Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Headache-Medium, Systemic: Lymph Node Swelling-Medium, Systemic: Unable to Sleep-Medium, Additional Details: Incident occurred 24 hours after vaccine, patient experienced redness, swollen, hot to touch, and pain around the injection area and 4 inches down the arm from the injection site. Additionally, patient experienced headaches and swollen lymph nodes as well. Patient has been icing the area and taking benadryl to help with the reaction at the recommendation of her PCP when she visited also for this reason., Other Vaccines: VaccineTypeBrand: Prevnar 20; Manufacturer: ; LotNumber: LP8151; Route: Intramuscular; BodySite: Left Arm; Dose: 1; VaxDate: 01/13/2025

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Additional Details: patient passed out after getting the flu vaccine. After approx 1 minute she became responsive, then several minutes later she passed out a second time. At that time 911 was called and paramedics arrived shortly after. patient became responsive shortly after and reported feeling numbness in her arm and had difficulty taking a deep breath and blurred vision. Paramedics monitored vital signs and stayed until patient was feeling better. Pt’s mother came in several days after and said pt was better , Other Vaccines: VaccineTypeBrand: moderna spikevax; Manufacturer: moderna; LotNumber: 3043823; Route: intramuscular; BodySite: Left Deltoid; Dose: ; VaxDate: UNKNOWN

Site: Bruising at Injection Site-Severe, Systemic: Unable to Sleep-Severe, Additional Details: pt describes shingles like severe nerve pain burning/ shooting pain extreme anxiety and difficulty sleeping since vaccinatuion

Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Redness, swelling, tenderness at injection site and cover an area of about 3 to 5 inches in diameter. symptoms have not gone away 6 days post administration. Pt was advised to seek further care either from his PCP or an urgent care.

Site: Pain at Injection Site-Mild, Additional Details: The incident not happened to patient, but to her toddler that accompanied her. He reached his hand into the sharp container while we were preparing for vaccination. We both tried to stop him as fast as we could. There were about 10 syringes on the bottom of container. Upon examine his hand, there is no sign of cut or blood. Howere, mom was concerning about risk of accidental needle prick. Mom contacted pediatrician, and pharmacy customer will contact mom for further plan of action, Other Vaccines: VaccineTypeBrand: flucelvax trivalent 2024-2025; Manufacturer: Seqirus, Inc; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN

Systemic: Chills-Severe

Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Headache-Medium, Additional Details: Patient reports a reaction that she is not certain is linked to the vaccine. She experienced a headache on the day of vaccination and on and off since. She has an itchy rash on her neck and chest that appeared a couple days after. She also mentions experiencing severe pain. Patient has taken Zyrtec.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient received both flu and covid at the same time. mom said she got light headed in the aisle and confused. sat her down, gave her some water and chocolate and color returned to her face. sat for a bit and returned to baseline, Other Vaccines: VaccineTypeBrand: Pfizer COVID; Manufacturer: Pfizer; LotNumber: LN7302; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN

Systemic: Fainting / Unresponsive-Medium, Systemic: Mild abrasion to nose due to fall-Mild, Additional Details: Vaccination log in and adminstration was completed. Patient was nervous throughout the adminstration. Afterwards, patient asked for a few minutes in the vaccination area by herself and was given that. Mins after vac, she fainted. Staff immediately tended to the patient and I called 911.While on the phone with 911, patient gained conscious and was asked if she was fine which she answered yes. She denied EMS dispatch. PharmD cleared pt to leave with caregiver afterwards.

Systemic: Fever-Medium, Systemic: Unable to eat-Medium, Systemic: Weakness-Medium, Additional Details: Patient also reported that this happened every time she received the COVID vaccine. The 2 previous doses of COVID 02/05/21 and 03/05/21 were from a place