๐Ÿฅ VAERS Vaccine Data Browser

๐Ÿ”’ Privacy & Data Disclaimer

About This Site

This is a public data browser for the Vaccine Adverse Event Reporting System (VAERS). By using this site, you acknowledge and agree to the following:

Data Source & Accuracy

  • Public Data: All data displayed comes from the publicly available VAERS database maintained by the CDC and FDA.
  • No Verification: VAERS accepts all reports without verifying medical accuracy. Reports do not prove causation between vaccines and adverse events.
  • Anyone Can Report: Healthcare providers, patients, family members, and anyone else can submit reports to VAERS.
  • Research Purpose: This data is for transparency, research, and monitoring vaccine safety signals only.

Your Privacy

  • No Personal Data Collection: This site does not collect, store, or track any personal information about visitors.
  • No Cookies: We do not use cookies except for remembering that you've seen this disclaimer (stored locally in your browser).
  • No Analytics: We do not use Google Analytics or any other tracking services.
  • Search Privacy: Your searches and filters are not logged or stored on our servers.
  • Public Data Only: The VAERS data shown here is already public and contains no personally identifiable information.

Medical Disclaimer

  • Not Medical Advice: This tool is for informational purposes only and does not provide medical advice.
  • Consult Healthcare Providers: Always consult qualified healthcare professionals for medical decisions.
  • No Liability: We are not responsible for decisions made based on this data.

Data Interpretation

  • The presence of a report does not mean the vaccine caused the adverse event.
  • Coincidental events are often reported (e.g., a heart attack that happened to occur after vaccination).
  • Serious adverse events must be reported by law, even if unrelated to the vaccine.
  • The database is useful for detecting safety signals that require further investigation.

๐Ÿ“– Help & Search Guide

Column Icons Legend

๐Ÿ’€ Death
๐Ÿฅ Hospitalized
๐Ÿš‘ Emergency Room
โ™ฟ Disability
โš ๏ธ Life Threatening

How to Search

๐Ÿ’ก Search Tips:
  • Select Year: Choose a specific year OR "All Years" to search across all data
  • All Years requires filters: When searching all years, you must select at least one filter (lot number, vaccine type, outcome, etc.) for performance
  • Lot number tracking: Use "All Years" + Lot Number to track lots across multiple years
  • Combine filters: Use multiple filters together to narrow results (e.g., Age + Vaccine Type + Death)
  • VAERS ID: Search for specific report by ID number
  • Age: Enter exact age (e.g., 25) or decimal (e.g., 0.5 for 6 months)
  • State: Enter 2-letter state code (e.g., CA, NY, TX)
  • Vaccine Type: Search partial names (e.g., "COVID19", "FLU", "HPV")
  • Manufacturer: Search by company (e.g., "PFIZER", "MODERNA")
  • Lot Number: Search specific vaccine lot (works great with "All Years")
  • Symptoms: Search for any symptom keyword (e.g., "fever", "rash")
  • Death/Hospitalized: Filter to only show cases with these outcomes

Understanding the Data

  • Reports are unverified: VAERS accepts all reports without medical verification
  • Not proof of causation: A report does not mean the vaccine caused the event
  • Anyone can report: Healthcare providers, patients, and family members can submit reports
  • Multiple vaccines: One report may list multiple vaccines given at the same time
  • Blank fields: Not all fields are required, so some data may be missing

Using the Table

  • Sort columns: Click column headers (ID, Age, Sex, Date, Died) to sort
  • Expand text: Click "More" to see full narrative or symptom text
  • Navigate pages: Use pagination controls at top and bottom of table
  • Export results: Click "๐Ÿ“ฅ Export CSV" to download filtered data (max 10,000 records)

๐Ÿ’ก Frequently Asked Questions (FAQ)

What is this site?

๐Ÿฅ VAERS Vaccine Data Browser is an independent, third-party data browser for publicly available VAERS (Vaccine Adverse Event Reporting System) data.

Important: This site is NOT affiliated with, endorsed by, or operated by the CDC, FDA, or any government agency. We are an independent service that makes public VAERS data easier to search and analyze.

What is VAERS?

VAERS (Vaccine Adverse Event Reporting System) is a national early warning system established in 1990 to detect possible safety problems with vaccines. It's co-managed by the CDC (Centers for Disease Control and Prevention) and FDA (Food and Drug Administration).

VAERS accepts and analyzes reports of adverse events (possible side effects) after a person has received a vaccination.

Official VAERS website: vaers.hhs.gov

Is this data HIPAA compliant?

Yes, absolutely. All VAERS data displayed here is:

  • Publicly available - Published by the CDC/FDA on their official website
  • De-identified - Contains no personally identifiable information (names, addresses, contact info removed)
  • Legally accessible - Available to researchers, media, and the general public under FOIA (Freedom of Information Act)
  • Not protected health information - Once de-identified and published by the government, it's no longer covered by HIPAA restrictions

This site displays the same public data available at vaers.hhs.gov/data.

Why does this site exist?

We believe in transparency and public access to health data. While the CDC/FDA provide VAERS data, their official site:

  • Is difficult to search and filter
  • Requires downloading large CSV files and technical knowledge
  • Is not user-friendly for the average person

This independent site makes the same publicly available data easier to search, filter, and understand for researchers, journalists, healthcare workers, and concerned citizens.

Where does the data come from?

All data is downloaded directly from the official CDC/FDA VAERS website at vaers.hhs.gov/data.

The data is:

  • Publicly released by the CDC/FDA every week
  • Available as downloadable CSV files
  • Imported into this site's database for easier searching
  • Displayed exactly as provided (no modifications or filtering)

This site does not collect, modify, or add to the official VAERS data.

My vaccine lot number matches one with deaths/serious events - should I be worried?

Important context:

  • VAERS reports do NOT prove causation - A report means an event occurred after vaccination, but doesn't mean the vaccine caused it
  • Anyone can report - Reports are not verified for medical accuracy before being published
  • Coincidences happen - When millions of people get vaccinated, some will experience unrelated medical events afterward
  • Large lot numbers - Popular vaccines may have hundreds of thousands of doses from one lot number
  • More vaccinations = more reports - Lots used widely will naturally have more reports

What to do:

  • Don't panic - VAERS data requires expert analysis to interpret
  • Talk to your doctor if you have concerns
  • Check official CDC/FDA safety communications for genuine safety signals
  • Remember: billions of vaccine doses have been safely administered

Can I trust VAERS data?

VAERS is valuable but has limitations:

Strengths:

  • โœ… Early warning system for potential safety signals
  • โœ… Open and transparent - publicly accessible
  • โœ… Accepts all reports regardless of likelihood of causation
  • โœ… Monitored by CDC/FDA experts who investigate concerning patterns

Limitations:

  • โš ๏ธ Reports are unverified - not investigated before publication
  • โš ๏ธ Cannot determine if vaccine caused the event
  • โš ๏ธ Underreporting - not all adverse events are reported
  • โš ๏ธ Overreporting - coincidental events may be reported
  • โš ๏ธ Incomplete data - not all fields are required

Bottom line: VAERS is an important tool for safety monitoring, but individual reports should not be used as proof that a vaccine caused harm.

