| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2866595 | 65 | F | MT | 10/17/2025 |
FLU3 |
SEQIRUS, INC. |
407255 |
Chest discomfort, Immediate post-injection reaction, Livedo reticularis, Paraest...
Chest discomfort, Immediate post-injection reaction, Livedo reticularis, Paraesthesia, Rash macular
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Patient immediately felt a reaction to the vaccine described as tingling rising up her arm. Her ches...
Patient immediately felt a reaction to the vaccine described as tingling rising up her arm. Her chest then developed diffuse, splotchy redness which then rose from her chest to her ears. Additionally, it was noted that she had mottled skin on her arms (not splotchy redness). She took 50 mg of her own benadryl and began to feel better. However, she then began to feel chest tightness and/or heaviness. I performed a blood pressure check with an automated cuff which read 180/100. I then called for a clinic nurse who repeated the pressure check with a manual reading and her blood pressure was found to be 200/100. We called an ambulance at this point and she was transported to a nearby ER where she was observed and discharged
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| 2866596 | 13 | M | NM | 10/17/2025 |
HPV9 |
MERCK & CO. INC. |
Y012508 |
Confusional state, Dizziness, Loss of consciousness, Pallor
Confusional state, Dizziness, Loss of consciousness, Pallor
|
Administered immunization within 10 sec his color of his face was pale, he got dizzy and passed out,...
Administered immunization within 10 sec his color of his face was pale, he got dizzy and passed out, MA was able to catch up and lie him back on the exam table, he then had upper extremity posturing. Loss of consciousness for 20-30 seconds, came to but was confused. He sat up and then threw up. Gave him some water and after 2 minutes his color came back, full consciousness. Had him wait in room for 10 min and he was back to normal, able to stand and walk out on his own. Followed up the next day he did great, no other symptoms, practiced football, ate and slept well.
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| 2866598 | 27 | F | NC | 10/17/2025 |
RSV |
PFIZER\WYETH |
LL8391 |
Exposure during pregnancy, Injection site induration, Injection site swelling
Exposure during pregnancy, Injection site induration, Injection site swelling
|
Raised area around injection site and its very firm and sore. December 2nd is expected delivery dat...
Raised area around injection site and its very firm and sore. December 2nd is expected delivery date.
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| 2866599 | 74 | M | VA | 10/17/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
u8800ca u8800ca |
Chills, Feeling cold, Hypersomnia, Immediate post-injection reaction, Malaise; P...
Chills, Feeling cold, Hypersomnia, Immediate post-injection reaction, Malaise; Piloerection, Presyncope
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Very close to fainting immediately after vaccine. Went home not feeling well and waves of freezing c...
Very close to fainting immediately after vaccine. Went home not feeling well and waves of freezing cold came over pt. Shivering, goosebumps, couldn't get warm. Went to bed and slept for 12 hours. Felt better the next day
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| 2866600 | 68 | F | WI | 10/17/2025 |
COVID19 |
MODERNA |
3052035 |
Injection site erythema, Injection site pruritus, Joint swelling
Injection site erythema, Injection site pruritus, Joint swelling
|
THE PATIENT REPORTS REDNESS, SWELLING AND ITCHING AT SITE AND AROUND THE VACCINE SITE.
THE PATIENT REPORTS REDNESS, SWELLING AND ITCHING AT SITE AND AROUND THE VACCINE SITE.
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| 2866601 | 66 | F | IN | 10/17/2025 |
FLU3 |
SANOFI PASTEUR |
|
Erythema, Peripheral swelling
Erythema, Peripheral swelling
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red, swollen arm 48 after vaccination
red, swollen arm 48 after vaccination
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| 2866602 | 26 | F | MD | 10/17/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
2L353 |
Arthralgia, Injected limb mobility decreased
Arthralgia, Injected limb mobility decreased
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c/o left shoulder pain with limited range of motion beginning about 1 week after receiving flu vacci...
c/o left shoulder pain with limited range of motion beginning about 1 week after receiving flu vaccine in the same arm
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| 2866603 | 22 | F | FL | 10/17/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
N9CS2 |
Erythema, Heart rate increased, Skin warm
Erythema, Heart rate increased, Skin warm
|
Red, hot, elevated HR, administered 50mg diphenhydramine, symptoms resolved.
