| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2858379 | 4 | F | DE | 09/12/2025 |
MMRV MMRV |
MERCK & CO. INC. MERCK & CO. INC. |
Z010729 Z010729 |
Injection site erythema, Injection site pustule, Injection site rash, Injection ...
Injection site erythema, Injection site pustule, Injection site rash, Injection site swelling, Pain; Pruritus
More
|
Patient presents with a rash to the left arm that is swollen, red, and has pustules. Denies fevers. ...
Patient presents with a rash to the left arm that is swollen, red, and has pustules. Denies fevers. Complaints of pain and itching.
More
|
||||||
| 2858380 | 0.58 | F | MI | 09/12/2025 |
DTPPVHBHPB PNC20 RV5 |
MSP VACCINE COMPANY PFIZER\WYETH MERCK & CO. INC. |
U8335AA LK6653 Y018515 |
Febrile convulsion; Febrile convulsion; Febrile convulsion
Febrile convulsion; Febrile convulsion; Febrile convulsion
|
febrile seizure
febrile seizure
|
||||||
| 2858381 | 68 | F | IL | 09/12/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Erythema, Swelling
Erythema, Swelling
|
Swelling and redness
Swelling and redness
|
||||||
| 2858382 | 72 | M | VA | 09/12/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
|
Arthralgia, Asthenia, Chills, Feeling hot, Headache; Influenza like illness, Lis...
Arthralgia, Asthenia, Chills, Feeling hot, Headache; Influenza like illness, Listless, Malaise, Somnolence
More
|
At +9-hrs post-injection, malaise and chills/shivering, flu-like symptoms, felt feverish but was afe...
At +9-hrs post-injection, malaise and chills/shivering, flu-like symptoms, felt feverish but was afebrile. Joint pain and headache. At +12-hrs, shivering subsided enough to finally sleep for 10 hours. Woke very groggy and listless, joint pain, and headache, weak. Now, approaching +24-hrs, symptoms are abating. The preceding VAES is my typical response to ANY of the SARS-CoV-2 vaccines over the years. Just a temporary debilitation.
More
|
||||||
| 2858383 | 4 | F | MI | 09/12/2025 |
DTPPVHBHPB MMRV |
MSP VACCINE COMPANY MERCK & CO. INC. |
U7970BA Y010291 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event
More
|
No Adverse events
No Adverse events
|
||||||
| 2858384 | 4 | F | CO | 09/12/2025 |
COVID19 |
MODERNA |
3052586 |
Incorrect dose administered
Incorrect dose administered
|
12 & up Covid Vaccine administered to a patient below the age of 12 years.
12 & up Covid Vaccine administered to a patient below the age of 12 years.
|
||||||
| 2858385 | 12 | F | PA | 09/12/2025 |
MENB TDAP |
NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
K7JY3 U8252AA |
Inappropriate schedule of product administration, No adverse event; Inappropriat...
Inappropriate schedule of product administration, No adverse event; Inappropriate schedule of product administration, No adverse event
More
|
None known at this time
None known at this time
|
||||||
| 2858386 | 4 | M | MI | 09/12/2025 |
HPV9 |
MERCK & CO. INC. |
Y013818 |
Wrong product administered
Wrong product administered
|
Pt arrived for a vaccine. medication was drawn and administered and after they were done it was real...
Pt arrived for a vaccine. medication was drawn and administered and after they were done it was realized the wrong medication was administered. the patient was still in office with parents and was called back into a room. Staff went to confront a doctor on any effects of the vaccine to the pt and see if it was safe to administer the correct medication. doctor confirmed the pt would be ok and only side effects would be body aches, and it was safe to get the correct vaccine. there were no symptoms to the patient.
