| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2857260 | 54 | F | NY | 09/08/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
h4k3s |
Injection site bruising, Injection site haemorrhage, Injection site pain
Injection site bruising, Injection site haemorrhage, Injection site pain
|
Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Systemic: bleeding and lar...
Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Systemic: bleeding and large bruise-Mild
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|
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| 2857261 | 41 | M | MD | 09/08/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
F9K3L |
Loss of consciousness, Seizure
Loss of consciousness, Seizure
|
Systemic: Seizure-Mild, Additional Details: Patient was seated for injection. About 3 minutes later ...
Systemic: Seizure-Mild, Additional Details: Patient was seated for injection. About 3 minutes later he stated he felt it coming. He was unconcious for about 90 seconds.
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|
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| 2857262 | 68 | M | CA | 09/08/2025 |
FLU4 |
SANOFI PASTEUR |
u8800ba |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Severe
Site: Pain at Injection Site-Severe
|
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| 2857263 | 71 | F | CA | 09/08/2025 |
COVID19-2 |
PFIZER\BIONTECH |
MY9547 |
Asthenia, Injection site erythema, Injection site pain, Injection site pruritus
Asthenia, Injection site erythema, Injection site pain, Injection site pruritus
|
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Systemic: PT HAS MULIPL...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Systemic: PT HAS MULIPLE RED SPOTS ON HER ARM NEXT TO THE INJECTION SITE PLUSE SHE COMPLAINED IT IS PAINFUL-Medium, Systemic: Weakness-Medium, Other Vaccines: VaccineTypeBrand: FLUZONE HIGH DOSE; Manufacturer: SANOFI; LotNumber: UT8763FA; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 08/30/2025
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|
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| 2857264 | 67 | F | FL | 09/08/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
99d52 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
|
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| 2857265 | 74 | F | IL | 09/08/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
594g2 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
|
Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Mild, Site: Redness at Injectio...
Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
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|
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| 2857266 | 68 | F | MD | 09/08/2025 |
RSV RSV |
PFIZER\WYETH PFIZER\WYETH |
010030069246 010030069246 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site rash, Injection site reaction; Injection site swelling, Myosclerosis
More
|
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injec...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Pt called 9/2/25, stating she started having pain and hardening of muscle 1-2 days post imz, as of today, she's still experiencing pain and rash/swelling extending to normal injection site per patient. Unable to verify, but advised pt to go seek medical help for further evaluation
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|
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| 2857268 | 67 | F | NY | 09/08/2025 |
PNC21 |
MERCK & CO. INC. |
z006889 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
|
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Inject...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Other Vaccines: VaccineTypeBrand: fluzone high dose; Manufacturer: ; LotNumber: ; Route: im; BodySite: left arm; Dose: ; VaxDate: 08/28/2025
More
|
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| 2857269 | 52 | F | WV | 09/08/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
55TH4 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
|
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Inject...
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: ER visit 9/1/25. Symptoms still apparent as of this report 9/2/25 3pm.
More
|
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| 2857270 | 17 | M | IN | 09/08/2025 |
MNQ |
SANOFI PASTEUR |
u8600AA |
Blood pressure decreased, Dizziness, Syncope, Unresponsive to stimuli
Blood pressure decreased, Dizziness, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotens...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Additional Details: After administering the vaccination, the patient and his father were walking to our drop off counter while the technician came back in the pharmacy. The patient got lightheaded and fainted. He may have hit the counter or the side of our drop off window. Technician and employee had the patient sit, took his blood pressure twice. His blood pressure was low and his father took him to the ER. They were told patient had vasovagal syncope and was released.
More
|
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| 2857271 | 17 | M | AZ | 09/08/2025 |
FLUC4 FLUC4 FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
406981 406981 948394 948394 |
Exposure to contaminated device, Joint injury; Exposure to contaminated device, ...
Exposure to contaminated device, Joint injury; Exposure to contaminated device, Injection site erythema; Exposure to contaminated device, Joint injury; Exposure to contaminated device, Injection site erythema
More
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Additional Details: Vaccination w...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Mild, Additional Details: Vaccination with contaminated syringe
More
|
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| 2857272 | 12 | F | NE | 09/08/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
97n83 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Mild, Additional Details: Patient may have received only partial vacci...