What are "adverse events"?

An adverse event is any undesirable health occurrence that happens after vaccination, including:

  • Common reactions: Sore arm, mild fever, fatigue (usually expected)
  • Serious events: Hospitalization, disability, life-threatening illness, death
  • Coincidental events: Medical conditions that would have occurred anyway

Important: An adverse event doesn't mean the vaccine caused it - only that it occurred after vaccination. Many reported events are coincidental or unrelated.

Why are some lot numbers listed multiple times?

This is normal and expected! A person may receive multiple doses of the same vaccine from the same lot number:

  • COVID vaccines require 2-3 doses
  • HPV, Hepatitis B, and other vaccines have multi-dose schedules
  • Each dose is recorded as a separate entry

Example: Person receives Pfizer COVID dose 1 (lot ABC123) and dose 2 (lot ABC123) - lot ABC123 appears twice in their report.

How often is this data updated?

The CDC/FDA releases new VAERS data every Friday. This site is typically updated:

  • Weekly or bi-weekly for recent data
  • Check the available years to see what data is currently loaded
  • During updates, the site may be in maintenance mode temporarily

Where can I learn more?

โš ๏ธ DISCLAIMER: This data is from the Vaccine Adverse Event Reporting System (VAERS). Reports do not establish causation between vaccines and adverse events. Anyone can submit a report, and reports are not verified. This is raw data for transparency and research purposes only.
34,052
Total Reports (2025)
500
Deaths Reported
1,634
Hospitalizations
30
ER Visits
1,191
Disabilities
570
Life Threatening
๐Ÿ”„ Reset ๐Ÿ“ฅ Export CSV
ID Age Sex State Date โ–ผ Onset Days Vaccine Manufacturer Lot # Symptoms Narrative ๐Ÿ’€ ๐Ÿฅ ๐Ÿš‘ โ™ฟ โš ๏ธ
2854918 54 F 08/20/2025 COVID19
MODERNA

Depressed mood, Feeling abnormal, Pyrexia, Tremor Depressed mood, Feeling abnormal, Pyrexia, Tremor
shaking; felt awful and didn't get out of bed; pretty down; feeling feverish; This spontaneous ... shaking; felt awful and didn't get out of bed; pretty down; feeling feverish; This spontaneous case was reported by a pharmacist and describes the occurrence of TREMOR (shaking), FEELING ABNORMAL (felt awful and didn't get out of bed), DEPRESSED MOOD (pretty down) and PYREXIA (feeling feverish) in a 54-year-old female patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis. Concurrent medical conditions included Pulmonary disorder. In September 2024, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) 1 dosage form. In 2024, the patient experienced TREMOR (shaking), FEELING ABNORMAL (felt awful and didn't get out of bed), DEPRESSED MOOD (pretty down) and PYREXIA (feeling feverish). In 2024, TREMOR (shaking), FEELING ABNORMAL (felt awful and didn't get out of bed), DEPRESSED MOOD (pretty down) and PYREXIA (feeling feverish) had resolved. For mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use), the reporter did not provide any causality assessments. No concomitant medication was reported. The patient not had other vaccines within the past 4 weeks. The patient was felt feverish, shaky and pretty down for 17 hours. She felt awful and didn't get out of bed but then was back normal. It was unknown if the patient experienced any additional symptoms or events. No treatment medication was reported. More
2854919 64 F TX 08/20/2025 COVID19
COVID19
COVID19
PFIZER\BIONTECH
PFIZER\BIONTECH
PFIZER\BIONTECH
EW0162
EW0162
EW0162
Abdominal neoplasm, Biopsy, Biopsy lung, Borrelia test, Colonoscopy; HIV test, L... Abdominal neoplasm, Biopsy, Biopsy lung, Borrelia test, Colonoscopy; HIV test, Limb mass, Lymphadenopathy, Lymphoma, Neoplasm; Polyp, Positron emission tomogram, Pulmonary mass, Skin discolouration More
have a dark color/On the back side of left thigh it has been dark since the front one was surgically... have a dark color/On the back side of left thigh it has been dark since the front one was surgically removed; two polyps; same lump in the left side left lung; several very large lumps +6 inches diameter/lump on left thigh, on backside and frontside; few large lumps like 6 inch in diameter/third one is on right side, lower rib cage; few large lumps like 6 inch in diameter/Fourth one is in middle of spine, on her back; few large lumps like 6 inch in diameter that were now into lymph node areas; lymphoma; This is a spontaneous report and received from Consumer or other non HCPs from medical information team, Program ID. A 64-year-old female patient received BNT162b2 (BNT162B2), on 09Apr2021 as dose 2, single (Lot number: EW0162) at the age of 64 years for covid-19 immunisation. The patient's relevant medical history included: "Penicillin allergy" (unspecified if ongoing); "Nickel allergy" (unspecified if ongoing); "Cholesterol" (unspecified if ongoing); "thyroid" (unspecified if ongoing); "allergies/Allergy" (unspecified if ongoing); "bones" (unspecified if ongoing). Concomitant medication(s) included: SIMVASTATIN oral taken for blood cholesterol abnormal, stop date: 2023; LEVOTHYROXIN oral taken for thyroid disorder, stop date: 2023; MONTELUKAST oral taken for drug hypersensitivity, stop date: 2023; CETIRIZINE oral taken for drug hypersensitivity (ongoing); IBANDRONATE SODIUM oral taken for bone disorder, stop date: 2023. Vaccination history included: BNT162b2 (Dose 1, lot number: EN6204, left arm), administration date: 18Mar2021, when the patient was 64-year-old, for Covid-19 immunization. At the end of Apr2021, the patient experienced lumps that were not painful at first and now they were painful. She have several very large lumps +6 inches diameter following receiving the Pfizer covid vaccine. She had few large lumps like 6 inch in diameter that were now into lymph node areas. They have a dark color and now have burning pain. They are also located on backside of left thigh, hamstring. The next one is on left side of the left thigh. Third one is on right side, lower rib cage. Fourth one is in middle of spine, on her back. She also had, two previous ones on left leg front side of thigh lump and these were biopsied and surgically removed. One had two punch biopsied and one surgically removed. On the back side of left thigh, it has been dark since the front one was surgically removed. The patient also have same lump in the left side left lung. She can no longer sleep on her right side. These were burning pain in large lump. As per patient's husband, this seems this is a very serious issue. She has never had lumps before. This was all after the covid shot. She saw the doctor about the lumps in May2022 or Jun2022. She was then sent to her the surgeon in Jun2022 who did original bunch biopsy on one of the lumps. It was inconclusive. She was then sent to a dermatologist who did the second punch biopsy on the same lump. Those results were inconclusive. She was then sent to oncology and oncology ordered the Pet Scan. As a result of the Pet Scan, she was sent to a surgeon who surgically removed the entire second lump on 25Jan2023. The lump was sent and came back like it was lymphoma, or looks like lymphoma. This was during the holiday period of 2022 into 2023. She went through hell for a month and a half waiting for results. Then she got results back like it was not lymphoma, but they do not know what it is. She was sent back to her physician. The patient underwent the following laboratory tests and procedures: Biopsy: (2022) inconclusive, notes: two punch bunch biopsy - the first one was done at a clinic. They could not make heads or tails out of it. Clarified, statement as, he was not sure of the results, said had indications of lymphoma; (Jun2022) inconclusive, notes: two punch bunch biopsy - the first one was done at a clinic. They could not make heads or tails out of it. Clarified, statement as, he was not sure of the results, said had indications of lymphoma; Biopsy lung: (unspecified date) Unknown results; Borrelia test: (09May2023) negative; Colonoscopy: (21Dec2022) Unknown results; HIV test: (unspecified date) Unknown results; Positron emission tomogram: (08Dec2022) was lit up. On 21Dec2022, patient had removed two polyps. Patient mentioned has a lot of paperwork regarding testing that has occurred. Her doctor was going to send her to a place where test for communicable diseases. They've been to six different physicians and nothing. They have been referring the patient to different physicians and neither one knew what it was. They have run her through so many different test, biopsies, and they scared the mess out of her thinking she had lymphoma. They do not know what it was. After all the test done, they still did not know what it was, what to test for, or what to do. She was told certainly she was not the only one that has these lumps. The patient would like to know what to do or any information about these lumps. Recently, she has been having pain. The lumps were not painful at first. It was just an ugly eye sore. However, now within the last two weeks lumps are painful. The lump on right now, the lump on right rib cage, it is big now. She can no longer tolerate pressure on it. When sleeping, she cannot turn on that side to sleep. It is very painful. After 2.5 years will go ahead and made appointment with doctor will be seeing her doctor on 27Aug2025 at 15:30. Outcome of the darkened skin and polyp was unknown while of the remaining events was not recovered. More
2854920 M 08/20/2025 COVID19
PFIZER\BIONTECH