More
|
||||||
| 2858387 | 63 | F | FL | 09/12/2025 |
PNC21 |
MERCK & CO. INC. |
|
Injection site erythema, Injection site warmth
Injection site erythema, Injection site warmth
|
large area of redness and warmth to injection site
large area of redness and warmth to injection site
|
||||||
| 2858388 | 61 | F | TX | 09/12/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
|
Fatigue, Hyperhidrosis, Pain; Fatigue, Hyperhidrosis, Pain
Fatigue, Hyperhidrosis, Pain; Fatigue, Hyperhidrosis, Pain
|
bodyaches, fatigue, sweats the day after
bodyaches, fatigue, sweats the day after
|
||||||
| 2858389 | 3 | F | CO | 09/12/2025 |
COVID19 |
MODERNA |
3052586 |
Incorrect dose administered
Incorrect dose administered
|
12 and up Covid vaccine administered to patient less than 12 years of age
12 and up Covid vaccine administered to patient less than 12 years of age
|
||||||
| 2858390 | 11 | M | AR | 09/12/2025 |
MMR |
MERCK & CO. INC. |
y013131 |
Incorrect route of product administration, No adverse event
Incorrect route of product administration, No adverse event
|
Accidental intramuscular injection of MMR instead of the Meningococcal vaccine that was due. No adve...
Accidental intramuscular injection of MMR instead of the Meningococcal vaccine that was due. No adverse reaction.
More
|
||||||
| 2858391 | 44 | F | OR | 09/12/2025 |
FLU3 |
SANOFI PASTEUR |
Ut8779ka |
Injection site erythema, Injection site pruritus
Injection site erythema, Injection site pruritus
|
Patient experienced and injection site reaction. Redness and itchiness around the injection site whi...
Patient experienced and injection site reaction. Redness and itchiness around the injection site which was mildly bothersome for the patient. Patient was advised to administer topical Benadryl to help with itchiness, tylenol for fever/pain symptoms and alternate warm and cold compress for better blood flow to area. Expect symptoms to resolve over the course of 3 to 5 days and advised patient to reach out to provider if symptoms continue to worsen over the course of 24 hours.
More
|
||||||
| 2858392 | 5 | M | CO | 09/12/2025 |
COVID19 |
MODERNA |
3052586 |
Incorrect dose administered, Injection site bruising, Injection site pruritus, I...
Incorrect dose administered, Injection site bruising, Injection site pruritus, Injection site swelling, Pruritus
More
|
12 and up Covid vaccine administered to patient under the age of 12. Mother of child reports patient...
12 and up Covid vaccine administered to patient under the age of 12. Mother of child reports patient experienced injection site swelling, bruise, and itching. Symptoms of itching on chest. Mother of child administered Benadryl, symptoms subsided and are no longer present a this time.
More
|
||||||
| 2858393 | 52 | M | MI | 09/12/2025 |
HEPA |
MERCK & CO. INC. |
Y013274 |
No adverse event, Underdose
No adverse event, Underdose
|
The provider ordered a Hep vaccine for the adult patient, unfortunately the patient was administed ...
The provider ordered a Hep vaccine for the adult patient, unfortunately the patient was administed the pediatric Hep A vaccine. Patient was notified of the error and will come in to receive the adult dose of the Hep A vaccine. Patient had no adverse reactions to the vaccine.
More
|
||||||
| 2858394 | 32 | F | WI | 09/12/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
9CH4P |
Abortion spontaneous, Exposure during pregnancy, Ultrasound antenatal screen abn...
Abortion spontaneous, Exposure during pregnancy, Ultrasound antenatal screen abnormal, Ultrasound scan vagina, Uterine dilation and curettage
More
|
Was 5 weeks, 3 days pregnant at time of influenza vaccination; due date was 6/10/25. No noted compli...
Was 5 weeks, 3 days pregnant at time of influenza vaccination; due date was 6/10/25. No noted complications in early pregnancy at that point. Miscarriage was determined via ultrasounds on 11/6/24 and 11/22/24. Estimated gestational age of fetus was around 6 weeks based on ultrasounds. Medical intervention (Cytotec then followed by D&C due to retained tissue) was used to manage missed miscarriage as fetus did not pass naturally after waiting a few weeks. Close timing between administration of influenza vaccine and pregnancy loss.
