| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2864910 | 48 | F | MI | 10/10/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
Gave a HD Fluzone vaccine to patient who was <65 years of age.
Gave a HD Fluzone vaccine to patient who was <65 years of age.
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| 2864911 | 29 | F | OH | 10/10/2025 |
COVID19 |
MODERNA |
3052731 |
Arthralgia, Immediate post-injection reaction, Mobility decreased
Arthralgia, Immediate post-injection reaction, Mobility decreased
|
Patient came to see NP at clinic with complaints of left shoulder loss of motion and severe pain aft...
Patient came to see NP at clinic with complaints of left shoulder loss of motion and severe pain after flu and COVID-19 vaccines on 10/6/25 at Pharmacy. This was her first time reporting the incident. Patent states immediately the higher injection felt wrong and caused a shooting pain anteriorly into her shoulder joint. She then began to have severe pain that night and in the morning could not move her shoulder. Patient only has full ROM from the elbow down. Patient denies any other injury to her shoulder or previous injury/surgery.
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| 2864912 | 63 | F | PA | 10/10/2025 |
COVID19 FLU3 |
MODERNA GLAXOSMITHKLINE BIOLOGICALS |
3052581 N9CS2 |
Contusion, Injected limb mobility decreased, Pain in extremity; Contusion, Injec...
Contusion, Injected limb mobility decreased, Pain in extremity; Contusion, Injected limb mobility decreased, Pain in extremity
More
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Pt called to explain that her right arm, the one the COVID shot was in, is bruised and achy. Some li...
Pt called to explain that her right arm, the one the COVID shot was in, is bruised and achy. Some limited ROM, can raise above shoulder but not above head. Had previous shot years ago given by a pharmacist that was in her bursa, this "does not feel like that". She has taken ibuprofen with some relief. Encouraged her to keep me informed of the evolution of this event. No complaints on L arm where Flu was. Did explain that we sometimes see inflammation with the COVID shot, but to follow up with PCP as needed and that I would file this report.
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| 2864915 | 27 | F | 10/10/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
|
Exposure during pregnancy, Product use issue
Exposure during pregnancy, Product use issue
|
Patient presented to pharmacy for RSV vaccine. It 34 weeks pregnant. Pharmacist looked up guidelines...
Patient presented to pharmacy for RSV vaccine. It 34 weeks pregnant. Pharmacist looked up guidelines for RSV vaccine and confirmed it can be administered between 32-36 weeks, but did not realize that only Abrysvo is indicated in pregnancy (NOT Arexvy). Pharmacy only stocks Arexvy. Patient received a dose. 3 days later, pharmacist realized the error. Contacted patient and patient's OB/Gyn . Patient is being monitored but no noted signs of adverse events. Prior to vaccination, patient was already scheduled for an induction at 37 weeks.
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| 2864916 | 70 | F | MI | 10/10/2025 |
COVID19 |
MODERNA |
3052154 |
Erythema, Pruritus, Skin warm, Swelling
Erythema, Pruritus, Skin warm, Swelling
|
Swollen, red, painful, hot to touch, itchy
Swollen, red, painful, hot to touch, itchy
|
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| 2864917 | 30 | F | MI | 10/10/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
O44A21A O44A21A |
Blood test, Cerebrovascular accident, Computerised tomogram, Contrast echocardio...
Blood test, Cerebrovascular accident, Computerised tomogram, Contrast echocardiogram, Echocardiogram; Magnetic resonance imaging, Transient ischaemic attack
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Stroke, TIA
Stroke, TIA
|
โ | โ | ||||
| 2864918 | 66 | F | GA | 10/10/2025 |
FLU3 PNC21 |
SANOFI PASTEUR MERCK & CO. INC. |
U8859BA Z009681 |
Pruritus, Pyrexia; Pruritus, Pyrexia
Pruritus, Pyrexia; Pruritus, Pyrexia
|
Patient received flu and pneumonia vaccinations on 10/8/25 in the late afternoon. She presented to ...
Patient received flu and pneumonia vaccinations on 10/8/25 in the late afternoon. She presented to the pharmacy on 10/10 with complaint of fever that began the evening of vaccination, and itching that began the following evening. Patient showed area of itching, no rash present. Itching located around the waist and moving down the legs. The patient had been taking fever reducer and loratadine.