Red, hot, elevated HR, administered 50mg diphenhydramine, symptoms resolved.
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| 2866604 | 74 | M | GA | 10/17/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
BG5J4 |
Extra dose administered
Extra dose administered
|
Received a second dose
Received a second dose
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| 2866605 | 26 | F | 10/17/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3052668 3052668 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Injection site scar; Injection site swelling, Skin exfoliation
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Experienced allergic reaction that included injection site tenderness, itchiness, redness, and scarr...
Experienced allergic reaction that included injection site tenderness, itchiness, redness, and scarring. Injection site is clearly seen and is a defined red circle. This is a horizontal line extending from the injection site that is also red and raised. It is starting to peel.
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| 2866606 | 32 | F | AR | 10/17/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
LT9HP |
Extra dose administered
Extra dose administered
|
RECIEVED TWO INFLUENZA VACCINATIONS.
RECIEVED TWO INFLUENZA VACCINATIONS.
|
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| 2866607 | 48 | F | OR | 10/17/2025 |
FLU3 |
SANOFI PASTEUR |
UT8826LA |
Rash
Rash
|
Flu shot administered with Employee Health on 10/2. On Sunday 10/5 stated rash began on right arm a...
Flu shot administered with Employee Health on 10/2. On Sunday 10/5 stated rash began on right arm and moved to left arm. Took OTC Benadryl with positive resolution of symptoms. Stopped taking OTC med and rash returned on 10/9, this time on back, chest, face, neck, etc. Employee was sent to Urgent Care for evaluation and worked up for allergic reaction, associated with flu shot. Was given Prednisone and Benadryl
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| 2866608 | 26 | F | PA | 10/17/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Pain, Pyrexia, Urticaria
Pain, Pyrexia, Urticaria
|
Hives, fever, aches and pains. Treated with Zyrtec for hives. Other symptoms resolved on their own.
Hives, fever, aches and pains. Treated with Zyrtec for hives. Other symptoms resolved on their own.
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| 2866609 | 56 | F | KS | 10/17/2025 |
FLU3 |
SANOFI PASTEUR |
U8881BA |
Oral herpes
Oral herpes
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Employee woke up the next morning with fever blisters all around her mouth. Used abreva, carmax, cha...
Employee woke up the next morning with fever blisters all around her mouth. Used abreva, carmax, chapstick, vicks, and lysine to help with blisters. After about a week and a half, blisters started to get better. No other s/s after influenza vaccine administration. Employee stated she had a reaction to the influenza vaccine in the 90's, but has had vaccine the past two years without a reaction.
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| 2866610 | 69 | F | MN | 10/17/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
2432Z |
Extra dose administered
Extra dose administered
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Patient was administered vaccine when she had gotten it the year before.
Patient was administered vaccine when she had gotten it the year before.
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| 2866611 | 63 | F | GA | 10/17/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
8146670 8146670 |
Chills, Injection site reaction, Myalgia, Pain, Pyrexia; Throat irritation, Urti...
Chills, Injection site reaction, Myalgia, Pain, Pyrexia; Throat irritation, Urticaria
More
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Upon injection itchy throat, stopped within a few minutes by evening 2 inch welt at injection site. ...
Upon injection itchy throat, stopped within a few minutes by evening 2 inch welt at injection site. Approx 15 hours later, 5-6 inch red welt injection site, random muscles started aching, chills, at 17 hours chilling so much hard to text and teeth were chattering.; aching all over. Fever 101. Took tylenol. By hour 25 fever was 102.5, broke during the night. The next morning, everything back to normal except welt. Still have welt almost 72 hours since vaccine, I took benadryl last night to see if it would help; it did not.
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| 2866612 | 70 | F | NY | 10/17/2025 |
FLU3 |
SANOFI PASTEUR |
|
Immediate post-injection reaction, Injection site erythema, Injection site haemo...
Immediate post-injection reaction, Injection site erythema, Injection site haemorrhage, Thrombosis
More
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Vaccine administrator hit a vein while performing intramuscular injection into the right deltoid. Pa...
