| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2855983 | 10 | F | CA | 08/28/2025 |
COVID19 |
MODERNA |
3046979 |
Incorrect dose administered, No adverse event
Incorrect dose administered, No adverse event
|
Vaccine administration error. Patient was given moderna covid vaccine 12yrs and older instead of the...
Vaccine administration error. Patient was given moderna covid vaccine 12yrs and older instead of the 6 months- 11 years old. Provider was notified and stated that there is no adverse reaction and that it is still FDA approved. Parent was notified and was explained that the child will be okay.
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| 2855984 | 12 | M | PA | 08/28/2025 |
MNP |
GLAXOSMITHKLINE BIOLOGICALS |
GB73Y |
Erythema, Tenderness
Erythema, Tenderness
|
Erythema to left shoulder 9 cm diameter, tender , second day after injection
Erythema to left shoulder 9 cm diameter, tender , second day after injection
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| 2855985 | 26 | M | CA | 08/28/2025 |
COVID19 COVID19 |
JANSSEN JANSSEN |
|
Asthenia, Brain fog, Chest discomfort, Chest pain, Heart rate irregular; Influen...
Asthenia, Brain fog, Chest discomfort, Chest pain, Heart rate irregular; Influenza, Myocarditis, Palpitations
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AT THE TIME OF INJECTION: FLU SYMPTOMS, MYOCARDITIS SYMPTOMS, PALPITATIONS, IRREGULAR HEARTBEAT, CHE...
AT THE TIME OF INJECTION: FLU SYMPTOMS, MYOCARDITIS SYMPTOMS, PALPITATIONS, IRREGULAR HEARTBEAT, CHEST PAIN/TIGHTNESS, BRAIN FOG, LOW ENERGY; PROLONGED SYMPTOMS: MYOCARDITIS SYMPTOMS, PALPITATIONS, IRREGULAR HEARTBEAT, BRAIN FOG, LOW ENERGY
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| 2855986 | 5 | M | MT | 08/28/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
Y020518 |
Extra dose administered
Extra dose administered
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Patient was administered one additional dose of MMR, (total of 4)
Patient was administered one additional dose of MMR, (total of 4)
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| 2855987 | 52 | F | CT | 08/28/2025 |
PNC20 |
PFIZER\WYETH |
LP4948 |
Pharyngeal swelling, Urticaria
Pharyngeal swelling, Urticaria
|
Reaction: hives, throat swelling; went to ED - treated with pepcid, benadryl, decadron; outcome - he...
Reaction: hives, throat swelling; went to ED - treated with pepcid, benadryl, decadron; outcome - hemodynamically stable and cleared for discharge by ED
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| 2855988 | 19 | F | GA | 08/28/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
PX7E2 |
Interchange of vaccine products, No adverse event
Interchange of vaccine products, No adverse event
|
Patient received Trumenba as 1st dose of Men B on 10/28/2022. Bexsero is not interchangeable with Tr...
Patient received Trumenba as 1st dose of Men B on 10/28/2022. Bexsero is not interchangeable with Trumenba. No other reaction noted.
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| 2855989 | 54 | F | FL | 08/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3E27G |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Patient came on 08/27/25 stating she received second dose of shingle dose on 08/25/25 in evening and...
Patient came on 08/27/25 stating she received second dose of shingle dose on 08/25/25 in evening and subsequently developed swelling and redness at site of injection. She stated feeling her shot might have been administered too low on her arm and was concerned about cellulitis
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| 2855990 | 32 | M | TX | 08/28/2025 |
COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
FWO178 FWO178 FWO178 |
Antinuclear antibody negative, Biopsy peripheral nerve, Blood pressure fluctuati...
Antinuclear antibody negative, Biopsy peripheral nerve, Blood pressure fluctuation, Borrelia test negative, Brain fog; Chest X-ray normal, Computerised tomogram head normal, Fatigue, Hyperacusis, Joint swelling; Peripheral swelling, Postural orthostatic tachycardia syndrome, SARS-CoV-2 antibody test positive, Tremor
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Arm, wrist, leg swelling that comes and goes and has persisted to this day. Brain fog, very sensiti...
Arm, wrist, leg swelling that comes and goes and has persisted to this day. Brain fog, very sensitive to noise. very fatigued. Occasional tremors. Fluctation in blood pressure, POTS
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โ | |||||
| 2855991 | 0.5 | M | WI | 08/28/2025 |
DTAPHEPBIP HIBV PNC20 RV5 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
9C295 Y013911 LN4931 2096657 |
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; Inappropriate schedule of product administration, No adverse event
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Patient received dose of Hib vaccine earlier than recommended. No symptoms were observed at the time...
Patient received dose of Hib vaccine earlier than recommended. No symptoms were observed at the time.