More
|
||||||
| 2858395 | 72 | F | MI | 09/12/2025 |
COVID19 |
MODERNA |
3052583 |
Erythema, Peripheral swelling
Erythema, Peripheral swelling
|
Swollen, red, round bump on right arm
Swollen, red, round bump on right arm
|
||||||
| 2858396 | 0.17 | F | TX | 09/12/2025 |
DTPPVHBHPB DTPPVHBHPB PNC15 PNC15 RV5 RV5 |
MSP VACCINE COMPANY MSP VACCINE COMPANY MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
U8335AA U8335AA Z004473 Z004473 Y018515 Y018515 |
Crying, Electrocardiogram normal, Electroencephalogram normal, Infant irritabili...
Crying, Electrocardiogram normal, Electroencephalogram normal, Infant irritability, Infantile spasms; Injection site pain, Pyrexia; Crying, Electrocardiogram normal, Electroencephalogram normal, Infant irritability, Infantile spasms; Injection site pain, Pyrexia; Crying, Electrocardiogram normal, Electroencephalogram normal, Infant irritability, Infantile spasms; Injection site pain, Pyrexia
More
|
Patient experienced fussiness, crying, pain at injection site, low grade fevers (100.4F - 100.9F) an...
Patient experienced fussiness, crying, pain at injection site, low grade fevers (100.4F - 100.9F) and infantile spasms about 4.5 hours after vaccines administration. She was seen at the ER 10 hours after vaccine administration. Had a short EEG study and ECG performed and were within normal limits for her age.
More
|
||||||
| 2858397 | 64 | M | MA | 09/12/2025 |
FLU3 |
SANOFI PASTEUR |
|
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
No noted adverse events. Treatment does not apply.
No noted adverse events. Treatment does not apply.
|
||||||
| 2858398 | 83 | F | 09/12/2025 |
MENB MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
9N424 U8599AA |
Arthralgia, Mobility decreased; Arthralgia, Mobility decreased
Arthralgia, Mobility decreased; Arthralgia, Mobility decreased
|
Patient experienced joint paint and very limited range of motion and mobility for 6hrs after receivi...
Patient experienced joint paint and very limited range of motion and mobility for 6hrs after receiving vaccinations. This started 1hr after patient was administered MenQuadfi and Bexsero vaccines
More
|
|||||||
| 2858399 | 1.25 | F | CO | 09/12/2025 |
HIBV |
MERCK & CO. INC. |
Y006392 |
Incorrect route of product administration, Injection site erythema, Injection si...
Incorrect route of product administration, Injection site erythema, Injection site warmth, Pain, Product administered at inappropriate site
More
|
Mother of child noticed the placement of the vaccine was way off not IM. (sent us pictures) patient ...
Mother of child noticed the placement of the vaccine was way off not IM. (sent us pictures) patient was in pain, injections site was red and hot to touch.
More
|
||||||
| 2858400 | 12 | M | MD | 09/12/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
Y013407 537LH 37R35 |
Syncope; Syncope; Syncope
Syncope; Syncope; Syncope
|
Client had a syncopal episode post vaccination of 3 immunizations at 10:35am. Client returned to ba...
Client had a syncopal episode post vaccination of 3 immunizations at 10:35am. Client returned to baseline and left health care facility at 11:30am. Client had vitals taken and was given juice and crackers.
More
|
||||||
| 2858401 | 62 | F | VA | 09/12/2025 |
PNC21 |
MERCK & CO. INC. |
Z006889 |
Anaphylactic reaction, Lip swelling, Pharyngeal swelling, Urticaria
Anaphylactic reaction, Lip swelling, Pharyngeal swelling, Urticaria
|
anaphylactic reaction, hives, sensation swollen lips and throat, denies SOB or chest pain seen in ER
anaphylactic reaction, hives, sensation swollen lips and throat, denies SOB or chest pain seen in ER
|
||||||
| 2858402 | 1.25 | F | IL | 09/12/2025 |
DTAP HIBV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
y7jc3 z003041 |
Erythema, Skin warm, Urticaria; Erythema, Skin warm, Urticaria
Erythema, Skin warm, Urticaria; Erythema, Skin warm, Urticaria
|
redness, welt 4 in long by 3.5 in wide. warm to touch, encircled area with skin marker. Watchful wai...
redness, welt 4 in long by 3.5 in wide. warm to touch, encircled area with skin marker. Watchful waiting mom will call with update tomorrow.ER precaution reviewed.
