENT WILL FOLLOW UP WITH PCP THIS WEEK
More
|
||||||
| 2867027 | 50 | F | TX | 10/20/2025 |
FLUC4 |
SEQIRUS, INC. |
948412 |
Extra dose administered, Injection site pruritus
Extra dose administered, Injection site pruritus
|
Site: Itching at Injection Site-Mild, Additional Details: Gave 2 doses of influenza vaccine on the s...
Site: Itching at Injection Site-Mild, Additional Details: Gave 2 doses of influenza vaccine on the same day by mistake
More
|
||||||
| 2867028 | 52 | F | CA | 10/20/2025 |
FLUC4 |
SEQIRUS, INC. |
407008 |
Extra dose administered, Injection site pain
Extra dose administered, Injection site pain
|
Site: Pain at Injection Site-Mild, Additional Details: 2 flu vaccines of the same brand and same lot...
Site: Pain at Injection Site-Mild, Additional Details: 2 flu vaccines of the same brand and same lot number was given to patient
More
|
||||||
| 2867029 | 9 | F | IA | 10/20/2025 |
FLUC4 |
SEQIRUS, INC. |
948412 |
Fall, Syncope, Unresponsive to stimuli
Fall, Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild, Additional Details: After patient received the vaccine, she ...
Systemic: Fainting / Unresponsive-Mild, Additional Details: After patient received the vaccine, she walked out to her father in the waiting area. Patient's father stated that patient was standing up while talking to her mother and suddenly fell down and fainted for a short amount of time. When I was notified that the patient had fainted, she was alert. I asked her parents to let her sit down on the chair and I fanned her. I offered the patient a bottle of water. The patient and family left after 15 minutes of observation.
More
|
||||||
| 2867030 | 63 | F | HI | 10/20/2025 |
FLUR4 FLUR4 |
PROTEIN SCIENCES CORPORATION PROTEIN SCIENCES CORPORATION |
TFAA2536 TFAA2536 |
Asthenia, Dizziness, Fatigue, Headache, Injection site pain; Insomnia, Lethargy,...
Asthenia, Dizziness, Fatigue, Headache, Injection site pain; Insomnia, Lethargy, Nausea, Pain, Tachycardia
More
|
Site: Pain at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Dizziness / ...
Site: Pain at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Headache-Severe, Systemic: Nausea-Severe, Systemic: Tachycardia-Medium, Systemic: Unable to Sleep-Severe, Systemic: Weakness-Severe
More
|
||||||
| 2867031 | 30 | M | CA | 10/20/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
8146670 |
Dizziness, Flushing, Hyperhidrosis, Injection site pain, Joint injury
Dizziness, Flushing, Hyperhidrosis, Injection site pain, Joint injury
|
Site: Pain at Injection Site-Mild, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild...
Site: Pain at Injection Site-Mild, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Other Vaccines: VaccineTypeBrand: Influenza - Flucelvax; Manufacturer: Seqirus; LotNumber: 948410; Route: IM; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
More
|
||||||
| 2867032 | 83 | M | CA | 10/20/2025 |
COVID19 COVID19 COVID19 COVID19 |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
3051995 3051995 3051995 3051995 |
Chills, Tremor; Tremor; Chills, Tremor; Tremor
Chills, Tremor; Tremor; Chills, Tremor; Tremor
|
Systemic: Chills-Severe, Additional Details: pt for 1 hour experienced shaking 14 hours post adminis...
Systemic: Chills-Severe, Additional Details: pt for 1 hour experienced shaking 14 hours post administration. recovered completely, Other Vaccines: VaccineTypeBrand: fluad; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN
More
|
||||||
| 2867033 | 6 | F | MD | 10/20/2025 |
COVID19-2 COVID19-2 |
MODERNA MODERNA |
3052579 3052579 |
Balance disorder, Dizziness, Loss of consciousness, Pallor, Respiratory rate inc...
Balance disorder, Dizziness, Loss of consciousness, Pallor, Respiratory rate increased; Tremor
More
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Additional Details: Approximatel...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Additional Details: Approximately 15 minutes after vaccination, child was looking at items in aisle and appeared to start shaking and loose balance. Child had to sit on floor to regain balance and then mother picked her up and sat with child in a chair.. Child became pale and right arm continued to shake. Child was also breathing rapidly, but never lost consciousness and never bumped her head. Paramedics responded and checked vitals. Spoke to family after incident and mother says child was behaving normally., Other Vaccines: VaccineTypeBrand: Flu (Fluarix); Manufacturer: GSK; LotNumber: 7E74J; Route: IM; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN
More
|
||||||
| 2867034 | 9 | M | MA | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0846 |
Incorrect dose administered, Wrong product administered
Incorrect dose administered, Wrong product administered
|
Systemic: wrong vaccine not side effects-Mild, Additional Details: Patient was due to receive covid ...
