| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2867098 | 72 | M | VA | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
na4452 |
Injection site bruising
Injection site bruising
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Site: Bruising at Injection Site-Mild
Site: Bruising at Injection Site-Mild
|
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| 2867102 | 35 | F | PA | 10/20/2025 |
FLU4 FLU4 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
t9dx2 t9dx2 |
Asthenia, Bradycardia, Hypoaesthesia, Hypotension, Pallor; Pulse abnormal, Synco...
Asthenia, Bradycardia, Hypoaesthesia, Hypotension, Pallor; Pulse abnormal, Syncope, Unresponsive to stimuli
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Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Systemic: Numbness (specify: fac...
Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Weakness-Mild, Additional Details: Pt called for help shortly after receving 2 vax. Pt was on the floor, pale, weak pulse, bradycardic. Helped pt lay completely on the floor, elevated feet, monitored vitals. Pt began to recover, helped to chair, pt left several minutes later and denied any problems. Pt has hx and denied EMS. Called pt later and she seems fine
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| 2867106 | 48 | F | CA | 10/20/2025 |
FLU4 |
SANOFI PASTEUR |
UNKNOWN |
Unevaluable event
Unevaluable event
|
Systemic: UNKNOWN REACTION-Mild, Additional Details: PATIENT SAYS MANY YEARS AGO WHEN SHE GOT THE FL...
Systemic: UNKNOWN REACTION-Mild, Additional Details: PATIENT SAYS MANY YEARS AGO WHEN SHE GOT THE FLU SHOT, SHE HAD A BAD REACTION TO IT. PATIENT DOESN'T REMEMBER THE DETAILS OF THIS REACTION. PATIENT DOESN'T REMEMBER WHERE SHE GOT THE FLU SHOT. SHE SAYS SHE THINKS IT WAS AT (withheld).
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| 2867107 | 70 | F | IL | 10/20/2025 |
FLU4 |
SANOFI PASTEUR |
u8862ca |
Dizziness, Flushing, Hyperhidrosis, Hypertension, Tremor
Dizziness, Flushing, Hyperhidrosis, Hypertension, Tremor
|
Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypertens...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypertension-Severe, Systemic: Shakiness-Severe
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| 2867109 | 63 | F | FL | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0587 |
Injection site pain, Injection site pruritus, Injection site swelling, Pruritus
Injection site pain, Injection site pruritus, Injection site swelling, Pruritus
|
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injec...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Additional Details: Patient came back to the pharmacy 3 times since vaccination. Patient was advised to apply cold pack, and to take benadryl capsules during the initial report. Patient was advised to contact PCP or go to the walk in clinic for follow up. During todays meeting , i did not observe any visual redniss , fever or other illness however patient says it is red , itches and is hard inside. Patient was asked again to follow up with pcp. Dr was also callled (spoke to MA) and informed about it.
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| 2867110 | 62 | F | CA | 10/20/2025 |
RSV RSV |
PFIZER\WYETH PFIZER\WYETH |
MM9167 MM9167 |
Contusion, Injection site bruising, Injection site erythema, Injection site pain...
Contusion, Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling; Pustule, Skin discolouration, Skin injury
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Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injec...
Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: Patient's left arm was bruising, and a pus bubble formed a day of receiving vaccines. It leads to tissues damage and discoloration of the skin on the left arm. Patient is advised to call pharmacy for more assistant., Other Vaccines: VaccineTypeBrand: FLUBLOK; Manufacturer: SANOFI; LotNumber: TFAA2536; Route: IM; BodySite: UNKNOWN, arm; Dose: 1; VaxDate: 09/27/2025, VaccineTypeBrand: PREVNAR; Manufacturer: PFIZER; LotNumber: MA2488; Route: IM; BodySite: UNKNOWN, arm; Dose: 1; VaxDate: 09/27/2025, VaccineTypeBrand: SPIKEVAX; Manufacturer: MODERNA; LotNumber: 8146670; Route: IM; BodySite: UNKNOWN, arm; Dose: 1; VaxDate: 09/27/2025
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โ | |||||
| 2867111 | 62 | F | VA | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0589 |
Asthenia, Chest discomfort, Chest pain, Dizziness
Asthenia, Chest discomfort, Chest pain, Dizziness
|
Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Medium, Syste...
Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Weakness-Medium, Additional Details: Vitals stable. Mild chest tightness resolved after lying down for about 1 minute, light headedness resolved gradually over about 15 minutes.
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| 2867113 | 26 | M | NY | 10/20/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052741 |
Malaise
Malaise
|
Systemic: from the information provided to us: patient may have been feeling lightheaded, dizzy, swe...
Systemic: from the information provided to us: patient may have been feeling lightheaded, dizzy, sweating, may have balcked out a few seconds,-Medium, Additional Details: Patient was feeling ill after receving the flu and moderna covid vaccines, called EMT, patient was evaluated at the hospital; patient did very well shortly after his medical episode, followed up with patient night of event and he was doing very well and was sent home for ER as well same day., Other Vaccines: VaccineTypeBrand: Flucevax; Manufacturer: Seqirus; LotNumber: 407010; Route: IM; BodySite: Right Arm; Dose: ; VaxDate: UNKNOWN
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| 2867114 | 68 | F | PA | 10/20/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
U8830DA U8830DA |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling; Joint injury
More
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Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Medium, Site: Pain at Injec...
Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe
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| 2867115 | 82 | M | PA | 10/20/2025 |
COVID19-2 |
MODERNA |
8146367 |
Hypoaesthesia, Injection site pain, Joint injury, Paraesthesia
Hypoaesthesia, Injection site pain, Joint injury, Paraesthesia
|
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Se...
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Additional Details: numb and tingling in arm and fingers
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| 2867116 | 69 | F | NY | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
na4457 |
Injection site erythema, Injection site swelling, Injection site warmth
Injection site erythema, Injection site swelling, Injection site warmth
|
Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details:...
Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: patient states she believes the vaccine was given subcutaneously but the documentation states IM. her arm at the injection site was red and raised about 2.5inch circle and warm to the touch. started within 12 hours and is now improving after 4 days
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| 2867117 | 21 | F | MA | 10/20/2025 |
FLUC4 |
SEQIRUS, INC. |
407799 |
Pain in jaw, Swelling face
Pain in jaw, Swelling face
|
Systemic: swelling and soreness in the jaw-Mild
Systemic: swelling and soreness in the jaw-Mild
|
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| 2867119 | 62 | M | CT | 10/20/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
U88238A |
Injection site bruising, Needle issue, Underdose
Injection site bruising, Needle issue, Underdose
|
Site: Bruising at Injection Site-Mild, Additional Details: Immunizer said Needle was faulty and the ...
Site: Bruising at Injection Site-Mild, Additional Details: Immunizer said Needle was faulty and the solution was all over her gloves. Pt was asked to get another dose but he did not feel comfortable with another dose.
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| 2867120 | 52 | F | GA | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
my9550 |
Fall
Fall
|
Systemic: patient tripped over water display in store-Mild
Systemic: patient tripped over water display in store-Mild
|
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| 2867123 | 54 | F | FL | 10/20/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
na4452 na4452 |
Fatigue, Headache, Injection site bruising, Injection site erythema, Injection s...
Fatigue, Headache, Injection site bruising, Injection site erythema, Injection site pain; Injection site swelling, Lethargy, Pain, Pyrexia, Rash
More
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Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injec...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Other Vaccines: VaccineTypeBrand: Pneumococal (Capvaxive); Manufacturer: Merk; LotNumber: z006076; Route: IM; BodySite: Right Deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: RSv (Arexvy); Manufacturer: GlaxosmithKline; LotNumber: 5a457; Route: IM; BodySite: Left Deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: Flu (Fluarix 25/26); Manufacturer: Glaxosmithkline; LotNumber: 9fg5m215; Route: IM; BodySite: Left Deltoid; Dose: ; VaxDate: UNKNOWN
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| 2867125 | 92 | M | MD | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
NA4457 |
Contusion
Contusion
|
Site: Bruising at Injection Site-Mild, Additional Details: Patient experienced a large bruise runnin...