More
|
||||||
| 2858403 | 67 | F | WI | 09/12/2025 |
FLU3 |
SANOFI PASTEUR |
U8800BA |
Erythema, Skin warm, Swelling
Erythema, Skin warm, Swelling
|
Patient states on 9/11/25 she experienced "softball sized swelling" that was warm to touch...
Patient states on 9/11/25 she experienced "softball sized swelling" that was warm to touch and red. She has been taking ibuprofen and applying cold to it to help symptoms.
More
|
||||||
| 2858404 | 80 | M | IN | 09/12/2025 |
RSV |
PFIZER\WYETH |
|
Asthenia, Dizziness, Pyrexia
Asthenia, Dizziness, Pyrexia
|
Fever, lethargy, confusion, loss of appetite, fall
Fever, lethargy, confusion, loss of appetite, fall
|
||||||
| 2858405 | 82 | F | CA | 09/12/2025 |
FLU3 |
SANOFI PASTEUR |
UT8763FA |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient already received flu vaccine for the 2025-2026 season on 8/30/25, unknown to staff at time o...
Patient already received flu vaccine for the 2025-2026 season on 8/30/25, unknown to staff at time of administration, and then received another dose on 9/10/25. Patient did not know she received the flu vaccine on 8/30 and thought it was a covid vaccine. Patient reported no adverse effects.
More
|
||||||
| 2858406 | 53 | F | IN | 09/12/2025 |
PNC20 |
PFIZER\WYETH |
LN4932 |
Erythema, Rash, Skin warm
Erythema, Rash, Skin warm
|
Redness, rash spreading on upper arm, warm to touch for 3 days
Redness, rash spreading on upper arm, warm to touch for 3 days
|
||||||
| 2858407 | 0.5 | F | CA | 09/12/2025 |
TDAP |
SANOFI PASTEUR |
U8503AA |
Injection site erythema, Injection site swelling, Mucous stools
Injection site erythema, Injection site swelling, Mucous stools
|
erythematous painless non tender bump about 1 x 1.2 cm on left mid thigh at the site of vaccination...
erythematous painless non tender bump about 1 x 1.2 cm on left mid thigh at the site of vaccination, mucus in stool , close observation for worsening symptoms recommended , no medications were prescribed
More
|
||||||
| 2858408 | 0.17 | F | FL | 09/12/2025 |
DTPPVHBHPB |
MSP VACCINE COMPANY |
U8265AA |
Skin mass
Skin mass
|
SUBCUTANEOUS NODULE IN THE INNER THIGH. THIS IS ON THE OPPOSITE OF THE VACCINE SITE BUT ON THE SAME ...
SUBCUTANEOUS NODULE IN THE INNER THIGH. THIS IS ON THE OPPOSITE OF THE VACCINE SITE BUT ON THE SAME LEG. UNSURE IF VACCCINE RELEATED SINCE IN THE OPPOSITE SIDE OF THE VACCINE SITE
More
|
||||||
| 2858409 | 4 | F | CO | 09/12/2025 |
ADEN_4_7 ADEN_4_7 MMRV MMRV PNC20 PNC20 |
TEVA PHARMACEUTICALS TEVA PHARMACEUTICALS MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH PFIZER\WYETH |
3RT93 3RT93 Z007578 Z007578 LN4931 LN4931 |
Decreased appetite, Headache, Injection site erythema, Injection site pain, Inje...
Decreased appetite, Headache, Injection site erythema, Injection site pain, Injection site swelling; Pain, Pyrexia; Decreased appetite, Headache, Injection site erythema, Injection site pain, Injection site swelling; Pain, Pyrexia; Decreased appetite, Headache, Injection site erythema, Injection site pain, Injection site swelling; Pain, Pyrexia
More
|
Patient reported headache, "body hurting", right thigh swelling with redness, warmth, and ...