Site: Pain at Injection Site-Mild, Additional Details: Patient may have received only partial vaccine administration on 08/2025/2025, recommended revaccination
More
|
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| 2857273 | 75 | F | KS | 09/08/2025 |
FLU4 |
SANOFI PASTEUR |
ut8781ba |
Injection site bruising, Injection site erythema, Injection site pruritus, Injec...
Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling
More
|
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Redness at Inject...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: pt states this happens after many of her vaccines the past few years and she just wanted a health care provider to see - she was expecting the reaction and is not upset. also denies pain and has full range of motion (vaccine appropriately placed)
More
|
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| 2857274 | 69 | M | NJ | 09/08/2025 |
VARZOS VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
3273h 3273h 3273H 3273H |
Hypertension, Hypoaesthesia, Injection site pain; Fear, Hypertension, Hypoaesthe...
Hypertension, Hypoaesthesia, Injection site pain; Fear, Hypertension, Hypoaesthesia, Toothache; Hypertension, Hypoaesthesia, Injection site pain; Fear, Hypertension, Hypoaesthesia, Toothache
More
|
Site: Pain at Injection Site-Mild, Systemic: Hypertension-Severe, Additional Details: patient got fl...
Site: Pain at Injection Site-Mild, Systemic: Hypertension-Severe, Additional Details: patient got flu shot in the other arm and was ok on right side . left arm felt numb for days and had uncontollable blood pressure. went to dr and med prescribed. Patient did not think it was from vaccine and will go away but did not feel any better from that day. he called yesterday to report it on 09/02 and wanted to call the company. he said dr also filled out report on this, Other Vaccines: VaccineTypeBrand: shingrix; Manufacturer: glaxo smith kline; LotNumber: 3273h; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
|
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| 2857275 | 54 | F | OH | 09/08/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
7ZM55 |
Injection site rash, Rash papular
Injection site rash, Rash papular
|
Site: Redness at Injection Site-Mild, Systemic: circular erythema pustule papular rash on left anter...
Site: Redness at Injection Site-Mild, Systemic: circular erythema pustule papular rash on left anterior tripcep-Mild
More
|
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| 2857276 | 69 | F | CA | 09/08/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
5y9ca |
Asthenia, Injection site pain, Nausea, Tremor, Vomiting
Asthenia, Injection site pain, Nausea, Tremor, Vomiting
|
Site: Pain at Injection Site-Mild, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Vo...
Site: Pain at Injection Site-Mild, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium
More
|
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| 2857277 | 72 | F | TX | 09/08/2025 |
FLU4 |
SANOFI PASTEUR |
UT8804AA |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
|
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Inject...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
More
|
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| 2857279 | 67 | F | AL | 09/08/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
2293b |
Asthenia, Fatigue, Lethargy
Asthenia, Fatigue, Lethargy
|
Systemic: Exhaustion / Lethargy-Mild, Systemic: Weakness-Mild, Additional Details: asked if wanted f...
Systemic: Exhaustion / Lethargy-Mild, Systemic: Weakness-Mild, Additional Details: asked if wanted flu shot pt said last time she felt sick and tired for a couple days after the shots and wanted it to be documented. , Other Vaccines: VaccineTypeBrand: shingrix; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: 08/07/2025, VaccineTypeBrand: tdap; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: 08/07/2025
More
|
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| 2857280 | 80 | M | AL | 09/08/2025 |
FLU4 |
SANOFI PASTEUR |
not known |
Injection site pain, Pain in extremity
Injection site pain, Pain in extremity
|
Site: Pain at Injection Site-Mild, Additional Details: pt said his arm hurt for 2 weeks after shots....
Site: Pain at Injection Site-Mild, Additional Details: pt said his arm hurt for 2 weeks after shots., Other Vaccines: VaccineTypeBrand: prevnar 20; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: 08/08/2023, VaccineTypeBrand: arexvy; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: 08/08/2023
More
|
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| 2857281 | 71 | F | MN | 09/08/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0587 |
Chest discomfort, Chest pain, Dyspnoea
Chest discomfort, Chest pain, Dyspnoea
|
Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Ad...
Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Additional Details: When patient reported symptoms about 2 hours after vaccination, I recommended urgent care or ER for breathing symptoms she was reporting.
More
|
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| 2857282 | 68 | M | TX | 09/08/2025 |
FLU4 |
SANOFI PASTEUR |
U8800AA |
Arthralgia, Joint injury, Mobility decreased
Arthralgia, Joint injury, Mobility decreased
|
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient sta...
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient states shoulder started hurting 2 hours after injection and soon became unable to lift arm. Sever shoulder pain for the last few weeks. Is now able to lift the arm but still has pain. Has not yet seen prescriber but is planning to make an appointment.
More
|
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| 2857283 | 74 | M | CA | 09/08/2025 |
COVID19-2 |
MODERNA |
3052036 |
Dysphagia, Hypertension, Throat tightness, Tremor
Dysphagia, Hypertension, Throat tightness, Tremor
|
Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Hypertension-Medium, S...
Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Hypertension-Medium, Systemic: Shakiness-Medium, Other Vaccines: VaccineTypeBrand: fluzone high dose; Manufacturer: sanofi; LotNumber: u88008a; Route: im; BodySite: right arm; Dose: ; VaxDate: UNKNOWN
More
|
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| 2857286 | 68 | F | NJ | 09/08/2025 |
TDAP TDAP TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
37F34 37F34 |
Injection site bruising, Injection site pain, Injection site swelling; Mobility ...
Injection site bruising, Injection site pain, Injection site swelling; Mobility decreased, Pain in extremity, Product administered at inappropriate site; Injection site bruising, Injection site pain, Injection site swelling; Mobility decreased, Pain in extremity, Product administered at inappropriate site
More
|
Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Severe, Site: Swelling at Inject...
Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Mild, Additional Details: Patient stated that it is still painful at the injection site, and it was into the fatty tissues instead of the muscle
More
|
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| 2857287 | 59 | M | MA | 09/08/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
793PT 793PT |
Asthenia, Diarrhoea, Fatigue, Lethargy, Nausea; Vomiting
Asthenia, Diarrhoea, Fatigue, Lethargy, Nausea; Vomiting
|
Systemic: Diarrhea-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Nausea-Medium, Systemic...
Systemic: Diarrhea-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium
More
|
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| 2857288 | 53 | AZ | 09/08/2025 |
FLUC4 |
SEQIRUS, INC. |
948394 |
Injection site pain, Joint injury
Injection site pain, Joint injury
|
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Se...
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe
More
|
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| 2857289 | 25 | F | IL | 09/08/2025 |
FLUC4 |
SEQIRUS, INC. |
406999 |
Asthenia, Dizziness, Syncope, Unresponsive to stimuli
Asthenia, Dizziness, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Weak...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Weakness-Medium
More
|
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| 2857290 | 56 | M | CA | 09/08/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
5y9CA |
Flushing, Hyperhidrosis, Vomiting
Flushing, Hyperhidrosis, Vomiting
|
Systemic: Flushed / Sweating-Mild, Systemic: Vomiting-Mild
Systemic: Flushed / Sweating-Mild, Systemic: Vomiting-Mild
|
||||||
| 2857292 | 43 | F | IN | 09/08/2025 |
FLUC4 |
SEQIRUS, INC. |
407000 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
|
Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injec...
Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Other Vaccines: VaccineTypeBrand: FLUCELVAX 2025-2026; Manufacturer: SEQIRUS; LotNumber: 407000; Route: IM; BodySite: DELTOID; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: BOOSTRIX TD; Manufacturer: GLAXOSMITHKLINE; LotNumber: H4279; Route: IM; BodySite: DELTOID; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: HEPLISAV-B/20MCG/0.5ML; Manufacturer: DYNAVAX TECHNOL; LotNumber: 945663; Route: IM; BodySite: DELTOID; Dose: ; VaxDate: UNKNOWN
More
|
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| 2857293 | 41 | M | KY | 09/08/2025 |
TDAP TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
U8339BA U8339BA |
Abdominal pain upper, Diarrhoea, Full blood count normal, Headache, Metabolic fu...
Abdominal pain upper, Diarrhoea, Full blood count normal, Headache, Metabolic function test normal; Nausea, Vomiting
More
|
Headache, nausea, vomiting, stomach cramping and diarrhea. Treatment in emergency department: IV flu...
