Found 5 cases where Vaccine is COVID19-2 and FLU3

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Ear pruritus, Feeling abnormal, Headache, Oral pruritus, Oropharyngeal pain, Pain in extremity, Pruritus, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing, Throat irritation
SMQs:, Anaphylactic reaction (narrow), Dementia (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Shingrix 2019 and COVID vaccine, I had mild flu like reactions
Other Medications: Novolin N; Novolin R; Warfarin; Metoprolol; Lisinopril; Omeprazole; Simvastatin; Furosemide; Gabapentin; Iron; Latanoprost eye drops; Montelukast; Allegra; Probiotics; multi vitamins; CoQ10, flaxseed; B1; magnesium; D3; biotin; Gingerroot,
Current Illness: none
Preexisting Conditions: asthma; diabetes; osteoarthritis; chronic pain, I injured my back and it still bothers me
Allergies: Penicillin; sulfa drugs, Amoxicillin
Diagnostic Lab Data: 9/29/2022 COVID 19- home test - positive 10/4/2022 COVID 19- home test -positive but faintly red.
CDC Split Type: vsafe

Write-up: 9/19/2022 that evening I had a sore itchy arm, but no other side effects. I did not feel sick. I had a headache, but I have a lot of allergies, so I could not tell if it was that or something else. On 9/28/2022 that evening, when I was getting ready for bed, I started to sneeze a lot. I was blowing my nose a lot, my ears, throat and roof of my mouth were itchy. I was feeling bad. I had congestion, sore throat and a headache. On 9/29/2022 I took a COVID-19 home test and it was positive. It was a very bright red. On 9/29/2022 I called my doctor in the morning, she was booked. That evening someone from urgent care called me and prescribed me paxlovid. I started taking it on 9/29/2022 and I took my last set of pills on 10/4/2022. On 10/4/2022 I took another COVID-19 home test and it was positive, faintly red. I am still coughing. I feel breathless when I do absolutely minimum, and I have diarrhea. Now my son is sick.

Administered by: Unknown       Purchased by: ?
Symptoms: No adverse event, Underdose
SMQs:, Medication errors (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ATORVASTATIN; JANUVIA; METFORMIN; HYDROCHLOROTHIAZID; TRAMADOL
Current Illness: Chronic back pain (Pain); Drug allergy (Gabapentin); Type 2 diabetes mellitus
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: No adverse event; Patients have received a Moderna bivalent booster dose of 0.25ml instead of 0.5ml; This spontaneous case was reported by a physician and describes the occurrence of UNDERDOSE (Patients have received a Moderna bivalent booster dose of 0.25ml instead of 0.5ml) and NO ADVERSE EVENT (No adverse event) in a 59-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 024H22A) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE INACT SPLIT 3V (FLULAVAL) for an unknown indication. Concurrent medical conditions included Type 2 diabetes mellitus, Chronic back pain (Pain) and Drug allergy (Gabapentin). Concomitant products included TRAMADOL from 20-Nov-2022 to an unknown date for Pain, ATORVASTATIN from 15-Sep-2022 to an unknown date, SITAGLIPTIN PHOSPHATE (JANUVIA) from 15-Sep-2022 to an unknown date, METFORMIN from 19-Sep-2022 to an unknown date and HYDROCHLOROTHIAZID from 19-Sep-2022 to an unknown date for an unknown indication. On 13-Dec-2022 at 3:46 AM, the patient received third dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) .25 milliliter. On an unknown date, the patient received first dose of INFLUENZA VACCINE INACT SPLIT 3V (FLULAVAL) (Intramuscular) 1 dosage form. On 13-Dec-2022, the patient experienced UNDERDOSE (Patients have received a Moderna bivalent booster dose of 0.25ml instead of 0.5ml). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, UNDERDOSE (Patients have received a Moderna bivalent booster dose of 0.25ml instead of 0.5ml) and NO ADVERSE EVENT (No adverse event) outcome was unknown. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessment was provided for UNDERDOSE (Patients have received a Moderna bivalent booster dose of 0.25ml instead of 0.5ml). No information about previous COVID-19 vaccination doses. It was unknown if the patient received any other vaccines in the 4 weeks prior to COVID-19 vaccine. Patient had received Moderna first dose on 05Nov2021 at 01:32pm, lot number: 066F21A on left deltoid with a dose of 0.5ml and second dose on 03Dec2021 at 02:22 pm, lot number: 018F21A, on left deltoid with a dose of 0.5ml. Treatment medication not reported by the reporter. This case contains information about patient 9th out of 17 patients. This case was linked to US-MODERNATX, INC.-MOD-2023-707980 (Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 07-Jul-2023: Follow up received and included Patient details were added, Medical history was added, Dose details were added, Co suspect was added and Concomitants were added.; Sender''s Comments: US-MODERNATX, INC.-MOD-2023-707980:Case for patient 1

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Imaging procedure, Inflammation, Joint adhesion
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: A. Fib
Allergies: none on file
Diagnostic Lab Data: Imaging, physical therapy and prescription medications for pain/inflammation for adhesions in shoulder.
CDC Split Type:

Write-up: Patient received Prevnar 20 vaccine on 12/2/2022 in left arm. She returned to pharmacy on 12/7/2022 and received Moderna Bivalent in right arm and Fluzone HD in left arm. Patient stated after receiving the 2nd shot (Fluzone HD) in her left arm that she has been having pain in her shoulder area. She followed up with her PCP, and was eventually referred to another doctor where she has undergone imaging and physical therapy as well as receive medications for pain/inflammation for shoulder adhesions.

Administered by: Pharmacy       Purchased by: ?
Symptoms: Extra dose administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Valsartan 80 mg Metoprolol 100 mg
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Patient accidentally received two doses of Pfizer booster

Administered by: Pharmacy       Purchased by: ?
Symptoms: Incomplete course of vaccination, Interchange of vaccine products
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: memantine; pravastatin; loratadine; warfarin; lidocaine topical; omeprazole; gabapentin; famotidine; fluoxetine; sotalol; oxybutynin; metformin; losartan; Fiber; ocular lubricant; multivitamin
Current Illness: None
Preexisting Conditions:
Allergies: Cosmetic,perm/skin care; naproxen; amoxicillin-clavulanate; morphine; sertraline; acetaminophen-hydrocodone; atorvastatin; rofecoxib; Skin Care; Vioxx
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was given Moderna Bivalent as a second covid vaccine. Patient did not complete the initial series of Pfizer covid vaccine prior to this given.