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| 2864919 | 73 | M | PA | 10/10/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
na4457 u8862ba |
Loss of consciousness; Loss of consciousness
Loss of consciousness; Loss of consciousness
|
patient sat for a while and felt okay then as leaving passed out
patient sat for a while and felt okay then as leaving passed out
|
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| 2864921 | 72 | F | NC | 10/10/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052296 407247 |
Skin discolouration; Skin discolouration
Skin discolouration; Skin discolouration
|
RED YELLOWISH PATCH PROBABLY DUE TO PATIENT IS ON ASPIRIN
RED YELLOWISH PATCH PROBABLY DUE TO PATIENT IS ON ASPIRIN
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| 2864922 | 90 | F | MN | 10/10/2025 |
FLU3 |
SEQIRUS, INC. |
407248 |
Contusion, Feeling hot, Pain
Contusion, Feeling hot, Pain
|
Patient presented to clinic with excessive bruising, sore, warmth. Treatment - warm compresses
Patient presented to clinic with excessive bruising, sore, warmth. Treatment - warm compresses
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| 2864923 | 25 | F | TX | 10/10/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
PK9C5 |
Exposure during pregnancy
Exposure during pregnancy
|
patient is G2P0101 that is 33 weeks and 4 days gestation when she presented to the PCP office with a...
patient is G2P0101 that is 33 weeks and 4 days gestation when she presented to the PCP office with a letter from her OB/GYN provider requesting for patient to receive the RSV vaccine, her first baby was born at 32 weeks by C-section due to a complete placenta abruption, patient's due date for this current pregnancy is 11-22-25.
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| 2864925 | 58 | M | CA | 10/10/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
94j5e |
Erythema, Feeling hot, Peripheral swelling
Erythema, Feeling hot, Peripheral swelling
|
Patient received 2nd Shingrix vaccine on 10/1/25. He came in the morning of 10/10/25, to let us know...
Patient received 2nd Shingrix vaccine on 10/1/25. He came in the morning of 10/10/25, to let us know that on the night of 10/10/25, saying that on the night of 10/1/25, he experienced a red, warm swollen band across the arm. He called his primary care physician, who said it's not normal, to let pharmacy know so they could document it. Patient said he didn't experience any other symptoms (fever, sweating, spreading rash, etc). The rash lasted 4-5 days, gradually going down.
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| 2864928 | 3 | F | CO | 10/10/2025 |
DTAPHEPBIP FLU3 HIBV MMR PNC20 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
TE499 F4A7R Z603263 4F9T5 LX4486 |
Injection site pain, Pyrexia; Injection site pain, Pyrexia; Injection site pain,...
Injection site pain, Pyrexia; Injection site pain, Pyrexia; Injection site pain, Pyrexia; Injection site pain, Pyrexia; Injection site pain, Pyrexia
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Father of child states that pt had a little bit of fever and her legs are sore but no other symptoms...
Father of child states that pt had a little bit of fever and her legs are sore but no other symptoms.
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| 2864929 | 27 | M | CO | 10/10/2025 |
FLU3 |
SANOFI PASTEUR |
u8848AA |
Throat tightness
Throat tightness
|
Throat tightening and DIB he received the flu shot. @ 600. Given Cterizine, Epi pen, orders for p...
Throat tightening and DIB he received the flu shot. @ 600. Given Cterizine, Epi pen, orders for prednisone. Discharge home with medicines
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| 2864930 | 72 | M | CT | 10/10/2025 |
FLU3 FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
409166 409166 409166 |
Blood creatinine normal, Blood pH normal, Brain natriuretic peptide normal, Ches...
Blood creatinine normal, Blood pH normal, Brain natriuretic peptide normal, Chest X-ray normal, Condition aggravated; Dyspnoea, Electrocardiogram normal, Haemoglobin decreased, Influenza virus test negative, Liver function test normal; PCO2 increased, Platelet count decreased, Troponin normal, White blood cell count normal
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Per local ER notes: ...
Per local ER notes: 72yom with PMHx including HTN, HLD, OSA, CVA, anxiety, asthma/O2 dependent COPD (2.5 L), atrial fibrillation on Eliquis presents for evaluation of shortness of breath Patient states he had a flu shot yesterday and feels his breathing worsened a few hours after he received it EMS reports patient was 89% on his baseline 2.5 L upon their arrival, improved SpO2 when O2 increased to 3 L Patient reports dyspnea on exertion and chronic cough that is unchanged No associated chest pain and denies fever/chills
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| 2864931 | 80 | M | PA | 10/10/2025 |
FLU3 |
SANOFI PASTEUR |
U8862ba |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Red at the site of injection, swelling at injection site.