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| 2855992 | 65 | F | TX | 08/28/2025 |
FLU3 PNC20 |
SEQIRUS, INC. PFIZER\WYETH |
407242 LJ5283 |
Cellulitis, Erythema, Pruritus; Cellulitis, Erythema, Pruritus
Cellulitis, Erythema, Pruritus; Cellulitis, Erythema, Pruritus
|
Patient received a Fluad and Prevnar shot on August 23rd. She returned today to get an antibiotic th...
Patient received a Fluad and Prevnar shot on August 23rd. She returned today to get an antibiotic that her doctor sent in. He said she probably has cellulitis. Her arm was red and she said it was itchy.
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| 2855993 | 52 | F | FL | 08/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
nr4t5 |
Erythema, Skin infection, Skin warm, Urticaria
Erythema, Skin infection, Skin warm, Urticaria
|
Patient had large red and warm welt on arm below the deltoid that did not get better with benadryl. ...
Patient had large red and warm welt on arm below the deltoid that did not get better with benadryl. The patient went to the ER on 8/28 where she was given Bactrim DS for a diagnosed skin infection.
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| 2855994 | 8 | F | CO | 08/28/2025 |
DTAP |
SANOFI PASTEUR |
3CA11C1 |
Product administered to patient of inappropriate age, Wrong product administered
Product administered to patient of inappropriate age, Wrong product administered
|
Wrong vaccine for age TDaP vs DTaP
Wrong vaccine for age TDaP vs DTaP
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| 2855995 | 63 | F | AL | 08/28/2025 |
PNC20 |
PFIZER\WYETH |
lx4482 |
Injection site erythema, Injection site swelling, Rash
Injection site erythema, Injection site swelling, Rash
|
Red swelling area at injection site with a rash leading up to the neck; patient's PCP is handli...
Red swelling area at injection site with a rash leading up to the neck; patient's PCP is handling treatment
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| 2855996 | 7 | M | CT | 08/28/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
FH4YR |
Cellulitis, Injection site pain, Injection site pruritus, Injection site swellin...
Cellulitis, Injection site pain, Injection site pruritus, Injection site swelling, Local reaction
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Swollen left upper arm extending from shoulder top all the way down to elbow. Itchy and painful.
Swollen left upper arm extending from shoulder top all the way down to elbow. Itchy and painful.
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| 2856002 | M | IN | 08/28/2025 |
MMRV MMRV |
MERCK & CO. INC. MERCK & CO. INC. |
Z003309 |
No adverse event, Product storage error; No adverse event, Product storage error
No adverse event, Product storage error; No adverse event, Product storage error
|
No additional AE/PQC.; HCP called to report TE occurring on 8/21/2025 for VARIVAX and PROQUAD. PROQU...
No additional AE/PQC.; HCP called to report TE occurring on 8/21/2025 for VARIVAX and PROQUAD. PROQUAD was administered after the TE on 8/22/2025. No additional AE/PQC. PROQUAD Lot Z003309, exp 7/21/2026 Prior: (-12.6C) for 2 hours, 31 minutes, 0 seconds Current excursi; This spontaneous report was received from other health professional and refers to a male patient of unknown age. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On an unknown date of 2025, the patient was vaccinated with Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD), lot #Z003309, expiration date: 21-Jul-2026, reconstituted with sterile diluent (Hollister-Stier STERILE DILUENT) administered for prophylaxis (dose, route of administration and anatomical site of injection were not provided). The vaccine was administered after a temperature excursion which occurred on 22-Aug-2025. A prior excursion occurred at a temperature of -12.6๏ฟฝC for 2 hours, 31 minutes, and 0 seconds, and a current excursion at a temperature of -15.6๏ฟฝC for 1 hour, 3 minutes, and 0 seconds (Product storage error). No additional adverse event was reported (No adverse event).
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| 2856003 | 45 | M | OH | 08/28/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
4mg3e |
Product preparation issue
Product preparation issue
|
received only the sterile water component; received only the sterile water component; This non-serio...
received only the sterile water component; received only the sterile water component; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of inappropriate preparation of medication in a 45-year-old male patient who received MMR (Priorix) (batch number 4mg3e, expiry date 01-DEC-2026) for prophylaxis. On 08-AUG-2025, the patient received Priorix (intramuscular, left arm). On 08-AUG-2025, an unknown time after receiving Priorix, the patient experienced inappropriate preparation of medication (Verbatim: received only the sterile water component) and inappropriate dose of vaccine administered (Verbatim: received only the sterile water component). The outcome of the inappropriate preparation of medication and inappropriate dose of vaccine administered were not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 11-AUG-2025 The pharmacist mentioned that a patient received only the sterile water component of which led to inappropriate preparation of medication and inappropriate dose of vaccine administered
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| 2856004 | M | NY | 08/28/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Incomplete course of vaccination
Incomplete course of vaccination
|
A patient received 1st dose of Twinrix in February and did not came back to the second dose.; This n...