Headache, nausea, vomiting, stomach cramping and diarrhea. Treatment in emergency department: IV fluids, zofran, discharge time(18:03)
More
|
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| 2857294 | 4 | F | NH | 09/08/2025 |
MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
Y004115 Z008196 |
Circumstance or information capable of leading to medication error, Underdose; C...
Circumstance or information capable of leading to medication error, Underdose; Circumstance or information capable of leading to medication error, Underdose
More
|
Patients mother was administering vaccine while child was being held, child's hand got loose, h...
Patients mother was administering vaccine while child was being held, child's hand got loose, hitting the mother. It is unclear what vaccine was being administered, the Priorix or the Varivax. The patient received a partial dose of either the Priorix or the Varivax. The RN who was holding the child will be contacting the pharmacist today to verify when the patient can return to receive both the Priorix and the Varivax. Once that timeline is determined, the patient will return to the office to receive both vaccines.
More
|
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| 2857295 | 18 | F | MI | 09/08/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
A5DP7 |
Incorrect dose administered
Incorrect dose administered
|
Patient received an adult/private Hep B immunization while being 18 years old and on Medicaid.
Patient received an adult/private Hep B immunization while being 18 years old and on Medicaid.
|
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| 2857296 | 62 | M | NH | 09/08/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
37F34 37F34 |
Arthralgia, Asthenia, Chills, Fatigue, Gastrointestinal disorder; Headache, Pain...
Arthralgia, Asthenia, Chills, Fatigue, Gastrointestinal disorder; Headache, Pain, Sleep disorder
More
|
Extremely tired, joint pain, body aches, head ache , stomach issues, chills. these have lasted more ...
Extremely tired, joint pain, body aches, head ache , stomach issues, chills. these have lasted more than a week. I still have the extreme tiredness, I wake in the morning and cannot fall back asleep, but don't have the energy to get out of bed.
More
|
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| 2857297 | 17 | F | VA | 09/08/2025 |
MENB MNQ |
PFIZER\WYETH SANOFI PASTEUR |
|
Injection site erythema, Injection site pain, Injection site swelling, Nausea; I...
Injection site erythema, Injection site pain, Injection site swelling, Nausea; Injection site erythema, Injection site pain, Injection site swelling, Nausea
More
|
INJECTION SITE REACTION - ARM RED SWOLLEN AND PAINFUL, NAUSEA
INJECTION SITE REACTION - ARM RED SWOLLEN AND PAINFUL, NAUSEA
|
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| 2857298 | 68 | F | TN | 09/08/2025 |
UNK |
UNKNOWN MANUFACTURER |
Z009075 |
Wrong product administered
Wrong product administered
|
Patient received Proquad instead of MMR
Patient received Proquad instead of MMR
|
||||||
| 2857299 | 57 | M | 09/08/2025 |
UNK |
UNKNOWN MANUFACTURER |
4T93R |
Product storage error
Product storage error
|
VACCINE NOT PROPERLY STORED
VACCINE NOT PROPERLY STORED
|
|||||||
| 2857300 | 36 | M | 09/08/2025 |
UNK |
UNKNOWN MANUFACTURER |
4T93R |
Unevaluable event
Unevaluable event
|
TITER TESTING SCHEDULED
TITER TESTING SCHEDULED
|
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| 2857301 | 23 | M | DC | 09/08/2025 |
COVID19 |
MODERNA |
B0021 |
Product storage error
Product storage error
|
VACCINE NOT PROPERLY STORED; REVACCINATE
VACCINE NOT PROPERLY STORED; REVACCINATE
|
||||||
| 2857302 | 12 | F | TN | 09/08/2025 |
HPV9 MNQ |
MERCK & CO. INC. SANOFI PASTEUR |
Y018297 U8574AA |
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
|
I gave a third dose of HPV vaccine when only 2 doses were needed per our protocol and recommendation...
I gave a third dose of HPV vaccine when only 2 doses were needed per our protocol and recommendations. The vaccine was not pulled over from system 1 to system 2 so the correct amount of doses were not on the system 2 print out and I over looked the number of doses received on the system 1 sheet provided. No treatment needed. Mother was notified.
