| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2862080 | 75 | M | TN | 09/29/2025 |
FLU3 FLU3 RSV RSV |
SANOFI PASTEUR SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
u8855aa u8855aa 297c2 and 7274z 297c2 and 7274z |
Dysstasia, Feeling abnormal, Guillain-Barre syndrome, Pain, Paraesthesia; Respir...
Dysstasia, Feeling abnormal, Guillain-Barre syndrome, Pain, Paraesthesia; Respiratory disorder; Dysstasia, Feeling abnormal, Guillain-Barre syndrome, Pain, Paraesthesia; Respiratory disorder
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The patient was given the 2 vaccinations and then they called up to speak to me on 9-23-25. He was ...
The patient was given the 2 vaccinations and then they called up to speak to me on 9-23-25. He was stating that he was feeling bad. He said that he was aching all over and that when he would get down he needed to hold on to something to get back up and it was progressively getting worse. He also stated that he was having respiratory issues as well. He complained of tingling once we talked more as well. I informed him that I felt he could possibly have Guillian Barre Syndrome. I told him he needed to be seen as soon as possible. I asked him to followup with me to let me know how he was . He went to the ER and the doctor there called to ask why I sent in the patient and what I thought was wrong. The patient called me back on 9-25-25 and stated he did have GBS and that he was in the hospital where he would be for the next 5 days.
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| 2862081 | 33 | F | MT | 09/29/2025 |
MMR |
MERCK & CO. INC. |
X022412 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Patient was given an expired dose of MMR vaccine. Patient did not have any adverse effects to report...
Patient was given an expired dose of MMR vaccine. Patient did not have any adverse effects to report. MMR vaccine was given at 4:03pm.
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| 2862082 | 80 | M | NC | 09/29/2025 |
PNC20 |
PFIZER\WYETH |
ma2505 |
Chest discomfort, Nausea
Chest discomfort, Nausea
|
chest discomfort and nausea
chest discomfort and nausea
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| 2862083 | 46 | M | NJ | 09/29/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
406984 406984 |
Diarrhoea, Hypertension, Influenza virus test positive, Lip swelling, Paraesthes...
Diarrhoea, Hypertension, Influenza virus test positive, Lip swelling, Paraesthesia; Pyrexia
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PATIENT CALLED 9/21/25 STATING HE HAD A REACTION TO THE VACCINCE ADMINISTERED ON 9/17/25. HE REPORTE...
PATIENT CALLED 9/21/25 STATING HE HAD A REACTION TO THE VACCINCE ADMINISTERED ON 9/17/25. HE REPORTED HAVING THE FOLLOWING REACTIONS AFTER LEAVING THE STORE ON THE 17TH, AND WENT TO A CLINIC IN THE AREA ON THE 18TH, SWOLLEN LIPS, HAND AND FEET TINGLING, FEVER, DIARRHEA AND HTN. HE TESTED NEGATIVE FOR THE FLU ON THE 18TH. WAS TOLD BY CLINIC TO TAKE BENADRYL FOR ALLERGIC REACTION. HE WENT BACK TO THE CLINIC ON THE 21ST (STILL WITH A FEVER) AND TESTED POSITIVE FOR THE FLU. I DID NOT REPORT TO VAERS ON THE 21ST AS ALLERGIC REACTIONS ARE NOT LISTED AS REPORTABLE REACTIONS, PATIENT CALLED AGAIN 9/28 AND ASKED FOR IT TO BE REPORTED.
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| 2862084 | 68 | M | NC | 09/29/2025 |
COVID19 |
MODERNA |
3052296 |
Cough, Dyspnoea, Myalgia, Pyrexia
Cough, Dyspnoea, Myalgia, Pyrexia
|
fever, muscle aches, shortness of breath, cough
fever, muscle aches, shortness of breath, cough
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| 2862085 | 60 | F | CO | 09/29/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9547 |
Rash, Rash pruritic
Rash, Rash pruritic
|
Pt reported non itchy rash on vaccine arm and right arm. No other symptoms and resolving when repor...