Patient reported headache, "body hurting", right thigh swelling with redness, warmth, and tenderness, loss of appetite, low grade fever. Mom gave her Benadryl to help with the swelling and ibuprofen for her pain and fever. She was taken to the ER at 8:00 pm the evening of 9/10. Temperature at that time was 99.4. Swelling was measured at 3.5" wide x 3" tall. She was given prescriptions for prednisolone 6.5 mL po bid for 5 days and cephalexin 10 mL po bid for 10 days. Mom called office on 9/11 to inform us of the event, ER record obtained. Today mom reports that the swelling has reduced to 2" wide x 1/5" tall today, is no longer tender, not warm or red colored. Mom is continuing to give the antibiotics but since the swelling has reduced, she has stopped the prednisolone.
More
|
||||||
| 2858410 | 37 | M | MI | 09/12/2025 |
FLU3 |
SANOFI PASTEUR |
U8830BA |
Incorrect dose administered, No adverse event
Incorrect dose administered, No adverse event
|
Patient received high dose flu vaccine despite being 37 years of age with no high risk factors. Per...
Patient received high dose flu vaccine despite being 37 years of age with no high risk factors. Per manufacturer/CDC, no additional dose is needed, and this dose can be considered as patient receiving flu shot and counted as covered for this year. Patient denies having any symptoms post vaccination and is aware of the incorrect dose given. Patient provided with information regarding signs to look for for any adverse effects and advised to call with any concerns.
More
|
||||||
| 2858411 | 87 | F | 09/12/2025 |
FLU3 PNC20 TDAP VARZOS |
SANOFI PASTEUR PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
U8764BB LX4482 793PT 7ZM55 |
Papule, Pruritus; Papule, Pruritus; Papule, Pruritus; Papule, Pruritus
Papule, Pruritus; Papule, Pruritus; Papule, Pruritus; Papule, Pruritus
|
Pt was started on Metronidazole cream (diagnosis code: Rosacea) and Cyclosporine eye drops the same ...
Pt was started on Metronidazole cream (diagnosis code: Rosacea) and Cyclosporine eye drops the same day as she was given the 4 vaccines. Patient states she developed papules on her neck and chest two days after which have not gone away. Her PCP prescribed her Hydrocortisone cream because it was "a little itchy". She presented today to the pharmacy to report these events to us (one month later). Patient showed me the papules, advised to see PCP as soon as possible.
More
|
|||||||
| 2858412 | 16 | F | VA | 09/12/2025 |
MNQ |
SANOFI PASTEUR |
U8600AA |
Urticaria
Urticaria
|
Urticaria on L side of neck, face and ear
Urticaria on L side of neck, face and ear
|
||||||
| 2858413 | 4 | M | KY | 09/12/2025 |
DTAPIPV HEP HIBV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
7D2Y4 7NX57 X021052 |
Inappropriate schedule of product administration, No adverse event; Inappropriat...
Inappropriate schedule of product administration, No adverse event; Inappropriate schedule of product administration, No adverse event; Inappropriate schedule of product administration, No adverse event
More
|
Inadvertently gave the combination shot when not on schedule, correct age. Mom stated there were no...
Inadvertently gave the combination shot when not on schedule, correct age. Mom stated there were no side effects or reactions noted.
More
|
||||||
| 2858414 | 61 | F | FL | 09/12/2025 |
FLU3 FLU3 PNC21 PNC21 |
SEQIRUS, INC. SEQIRUS, INC. MERCK & CO. INC. MERCK & CO. INC. |
406983 406983 z006889 z006889 |
Headache, Hypotension, Nausea, Pruritus, Pyrexia; Swelling; Headache, Hypotensio...
