Patient received duplication vaccine 14 months apart with NO adverse event or symptoms.

The day after getting the flu shot my arm was more sore than typical. It continued to get worse until I began to notice that my movement was more limited. It got to the point that I could not raise my arm more than about 10%.

Patient received 2 RSV vaccines unknowingly. Received first on 09/29/2023 and second 01/23/2025. Has not experienced any side effects so far.

Patient was administered two vaccines at her well child exam today on 1/27/27 of Kinrix and Proquad. Both the Registered Nurse and Medical assistant verified the date of the vaccines with the impression todays date was 1/25/25. After administration, the kinrix vaccine was discovered to be expired. The patients provider APRN and the patient’s father were informed.

I started having menstral issues and developed 5 large uterine fibroids. As a result, my uterus had to be removed

After Pt was vaccinated i noticed there was no Beyond Use date label from when vaccine was thawed. Per Manufacturer and CDC there is a 60 day Beyond use date after being thawed. I followed with contacting our supply and figured it was delivered on 25 Nov 2024 and that because no one knew when it was that that it was 60 days from that date. I then called our med safety pharmacist and she followed up with the manufacturer which they advised to revaccinate. Pt is 26 weeks pregnant and estimated delivery date is 24 Feb 2025.

Patient had already received 3 doses and should not have received this dose

After Pt was vaccinated i noticed there was no Beyond Use date label from when vaccine was thawed. Per Manufacturer and CDC there is a 60 day Beyond use date after being thawed. I followed with contacting our supply and figured it was delivered on 25 Nov 2024 and that because no one knew when it was that that it was 60 days from that date. I then called our med safety pharmacist and she followed up with the manufacturer which they advised to revaccinate.

Pt has occupational risk of exposure to orthopoxviruses as individual who directly handle cultures or animals contaminated or infected with monkeypox virus. Jynneos booster given on 1/22/25 to left arm is noted to be red, indurated and slight warmness to area where vaccine was given. Redness measures 20 x 10 cm. Induration is 14cm long. Pt notes that he experienced joint pain, myalgia, and fatigue following Jynneos injection that improved on 1/23/25 evening. Pt notes injection site was itchy. Pt notes injection site caused a dull ache pain in the center of the induration. Discomfort was up to 6/10 on pain scale. Pt notes pain on 1/24/25 is much better at a 1-2/10.

12 hours post vaccine administration- vasovagal/near syncope episode, headache, nausea, dizziness, lightheadedness, trouble sleeping and intermittent “pins and needles feeling in hands and feet”