A patient received 1st dose of Twinrix in February and did not came back to the second dose.; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of incomplete course of vaccination in a adult male patient who received HAB (Twinrix) for prophylaxis. Previously administered products included Twinrix (first dose of Twinrix in February 2025). The patient did not receive the 2nd dose of Twinrix. The patient experienced incomplete course of vaccination (Verbatim: A patient received 1st dose of Twinrix in February and did not came back to the second dose.). The outcome of the incomplete course of vaccination was not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 06-AUG-2025 Pharmacist called to report that an adult male patient got the first dose of Twinrix in February 2025 but he did not receive the second dose one month later. Till the time of reporting, the patient did not receive 2nd dose of Twinrix, which led to incomplete course of vaccination.
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| 2856005 | 0.17 | M | CA | 08/28/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK342AA |
No adverse event, Product preparation issue
No adverse event, Product preparation issue
|
only administered with the dtap-ipv component as it was not reconstituted with the dtap-ipv componen...
only administered with the dtap-ipv component as it was not reconstituted with the dtap-ipv component with the hib powder component before administration with no reported adverse event; Initial information received on 25-Aug-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 2 months old male patient who was only administered with the dtap-ipv component of Diphtheria/Tetanus/5 Hybrid Ac Pertussis/Ipv(Vero)/Hib(Prp/T) Vaccine [Pentacel (Vero)] as it was not reconstituted with the dtap-ipv component with the hib powder component before administration with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included Rotavirus vaccine live reassort oral 5v (Rotateq) and Pneumococcal vaccine conj 20v (CRM197) (Prevnar 20) for Immunisation. On 21-Aug-2025, the patient received 0.5mL of suspect Diphtheria/Tetanus/5 Hybrid Ac Pertussis/Ipv(Vero)/Hib(Prp/T) Vaccine,Powder and suspension for suspension for injection (lot UK342AA, expiry date 31-AUG-2026; strength not reported) via intramuscular route in the left thigh and only administered with the dtap-ipv component as it was not reconstituted with the dtap-ipv component with the hib powder component before administration with no reported adverse event (single component of a two-component product administered) (latency same day). Reportedly, they inquired on behalf of the doctor if Hib portion can be administered alone or should the entire Pentacel dose be repeated. Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2856006 | FL | 08/28/2025 |
HIBV |
SANOFI PASTEUR |
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No adverse event, Product preparation issue
No adverse event, Product preparation issue
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administered the solution portion of the vaccine and not the powder with no reported adverse event; ...
administered the solution portion of the vaccine and not the powder with no reported adverse event; Initial information received on 26-Aug-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves an unknown age and unknown gender patient who experienced administered the solution portion of the vaccine and not the powder with no reported adverse event while receiving vaccine HIB (PRP/T) VACCINE [ACT-HIB]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 22-Aug-2025, the patient received an unknown dose of suspect HIB (PRP/T) Vaccine, Powder and solvent for solution for injection (lot number, expiry date and strength not reported) via unknown route in unknown administration site for Immunisation and administered the solution portion of the vaccine and not the powder with no reported adverse event (single component of a two-component product administered) (latency same day). Reportedly, she said that it was only the 0.4% sodium chloride diluent that was administered and the powder was not mixed with it and wanted to know if the solution will have adverse effects to the patient. Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2856007 | NY | 08/28/2025 |
TDAP |
SANOFI PASTEUR |
U8122AA |
No adverse event, Product storage error
No adverse event, Product storage error
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temperature excursion: adacel was administered afterwards with no reported adverse event; Initial in...
temperature excursion: adacel was administered afterwards with no reported adverse event; Initial information received on 26-Aug-2025 regarding an unsolicited valid non-serious case received from a physician. This case involves a patient with unknown age and gender who was administered to Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine [Adacel] and there was temperature excursion: negative disposition with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received an unknown dose of suspect Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine (lot U8122AA, expiry date 30-Apr-2026 and U8366AA, expiry date : 31-Jan-2027, strength not reported) via unknown route in unknown administration site for prophylactic vaccination (Immunisation) and was administered afterwards with no reported adverse event (poor quality product administered) (latency same day). Reportedly, the temperature reached as a low of 31.9F for 2 hours & 18 mins and 46.9F for an hour due to someone changing the temperature range of the fridge. There was no previous excursion. Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2856008 | PA | 08/28/2025 |
HIBV |
SANOFI PASTEUR |
UK210AA |
No adverse event, Product preparation error
No adverse event, Product preparation error
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staff member may have given the ACTHIB with sterile water instead of the diluent, with no reported a...