Red at the site of injection, swelling at injection site.
|
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| 2864932 | 71 | F | KY | 10/10/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
na0587 407267 |
Chills, Cold sweat, Pain; Chills, Cold sweat, Pain
Chills, Cold sweat, Pain; Chills, Cold sweat, Pain
|
Per patient - chills, body ache, cold sweats
Per patient - chills, body ache, cold sweats
|
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| 2864934 | 46 | M | CO | 10/10/2025 |
FLU3 |
SANOFI PASTEUR |
U8848AA |
Cough, Dysphagia, Dyspnoea
Cough, Dysphagia, Dyspnoea
|
per client- i received the fllu vaccine and about 30 minutes or so later , he was back in his offic...
per client- i received the fllu vaccine and about 30 minutes or so later , he was back in his office and started to notice that is was difficulet to swallow, developed a dry cough and was hard to breath. I took 50 mg of benadryl and a full dose of my albuteraol inhaler. does not have asthma His co-workers instructed him to return to the flu rodeo, no symptoms noted at that time.
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| 2864935 | 48 | F | SC | 10/10/2025 |
FLU3 |
SANOFI PASTEUR |
U8832aa |
Eye swelling, Peripheral swelling, Pyrexia, Swelling face, Urticaria
Eye swelling, Peripheral swelling, Pyrexia, Swelling face, Urticaria
|
Patient Stated: A few hours after vaccine had a fever; next day 10/08/25 notice small hives and swe...
Patient Stated: A few hours after vaccine had a fever; next day 10/08/25 notice small hives and swelling of face and hands (mild); took Ibuprofen and chewable Benadryl; notice that the hives and swelling was improving (getting better); On Thursday reported to nurse at school who contacted me asap 10/09/25; Only notice small amount swelling around one eye on 10/09/25; Did not have to seek medical assistance; She definitely felt everything was resolving by evening 10/09/25
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| 2864936 | 19 | F | OH | 10/10/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
3J9G4 |
Expired product administered
Expired product administered
|
a vaccine for Havrix, the Hep A vaccine, it was expired on 30-Aug-2025 and it was given to a patient...
a vaccine for Havrix, the Hep A vaccine, it was expired on 30-Aug-2025 and it was given to a patient; This non-serious case was reported by a other health professional via call center representative and described the occurrence of expired vaccine used in a 19-year-old female patient who received HAV (Havrix) (batch number 3J9G4, expiry date 30-AUG-2025) for prophylaxis. On 23-SEP-2025, the patient received Havrix. On 23-SEP-2025, an unknown time after receiving Havrix, the patient experienced expired vaccine used (Verbatim: a vaccine for Havrix, the Hep A vaccine, it was expired on 30-Aug-2025 and it was given to a patient). The outcome of the expired vaccine used was not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 23-SEP-2025 A Primary care supervisor had a vaccine for Havrix, the Hepatitis A vaccine, it was expired on 30th August 2025, and it was given to a patient on 23rd September 2025 which led to expired vaccine used.
More
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| 2864938 | 11 | M | IN | 10/10/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052579 407002 |
Injection site pain, Injection site swelling, Urticaria; Injection site pain, In...
Injection site pain, Injection site swelling, Urticaria; Injection site pain, Injection site swelling, Urticaria
More
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Administered vaccines around 12:30 pm on 10/10/2025, and further concerns for hives around 18:00. Ar...
Administered vaccines around 12:30 pm on 10/10/2025, and further concerns for hives around 18:00. Arm had a little bit of swelling around the site of injection and was complaining of pain. Received a dose of diphenhydramine and cortisone cream around 23:30 pm. Hives have resolved as of the morning of 10/11/2025.
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| 2864939 | 54 | M | AL | 10/10/2025 |
COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
EW0175 EW0175 FC3184 FC3184 |
Anosmia, Asthenia, Asthma, Lethargy, Nasal polypectomy; Nasal polyps, Rhinitis, ...
Anosmia, Asthenia, Asthma, Lethargy, Nasal polypectomy; Nasal polyps, Rhinitis, Sleep apnoea syndrome, Supraventricular tachycardia, Tinnitus; Anosmia, Asthenia, Asthma, Lethargy, Nasal polypectomy; Nasal polyps, Rhinitis, Sleep apnoea syndrome, Supraventricular tachycardia, Tinnitus
More
|
The second shot listed in item 17 was given on 8/31/2021 1/1/2022 Tinnitus, ongoing with no relief ...
The second shot listed in item 17 was given on 8/31/2021 1/1/2022 Tinnitus, ongoing with no relief 3/13/2022 SVT diagnosis, a single 12 hour episode 8/10/2022 Sleep apnea diagnosis, ongoing 3/2023 Loss of smell, partially recovered 7/2025 after Dr treatment 4/2023 Nasal polyp/rhinitis diagnosis, surgery fro polyps, onigoing rhinitis issues affecting sinuses and lungs/breathing 4/2023 Asthma diagnosis, Nucala medication has greatly improved situation. Still reduced energy and lethargic however.