COVID-19, Drug ineffective, SARS-CoV-2 test COVID-19, Drug ineffective, SARS-CoV-2 test
tested positive for the covid spike protein which is very high; tested positive for the covid spike ... tested positive for the covid spike protein which is very high; tested positive for the covid spike protein which is very high; This is a spontaneous report received from a Consumer or other non HCP from medical information team. A male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "tested positive for the covid spike protein which is very high". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: Positive. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained. More
2854921 67 F SC 08/20/2025 COVID19
PFIZER\BIONTECH

COVID-19, SARS-CoV-2 test COVID-19, SARS-CoV-2 test
came down with COVID/had the flu or something/at home tests, and they both came back positive, and t... came down with COVID/had the flu or something/at home tests, and they both came back positive, and then I had the razor blade sensation in my throat; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A 67-year-old female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 09Aug2025 as dose 1, single (Batch/Lot number: unknown) at the age of 67 years for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Comirnaty (Primary DOSE SERIES complete (had the Pfizer vaccine in the past and never had a problem)), for COVID-19 immunization, reaction(s): "No adverse reaction ". The following information was reported: COVID-19 (non-serious) with onset 12Aug2025, outcome "unknown", described as "came down with COVID/had the flu or something/at home tests, and they both came back positive, and then I had the razor blade sensation in my throat". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of covid-19. Clinical course: During an inbound call for additional information regarding eligibility, the patient stated, I was calling regarding a conversation that I had last Friday with a representative from Pfizer regarding the Paxlovid antiviral medication. Later, she stated she received the COVID booster on August 9, and on August 12, this past Tuesday, I came down with COVID. So I was kind of shocked to have that happen to me because I had the Pfizer vaccine in the past and never had a problem. This is the first time I've had COVID ever after confirming she had the booster and then came down with COVID, she stated, "Yeah. 3 days later, she came down with COVID, the Nimbus variant. I was kind of shocked. I thought maybe I had the flu or something, but then I did 2 at home tests, and they both came back positive, and then I had the razor blade sensation in my throat. The severe sore throat, and I looked up the information online, and they said there was a variation called the Nimbus variant. Have you ever heard of anybody getting COVID after they had the vaccine. Later, she stated, she have received like many Pfizer vaccines over the years, and she was totally in shock that 3 days later, after she got the current booster shot, she came down with COVID. So she was not expecting that at all. The information on the batch/lot number for BNT162b2 omicron (kp.2), BNT162b2 will be requested and submitted if and when received. More
2854922 F 08/20/2025 COVID19
PFIZER\BIONTECH

Asthma, Cerebral infarction, Cerebrovascular accident, Pain in extremity Asthma, Cerebral infarction, Cerebrovascular accident, Pain in extremity
multiple strokes; inoperable brain blockage; asthma; a bit of arm pain after vaccines; This is a spo... multiple strokes; inoperable brain blockage; asthma; a bit of arm pain after vaccines; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Covid 19 vaccine (has had multiple doses of the Covid 19 Vaccine every 6 months for a couple of years. Unknown dose number, Unknown manufacturer.), for Covid-19 immunization. The following information was reported: CEREBROVASCULAR ACCIDENT (medically significant), outcome "not recovered", described as "multiple strokes"; CEREBRAL INFARCTION (medically significant), outcome "not recovered", described as "inoperable brain blockage"; ASTHMA (non-serious), outcome "not recovered"; PAIN IN EXTREMITY (non-serious), outcome "not recovered", described as "a bit of arm pain after vaccines". Therapeutic measures were taken as a result of cerebrovascular accident, cerebral infarction, asthma. Clinical information: On 18Aug2025, it was reported that caller stated patient had multiple strokes, had an inoperable brain blockage and asthma. Patient was taking multiple medications for her conditions and has had multiple doses of the Covid 19 Vaccine every 6 months for a couple of years, caller indicated a bit of arm pain after vaccines. Created AE due to existing conditions as well as interaction with other medications. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.; Sender's Comments: The events Stroke and Brain infarction are considered unrelated to the suspect drug, as it is explained by an alternative mechanism unrelated to the pharmacological action of the drug. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate More
2854932 F VA 08/20/2025 COVID19
PFIZER\BIONTECH