staff member may have given the ACTHIB with sterile water instead of the diluent, with no reported adverse event; Initial information received on 27-Aug-2025 regarding an unsolicited valid non-serious case received from a nurse. This case involves an unknown age and unknown gender patient who received HIB (PRP/T) vaccine [ACT-HIB] With sterile water instead of the diluent, with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received unknown dose of suspect HIB (PRP/T) vaccine Powder and solvent for solution for injection (Unknown strength) with lot UK210AA and expiry date 28-FEB-2026 via unknown route in unknown administration site for Immunization With sterile water instead of the diluent, with no reported adverse event (product preparation error) (Latency same day) Reportedly, Reporter stated that 1 of the 4 people that they administered ACTHIB to, was given that vaccine. reported that at the time of this call they are not sure if the ACTHIB was prepared and given; that they are looking into the charts to see if a possible medication error took place; that something may have happened to the ACTHIB powder vial and not used or another reason that the diluent was left alone. Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2856009 | 1.33 | F | MI | 08/28/2025 |
DTAP HEPA HIBV IPV MMR PNC20 VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. SANOFI PASTEUR MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
5KR3R 3255P Y007178 Y1A201M Y013172 LN4931 Y020586 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event
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Child's parents offered but declined a 4th dose of Pentacel, requesting that Hib and Dtap be ad...
Child's parents offered but declined a 4th dose of Pentacel, requesting that Hib and Dtap be administered separately to avoid the extra dose of polio. An extra dose of polio was administered in error, as a separate injection. Parents notified of error. Child observed for 15 minutes- no adverse effects noted.
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| 2856010 | 66 | F | SC | 08/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
75D3A |
Injection site discomfort, Injection site pain
Injection site discomfort, Injection site pain
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Painful and tender to touch in the upper right arm. This started after receiving the vaccine and has...
Painful and tender to touch in the upper right arm. This started after receiving the vaccine and has persisted since that day, 5/17/25. It has been 102 days (as of today, 8/28/25) since I got the vaccine, and I still experience discomfort and pain.
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| 2856011 | 59 | M | FL | 08/28/2025 |
COVID19 |
MODERNA |
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Acoustic stimulation tests, Computerised tomogram, Tinnitus
Acoustic stimulation tests, Computerised tomogram, Tinnitus
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Ringing in left ear began roughly 3 months after the second moderna vaccine shot. Currently a consta...
Ringing in left ear began roughly 3 months after the second moderna vaccine shot. Currently a constant ringing in both ears daily, non stop. Never had ringing in the ears prior to vaccine.
More
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| 2856012 | 73 | M | NC | 08/28/2025 |
PNC21 |
MERCK & CO. INC. |
Y019157 |
Erythema, Pruritus
Erythema, Pruritus
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patients has multiple red areas on right arm and they are itching, patient has taken two 25mg diph...
patients has multiple red areas on right arm and they are itching, patient has taken two 25mg diphenhydramine tablets and a famotidine
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| 2856013 | 73 | F | NC | 08/28/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
K73J3 |
Immediate post-injection reaction, Injection site bruising, Injection site haema...
Immediate post-injection reaction, Injection site bruising, Injection site haematoma, Injection site haemorrhage, Injection site swelling
More
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Patient developed a hematoma immediately after vaccination of Arexvy in the left arm. Patient had b...
Patient developed a hematoma immediately after vaccination of Arexvy in the left arm. Patient had bleeding and slight bruising to the area of the vaccination site in deltoid region. Bleeding stopped after one minute. Skin around area was raised in diameter around one inch. Patient's arm was cleaned with cotton ball and a standard bandage was applied.
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| 2856014 | 0.17 | M | MI | 08/28/2025 |
DTAPHEPBIP HIBV PNC20 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
9C295 Y2DX4 LN4932 |
Cyanosis, Infantile apnoea, Intensive care, Oxygen saturation decreased, Resusci...
Cyanosis, Infantile apnoea, Intensive care, Oxygen saturation decreased, Resuscitation; Cyanosis, Infantile apnoea, Intensive care, Oxygen saturation decreased, Resuscitation; Cyanosis, Infantile apnoea, Intensive care, Oxygen saturation decreased, Resuscitation
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Infant was apneic, cyanotic, with no respiratory effort. Oxygen saturation was recorded at 11% at th...
Infant was apneic, cyanotic, with no respiratory effort. Oxygen saturation was recorded at 11% at the lowest, heart rate 30 beats per minute. Infant required resuscitation with positive pressure ventilation, brief chest compressions for 30 seconds, and suctioning. Event lasted 6 minutes. Infant recovered, was returned to previous respiratory support of 2L 21% hiflo nasal cannula and monitored closely in the NICU overnight.
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| 2856021 | 67 | F | DC | 08/28/2025 |
COVID19 FLU3 RSV |
PFIZER\BIONTECH SANOFI PASTEUR PFIZER\WYETH |
ME6072 U8830CA LN5492 |
Anaphylactic reaction, Swollen tongue, Throat tightness; Anaphylactic reaction, ...