More
|
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| 2857304 | 54 | F | IN | 09/08/2025 |
COVID19 |
PFIZER\BIONTECH |
NA0587 |
Anxiety, Pruritus
Anxiety, Pruritus
|
Mild itchy and anxiety. No hives, no erythema, no airway compromise, no edema.
Mild itchy and anxiety. No hives, no erythema, no airway compromise, no edema.
|
||||||
| 2857305 | 31 | M | 09/08/2025 |
UNK |
UNKNOWN MANUFACTURER |
2553X |
Product storage error
Product storage error
|
VACCINE NOT PROPERLY STORED
VACCINE NOT PROPERLY STORED
|
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| 2857306 | 47 | F | NY | 09/08/2025 |
FLU3 |
SEQIRUS, INC. |
406981 |
Arthralgia, Mobility decreased, Pain in extremity, Skin warm, Swelling
Arthralgia, Mobility decreased, Pain in extremity, Skin warm, Swelling
|
Severe shoulder and arm pain - difficulty moving arm, swelling and bicep warm to touch
Severe shoulder and arm pain - difficulty moving arm, swelling and bicep warm to touch
|
||||||
| 2857307 | 73 | F | SC | 09/08/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
255t2 |
Neck pain, Pain, Pain in extremity
Neck pain, Pain, Pain in extremity
|
Arm is sore and has remained sore since vaccination on 9/3/25. Soreness has traveled up her neck.
Arm is sore and has remained sore since vaccination on 9/3/25. Soreness has traveled up her neck.
|
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| 2857308 | 62 | F | WA | 09/08/2025 |
PNC20 TDAP |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
LX4482 PG3RP |
Headache, Hypertension, Pain, Pyrexia; Headache, Hypertension, Pain, Pyrexia
Headache, Hypertension, Pain, Pyrexia; Headache, Hypertension, Pain, Pyrexia
|
Patient went to the ER the day after receiving vaccines for complaints of: Headache, body ache, high...
Patient went to the ER the day after receiving vaccines for complaints of: Headache, body ache, high blood pressure and feeling feverish. Per the ER note headache was alleviated with ibuprofen. Outcome was patient was discharged and was told to continue to monitor. Blood pressure readings during visit were as follows. 180/85 ,186/96, and 210/100.
More
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| 2857309 | 50 | F | MO | 09/08/2025 |
IPV |
SANOFI PASTEUR |
Y1d03P1 |
Injection site erythema, Product administered at inappropriate site
Injection site erythema, Product administered at inappropriate site
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Patient presented for a TB Skin test, IPOL was administers in the Left Lower forearm instead of Tube...
Patient presented for a TB Skin test, IPOL was administers in the Left Lower forearm instead of Tuberculin. On 8/27/25 patient denied systemic symptom. There was a non-raised superficial area of mild redness of 1.5 cm x 2 cm at the injection site. No notable texture. Follow up one-week later patient had denied any systemic symptoms and had only minimal redness at the site. No treatment or follow up was needed.
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| 2857310 | 1.25 | M | CA | 09/08/2025 |
DTAP HIBV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
jp227 Z003041 |
Urticaria; Urticaria
Urticaria; Urticaria
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Hives all over the body
Hives all over the body
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| 2857311 | 52 | F | MA | 09/08/2025 |
FLU3 FLU3 PNC21 PNC21 |
SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. |
TFAA2502 TFAA2502 Z005765 Z005765 |
Arthralgia, Fatigue, Injection site reaction, Neck pain, Pain in extremity; Urti...
Arthralgia, Fatigue, Injection site reaction, Neck pain, Pain in extremity; Urticaria; Arthralgia, Fatigue, Injection site reaction, Neck pain, Pain in extremity; Urticaria
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pt says the same night after the vaccine she had extreme pain in her right arm. She woke up with a b...
pt says the same night after the vaccine she had extreme pain in her right arm. She woke up with a big red welp that grew into a band around arm at the injection site. The pain went into her neck, around the shoulder and down her arm. She remains in severe pain and is taking advil and tylenol. She is also using ice and hot packs. She has fatigue along with the pain and has an appt to see a doctor tomorrow.