Pt reported non itchy rash on vaccine arm and right arm. No other symptoms and resolving when reported 9/26/25
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| 2862086 | 74 | F | NC | 09/29/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
946064 |
Dizziness
Dizziness
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patient stated symptoms of "feeling like i am going to pass out" since after the vaccinati...
patient stated symptoms of "feeling like i am going to pass out" since after the vaccination on 9/25/25, 2-3 times daily
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| 2862087 | 61 | F | AL | 09/29/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
A72A3 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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PATIENT WAS GIVEN EXTRA DOSE OF TWINRIX; NO ADVERSE REACTIONS
PATIENT WAS GIVEN EXTRA DOSE OF TWINRIX; NO ADVERSE REACTIONS
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| 2862088 | 57 | F | FL | 09/29/2025 |
PNC21 |
MERCK & CO. INC. |
Z006076 |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
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REDNESS AND PAIN AT INJECTION SITE
REDNESS AND PAIN AT INJECTION SITE
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| 2862089 | 86 | M | OH | 09/29/2025 |
FLU3 |
SANOFI PASTEUR |
UT8781CA |
Extra dose administered
Extra dose administered
|
Pt came in to ask for a flu shot, it was verbally verified twice with pt before giving him the vacci...
Pt came in to ask for a flu shot, it was verbally verified twice with pt before giving him the vaccine. about 30 minutes later wife said that he already had a flu shot and instead needed the covid shot. So patient got 2 flu shots within 3 weeks (verified in system 1st dose was 9/9/25. Went over any adverse events patient may experience and also informed his dr. Pt also got covid shot on 9/26/25. Patient was not upset and understood the side effects he may experience.
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| 2862090 | 50 | F | OH | 09/29/2025 |
COVID19 COVID19 FLU3 FLU3 VARZOS VARZOS |
MODERNA MODERNA GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
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Chills, Hyperhidrosis, Injection site erythema, Injection site nodule, Injection...
Chills, Hyperhidrosis, Injection site erythema, Injection site nodule, Injection site pruritus; Injection site swelling, Lethargy, Pain, Pyrexia; Chills, Hyperhidrosis, Injection site erythema, Injection site nodule, Injection site pruritus; Injection site swelling, Lethargy, Pain, Pyrexia; Chills, Hyperhidrosis, Injection site erythema, Injection site nodule, Injection site pruritus; Injection site swelling, Lethargy, Pain, Pyrexia
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I received the vaccines Friday nigh and by Saturday afternoon, I had a fever, sweats, cold chills an...
I received the vaccines Friday nigh and by Saturday afternoon, I had a fever, sweats, cold chills and was achy. The sire of the Covid vaccine has a knot, is raised, red and itchy. I continued with the fever, sweats/chills, lethargy and aches until Sunday around 12pm. I just kept sleeping and taking Tylenol. The rest of the day Sunday. I rested and my fever seemed to go away. Today on Monday 9/29/25, the site from the Covid vaccine is still raised, red and itchy.
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| 2862091 | 47 | F | NY | 09/29/2025 |
FLU3 |
SANOFI PASTEUR |
UT8779LA |
Pruritus, Urticaria
Pruritus, Urticaria
|
Symptoms started 9/27/25 around 0500 with intense itching and hives on midsection. Throughout the da...
Symptoms started 9/27/25 around 0500 with intense itching and hives on midsection. Throughout the day the hives spread out until eventually reaching all surfaces of the body. Symptoms started to subside 9/28/25 around 3pm. OTC Benadryl 50 mg taken every 4 hours. Last dose 9/28. On 9/29 continue with mild itching and slight rash.
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| 2862092 | 56 | F | NC | 09/29/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3EG9B |
Full blood count normal, Injection site erythema, Lip swelling
Full blood count normal, Injection site erythema, Lip swelling
|
The evening of the vaccine, below the injection site, a red patch approximately 10cm x 6 cm in size....