Site: Bruising at Injection Site-Mild, Additional Details: Patient experienced a large bruise running down the arm. Patient denies use of blood thinners- and none were found in pharmacy records. Bruise was healing when patient presented at pharmacy on 10/16/25 but was mildly concerned over it. , Other Vaccines: VaccineTypeBrand: Fluzone High Dose; Manufacturer: Sanofi Pasteur; LotNumber: UT8829BA; Route: Intramuscular; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN
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| 2867127 | 35 | F | GA | 10/20/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
8146743 |
Unevaluable event
Unevaluable event
|
Systemic: Patient was concerned she may get bloodborne diseases from the immunizer due to his finger...
Systemic: Patient was concerned she may get bloodborne diseases from the immunizer due to his finger's bleeding-Mild, Additional Details: The Immunizer's finger was bleeding (due to injury when he opened the fridge) and even though he covered it with a bandage, the patient still saw the blood while he was giving the shot. He also did not wear gloves. He confirmed he has no bloodborne diseases, but patient was still concerned and wanted to get PEP treatment after the vaccination to be safe., Other Vaccines: VaccineTypeBrand: Fluarix; Manufacturer: GLAXOSMITHKLINE; LotNumber: 7CF5M; Route: IM; BodySite: Right Arm; Dose: ; VaxDate: UNKNOWN
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| 2867128 | 41 | F | PA | 10/20/2025 |
FLUC4 |
SEQIRUS, INC. |
407010 |
Injection site pain, Skin exfoliation
Injection site pain, Skin exfoliation
|
Site: Pain at Injection Site-Medium, Systemic: skin loss-Medium, Additional Details: Upon bandage re...
Site: Pain at Injection Site-Medium, Systemic: skin loss-Medium, Additional Details: Upon bandage removal on 10/16/25 patient noticed a "large chunk of skin missing where one of the vaccinations was given, and a small chunk of skin missing from second vaccination". Reported pain during injection.
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| 2867130 | 49 | M | CA | 10/20/2025 |
COVID19 |
UNKNOWN MANUFACTURER |
3052864 |
Diarrhoea, Weight decreased
Diarrhoea, Weight decreased
|
Systemic: Diarrhea-Medium, Additional Details: Pt states that Diarrhea started at ~2pm on 10/13/25. ...
Systemic: Diarrhea-Medium, Additional Details: Pt states that Diarrhea started at ~2pm on 10/13/25. Foodbourne illness unlikely as pt only had coffee prior to vaccine. Pt stated he's lost about 4lbs. He is hydrating and takig loperamide (but its not helping much). Pt is ambulatory and alert. Good Mental status.
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| 2867131 | 81 | M | CA | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0589 |
Dizziness, Fall, Syncope, Unresponsive to stimuli
Dizziness, Fall, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient was with his daughter when came in to recieve a vaccine. After vaccine was given patient stayed at the retail location shoping for 20 to 30 min from the time vaccination was given. Patient recieved 2 vaccines COVID and FLU and had fallen in outside the store when he was leaving to his car. Per store personal ambulance got called to help patient after fall occured., Other Vaccines: VaccineTypeBrand: fluzone high-dose; Manufacturer: sanofi-pasteur; LotNumber: UT8794DA; Route: IM; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN
More
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| 2867132 | 70 | F | HI | 10/20/2025 |
FLU4 |
SANOFI PASTEUR |
UT8804CA |
Injection site pain, Injection site pruritus, Injection site vesicles
Injection site pain, Injection site pruritus, Injection site vesicles
|
Site: Pain at Injection Site-Mild, Systemic: FLUID SAC LIKE ON THE INJECTION SITE (ITCHY AND PAINFUL...