Influenza like illness, Lymphadenopathy Influenza like illness, Lymphadenopathy
Generic flu like symptoms; lymph node enlargement; This is a spontaneous report received from an Oth... Generic flu like symptoms; lymph node enlargement; This is a spontaneous report received from an Other HCP. A female patient received BNT162b2 (BNT162B2), in 2022 as dose 2, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE), administration date: 2021, for COVID-19 Immunization, reaction(s): "Generic flu like symptoms", "lymph node enlargement". The following information was reported: INFLUENZA LIKE ILLNESS (non-serious), outcome "unknown", described as "Generic flu like symptoms"; LYMPHADENOPATHY (non-serious), outcome "unknown", described as "lymph node enlargement". Additional Information: Clarified today, 18Aug2025, is day caller made aware of adverse events. Clarified, there were 2 different side effects. Lymph node enlargement: When caller asked when this side effect started, caller states, there were 2 side effects, reporter was saying to caller, that would usually occur every time she got Covid vaccine, back in 2021, 2022, 2023. That is what reporter is guessing. This occurred when getting 2 dose primary series, occurring both with first and second doses. The lymph node enlargement required her to get a mammogram, and lasted about 6 months. Generic flu like symptoms: Clarified second side effect as, just generic flu like symptoms, lasted about 4 days. The information on the batch/lot number for BNT162b2 will be requested and submitted if and when received. More
2854933 M 08/20/2025 COVID19
PFIZER\BIONTECH

COVID-19, Drug ineffective COVID-19, Drug ineffective
he got Covid after getting the Covid-19 vaccine 2 weeks ago; he got Covid after getting the Covid-19... he got Covid after getting the Covid-19 vaccine 2 weeks ago; he got Covid after getting the Covid-19 vaccine 2 weeks ago; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), in Aug2025 as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset Aug2025, outcome "unknown" and all described as "he got Covid after getting the Covid-19 vaccine 2 weeks ago". No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained. More
2854934 11 F SD 08/20/2025 MNQ
TDAP
NOVARTIS VACCINES AND DIAGNOSTICS
GLAXOSMITHKLINE BIOLOGICALS
LN75D
CX4HL
Blindness, Dizziness, Hyperhidrosis, Hyperventilation, Syncope; Blindness, Dizzi... Blindness, Dizziness, Hyperhidrosis, Hyperventilation, Syncope; Blindness, Dizziness, Hyperhidrosis, Hyperventilation, Syncope More
Within one minute after receiving the shot child complained she could not see, became diaphoretic, h... Within one minute after receiving the shot child complained she could not see, became diaphoretic, hyperventilating and fainted. She revived within 15 seconds when nurse pulled her up in the chair but continued to report she could not see. She was placed on the ground with her legs elevated, vitals were started and she reported she could see again. I clarified the visual disturbance appeared that when she became light headed, her vision went gray then she fainted. This child's sibling who is 2 years older has fainting syndrome. Vitals stabilized, she was moved to a siting position then placed back in the chair. She became dizzy with each position change but stabilized before the next position change. After 20 minutes of stability she was allowed to leave with her parent. This family has no Primary Care Provider, No report was sent for that reason. I contacted the parent that night, mom reported child was doing well. I contacted mom again on 8/1/25 mom again responded child is doing well, I confirmed they had no PCP, I encouraged her to go to urgent care or the ER if she had concerns regarding the child from this incident. This was possibly a fainting syndrome reaction. More
2854935 60 M PA 08/20/2025 FLU3
GLAXOSMITHKLINE BIOLOGICALS
3F7A5
Electrocardiogram normal, Fatigue, Musculoskeletal chest pain, Pain Electrocardiogram normal, Fatigue, Musculoskeletal chest pain, Pain
PATIENT RECEIVED VACCINE FRIDAY AFTERNOON. AT TIME OF VACCINE AND PRIOR PHONE CALL HE SEEMED NERVOUS... PATIENT RECEIVED VACCINE FRIDAY AFTERNOON. AT TIME OF VACCINE AND PRIOR PHONE CALL HE SEEMED NERVOUS ABOUT POTENTIAL SIDE EFFECTS BECAUSE HE HAD EXTREMELY SORE ARM AFTER RSV. WE HAD THE OPINION THAT HE MAY HAVE BEEN MENTALLY COMPROMISED DUE TO SPEECH AND BEHAVIOR. HE SAID HE FELT FINE FRIDAY BUT WOKE UP SATURDAY FEELING LOUSY(TIRED, ACHEY AND HAD CHEST PAIN) IN SPEAKING WITH ER THEY NOTED FLU VACCINE ADMINISTERED BUT DID NOT LINK CHESTWALL PAIN SPECIFICALLY TO FLU VACCINE. PATIENT HAS RECEIVED ANNUAL FLU SHOTS FOR MULTIPLE YEARS More
2854936 0.67 M CA 08/20/2025 DTPPVHBHPB
MMR
PNC20
VARCEL
MSP VACCINE COMPANY
MERCK & CO. INC.
PFIZER\WYETH
MERCK & CO. INC.
U7829AA
Y011709
MF0425
Z004245
No adverse event, Wrong product administered; No adverse event, Wrong product ad... No adverse event, Wrong product administered; No adverse event, Wrong product administered; No adverse event, Wrong product administered; No adverse event, Wrong product administered More
No adverse events, Reporting wrong vaccines administered. No adverse events, Reporting wrong vaccines administered.
2854937 77 F MO 08/20/2025 RSV
TDAP
VARZOS
GLAXOSMITHKLINE BIOLOGICALS
GLAXOSMITHKLINE BIOLOGICALS
GLAXOSMITHKLINE BIOLOGICALS
934fz
37r35
55kbp
Vaccination site bruising; Vaccination site bruising; Vaccination site bruising Vaccination site bruising; Vaccination site bruising; Vaccination site bruising
Patient self reports bruising of vaccination site on left deltoid 08/20/25. Patient self reports bruising of vaccination site on left deltoid 08/20/25.
2854938 78 M GA 08/20/2025 FLU3
UNK
SANOFI PASTEUR
UNKNOWN MANUFACTURER
u8800aa
y019158
Erythema; Erythema Erythema; Erythema
patient came into pharmacy and showed us that his lower arm was red. it wasnt itchy, swollen, or hot... patient came into pharmacy and showed us that his lower arm was red. it wasnt itchy, swollen, or hot to the touch though. he wondered if the redness couldve been caused by the vaccines. the pharmacist said to take a bendaryl or use benadryl cream if it became itchy or swollen and to contact his doctor. More
2854939 11 M AR 08/20/2025 TDAP
GLAXOSMITHKLINE BIOLOGICALS
XN575
Rash maculo-papular Rash maculo-papular
Diffuse maculopapular rash on entire body; no medical management as what not particularly bothersome... Diffuse maculopapular rash on entire body; no medical management as what not particularly bothersome to patient. Rash began 24 hours after injection and has persisted from 4-5 days following. Rash does seem to be improving. More
2854940 51 F CA 08/20/2025 HEP
HEP
TDAP
TDAP
DYNAVAX TECHNOLOGIES CORPORATION
DYNAVAX TECHNOLOGIES CORPORATION
SANOFI PASTEUR
SANOFI PASTEUR
946907
946907
U8503AA
U8503AA
Arthralgia, Injection site bruising, Injection site discolouration, Injection si... Arthralgia, Injection site bruising, Injection site discolouration, Injection site erythema, Injection site pruritus; Injection site swelling, Injection site warmth, Rash, Soft tissue infection; Arthralgia, Injection site bruising, Injection site discolouration, Injection site erythema, Injection site pruritus; Injection site swelling, Injection site warmth, Rash, Soft tissue infection More
Edema Patient stated, her right deltoid has been swollen, red and itchy. These symptoms developed ... Edema Patient stated, her right deltoid has been swollen, red and itchy. These symptoms developed 8/16/2025 after she received the Tdap and Hep B. Tdap given in the right deltoid. patient noting shoulder pain since getting two vaccines, noting heat, skin color changes with redness and bruising, admits some itching of injection site. Patient states there is a circular rash encompassing the entire shoulder. She denies fever, denies pain with movement, admits pain when sleeping on the arm. Patient experiencing soft tissue infection after vaccine administration. Prescription of sulfamethoxazole-trimethoprim 800-160 mg sent to patient pharmacy . Patient has f/u scheduled 8/26/25 More
2854942 27 M AZ 08/20/2025 FLU3
GLAXOSMITHKLINE BIOLOGICALS
2ng23
Syncope Syncope
I gave the tetanus shot in the left arm and then proceeded to administer the flu shot in the Right a... I gave the tetanus shot in the left arm and then proceeded to administer the flu shot in the Right arm. After injecting the flu shot, the patient said" I think you hit a nerve" He fainted. In 2 minutes, he woke up. I gave him orange juice, and water and an ice pack for his neck because he warm to the touch. More
2854943 68 F FL 08/20/2025 PNC20
PFIZER\WYETH