The evening of the vaccine, below the injection site, a red patch approximately 10cm x 6 cm in size. The morning I woke at 5:30, lips were swollen. With 30 minutes lips were so swollen I was unable to speak.
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| 2862093 | 44 | F | 09/29/2025 |
FLU3 |
SANOFI PASTEUR |
U8848AA |
Pain, Product administered at inappropriate site
Pain, Product administered at inappropriate site
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Vaccine was injected high into the L shoulder. Over the course of the following 21 days, pain increa...
Vaccine was injected high into the L shoulder. Over the course of the following 21 days, pain increased and was unchanged with over the counter medications
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| 2862094 | 17 | F | MI | 09/29/2025 |
COVID19 |
MODERNA |
3052553 |
Underdose
Underdose
|
Patient was administered pediatric Moderna dose for patients 6 months to 11 years old. Patient was s...
Patient was administered pediatric Moderna dose for patients 6 months to 11 years old. Patient was supposed to receive the adult Moderna covid vaccine dose for patients 12 years and older.
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| 2862095 | 37 | M | MI | 09/29/2025 |
IPV |
SANOFI PASTEUR |
y1a212m |
Expired product administered
Expired product administered
|
Patient was given a vaccine that had expired as it was previously punctured and was no longer stabl...
Patient was given a vaccine that had expired as it was previously punctured and was no longer stable
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| 2862096 | 34 | F | OH | 09/29/2025 |
TDAP |
SANOFI PASTEUR |
U8618AA |
Injection site erythema, Injection site oedema, Injection site warmth
Injection site erythema, Injection site oedema, Injection site warmth
|
Localized injection site reaction with erythema, edema, and warmth of the left arm that started shor...
Localized injection site reaction with erythema, edema, and warmth of the left arm that started shortly after vaccine 9/25/2025. Seen in office for this 9/29/2025 with overall improvement is symptoms.
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| 2862097 | 64 | F | WI | 09/29/2025 |
COVID19 PNC20 |
PFIZER\BIONTECH PFIZER\WYETH |
MY9548 MA2505 |
Chest pain, Pain; Chest pain, Pain
Chest pain, Pain; Chest pain, Pain
|
She received the prevnar 20 and pfizer covid about a minute or so after the covid vaccine she had se...
She received the prevnar 20 and pfizer covid about a minute or so after the covid vaccine she had severe chest pains that she said radiated to her back. She didn't have any trouble breathing. She sat and drank some water, ate some candy and stayed for about 20 minutes until she stabilized. I called 911 but patient refused the police officer she had stabilized by then. She said it may have been from low blood sugar because she did not eat that morning.
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| 2862098 | 67 | M | SC | 09/29/2025 |
FLU3 HEPAB TDAP |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
U8764DB P2443 9JT4S |
Arthralgia, Pain; Arthralgia, Pain; Arthralgia, Pain
Arthralgia, Pain; Arthralgia, Pain; Arthralgia, Pain
|
Patient received Twinrix in left arm alone. Boostrix and Fluzone HD were administered in the right a...
Patient received Twinrix in left arm alone. Boostrix and Fluzone HD were administered in the right arm. All three immunizations were administered on 09/02/2025 by a technician in training being supervised by a pharmacist on duty. The patient came into the pharmacy today, 09/29/2025, reporting ongoing joint pain on his left arm. The patient reports there is no pain in his right arm. After further questioning, the patient reported that it hurts when he moves his arm but he retains full range of motion. The patient was asked if he remembers where on his deltoid the shot was administered, and he pointed to the correct administration location on the shoulder. I recommended that the patient be seen if the pain has truly been ongoing but he reported wanting to treat OTC. I urged him to be seen if the pain progresses, his range of motion becomes affected, or if the pain persists for more than a couple days. The patient confirmed that he understood.
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| 2862099 | 19 | F | VA | 09/29/2025 |
COVID19 |
NOVAVAX |
6315mf0020 |
Dizziness, Fatigue, Headache, Nausea, Palpitations
Dizziness, Fatigue, Headache, Nausea, Palpitations
|
Headache, Nausea, Feeling of heart racing/faint/tiredness. Monitored blood pressure, heart rate, res...