Site: Pain at Injection Site-Mild, Systemic: FLUID SAC LIKE ON THE INJECTION SITE (ITCHY AND PAINFUL PER PATIENT)-Mild
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| 2867134 | 55 | M | MA | 10/20/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
1234567 |
Nausea, Vomiting
Nausea, Vomiting
|
Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: Patient stated he informed h...
Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: Patient stated he informed his doctor, but did not inform the pharmacist at the local store
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| 2867135 | 56 | M | MN | 10/20/2025 |
PNC20 |
PFIZER\WYETH |
MG7418 |
Pain in extremity, Walking aid user, Weight bearing difficulty
Pain in extremity, Walking aid user, Weight bearing difficulty
|
Approximately 17 hours after injection, I began having significant pain in my right upper leg-betwee...
Approximately 17 hours after injection, I began having significant pain in my right upper leg-between right hip and knee. (I had total right hip replacement on 02/10/2025, that has been healing slowly). When I woke for work, at 0545 hours, 10/16/2025, I was unable to put any weight on the right leg. I needed to use a cane, in which I could barely walk. At about 1000 hours, I was able to walk without the use of a cane. lt was more sore than usual during the day but was back to "normal" by late afternoon. I did nothing out of the ordinary to create additional pain for the hip, other than the vaccine, and have not experienced a pain like that ever in that leg.
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| 2867136 | 71 | F | MA | 10/20/2025 |
COVID19 |
MODERNA |
Ndc: 80777-0112 |
Arthralgia, Headache, Myalgia, Neck pain, Pyrexia
Arthralgia, Headache, Myalgia, Neck pain, Pyrexia
|
24 hours of fever, muscle and joint pain everywhere, extreme headache and neck pain - like a migrai...
24 hours of fever, muscle and joint pain everywhere, extreme headache and neck pain - like a migraine. Worst 24 hours of anything I ever experienced.
More
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| 2867137 | 70 | M | IL | 10/20/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
UT8781CA UT8781CA |
Asthenia, Chest X-ray normal, Dehydration, Dysstasia, Fall; Gait disturbance, Mu...
Asthenia, Chest X-ray normal, Dehydration, Dysstasia, Fall; Gait disturbance, Muscular weakness, SARS-CoV-2 test negative
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At 6:00am on Friday October 17, patient ambulated to restroom to use the toilet. Reported feeling w...
At 6:00am on Friday October 17, patient ambulated to restroom to use the toilet. Reported feeling weak, and unable to get up from toilet for 20 minutes. Wife assisted him up and transferred him to bed. Patient reported sliding off of bed, landing on buttock, denies hitting head. Wife called (withheld name) EMS, and patient admitted to (withheld name) Hospital ER with chief complaints: Muscle Weakness, dehydration, inability to get up independently or ambulate. ER completed COVID test, chest x-ray, and administered fluids via IV. Patient was transferred to (withheld name) Hospital for observation. Patient had PT and OT Saturday morning while inpatient, was able to ambulate independently and was discharged home Saturday afternoon. Medical providers at hospital state all tests were negative, no known cause for muscle weakness and the only thing they can attribute it to is the vaccine. To be noted patient has previously received Senior High Dose vaccine without incident in prior years. When asked if the patient has ever experienced an episode similar to this, he stated yes, 2 years ago, and was then diagnosed with brain cancer. He has undergone extensive chemotherapy and a stem cell transplant. He is currently in remission.
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โ | |||||
| 2867138 | 69 | F | TX | 10/20/2025 |
COVID19 |
MODERNA |
3052133 |
Wrong product administered
Wrong product administered
|
Patient requested Spikevax but recieved Mnexspike- Attempted to contact patient multiple times, but ...