Extra dose administered Extra dose administered
Vaccine was given after patient had already had vaccination on 10/07/2023 Vaccine was given after patient had already had vaccination on 10/07/2023
2854944 59 M TX 08/20/2025 VARZOS
GLAXOSMITHKLINE BIOLOGICALS
p5f7t
Extra dose administered Extra dose administered
patient unknowingly received third dose for shingles vaccine patient unknowingly received third dose for shingles vaccine
2854945 12 F NC 08/20/2025 HPV9
MNQ
TDAP
MERCK & CO. INC.
SANOFI PASTEUR
GLAXOSMITHKLINE BIOLOGICALS
Y013818
U8573AA
U8252AA
Asthenia, Dizziness, Headache, Loss of consciousness, Pallor; Asthenia, Dizzines... Asthenia, Dizziness, Headache, Loss of consciousness, Pallor; Asthenia, Dizziness, Headache, Loss of consciousness, Pallor; Asthenia, Dizziness, Headache, Loss of consciousness, Pallor More
After giving vaccines around 3 pm, the patient sat for about 5-10 minutes, but when got up to leave ... After giving vaccines around 3 pm, the patient sat for about 5-10 minutes, but when got up to leave when she started to pass out when mom and sister caught her and lowered her to the floor. On assessment, the patient had passed out but then regained consciousness and was pale, weak, and reported dizziness/headache. Mom reports the patient did not eat since breakfast and that she didn't eat much for breakfast. See the following for notes on the patient's care: -3:10 pm: BP- 86/58, HR 53, RR 16, O2 98% on RA, A&Ox3 but unaware of where she is. -3:15 pm: blood sugar in clinic 174 -3:25 pm: 24 gauge IV started on left AC. 500 mL's of fluids started when ended at 4:00 pm. Patient a&o x 4, weak and pale -3:30 pm: BP 99/66, HR 64, 100% on RA, RR 18 -3:45 pm: BP 107/71, HR 65, 100% on RA, RR 18 -4:00 pm: BP 114/77, HR 80, 100% on RA, RR 18, patient sitting up, feeling better, a&o x 4. Fluids finished. -4:10 pm: BP 106/72, HR 78, 100% on RA, RR 18, patient sitting up, chatting with cousin, A&O x 4. NAD noted. Safe for discharge at this time. This provider walked the patient to the car, the patient tolerated well w/o dizziness. Instructed patient to eat when she gets home and to rest. Return to clinic if new symptoms develop or if symptoms worsen tonight, go to ER. More
2854946 37 M NY 08/20/2025 TYP
SANOFI PASTEUR

Arthralgia, Arthritis reactive, Joint swelling Arthralgia, Arthritis reactive, Joint swelling
Reactive arthritis (pain and swelling in right knee) Reactive arthritis (pain and swelling in right knee)
2854947 82 M NV 08/20/2025 RSV
GLAXOSMITHKLINE BIOLOGICALS
K73J3
Extra dose administered Extra dose administered
GAVE PATIENT RSV SHOT AND IT WAS DISCOVERED PATIENT GOT RSV IN 9/2023 GAVE PATIENT RSV SHOT AND IT WAS DISCOVERED PATIENT GOT RSV IN 9/2023
2854646 0.75 F NC 08/19/2025 IPV
SANOFI PASTEUR
X1C891M
Exposure via breast milk Exposure via breast milk
administered 0.1ml of ipol intradermally rather than intramuscularly to a nursing mother with no rep... administered 0.1ml of ipol intradermally rather than intramuscularly to a nursing mother with no reported ae; Initial information received on 13-Aug-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 9-month-old female patient and is reported administered 0.1ml of IPV (VERO) [IPOL] intradermally rather than intramuscularly to a nursing mother with no reported ae (adverse event). The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the nursing patient received a 0.1 ml dose of suspect IPV (VERO) Suspension for injection of lot X1C891M and expiry date: 31-Oct-2026 via intradermally rather than intramuscularly in unknown administration site for Immunization with no reported ae (exposure via breast milk) (latency: on same day). Reportedly, HCP mentioned that she is unsure if the mother is nursed after getting the IPOL. She is inquiring about the side effects, reactions, and adverse events that they should watch out for and the effects to the child of a nursing mother administered with IPOL. Action taken was not applicable. More
2854647 NY 08/19/2025 IPV
UNKNOWN MANUFACTURER

Extra dose administered, No adverse event Extra dose administered, No adverse event
patient was given 2 doses of ipv with no reported ae; Initial information received on 15-Aug-2025 re... patient was given 2 doses of ipv with no reported ae; Initial information received on 15-Aug-2025 regarding an unsolicited valid non-serious case received from a nurse. This case involves an unknown age and unknown gender patient who was given 2 doses of Poliomyelitis Vaccine (Inactivated) 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 Diphtheria Vaccine Toxoid, Hib Vaccine Conj, Pertussis Vaccine Acellular 3-Component, Polio Vaccine Inact 3v (Vero), Tetanus Vaccine Toxoid (Pediacel) for Immunisation. On an unknown date, the patient received 2DF (dosage form) of suspect Poliomyelitis Vaccine (Inactivated), produced by unknown manufacturer, (unknown formulation, strength and expiry date) lot number not reported via unknown route in unknown administration site, with no reported adverse event (extra dose administered) (latency Same day). Information regarding batch number corresponding to the one at time of event occurrence is requested. Reportedly, Nurse calling for a patient that received extra doses of IPV. Patient was first given Pediacel then was given 2 doses of IPV. 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. More
2854658 27 F CA 08/19/2025 COVID19
PFIZER\BIONTECH