More
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| 2864940 | 9 | F | RI | 10/10/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
F4A7R |
Rash, Rash pruritic, Urticaria
Rash, Rash pruritic, Urticaria
|
rash that developed the day after flu vaccine. Rash was on stomach/back/chest. Not itchy. Was due to...
rash that developed the day after flu vaccine. Rash was on stomach/back/chest. Not itchy. Was due to be seen yesterday but cancelled appt b/c rash resolved. Rash returned after playing outside yesterday. Rash was on neck, face, stomach, back. Was itchy. Gave Benadryl with improvement but no resolution. Had welts last night as Benaryl wore off. Today, rash was present. Still itchy today.Denies fever. referred to Allergy recommended take certrizine and if still itching to call and will prescribe prednisone
More
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| 2864941 | 54 | F | NV | 10/10/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0846 |
Underdose
Underdose
|
Patient was inadvertently given pediatric dose of Comirnaty COVID vaccine instead of adult dose.
Patient was inadvertently given pediatric dose of Comirnaty COVID vaccine instead of adult dose.
|
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| 2864942 | 8 | F | CA | 10/10/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
Y018297 AH7Z3 37R35 |
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; No adverse event, Product administered to patient of inappropriate age
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VACCINES ADMINISTERED TO SOON FOR PATIENTS AGE, PER MOM PT HAS NOT HAD ANY SIDE EFFECTS.
VACCINES ADMINISTERED TO SOON FOR PATIENTS AGE, PER MOM PT HAS NOT HAD ANY SIDE EFFECTS.
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| 2864943 | 21 | F | PA | 10/10/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3052835 407007 |
Loss of consciousness, Pallor; Loss of consciousness, Pallor
Loss of consciousness, Pallor; Loss of consciousness, Pallor
|
Patient passed out for about 25 seconds, about two minutes after the injection. She was seated in ou...
Patient passed out for about 25 seconds, about two minutes after the injection. She was seated in our hearing aid department right outside the counseling room where she was vaccinated. Her blood pressure was 90/53. She was given ice packs to put on her neck. She was feeling better and gaining more color in her face after about 10 minutes, and left. Her mother reported that she had eaten prior to getting both her vaccines.
More
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| 2864944 | 82 | F | LA | 10/10/2025 |
PNC20 VARZOS |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
LN4931 94J5E |
Rash; Rash
Rash; Rash
|
RASH UNDER AND AROUND RIGHT ARM
RASH UNDER AND AROUND RIGHT ARM
|
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| 2864945 | 27 | F | IN | 10/10/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
|
Injection site rash, Rash, Rash erythematous, Rash pruritic
Injection site rash, Rash, Rash erythematous, Rash pruritic
|
I developed an allergic reaction that began as small red bumps around the vaccination site and has s...
I developed an allergic reaction that began as small red bumps around the vaccination site and has since spread across my body. The rash is very itchy and has not improved over the past week. I was seen by provider at the Student Health Center, who prescribed a steroid and an antihistamine, but the symptoms have not subsided.
More
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| 2864946 | 76 | M | OH | 10/10/2025 |
COVID19 PNC21 |
PFIZER\BIONTECH MERCK & CO. INC. |
MY9547 Z003579 |
Dizziness, Injection site bruising, Injection site reaction; Dizziness, Injectio...
Dizziness, Injection site bruising, Injection site reaction; Dizziness, Injection site bruising, Injection site reaction
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Patient received Capvaxive and Comirnaty on 9/18/25 both in the right arm. He presented to the pharm...
Patient received Capvaxive and Comirnaty on 9/18/25 both in the right arm. He presented to the pharmacy today saying on 9/19/25 he started to develop dark bruising and blood pooling underneath skin. He had a large area near injection site of bruising and blood underneath skin but also had another large area just below his elbow. It appeared to be some sort of vasculitis reaction. The reaction was pretty extensive throughout his arm. I asked about any other symptoms he was having and he originally said no but after questioning did say he has felt a little dizzy. I looked at patient's other arm and no reaction. I asked if he was ever told about having a clotting disorder and he said no. He said he thinks the reaction is improving. I told him I highly recommend he call his PCP today and follow up with them. I also called his PCP myself to let them know. I spoke to a receptionist and let her know all the details. Patient had received only pfizer vaccines in the past and this was his 7th covid pfizer vaccine
More
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| 2864947 | 48 | F | IN | 10/10/2025 |
FLU3 |
SANOFI PASTEUR |
U8881BA |
Arthralgia, Pain, Pain in extremity, Swelling, Tenderness
Arthralgia, Pain, Pain in extremity, Swelling, Tenderness
|
10/3/25 received vaccine. developed pain to left arm, radiates to left clavicle. reported to Employe...