Patient requested Spikevax but recieved Mnexspike- Attempted to contact patient multiple times, but unable to reach her. No known nor expected adverse events
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| 2867140 | 11 | M | TN | 10/20/2025 |
COVID19 |
MODERNA |
3052082 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
THE AGE 12+ MNEXSPIKE WAS ADMINISTERD TO A PATIENT AGE 11. MOM WAS NOTIFIED. NO ISSUES WITH PATIEN...
THE AGE 12+ MNEXSPIKE WAS ADMINISTERD TO A PATIENT AGE 11. MOM WAS NOTIFIED. NO ISSUES WITH PATIENT.
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| 2867141 | 56 | F | TX | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0589 |
Fatigue, Headache, Pain in extremity, Pruritus
Fatigue, Headache, Pain in extremity, Pruritus
|
pain in the right arm (no rash), itchiness, headache, fatigue
pain in the right arm (no rash), itchiness, headache, fatigue
|
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| 2867143 | 57 | M | AZ | 10/20/2025 |
DT |
SANOFI PASTEUR |
|
Brachial plexus injury
Brachial plexus injury
|
Brachial Plexus Injury
Brachial Plexus Injury
|
โ | |||||
| 2867145 | 16 | M | TX | 10/20/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
NA0587 U8832CA |
Confusional state, Syncope; Confusional state, Syncope
Confusional state, Syncope; Confusional state, Syncope
|
PT EXPIERENCE SYNCOPY DIRECTLY AFTER ADMINISTRATION OF 2ND VACCINE. PT REGAINED AWARENESS IN 30 SECO...
PT EXPIERENCE SYNCOPY DIRECTLY AFTER ADMINISTRATION OF 2ND VACCINE. PT REGAINED AWARENESS IN 30 SECONDS BUT WAS CONFUSED. AFTER 5 MINUTES PT RETURNED TO NORMAL
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| 2867146 | 52 | M | CA | 10/20/2025 |
FLU3 |
SEQIRUS, INC. |
409153 |
Cough, Head discomfort, Oropharyngeal pain, Pyrexia
Cough, Head discomfort, Oropharyngeal pain, Pyrexia
|
Sore throat( 16-18OCT), fever 100.5 (17OCt-19OCT), cranial pressure(16-19OCT), coughing(19OCT) Pati...
Sore throat( 16-18OCT), fever 100.5 (17OCt-19OCT), cranial pressure(16-19OCT), coughing(19OCT) Patient was given Tylenol and Toradol to reduced pain symptoms. medication did help but not significantly.
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| 2867148 | 65 | F | OH | 10/20/2025 |
COVID19 COVID19 PNC21 PNC21 |
PFIZER\BIONTECH PFIZER\BIONTECH MERCK & CO. INC. MERCK & CO. INC. |
NA4457 NA4457 ZOO5765 ZOO5765 |
Injection site erythema, Injection site pain, Injection site swelling, Injection...
Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Nausea; Vertigo; Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Nausea; Vertigo
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Swelling, soreness, redness and hot to touch @ injection site for three days following shot. Redness...
Swelling, soreness, redness and hot to touch @ injection site for three days following shot. Redness spread to become a 5? band covering half the upper arm. Redness eventually reached the elbow on day 5. Had lethargy for first two days. Developed vertigo and nausea on day three. Went to Dr. (withheld name). Was diagnosed with BPPV. Recieved Rx for symptoms and instructions for the Epley maneuver. Recieved Rx of Methylprednisolone 4mg Dosepk to address symptoms occurring at the injection site.
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| 2867149 | 80 | F | 10/20/2025 |
FLU3 |
SEQIRUS, INC. |
407268 |
Pain, Pain in extremity
Pain, Pain in extremity
|
Patient experienced soreness the day after vaccine and is still experiencing pain in arm 17 days aft...