Headache, Nausea, Feeling of heart racing/faint/tiredness. Monitored blood pressure, heart rate, respiratory rate for ~ 45 minutes. Patient sat for this time and was monitored until her symptoms improved. Her mother came to pick her up and monitored her at home. Patient did not want EMS to be called and did not want to go to ER. Symptoms completely resolved.
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| 2862100 | 71 | M | TX | 09/29/2025 |
FLU3 |
SANOFI PASTEUR |
u8855ca |
Injected limb mobility decreased, Injection site erythema, Injection site hypoae...
Injected limb mobility decreased, Injection site erythema, Injection site hypoaesthesia
More
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Pt came in on 9/27/25 complaining about "numbness around the injection site, difficulty moving ...
Pt came in on 9/27/25 complaining about "numbness around the injection site, difficulty moving his arm behind him or moving it in front of him. He had no complaints about moving his arm above his head. Stated that the area was red with a white dot in the middle of it before he came to the pharmacy, upon my observation I was unable to visually see any redness or the area where the vaccine was given. I have referred him to his primary to have them obtain imaging so we can rule out any possible incorrect administration.
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| 2862101 | 16 | F | MI | 09/29/2025 |
HIBV MENB |
MERCK & CO. INC. PFIZER\WYETH |
Y005366 LF5302 |
No adverse event, Wrong product administered; No adverse event, Wrong product ad...
No adverse event, Wrong product administered; No adverse event, Wrong product administered
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Patient was due for the second menveo vaccine and in error a HIB vaccine was given. No signs or symp...
Patient was due for the second menveo vaccine and in error a HIB vaccine was given. No signs or symptoms present at time of vaccination.
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| 2862103 | 67 | F | GA | 09/29/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
U8859BA U8859BA |
Erythema, Pruritus, Rash, Skin discolouration, Skin exfoliation; Urticaria
Erythema, Pruritus, Rash, Skin discolouration, Skin exfoliation; Urticaria
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Patient stated that she received the shot on 9/13/25 and when she woke up on 9/14/25 she was covered...
Patient stated that she received the shot on 9/13/25 and when she woke up on 9/14/25 she was covered in hives (redness, bumps, some oozing) from head to toe. She stated that she has been taking oatmeal baths, taking Benadryl by mouth and using Hydrocortisone cream multiple times a day since 9/14/25. She stated that the redness and bumps have gone away however she is now experiencing head to toe pealing and is still experiencing extreme itching. She has a doctor's appointment scheduled for 10/07/25 as this was the soonest available appointment. She said she had consulted with a couple of nurses she knows and she only called the pharmacy to inquire about what shot she received.
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| 2862104 | 11 | M | IL | 09/29/2025 |
HPV9 HPV9 MNQ MNQ TDAP TDAP |
MERCK & CO. INC. MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
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Abdominal pain, Dizziness, Eye movement disorder, Headache, Loss of consciousnes...
Abdominal pain, Dizziness, Eye movement disorder, Headache, Loss of consciousness; Musculoskeletal stiffness, Pallor, Seizure like phenomena; Abdominal pain, Dizziness, Eye movement disorder, Headache, Loss of consciousness; Musculoskeletal stiffness, Pallor, Seizure like phenomena; Abdominal pain, Dizziness, Eye movement disorder, Headache, Loss of consciousness; Musculoskeletal stiffness, Pallor, Seizure like phenomena
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Pt ambulates into office for routine and recommended vaccines for an 11 year old. Pt is UTD on all p...