Anaphylactic reaction, Swollen tongue, Throat tightness; Anaphylactic reaction, Swollen tongue, Throat tightness; Anaphylactic reaction, Swollen tongue, Throat tightness
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PROPERLY ADMINISTERED FLUZONE HD, ABRYSVO, AND COMIRNATY TO PATIENT ON 8/27/25 AT 1:15PM AND PATIENT...
PROPERLY ADMINISTERED FLUZONE HD, ABRYSVO, AND COMIRNATY TO PATIENT ON 8/27/25 AT 1:15PM AND PATIENT CALLED BACK AFTER 6:00PM TO COMPLAIN OF ANAPHYLACTIC LIKE REACTION : TONGUE SWELLING UP AND THROAT CLOSING IN. TOLD PATIENT TO HEAD TO ER. PATIENT WAS FINE ON 8/28/25
More
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| 2856022 | 72 | F | NJ | 08/28/2025 |
FLU3 PNC21 |
SEQIRUS, INC. MERCK & CO. INC. |
407242 Z002626 |
Limb mass, Pruritus, Urticaria; Limb mass, Pruritus, Urticaria
Limb mass, Pruritus, Urticaria; Limb mass, Pruritus, Urticaria
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Patient reported a small itchy lump that started on arm. When she presented to the pharmacy her arm ...
Patient reported a small itchy lump that started on arm. When she presented to the pharmacy her arm looked like one large hive and patient stated she was very itchy. She was going to be seen by her physician the next day so wanted record of the vaccines she received. She showed me the mark and wanted me to report it.
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| 2856023 | 64 | F | OR | 08/28/2025 |
COVID19 |
PFIZER\BIONTECH |
ME6072 |
Headache, Musculoskeletal stiffness, Neck pain, X-ray normal
Headache, Musculoskeletal stiffness, Neck pain, X-ray normal
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Constant Headache (Waves), Stiff Neck (Constant) -- Symptoms appeared within 1 hour. Similar to p...
Constant Headache (Waves), Stiff Neck (Constant) -- Symptoms appeared within 1 hour. Similar to pain on back of neck.
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| 2856024 | 59 | M | CA | 08/28/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
N733B |
Extra dose administered
Extra dose administered
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Medical Assistant administered vaccine without provider's order. Patient had already received 2...
Medical Assistant administered vaccine without provider's order. Patient had already received 2 full doses of the vaccine.
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| 2856025 | 45 | F | CO | 08/28/2025 |
PNC13 |
PFIZER\WYETH |
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Rash, Rash papular, Skin warm
Rash, Rash papular, Skin warm
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raised hot rash across the entire upper arm
raised hot rash across the entire upper arm
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| 2856026 | 72 | F | TN | 08/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
gj952 |
Hypersensitivity, Pruritus, Urticaria
Hypersensitivity, Pruritus, Urticaria
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pt reported a few hours after vaccination hives and itching, hives were present on stomach, back, ar...
pt reported a few hours after vaccination hives and itching, hives were present on stomach, back, arm and neck or injection site, no fever or trouble breathing.
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| 2856027 | 71 | F | FL | 08/28/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
u8764db u8764db |
Erythema, Eye swelling, Pain of skin, Pruritus, Skin swelling; Urticaria
Erythema, Eye swelling, Pain of skin, Pruritus, Skin swelling; Urticaria
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a little less than two days after vaccine pt started with hives on forehead into scalp and down the ...
a little less than two days after vaccine pt started with hives on forehead into scalp and down the side of her cheek. Hives were red, raised, itchy and painful. One sided eye swelling. pt is using hydrocortisone cream. vitals are ok
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| 2856028 | 73 | F | AL | 08/28/2025 |
PNC20 |
PFIZER\WYETH |
LN4927 |
Extra dose administered
Extra dose administered
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Pt received pneumonia vaccine a second time 1st time 07/31/2023 - at (withheld pharmacy name) as wel...
Pt received pneumonia vaccine a second time 1st time 07/31/2023 - at (withheld pharmacy name) as well, records only go back 2 years at the store level and this was not on (state system) imprint when we checked- reporting that next - pt requested the vaccine.
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| 2856029 | 45 | F | WA | 08/28/2025 |
TDAP VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
9jt4s 23ah3 |
Contusion, Erythema, Injection site pain, Pruritus; Contusion, Erythema, Injecti...
Contusion, Erythema, Injection site pain, Pruritus; Contusion, Erythema, Injection site pain, Pruritus
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pt reports red, bruising, and itchiness for 8 days following vaccination and extreme pain in injecti...
pt reports red, bruising, and itchiness for 8 days following vaccination and extreme pain in injection site
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| 2856030 | 36 | M | NC | 08/28/2025 |
HPV9 |
MERCK & CO. INC. |
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Arthralgia, Pain, Sleep disorder
Arthralgia, Pain, Sleep disorder
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Constant throbbing and intense shoulder pain constantly throughout the day and delays me from fallin...