Patient experienced soreness the day after vaccine and is still experiencing pain in arm 17 days after. Pain occurs more when raising arm in upward motion. Patient did not experience swelling or redness near injection site.,
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| 2867150 | 65 | F | WA | 10/20/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3052732 3052732 |
Abdominal discomfort, Dry skin, Erythema, Eye swelling, Fatigue; Pruritus, Rhina...
Abdominal discomfort, Dry skin, Erythema, Eye swelling, Fatigue; Pruritus, Rhinalgia, Skin burning sensation, Swelling, Urticaria
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AT ABOUT 9PM ON EVENING OF VACCINE, PT FELT TIRED AND FATIGUE AND PTS NECK WAS RED AND SWOLLEN, DRY,...
AT ABOUT 9PM ON EVENING OF VACCINE, PT FELT TIRED AND FATIGUE AND PTS NECK WAS RED AND SWOLLEN, DRY, ITCHY SCRATCHY AND BACK ITCHED. IT IS MORE PROMINENET ON FACE AND NECK. FACE FEELS LIKE IT IS BURNING UNDER SKIN. AT FIRST THERE WERE LITTLE BUMPS OR HIVES UNDER SKIN AND EYES WERE SWOLLEN AND STILL ARE ESPCECIALLY IN MORNING AFTER GETTING UP. BOTTOM OF NOSE IS ALSO REALLY RED AND SORE. PT ALSO HAS UPSET STOMACH.
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| 2867151 | 62 | F | IN | 10/20/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
93NL9 |
Arthralgia, Chest pain, Injection site pain, Musculoskeletal pain, Painful respi...
Arthralgia, Chest pain, Injection site pain, Musculoskeletal pain, Painful respiration
More
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Pain in chest, left shoulder, down to elbo, and into left shoulderblade. It also hurt to take a bre...
Pain in chest, left shoulder, down to elbo, and into left shoulderblade. It also hurt to take a breath.
More
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| 2867154 | 43 | F | WA | 10/20/2025 |
HEP HEP MMR MMR |
DYNAVAX TECHNOLOGIES CORPORATION DYNAVAX TECHNOLOGIES CORPORATION GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
946889 946889 2JX7Y 2JX7Y |
Asthenia, Chills, Epistaxis, Headache, Malaise; Migraine, Rash, Tachycardia, Tre...
Asthenia, Chills, Epistaxis, Headache, Malaise; Migraine, Rash, Tachycardia, Tremor; Asthenia, Chills, Epistaxis, Headache, Malaise; Migraine, Rash, Tachycardia, Tremor
More
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pt emailed clinic on Saturday 10/18: "When I got home [on Wednesday], I started having chills, ...
pt emailed clinic on Saturday 10/18: "When I got home [on Wednesday], I started having chills, migraines, and tachycardia. On Thursday, I had a nosebleed that lasted all day. The headache continued, and a rash appeared on my chest. I also felt unwell, with tremors in my body and weakness." Spoke with pt on Monday 10/20, pt states she feels better today, denies concerning s/s. She reported she took her BP Thursday and was WNL (118/82), did not measure HR, Temp was afebrile but pt was taking tylenol and OTC antihistamines. pt denies any Hx of prior vaccine reactions, no SOB/difficulty breathing during illness. She was able to attend classes at local college although she states it was difficult and her professor expressed concern.
More
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| 2867156 | 42 | F | VA | 10/20/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
AH2G4 |
Injection site rash, Pruritus, Rash
Injection site rash, Pruritus, Rash
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Itching about an hour after vaccine given. Around injection site some mild rash noted. No heat or ...
Itching about an hour after vaccine given. Around injection site some mild rash noted. No heat or knots felt on palpation. Small rash noted on lower part of right jawline and down right side of neck.
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| 2867157 | 8 | F | MN | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
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Incorrect dose administered
Incorrect dose administered
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8 year old patient received the Adult dose 30mcg (0.3ml) of Pfizer COVID 19 vaccine, instead of the ...