Headache, Hypotension, Nausea, Pruritus, Pyrexia; Swelling; Headache, Hypotension, Nausea, Pruritus, Pyrexia; Swelling
More
|
swelling, fever, itching, headache, nauseous, low blood pressure,
swelling, fever, itching, headache, nauseous, low blood pressure,
|
||||||
| 2858415 | 58 | M | IN | 09/12/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Headache, Pain
Headache, Pain
|
Patient reports he woke up with headache and body aches one day following shingrix administration.
Patient reports he woke up with headache and body aches one day following shingrix administration.
|
||||||
| 2858416 | 63 | M | TN | 09/12/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
er8734 ew0151 |
Tinnitus; Tinnitus
Tinnitus; Tinnitus
|
Tinnitus
Tinnitus
|
||||||
| 2858417 | 11 | F | 09/12/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
|
Unevaluable event
Unevaluable event
|
Given at 11 years
Given at 11 years
|
|||||||
| 2858418 | 72 | F | 09/12/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
407246 407246 |
Arthralgia, Axillary pain, Cellulitis, Immediate post-injection reaction, Inject...
Arthralgia, Axillary pain, Cellulitis, Immediate post-injection reaction, Injection site erythema; Injection site inflammation, Pain in extremity
More
|
The patient started experiencing extreme soreness unrelieved by Tylenol/Motrin starting which starte...
The patient started experiencing extreme soreness unrelieved by Tylenol/Motrin starting which started right after the injection into her left arm and continued to worsen through the night and up until now. There was redness and inflammation at the injection site starting that night as well as pain the underarm and shoulder. She went to urgent care today and was diagnosed with cellulitis and received antibiotics.
More
|
|||||||
| 2858419 | 80 | M | WA | 09/12/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
unknown unknown |
Pruritus, Urticaria; Pruritus, Urticaria
Pruritus, Urticaria; Pruritus, Urticaria
|
hives upper inner leg both sides ( bright red area slightly raised itchy both sides) noticed while ...
hives upper inner leg both sides ( bright red area slightly raised itchy both sides) noticed while going to the bathroom but I think it actually started sometime before the time listed as I remember the area being itchy earlier in the day but thought nothing of it until noticed the red areas and at that time realized it was hives
More
|
||||||
| 2858420 | 27 | F | 09/12/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
|
Arthropathy, Injected limb mobility decreased, Musculoskeletal stiffness, Pain i...
Arthropathy, Injected limb mobility decreased, Musculoskeletal stiffness, Pain in extremity, Sleep disorder; Tenderness
More
|
Right arm tension, pain, and limited range of motion up and around the right arm joint. Pain when pr...
Right arm tension, pain, and limited range of motion up and around the right arm joint. Pain when pressing on joint, and feel clunking when putting hand on right shoulder and moving right arm shoulder joint. Pain interfered with sleep and every day movement for approximately 3-4 weeks before slowly resolving on its own.
More
|
|||||||
| 2858421 | 50 | M | WA | 09/12/2025 |
PNC20 VARZOS |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
lk6651 4a5j7 |
Bell's palsy; Bell's palsy
Bell's palsy; Bell's palsy
|
Patient said came down with bells palsy a few weeks after Shingrix and prevnar
Patient said came down with bells palsy a few weeks after Shingrix and prevnar
|
||||||
| 2858422 | 72 | F | MI | 09/12/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Erythema, Immediate post-injection reaction, Myalgia, Skin warm
Erythema, Immediate post-injection reaction, Myalgia, Skin warm
|
Immediate deltoid muscle pain that persisted and got progressively worse over the course of 3 days. ...
Immediate deltoid muscle pain that persisted and got progressively worse over the course of 3 days. Arm also got red and hot
More
|
||||||
| 2858423 | 25 | M | DE | 09/12/2025 |
ANTH TYP YF |
EMERGENT BIOSOLUTIONS SANOFI PASTEUR SANOFI PASTEUR |
300217A X1A271M UK219AA |
Fall; Fall; Fall
Fall; Fall; Fall
|
Pt received 3 shots and was asked the routine questions and were answered appropriately. After shots...
Pt received 3 shots and was asked the routine questions and were answered appropriately. After shots were administered, Technician stepped away to computer and heard the Pt fall and saw the Pt hit the cabinet and slide down onto the floor. Technician checked for Pt responsiveness and Pt immediately awoke. Rapid Response was called and treatment was provided to the Pt.