Constant throbbing and intense shoulder pain constantly throughout the day and delays me from falling asleep on a regular basis
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| 2856041 | 15 | M | NE | 08/28/2025 |
MENB MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
G334J DL4YY |
Inappropriate schedule of product administration; Inappropriate schedule of prod...
Inappropriate schedule of product administration; Inappropriate schedule of product administration
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None Vaccines were not to be given until Age 16
None Vaccines were not to be given until Age 16
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| 2855735 | TX | 08/27/2025 |
UNK VARCEL |
UNKNOWN MANUFACTURER MERCK & CO. INC. |
Y008282 X023323 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event
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No additional AEs were reported; Medical assistant reported that a patient received two doses of VAR...
No additional AEs were reported; Medical assistant reported that a patient received two doses of VARIVAX on the same day. First dose was (lot y008282, exp 10/21/2025) and second dose was (lot x023323, exp 9/20/2025). No additional AEs were reported, no further information provi; This spontaneous report was received from a medical assistant and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 01-AUG-2025, the patient was vaccinated with the first dose of Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD), (valid lot #Y008282, expiration date: 21-Oct-2025) for prophylaxis. The vaccine was reconscitiuted with sterile diluent (lot # and expiration date was not provided). On 01-AUG-2025, the patient was vaccinated with the first dose of Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX), (lot #X023323, expiration date: 20-Sep-2025) for prophylaxis. The vaccine was reconscitiuted with sterile diluent (lot # and expiration date was not provided) (overdose). No additional adverse events (AEs) were reported. This case was considered as invalid due to lack of patient's identifiers.
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| 2855736 | VA | 08/27/2025 |
HPV9 |
MERCK & CO. INC. |
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Extra dose administered, No adverse event
Extra dose administered, No adverse event
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patient received a dose of GARDASIL 9 on 5/15/2025 and is in the pharmacy to receive the another dos...
patient received a dose of GARDASIL 9 on 5/15/2025 and is in the pharmacy to receive the another dose today/pharmacist mentioned that patient might have already received unspecified number of doses outside of recommended schedule in the past; No additional AEs were reported; This spontaneous report was received from a pharmacist concerning a patient of unspecified age and gender. The patient's medical history, concurrent conditions, concomitant therapies and drug reactions/allergies were not reported. On 15-May-2025, the patient was vaccinated with Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9), 1 dosage form (dosage regimen, anatomical location, route of administration, batch/lot # and expiration date were not reported) administered as prophylaxis. It was reported that on 08-Aug-2025 (reported as "today"), the patient was in the pharmacy to receive another dose. The pharmacist mentioned that this patient might have already received unspecified number of doses outside of recommended schedule in the past (inappropriate schedule of product administration). The pharmacist did not have the detailed vaccination record for this patient. No additional adverse events (AEs) were reported (no adverse event). No further information was provided. Batch/lot# is being requested and will be submitted if received.
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| 2855737 | 12 | F | 08/27/2025 |
HPV9 HPV9 HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
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Acne, Blood test, Fatigue, Hormone analysis, Ovarian failure; Weight decreased; ...
Acne, Blood test, Fatigue, Hormone analysis, Ovarian failure; Weight decreased; Acne, Blood test, Fatigue, Hormone analysis, Ovarian failure; Weight decreased
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the patient has also lost a lot of weight; has developed a lot of acne; is very fatigued; the patien...
the patient has also lost a lot of weight; has developed a lot of acne; is very fatigued; the patient was diagnosed with "Primary Ovarian Insufficiency''; patient received her first dosage of GARDASIL 9 in 2020, and then her second dosage was administered in 2022; This spontaneous report was received from a consumer concerning her daughter as a 17-year-old female patient. The patient's medical history, concurrent conditions, concomitant therapies and drug reactions/allergies were not reported. On unspecified date in 2020, the patient was vaccinated with the 1st dose of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9), 0.5 mL administered by intramuscular (IM) route as prophylaxis (anatomical location, batch/lot # and expiration date were not reported). Then, on unspecified date in 2022, the patient was vaccinated with the 2nd dose of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9), 0.5 mL administered by IM route as prophylaxis (anatomical location, batch/lot # and expiration date were not reported) (inappropriate schedule of product administration). Reporter confirmed that the patient did not receive the 3-dose series of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9.) On unspecified date in June 2025, the patient was diagnosed with primary ovarian insufficiency (ovarian failure). Reporter stated that this had been occurring for "a long time", but the patient's health care professional (HCP) finally diagnosed it. Also, on unspecified date (s) the patient had lost a lot of weight (weight decreased), developed a lot of acne, and was very fatigued (fatigue). Unspecified hormone tests and bloodwork were performed (results were not provided), There were no other symptoms or side effects reported by the patient's mother. At the reporting time, the patient had not recovered from the events and was receiving hormone replacement treatment. The causal relationship between ovarian failure, weight decreased, acne, fatigue and Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9) was not provided. Additional information was not expected.