Arthralgia, Bone pain, Butterfly rash, Lymphadenopathy, Systemic lupus erythemat... Arthralgia, Bone pain, Butterfly rash, Lymphadenopathy, Systemic lupus erythematosus More
At time of second vaccination in January 2021, I had extreme bone pain in forearms, thigh bones, and... At time of second vaccination in January 2021, I had extreme bone pain in forearms, thigh bones, and hips. My lymph nodes later enlarged and stayed swollen for months. About 1 year later I developed severe joint pain in multiple joints with a red butterfly rash. 5 years later and I have been diagnosed with SLE. More
2854663 44 M 08/19/2025 TDAP
UNKNOWN MANUFACTURER
H4279
Pain in extremity, Swelling Pain in extremity, Swelling
Sore arm; Swelling; This non-serious case was reported by a other health professional and described ... Sore arm; Swelling; This non-serious case was reported by a other health professional and described the occurrence of pain in arm in a 44-year-old male patient who received DTPa (Reduced antigen) (dTpa vaccine) (batch number H4279) for prophylaxis. On 21-JUL-2025, the patient received dTpa vaccine (intramuscular) .5 ml. On 21-JUL-2025, less than a day after receiving dTpa vaccine, the patient experienced pain in arm (Verbatim: Sore arm) and swelling (Verbatim: Swelling). The outcome of the pain in arm and swelling were not resolved. It was unknown if the reporter considered the pain in arm and swelling to be related to dTpa vaccine. It was unknown if the company considered the pain in arm and swelling to be related to dTpa vaccine. Additional Information: GSK Receipt Date: 08-AUG-2025 The patient experienced sore arm and swelling. The adverse events were treated. On 08-AUG-2025 the adverse events were ongoing. More
2854664 3 M 08/19/2025 DTAP
GLAXOSMITHKLINE BIOLOGICALS
5H773
Expired product administered Expired product administered
Expired dose administered; This non-serious case was reported by a other health professional via ca... Expired dose administered; This non-serious case was reported by a other health professional via call center representative and described the occurrence of expired vaccine used in a 3-year-old male patient who received DTPa (Infanrix) (batch number 5H773, expiry date 13-JUL-2025) for prophylaxis. On 31-JUL-2025, the patient received Infanrix. On 31-JUL-2025, an unknown time after receiving Infanrix, the patient experienced expired vaccine used (Verbatim: Expired dose administered). The outcome of the expired vaccine used 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: 04-AUG-2025 A patient received a dose of Infanrix that had expired back in 13-Jul-2025 which led to expired vaccine used. The dose was given to patient on 31-Jul-2025 No further details provided. More
2854665 30 F 08/19/2025 TDAP
SANOFI PASTEUR
48620AA
No adverse event, Product storage error No adverse event, Product storage error
patient received ADACEL which was exposed to temperature excursion because fridge temperature was ou... patient received ADACEL which was exposed to temperature excursion because fridge temperature was out of range with no reported adverse event; Initial information received on 06-Aug-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 30 years old female patient who received DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] which was exposed to temperature excursion because fridge temperature was out of range 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 DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE Suspension for injection (strength, dose unknown) lot 48620AA expiry date-31-Aug-2027 via unknown route in unknown administration site for Prophylactic vaccination (Immunisation) which was exposed to temperature excursion because fridge temperature was out of range with no reported adverse event (poor quality product administered) (same day latency). Action taken-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. More
2854666 44 MO 08/19/2025 UNK
UNKNOWN MANUFACTURER

Exposure to communicable disease, No adverse event, Off label use Exposure to communicable disease, No adverse event, Off label use
Intentional Off Label Prescription by HCP: Imovax prescribed with off label diagnosis for Contact wi... Intentional Off Label Prescription by HCP: Imovax prescribed with off label diagnosis for Contact with and suspected exposure to unspecified communicable disease, with no reported adverse event; Initial information received on 13-Aug-2025 regarding an unsolicited valid non-serious case received from a physician. This case involves a 44 years old and unknown gender patient who was prescribed Ipv (Vero) [Imovax] with off label diagnosis for contact with and suspected exposure to unspecified communicable disease, with no reported adverse event while receiving vaccine. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient was prescribed 1DF (dosage form) of suspect IPV (Vero), Powder for solution for injection, (Frequency 4 times) (unknown strength and expiry date) lot number not reported via intramuscular route in unknown administration site for Contact with and (suspected) exposure to unspecified communicable (Exposure to communicable disease), with no reported adverse event (off label use). Action taken was not applicable. More
2854667 29 F IN 08/19/2025 TDAP
SANOFI PASTEUR
48620AA
Product storage error Product storage error
patient received ADACEL which was exposed to temperature excursion because fridge temperature was ou... patient received ADACEL which was exposed to temperature excursion because fridge temperature was out of range with no reported adverse event; Initial information received on 22-Jul-2025 regarding an unsolicited valid non-serious case received from a other health professional, this case become valid on 06-AUG-2025. This case was linked to US-SA-2025SA238019 (cluster case) This case involves a 29 years old female patient (157 cm and 105.23 kg) who received Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine [Adacel] which was exposed to temperature excursion because fridge temperature was out of range 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, Suspension for injection, lot 48620AA and expiry date 31-Aug-2027 via unknown route in unknown administration site for prophylactic vaccination (immunisation), which was exposed to temperature excursion because fridge temperature was out of range with no reported adverse event (poor quality product administered). 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. Additional information was received on 06-Aug-2025 from Other Health Professional: Case was upgraded from non-valid to valid and patient information was added, batch lot and expiry date added, event verbatim updated, narrative amended accordingly.; Sender's Comments: US-SA-2025SA238019: More
2854668 56 F NC 08/19/2025 YF
SANOFI PASTEUR
UK117AA
Rash erythematous, Rash papular Rash erythematous, Rash papular
mild, raised, red area about 5 cm x 3.5 cm in size; mild, raised, red area about 5 cm x 3.5 cm in si... mild, raised, red area about 5 cm x 3.5 cm in size; mild, raised, red area about 5 cm x 3.5 cm in size; Initial information received on 13-Aug-2025 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 56 years old female patient who had mild, raised, red area about 5 cm x 3.5 cm in size after receiving Yellow Fever Vaccine - [YF-VAX]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 06-Aug-2025, the patient received 0.5 ml dose of suspect Yellow Fever Vaccine - Solution for injection, lot UK117AA, expiry date:30-Sep-2025, strength: standard, frequency: once, via subcutaneous route in the right upper arm for immunisation. On 06-Aug-2025 the patient had mild, raised, red area about 5 cm x 3.5 cm in size (vaccination site swelling) (vaccination site erythema) (latency: same day). Reportedly, The area was not tender. The patient does not feel badly. Action taken was not applicable. It was not reported if the patient received a corrective treatment for both the events. At time of reporting, the outcome was Unknown for both the events. More
2854669 11 F TN 08/19/2025 DTAP
SANOFI PASTEUR
2CA77C1
No adverse event, Product administered to patient of inappropriate age No adverse event, Product administered to patient of inappropriate age
DAPTACEL was administered to an 11 years 11 months patient by accident with no reported adverse even... DAPTACEL was administered to an 11 years 11 months patient by accident with no reported adverse event; Initial information received on 13-Aug-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 11 years and 11 months old female patient who received Diphtheria-15/Tetanus/5 Ac Pertussis Vaccine [Daptacel] by accident 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 Meningococcal vaccine A/C/Y/W conj (tet tox) (Menquadfi) for Immunisation. On 07-Jan-2025, the patient received 0.5mL dose of suspect Diphtheria-15/Tetanus/5 Ac Pertussis Vaccine, Suspension for injection, Strength Standard, lot 2CA77C1 and expiry date 30-Apr-2025 via intramuscular route in Arm NOS (not otherwise specified) for immunization, by accident with no reported adverse event (product administered to patient of inappropriate age) (Latency Same day). Reportedly, Daptacel was administered to an 11 year old patient by accident on January and they wanted to know if the patient was still supposed to get a TDap booster or if there is a wait booster between the vaccines. HCP (Health care professional) mentioned that they were to use Adacel for the booster. 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. More
2854670 0.33 AZ 08/19/2025 DTAPIPVHIB
SANOFI PASTEUR
UK196AAN
No adverse event, Product preparation issue No adverse event, Product preparation issue
only administered the DTAP/POLIO portion and not the HIB component with no reported adverse event; I... only administered the DTAP/POLIO portion and not the HIB component with no reported adverse event; Initial information received on 14-Aug-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 4 months old patient with unknown gender who was only administered to Diphtheria/Tetanus/5 Hybrid Ac Pertussis/Ipv(Vero)/Hib(Prp/T) Vaccine [Pentacel] with the dtap/polio portion and not the hib component 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 Pneumococcal vaccine conj 15v (CRM197) (Vaxneuvance) and rotavirus vaccine for Immunisation. On 14-Aug-2025, the patient received 0.5mL (frequency once) of suspect Diphtheria/Tetanus/5 Hybrid Ac Pertussis/Ipv(Vero)/Hib(Prp/T) Vaccine, Suspension for injection (lot UK196AAN, expiry date 31-MAR-2026, strength not reported) via unknown route in unknown administration site for Prophylactic vaccination (Immunisation) and was administered the dtap/polio portion and not the hib component with no reported adverse event (product preparation issue). Reportedly, they wanted to know if they can use a sterile diluent to mix with HIB to give the remainder of that combination vaccine. Concomitnat- rotavax. 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.. More
2854671 29 M NJ 08/19/2025 COVID19
COVID19
PFIZER\BIONTECH
PFIZER\BIONTECH