10/3/25 received vaccine. developed pain to left arm, radiates to left clavicle. reported to Employee Health on 10/8/25 with c/o left arm/clavicle pain. also had swelling/raised area to left clavicle that was painful to touch. no redness, no fever. Sent to Occupational Health for evaluation.
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| 2864949 | 78 | F | CA | 10/10/2025 |
FLU3 |
SEQIRUS, INC. |
407244 |
Back pain, Chest pain, Hyperhidrosis
Back pain, Chest pain, Hyperhidrosis
|
Result type: Oncology Office/Clinic Note Result date: October 10, 2025 9:10 PDT Result status: Modif...
Result type: Oncology Office/Clinic Note Result date: October 10, 2025 9:10 PDT Result status: Modified Result title: Flu vaccine reaction Performed by: MD on October 10, 2025 9:43 PDT Verified by: MD on October 10, 2025 9:43 PDT Encounter info: HemOnc, Ambulatory PCA, 10/10/2025 - * Final Report * Document Contains Addenda pt in clinic for Flu vaccine @ 0855, ( Fluad Influeza Vaccine,Adjuvanted) NDC# 70461-025-04/lot# 407244/ Exp. 2026 APR23 within minutes after administering flu vaccine (Left Deltoid, IM) to pt, pt complained of chest pain down center of back down to her tailbone, severe chest pain w/ forehead hyperhidrosis. Dr. was advised and present, Rapid Response was called at 0900 a.m, vitals were taken at 0901 a.m., L arm with BP 165/72 O2 sat. 99% HR 85 Rapid Response Team arrived and pt was transported to E.R for further evaluation Signature Line Electronically Signed By: MD On 10/10/25 09:43 Co Signature By: Modify Signature By: MA On 10/10/25 09:27 Addendum by MA on October 10, 2025 9:50 PDT (Verified) Correction Vaccine administered Right Deltoid, IM Signature Line Electronically Signed By: MA On 10/10/25 09:51 Co Signature By: Modify Signature By: MA On 10/10/25 09:50
More
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| 2864950 | 23 | F | NE | 10/10/2025 |
FLU3 RSV |
SEQIRUS, INC. PFIZER\WYETH |
407981 LL8391 |
Injury associated with device; Injury associated with device
Injury associated with device; Injury associated with device
|
Patient is an employee at our pharmacy and had a needlestick injury to her left index finger.
Patient is an employee at our pharmacy and had a needlestick injury to her left index finger.
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| 2864952 | 81 | F | WI | 10/10/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
g2ha7 |
Dyspnoea, Fatigue, Headache, Myalgia, Nausea
Dyspnoea, Fatigue, Headache, Myalgia, Nausea
|
fatigue, myalgia, headache, nausea, dyspnea
fatigue, myalgia, headache, nausea, dyspnea
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| 2864953 | 19 | F | IA | 10/10/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
9KC4M |
Incorrect dose administered
Incorrect dose administered
|
Engerix-B adult dose administration in a 19-year-old patient; Engerix-B adult dose administration in...
Engerix-B adult dose administration in a 19-year-old patient; Engerix-B adult dose administration in a 19-year-old patient; This non-serious case was reported by a other health professional via call center representative and described the occurrence of adult product administered to child in a 19-year-old female patient who received HBV (Engerix B adult) (batch number 9KC4M, expiry date 05-SEP-2027) for prophylaxis. On an unknown date, the patient received Engerix B adult. On an unknown date, an unknown time after receiving Engerix B adult, the patient experienced adult product administered to child (Verbatim: Engerix-B adult dose administration in a 19-year-old patient) and overdose (Verbatim: Engerix-B adult dose administration in a 19-year-old patient). The outcome of the adult product administered to child and overdose were not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 23-SEP-2025 A health care provider asked if it was ok to administer an adult dose to a 19-year-old patient which led to overdose and adult product administration to child.
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| 2864954 | 29 | F | TN | 10/10/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
2NG23 |
Extra dose administered
Extra dose administered
|
Pt was given second dose of influenza within a month's time. Vaccine was not completely reconci...
Pt was given second dose of influenza within a month's time. Vaccine was not completely reconciled and was entered after given.