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| 2855738 | 27 | F | IN | 08/27/2025 |
PPV |
MERCK & CO. INC. |
Y016291 |
Arrhythmia, Injected limb mobility decreased, Injection site oedema, Pain in ext...
Arrhythmia, Injected limb mobility decreased, Injection site oedema, Pain in extremity
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patient was evaluated at an urgent care clinic on 06/05/2025 with arrythmia, edema at the injection ...
patient was evaluated at an urgent care clinic on 06/05/2025 with arrythmia, edema at the injection site, and arm soreness to the point the patient could not lift their arm.; patient was evaluated at an urgent care clinic on 06/05/2025 with arrythmia, edema at the injection site, and arm soreness to the point the patient could not lift their arm.; patient was evaluated at an urgent care clinic on 06/05/2025 with arrythmia, edema at the injection site, and arm soreness to the point the patient could not lift their arm.; patient was evaluated at an urgent care clinic on 06/05/2025 with arrythmia, edema at the injection site, and arm soreness to the point the patient could not lift their arm.; This spontaneous report was received from an Office manager and refers to a 27-year-old female patient. The patient's concurrent conditions, medical history, previous drug reactions, drug allergies and concomitant therapies were reported as none. On 03-Jun-2025, the patient was vaccinated with Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23) SYRINGE 0.5 mL administered by Intramuscular route, lot # Y016291 has been verified to be valid, expiration date reported as 31-DEC-2026 but upon internal validation established as 06-DEC-2026, given for Low IG level ๏ฟฝ vaccination [Immunoglobulins decreased (Considered as concurrent condition)]. On 05-Jun-2025, the patient was evaluated at an urgent care clinic on with arrythmia, edema at the injection site (Vaccination site edema), and arm soreness (Vaccination site pain) to the point the patient could not lift their arm (Injected limb mobility decreased). Unspecified treatment was given for the adverse events and on an unspecified date in 2025, the patient recovered from all the events. The causal relationship between all the events and Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23) SYRINGE was not reported. Upon internal review, the event of arrythmia was considered medically significant. This is one of four reports from the same reporter.
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| 2855740 | SC | 08/27/2025 |
PNC21 |
MERCK & CO. INC. |
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No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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No additional AEs were reported,; Field employee called to report an AE on behalf of a nurse. The n...
No additional AEs were reported,; Field employee called to report an AE on behalf of a nurse. The nurse told the field employee that a 4 year old patient was administered with CAPVAXIVE. Date rep learned of AE confirmed to be 08/20/2025. No additional AEs were reported, no further; This spontaneous report was received from a Registered Nurse 21-Aug-2025 and refers to a 4-year-old patient of unknown gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 20-Aug-2025, the was vaccinated with Pneumococcal 21-valent Conjugate Vaccine (CAPVAXIVE) 1 dosage form (1 dose), (dose, dose number, lot # and expiration date were not reported) for prophylaxis (Product administered to patient of inappropriate age). No additional adverse events were reported. Lot # will be requested and will be submitted if received.
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| 2855741 | NJ | 08/27/2025 |
DTPPVHBHPB |
MSP VACCINE COMPANY |
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Extra dose administered, Inappropriate schedule of product administration
Extra dose administered, Inappropriate schedule of product administration
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Inappropriate schedule of product administration; accidentally received a 4th dose of VAXELIS; This ...
Inappropriate schedule of product administration; accidentally received a 4th dose of VAXELIS; This non-serious spontaneous safety report, with reference number 02806767, was received by the partner on 16-MAY-2025 and forwarded to agency on 19-MAY-2025, from an other health professional. Due to the nature of the events, the causality between the events "Extra dose administered and Inappropriate schedule of product administration" and Vaxelis was not applicable. Further information is expected.
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| 2855749 | 9 | M | WA | 08/27/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
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Chills, Decreased appetite, Fatigue, Oropharyngeal pain, Pain in extremity; Pyre...
Chills, Decreased appetite, Fatigue, Oropharyngeal pain, Pain in extremity; Pyrexia, Tonsillitis, Vomiting
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High fever, chills, tonsillitis, soar throat, vomitting, loss of appetite, fatigue, & leg pain. ...