8 year old patient received the Adult dose 30mcg (0.3ml) of Pfizer COVID 19 vaccine, instead of the Pfizer 5-11 (age appropriate) Pfizer dose of 10mcg 0.3/ml
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| 2867158 | 62 | F | NV | 10/20/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
D5H4Y |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
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Redness and sweling at site
Redness and sweling at site
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| 2867160 | 6 | F | MN | 10/20/2025 |
COVID19 |
PFIZER\BIONTECH |
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Incorrect dose administered
Incorrect dose administered
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6 year old patient received the Adult dose 30mcg (0.3ml) of the Pfizer Comirnaty vaccine instead of ...
6 year old patient received the Adult dose 30mcg (0.3ml) of the Pfizer Comirnaty vaccine instead of the age appropriate dose for the 5-11 age group 10mcg (0.3ml) Parents notified of this mediation/dose error by the nurse who administered the vaccine on the date vaccine error occurred. A Clinician also spoke to the parent to address questions, concerns and provide what symptoms to watch for and who to call in the event of an adverse vaccine reaction
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| 2867162 | 65 | F | AR | 10/20/2025 |
COVID19 |
MODERNA |
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Wrong product administered
Wrong product administered
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Patient scheduled appointment to receive a high dose influenza vaccine. During the visit, a dose of ...
Patient scheduled appointment to receive a high dose influenza vaccine. During the visit, a dose of Mnexspike was erroneously given. Patient received Mnexspike vaccine instead of the high dose influenza vaccine that was meant to be administered during the appointment.
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| 2867163 | 24 | F | OR | 10/20/2025 |
FLU3 |
SANOFI PASTEUR |
U8790BA |
Extra dose administered, Wrong product administered
Extra dose administered, Wrong product administered
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Immunization was scheduled incorrectly creating confusion on what patient needed for vaccines. Patie...
Immunization was scheduled incorrectly creating confusion on what patient needed for vaccines. Patient verbalized understanding that she was receiving a flu vaccine even though it was later determined she was wanting a COVID vaccine. After administration, nursing documented vaccine and discovered patient already had dose for this flu season on 9/26.
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| 2867164 | 67 | F | SC | 10/20/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
3052741 UT8820AA |
Guillain-Barre syndrome, Hypoaesthesia, Infusion, Paraesthesia; Guillain-Barre s...
Guillain-Barre syndrome, Hypoaesthesia, Infusion, Paraesthesia; Guillain-Barre syndrome, Hypoaesthesia, Infusion, Paraesthesia
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Patient's husband came to Pharmacy on Saturday, October 18 stating patient woke up Saturday, Oc...
Patient's husband came to Pharmacy on Saturday, October 18 stating patient woke up Saturday, October 10, 2025 and felt numbness and tingling in her feet. He thought the patient was experiencing a stroke, and immediately took her to the local hospital. Once the patient was admitted, tests were completed and she was diagnosed with Guillain Barre syndrome. The patient started infusion therapy and "it has been life changing". Upon follow up, patient states she is being discharged today, October 20, 2025, with an 11 day hospital stay.
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| 2867165 | 81 | F | IA | 10/20/2025 |
COVID19 |
MODERNA |
3046731 |
Death
Death
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Resident passed away
Resident passed away
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| 2867167 | 77 | F | PA | 10/20/2025 |
PNC21 |
MERCK & CO. INC. |
z006889 |
Erythema, Pruritus, Skin warm
Erythema, Pruritus, Skin warm
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pt arm got hot to touch, red and itchy down to elbow. as of 10/20/25 starting to resolve with hydro...
pt arm got hot to touch, red and itchy down to elbow. as of 10/20/25 starting to resolve with hydrocortisone and benadryl.
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| 2867168 | 72 | F | CA | 10/20/2025 |
FLU3 FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
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Arthralgia, Fatigue, Injection site pain, Injection site swelling, Oropharyngeal...