Vaccine administrator hit a vein while performing intramuscular injection into the right deltoid. Patient started bleeding immediately after injection and pressure was applied to the area with a cotton ball. A clot formed immediately under the skin, the technician panicked and asked pharmacist for assistance. After assessing the situation and speaking to the patient, pharmacist decided to contact EMS to have someone assess patient for a potential PE/PVT. Patient did not lose consciousness nor was in acute distress during this process. She was upset that a pharmacists did not administer the vaccine and that a technician did so instead. The patient was assessed by EMS on the scene, but refused to go to the hospital for a full workup. She mentioned that she would rather visit her own doctor or urgent care instead.
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| 2866613 | 74 | F | SD | 10/17/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
my9548 my9548 |
Injection site erythema, Injection site induration, Injection site nodule, Injec...
Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Injection site pruritus; Injection site reaction, Injection site warmth, Sensory disturbance
More
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Patient received shot and states feeling it "run down" her arm internally away from the in...
Patient received shot and states feeling it "run down" her arm internally away from the injection site. The next day she noticed redness at injection site and a firm, hard, nodule moving down her arm. The nodule was tender to the touch and warm, then faded but remained itchy. Reported due to the swelling/nodule being significantly (6" or more) away from the vaccine site.
More
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| 2866614 | 1.5 | M | IN | 10/17/2025 |
DTPPVHBHPB HEPA PNC20 |
MSP VACCINE COMPANY MERCK & CO. INC. PFIZER\WYETH |
U8314AA Y018512 LX2496 |
Urticaria; Urticaria; Urticaria
Urticaria; Urticaria; Urticaria
|
Mom stated that patient after 24 hours reports hives on his both sides of his torso around his rib c...
Mom stated that patient after 24 hours reports hives on his both sides of his torso around his rib cage area, abdomen, and back. No itching. Mom gave Benadryl and patient reports well.
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| 2866615 | 30 | F | OH | 10/17/2025 |
FLU3 |
SANOFI PASTEUR |
tfaa2546 |
Muscle spasms, Pain in extremity
Muscle spasms, Pain in extremity
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As soon as the needle was inserted into the skin, the patient experienced a muscle spasm that travel...
As soon as the needle was inserted into the skin, the patient experienced a muscle spasm that travelled the span of their arm. The vaccine was injected and the patient still felt pain / soreness in the entire arm after the needle was removed from the skin. Pharmacist spoke with patient and explained that needle could have precipitated a muscle spasm and to follow the feeling for the next few hours. Told patient to follow up with pharmacy if soreness did not improve for further steps to take.
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| 2866616 | 6 | F | PA | 10/17/2025 |
HPV9 MNQ |
MERCK & CO. INC. SANOFI PASTEUR |
y019751 U8558AA |
No adverse event, Product administered to patient of inappropriate age; No adver...
No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age
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No adverse events reported by family. DOB entered wrong at registration and given 11 year old approp...
No adverse events reported by family. DOB entered wrong at registration and given 11 year old appropriate vaccines
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| 2866617 | 71 | M | SC | 10/17/2025 |
COVID19 |
PFIZER\BIONTECH |
na4452 |
Wrong product administered
Wrong product administered
|
administration error, patient requested non-mRNA Nuvaxovid (Novavax)
administration error, patient requested non-mRNA Nuvaxovid (Novavax)
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| 2866618 | 16 | F | TX | 10/17/2025 |
FLU3 HPV9 MENB MNQ |
SEQIRUS, INC. MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
|
Injection site pain, Malaise, Pyrexia; Injection site pain, Malaise, Pyrexia; In...
Injection site pain, Malaise, Pyrexia; Injection site pain, Malaise, Pyrexia; Injection site pain, Malaise, Pyrexia; Injection site pain, Malaise, Pyrexia
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fever, general malaise, injection site pain
fever, general malaise, injection site pain
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| 2866619 | 53 | F | PA | 10/17/2025 |
COVID19 FLU3 |
MODERNA GLAXOSMITHKLINE BIOLOGICALS |
3052581 N9CS2 |
Injected limb mobility decreased, Pain in extremity, Product administered at ina...