Aspiration, Cardiac assistance device user, Endotracheal intubation, Fatigue, Im... Aspiration, Cardiac assistance device user, Endotracheal intubation, Fatigue, Impaired driving ability; Impaired work ability, Resuscitation, Sudden cardiac death More
Listed in first page of this form, I suffered a life changing cardiac episode. Listed in first page of this form, I suffered a life changing cardiac episode.
โœ“ โœ“ โœ“
2854708 40 F CT 08/19/2025 DTAP
SANOFI PASTEUR

Rash Rash
Approximately one week after receiving vaccine rash started to cover body, starting with feet and pr... Approximately one week after receiving vaccine rash started to cover body, starting with feet and progressing to trunk, legs, arms, hands, and torso. The rash grew together until the separate bumps connected and looked like an itchy, giant sunburn. Took prednisone roughly 48-72 hours after going to walk in. Resolved in a few days. Had similar reaction apprx 10 years ago a week after receiving TDAP booster. Took no medication to reduce it. Rash lasted 2 weeks before resolving. More
2854709 76 F PA 08/19/2025 VARZOS
GLAXOSMITHKLINE BIOLOGICALS
93N4J
Chills, Vomiting Chills, Vomiting
Had chills and then vomiting. Had chills and then vomiting.
2854710 11 M PA 08/19/2025 MNQ
TDAP
SANOFI PASTEUR
GLAXOSMITHKLINE BIOLOGICALS
U8562AA
9JT4S
Loss of consciousness; Loss of consciousness Loss of consciousness; Loss of consciousness
Mother report that patient had passed out after his vaccines when he stood up. Provider examined pat... Mother report that patient had passed out after his vaccines when he stood up. Provider examined patient after incident and released him. More
2854711 1 M TX 08/19/2025 DTPPVHBHPB
HEPA
MMR
PNC20
VARCEL
MSP VACCINE COMPANY
GLAXOSMITHKLINE BIOLOGICALS
MERCK & CO. INC.
PFIZER\WYETH
MERCK & CO. INC.
U8335AA
L4EA4
Y013130
LN4928
Y020586
Wrong product administered; Wrong product administered; Wrong product administer... Wrong product administered; Wrong product administered; Wrong product administered; Wrong product administered; Wrong product administered More
Medical assistant administered Vaxelis instead of Varivax. Medical assistant administered Vaxelis instead of Varivax.
2854712 76 F AL 08/19/2025 RSV
RSV
GLAXOSMITHKLINE BIOLOGICALS
GLAXOSMITHKLINE BIOLOGICALS
JB27A
JB27A
Pain, Pain in extremity, Peripheral swelling, Rash, Rash erythematous; Skin warm Pain, Pain in extremity, Peripheral swelling, Rash, Rash erythematous; Skin warm
Patient reported having adverse side effects the same night and more the next morning of having a ho... Patient reported having adverse side effects the same night and more the next morning of having a hot red rash, swelling, and sharp radiating pain down her arm that felt like a bee sting. Patient came to the pharmacy several days later reporting same symptoms and still had hot red rash that was swollen with pain. Told patient to immediately call doctor and let them assess her arm. She did not recall how low the vaccine was given and she had a preexisting "bad shoulder" on the arm that she had received it. More
2854713 56 M VT 08/19/2025 PNC20
PFIZER\WYETH
LN4932
Erythema, Injection site warmth, Skin warm, Tenderness Erythema, Injection site warmth, Skin warm, Tenderness
Vaccine administered 8/5/25. Confirmed he has redness, warmth and tenderness for 8 days,. No fever, ... Vaccine administered 8/5/25. Confirmed he has redness, warmth and tenderness for 8 days,. No fever, no weak/ness. Injection site describes as hard to touch for first 4-6. Spoke to pt days. Pt did not take any NSAIDS or tyl. Contacted pcp office 8/11. Call returned 8/14, left message. Spoke to pt to confirm sxs 8/19 More
2854714 41 M ME 08/19/2025 MENB
PFIZER\WYETH
GP8622
No adverse event No adverse event
Patient reports no adverse reactions. Patient reports no adverse reactions.
2854715 66 F VA 08/19/2025 VARZOS
GLAXOSMITHKLINE BIOLOGICALS