More
|
||||||
| 2858424 | 66 | M | PA | 09/12/2025 |
COVID19 |
MODERNA |
|
Circumstance or information capable of leading to medication error, Device conne...
Circumstance or information capable of leading to medication error, Device connection issue, Syringe issue, Underdose
More
|
As the patient was receiving the vaccine, he had jerked his arm back a little and the needle tip bec...
As the patient was receiving the vaccine, he had jerked his arm back a little and the needle tip became dislodged slightly at the connection point to the syringe. A small amount of vaccine leaked out of the syringe. A new needle was attached and the remainder of the vaccine was givien.
More
|
||||||
| 2858425 | 85 | M | CT | 09/12/2025 |
COVID19 |
PFIZER\BIONTECH |
MY9547 |
Chills, Decreased appetite, Retching, Vomiting
Chills, Decreased appetite, Retching, Vomiting
|
Patient received vaccination around 8:30 AM on 9/11. Around 3 PM he developed bad shivering/shaking,...
Patient received vaccination around 8:30 AM on 9/11. Around 3 PM he developed bad shivering/shaking, vomiting, staying under the covers, today has dry heaves and still shivers, no appetite
More
|
||||||
| 2858426 | 67 | F | MI | 09/12/2025 |
UNK UNK COVID19 COVID19 FLU3 FLU3 |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER PFIZER\BIONTECH PFIZER\BIONTECH SANOFI PASTEUR SANOFI PASTEUR |
Unknown Unknown Unknown Unknown |
Balance disorder, Deafness unilateral, Dizziness, Nausea, Tinnitus; Acoustic sti...
Balance disorder, Deafness unilateral, Dizziness, Nausea, Tinnitus; Acoustic stimulation tests abnormal, Deafness unilateral, Ear tube insertion, Nausea, Vertigo; Balance disorder, Deafness unilateral, Dizziness, Nausea, Tinnitus; Acoustic stimulation tests abnormal, Deafness unilateral, Ear tube insertion, Nausea, Vertigo; Balance disorder, Deafness unilateral, Dizziness, Nausea, Tinnitus; Acoustic stimulation tests abnormal, Deafness unilateral, Ear tube insertion, Nausea, Vertigo
More
|
Hearing loss left ear, nausea,tinnitus,dizziness and imbalance
Hearing loss left ear, nausea,tinnitus,dizziness and imbalance
|
โ | |||||
| 2858427 | 4 | M | MS | 09/12/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
7D2YA |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
CHILD WAS ADMINISTERED THE VACCINE BY THE NURSE (LPN). AFTER THE VACCINE WAS GIVEN, NURSE TRIED TO E...
CHILD WAS ADMINISTERED THE VACCINE BY THE NURSE (LPN). AFTER THE VACCINE WAS GIVEN, NURSE TRIED TO ENTER INFO IN MIIX AND REALIZED THE VACCINE WAS EXPIRED. NO ADVERSE EVENT WITH PATIENT. DISCUSSION WAS HAD WITH MOTHER BY ON-DUTY NURSE PRACTITIONER. IT WAS EXPLAINED THAT THE CHILD WOULD REQUIRE A REPEAT VACCINATION BECAUSE THIS VACCINE WAS EXPIRED. THE PRODUCT COULD NOT BE GUARANTEED FOR PROTECTION.
More
|
||||||
| 2858428 | 82 | F | NY | 09/12/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
|
Balance disorder, Gait disturbance; Balance disorder, Gait disturbance
Balance disorder, Gait disturbance; Balance disorder, Gait disturbance
|
I woke up the morning after the vaccination with severe balance issues. I was stumbling around and ...
I woke up the morning after the vaccination with severe balance issues. I was stumbling around and felt like I was going to fall. I went back to bed for an hour, and when I woke up the symptoms were much less severe, but still present. They continued to some extent throughout the day, and when I woke up the next morning they were gone.
More
|