Injected limb mobility decreased, Pain in extremity, Product administered at inappropriate site; Injected limb mobility decreased, Pain in extremity, Product administered at inappropriate site
More
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No Pain on injection. $ hours later pain in Larm and unable to move or raise arm. Went to Er on advi...
No Pain on injection. $ hours later pain in Larm and unable to move or raise arm. Went to Er on advice of PCP. They sis not believe that the injection was given into the shoulder joint. Advised to use NSAIDS and f/u with PCP.
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| 2866620 | 71 | F | SC | 10/17/2025 |
COVID19 |
PFIZER\BIONTECH |
NA4452 |
Wrong product administered
Wrong product administered
|
administration error, pt requested Novavax Nuvaxovid non-mRNA vaccine
administration error, pt requested Novavax Nuvaxovid non-mRNA vaccine
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| 2866621 | 79 | M | FL | 10/17/2025 |
COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
EL9262 EL9262 EN6201 EN6201 |
Asthenia, Chronic inflammatory demyelinating polyradiculoneuropathy, Electromyog...
Asthenia, Chronic inflammatory demyelinating polyradiculoneuropathy, Electromyogram abnormal, Immunoglobulin therapy, Lumbar puncture; Lung abscess, Peripheral motor neuropathy; Asthenia, Chronic inflammatory demyelinating polyradiculoneuropathy, Electromyogram abnormal, Immunoglobulin therapy, Lumbar puncture; Lung abscess, Peripheral motor neuropathy
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Acute Motor Neuropathy of extremities, generalized weakness. Series of IVIG with some positive resul...
Acute Motor Neuropathy of extremities, generalized weakness. Series of IVIG with some positive results, Rituxan IV x one with effect and then a lung abscess developed.
More
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โ | โ | ||||
| 2866622 | 13 | M | TX | 10/17/2025 |
HPV9 |
MERCK & CO. INC. |
Y018398 |
Rash, Rash macular
Rash, Rash macular
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after administration of vaccine, the family drove 5 hrs. they noticed the red blotchy rash all acros...
after administration of vaccine, the family drove 5 hrs. they noticed the red blotchy rash all across his chest and shoulder going to the back. mom administered benadryl. rash is still present but clearing up
More
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| 2866623 | 33 | M | CT | 10/17/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
|
Blood test, CSF protein increased, Fine motor skill dysfunction, Grip strength d...
Blood test, CSF protein increased, Fine motor skill dysfunction, Grip strength decreased, Immunoglobulin therapy; Lumbar puncture, Muscular weakness, Tremor
More
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Events: Lost of grip strength and strength in forearms. Treatment: IVIG for 5 days. Outcome: regaine...
Events: Lost of grip strength and strength in forearms. Treatment: IVIG for 5 days. Outcome: regained 99% of strength in fingers and forearms. Still have some lingering weakness and shakiness especially in the fine motor skills area like writing
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โ | โ | โ | |||
| 2866624 | 6 | F | NY | 10/17/2025 |
DTAPIPV FLUN3 |
GLAXOSMITHKLINE BIOLOGICALS MEDIMMUNE VACCINES, INC. |
42Y93 42Y93 |
Chest pain, Feeling hot, Malaise; Chest pain, Feeling hot, Malaise
Chest pain, Feeling hot, Malaise; Chest pain, Feeling hot, Malaise
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Mom called office on 10/16/2025 at 3:27pm stating patient was not feeling well, states she "fel...
Mom called office on 10/16/2025 at 3:27pm stating patient was not feeling well, states she "felt warm" and complained of chest pain. Parent advised to call 911 or bring child for medical evaluation at ER or Urgent Care. 10/17/25 at 12:14pm placed call to mother who reports she did not bring child for medical evaluation. She states after calling DOH on 10/16/25 she asked patient about chest pain and patient stated it was 0 out of 10. She reports patient still feeling unwell and "warm" but states she does not have thermometer to check child's temperate. This nurse encouraged her to bring child for medical evaluation of symptoms.
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| 2866625 | 17 | M | IL | 10/17/2025 |
FLU3 HPV9 MENB MNQ |
SANOFI PASTEUR MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
UT8779LA Y013565 49M9N U8599AA |
Fall, Head injury, Nausea, Seizure like phenomena; Fall, Head injury, Nausea, Se...