Arthralgia, Fatigue, Injection site pain, Injection site swelling, Oropharyngeal pain; Pollakiuria, Productive cough, Pyrexia, Rash, Rash erythematous; Rash pruritic, Rhinorrhoea, Throat tightness
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7 hrs tiredness, Soreness /swelling at injection site; 1300 mg acetomenophen; 24 hours -itchy red r...
7 hrs tiredness, Soreness /swelling at injection site; 1300 mg acetomenophen; 24 hours -itchy red rash on right arm , joint pain, tiredness, frequent urination- determine hydrochloride, cortisone lotion, ibuprofen 800 mg 48 hours - sore throat and tightness, coughing with mucous, runny nose, frequent urination, 101.4 fever
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| 2867169 | 34 | F | IL | 10/20/2025 |
FLU3 FLU3 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
99H9A 99H9A |
Chest X-ray normal, Full blood count normal, Metabolic function test normal, Myo...
Chest X-ray normal, Full blood count normal, Metabolic function test normal, Myocardial necrosis marker normal, Nervousness; Presyncope
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Near syncope episode after flu vaccine. Felt shaky, elevated blood pressure at 167/93, other vital s...
Near syncope episode after flu vaccine. Felt shaky, elevated blood pressure at 167/93, other vital signs within normal limits. She was afebrile and without rash or hives. No swelling of lips or tongue. No shortness of breath.
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| 2867170 | 80 | M | MI | 10/20/2025 |
COVID19 FLU3 PNC20 |
PFIZER\BIONTECH SANOFI PASTEUR PFIZER\WYETH |
my9547 u8862BA ln4929 |
Rash, Rash pruritic; Rash, Rash pruritic; Rash, Rash pruritic
Rash, Rash pruritic; Rash, Rash pruritic; Rash, Rash pruritic
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Rash started on stomach and spread to arm and legs. Was itchy until he started taking Benadryl
Rash started on stomach and spread to arm and legs. Was itchy until he started taking Benadryl
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| 2867173 | 27 | M | VA | 10/20/2025 |
COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
EN6206 ER8736 FJ8762 |
Colitis ulcerative, Colonoscopy abnormal, Laboratory test abnormal; Colitis ulce...
Colitis ulcerative, Colonoscopy abnormal, Laboratory test abnormal; Colitis ulcerative, Colonoscopy abnormal, Laboratory test abnormal; Colitis ulcerative, Colonoscopy abnormal, Laboratory test abnormal
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I developed with ulcerative colitis within a month of receiving the COVID-19 vaccine. Diagnosis was ...
I developed with ulcerative colitis within a month of receiving the COVID-19 vaccine. Diagnosis was confirmed by multiple colonoscopies, lab tests, and doctors. I cannot say the vaccine caused this, but I believe the timing may be relevant and worth reporting. I have no family history of this disease and an identical twin brother without the disease. Additionally, I have lived a healthy lifestyle and do not consume processed food regularly.
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| 2867174 | 65 | F | FL | 10/20/2025 |
COVID19 FLU3 PNC21 |
PFIZER\BIONTECH SANOFI PASTEUR MERCK & CO. INC. |
my9550 ut8820ca z004302 |
Injection site erythema, Injection site inflammation; Injection site erythema, I...
Injection site erythema, Injection site inflammation; Injection site erythema, Injection site inflammation; Injection site erythema, Injection site inflammation
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Patient complaint of redness, inflammation at site of injection in the left arm. this is the arm whe...
Patient complaint of redness, inflammation at site of injection in the left arm. this is the arm where she received the capvaxive and cominaty vaccines. the redness has become larger since thursday, when she noticed it at first. it has become larger than the two injection sites on the arm, but only in the upper arm area of the left arm. she has tried to apply ice and vicks rub on it and it seems to be tolerable. she was more tired than usual the next day after the vaccine, she had chills and stayed in the bed all day.
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