Pt ambulates into office for routine and recommended vaccines for an 11 year old. Pt is UTD on all prior vaccines. TDAP and HPV are administered into left arm. Pt asked for a minute and then said he was ready for next vaccines (Menveo and Bexero). Menveo is administered first into right arm and pt starts c/o a headache. Vaccine was administered and bandage applied. As grabbing Bexero to administer, pt again c/o of a headache and became very pale. Pt's eyes rolled back into his head and had a LOC. Mother was able to catch pt's head while RN supported legs. Pt became very stiff and became conscious. Pt was confused and c/o a headache, lightheaded, and abd pain. Mother believed that pt had seizure activity. EMS is called and vitals are obtained. Vitals WNL. Pt is AOx3 within 2 minutes after gaining conscious. Denies hitting head. Denies any hx of seizures. EMS arrives on scene and family signs an AMA and drives to local ED after.
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| 2862105 | 63 | M | CA | 09/29/2025 |
PNC21 |
MERCK & CO. INC. |
2006889 |
Erythema, Injection site erythema, Skin warm
Erythema, Injection site erythema, Skin warm
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Injection site area red and spread down entire arm. Patient reported hot to the touch.
Injection site area red and spread down entire arm. Patient reported hot to the touch.
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| 2862106 | 92 | F | OH | 09/29/2025 |
FLU3 |
SEQIRUS, INC. |
406983 |
Dizziness, Fatigue, Rash
Dizziness, Fatigue, Rash
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rash on face and chest, but no on injection site. Patient describes being more tired than usual and ...
rash on face and chest, but no on injection site. Patient describes being more tired than usual and experienced some dizziness.
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| 2862107 | 1.5 | M | TN | 09/29/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
Y001622 |
Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
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Hepatitis A vaccine given too early. No adverse reactions were noted.
Hepatitis A vaccine given too early. No adverse reactions were noted.
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| 2862108 | 51 | F | UT | 09/29/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
94j5e |
Erythema, Heart rate increased
Erythema, Heart rate increased
|
red spots on her arm and increased heart rate
red spots on her arm and increased heart rate
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| 2862109 | 77 | F | AR | 09/29/2025 |
PNC21 |
MERCK & CO. INC. |
Z009681 |
Dyspnoea, Oral mucosal eruption, Rash
Dyspnoea, Oral mucosal eruption, Rash
|
Started as a rash that spread from arm to face to mouth. had trouble breathing. a few days after vac...
Started as a rash that spread from arm to face to mouth. had trouble breathing. a few days after vaccine
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| 2862110 | 11 | F | 09/29/2025 |
FLU3 HPV9 MNQ TDAP |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
33CM4 Z009260 9549B 37R35 |
Syncope; Syncope; Syncope; Syncope
Syncope; Syncope; Syncope; Syncope
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Patient received HPV, Flu, Menveo, and Tdap at visit. During required 15-minute waiting period, pati...
Patient received HPV, Flu, Menveo, and Tdap at visit. During required 15-minute waiting period, patient fainted. Patient examined by physician. Patient sent to ER for further evaluation.
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| 2862111 | F | 09/29/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure
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Suspected vaccination failure; Patient had shingles 5 times; The first of September was the last tim...
Suspected vaccination failure; Patient had shingles 5 times; The first of September was the last time; This serious case was reported by a consumer via interactive digital media and described the occurrence of vaccination failure in a adult female patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On 01-SEP-2025, an unknown time after receiving Shingrix, the patient experienced shingles (Verbatim: The first of September was the last time). On an unknown date, the patient experienced vaccination failure (Verbatim: Suspected vaccination failure) (serious criteria GSK medically significant) and shingles (Verbatim: Patient had shingles 5 times). The outcome of the vaccination failure was not reported and the outcome of the shingles and shingles were unknown. The reporter considered the vaccination failure, shingles and shingles to be related to Shingrix. The company considered the vaccination failure to be unrelated to Shingrix. The company considered the shingles and shingles to be related to Shingrix. Additional Information: GSK Receipt Date: 22-SEP-2025 This case was reported by a patient via interactive digital media. Patient had shingles 5 times and the first of September was the last time. Patient had a severe reaction to the shingle shot. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, time to onset for shingles and laboratory confirmation regarding shingles were unknown at the time of reporting.; Sender's Comments: A case of Vaccination failure, an unknown time after receiving Shingrix, in a female patient. Based on the available information a?possible causality that the event was caused by the GSK product cannot be ascertained. Consent for further follow-up has not been received.