Fall, Head injury, Nausea, Seizure like phenomena; Fall, Head injury, Nausea, Seizure like phenomena; Fall, Head injury, Nausea, Seizure like phenomena; Fall, Head injury, Nausea, Seizure like phenomena
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Patient tolerated well during vaccination. 5 minutes later patient reported nausea. Patient requeste...
Patient tolerated well during vaccination. 5 minutes later patient reported nausea. Patient requested to sit up, not lay down. Patient and parent decided to leave against RN advice. In waiting area, patient fell down and hit head. Parent reported seizure-like activity, but it was not seen by RN. Ambulance was called and patient was seen by EMTs.
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| 2866627 | 24 | F | OH | 10/17/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
7cf5m |
Extra dose administered, Wrong product administered
Extra dose administered, Wrong product administered
|
Patient received a 2nd dose of flu vaccine accidently when requesting a dose of RSV. She received a ...
Patient received a 2nd dose of flu vaccine accidently when requesting a dose of RSV. She received a dose on 9/24 elsewhere. No information is known on that particular vaccine.
More
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| 2866628 | 32 | M | MI | 10/17/2025 |
COVID19 COVID19 COVID19 FLU3 FLU3 FLU3 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
MY9547 MY9547 MY9547 948407 948407 948407 |
Arthralgia, Cough, Headache, Influenza like illness, Injection site discolourati...
Arthralgia, Cough, Headache, Influenza like illness, Injection site discolouration; Injection site haematoma, Injection site swelling, Injection site warmth, Pain, Peripheral swelling; Pyrexia; Arthralgia, Cough, Headache, Influenza like illness, Injection site discolouration; Injection site haematoma, Injection site swelling, Injection site warmth, Pain, Peripheral swelling; Pyrexia
More
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After vaccination, I woke up the next day with my right arm red and purple, like a hematoma, swollen...
After vaccination, I woke up the next day with my right arm red and purple, like a hematoma, swollen and warm to the touch at the point of vaccination (upper right arm). I developed flu-like symptoms (cough, feverish, head and body aches). With the passing days the joint ache and swelling increased and went down in my body from upper right arm to just above the elbow (2nd-3rd days after), then right leg above the knee (4th-6th days after) and right foot (7th day after). Today at 8 days after injection the swelling and joint pain seems to have gone. The hematoma disappeared after the 5th day.
More
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| 2866629 | 77 | F | KY | 10/17/2025 |
COVID19 COVID19 COVID19 FLU3 FLU3 FLU3 |
MODERNA MODERNA MODERNA SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
3052034 3052034 3052034 U8862EA U8862EA U8862EA |
Arthralgia, Back pain, Computerised tomogram abdomen normal, Dyspnoea, Electroca...
Arthralgia, Back pain, Computerised tomogram abdomen normal, Dyspnoea, Electrocardiogram normal; Feeling cold, Hypotension, Nausea, Tremor, Vomiting; X-ray normal; Arthralgia, Back pain, Computerised tomogram abdomen normal, Dyspnoea, Electrocardiogram normal; Feeling cold, Hypotension, Nausea, Tremor, Vomiting; X-ray normal
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Within 4 hours of administration of mNexSpike (Covid) and Fluzone HD she began to have pain in lower...
Within 4 hours of administration of mNexSpike (Covid) and Fluzone HD she began to have pain in lower back and left hip as well as body shaking and felt cold. Shortly after that was Vomiting excessly (was not nausea). The pain continued and got stronger a hour later and vomiting again. Started having Difficulty breathing and then decided to go to ER via ambulance. EMT stated BP really low but did not give her the number. While at ER the pain had gone down and nausea. They gave her an IV but she doesn't know what it was. Possibly fluids
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| 2866630 | 2 | F | TX | 10/17/2025 |
FLU3 |
SANOFI PASTEUR |
u8883BA |
Injection site reaction, Injection site swelling, Injection site warmth
Injection site reaction, Injection site swelling, Injection site warmth
|
Vaccine site reaction, swollen, warm to touch, covered whole thigh region of leg.
Vaccine site reaction, swollen, warm to touch, covered whole thigh region of leg.