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| 2864955 | 87 | M | KY | 10/10/2025 |
FLU3 |
SEQIRUS, INC. |
407271 |
Immediate post-injection reaction, Injection site bruising, Injection site haemo...
Immediate post-injection reaction, Injection site bruising, Injection site haemorrhage, Injection site swelling
More
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Immediately after giving vaccine, the patient formed a bump at the site of vaccination and it bled a...
Immediately after giving vaccine, the patient formed a bump at the site of vaccination and it bled and began to bruise. Patient reported that they bruise very easily normally. Upon rubbing the bump it began to go down. Kept patient in the pharmacy to monitor for over 30 minutes and the patient had no complaints and did not feel off or sick at all. The patient reported that they felt completely fine multiple times. The patient had a doctor's appointment coming up the following week and I recommended to the patient to have the doctor check out the area and to also seek medical attention if the bump has not gone away within 2 days.
More
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| 2864958 | 14 | M | CO | 10/10/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
NA0590 948414 |
Crying, Facial pain, Fall, Head injury; Crying, Facial pain, Fall, Head injury
Crying, Facial pain, Fall, Head injury; Crying, Facial pain, Fall, Head injury
|
Patient walked into vaccination room , pleasant with no issues . Patient received 2 vaccines admini...
Patient walked into vaccination room , pleasant with no issues . Patient received 2 vaccines administered by pharmacy technician. Technician stated patient had no issues with receiving vaccines, said thank you, walked out of the room ok. Patient took about 10 steps and fell down, hitting their head on a bar on the stand. Pt was aware, breathing, crying, face hurt, speaking while laying on floor. EMS was called and patient was transported to the hospital.
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| 2864959 | 83 | M | OH | 10/10/2025 |
FLU3 |
SEQIRUS, INC. |
407246 |
Extra dose administered
Extra dose administered
|
There is no true adverse event that occurred here. I am filling out this report because the Patient ...
There is no true adverse event that occurred here. I am filling out this report because the Patient came to the pharmacy requesting a shingles and RSV vaccine but instead received a flu shot, Which he has already received this year elsewhere. This is to report the duplication of administration of a flu shot.
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| 2864960 | 81 | M | NC | 10/10/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 PNC21 PNC21 PNC21 PNC21 PNC21 PNC21 PNC21 PNC21 PNC21 PNC21 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
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Ammonia normal, Aspartate aminotransferase increased, Blood creatine phosphokina...
Ammonia normal, Aspartate aminotransferase increased, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood creatinine increased; Blood culture negative, Blood ethanol normal, Blood glucose normal, Blood lactic acid normal, Blood magnesium normal; Blood sodium decreased, Blood thyroid stimulating hormone increased, Chest X-ray normal, Computerised tomogram head normal, Computerised tomogram neck normal; Confusional state, Drug screen negative, Electrocardiogram normal, Full blood count, Gait inability; Glycosylated haemoglobin normal, Haematocrit normal, Haemoglobin normal, International normalised ratio normal, Lymphocyte count normal; Magnetic resonance imaging head normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased; Metabolic function test, N-terminal prohormone brain natriuretic peptide increased, Neutrophil count normal, Platelet count decreased, Procalcitonin increased; Protein urine present, Prothrombin time prolonged, Pyrexia, Red blood cell count normal, Red cell distribution width increased; Respiratory pathogen panel, Troponin T increased, Urinary occult blood positive, Urine ketone body present, White blood cell count normal; White blood cells urine negative; Ammonia normal, Aspartate aminotransferase increased, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood creatinine increased; Blood culture negative, Blood ethanol normal, Blood glucose normal, Blood lactic acid normal, Blood magnesium normal; Blood sodium decreased, Blood thyroid stimulating hormone increased, Chest X-ray normal, Computerised tomogram head normal, Computerised tomogram neck normal; Confusional state, Drug screen negative, Electrocardiogram normal, Full blood count, Gait inability; Glycosylated haemoglobin normal, Haematocrit normal, Haemoglobin normal, International normalised ratio normal, Lymphocyte count normal; Magnetic resonance imaging head normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased; Metabolic function test, N-terminal prohormone brain natriuretic peptide increased, Neutrophil count normal, Platelet count decreased, Procalcitonin increased; Protein urine present, Prothrombin time prolonged, Pyrexia, Red blood cell count normal, Red cell distribution width increased; Respiratory pathogen panel, Troponin T increased, Urinary occult blood positive, Urine ketone body present, White blood cell count normal; White blood cells urine negative
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Fever, marked confusion, inability to walk Hydration in hospital; released in stable condition afte...