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| 2862112 | 17 | F | IL | 09/29/2025 |
DTAPIPV |
SANOFI PASTEUR |
U7908AB |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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Pt inadvertently received Quadracel vaccine. No adverse side effects noted.
Pt inadvertently received Quadracel vaccine. No adverse side effects noted.
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| 2862113 | 7 | F | CT | 09/29/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
LD9Y5 |
Cold sweat, Headache, Hyperhidrosis, Loss of consciousness, Presyncope
Cold sweat, Headache, Hyperhidrosis, Loss of consciousness, Presyncope
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Patient was given flu shot and approximately 15 minutes later, lost consciousness in front of pharma...
Patient was given flu shot and approximately 15 minutes later, lost consciousness in front of pharmacy. Patient was clammy and sweaty, reported her head hurt after regaining consciousness. Pharmacist on duty administered Epipen and emergency services were called. Patient was evaluated at ER and discharged a few hours later. ER reported it was a vasovagal reaction.
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| 2862114 | 73 | F | AZ | 09/29/2025 |
FLU3 |
SANOFI PASTEUR |
u8837ca |
Injection site rash, Rash erythematous
Injection site rash, Rash erythematous
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patient reported having a localized red rash at site of injection that lasted 1 week. pt reported no...
patient reported having a localized red rash at site of injection that lasted 1 week. pt reported no other issues or symptoms
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| 2862115 | 10 | F | CO | 09/29/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0590 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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10 YEAR OLD PATIENT RECEIVED A COVID-19 VACCINE THAT IS ONLY APPROVED FOR PATIENT 12 YEARS AND OLDER...
10 YEAR OLD PATIENT RECEIVED A COVID-19 VACCINE THAT IS ONLY APPROVED FOR PATIENT 12 YEARS AND OLDER ACCORDING TO THE STATE STANDING ORDER FOR ADMINISTERING THE 2025-2026 COVID-19 VACCINE.
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| 2862116 | 69 | F | OH | 09/29/2025 |
FLU3 |
SANOFI PASTEUR |
U876488 |
Electric shock sensation, Injection site pain, Injection site reaction, Musculos...
Electric shock sensation, Injection site pain, Injection site reaction, Musculoskeletal discomfort
More
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Patient had muscle twitching, electrical shock at the injection site and pain immediately during the...
Patient had muscle twitching, electrical shock at the injection site and pain immediately during the injection. She was also experiencing discomfort the shoulder and surrounding area 20 minutes post injection. She was insistent that the injection was done too high and repeatedly stated she's never experienced anything like this in the past. I recommend she wait and see because twitching and nerve pain can happen during injection. The injection site looked on the upper range of the injection window but not into the shoulder joint. I did not give her an opinion either way on the injection site location.
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| 2862117 | 86 | M | IA | 09/29/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
MY9550 407252 |
Stomatitis; Stomatitis
Stomatitis; Stomatitis
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Patient developed mouth sores unknow time after vaccinations that required treatment from health car...
Patient developed mouth sores unknow time after vaccinations that required treatment from health care provider.
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| 2862118 | 17 | M | MD | 09/29/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
42DM9 |
Immediate post-injection reaction, Injection site erythema, Injection site mass
Immediate post-injection reaction, Injection site erythema, Injection site mass
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ep A vaccine was given in left deltoid and patient had an immediate reaction. Small/red lump appeare...
ep A vaccine was given in left deltoid and patient had an immediate reaction. Small/red lump appeared immediately. Patient had NO hives and NO difficulty breathing. Massaged the area and had patient sit in the office for a few minutes. After a couple minutes swelling started to go down.