Injection site pain, Injection site pruritus, Injection site reaction, Injection... Injection site pain, Injection site pruritus, Injection site reaction, Injection site warmth, Rash erythematous More
Red rash distal to injection site, warm and tender. Worst on Monday, still warm and tender on Tuesda... Red rash distal to injection site, warm and tender. Worst on Monday, still warm and tender on Tuesday. Now starting to itch intermittently. More
2854716 1 M ID 08/19/2025 HEPA
MMRV
VARCEL
MERCK & CO. INC.
MERCK & CO. INC.
MERCK & CO. INC.
y011731
y008284
x026325
Wrong product administered; Wrong product administered; Wrong product administer... Wrong product administered; Wrong product administered; Wrong product administered More
I collected (what I thought was MMR) vaccine from the blue MMR box in the fridge. I verified the exp... I collected (what I thought was MMR) vaccine from the blue MMR box in the fridge. I verified the expiration date and noted the Measles, Mumps, Rubella on the label. I did not notice the Varicella until I was documenting. I rechecked the fridge and the box was still there with 1 additional dose of ProQuad. Vaccine was removed from fridge and taken to CA. Immunization Dept, Supervisor and PCP notified. Mother was notified via phone call. More
2854717 74 F AL 08/19/2025 FLU3
PNC20
SANOFI PASTEUR
PFIZER\WYETH
U8764BB
LP4947
Extra dose administered, Injection site bruising, Injection site discomfort; Ext... Extra dose administered, Injection site bruising, Injection site discomfort; Extra dose administered, Injection site bruising, Injection site discomfort More
Administration error regarding Prevnar 20. Patient received Prevnar 20 on 11/28/23. An additional do... Administration error regarding Prevnar 20. Patient received Prevnar 20 on 11/28/23. An additional dose of Prevnar 20 was administered on 08/15/2025. Patient stated she experienced some discomfort and bruising at the injection site that has since improved. No further issues post administration. More
2854719 57 M 08/19/2025 COVID19
COVID19
MODERNA
MODERNA
BM20A
036A21A
Blindness unilateral, Central serous chorioretinopathy, Dermatitis, Eczema, Fluo... Blindness unilateral, Central serous chorioretinopathy, Dermatitis, Eczema, Fluorescence angiogram; Blindness unilateral, Central serous chorioretinopathy, Dermatitis, Eczema, Fluorescence angiogram More
Loss of vision right eye. Central Serous Retinopathy. No treatment available. Severe Eczema, derm... Loss of vision right eye. Central Serous Retinopathy. No treatment available. Severe Eczema, dermatitis. Taking Rinvoq daily indefinitely. More
โœ“
2854720 62 F 08/19/2025 RSV
PFIZER\WYETH
LL8391
Contusion, Influenza like illness, Pain in extremity, Peripheral swelling, Pyrex... Contusion, Influenza like illness, Pain in extremity, Peripheral swelling, Pyrexia More
Arm pain and swelling followed by bruising. Fever for 3 days and flu like symptoms Arm pain and swelling followed by bruising. Fever for 3 days and flu like symptoms
2854721 68 F OH 08/19/2025 TDAP
GLAXOSMITHKLINE BIOLOGICALS

Chills, Headache, Myalgia, Pyrexia Chills, Headache, Myalgia, Pyrexia
Fever 103.4, headache, muscle aches, rigors, Fever 103.4, headache, muscle aches, rigors,
2854722 3 M CA 08/19/2025 IPV
MMR
SANOFI PASTEUR
MERCK & CO. INC.
Y1A212M
Y018703
Rash, Urticaria; Rash, Urticaria Rash, Urticaria; Rash, Urticaria
Per mother, patient received 2 vaccines on 8/7/25. When he woke up on 8/9/25, he was covered in &quo... Per mother, patient received 2 vaccines on 8/7/25. When he woke up on 8/9/25, he was covered in "hives" on his whole body (mouth, chest, stomach, neck), the rash was not itchy and she denied fever at that time. She administered oral Claritin and applied Benadryl topical cream. She stated this would initially help and the "patches" would go away but then come back a few hours later; the rash lasted about 3 days. More
2854723 31 F AK 08/19/2025 VARCEL
VARCEL
MERCK & CO. INC.
MERCK & CO. INC.
Y015108
Y015108
Fatigue, Hyperhidrosis, Injection site erythema, Injection site swelling, Oropha... Fatigue, Hyperhidrosis, Injection site erythema, Injection site swelling, Oropharyngeal pain; Rash, Rash erythematous, Rash papular, Rash pruritic, Yellow skin More
Report was received today 8/19/25. Starting on 8/16/25 the patient reports fatigue and a red raised... Report was received today 8/19/25. Starting on 8/16/25 the patient reports fatigue and a red raised spot at vaccine injection site. On 8/18/25 the patient reports she developed red raised spots to back, umbilicus, neck, arm; states spots are itchy, raised, and red but not scabbed, yellowish underneath "like a pimple". She also reports sore throat and sweaty today but no measured fever. Instructed by Dr. that patient should monitor and call back with worsening. Monitoring is ongoing at this time. More
2854724 3 M CA 08/19/2025 IPV
MMR
SANOFI PASTEUR
MERCK & CO. INC.
Y1A212M
Y018703
Pyrexia, Rash, Urticaria; Pyrexia, Rash, Urticaria Pyrexia, Rash, Urticaria; Pyrexia, Rash, Urticaria
Per mother, patient received 2 vaccines on 8/7/2025. When he woke up on 8/10/25 and he developed &qu... Per mother, patient received 2 vaccines on 8/7/2025. When he woke up on 8/10/25 and he developed "hives" on his body (neck, chest, face), the rash was not itchy and she denied fever at that time. She administered oral Claritin and applied Benadryl topical cream. She stated this would initially help and the "patches" would go away but then come back a few hours later; the rash lasted about 3 days. Mother also reported a fever of 103 on 8/15/25. More
2854725 26 M PA 08/19/2025 HPV9
HPV9
MERCK & CO. INC.
MERCK & CO. INC.


Asthenia, Blood test normal, HIV test negative, Lumbar puncture normal, Magnetic... Asthenia, Blood test normal, HIV test negative, Lumbar puncture normal, Magnetic resonance imaging normal; Muscular weakness, Paraesthesia, Sensory loss More
symptoms had tingling sensation in lower legs and he was weak. Left lower body had loss sensation up... symptoms had tingling sensation in lower legs and he was weak. Left lower body had loss sensation up to the umbilical region. Above that was normal. All test were normal/negative. He got 3 doses of steroids for treatment. He reported improved but now is back in (withheld name) ER for lower extremity weakness. PCP will follow up with patient after discharges. More
2854726 58 M CA 08/19/2025 UNK
UNKNOWN MANUFACTURER
93KK4
Chills, Fatigue, Headache, Pain in extremity, Pyrexia Chills, Fatigue, Headache, Pain in extremity, Pyrexia
shivering, fever, pain in arm, fatigue, headache shivering, fever, pain in arm, fatigue, headache