Fever, marked confusion, inability to walk Hydration in hospital; released in stable condition after one overnight in the hospital
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| 2864961 | 1 | F | PR | 10/10/2025 |
HEPA HIBV VARCEL |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. |
L4EA4 UK231AA Z008195 |
Injection site pain; Injection site pain; Injection site pain
Injection site pain; Injection site pain; Injection site pain
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A family member of the patient reported taking her to her pediatrician because the child was complai...
A family member of the patient reported taking her to her pediatrician because the child was complaining of leg pain. Muscle myalgia. The treatment was not specified, but the pediatrician indicated that the child should wait approximately 7-8 months before receiving any further vaccinations.
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| 2864963 | 57 | F | CA | 10/10/2025 |
FLU3 |
SANOFI PASTEUR |
UT8858JA |
Headache, Stress, Vomiting
Headache, Stress, Vomiting
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Healthcare worker informed Employee Health Services of having severe headaches 2 hours after receivi...
Healthcare worker informed Employee Health Services of having severe headaches 2 hours after receiving the influenza vaccines (medication error-received 2 doses in one visit). Stated she vomited x1 and had some stress related to the headaches.
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| 2864964 | 9 | F | OR | 10/10/2025 |
COVID19 |
MODERNA |
8146545 |
Incorrect dose administered, No adverse event
Incorrect dose administered, No adverse event
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Adult COVID vaccine given to a pediatric patient in error. Contacting manufacture as well. At this t...
Adult COVID vaccine given to a pediatric patient in error. Contacting manufacture as well. At this time, patient has not reported any side effects from dose.
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| 2864965 | 63 | F | SC | 10/10/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
na0589 u8832ca |
Erythema, Pyrexia, Swelling; Erythema, Pyrexia, Swelling
Erythema, Pyrexia, Swelling; Erythema, Pyrexia, Swelling
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redness, swelling and fever
redness, swelling and fever
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| 2864966 | 79 | M | MI | 10/10/2025 |
FLU3 |
SEQIRUS, INC. |
407252 |
Device connection issue, No adverse event, Underdose
Device connection issue, No adverse event, Underdose
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NO ADVERSE EVENT, BUT WHEN GIVING SHOT, SOME LEAKED OUT BETWEEN NEEDLE AND SYRINGE SO NOW INVALID DO...
NO ADVERSE EVENT, BUT WHEN GIVING SHOT, SOME LEAKED OUT BETWEEN NEEDLE AND SYRINGE SO NOW INVALID DOSE AND NEEDS TO BE REPEATED
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| 2864967 | 77 | M | WI | 10/10/2025 |
COVID19 RSV |
MODERNA PFIZER\WYETH |
3052669 ln5464 |
Blood glucose increased, Condition aggravated, Delirium, Diabetes mellitus; Bloo...
Blood glucose increased, Condition aggravated, Delirium, Diabetes mellitus; Blood glucose increased, Condition aggravated, Delirium, Diabetes mellitus
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Pt reports that evening experiencing high blood sugar (self measured) and then delirious over the co...
Pt reports that evening experiencing high blood sugar (self measured) and then delirious over the course of 1-2 days that made his family concerned and he did not want to leave bed until 10/9 afternoon
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| 2864969 | 23 | F | IA | 10/10/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
93NL9 |
Blood glucose normal, Dizziness, Headache, Nausea
Blood glucose normal, Dizziness, Headache, Nausea
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Pt felt nauseous, dizzy and had a headache 10 minutes after getting the vaccine. 50mg of Benadryl wa...
Pt felt nauseous, dizzy and had a headache 10 minutes after getting the vaccine. 50mg of Benadryl was given and she slowly felt better over the next hour.
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| 2864970 | 37 | M | FL | 10/10/2025 |
COVID19 |
MODERNA |
070H21A |
Burning sensation, Inflammation, Joint noise, Sleep disorder, Tinnitus
Burning sensation, Inflammation, Joint noise, Sleep disorder, Tinnitus
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I have tinnitus it?s been coming and going for years now but only after having the COVID-19 vaccine....