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| 2862119 | 4 | F | MA | 09/29/2025 |
MMRV |
MERCK & CO. INC. |
Z010383 |
Rash, Varicella
Rash, Varicella
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Clinical chickenpox started on 9/26 and diagnosed in office on 9/29. Clinically well. Has eruption c...
Clinical chickenpox started on 9/26 and diagnosed in office on 9/29. Clinically well. Has eruption consistent with such diagnosis.
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| 2862120 | 66 | F | NV | 09/29/2025 |
FLU3 |
SEQIRUS, INC. |
AX5586C |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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None reported or noted. I am reporting this because of her age; she should have received the high do...
None reported or noted. I am reporting this because of her age; she should have received the high dose flu instead of one given.
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| 2862121 | 67 | F | NV | 09/29/2025 |
COVID19 TDAP |
PFIZER\BIONTECH GLAXOSMITHKLINE BIOLOGICALS |
MY9548 H4k3s |
Injection site vesicles, Pain, Sleep disorder; Injection site vesicles, Pain, Sl...
Injection site vesicles, Pain, Sleep disorder; Injection site vesicles, Pain, Sleep disorder
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ADE: Injection site reaction x 2 days to left arm with 10cm x 7.5cm erythematous blister. Blister it...
ADE: Injection site reaction x 2 days to left arm with 10cm x 7.5cm erythematous blister. Blister itself is fluid filled. Denies any previous history with ADE to previous vaccines. States that she has had COVID-19 and Tdap vaccines in the past without issues. Pt complains of pain and difficulty sleeping on arm Treatment: Prednisone prescription. Outcome: Unknown.
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| 2862122 | 36 | F | AL | 09/29/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
JS74H |
Hypoaesthesia, Paraesthesia, Rash
Hypoaesthesia, Paraesthesia, Rash
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Numbness/ tingling in right arm started on 9/25/25- exercises and warm/ cold compresses, symptom res...
Numbness/ tingling in right arm started on 9/25/25- exercises and warm/ cold compresses, symptom resolved on Friday 9/26/25 Rash covering entire body started on Friday 9/26/25- treated with benadryl/ claritin, symptoms have improved as of 9/29/25 with small residual rash
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| 2862123 | 23 | F | IL | 09/29/2025 |
FLU3 TDAP |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
tfaa2544 9py2y |
Syncope; Syncope
Syncope; Syncope
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patient came to pharmacy for 3 vaccines boostrix, covid, flu . patient wanted boostrix first becaus...
patient came to pharmacy for 3 vaccines boostrix, covid, flu . patient wanted boostrix first because she had a history of fainting from vaccines. she had boostrix first and mom ok for flu shot next . she received flu shot and fainted. mom and pharmacist then decided to call 911 . paramedics came to store accessed patient and took her to the e.r.
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| 2862124 | 76 | M | IA | 09/29/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0739 |
Extra dose administered
Extra dose administered
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Customer arrived at pharmacy asking for a covid vaccine. The RN administering had a conversation wi...
Customer arrived at pharmacy asking for a covid vaccine. The RN administering had a conversation with the customer about the covid vaccine as the customer stated he believed he got sick last year because he got the RSV vaccine with another vaccine. The RN asked the customer which vaccine he was getting today and he replied covid. After the vaccination, it was realized that the customer meant flu shot, he received a covid vaccine 9/18/25 and received another today, 9/25/25, when he came in to the pharmacy asking for a covid shot. The customer said, oh, I meant a flu shot. The customer kept asking for a covid shot when he meant flu shot.
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| 2862125 | 29 | F | OK | 09/29/2025 |
RSV |
PFIZER\WYETH |
lm1211 |
Exposure during pregnancy, Injection site erythema, Injection site swelling
Exposure during pregnancy, Injection site erythema, Injection site swelling
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"The injection site from the RSV vaccine is very red and swollen. The redness is spreading. I h...