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| 2866631 | 62 | F | TX | 10/17/2025 |
RSV RSV |
PFIZER\WYETH PFIZER\WYETH |
MF2187 MF2187 |
Bronchitis, Cough, Dyspnoea, Nausea, Secretion discharge; Viral rash
Bronchitis, Cough, Dyspnoea, Nausea, Secretion discharge; Viral rash
|
Patient received Abrysvo RSV vaccine 09/25-25. She states that the rest of the day she was nauseas....
Patient received Abrysvo RSV vaccine 09/25-25. She states that the rest of the day she was nauseas. The next day she reports cough that lasted 3-4 days. On days 4-5 after receiving the vaccine she developed a viral rash, and on days 6-7 she was having heavy mucus which culminated on days 7 and 8 when she was traveling having SOB for which she went to a local ER and got codeine cough syrup and tylenol. She is back home now and her Dr. diagnosed her with bronchitis for which he is treating her.
More
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| 2866634 | 0.5 | M | TX | 10/17/2025 |
DTAPHEPBIP DTAPIPVHIB PNC20 |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR PFIZER\WYETH |
9C295 UK234AB LX2498 |
Extra dose administered, Irritability, Wrong product administered; Extra dose ad...
Extra dose administered, Irritability, Wrong product administered; Extra dose administered, Irritability, Wrong product administered; Extra dose administered, Irritability, Wrong product administered
More
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Patient received two combination vaccines (Pediarix and Pentacel) in error during a well-child visit...
Patient received two combination vaccines (Pediarix and Pentacel) in error during a well-child visit. The intended vaccines were Pediarix, Hib, and PCV20. Pentacel was administered instead of Hib, resulting in duplicate DTaP and IPV doses. The error was discovered shortly after administration. The provider was notified the same day. Parent was not notified until Monday, October 13, three days later. The child reportedly had no fever but was fussier than usual over the weekend. No additional symptoms or complications were observed. No medical treatment was required. Patient monitored at home with no adverse outcome.
More
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| 2866635 | 36 | M | 10/17/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
9JC49 |
Syncope
Syncope
|
Syncope episode
Syncope episode
|
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| 2866636 | 13 | F | WA | 10/17/2025 |
FLU3 |
SANOFI PASTEUR |
U8832CA |
Loss of consciousness, Pallor, Staring
Loss of consciousness, Pallor, Staring
|
Patient received both Flublok and MNexspike vaccine by a certified technician. Patient was seated in...
Patient received both Flublok and MNexspike vaccine by a certified technician. Patient was seated in an double armed chair with padded back. Patient began looking pale, looked blank and dropped cell phone. The technician called for assistance. The pharmacist-on-duty aided the mother, while instructing the technician to call 911. Pharmacist was assisting mother with patient and helped mother assist patient to floor and on their side. Patient regained consciousness almost immediately upon reaching the floor. Patient was distressed, but awake and able to answer questions and converse. EMS arrived within 3-5 minutes. The patient remained conscious while EMS assisted. Patient was then placed on stretcher and taken to hospital.
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| 2866637 | 4 | M | MI | 10/17/2025 |
DTAPIPV FLU3 MMRV |
SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. |
U8663AB U8889DA Z010385 |
Injection site erythema, Injection site pruritus; Injection site erythema, Injec...
Injection site erythema, Injection site pruritus; Injection site erythema, Injection site pruritus; Injection site erythema, Injection site pruritus
More
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Left leg with softball sized redness and later with bath became larger, complained of itchiness, no ...
Left leg with softball sized redness and later with bath became larger, complained of itchiness, no swelling, tenderness, or drainage
More
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| 2866638 | 69 | F | OR | 10/17/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Differential white blood cell count, Full blood count, Helicobacter test, Metabo...
Differential white blood cell count, Full blood count, Helicobacter test, Metabolic function test, Vomiting
More
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Gastrointestinal including vomiting for two weeks.
Gastrointestinal including vomiting for two weeks.
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| 2866639 | 63 | F | VA | 10/17/2025 |
FLU3 |
SEQIRUS, INC. |
AX6339A |
Injection site swelling, Vaccination site warmth
Injection site swelling, Vaccination site warmth
|
Warmness and swelling at vaccination site.