I have tinnitus it?s been coming and going for years now but only after having the COVID-19 vaccine. Now It seems here to stay. I have had some success making the tinnitus go away by dry-fasting for days at a time. The tinnitus can go away from months - but then out of now where come back and stay for months. I had the tinnitus diagnosed by a specialist Sep 19 2022 - but it doesn't matter. They don't fix anything. I also had an ACL surgery two years before the vaccine that was fine, but after the COVID-19 vaccine my knee is often inflamed, and shows signs of chondromalacia. I had the Chondromalacia first diagnosed Nov 3, 2021 - but it doesn't matter either the specialist doesn't fix anything. My knee is much better now today which I attribute to my dry fasting. I can pretty much do a squat down now without hearing tearing gristly noises. There is an audible noise when I straighten my leg but at least I am not kept up at night by a burning knee cap anymore. My knee used to burn so bad I couldn't sleep at night. I did not have any of these problems until after I had the COVID-19 vaccine. I also got the booster shot the Moderna booster shot. Seems (withheld) found 1000x variance in mRNA degradation rates - it might still be making spike protein in me (withheld link) - (withheld country) finds 30% increase in cancer in just the first year after vaccines (withheld like) (withheld name) university finds the mRNA is reverse transcribed into the nucleus as cDNA (withheld link) - which would describe why (withheld name) finds S-protein being produced greater than 2 years after having taken the vaccine (withheld link) "Detectable S1 was found in participants' 348 plasma ranging from 26 to 709 days from the most recent known exposure" which would explain why I may still being inflamed internally by S1. The booster shot was on 12/18/2021
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| 2864971 | 67 | F | NC | 10/10/2025 |
COVID19 FLU3 HEPAB |
PFIZER\BIONTECH SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
NA0589 U8832DA AZ2A3 |
Dizziness; Dizziness; Dizziness
Dizziness; Dizziness; Dizziness
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PATIENT FELT DIZZY AND LIGHT HEADED AFTER SHOTS. SHE HAD TO LAY DOWN ON BENCH. PATIENT WAS GIVEN WAT...
PATIENT FELT DIZZY AND LIGHT HEADED AFTER SHOTS. SHE HAD TO LAY DOWN ON BENCH. PATIENT WAS GIVEN WATER AND ICE PACK. AFTER ROUGHLY 30 MINUTES PATIENT WAS STARTING TO FEEL BETTER.
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| 2864972 | 78 | F | MA | 10/10/2025 |
COVID19 |
PFIZER\BIONTECH |
NA4452 |
Extra dose administered, Feeling hot
Extra dose administered, Feeling hot
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On the morning of September 30, 2025, the patient received a dose of the Cominarty (Pfizer-BioNTech)...
On the morning of September 30, 2025, the patient received a dose of the Cominarty (Pfizer-BioNTech) COVID-19 vaccine during a vaccine clinic held at her assisted living facility. The patient had requested the vaccine and did not recall having already received a dose earlier in the month. It was later discovered that the patient had previously received a Cominarty COVID-19 vaccine at her primary care provider's office on September 7, 2025. Due to the patient's mild dementia, she was unable to recall the earlier vaccineation, and a second dose was inadvertently administered within the same month. Following the administration of the second dose, the patient did reported feeling mildly feverish. However, multiple temperature checks revealed no measurable fever, and the patient remained clinically stable. Per nursing staff at nursing home, the patient did not exhibit any severe symptoms and continues to do well. This report is being submitted out of an abundance of caution due to the administration of an additional dose within a short interval.
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| 2864973 | 17 | F | CA | 10/10/2025 |
MENB MENB |
NOVARTIS VACCINES AND DIAGNOSTICS PFIZER\WYETH |
DD72H |
Interchange of vaccine products; Interchange of vaccine products
Interchange of vaccine products; Interchange of vaccine products
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Interchangeability/Dosing Schedule (BEXSERO 1st dose, TRUMEMBA 2nd dose); This non-serious case was ...
Interchangeability/Dosing Schedule (BEXSERO 1st dose, TRUMEMBA 2nd dose); This non-serious case was reported by a nurse via call center representative and described the occurrence of interchange of vaccine products in a 17-year-old female patient who received Men B NVS (Bexsero) (batch number DD72H) for prophylaxis. Co-suspect products included Meningococcal vaccine B rfHbpA/fHbpB (Trumenba) for prophylaxis. On 10-FEB-2025, the patient received the 1st dose of Bexsero. On 18-SEP-2025, the patient received the 2nd dose of Trumenba. On an unknown date, an unknown time after receiving Bexsero and Trumenba, the patient experienced interchange of vaccine products (Verbatim: Interchangeability/Dosing Schedule (BEXSERO 1st dose, TRUMEMBA 2nd dose)). The outcome of the interchange of vaccine products was not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 23-SEP-2025 The first dose administered was Bexsero and received a Trumenba dose afterwards. The reporter asked how long do they have to wait to complete the series with Bexsero? The reporter consented to follow up.
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