Systemic: wrong vaccine not side effects-Mild, Additional Details: Patient was due to receive covid vaccine (5-11 y/o). Parents were also receiving covid vaccine. Both adult covid vaccines were pulled and ready for administration. Accidently gave child adult covid vaccine instead of pediatric strength. Parents made aware of event and told to monitor child for side effects. Pediatrician will be notified once office opens and apology was given to parents.
More
|
||||||
| 2867035 | 14 | F | ME | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
NA4452 |
Emotional distress, Head injury, Loss of consciousness, Syncope, Unresponsive to...
Emotional distress, Head injury, Loss of consciousness, Syncope, Unresponsive to stimuli
More
|
Systemic: Fainting / Unresponsive-Severe, Additional Details: Passed out in vaccine room about 1-2 m...
Systemic: Fainting / Unresponsive-Severe, Additional Details: Passed out in vaccine room about 1-2 minutes after receiving both the COVID and Flu vaccines. Patient hit head on the flat side of the cabinet, and regained conciousness about 15-30 seconds after losing conciousness. Patient was in emotional distress from the shock of the incident but was physically okay, and was able to walk out of the pharmacy without issues. , Other Vaccines: VaccineTypeBrand: Fluzone 2025-2026; Manufacturer: Sanofi-Pasteur; LotNumber: U8889DA; Route: Intramuscular; BodySite: Left Deltoid; Dose: N/A; VaxDate: 10/12/2025
More
|
||||||
| 2867036 | 70 | F | PA | 10/20/2025 |
FLU4 FLU4 |
SANOFI PASTEUR SANOFI PASTEUR |
u8859aa u8859aa |
Anxiety, Chest discomfort, Chest pain, Dizziness, Flushing; Hyperhidrosis, Injec...
Anxiety, Chest discomfort, Chest pain, Dizziness, Flushing; Hyperhidrosis, Injection site pain, Malaise, Sensory disturbance
More
|
Site: Pain at Injection Site-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizz...
Site: Pain at Injection Site-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: anxiety-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypertension-Mild, Additional Details: Patient came back to the pharmacy and let me know that she wasn't feel well after vaccine and thought she was having a reaction. She said that her chest felt strange like she could feel vaccine traveling through her body. She said she feels similar to when she has an epinephrine injection at the dentist. She told me she has a history of anxiety and often feels this way after a vaccine. She did not document that on intake questionaire. I checked her blood pressure it was 169/92 pulse 103.
More
|
||||||
| 2867037 | 43 | F | DC | 10/20/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
6315mf002c |
Dizziness
Dizziness
|
Systemic: Dizziness / Lightheadness-Severe
Systemic: Dizziness / Lightheadness-Severe
|
||||||
| 2867038 | 75 | F | IN | 10/20/2025 |
FLU4 FLU4 |
SANOFI PASTEUR SANOFI PASTEUR |
U8764BB U8764BB |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth; Pruritus, Rash
More
|
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, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: Patient experienced an allergic reaction to the Fluzone vaccination that was recieved 10/04/2025. The patient reported on 10/07/2025 that they still had pain, reddness, itching, and heat radiating from the injection site. The patient applied Cortisone cream on the 10/07/2025. Paitent was contacted on 10/08/25 and systoms were resolved.
More
|
||||||
| 2867039 | 21 | F | NC | 10/20/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
9JC49 |
Blindness transient, Muscle rigidity, Paraesthesia, Tremor
Blindness transient, Muscle rigidity, Paraesthesia, Tremor
|
Systemic: could not see, hands were rigid and later shaky-Severe, Systemic: Shakiness-Medium, System...
Systemic: could not see, hands were rigid and later shaky-Severe, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Visual Changes/Disturbances-Medium, Additional Details: tingling in hands, lost vision for a few minutes
More
|
||||||
| 2867040 | 50 | M | CA | 10/20/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
#94J5E #94J5E |
Chills, Flushing, Hyperhidrosis, Injection site erythema, Injection site pain; I...
Chills, Flushing, Hyperhidrosis, Injection site erythema, Injection site pain; Injection site swelling
More
|
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injecti...
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Chills-Mild, Systemic: Flushed / Sweating-Medium, Other Vaccines: VaccineTypeBrand: RSV; Manufacturer: Arexvy; LotNumber: 5N79Z; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN
More
|