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| 2857312 | 53 | F | KS | 09/08/2025 |
FLU3 PNC20 RSV |
SANOFI PASTEUR PFIZER\WYETH PFIZER\WYETH |
U8823CA LC5485 LN5487 |
Injection site erythema, Injection site swelling, Injection site warmth, Pain, P...
Injection site erythema, Injection site swelling, Injection site warmth, Pain, Pyrexia; Injection site erythema, Injection site swelling, Injection site warmth, Pain, Pyrexia; Injection site erythema, Injection site swelling, Injection site warmth, Pain, Pyrexia
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Patient came to pharmacy on 9/8/2025 to have me look at her left arm. She states that the day after ...
Patient came to pharmacy on 9/8/2025 to have me look at her left arm. She states that the day after the immunizations she felt okay, the 2nd day she felt very achy and had a low grade fever that she did not track as it did not seem like an issue to her but she was taking ibuprofen and acetaminophen. She states that she has had the Flu shot before with no issues but never an RSV or pneumonia. She states that the symptoms seemed like what she had expected. She states on Saturday (9/6/2025) her arm became very red, warm, and swollen at the injection site. She tried some ice and that helped a bit with the swelling and warmth but she could still notice it was there. She states that she tried some Caladryl cream and some hydrocortisone cream because she was having itching but that neither of those provided relief. She states that Sunday 9/7/2025 she noticed that the redness was traveling down and around her arm toward her elbow. When she presented at the pharmacy 9/8/2025 I looked at her arm and there was redness from the injection site around most of her upper arm and almost to her elbow. It was warm to the touch. I recommended her to see her primary provider and called doctor's office and got her scheduled for an appointment today at 2:15pm. She states that will work for her and she will see her primary this afternoon for evaluation.
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| 2857313 | 12 | M | NY | 09/08/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
U8827AA U8827AA |
Blood glucose normal, Electrocardiogram normal, Fall, Head injury, Loss of consc...
Blood glucose normal, Electrocardiogram normal, Fall, Head injury, Loss of consciousness; Presyncope, Tremor
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Patient came in with 2 months of dry cough; diagnosed Allergic Prescription written for cetirizine a...
Patient came in with 2 months of dry cough; diagnosed Allergic Prescription written for cetirizine and fluticasone nasal for home. vitals: HR 62 Temp 98.1F 43.2kg O2 sat 100%. At visit received flu vaccine at ~3:10pm. Mother with patient went one floor up to her appointment, while waiting at check in desk, patient fell and hit head on metal arm of waiting room chair. Had loss of consciousness and shaking x 2-3 seconds. Emergency response called. vitals BP 95/54 HR 64 RR 18 O2 sat 100% T98.4F. Peds and Peds ER arrived. Appeared pale but answered questions, oriented. Patient transported to ER, where was found to be alert and oriented, not post-ictal; vitals there: BP 114/73 HR 64 T97.9F O2 Sat 100% RR 21. Finger stick glucose was 104. Patient stated that had not eaten or drank anything all day. EKG unremarkable. Observed for few hours and discharged to home at ~6pm with diagnosis likely of vasovagal episode.
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| 2857314 | 37 | F | GA | 09/08/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
3d72s |
Expired product administered, No adverse event
Expired product administered, No adverse event
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This vaccine administered on 9/8/25 had a product expiration date of 9/1/25. No adverse event has be...
This vaccine administered on 9/8/25 had a product expiration date of 9/1/25. No adverse event has been reported by the patient. The patient will be revaccinated in 28 days following CDC guidelines.
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| 2857315 | 58 | M | NJ | 09/08/2025 |
FLU3 |
SEQIRUS, INC. |
406982 |
Arthralgia, Pain, Pain in extremity
Arthralgia, Pain, Pain in extremity
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pt says his arm was hurting after being vaccinated but the following Tuesday the pain was getting wo...
pt says his arm was hurting after being vaccinated but the following Tuesday the pain was getting worse. He has constant throbbing pain that will go from a 3 to an 8. He doesn't have any redness or swelling on the arm at the injection site but the pain has moved up to his shoulder down to his elbow. He contacted the pharmacy and was told take to take ibuprofen about 3 times a day to help with the pain. He has an appointment to his doctor tomorrow.
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