High fever, chills, tonsillitis, soar throat, vomitting, loss of appetite, fatigue, & leg pain. Symptoms started Monday evening when we were getting ready for bed. Fever & chills went on for three days every 5 hours. The fever slightly decreased on day 3 but he was still getting chills. Vomitting started on Wednesday (day 2.) He had no appetite the days he was sick and was only able to drink fluids. These symptoms stopped on Thursday but he was afraid to become sick again and has had anxiety ever since. The doctors office had told me this vaccine was required for school and I wasn t provided any information about it. After researching online I read it was given at ages 11-13 not sure why it was given so early to my child. If they would have explained to me I would have said no and waited until he was older. Please also note no one in our family was sick or contracted what he had, this was the most concerning part. According to the urgent care doctors it was a virus. The question is HOW did he contract that virus if he was perfectly fine. He has also never had a reaction this severe to a vaccine.
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| 2855750 | 19 | F | 08/27/2025 |
TYP YF |
SANOFI PASTEUR SANOFI PASTEUR |
X1A261M UK134AA |
Injection site erythema, Injection site urticaria; Injection site erythema, Inje...
Injection site erythema, Injection site urticaria; Injection site erythema, Injection site urticaria
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ERYTHEMA AND URTICARIA OF APPROX 14CM DIAMETER TO SITE OF VACCINATION (LEFT ARM). FULL RESOLUTION OF...
ERYTHEMA AND URTICARIA OF APPROX 14CM DIAMETER TO SITE OF VACCINATION (LEFT ARM). FULL RESOLUTION OF SYMPTOMS AFTER TAKING 25MG OF DIPHENHYDRAMINE AND 650MG OF APAP.
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| 2855752 | CA | 08/27/2025 |
MMR |
MERCK & CO. INC. |
X019101 |
Expired product administered, No adverse event
Expired product administered, No adverse event
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No effects reported. No additional AE; HBP calling to report an expired dose of MMR II was inadverte...
No effects reported. No additional AE; HBP calling to report an expired dose of MMR II was inadvertently administered to a patient. HBP reports the MMR II had expired on 07/16/2025 and was administered to the patient on 07/25/2025. Confirmed no TE. No effects reported. No additional AE/No; This spontaneous report was received from the Office Manager and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not provided. On 25-Jul-2025, the patient was vaccinated with Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II), (lot #X019101, expiration date: 16-Jul-2025) administered by unknown route as prophylaxis (Expired product administered). The vaccine was reconstituted with sterile diluent (lot # and expiration date were not provided). No additional adverse events. At the reporting time, the outcome of the events was unknown. The action taken with the suspect vaccine was not applicable.
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| 2855753 | 63 | F | FL | 08/27/2025 |
TDAP VARZOS |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
4CA04C1 332L4 |
Rash; Rash
Rash; Rash
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Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: Other:
Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: Other:
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| 2855779 | F | IN | 08/27/2025 |
PPV |
MERCK & CO. INC. |
Y016291 |
Hypoaesthesia, Mobility decreased, Pain in extremity, Peripheral swelling
Hypoaesthesia, Mobility decreased, Pain in extremity, Peripheral swelling
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Pain in arm; their whole arm was in pain, hurting, and swollen; their fingers were numb; they could ...
Pain in arm; their whole arm was in pain, hurting, and swollen; their fingers were numb; they could not lift their arm; This spontaneous report was received from the Office Manager and refers to a female patient of unknown age. The patient's medical history, concurrent conditions and concomitant therapies were not provided. On 31-Jul-2025, the patient was vaccinated with Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX23) injection (lot #Y016291, expiration date: 06-Dec-2026) 0.5 mL, administered by intramuscular route as a vaccine due to IG levels low. On an unspecified dates in 2025, the patient's whole arm was in pain, hurting, and swollen, she could not lift her arm, her fingers were numb, and that it was the most (severe) pain that she ever experienced. She sought medical attention. It was told to her to ice the arm and to take ibuprofen. On an unspecified dates in 2025, the patient recovered from all of the events. The action taken with Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX23) was not applicable. The causal relationship between the events and the suspect vaccine was not provided (it was also reported that "the facility had 4 patients who reported adverse issues related to the suspect vaccine", but it was not clear whose assessment it was, and then as "an additional AE related to this case", discrepancy). This is one of 4 reports from the same reporter.
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| 2855780 | 20 | 08/27/2025 |
HEP |
MERCK & CO. INC. |
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No adverse event, Underdose
No adverse event, Underdose
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Caller did not report any side effects; Caller called to report that they received a pediatric dose ...
Caller did not report any side effects; Caller called to report that they received a pediatric dose of RECOMBIVAX on 7/13 and they are 20 years old. Caller stated that for them to go to store to get an adult dose on 8/15. Caller did not report any side effects. Permission to contact HCP was; This spontaneous report was received from a 20-year-old consumer referring to themself. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 13-Jul-2025, the patient was vaccinated with a pediatric dose of Hepatitis B Vaccine (Recombinant) (RECOMBIVAX HB), dose number 1, (lot # and expiration date were not reported) for prophylaxis (underdose). No adverse event was reported.
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