"The injection site from the RSV vaccine is very red and swollen. The redness is spreading. I have been taking Tylenol twice daily and applying cold compresses but no luck with improvement. Is there anything else I can do? This reaction is very similar to how I react to the flu vaccine.?" 34 weeks, EDD 11/10/2025
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| 2862126 | 47 | F | TX | 09/29/2025 |
FLU3 |
SEQIRUS, INC. |
406997 |
Peripheral swelling, Vomiting
Peripheral swelling, Vomiting
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Patient describes major arm swelling and multiple bouts of vomiting over the couple hours after the ...
Patient describes major arm swelling and multiple bouts of vomiting over the couple hours after the vaccine. After her initial contact with us we were not able to get in contact with her again to follow-up. We counseled her on treating the symptoms, not getting dehydrated, and following up with her doctor.
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| 2862127 | 82 | M | OH | 09/29/2025 |
COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
3052030 3052030 3052030 3052030 |
Asthenia, Blood folate, Blood glucose, Blood magnesium, Blood thyroid stimulatin...
Asthenia, Blood folate, Blood glucose, Blood magnesium, Blood thyroid stimulating hormone; Chest X-ray, Echocardiogram, Electrocardiogram, Full blood count, Glycosylated haemoglobin; Hypotension, Metabolic function test, Renal function test, Troponin, Urine analysis; Vitamin B12
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Generalized weakness and low BP.
Generalized weakness and low BP.
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| 2862128 | 75 | F | VA | 09/29/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
Z009681 Z009681 |
Arthralgia, Fatigue, Injection site rash, Injection site warmth, Muscular weakne...
Arthralgia, Fatigue, Injection site rash, Injection site warmth, Muscular weakness; Rash
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The patient has a rash of approximately 4 inches around injection site that is warm to the touch (st...
The patient has a rash of approximately 4 inches around injection site that is warm to the touch (still present 3 days after vaccine). She states she also felt very tired and her legs felt weak for 1-2 days after the vaccine. She also mentioned having a sore spot and rash around her right collar bone (possibly a swollen lymph node) which was no longer present today.
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| 2862129 | 09/29/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Herpes zoster, Pain, Vaccination failure
Herpes zoster, Pain, Vaccination failure
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Suspected vaccination failure; Shingles was on my scalp and very painful; This serious case was repo...
Suspected vaccination failure; Shingles was on my scalp and very painful; This serious case was reported by a consumer via interactive digital media and described the occurrence of vaccination failure in a patient who received Herpes zoster (Herpes Zoster vaccine) for prophylaxis. On an unknown date, the patient received Herpes Zoster vaccine. On an unknown date, an unknown time after receiving Herpes Zoster vaccine, the patient experienced vaccination failure (Verbatim: Suspected vaccination failure) (serious criteria GSK medically significant) and shingles (Verbatim: Shingles was on my scalp and very painful). The outcome of the vaccination failure and shingles were not reported. It was unknown if the reporter considered the vaccination failure and shingles to be related to Herpes Zoster vaccine. The company considered the vaccination failure to be unrelated to Herpes Zoster vaccine. It was unknown if the company considered the shingles to be related to Herpes Zoster vaccine. Additional Information: GSK Receipt Date: 22-SEP-2025 The patient just had shingles for the second time in about 5 years. This was on the scalp and very painful. The patient would recommend that anyone over age 50 get the shingles inoculation. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, time to onset and laboratory test confirming shingles were unknown at the time of reporting.; Sender's Comments: A case of Vaccination failure, an unknown time after receiving Herpes Zoster vaccine, in a patient. Based on the available information a possible causality that the event was caused by the GSK product cannot be ascertained. Consent for further follow-up has not been received.
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| 2862130 | 3 | F | CA | 09/29/2025 |
COVID19 |
MODERNA |
8077713309 |
Pyrexia, Vomiting
Pyrexia, Vomiting
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9/27 STARTED WITH FEVERS, 9/28 STARTED WITH VOMITING ->HYDRATION MEASURES, FEVER CONTROL MEASURES
9/27 STARTED WITH FEVERS, 9/28 STARTED WITH VOMITING ->HYDRATION MEASURES, FEVER CONTROL MEASURES
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