Warmness and swelling at vaccination site.
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| 2866640 | 65 | F | CT | 10/17/2025 |
PNC21 |
MERCK & CO. INC. |
|
Mobility decreased, Musculoskeletal stiffness, Shoulder operation, X-ray limb no...
Mobility decreased, Musculoskeletal stiffness, Shoulder operation, X-ray limb normal
More
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Patient reports left shoulder pain began after receiving the PCV 21 vaccine in left arm on 10/9/2025...
Patient reports left shoulder pain began after receiving the PCV 21 vaccine in left arm on 10/9/2025. . Patient denies redness or swelling to the site. Pain 10/10. Patient reports symptoms are associated with pain, loss of motion, and stiffness. Patient treatment consisted of rest, ice and aleve and salon pas patches. Patient referred to urgent ortho. consult note - left shoulder skin intact, no rashes or lesions. Recommendations for rest and ice, compression and elevation. Orthopedics ordered a hely weber sling
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| 2866641 | 61 | M | PA | 10/17/2025 |
UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
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Antibody test positive, Arthralgia, Brain fog, Mental impairment, Nervous system...
Antibody test positive, Arthralgia, Brain fog, Mental impairment, Nervous system disorder; Psychotic disorder
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bRAIN FOG AND GENERAL NEUROLOGICAL ISSUES. JOINT PAins in major joints. full blown psychosis at time...
bRAIN FOG AND GENERAL NEUROLOGICAL ISSUES. JOINT PAins in major joints. full blown psychosis at times
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| 2866642 | 71 | M | 10/17/2025 |
COVID19 FLU3 RSV TDAP |
PFIZER\BIONTECH SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
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Extra dose administered; Extra dose administered; Extra dose administered; Extra...
Extra dose administered; Extra dose administered; Extra dose administered; Extra dose administered
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RSV vaccine first given in 2023, was not careful with recommending vaccines and checking system. Ano...
RSV vaccine first given in 2023, was not careful with recommending vaccines and checking system. Another dose was given on 10/16/2025.
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| 2866643 | 11 | F | CA | 10/17/2025 |
DTAPIPV HPV9 MNQ |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS |
4L454 Y015560 AH7Z3 |
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered
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Patient was given wrong vaccine ( KIntrix)
Patient was given wrong vaccine ( KIntrix)
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| 2866644 | 73 | M | MI | 10/17/2025 |
COVID19 FLU3 FLU3 |
MODERNA SEQIRUS, INC. SEQIRUS, INC. |
3052835 407258 407258 |
Extra dose administered; Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered; Extra dose administered
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Patient was given two doses of the influenza vaccine.
Patient was given two doses of the influenza vaccine.
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| 2866645 | 88 | M | KY | 10/17/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
MY9547 u8855ca |
Death; Death
Death; Death
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Expired 10/16/25
Expired 10/16/25
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| 2866646 | 40 | F | FL | 10/17/2025 |
FLU3 TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
2L353 292H2 |
Inflammation; Inflammation
Inflammation; Inflammation
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Provider stated that the patient "experienced a moderate post-inflammatory reaction following a...
Provider stated that the patient "experienced a moderate post-inflammatory reaction following administration of both the Tdap and influenza vaccines"
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| 2866648 | 5 | F | MO | 10/17/2025 |
FLU3 |
SANOFI PASTEUR |
UT8779KA |
Erythema, Loss of personal independence in daily activities, Pain, Skin warm, Sw...
Erythema, Loss of personal independence in daily activities, Pain, Skin warm, Swelling
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Immediate redness, warmth, and extensive swelling with pain. Reaction continued for 3 days. The sch...
Immediate redness, warmth, and extensive swelling with pain. Reaction continued for 3 days. The school nurse sent the child home and asked parent to seek medical advice. Child was treated with Benadryl, ibuprofen and cold pack.
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| 2866649 | 69 | M | KS | 10/17/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9548 |
Wrong product administered
Wrong product administered
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Patient actually wanted a Moderna shot and Pfizer was given.
Patient actually wanted a Moderna shot and Pfizer was given.
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